Case Repor Research Articles

The effect of Benson relaxation technique to reduce acute pain in postoperative patients: A case repor

The effect of Benson relaxation technique to reduce acute pain in postoperative patients: A case repor

Case Repor Case Report and X t and X-ray Microtomography and Scanning Electr aphy and Scanning Electron Microscopy Analysis of Teeth with Hypocalcified Amelogenesis Imperfecta

Amelogenesis imperfecta (AI) is a genetic disease characterized by producing morphological and structural changes in tooth enamel. Objective: To highlight the morphological changes observed in teeth with hypocalcified AI based on scanning electron microscopy and microtomography analysis. Case report: An adult male had teeth seriously compromised by hypocalcified AI. The treatment plan involved removal of third molars followed by restorative and prosthetic treatment. After extraction, the teeth were analyzed by SEM and X-ray microtomography (microCT). Teeth with AI revealed the presence of microfractures arranged from the outer surface to the center of the enamel. Microfractures had a cracked or “cracked ground” pattern. SEM confirmed the presence of microfractures and distortion in the orientation of the enamel prisms in some regions. Conclusion: Teeth of patients with hypocalcified amelogenesis imperfecta IIIA subtype show significant structural changes that are closely related with the ease of fractures.

Gallstone Ileus with A Typical Clinical Presentation: A Case Repor

Introduction: Gallstone ileus is a rare complication of cholelithiasis, described as a mechanical intestinal obstruction due to the impaction of one or more large gallstones within the gastrointestinal tract. It is caused by the passage of a gallstone from the bile ducts into the intestinal lumen through a fistula. The most frequent type of fistula is located between the gallbladder and the duodenum. Clinical Case: A 60-year-old male was admitted with a diagnosis of DM 2 / hypovolemic shock / upper gastrointestinal bleeding. Began 24 h before admission, presented asthenia, adynamia, hyporexia, tolerating only a liquid diet, 3 vomits of gastric contents and one melenic evacuation. level of care for surveillance and diagnostic protocol, upon admission to this hospital he presented vomiting in coffee grounds and hypotension that responded to intravenous fluids. An exploratory laparotomy was performed, finding: obstruction of the small intestine by a gallstone of approximately 7 cm in diameter at 170 cm from the angle of Treitz, reactive appendicitis, and abundant inflammatory reaction fluid; Enterolithotomy + primary closure was performed with the Heineke-Mikulikcz technique and a Penrose drain was placed into the pelvic cavity. Discussion: Intestinal obstruction caused by gallstones is rare, this event occurs more frequently in the elderly. The clinical picture is often diffuse and requires a high index of suspicion. Conventional radiography can be of great help for its diagnosis, but also Abdominal Ultrasound and Computerized Axial Tomography. Surgical treatment can range from enterotomy and lithotomy, which is the simplest, to enterotomy with lithotomy plus cholecystectomy, and fistula treatment, which is a complex procedure.

Extracorporeal shockwave lithotripsy in combination with endoscopy as a treatment modality for painful chronic obstructive pancreatitis – a case report

Chronic pancreatitis (CP) is a serious condition with a great impact on the quality of life, and it can lead to some serious long-term consequences such as pancreatic cancer or secondary diabetes mellitus. Associated pancreatic exocrine insufficiency leads to malnutrition with weight loss; however, the main symptom of the disease is abdominal pain, often very severe. The primary treatment option for painful CP is pharmacotherapy (pancreatic enzyme replacement therapy, analgesics). If this is not effective, CP can be treated via endoscopy, extracorporeal shockwave lithotripsy (ESWL), their combination, or surgery. We present a case of painful chronic obstructive pancreatitis in a patient successfully treated with ESWL in combination with endoscopy.

Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case repor

Distal femur physeal arrest due to physeal bar formation with progressive deformities is an unwanted complication following injury to the femur. Various techniques of physeal bar resection, either using open techniques or endoscopic methods, have been described in the available literature. The associated angular deformities could be addressed either with osteotomy in acute correction or gradual correction with an external fixator or guided growth principle. We would like to recommend the use of fat tissues from the surgical wound used for the guided growth and evaluation of the recurrence of the physeal bar via computed tomography in our case. To our knowledge there is no previous reports using similar approach. We shall share case of a severely comminuted distal femoral physeal injury Salter-Harris IV complicated with central physeal bar causing growth disturbance and angular knee deformity treated via endoscopic resection surgery and simultaneous 8-plate insertion for which has shown a good radiological and functional outcome.

