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Endocr Pract 2021 Jun 13;27(6):614-620. Epub 2020 Dec 13.

Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India.

Objective: Functional cystic lesion of the parathyroid gland is a rare cause of primary hyperparathyroidism (PHPT). They have been postulated to arise from the hemorrhage and cystic degeneration in the parathyroid adenoma (PA). We intended to analyze their scintigraphic and histopathological findings since available literature is sparse. Read More

BMJ Case Rep 2021 Jun 11;14(6). Epub 2021 Jun 11.

Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, Zuid-Holland, The Netherlands.

The gold standard for rib fracture nonunion management remains a matter of debate. Operative treatment of rib fracture nonunion has become increasingly popular. A 69-year-old man was operatively treated with intercostal neurectomy of the left eighth rib to resolve chronic thoracic pain following a rib fracture nonunion. Read More

J Pak Med Assoc 2021 Jun;71(6):1623-1626

Department of Anaesthesia, Aga Khan University Hospital, Karachi.

Objective: To assess the safety and effectiveness of peripheral nerve blocks using ultrasound.

Methods: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised data of all patients who received peripheral nerve blocks as part of anaesthesia care between January 2015 and January 2017. The data included outcomes of peripheral nerve block effectiveness, complications and limb conditions after the block. Read More

BMJ Case Rep 2021 Jun 7;14(6). Epub 2021 Jun 7.

Nephrology Dialysis Apheresis, Hopital Universitaire de Nimes, CHU Caremeau, Nimes, France

We present two French cases of amyloid-associated (AA) amyloidosis secondary to chronic infections. Patient 1, a 51-year-old heroin addict, was hospitalised for chest pain and anasarca. During hospitalisation, a nephrotic syndrome with an inflammatory condition was discovered along with a chronic skin ulcer on his arm. Read More

J Pak Med Assoc 2021 May;71(5):1483-1485

Department of East Surgical Ward, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.

Left-sided abdominal pain is an uncommon presentation of acute appendicitis. When a patient presents with this complaint, appendicitis can be difficult to diagnose, thus resulting in delayed definitive therapy and increased morbidity and mortality. In this report we discuss the case of a middle-aged man, who presented with left-sided abdominal pain, and was diagnosed to be suffering from acute appendicitis along with asymptomatic midgut malrotation. Read More

BMC Infect Dis 2021 Jun 5;21(1):530. Epub 2021 Jun 5.

Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, 2002-7 Iso, Hikami-cho, Tamba, 669-3495, Japan.

Background: Cytomegalovirus (CMV) is reported to have thrombogenic characteristics that activate factor X in vitro and stimulate the production of factor VIII and von Willebrand factor (vWF). Thrombosis associated with CMV infection is prevalent among immunocompromised patients and predominantly presents as a solitary large thrombus in the deep vein, pulmonary artery, splanchnic arteriovenous ducts, or other similar sites. Multiple thrombi, however, are rarely observed in such cases. Read More

BMJ Case Rep 2021 Jun 4;14(6). Epub 2021 Jun 4.

Orthopedic Surgery, Hôpital Riviera-Chablais, Rennaz, Switzerland.

A 67-year-old woman underwent a medical check-up by her general practitioner after complaining of atypical pain in the shoulder girdle. Due to the important inflammatory syndrome noticed on blood testing, a polymyalgia rheumatica was suspected and she was started on corticosteroid treatment with good clinical response, but no impact on inflammation. She underwent extensive imaging with a thoraco-abdominal CT scanner that demonstrated a pancreatic mass, then later a PET-CT showed 3 different hyperactive lesions. Read More

BMJ Case Rep 2021 Jun 4;14(6). Epub 2021 Jun 4.

General Surgery Department, Koç University Hospital, Istanbul, Turkey.

