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Vertebral artery V3 portion-radial artery-distal common carotid artery (V3-RA-dCCA) bypass for large basilar trunk aneurysm with bilateral proximal common carotid artery occlusion-technical note.

Acta Neurochir (Wien) 2021 Jul 17. Epub 2021 Jul 17.

Department of Neurological Surgery, Nippon Medical School, Bunkyo City, Japan.

Background: Large basilar trunk aneurysm caused by bilateral occlusion of the proximal common carotid artery is rare. We treated one case with vertebral V3 portion-radial artery-distal common carotid artery (V3-RA-dCCA) bypass.

Case Description: Basilar trunk aneurysm and bilateral occlusion of the proximal CCA were found incidentally in a 70-year-old woman. Read More

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A Nationwide Retrospective Study in Turkish Children With Nephrocalcinosis.

Turk J Med Sci 2021 Jun 27. Epub 2021 Jun 27.

Background: Nephrocalcinosis (NC) is defined as calcium deposition in the kidney parenchyma and tubules. This study aims to determine the etiology, risk factors and follow-up results of patients with NC in Turkey.

Materials And Methods: Patients diagnosed with NC in the Pediatric Nephrology Department Units of 19 centers from all geographical regions of Turkey over a 10-year period (2010?2019) were included in the study. Read More

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Multiple Gastric Carcinomas Associated with Epstein-Barr Virus and Helicobacter pylori: A Thought-Provoking Case.

Am J Case Rep 2021 Jun 23;22:e931668. Epub 2021 Jun 23.

Department of Surgery, Shiga General Hospital, Moriyama, Shiga, Japan.

BACKGROUND Epstein-Barr virus (EBV) and Helicobacter pylori (HP) infections are associated with gastric carcinoma (GC). We present a thought-provoking case of multiple GCs associated with EBV and HP infections. CASE REPORT HP infection was incidentally detected in an asymptomatic 60-year-old man. Read More

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Iatrogenic Middle Meningeal Arteriovenous Fistula During Embolization: Two Case Reports and Literature Review.

J Stroke Cerebrovasc Dis 2021 Aug 11;30(8):105909. Epub 2021 Jun 11.

Department of Neurosurgery, St. Mary's Hospital, 422 Tsubukuhonnmachi, Kurume, Fukuoka 8308543, Japan. Electronic address:

Objective Dural arteriovenous fistulae of the middle meningeal artery are rare. There are few reports of complications associated with endovascular therapy. This report describes two cases of iatrogenic middle meningeal arteriovenous fistula due to vascular injury sustained during endovascular treatment. Read More

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Candida esophagitis incidentally detected by 18F-FDG PET/CT in a patient with CNS lymphoma.

Clin Case Rep 2021 May 24;9(5):e04322. Epub 2021 May 24.

Division of Hematology Department of Internal Medicine Cerrahpaşa Faculty of Medicine Istanbul University-Cerrahpaşa Istanbul Turkey.

Corticosteroids are commonly used in lymphoma patients, and findings in favor of esophageal involvement in 18F-FDG PET-CT should be considered suspicious and definitely be confirmed by biopsy. We describe a 58-year-old lady with diffuse large B-cell lymphoma and central nervous system involvement having an increased metabolism in the distal esophagus with 18F-FDG PET/CT, which was consistent with esophageal candidiasis, most probably due to prolonged use of dexamethasone. Esophageal candidiasis can be misdiagnosed as malignancy with a high SUVmax and may lead to difficulties while managing these patients. Read More

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[A Case of Malignant Lymphoma Incidentally Diagnosed by Lymph Node Dissection during Gastrectomy].

Gan To Kagaku Ryoho 2021 Apr;48(4):546-548

Dept. of Surgery, Kyoto Yamashiro General Medical Center.

