Gossypiboma: A Patient’s Decade of Abdominal Presentation as a Sequela of a Forgotten Intraperitoneal Foreign Body | Chapter 11 | Disease and Health Research: New Insights Vol. 8

Background: Gossypiboma is the mass formed as a result of a retained foreign material commonly sponge or gauze that is left accidentally during surgery. It tends to occur in different parts of the body but is more pronounced in the abdominal pelvic cavity, as quite a number of procedures are done on both minimal and open (laparotomy) approach bases.

Case Presentation: This is a case of a 52-year-old female who presented with a decade’s history of abdominal pain that started 3 months after an open myomectomy. For the entire time, she has been managed as the case of several other intra-abdominal diagnoses. She was generally stable, an abdominal examination revealed an old midline scar with the tender right abdominal field, and the liver and spleen were not palpable with unballotable kidneys. A contrasted abdominal pelvic Computed tomography scan revealed an 11 by 10 cm low-density mass within a thin enhancing capsule having an attachment to the anterior abdominal wall. Laparotomy was done and the excised mass revealed the features of long-term foreign body containment, scattered necrotic tissues, and foreign body multinucleated giant cells with features of suppurative granulomatous inflammations were all seen on histopathological review.

Conclusion: Being a serious post-operative complication, Gossypiboma must be prevented simply by adhering to the existing safe surgical standards.

 

Author (s) Details

Seth Jotham
Department of Surgery, St. Francis University College of Health and Allied Sciences, Ifakara, Tanzania.

 

Yasin Munisi
Department of Surgery, Bugando Medical Centre, Mwanza, Tanzania.

 

Isabela Magesa
Department of Surgery, St. Francis University College of Health and Allied Sciences, Ifakara, Tanzania.

 

Jacqueline Kilasi
Department of Surgery, Tumbi Regional Referral Hospital, Education Centre, Kibaha, Tanzania.

 

Please see the book here:- https://doi.org/10.9734/bpi/dhrni/v8/2692

A Case Report on Multiple Renal Infarctions in Spontaneous | Chapter 13 | Medical Science: Recent Advances and Applications Vol. 2

Aim: This study reports a rare clinical case of spontaneous renal artery dissection (SRAD) presenting with multiple renal infarctions.

Background: As spontaneous renal artery dissection (SRAD) is a rare cause of abdominal pain, bilateral dissection is an extremely rare event. It can be defined as a dissection of the renal artery with no underlying vascular disease, renal artery intervention, or trauma. Only approximately two hundred cases of SRAD have been reported in the literature. The diagnosis is often delayed due to the rarity of the disease and non-specific clinical presentations such as flank pain, hypertension, fever, nausea, vomiting, and hematuria, which can be often misdiagnosed as a genito-urinary infection or gastrointestinal or bowel disease. Before 1980, the diagnosis of SRAD was mostly confirmed via autopsy or, rarely, via angiography. At present, the diagnosis is made using advanced imaging approaches, including computed tomography angiography (CTA) and magnetic resonance angiography (MRA), with a higher number of incidentally diagnosed SRADs.

Methods: The case of a 49-year-old man who was referred to our Emergency Room with acute abdominal flank lower back pain, uncontrolled hypertension, headache, and malaise has been reported. Laboratory tests and radiological examinations (computed abdominal tomography and multiplanar reconstruction) have been performed that revealed multiple infarctions and ischemic areas with hypoperfusion in the upper middle third of the left kidney and in a large part of middle and lower areas of the right kidney; the left renal artery exhibited increased intimal thickening and arteritis.

Results: The multiplanar reconstruction revealed bilateral renal artery dissection and multiple arterial infarctions disseminated throughout both kidneys. After a clinical follow-up and hypertension retargeting, the patient was discharged with dual antiplatelet therapy and ACE inhibitor drugs. No lipid-lowering therapy was needed.