Schizoaffective Disorder: How long does it take to diagnose? A case report

Introduction: It is reported a case of a 57-year-old woman with multiple psychiatric hospitalizations, during which different diagnostic hypotheses and therapeutic procedures were proposed. Case repor t: After analyzing the patient’s clinical records, the medical team proposed a diagnosis of Schizoaffective Disorder. This disorder presents a high risk of recurrent hospitalizations and high costs associated with therapeutic and follow-up withdrawal, yet there is limited data to assess the post-discharge critical periods. Final considerations : Further research in this area is required to adopt effective therapeutic strategies, reduce the probability of hospital admissions, improve prognosis, and lessen associated financial costs

Uterine Artery Pseudoaneurysm after Cesarean Section Treated with Superselective Embolization: A Case Repor

Uterine Artery Pseudoaneurysm after Cesarean Section Treated with Superselective Embolization: A Case Repor

Treating a Rare Angiomyomatous Hamartomas of Head and Neck Region, Our Experience: Case Repor

Angiomyomatous hamartoma of head and neck region is very are disease, of unknown etiology and more often than not it can be misdiagnosed preoperatively. Materials and Methods: In a study we present a case of angiomyomatous hamartoma in the carotid triangle, a site where a tumor has an invasion to external carotid artery, treatment carried out by surgical excision, after histological examination, the final diagnosis was made. The patient was under observation for 3 years, there were no relapses. Conclusion: The diagnosis of angiomyomatous hamartoma is based on histologic examination. Although this entity is rare, we believe that head and neck surgeons should include it in the differential diagnosis of head and neck masses

Fixed Drug Eruptions Secondary to Fixed Drug Combination (Ofloxacin/Ornidazole): A Cross Sensitivity Case Report

Background: Fixed drug eruption (FDE) is an erythematous cutaneous patch caused by certain drugs through activation of immunologic reactions in the body. The onset of FDE is 30 minutes to 8 hours and is estimated to occur in upto 16-21% of all cutaneous reactions. The irrational combination of fluoroquinolones and nitroimidazole is the most prescribed drug for diarrhea in India, and the drug is found to cause FDE either individually or in combination. Cross sensitivity is the major issue associated with Fluoroquinolones and nitroimidazole. Case repor: Our case is of a 45-year-old male who developed FDE due to a combination product of ofloxacin and ornidazole with past FDE history due to a combination product of norfloxacin and tinidazole. The patient presented with erythematous patches all over the body, swollen lips, mucosal erosion over the buccal cavity, and glans penis. Discussion: The patient was successively treated after the withdrawal of the culprit drug with oral Antihistamines, corticosteroids, and other topical creams and gels, which correlates with the standard management of FDE. Conclusion: Proper prescribing knowledge, documentation of drug allergies, and educating patient about allergic reaction play vital role to prevent future drug related problems.

Primary Synchronous Neuroendocrine, Adenocarcinoma and Squamous Cell Carcinoma of Cervix- A Case Repor

Primary Synchronous Neuroendocrine, Adenocarcinoma and Squamous Cell Carcinoma of Cervix- A Case Repor

Peritoneopericardial diaphragmatic hernia in a healthy adult feline (Felis catus domesticus): diagnosis to surgical treatment - Case repor

Peritoneopericardial diaphragmatic hernia (PPDH) is a communication between the abdomen and the pericardial sac generated by congenital anomalies triggered during diaphragmatic and pericardial development. This report aimed to present the case of an adult, mixed-breed cat, affected by PPDH, focusing on the period from diagnosis to successful surgical correction. The patient had a capricious appetite and weight loss for about four months and started, at the end of this period, a state of apathy. On abdominal ultrasound, the gallbladder (GB) was close to the heart, suggesting diaphragmatic discontinuity. On thoracic radiography, there were changes suggestive of PPDH, pericardial efusion or cardiomegaly with probable dilated cardiomyopathy. Based on these findings, an echocardiogram was performed, highlighting the hepatic lobe and GB internally to the pericardium, causing cardiac compression, although without severe cardiac changes. During surgery, a diaphragmatic defect of 4 cm in diameter was observed with the congested right medial hepatic lobe and hyperemic GB in the pericardial sac. The defect was sutured using the sultan pattern in separate stitches and polyamide threads. The feline returned to feeding with greater interest soon after the surgery, and after 15 days it was fed with dry food and had normal behavior. PPDH can be diagnosed in healthy adult cats, even if there are no apparent respiratory, gastrointestinal, or cardiac signs. The echocardiogram is relevant in the definitive diagnosis, in addition to excluding differential diagnoses, and simple surgical treatment with polyamide thread and sultan suture is successful.