A 65‒year‒old man was diagnosed with gastric cancer during a detailed examination for anemia and hospitalized for surgery. Laparoscopy‒assisted distal gastrectomy, D1+ dissection, and Billroth Ⅰ reconstruction were performed. The postoperative course was favorable, and he was discharged on postoperative day 8. Read More

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Aberrant origin of right vertebral artery from the arch of aorta.

Indian J Thorac Cardiovasc Surg 2021 May 3;37(3):357-359. Epub 2021 Jan 3.

Department of Nuclear Medicine and PET-CT, Tata Medical Center, Kolkata, West Bengal 700084 India.

We present a rare case of an aberrant right vertebral artery originating from the arch of aorta distal to the origin of the left subclavian artery. The incidence of this particular variant of aberrant origin of the right vertebral artery is extremely uncommon with only seventeen cases reported in literature to date. This case was incidentally detected on a staging positron emission tomography-computerized tomography (PET-CT) scan for lung cancer. Read More

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Blind spots on CT imaging of the head: Insights from 5 years of report addenda at a single institution.

Clin Imaging 2021 Aug 29;76:189-194. Epub 2021 Apr 29.

Radiology and Biomedical Imaging, Yale School of Medicine, PO Box 208042, Tompkin's East 2, New Haven, CT 06520-8042, United States.

Background: Errors of detection ("misses") are the major source of error in radiology. There is sparse prior literature describing patterns of detection error on CT head imaging.

Purpose: The objective of this study was to gain insight to areas on CT head imaging where radiologists are most likely to miss clinically relevant findings. Read More

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Gallstone Ileus Treated by Incidental Meckel's Diverticulectomy.

Cureus 2021 Mar 24;13(3):e14078. Epub 2021 Mar 24.

Department of Surgery, West Virginia University, Martinsburg, USA.

Gallstone ileus is an uncommon cause of intestinal obstruction in the elderly. It is typically recognized on computed tomography by the presence of pneumobilia and a gallstone in the right iliac fossa. Nonetheless, it is important to consider that gallstone ileus may represent the presentation of another pathology rather than an entity on its own. Read More

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Intestinal obstruction and ischemia by necrotic annular Meckel's diverticulum: Case report and review of the literature.

Int J Surg Case Rep 2021 May 20;82:105897. Epub 2021 Apr 20.

General Surgery Department, San Salvatore Hospital, Paternò, Catania, Italy.

Introduction And Importance: Meckel's diverticulum (MD) is a vestigial remnant of the omphalomesenteric duct, representing the most common congenital malformation of the gastrointestinal tract. Diagnosis of MD is a challenge because of its rarity and frequent asymptomaticity. Radiological exams generally aren't useful for its diagnosis. Read More

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Solid Pseudopapillary Neoplasms of the Pancreas: a Single-Center Experience and Review of the Literature.

J Gastrointest Cancer 2021 Apr 20. Epub 2021 Apr 20.

Department of HPB Surgery and Liver Transplant, Royal Free Hospital NHS Foundation Trust, London, UK.

Purpose: Pancreatic solid pseudopapillary neoplasms (SPNs) are rare borderline tumours mainly affecting young female patients. The number of patients diagnosed with SPNs has increased significantly in the last decades owing to the increased use of cross-sectional imaging investigating different abdominal symptoms, whilst a significant proportion are incidentally discovered during the process of evaluating other pathologies. We herein present our institutional experience of patients with SPN who underwent curative resection focusing on clinical, pathological features, and the long-term outcomes. Read More

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Everolimus Related Fulminant Hepatitis in Pancreatic Neuroendocrine Tumor With Liver Metastases: A Case Report and Literature Review.

Front Endocrinol (Lausanne) 2021 1;12:639967. Epub 2021 Apr 1.

Department of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.

Background: Everolimus, an immunosuppressant, is approved for the treatment of advanced renal cell carcinoma, metastatic hormone receptor-positive breast cancer, and pancreatic neuroendocrine tumors (P-NETs) but has been reported to be related to hepatitis B reactivation. Here, we present the first case of fatal fulminant hepatitis B reactivation in a man with P-NET accompanied by multiple liver metastases who received everolimus and octreotide long-acting repeatable (LAR).