Conclusions: SRAD remains a diagnostic challenge as it could be misdiagnosed or receive a delayed diagnosis due to its relative rarity and non-specific presentation. The gold standard is enhanced computed tomography (CT) scans, and if the diagnosis is positive, vascular multiplanar reconstruction is generally suggested, as it can display lesions more clearly. However, to date, a consensus has not been reached on the most appropriate treatment. Conservative therapy, open surgery, and intravascular intervention have been reported as treatments for SRAD. Additionally, stabilizing blood pressure must be the primary objective not only during hospitalization but also at discharge when planning clinical and radiological follow-ups for cases that do not require urgent endovascular or open surgery treatment but could worsen or relapse.

 

Author (s) Details

 Jirotiya V
Department of Ophthalmology, Railway Hospital Ajmer, India.

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v2/5181

Zinner Syndrome: A Comprehensive Case Report on Diagnosis and Management | Chapter 1 | Advancement and New Understanding in Medical Science Vol. 5

Zinner syndrome, a rare developmental anomaly of the urogenital tract, is a result of disrupted embryonic development of the genitourinary system. With approximately 100 reported cases, this condition is characterized by renal agenesis, ipsilateral seminal vesicle cyst, and vas deferens obstruction or dilation. Most patients remain asymptomatic, making early diagnosis challenging. Various radiologic modalities, including intravenous pyelography, ultrasonography, vasovesiculography, contrast-enhanced computed tomography (CT), and magnetic resonance imaging (MRI), contribute to accurate diagnosis. We present a case of Zinner syndrome, highlighting its rarity and the importance of vigilant imaging for identification. While asymptomatic patients necessitate active follow-up, those with symptomatic presentations may require surgical interventions, such as perineal cyst aspiration, subcutaneous cyst drainage, laparoscopic, or open surgery. Additionally, male patients should be monitored for potential infertility. Our case, involving a 17-year-old asymptomatic individual initially presenting with bilateral pneumonia, underscores the need for ongoing surveillance in managing Zinner syndrome.

Author(s) Details:

Vladimer Papava,
Department of Urology, Tbilisi State Medical University, Tbilisi, Georgia.

Tamar Didbaridze,
Tbilisi State Medical University, Tbilisi, Georgia.

Giorgi Sinauridze,
Department of Urology, Tbilisi State Medical University, Tbilisi, Georgia.

Magda Tsirekidze,
Department of Radiology, Tbilisi State Medical University, Tbilisi, Georgia.

Tamta Mamasakhlisi,
Department of Internal Medicine, Tbilisi State Medical University, Tbilisi, Georgia.

Valeriane Kvakhajelidze,
Department of Urology, Clinic ‘’Pineo’’, Tbilisi, Georgia.

Leli Shanidze,
Tbilisi State Medical University, Tbilisi, Georgia.

Zurabi Zaalishvili,
American Program of Tbilisi State Medical University, Tbilisi, Georgia.

Please see the link here: https://stm.bookpi.org/ANUMS-V5/article/view/13301

Multiple Invasive Aspergillus Brain Abscess in an Immunocompetent Patient: A Case Report | Chapter 6 | Advanced Concepts in Medicine and Medical Research Vol. 6

 This division describes an invasive Aspergillus inferred brain abscess in an immunocompetent/ immunocompromised patient accompanying no history of trauma. Accompanying the global tumor of immunocompromised patients, the incidence rate of aspergillus contaminations in central nervous system raised accordingly. Aspergillus abscess is a usual phenotype of aspergillus infections in central central nervous system, and is tended to be wrong tumors. Neuroimaging features with cautious observation and particularized history-taking can help to create final diagnosis. Aspergillus is an all-present fungus in the natural world. In a athletic individual, spore inhalation can influence a localized illness. These fungi have the potential to produce obtrusive infections in immunocompromised patients, that can be deadly and have a high morbidity rate. The forecast for invasive aspergillosis is not good. An very uncommon sign of invasive aspergillosis in immunocompetent folk is intracranial aspergillosis. A case of 60-year-old immunocompetent male is stated who had multiple Aspergillus intelligence abscess. CNS aspergillosis specifically invasive aspergillosis is rarely noticed in immunocompetent patients. The brain is unusually resistant to fungal infections on account of its abundant ancestry supply and the relatively impermeable ancestry-brain barrier. The signs of Aspergillus-persuaded brain abscesses endure thus be known to healing personnel, as prompt detection and acceptable treatment are essential for ensuring high-quality possible outcome for subjects.

