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World Journal of Clinical Cases

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https://read.qxmd.com/read/30863770/melanotic-xp11-associated-tumor-of-the-sigmoid-colon-a-case-report
#1
Gang Wang, Gang-Gang Li, Sheng-Mao Zhu, Bao-Jia Cai, Peng-Jie Yu, Cheng-Wu Zhang
BACKGROUND: Melanotic Xp11-associated tumors are rare mesenchymal-derived tumors. So far, most primary melanotic Xp11-associated tumors have been reported in the kidney, and reports of this tumor in the gastrointestinal tract are rare. CASE SUMMARY: Here we describe the case of a 25-year-old woman who presented with a melanotic Xp11-associated tumor in the sigmoid colon. Colonoscopy revealed a large mucosal bulge in the sigmoid colon, approximately 32 cm inside the anus...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863769/intrauterine-cystic-adenomyosis-report-of-two-cases
#2
Yan-Yan Fan, Yi-Nan Liu, Jia Li, Yan Fu
BACKGROUND: Cystic adenomyosis is a special type of adenomyosis. Its clinical manifestations lack specificity. Pelvic ultrasound and nuclear magnetic resonance imaging can help clarify the diagnosis. Because cystic uterine adenomyosis is rare in clinical work, it can be easily misdiagnosed or its diagnosis can be missed. Early surgical treatment and postoperative drug treatment can alleviate dysmenorrhea, menorrhagia, anemia, and other symptoms. CASE SUMMARY: Two cases complained about abnormal vaginal bleeding and were diagnosed with intrauterine cystic adenomyosis by gynecological ultrasound and pathological examination...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863768/use-of-tunnel-endoscopy-for-diagnosis-of-obscure-submucosal-esophageal-adenocarcinoma-a-case-report-and-review-of-the-literature-with-emphasis-on-causes-of-esophageal-stenosis
#3
Song Liu, Nian Wang, Jian Yang, Jia-Yao Yang, Zhao-Hong Shi
BACKGROUND: The tunnel endoscopic technique is the treatment of choice for submucosal tumors. However, the use of tunnel endoscopy to diagnose adenocarcinoma of the esophagus originating from the submucosa has not been well studied. CASE SUMMARY: A 74-year-old man who presented with dysphagia for half a year underwent a series of checks, such as gastroendoscopy, X-ray contrast examination of the upper digestive tract, endoscopic ultrasonography, high-resolution esophageal manometry, and positron emission computed tomography...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863767/rare-empty-sella-syndrome-found-after-postoperative-hypotension-and-respiratory-failure-a-case-report
#4
Peng Guo, Zeng-Jun Xu, Chang-En Hu, Yue-Ying Zheng, Dan-Feng Xu
BACKGROUND: Empty sella syndrome is a condition in which the pituitary gland shrinks or flattens. Patients with empty sella syndrome often present with headache, hypertension, obesity, visual disturbances, cerebrospinal fluid (CSF) rhinorrhoea, or endocrine dysfunction. Herein, we report a rare case of empty sella syndrome discovered after the patient experienced postoperative hypotension and respiratory failure. CASE SUMMARY: A 60-year-old man was admitted for further workup of left shoulder pain...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863766/concomitant-paraganglioma-and-thyroid-carcinoma-a-case-report
#5
Bo Lin, Hong-Yu Yang, Hui-Jun Yang, Shi-Yue Shen
BACKGROUND: Paraganglioma/pheochromocytoma and medullary thyroid carcinoma can coexist and are often found in multiple endocrine neoplasia (MEN). However, very few cases highlight papillary thyroid carcinoma. We present herein a rare case of head and neck paraganglioma associated with papillary thyroid carcinoma. CASE SUMMARY: A 51-year-old man presented to our department with right-sided neck swelling and hypertension. Physical examination showed neck masses with obvious pulsation...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863765/application-of-computer-assisted-navigation-in-treating-congenital-maxillomandibular-syngnathia-a-case-report
#6
Li-Qin Lin, Shan-Shan Bai, Min Wei