Case Presentation: A 45-year-old male had a history of chronic hepatitis B infection. Read More

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Diagnosis and Treatment Process of Tracheobronchopathia Osteochondroplastica with Concurrent Chronic Eosinophilic Pneumonia: a Case Report.

Tanaffos 2020 Jul;19(3):267-271

Advanced Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Background: Tracheobronchopathia Osteochondroplastica (TBPO) is a rare disease with a benign period affecting the bronchial system. It is characterized by the presence of numerous osseous submucosal nodules or cartilaginous protruding into the tracheobronchial lumen. These wounds are diagnosed incidentally during bronchoscopy. Read More

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A case report of inverted Meckel's diverticulum.

Radiol Case Rep 2021 May 4;16(5):1118-1122. Epub 2021 Mar 4.

Department of Radiology, Medical University of South Carolina University Medical Center, 25 Courtenay St., Charleston, SC, 29412 USA.

Inverted Meckel's diverticulum is an entity often discovered incidentally or through a clinical evaluation for gastrointestinal bleeding. While rare, inverted Meckel's diverticulum should be considered in the evaluation of a patient presenting with gastrointestinal bleeding, intestinal obstruction, or intussusception. In this case, a 67-year-old female with a remote history of surgically treated breast cancer presents to an urgent care facility with weakness and fatigue. Read More

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Carotid artery stenting in a patient with an incidentally found double aortic arch: A case report.

Interv Neuroradiol 2021 Mar 5:15910199211001717. Epub 2021 Mar 5.

Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

Double aortic arch is a type of congenital vascular ring, which rarely presents in adults. Herein, we report a case of carotid artery stenting (CAS) accompanied by an incidentally found double aortic arch. A 77-year-old man presented with bilateral severe carotid artery stenosis. Read More

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[Pancreatic cystic neoplasms: a clinical dilemma].

Ned Tijdschr Geneeskd 2021 02 4;164. Epub 2021 Feb 4.

Amsterdam UMC,Cancer Center Amsterdam, afd. Chirurgie, Amsterdam.

Pancreatic cystic neoplasms are increasingly detected in the general population. Although most of these lesions are benign, some are (pre)malignant and require follow-up or even surgical intervention. Three cases are presented and used to discuss the clinical implications of the renewed European Guideline on pancreatic cystic neoplasms in which relative and absolute indications for resection are proposed. Read More

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February 2021

Solid pseudopapillary epithelial neoplasm (SPEN) of the pancreas involving the distal body and proximal tail: A case report.

Int J Surg Case Rep 2021 Mar 3;80:105519. Epub 2021 Feb 3.

Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India.

Introduction And Importance: Solid Pseudopapillary Epithelial Neoplasm (SPEN) of the pancreas is a rare cystic exocrine tumor of the pancreas most commonly occurring in women between 30 and 40 years of age. This case report aims to demonstrate the clinicopathological findings encountered and the management of a patient diagnosed with SPEN.

Case Presentation: An 18-year-old woman with gradually progressive and intermittent abdominal pain in the epigastric region presented to our outpatient department. Read More

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Juvenile Disease Processes Affecting the Forelimb in Canines.

Nina R Kieves

Vet Clin North Am Small Anim Pract 2021 Mar;51(2):365-382

Small Animal Orthopedic Surgery, The Ohio State University, 601 Vernon L Tharp Street, Columbus, OH 43210, USA. Electronic address:

Several juvenile diseases affect the canine forelimb. The most common are hypertrophic osteodystrophy, panosteitis, and retained cartilaginous core. Panosteitis and hypertrophic osteodystrophy tend to be self-limiting, with a good long-term prognosis, although severe cases can develop. Read More

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Subclinical Cardiomyopathy in Miyoshi Myopathy Detected by Late Gadolinium Enhancement Cardiac Magnetic Resonance Imaging.