Author(s) Details:

Akshay K. Barde,
Department of General Medicine, Max Super Speciality Hospital, Saket, New Delhi, India.

Pankaj Soni,
Department of General Medicine, Max Super Speciality Hospital, Saket, New Delhi, India.

Please see the link here: https://stm.bookpi.org/ACMMR-V6/article/view/12642

Beyond the Norm: Rare Benign Tumors of the Sinonasal Tract and Pharynx - Case Reports and Literature Summary | Chapter 2 | Novel Research Aspects in Medicine and Medical Science Vol. 8

 The present affiliate presents an array of interesting cases of rare favorable tumors localized in the vocal organs, nasal and sinus cavities. The case performances are followed by comprehensive reviews of article and historical citations for each type of tumor.Unilateral nasal birthmark in a 72-year-old male that, although not a precious pathology, raises in this case different problems on account of the most unexpected self-medical procedure of the tumor. The surgeon was intelligent to pull it out without difficulty, without any draining but it is entirely possible that the bulk would have, eventually, plainly fallen out.Pilomatrixoma is a relatively exceptional ectodermal benign tumor of the skin, came from the hair form cells. Surgical resection is healing, but a recurrence is possible (until 5%). The presented case is of a 26-period-old woman with a pilomatrixoma of the abandoned cheek who, for beautiful reasons, refused a chaste external approach. This creates an entertaining premise for the presentation. A trans-oral redistribute was performed, that proved feasible but moderately laborious and compulsive recurrence risk.Inverted Schneiderian papilloma is a fairly precious benign tumor of the nasal and cavity cavities accompanying an increased potential for invasion, repetition and malignant transformation. The cyst represents nearly 0.5-4% of all nasal tumors and has been described under various names such as villiform cancer, tubular / transitional papilloma etc. We report a exceptional case of bilateral papilloma in a 68-year-buddy.

Author(s) Details:

Horia Mocanu,
Department of Ear, Nose and Throat and Head and Neck, Faculty of Medicine, Titu Maiorescu University, 031593 Bucharest, Romania and Department of ENT&HNS, Gaesti City Hospital, 135200, Gaesti, Dâmbovita, Romania.

Adela-Ioana Mocanu,
Department of Ear, Nose and Throat and Head and Neck, Polimed Medical Center, 040067 Bucharest, Romania and Doctoral School, Faculty of Medicine, 'Titu Maiorescu' University, 031593 Bucharest, Romania.

Please see the link here: https://stm.bookpi.org/NRAMMS-V8/article/view/12181

Determination of Sarcomatoid Carcinoma of the Prostate with Bladder Invasion: About Two Case Reports | Chapter 10 | Current Progress in Medicine and Medical Research Vol. 5

 This branch report two cases of prostate SC with bladder attack not long following in position or time transurethral resection of the prostate (TURP) and androgen deprivation.  In order to concisely summarise the biochemical, morphological, and image features of sarcomatoid cancer (SC) of the prostate accompanying bladder encroachment shortly after emasculation.Our two cases were initially determined with adenocarcinoma of the prostate due to dysuria. However, prostate SC was pronounced after transurethral redistribute of the prostate (TURP) and castration after only 5 and 10 mo, individually. Distinctive liver-like tissues appeared in the second TURP procedure as long as 1, while a white, bob flesh-like, narrow pedicled soft sphere protruded from the prostate to the pouch in case 2. Our study results suggest that SCs grant permission originate from a distinguished group of hormonal resistant prostate stromal cancer containers found familiar the bladder neck and they grant permission accelerate their growth when unprotected to stimulation and changes in their atmosphere.One of the unique cancer container populations that are opposing to hormone therapy concede possibility be where the sarcomatoid component of SC cultivates. SCs' morphological traits can manifest as "chum flesh" and "wine hepatization". SCs grow rapidly and have a poor prognosis, and accordingly, extensive TURP plus fallout may be the treatment of choice.