BACKGROUND: Congenital maxillomandibular syngnathia is an extremely rare disorder characterized by craniofacial malformations and inability to open the mouth adequately, which leads to problems with feeding, swallowing, and breathing as well as temporomandibular joint ankylosis. The main goal of the surgery is to release the ankylosis, establish functioning mandible, and prevent re-fusion. However, surgical procedures for this disease are rarely reported. CASE SUMMARY: Here, we report a 7-mo-old girl with bilateral maxillomandibular syngnathia...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863764/perioperative-topical-ascorbic-acid-for-the-prevention-of-phacoemulsification-related-corneal-endothelial-damage-two-case-reports-and-review-of-literature
#7
Chia-Yi Lee, Hung-Ta Chen, Yi-Jen Hsueh, Hung-Chi Chen, Chieh-Cheng Huang, Yaa-Jyuhn James Meir, Chao-Min Cheng, Wei-Chi Wu
BACKGROUND: The current case report describes successful phacoemulsification with the aid of perioperative topical ascorbic acid (AA) in two patients with corneal endothelial disorders to prevent postoperative corneal endothelial decompensation. CASE SUMMARY: Two eyes of two patients underwent phacoemulsification with pre-existing corneal endothelial disorders including Fuchs corneal endothelial dystrophy (Patient 1) and endotheliitis (Patient 2). Topical AA was applied to both patients at least one month before and after with a frequency of four times per day...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863763/fatal-meningococcal-meningitis-in-a-2-year-old-child-a-case-report
#8
Aleksander Mularski, Czesław Żaba
BACKGROUND: In fatal cases of meningococcal septicemia, bacteriological diagnosis may not be straightforward due to postmortem replication and relocation of endogenic microflora. In medicolegal practice, aside from routine autopsy and histopathology, also other diagnostic methods, such as microbiological tests, immunohistochemistry and polymerase chain reaction (PCR), are used to examine body fluids and tissues. CASE SUMMARY: We present the case of sudden death in a 2-year-old child...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863762/diagnostic-detection-with-cardiac-tomography-and-resonance-of-extremely-rare-coronary-anomaly-a-case-report-and-review-of-literature
#9
Nicolò Schicchi, Marco Fogante, Gian Marco Giuseppetti, Andrea Giovagnoni
BACKGROUND: The association of two congenital coronary artery anomalies (CAAs) is extremely rare but represents one of the main cause of sudden cardiac death in young athletes. Although coronary angiography (CX-A) is still widely used in childhood, cardiac magnetic resonance (C-MRI) and cardiac computed tomography (C-CT) have recently taken on an increasing diagnostic role in early detection of CAAs and concomitant congenital cardiac malformations. CASE SUMMARY: A healthy 10-year-old male patient was referred to the Radiological Department of our Institution due to no evidence of left coronary artery in echocardiographic examination...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863761/exercise-induced-anaphylaxis-with-an-ayurvedic-drug-as-cofactor-a-case-report
#10
Francesca Losa, Margherita Deidda, Davide Firinu, Maria Luisa Di Martino, Maria Pina Barca, Stefano Del Giacco
BACKGROUND: The practice of Indian Ayurvedic medicine is spreading in Western countries and Shilajit is one of the most used drugs, for its antioxidant activities and immunomodulatory effects. Albeit Shilajit has showed a high degree of safety, it can act as cofactor of anaphylaxis, especially in condition at high risk, such as mast cell activation syndrome (MCAS). We reported this case to sensitize practitioners to investigate to the use of complementary and alternative medicine, in case of exercise-induced anaphylaxis (EIAn)...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863760/sustained-complete-response-to-erlotinib-in-squamous-cell-carcinoma-of-the-head-and-neck-a-case-report
#11
Mie Mie Thinn, Chung-Tzu Hsueh, Chung-Tsen Hsueh
BACKGROUND: Squamous cell carcinoma of head and neck (SCCHN) is the fifth most common cancer worldwide. Inhibition of epidermal growth factor receptor signaling has been shown to be a critical component of therapeutic option. Herein, we report a case of durable complete response to erlotinib. CASE SUMMARY: An 81-year-old Caucasian male who presented with metastatic poorly differentiated squamous cell carcinoma of right cervical lymph nodes (levels 2 and 3). Imaging studies including (18)F-fluorodeoxyglucose positron emission tomography/computed tomography (CT) and contrast-enhanced CT scan of neck and chest did not reveal any other disease elsewhere...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863759/docetaxel-cisplatin-and-5-fluorouracil-compared-with-epirubicin-cisplatin-and-5-fluorouracil-regimen-for-advanced-gastric-cancer-a-systematic-review-and-meta-analysis