A 59-year-old man with abdominal pain was admitted to the emergency department. Investigations had revealed a right-sided paraduodenal hernia and superior mesenteric vein (SMV) twisting around the superior mesenteric artery in rotation, the 'whirlpool sign'. Owing to the increasing severity of abdominal pain and the presence of SMV thrombosis complicated with strangulated paraduodenal herniation associated with high mortality rates, diagnostic laparoscopy was performed. Read More

Medicine (Baltimore) 2021 Jun;100(22):e26238

Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

Rationale: Acute acalculous cholecystitis (AAC) is an extremely rare manifestation of systemic lupus erythematous (SLE). In previous reports, most of the patients were already diagnosed cases of SLE upon confirmation of AAC.

Patient Concerns: A 24-year-old female who initially presented with fever and acute right upper quadrant abdominal pain. Read More

Medicine (Baltimore) 2021 Jun;100(22):e26139

Department of Gastroenterology, Zhongshan People's Hospital, Zhongshan City, China.

Rationale: Groove pancreatitis (GP) is a rare form of chronic pancreatitis. Since GP presents with nonspecific symptoms, it can be challenging to diagnose. Duodenal obstruction is often caused by malignant diseases; however, when associated with acute pancreatitis, it is rarely induced by groove pancreatitis. Read More

BMJ Case Rep 2021 Jun 2;14(6). Epub 2021 Jun 2.

Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Puducherry, India.

A 52-year-old man, with known case of hypertension and stroke, presented to us with an upper gastrointestinal bleed and abdominal pain. Ultrasonography of the abdomen showed haematoma within the gallbladder (GB), and Doppler ultrasound was suggestive of an aneurysm arising from the cystic artery (CA). CT of the abdomen showed a well-enhancing thick-walled GB suggestive of malignancy. Read More

J Int Med Res 2021 Jun;49(6):3000605211017037

Department of Colorectal Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Primary colonic lymphoma is a very rare malignant tumor with no standard treatment. We report two cases of primary colonic lymphoma successfully treated with surgery and chemotherapy, and chemotherapy alone, respectively. The first case was a 61-year-old woman who presented with abdominal pain of more than 1 month. Read More

BMC Gastroenterol 2021 Jun 2;21(1):247. Epub 2021 Jun 2.

Histopathology Unit of National Institute of Gastroenterology "S. de Bellis," Research Hospital, Via Turi 27, 70013, Castellana Grotte, Bari, Italy.

Background: Undifferentiated carcinoma with osteoclast-like giant cells (UCOGCs) is a rare and aggressive non endocrine pancreatic carcinoma characterized by the presence of osteoclastic giant cells mixed with mononuclear cell. Very few cases have been reported in the literature and the histogenesis is controversial as, at the time of diagnosis, the tumor is often of advanced size and stage and it is difficult to pathologically observe its relationship with the pancreatic duct.

Case Presentation: We present a case of 65-year-old male patient presenting with abdominal pain, nausea, and weight loss, which was treated with surgical resection. Read More

Medicina (Kaunas) 2021 May 12;57(5). Epub 2021 May 12.

Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital of Inje University, 875 Haeundae-ro, Haeundae-gu, Busan 48108, Korea.

Introduction: Leriche syndrome is an aortoiliac occlusive disease caused by atherosclerotic occlusion. We report a case of Leriche syndrome with a fracture that was suspected as complex regional pain syndrome (CRPS), as the post-traumatic pain gradually worsened in the form of excruciating neuropathic pain.

Case Report: A 52-year-old woman with a history of hypertension was referred to the Department of Pain Medicine from a local orthopedic clinic because of suspected CRPS for excruciating neuropathic pain for one month. Read More

Medicina (Kaunas) 2021 May 12;57(5). Epub 2021 May 12.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

: Clinicians have been using elastic abdominal binder for stabilizing incision site after major abdominal surgery. However, the benefits of that practice have never been formally assessed. The aim of this study was to examine the effects of the use of elastic abdominal binder on postoperative pain and recovery of gynecologic cancer patients. Read More

BMC Surg 2021 May 31;21(1):273. Epub 2021 May 31.