Author(s) Details:

Wei Wei,

Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Qi-Guang Li,

Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Xian Long,

Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Gao-Hua Hu,

Department of Thyroid and Breast Surgery, Qichun People’s Hospital, Qichun 435300, Hubei Province, China.

Hua-Jie He,

Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Yuan-Bi Huang,

Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Xian-Lin Yi,

Department of Urology, Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, No. 71 Hedi Road, Nanning 530021, China and Department of Urology, Wuming Hospital of Guangxi Medical University, No. 26 YongNing Road, Nanning 530199, Guangxi Zhuang Autonomous Region, China.

Please see the link here: https://stm.bookpi.org/CPMMR-V5/article/view/11390

Vestibular Function Measured Using the Video Head Impulse Test in Congenital Nystagmus and Vertigo: A Case Report | Chapter 5 | New Advances in Medicine and Medical Science Vol. 9

  In cases with congenital nystagmus (CN), the study of vestibular function is difficult by many factors had connection with the measurement of the vestibulo-ocular mechanical (VOR) by means of caloric experiment and the video head impulse test (vHIT), and to date no aforementioned studies have successfully working the vHIT to evaluate vestibular function in these patients. We present a case accompanying CN and vertigo at which point peripheral vestibular function was evaluated utilizing the vHIT system, containing head impulse testing and the abolition head impulse agreement. We show that it is possible (a) to identify sideways VOR changes such as deformities resembling those produced by mutual vestibular lesions, though not necessarily had connection with the same mechanism; (b) to recognize peripheral VOR lesions of the upright semicircular canals (SCC); and (c) to document compensation and improvement subsequent to these minor lesions during follow-up of sufferers with CN. vHIT is a valuable tool that should be used to study vestibular function in inmates with CN and dizziness, which could comprise a new clinical request of this technique.

Author(s) Details:

Antonio Denia-Lafuente,
Unidad de Oído y Vértigo, Hospital Nuestra Señora del Rosario, Madrid, Spain.

Belén Lombardero,
Unidad de Oído y Vértigo, Hospital Nuestra Señora del Rosario, Madrid, Spain.

Please see the link here: https://stm.bookpi.org/NAMMS-V9/article/view/11170

The Management of Chylous Ascites: Description of a New Technique Regarding a Clinical Case | Chapter 12 | New Advances in Medicine and Medical Science Vol. 2

Chylous ascites (CA) is a sporadic postoperative snag that can bring about malnutrition and immunodeficiency. Suitable habit, surgical interventions are unfriendly for patients the one are obstinate, and the primary progress determinant for these interventions is region the point of leakage, namely frequently difficult. Most CA cases were prepared conservatively in the essay, accompanying a youth considered with surgical invasion.  We present the case of a 56-period-dad the one developed chylous ascites following a laparoscopic radical nephrectomy and lumbo-aortic lymphadenectomy for sort tumor. Initially, the patient was managed accompanying able expected consumed changes and seepage installation. Following that, lipiodol lymphography, percutaneous embolisation of the leakage point, and total parenteral food were settled. Eventually, afterwards recognizing the discharge point with methylene vulgar needle through an inguinal node, the patient continued laparoscopic repair. The procedure was achieved favorably, and no confusions were stated.To improve the results of surgical repair of obstinate chylous ascites in a subspace of patients, intranodal methylene common injection maybe a advantageous technique for location the source of discharge.Author(s) Details:

Hugo Otaola-Arca,
Clínica Alemana, Santiago, Chile and School of Medicine, Clínica Alemana-Universidad del Desarollo, Santiago, Chile.