Extra-synovial Pigmented Villonodular Synovitis of the knee joint, Case Repor

Background: PVNS is a rare, benign & aggressive disorder arising from either synovial joints or tendon sheaths; it may erode articular structures and bones. We present a case with unique features of PVNS being extra-synovial and by this report we open a gate for more researches in this field. Case Presentation: This case report concerns a 35-year-old female with a history of right knee pain for 6-month duration proceeded by gradual swelling over posterior aspect of the knee, she denies any history of trauma, clinical examination was unremarkable but apart from tenderness over the infrapatellar region with full flexion. MRI shows a heterogenous signal extra-articular and extra-synovial lesion in posterior aspect of the knee suggesting Pigmented Villonodular Synovitis, FNA revealed a hemosiderin-laden macrophages and multinucleated giant cells, Tru-cut biopsy result was suggesting PVNS as synovial cells were seen admixed with hemosiderin-laden macrophages with fibroblastic elements. Through posterior approach; the lesion was surgically excised and histopathological examination confirmed the diagnosis, the lesion was recurrent after 1-year and MRI revealed the same features, the lesion was excised by arthroscopic intervention. Conclusion: We concluded that PVNS cannot be excluded when extra-synovial lesion is assessed, and further researches on this topic will expand our understanding of the etiological and pathological aspects of this tumor.

CPlus Surgery® mento e pré-jowl – relato de caso

The mentum acts significantly in the facial profile. With a more vain society, aiming to age well and in serach of procedures with greater durability, the objective of this case repor tis to report a longe-lasting treatment option, which promotes the surgical projection of CPlus Surgery®, to compensate the entire processo f aging processo f aging that is inherent to every human being and in this way improving the loss of soft tissues and skeletal resorption. With a satisfactory result, this technique is very promising in Orofacial Harmonization.

Hydatid cysts of lung and axillary region mimic lung metastasis: A case repor

Hydatid cyst disease is one of the zoonoses caused by the larval stage of Echinococcus granulosus,mostly involving the liver and the lungs; but its complications can be seen in every site andorgan. Sometimes it can cause suspicious and complicated cases that mimic malignancy. Forinstance, axillary involvement of hydatid cyst is very rare. It is important to differentiate hydatidcyst disease from cancer, since it may show malignant features when pulmonary or other distantorgan involvement takes place. In this study, we present a case of multiple masses in the lungsand the axillary region in a 48-year-old woman. The ultrasonography was unable to detecthydatid cysts. Biological values were normal except for serum sodium (Na) and potassium (K);and enzyme-linked immunosorbent assay (ELISA) test was negative. Hydatid cyst was diagnosedwhile taking a biopsy from the axillary tumor.

A rare case of the synovial hemangioma of the knee: A case repor

A rare case of the synovial hemangioma of the knee: A case repor

Osteoid osteoma of the 5th metatarsal bone; a rare case repor

Osteoid osteoma of the 5th metatarsal bone; a rare case repor

Efficacy of naturopathy and yogic interventions on bilateral polycystic ovarian syndrome: a case repor

Efficacy of naturopathy and yogic interventions on bilateral polycystic ovarian syndrome: a case repor

Surgical management of a strangulated inguinal hernia in a Cynomolgus Monkey (Macaca fascicularis): a case repor

Nous presentons un cas de hernie inguinale etranglee traite chirurgicalement chez un macaque cynomolgus mâle. Le patient presentait un choc severe associe a un gonflement de l’aine et du scrotum a droite. Une laparoscopie a permis de mettre en evidence une hernie inguinale indirecte, reduite par hernioplastie suivie d’une castration unilaterale et de la suture de l’anneau inguinal. Apres evaluation de l’integrite de l’intestin, il a ete decide de ne pas realiser d’enterectomie. Le patient a recupere de l’intervention sans presenter de complications. Bien que la hernie inguinale soit une affection benigne, la strangulation et la necrose des anses engagent le pronostic vital. Nous discutons en derniere partie des symptomes evocateurs d’une strangulation lors de hernie inguinale et des options therapeutiques.

Primary Tubercular Otitis Media: A Case Repor

Primary Tubercular Otitis Media: A Case Repor

Pre-axial longitudinal hemimelia associated with humeral hypoplasia in dog: Case repor

Changes in embryogenesis may produce abnormalities in the structure or function of tissues and organs and these may be of genetic or environmental origin. The process known as organogenesis will depend on the interaction between endoderm, mesoderm and ectoderm, which will originate subsequent cellular movements, through the migration of precursor cells with the formation of the limb buds and thus causing cytodifferentiation, that is, in the formation of the limbs themselves. The disostoses, which are the set of congenital morphological alterations, are characterized by the abnormal development of a bone or part of it, which can affect the appendicular skeleton. Agenesis, or also known as hemimelia, consists of a rare character anomaly in which one or more paired bones have complete or partial absence, but among this rarity the most frequent is hemimelia in the unilateral form. The case report is a dog, SRD, presenting a left thoracic limb deformity, limping and unable to support it to the ground. Radiographic examinations of the limb were performed consecutively, which revealed the presence of pre-axial longitudinal hemimelia associated with humeral hypoplasia. It was decided to wait for the development of the animal for clinical reassessment and development of prosthesis in the affected limb.