Department of Gastrointestinal Surgery, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, 312000, China.

Background: Ileum obstruction due to internal hernia beneath external iliac artery after pelvic lymph node dissection (PLND) is extremely rare. We reported a case of acute strangulated internal hernia between the left external iliac artery and psoas major as late complication of laparoscopic hysterectomy with pelvic lymphadenectomy.

Case Presentation: A 46-year-old woman, who with histories of laparoscopic hysterectomy, bilateral salpingo-oophorectomy and PLND 9 years ago for the cervical malignant tumor, open appendectomy 18 years ago, visited our hospital complaining of aggravated left lower abdominal pain, bloating, nausea and vomiting from few hours ago. Read More

Am J Case Rep 2021 May 31;22:e930453. Epub 2021 May 31.

Department of Diabetology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.

BACKGROUND Sclerosing mesenteritis is a rare disease characterized by chronic inflammation of mesenteric adipose tissue. To our knowledge, this is the first case report that presents the effects of glucocorticoid therapy on metabolic control in diabetes mellitus, aggravated by sclerosing mesenteritis. We want to show the significance of this rare disease, which could be underestimated as a cause of decompensation of diabetes mellitus. Read More

J Med Case Rep 2021 May 31;15(1):288. Epub 2021 May 31.

Department of Surgery, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger.

Introduction: Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis.

Case Presentation: We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. Read More

J Med Case Rep 2021 May 30;15(1):308. Epub 2021 May 30.

Department of Internal Medicine, The University of Toledo College of Medicine, 2100 Central Avenue 2nd floor, Toledo, Ohio, 43606, USA.

Background: Membranous nephropathy (MN) is the leading cause of nephrotic syndrome in adults worldwide. A growing body of evidence indicates a pathogenic and autoimmune correlation between Helicobacter pylori infection, MN, and autoimmune liver disease.

Case Presentation: A 47-year-old African American woman presented to our institution with epigastric pain and vomiting. Read More

BMC Surg 2021 May 29;21(1):271. Epub 2021 May 29.

Department of General Surgery, Tongde Hospital of Zhejiang Province, 234 Gucui RD, Hangzhou, 310012, China.

Background: Intussusception has a low incidence rate in adults. Many cases in adults are caused by tumors. Intussusception results from conditions other than tumors are uncommon. Read More

BMJ Case Rep 2021 May 28;14(5). Epub 2021 May 28.

Obstetrics and Gynecology, Kansai Rosai Hospital, Amagasaki, Japan.

Intra-abdominal bleeding due to uterine fibroids is extremely rare, and preoperative diagnosis is difficult. Herein, we report a case of preoperatively diagnosed hypovolaemic shock due to intra-abdominal haemorrhage, in which fatal sequelae were prevented. A 46-year-old non-pregnant woman was brought to the hospital with a sudden-onset lower abdominal pain. Read More

J Med Case Rep 2021 May 29;15(1):306. Epub 2021 May 29.

Division of Surgical Gastroenterology, Department of Surgery, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.

Background: Inflammatory cap polyp is a very rare benign entity of the distal left colon, characterized by inflammatory polyp with a "cap" of fibrinopurulent exudates. They are usually multiple and commonly present with bleeding per rectum or mucoid discharge. Solitary polyp presenting with intermittent intussusceptions is rare. Read More

Pan Afr Med J 2021 2;38:231. Epub 2021 Mar 2.

Department of Digestive Surgery, Hospital Ibn Tofaîl, University Hospital Center Mohammed VI, Marrakech, Morocco.

Colonic volvulus usually occurs as a single event that can affect various parts of the colon. The usual sites affected being the sigmoid colon (75%) and the caecum (22%). The phenomenon of multiple sites simultaneously undergoing volvulus is an extremely rare occurrence. Read More

BMC Infect Dis 2021 May 27;21(1):493. Epub 2021 May 27.