Patricio Vargas,
Clínica Alemana, Santiago, Chile.

Marcelo Orvieto,
Clínica Alemana, Santiago, Chile.

Carmen Niño-Taravilla,
Clínica INDISA, Santiago, Chile.

Hugo Bermúdez,
Clínica Alemana, Santiago, Chile.

Please see the link here: https://stm.bookpi.org/NAMMS-V2/article/view/10630

Association of Dentigerous Cyst with Impacted Third Molar | Chapter 21 | Current Practice in Medical Science Vol. 5

 

The crown of an impacted or unerupted tooth might produce an odontogenic cyst called a dentigerous cyst. Such a cyst is initially asymptomatic unless infected and can only be found by normal radiography evaluation. The main complaint of a 20-year-old female patient who visited our clinic was edema on the bottom left side of her face, which had been there for three months. On percussion, the first and second molars showed a little sensitivity, and the second molar on the left showed grade II mobility. A dentigerous cyst should always be distinguished radiographically from a typical dental follicle. The most frequent cysts with this radiological appearance are dentigerous cysts. On radiographs, the cyst usually appears unilocular with well-defined margins and borders that are frequently sclerotic, but it can occasionally appear multilocular and have a continuous cystic membrane.

Author(s) Details:

M. S. Nalini,
Department of Periodontics, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.

Balasubramanya Kumar,
Department of Dentistry and Maxillofacial Surgery, St Martha’s Hospital, Bengaluru, Karnataka, India.

Sunil Shroff,
Department of Esthetic Facial Surgery, Bhagwan Mahaveer Jain Hospital, Bengaluru, Karnataka, India.

Please see the link here: https://stm.bookpi.org/CPMS-V5/article/view/7670

A Case Report of Bochdalek Hernia with Anomalous Hepatic Lobe Heterotopia | Chapter 08 | Issues and Developments in Medicine and Medical Research Vol. 9

 Bochdalek hernia is the most prevalent kind of Congenital Diaphragmatic Hernia (CDH), which is caused by a postero-lateral diaphragmatic abnormality. In CDH, hepatic heterotopia is uncommon, and hepatic herniation has the poorest outcome.

A neonate with a right Bochdalek hernia (BH) and abnormal hepatic lobe heterotopia is presented in this case. Mal-rotated loops in the right hemithorax were observed herniating intraoperatively. The mal-rotated loops were decreased back into the abdomen after Ladd's technique, and the diaphragmatic defect was fixed over the anomalous liver lobe. The baby was discharged on the seventh postoperative day, and follow-ups revealed that he had recovered well.

Conclusion: The presentation, classification, and relevance of this connection are discussed in this case report. Our case report is interesting since Bochdalek hernia is uncommonly coupled with an abnormal hepatic lobe, and we believe that exposing this link will assist our paediatric surgical community in terms of scientific research and therapeutic care.

Author(S) Details

Wajiha Khan
Dow University of Health and Sciences Karachi, Baba-e-Urdu Road, Karachi-74200, Pakistan.

Adnan Safi
Department of Medicine and Surgery, Nishtar Medical University and Hospital, Multan, Pakistan.

Asrar Ahmad
Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan and Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Mehwish Mooghal
Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan and Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

View Book:- https://stm.bookpi.org/IDMMR-V9/article/view/5843

The Effect of Pregnancy on the Treatment of Asthma Patients with COVID-19 | Chapter 8 | Issues and Developments in Medicine and Medical Research Vol.10

 COVID-19 is a virus that affects the respiratory system, throat, nose, and lungs, causing serious lung illness and death. Infections can aggravate the symptoms of asthmatic sufferers. The severity and prognosis of asthma in pregnant women with underlying illnesses like diabetes are likely to be devastating.