#12
Bo Li, Lian Chen, Hong-Liang Luo, Feng-Ming Yi, Yi-Ping Wei, Wen-Xiong Zhang
BACKGROUND: As the first-line regimens for the treatment of advanced gastric cancer, both docetaxel, cisplatin, and 5-fluorouracil (DCF) and epirubicin, cisplatin, and 5-fluorouracil (ECF) regimens are commonly used in clinical practice, but there is still controversy about which is better. AIM: To compare the efficacy and safety of DCF and ECF regimens by conducting this meta-analysis. METHODS: Computer searches in PubMed, EMBASE, Ovid MEDLINE, Science Direct, Web of Science, The Cochrane Library and Scopus were performed to find the clinical studies of all comparisons between DCF and ECF regimens...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863758/maternal-serum-level-of-resistin-is-associated-with-risk-for-gestational-diabetes-mellitus-a-meta-analysis
#13
Shi-Min Hu, Meng-Shi Chen, Hong-Zhuan Tan
BACKGROUND: Resistin is most likely involved in the pathogenesis of gestational diabetes mellitus (GDM), but the existing findings are inconsistent. AIM: To review the literature investigating the associations of the risk of GDM with serum level of resistin. METHODS: A systematic literature search was performed using MEDLINE, EMBASE, and Web of Science (all databases). This meta-analysis included eligible studies that: (1) investigated the relationship between the risk of GDM and serum resistin; (2) included GDM cases and controls without GDM; (3) diagnosed GDM according to the oral glucose-tolerance test; (4) were performed in humans; (5) were published as full text articles in English; and (6) provided data with median and quartile range, median and minimum and maximum values, or mean and standard deviation...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863757/adiponectin-gene-polymorphisms-and-risk-of-gestational-diabetes-mellitus-a-meta-analysis
#14
Lin-Ting Huang, Shi-Lan Wu, Xin Liao, Shu-Juan Ma, Hong-Zhuan Tan
BACKGROUND: Adiponectin (ADIPOQ) is an important factor involved in the regulation of both carbohydrate and lipid metabolism. Polymorphisms in the ADIPOQ gene are known to influence an individual's predisposition to metabolic syndrome and type 2 diabetes. Moreover, women with gestational diabetes mellitus (GDM) are at an increased risk of developing type 2 diabetes. Several studies have been conducted previously to assess the association between ADIPOQ polymorphisms and GDM; however, the results of the association are inconclusive...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863756/safety-of-an-improved-patent-ductus-arteriosus-occluder-for-transcatheter-closure-of-perimembranous-ventricular-septal-defects-with-abnormally-attached-tricuspid-chordae-tendineae
#15
Lu He, Ya-Juan Du, Ge-Sheng Cheng, Yu-Shun Zhang
BACKGROUND: The off-label use of various devices has been reported for the transcatheter closure of perimembranous ventricular septal defects (PmVSD) because of serious complications, such as heart block and tricuspid regurgitation (TR), associated with conventional ventricular septal defect devices. However, whether certain defects such as PmVSD with abnormally attached tricuspid are fit for interventional treatment is still disputable. AIM: To explore the feasibility and safety of transcatheter closure of PmVSD with abnormally attached tricuspid chordae tendineae using an improved patent ductus arteriosus (PDA) occluder...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30863755/clinical-presentation-and-early-predictors-for-poor-outcomes-in-pediatric-myocarditis-a-retrospective-study
#16
Moises Rodriguez-Gonzalez, Maria Isabel Sanchez-Codez, Manuel Lubian-Gutierrez, Ana Castellano-Martinez
BACKGROUND: Myocarditis is an important cause of morbidity and mortality in children, leading to long-term sequelae including chronic congestive heart failure, dilated cardiomyopathy, heart transplantation, and death. The initial diagnosis of myocarditis is usually based on clinical presentation, but this widely ranges from the severe sudden onset of a cardiogenic shock to asymptomatic patients. Early recognition is essential in order to monitor and start supportive treatment prior to the development of severe adverse events...