Int Heart J 2021 ;62(1):186-192

Yong Loo Lin School of Medicine, National University of Singapore.

Dysferlin is a sarcolemmal protein present in muscle cells. It is responsible for muscle membrane repair. Dysferlin gene (DYSF) mutation, resulting in deficiency in this protein, is termed dysferlinopathy. Read More

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February 2021

Bilaterally Variant Accessory Fibularis Muscle: Its Phylogenetic, Molecular and Clinical Perspective.

Cureus 2020 Dec 19;12(12):e12165. Epub 2020 Dec 19.

Anatomy, Maulana Azad Medical College, New Delhi, IND.

Accessory fibularis muscle is prevalent in 2.9-21.8% of the world population. Read More

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December 2020

Multiple non-polypoid mucosal Schwann cell hamartomas presenting as edematous and submucosal tumor-like lesions: a case report.

BMC Gastroenterol 2021 Jan 19;21(1):29. Epub 2021 Jan 19.

Department of Gastroenterology, St. Luke's International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo, 104-8560, Japan.

Background: Mucosal Schwann cell hamartomas are rare neurogenic tumors which present most commonly in the distal colon. They are usually discovered as small, single polyps in asymptomatic patients.

Case Presentation: An asymptomatic 64-year-old man was referred to us after a 12 mm subepithelial lesion was discovered incidentally on screening colonoscopy. Read More

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January 2021

Mid-Aortic Syndrome in Williams-Beuren Syndrome with an Atypical Small-Sized Deletion of Chromosome 7q11.23 Misdiagnosed as Takayasu Arteritis.

Int Heart J 2021 Jan 16;62(1):207-210. Epub 2021 Jan 16.

Department of Cardiology, Wonkwang University Hospital.

Mid-aortic syndrome (MAS) is a rare condition characterized by stenosis of the distal thoracic and/or abdominal aorta. Williams-Beuren syndrome (WBS) is a relatively rare cause of MAS. We report a case of incidentally diagnosed MAS caused by WBS without typical manifestations caused by an atypical small-sized deletion in chromosome 7q11. Read More

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January 2021

Clear cell clusters in the kidney: a rare finding that should not be misdiagnosed as renal cell carcinoma.

Virchows Arch 2021 Jul 14;479(1):57-67. Epub 2021 Jan 14.

Department of Pathology, Hospital POVISA, Vigo, Spain.

Clear cytoplasm is a major characteristic feature of most malignant renal neoplasms. Benign clear cells in the renal parenchyma, usually histiocytes, can occasionally be found, but they are infrequently of an epithelial nature. We report histological, immunohistochemical, ultrastructural, and cytogenomic features of clear epithelial cell clusters incidentally found in four kidney specimens. Read More

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Emergent surgical embolectomy for middle cerebral artery occlusion related to cerebral angiography followed by neck clipping for an unruptured aneurysm in the anterior communicating artery.

Surg Neurol Int 2020 4;11:420. Epub 2020 Dec 4.

Department of Neurosurgery, Fuji Brain Institute and Hospital, Fujinomiya, Shizuoka.

Background: Intracranial embolism related to cerebral angiography is rare but one of the complications of the procedure. However, the standard management of acute intracranial embolism for this etiology has not been established, and there have been very few reports in the past.

Case Description: A 68-year-old male was incidentally found to have an unruptured aneurysm of anterior communicating artery (ACoA). Read More

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December 2020

Role of conservative management of stones.

Turk J Urol 2020 Nov 1;46(Supp. 1):S64-S69. Epub 2020 Nov 1.

Department of Urology, University Hospitals Birmingham NHS Foundation Trust Ringgold Standard Institution, Birmingham, UK.