Presentation of a Case: We discuss the case of a COVID-19-infected asthmatic pregnant woman who was admitted to two Iranian hospitals. The patient's symptoms included dry coughs, dyspnea, inability to talk, numbness, and weariness. The initial examination revealed a body temperature of 37.9°C, oxygen saturation (SPO2) of 91%, partial pressure of oxygen (Pao2) of 25mm Hg, respiratory rate (RR) of 20 breaths/minute(b/m), blood pressure of 100/60 mmHg, pulse of 80 beats per minute (bpm), and foetal heart rate (FHR) of 167 beats per minute. The pregnancy was ended by caesarean section (C/S) due to foetal tachycardia, and a healthy infant with normal anthropometric parameters was born. Leukopenia, as well as elevated levels of C-reactive protein and erythrocyte sedimentation rate, were present in our patient. After 8 days, our patient was discharged in good general condition after receiving supportive treatment as well as antibiotic and antiviral therapy.
Conclusions: Despite having underlying disease and infection with COVID-19, the patient's health improved after 8 days in the hospital and had a favourable clinical outcome.

Author(s) Details:

Alireza Jashni Motlagh,
Department of Pediatrics, School of Medicine, Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran.

Sara Esmaelzadeh,
Department of Midwifery, School of Medicine, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Ozra Parhizkar,
Midwifery Ward, Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran.

Leili Salehi,
Department of Health Promotion and Education, School of Health, Research Center for Environmental Determinants of Health, Alborz University of Medical Sciences, Karaj, Iran.

Please see the link here: https://stm.bookpi.org/IDMMR-V10/article/view/5821

A Case Report on Multifocal Small Bowel Adenocarcinoma Presenting as Multiple Strictures Mimicking Tuberculosis | Chapter 1 | Issues and Developments in Medicine and Medical Research Vol. 1

 The purpose of this essay is to emphasise the necessity of detecting small bowel adenocarcinoma in patients with multifocal small intestinal strictures in tuberculosis-endemic areas such as India.

Objective: Because the management of small bowel adenocarcinoma differs significantly from that of intestinal tuberculosis, this article aims to emphasise the importance of suspecting malignancy in a patient with multifocal small bowel strictures, even if no classical risk factors for small bowel malignancy are present.

The Case Presentation: For four months, a 54-year-old man has been suffering from colicky central abdominal pain. Intestinal tuberculosis was suspected at the initial examination. He presented with acute intestinal obstruction two weeks later and was rushed to the hospital for emergency surgery, which revealed multiple non-passable strictures in the jejunum and ileum, which were resected and many anastomoses performed. Without any evidence of predisposing factors for small intestine adenocarcinoma, a biopsy revealed multifocal primary small bowel cancer.

One of the most common reasons for emergency laparotomies is acute intestinal blockage. Intestinal Tuberculosis is the most common cause of obstruction secondary to small bowel strictures in the Indian subcontinent, with Crohn's disease a distant second. Small bowel adenocarcinoma is not only uncommon, but it often presents with nonspecific symptoms, making diagnosis difficult. The cornerstone of treatment is surgical resection, and standard chemotherapy regimens are continually developing. Because small bowel adenocarcinoma usually manifests as a single infiltrating mass, our case is unusual in that it presents as several malignant strictures in the jejunum and ileum. Despite our patient's comprehensive histological and radiological evaluation, no known predisposing conditions, such as Crohn's disease or polyposis, could explain the multifocal appearance of small intestinal adenocarcinoma.

Conclusion: Despite all of the advances in diagnostic technology, preoperative identification of small bowel cancer is still uncommon. This case is being reported to emphasise the necessity of a differential diagnosis of small bowel adenocarcinoma in individuals with numerous small bowel strictures.

Author(S) Details

V. R. Karthikayan
Department of Oncosurgery, Delhi State Cancer Institute, Dilshad Garden, Delhi- 110095. India.

Anil Kumar Singh
Department of Oncosurgery, Delhi State Cancer Institute, Dilshad Garden, Delhi- 110095. India.

