Journal of Clinical Case Reports Medical Images and Health Sciences

  A Rare Metachronous Colonic Volvulus by Philip Ade Ekhaiyeme in Journal of Clinical Case Reports MedicaI Images and Health Sciences  Abstract Introduction : Colonic volvulus is a common cause of large bowel obstruction with the sigmoid colon most commonly affected. Volvulus of the transverse colon is an uncommon occurrence. Rarer still is a transverse colon volvulus developing after surgery for a sigmoid colon volvulus. Early diagnosis is critical as delay in detection and intervention is associated with the risk of complications – perforation, peritonitis, and death. We discuss the case of an 86-year-old man presenting with features of large bowel obstruction 14 months following a sigmoid colectomy for a sigmoid colon volvulus. An erect abdominal radiograph showed massively dilated large bowel loops with multiple air-fluid levels, a gasless pelvis, and no free air under the diaphragm. Obstruction did not resolve with initial non-operative measures necessitating surgical in...

  Case Report- A challenging case of severe Asherman’s syndrome in Reproductive MedicineFollowed by twin delivery by Lamiya Mohiyiddeen in Journal of Clinical Case Reports MedicaI Images and Health Sciences  INTRODUCTION This is a case report of a severe case of Asherman’s Syndrome who underwent multiple hysteroscopic procedures and embryo transfers over a span of 10 years. Her last embryo transfer was successful after the 5 th  hysteroscopy and high dose estrogen treatment. She delivered preterm twin babies. CASE REPORT Mrs. A was first seen with infertility and secondary amenorrhea. She was nulliparous with history of two surgical evacuations. Her pelvic scan showed very thin endometrium of 2.5mm. She had hysteroscopy done 3 times to manage intrauterine adhesions in other centers. When she then attended to start IVF treatment at St. Mary’s her FSH/LH level was very high and she was diagnosed premature ovarian failure. She underwent In Vitro Fertilization (IVF) cycle ...

  Intracellular free calcium concentration and oxidative damage in erythrocytes from workers occupationally exposed to organophosphate pesticides by Martha-Angelica Quintanar-Escorza in Journal of Clinical Case Reports MedicaI Images and Health Sciences  Abstract Background:  Organophosphate (OP) pesticides inhibit the activity of acetylcholinesterase (AChE) in the central nervous system, causing changes in the oxidative state that could be considered as another mechanism of toxicity in erythrocytes related to the concentration of free intracellular calcium ([Ca2 +] i). Aims:  In the present work, the parameters of the oxidative state and [Ca2+]i were evaluated in workers occupationally exposed to OP. Methods:  A comparative and cross-sectional study was conducted in exposed and not exposed to organophosphate pesticides in their workplace and working day (31 subjects per group). In the case of exposure, selected workers with an exposure ≥5 years and with an ac...

  Conservative Approach and Management of Cervical Root Fracture, Case Report by  Alaa Eddin Omar Al Ostwani in Journal of Clinical Case Reports MedicaI Images and Health Sciences Abstract Root fracture is a rare dental trauma characterized by separation of the cementum, dentin, and pulp tissues and endangering the tooth survival as well. The impact, depending on its severity and direction, could break through a horizontal, vertical, or oblique plane within the dental root. However, the apical and coronal fragments can be reunited through the deposition of connective tissue, calcified bridge, or a combination between them, whereas failure is considered a result of invading the fracture site by granulation infected tissue. Research showed that the more the horizontal breakage site is locating cervically the less the healing chance will be obtained. Furthermore, sacrificing the coronal fragment could be the inevitable result in case the fracture line is over the alveolar crest...

  Gusher phenomenon and Ménière disease. An enigmatic Case report by Bonifacio F. MD in Journal of Clinical Case Reports MedicaI Images and Health Sciences Abstract During stapedotomies or cochlear implant placement, cerebrospinal fluid gusher was described. The recognized causes result from abnormal communication between perilymphatic space and subarachnoid space. Our clinical case describes a patient with Ménière disease that presented a gusher phenomenon during surgery. A dubious and controversial case report. Key words : Otogenic vertigo, Ménière disease,  endolymphatic hydrops , perilymph, Cerebrospinal Fluid INTRODUCTION The gusher phenomenon happens more frequently during stapes surgery and cochlear implant placement. Violent perilymph leakage starts during platinotomy or electrode placement and must be plugged in order not to cause sensorineural deafness. The stapes surgery is not practicable; instead, the positioning of cochlear implants is possible after the cleansi...

  Brachytherapy for Bowen's disease of the palm by Ting-Yu Tsai in J ournal of Clinical Case Reports MedicaI Images and Health Sciences  INTRODUCTION Bowen's disease, or squamous cell carcinoma (SCC)  in situ , has been regarded as a cutaneous marker for internal malignancy. The most common option is surgical removal. Surgery is usually indicated for smaller lesions. However, Bowen’s disease occurs more often in elderly patients (with a higher risk of comorbidities) and is frequently located on body sites with poor wound healing. Therefore, there is a need for non-invasive but effective treatment options. Case report A 70-year-old patient with an ulcer and lump on her hand visited Liou Ying Chi Mei Hospital in September 2020 . The patient was unable to open her hand due to dermal inflammatory infiltrates. A biopsy confirmed nodular SCC. She was evaluated jointly by a radiation oncologist and a surgical oncologist. Considering the large lesion size, cosmetic and reconstruc...