Urinary tract stone disease is one of the most common pathologies of the modern era with a rising prevalence owing to incidentally detected renal stones from imaging for other reasons. Although there is consensus on active management of symptomatic and asymptomatic stones in high-risk patient groups, conservative management of stones is still controversial. We have reviewed the literature pertaining to conservative management of 3 groups of stones-asymptomatic calyceal stones, staghorn stones, and ureteric stones-and summarized the findings to provide guidance in the conservative management of stones. Read More

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November 2020

Bronchopleurobiliary fistula following right lower lobectomy in a patient with prior hepatic abscess: a case report.

Ann Transl Med 2020 Nov;8(21):1464

Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

In a 68-year-old male patient with cholangitis microabscess in the liver, cavitary lung cancer of the right lower lobe was incidentally diagnosed. The patient's medical history comprised totally laparoscopic distal gastrectomy (TLDG) and cholecystectomy 9 years ago. Before TLDG, endoscopic retrograde cholangiopancreatography (ERCP) was performed because of a common bile duct stone and cholangitis. Read More

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November 2020

Impaired Distal Tubular Acidification, Renal Cysts and Nephrocalcinosis in Monogenic Hypertension.

Indian J Pediatr 2021 06 25;88(6):579-581. Epub 2020 Nov 25.

Division of Nephrology, Department of Pediatrics and ICMR Center for Advanced Research in Nephrology, All India Institute of Medical Sciences, 110029, New Delhi, India.

Monogenic defects in tubular sodium handling contribute a small proportion to hypertension in childhood. Presentation varies from severe hypertension manifesting at birth to asymptomatic hypertension and hypokalemic metabolic alkalosis detected incidentally in adulthood. A 12-y-old girl presenting with polyuria, polydipsia, severe hypertension and seizures, was found to have hypokalemia, renal medullary cysts and nephrocalcinosis. Read More

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Ovarian teratoma in a woodchuck (Marmota monax) with hepatocellular carcinoma: radiologic and pathologic features.

BMC Vet Res 2020 Nov 23;16(1):451. Epub 2020 Nov 23.

Center for Interventional Oncology, Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, 10 Center Drive, Room 3N320, MSC 1182, Bethesda, MD, 20892, USA.

Background: Teratomas are germ cell neoplasms composed of a wide variety of tissues. In the woodchuck, only one testicular teratoma has been described in the literature. The objective of this report was to describe the radiologic and pathologic findings in a female woodchuck (Marmota monax) with an ovarian teratoma consisting of mature tissues originating from all three germ layers. Read More

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November 2020

Huge solid pseudopapillary tumor of the pancreas 'Frantz tumor': a case report.

J Gastrointest Oncol 2020 Oct;11(5):1098-1104

Hepatopancreaticobiliary Unit, Department of Surgery, King Fahad Specialist Hospital, Dammam, Kingdom of Saudi Arabia.

Solid pseudopapillary neoplasms (SPN) of the pancreas are rare neoplasms accounting for 1-2% of all pancreatic tumors and have a general female predominance. We report a case and intraoperative videos of SPN involving the whole pancreatic tail. A 19-year-old female patient initially presented to another healthcare facility complaining of abdominal pain, which was started 6 years ago. Read More

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October 2020

Pancreatic intraductal tubulopapillary neoplasm progression requiring completion pancreatectomy: A case report and literature review.

Int J Surg Case Rep 2020 12;76:492-496. Epub 2020 Oct 12.

Department of Surgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI, United States. Electronic address:

Introduction: Intraductal tubulopapillary neoplasm (ITPN) is a recently described rare tumor of the pancreas. Diagnostic approach and treatment are based on relatively few cases.

Presentation Of Case: Here we report a case of a 68-year-old male presenting with an ampullary adenoma with high grade dysplasia who underwent pancreaticoduodenectomy and was incidentally found to have an ITPN at the pancreatic resection margin with areas of microinvasion throughout the resected specimen. Read More

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October 2020