King Edward Medical University, Lahore, 54000, Pakistan.

Introduction: Cronobacter sakazakii is an opportunistic Gram-negative, rod-shaped bacterium which may be a causative agent of meningitis in premature infants and enterocolitis and bacteremia in neonates and adults. While there have been multiple cases of C. sakazakii infections, there have been no acute cholangitis cases reported in humans. Read More

BMC Gastroenterol 2021 May 27;21(1):241. Epub 2021 May 27.

Department of Radiology, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.

Background: A chronic expanding hematoma (CEH) enlarges as a result of slight bleeding over several months, and the tissue shows a mixture of blood breakdown products, granulation tissue with capillary ingrowth, and inflammatory tissue. This report presents a case of a subcapsular hepatic CEH that was treated with transarterial embolization (TAE) and hepatectomy.

Case Presentation: A 56-year-old man presented with vomiting and right-sided abdominal pain. Read More

Stud Health Technol Inform 2021 May;281:168-172

Nuffield Department of Primary Care Health Sciences, University of Oxford, UK.

Pancreatic cancer is the 10th most common cancer diagnosed; despite recent advances in many areas of oncology, survival remains poor, in part owing to late diagnosis. Whilst primary care data are used widely for epidemiology and pharmacovigilance, they are less used for observing survival. In this study we extracted a pancreatic cancer cohort from a nationally representative English primary care database of electronic health records (EHRs) and reported on their symptom and mortality data. Read More

Rev Gaucha Enferm 2021 19;42(spe):e20200205. Epub 2021 May 19.

Universidade Federal do Piauí (UFPI), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. Teresina, Piauí, Brasil.

Objective: To identify symptoms of COVID-19 in adults in the scientific literature.

Method: Systematic review of studies published from December 1, 2019 to April 21, 2020 from the Scopus, Web of Science and PubMed databases, in order to answer the following research question: "What are the symptoms caused by COVID-19 in adults?" using the keywords "Symptoms", "Clinical Manifestations", "Coronavirus", "COVID-19".

Results: Of the total 105 references, 13 references that addressed the symptoms of COVID-19 were selected. Read More

BMJ Case Rep 2021 May 25;14(5). Epub 2021 May 25.

Gastroenterology, Mater Dei Hospital, Msida, Malta.

Anterior mediastinal large cell neuroendocrine carcinomas (LCNECs) are extremely rare, extremely aggressive malignancies that carry a dismal prognosis. We discuss a woman aged 60 years who presented with a 2-month history of recurrent severe constant epigastric pain. Abdominal examination revealed massive hepatomegaly and a CT scan of the liver confirmed coarse liver lesions. Read More

Medicine (Baltimore) 2021 May;100(21):e25983

Department of Gastroenterology, Cho Ray Hospital, Ho Chi Minh City.

Abstract: Hypertriglyceridemia induced acute pancreatitis (HTGP) was associated with increased risk of local complications, recurrent acute pancreatitis (AP), the frequency of other complications, and its high mortality as compared to other causes. Determining the factors associated with the severity of HTGP was necessary and important in the management of patients with AP.This study aims to examine the clinical and biochemical characteristics of HTGP patients, and to determine the factors associated with the severity of HTGP according to the revised Atlanta classification. Read More

Medicine (Baltimore) 2021 May;100(21):e25961

Department of Neurosurgery, Aviation General Hospital of China Medical University, Chaoyang District, Beijing, People's Republic of China.

Rationale: Amyloidosis is a heterogeneous group of diseases characterized by extracellular deposition of amyloid fibrils. Lung carcinoma is rarely reported to be associated with AA amyloidosis. With regard to the manifestation of amyloidosis infiltrating organs, most of the cases focus on the heart, liver, kidneys, and peripheral nervous system. Read More