View Book:- https://stm.bookpi.org/IDMMR-V1/article/view/5039

A Case Report on Multifocal Small Bowel Adenocarcinoma Presenting as Multiple Strictures Mimicking Tuberculosis | Chapter 1 | Recent Developments in Medicine and Medical Research Vol. 13

 The purpose of this essay is to emphasise the necessity of detecting small bowel adenocarcinoma in patients with multifocal small intestinal strictures in tuberculosis-endemic areas such as India.

Objective: Because the management of small bowel adenocarcinoma differs significantly from that of intestinal tuberculosis, this article aims to emphasise the importance of suspecting malignancy in a patient with multifocal small bowel strictures, even if no classical risk factors for small bowel malignancy are present.

The Case Presentation: For four months, a 54-year-old man has been suffering from colicky central abdominal pain. Intestinal tuberculosis was suspected at the initial examination. He presented with acute intestinal obstruction two weeks later and was rushed to the hospital for emergency surgery, which revealed multiple non-passable strictures in the jejunum and ileum, which were resected and many anastomoses performed. Without any evidence of predisposing factors for small intestine adenocarcinoma, a biopsy revealed multifocal primary small bowel cancer.

One of the most common reasons for emergency laparotomies is acute intestinal blockage. Intestinal Tuberculosis is the most common cause of obstruction secondary to small bowel strictures in the Indian subcontinent, with Crohn's disease a distant second. Small bowel adenocarcinoma is not only uncommon, but it often presents with nonspecific symptoms, making diagnosis difficult. The cornerstone of treatment is surgical resection, and standard chemotherapy regimens are continually developing. Because small bowel adenocarcinoma usually manifests as a single infiltrating mass, our case is unusual in that it presents as several malignant strictures in the jejunum and ileum. Despite our patient's comprehensive histological and radiological evaluation, no known predisposing conditions, such as Crohn's disease or polyposis, could explain the multifocal appearance of small intestinal adenocarcinoma.

Conclusion: Despite all of the advances in diagnostic technology, preoperative identification of small bowel cancer is still uncommon. This case is being reported to emphasise the necessity of a differential diagnosis of small bowel adenocarcinoma in individuals with numerous small bowel strictures.

Author(S) Details

V. R. Karthikayan
Department of Oncosurgery, Delhi State Cancer Institute, Dilshad Garden, Delhi- 110095. India.

Anil Kumar Singh
Department of Oncosurgery, Delhi State Cancer Institute, Dilshad Garden, Delhi- 110095. India.

View Book:- https://stm.bookpi.org/IDMMR-V1/article/view/5039

Uterine Non-Hodgkin Lymphoma: A Rare Gynaecological Presentation | Chapter 18 | Recent Developments in Medicine and Medical Research Vol. 10

 Primary extranodal non-Hodgkin lymphomas of the vaginal tract are uncommon, and uterine corpus engagement is not only uncommon but also devoid of pathognomonic signs and symptoms, resulting in delayed identification and treatment. This led the publication of a case report of a multiparous lady who had recurrent vaginal bleeding and growing abdominal enlargement, which was initially misdiagnosed as uterine sarcoma. She had a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and omentectomy in a private institution by a gynaecologist and general surgeon after a surgical surgery that was initially inoperable in a secondary facility. The histological investigation of the specimens removed led to the diagnosis of high-grade big B-cell type non-Hodgkin lymphoma of the uterus. However, her condition worsened, and she died of numerous organ failures before chemotherapy could begin. The problems in diagnosis and management in a resource-constrained situation where modern diagnostic aids are not easily available were also highlighted in this paper. Although uterine non-Hodgkin lymphoma is uncommon, any patient with an abdominal/pelvic tumour and/or atypical vaginal bleeding should be evaluated.

Author(S) Details

F. D. Haleemah Olalere
Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.

Abraham F. Adeyeye
Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Taiwo O. Kuye
Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.

