Abstract

INTRODUCTION Case reports are a time-honored way for physicians to share knowledge in cases that are especially rare, interesting, or instructive. A case report typically involves only the care of one patient and therefore often appears to represent an isolated endeavor. Most cases, however, are not isolated events but rather a convergence of multiple forces. To illustrate this, I have received permission from a patient to identify him in this case discussion. “Convergence” is defined in The American Heritage Dictionary of the English Language as “the act, condition or quality of converging or approaching the same point from different directions; tend towards a meeting or intersection”. This case report is a story of extraordinary convergence, of people and places, of hope and happiness.

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