Caseous mitral annulus calcification mimicking a cardiac tumor Henda Nèji a,b,c, Emna Bennour b,d, , Ines Baccouche a,c, Salma Kechaou a,c, Ikram Kammoun b,d, Meriem Affes a,b,cSaoussen Hantous-Zannad a,b,ca: Imaging Department, Abderrahmen Mami Hospital, Ariana – Tunisiab: Faculty of Medicine of Tunis, University Tunis El Manar, Tunisiac: Cardio-thoracic imaging Research Laboratoryd: Cardiology Department
Colitis cystica profunda (CCP) is a rare benign disease characterized by mucus-filled cysts in the submucosa, sometimes similar to malignant tumors. Endoscopic, radiological and even histological examinations are not highly specific, which can easily lead to missed diagnosis and misdiagnosis, resulting in unnecessary radical surgical resection. In this report, we present
IntroductionA volvulus occurs when a segment of intestine, usually part of the colon, twists around its mesentery. Following this rotation, initially venous return is disturbed and causes ischemia caused by venous stasis. With the prolongation of obstruction in the mesenteric vessels, along with the distention of the twisted segment of the intestine due to the progressive production of gas by the bacteria inside it, the arterial input is also disturbed, and the mucosal ischemia gradually progresses towards the muscular and serous layers, leading to perforation of the entire thickness of the intestineSigmoid volvulus accounts for 2% to 5% of colonic obstructions in Western countries and 20% to 50% of colonic obstructions in Eastern countries (1). This occurs mostly in patients with lack of mobility and a history of chronic constipation, where the sigmoid colon becomes chronically distended and redundant.Undescended testis (UDT) is defined as one or both testicles absent in scrotal sac when descending processes become disturbed and testis remains inside the peritoneal cavity (2). There are some very known complications of a undescendent intra-abdominal testicle such as cancer, ischemia and infertility(3); But the rotation of the colon around the spermatic cord of one UDT, it is a very rare phenomenon that there is no similar report.In this article, we introduce a 67-year-old man who underwent laparotomy with the diagnosis of sigmoid volvulus, and the intraoperative findings were surprising.
INTRODUCTIONTakotsubo syndrome is an acute heart disease that mimics the typical features of acute coronary syndrome (ACS) . Although takotsubo syndrome has an uncertain prevalence in the general population, in women with suspected ACS, the prevalence is estimated to be around 5-6% . The annual incidence is very low and is approximately 0.02% .Unlike ACS, TS is reversible and the heart often heals within four to eight changes weeks. The syndrome is characterised by transient systolic and diastolic left ventricular dysfunction with wall motion abnormalities . This condition, which was first described by Dote et al. in Japan in 1990 , usually affects postmenopausal women who have experienced some physical or psychological stress. However, it can also occur in the absence of these triggers .The prevalence of saccular aneurysms in the general population is estimated at 3.2%. Approximately 20 to 30% of cases present in the form of multiple aneurysms . Intracranial aneurysms are generally diagnosed after episodes of subarachnoid haemorrhage (SAH), which causes a high rate of morbidity and mortality . Rupture of an aneurysm is believed to be responsible for 0.4 to 0.6% of all aneurysm deaths, and approximately 10% of patients die before arriving at the hospital. Takotsubo syndrome is generally reported to have an incidence of 0.8-17% in patients with SAH caused by ruptured aneurysm . However, this case report is relevant for the clinical and pathophysiological observation of the possible association between aneurysms of the internal carotid arteries (ICA) and TS, with the latter being able to serve as an alert for possible aneurysms and thus allow for intervention prior to disruption.
Hemophagocytic syndrome (HPS), also known as hemophagocytic lymphohistiocytosis (HLH), is a group of syndromes in which multiple pathogenic factors lead to the proliferation of activated lymphocytes and histiocytes that secrete large amounts of inflammatory cytokines[](#ref-0001).HLH is a multi-organ hyperinflammatory syndrome caused by the secretion of large amounts of inflammatory cytokines from
Background: Aberrant migration of parathyroid glands from their embryologic origin may result in undescended parathyroid glands. We present a case of an ectopic parathyroid adenoma at the level of the pyriform sinus. Methods: A 41-year-old female was evaluated for primary hyperparathyroidism. Following non-localizing ultrasound and planar sestamibi imaging, the patient underwent
AUTHORSDr. Saroj Poudel Clinical Pharmacist Critical Care Medicine, Nepal Mediciti Email: firstname.lastname@example.orgDr. Rupak Chalise Anesthesiologist Critical Care Medicine, Nepal Mediciti Email: email@example.comDr. Manoj Bist Medical Officer Critical Care Medicine, Nepal Mediciti Email: firstname.lastname@example.orgDr. Ashim Regmi Junior Consultant Critical Care Medicine, Nepal Mediciti Email: email@example.comDr. Anup Ghimire Junior Consultant Critical Care Medicine, Nepal Mediciti Email: firstname.lastname@example.orgDr. Kishor Khanal Intensivist and ICU Coordinator Critical Care Medicine, Nepal Mediciti Email: email@example.com
Transition from secukinumab to adalimumab in COVID-19-Induced psoriasis flare-up treatment: a case reportAbstract: Coronavirus disease 2019 (COVID-19) is known to trigger systemic inflammation and elicit immune responses, which may disrupt the delicate balance of cytokines involved in psoriatic regulation. Compared to other therapies in dermatology, biologics used for immune-mediated dermatological diseases have been more extensively studied during the COVID-19 pandemic. Herein, we report a case of flare-up of previously well-controlled psoriasis shortly after infection with COVID-19, with treatment transition from secukinumab to adalimumab.Keywords: COVID-19; psoriasis; flare-up; adalimumab; secukinumab
Introduction:Pericardial syndromes are not uncommon manifestations in clinical practice . About 5% of all patients admitted to the emergency department with the chief complaint of chest pain, are diagnosed with acute pericarditis . Cardiac involvement is a common presentation of different autoimmune rheumatic diseases. Systemic lupus erythematous (SLE) is a chronic autoimmune rheumatic disease with multiorgan involvement. Cardiac involvement has been reported in about 50% of SLE patients; in some cases, as their first presentation of SLE . The most common type of cardiac involvement in SLE patients is pericarditis . While it is classically known that SLE like most of other autoimmune diseases are more prevalent in women, cardiac involvement as pericarditis in SLE is more prevalent in male patients . Although being a common manifestation of SLE, it is uncommon for acute fibrinous pericarditis with constrictive features to be the first presentation of SLE in patients with severe manifestations and in need for hospital admission .