March 6, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30842967/rhombencephalitis-caused-by-listeria-monocytogenes-with-hydrocephalus-and-intracranial-hemorrhage-a-case-report-and-review-of-the-literature
#17
Jing-Jing Liang, Xiao-Yan He, Hong Ye
BACKGROUND: Listeria monocytogenes ( L. monocytogenes ), a Gram-positive facultatively intracellular bacterium, is the causative agent of human listeriosis. Listeria infection is usually found in immunocompromised patients, including elderly people, pregnant women, and newborns, whereas it is rare in healthy people. L. monocytogenes may cause meningitis, meningoencephalitis, and some very rare and severe complications, such as hydrocephalus and intracranial hemorrhage, which cause high mortality and morbidity worldwide...
February 26, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30842966/anterior-cervical-corpectomy-decompression-and-fusion-for-cervical-kyphosis-in-a-girl-with-ehlers-danlos-syndrome-a-case-report
#18
Huang Fang, Peng-Fei Liu, Chang Ge, Wen-Zhi Zhang, Xi-Fu Shang, Cai-Liang Shen, Rui He
BACKGROUND: Spinal deformities in Ehlers-Danlos syndrome (EDS; type VI) are generally progressive and severe. Surgical treatment has been described for kyphoscoliosis in the thoracolumbar spine. However, there are few studies describing the consequences of an anterior approach in cervical kyphosis. An anterior approach may not be able to fully decompress the spinal canal and restore the normal curvature of the cervical spine. Therefore, the anterior approach for cervical kyphosis in young children is hard...
February 26, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30842965/primary-hepatic-leiomyosarcoma-successfully-treated-by-transcatheter-arterial-chemoembolization-a-case-report
#19
Ke-Lei Zhu, Xiu-Jun Cai
BACKGROUND: Primary hepatic leiomyosarcoma is rare and reported sporadically, with less than 40 such cases have been reported in the English-language literature. Although it is reported to be associated with acquired immune deficiency syndrome, Epstein-Barr virus infection, Hodgkin's lymphoma, immunosuppression after organ transplantation, and hepatitis C virus-related liver cirrhosis, the precise steps leading to leiomyosarcoma have not been fully identified. Therapeutic strategies include liver wedge resection or lobectomy, chemotherapy, radiotherapy and liver transplantation; however, the prognosis of primary hepatic leiomyosarcoma is dismal...
February 26, 2019: World Journal of Clinical Cases
https://read.qxmd.com/read/30842964/long-term-follow-up-of-a-patient-with-venlafaxine-induced-diurnal-bruxism-treated-with-an-occlusal-splint-a-case-report
#20
Jia-Min Chen, Ying Yan
BACKGROUND: Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism (DB). DB secondary to antidepressants is rare and refractory. Reports associated with antidepressant-induced DB are mostly anecdotal without long-term follow-up. The effect of drug intervention on antidepressant-induced DB is still contested. We herein report the first case of successful treatment of venlafaxine-induced DB with an occlusal splint...
February 26, 2019: World Journal of Clinical Cases
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