Adeyemi F. Tijani
Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Fatimah A. Rabiu
Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Abiodun R. Bamiro
Department of Haematology and Blood Transfusion, Lagos State University Teaching Hospital ,Ikeja, Lagos, Nigeria.

Akinsegun A. Akinbami
Department of Haematology and Blood Transfusion, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.

View Book:- https://stm.bookpi.org/RDMMR-V10/article/view/4640

A Challenging Case of Influenza H1N1 Pneumonia and Pulmonary Alveolar Protienosis, Comprehensive Discussion of Disease-Disease Relationship in Terms of Causality, Cross-Reactivity, Outcome and Effect of Treatment | Chapter 4 | New Frontiers in Medicine and Medical Research Vol. 2

 

Pulmonary alveolar proteinosis (PAP) is a rare lung condition in which amorphous lipoproteinaceous material accumulates in the distal air gaps as a result of alveolar macrophages' failure to remove surfactant. This results in poor gas exchange and various degrees of arterial hypoxemia. Despite the fact that autoimmune PAP is assumed to be idiopathic, this focused analysis examines the possible link between viral pneumonia and autoimmune PAP (APAP) in terms of pathogenesis, superinfection, and therapeutic effects. The confirmed serum anti-granulocyte macrophage-colony stimulating factor (GM-CSF) antibody is a putative viral aetiology "trigger" for a newly diagnosed case of APAP. This is the first report that we are aware of that describes and discusses this issue. For more than 4 months, the patient, a 38-year-old ex-smoker, had increasingly worsening dyspnea and a chronic, severe cough. It was assumed to be a case of community-acquired pneumonia (CAP), and she was treated with numerous antibiotics, but her condition did not improve. Despite considerable alveolar filling on chest X-ray, physical examination revealed mild hypoxia and modest bilateral fine crepitations (CXR). PAP was discovered during a bronchoscopic surgery. During the course of the disease, the patient experienced an abrupt flare-up of the condition, which was caused by a confirmed H1N1 influenza infection. In the case of recurrent pneumonia that does not respond to treatment, APAP should be investigated. In this case report, we propose that viral causal "triggers" or cross-reactivity of GM-CSF antibodies may play a role in the development of APAP. We also go over the care that was delivered, the antiviral therapy response, and the diagnostic and management issues that were faced during the follow-up.

Author (S) Details

Saeed Mishal Albogami
Respirology Division, Department of Medicine, King Fahad Hospital, Rabigh Medical College, King Abdulaziz University, Jeddah, Saudi Arabia.

Abdelfattah A. Touman
Pulmonology Section, Department of Medicine, Mouwasat Hospital, Dammam, Saudi Arabia.

View Book :- https://stm.bookpi.org/NFMMR-V2/article/view/2677

Unusual Presentation of Post Viteriolage Depigmentation without Superficial and Deep Cutaneous Injury | Chapter 2 | Research Trends and Challenges in Medical Science Vol. 10

 Depigmented macules on the body of a 45-year-old male patient had been present for 6 weeks. Multiple patterned, circumscribed, depigmented macules involving the trunk and limbs were discovered during the examination. Due to close contact with a few drops of the same acid, a few punctuate and longitudinal depigmented macules were present on the right knee and leg. After a family feud, the patient reported that lesions appeared as a result of acid exposure. Dilute sulphuric acid, condensed sulphuric acid, glacial acetic acid, hydrochloric acid, dilute acetic acid, muriatic acetic acid, and sodium bisulphate were all patch tested. Hydrochloric acid was found to be the most effective of all the acids analysed.

Author (s) Details

Anupama Sharma
Department of Chemistry, Jaypee University, Anoopshahr, Bulandshahr, U.P, India

Girish C. Sharma
Department of Chemistry, Jaypee University, Anoopshahr, Bulandshahr, U.P, India

Khozema Saify
Saify Skin Clinic, Thatipur, Gwalior (M.P), India

View Book :- https://stm.bookpi.org/RTCMS-V10/article/view/705