Chyle leak is serious sequela of head and neck surgery and has been reported after esophageal, parathyroid, and thyroid surgery. However, it has only been reported postoperatively once before after anterior cervical disc fusion (ACDF). This case discusses the formation of a chyloma following an anterior cervical spinal procedure.
An 80-year old gentleman with very severe aplastic anemia was treated with standard combination therapy of equine antithymocyte globulin and cyclosporine A. His death shortly after treatment could be attributed to his advanced age, severe pancytopenia at diagnosis, absence of minor paroxysmal nocturnal hemoglobinuria clone and immunosuppressive therapy-related complications.
Primary hypothyroidism has been associated with many adverse effects. Its cardiovascular manifestations include reductions in heart rate and contractility with the development of hypertension, angina, heart failure, and pericardial effusion consistent with a hypothyroid heart. Early recognition and treatment can help mitigate these advanced features.
Objective: To review a case of acute urticaria, and to explore the links this presentation shares with hyperthyroidism and anti-thyroid medications, along with management strategies for patients presenting with new-onset urticaria and pre-existing thyroid disease. Design: A retrospective case report on a 23-year-old female with hyperthyroidism, on carbimazole therapy.
We describe the course of disease and multidisciplinary treatment of a multiple myeloma patient who presented with a life-threatening plasmacytoma in-scar resistant to conventional treatment. She underwent wide resection with immediate free-flap reconstruction, allowing for early chemoradiotherapy and autologous bone marrow transplant. She survived additional 18 months following surgery.
Giant congenital melanocytic nevi are brown-black lesions larger than 20 cm caused by benign proliferation of melanocytes. They either regress or progress in time in matters of thickness and size and may transform to malignancies. Here we report a twelve year old patient with giant melanocytic nevus of the scalp.
The 75-year-old male patient had been diagnosed with CML 25 years ago. Over 3 years after starting bosutinib, he was diagnosed with a HGBCL. A total of six courses of DA-EPOCH-R therapy brought complete remission of the lymphoma. Eight months after stopping bosutinib, BCR-ABL1 transcript copies remained undetectable by RT-PCR.
Nodular fasciitis (NF) is a rare benign, rapidly growing, self- limiting condition rarely affecting head and neck district. Following a short Literature review, the authors report a rare case of maxillary Nodular Fasciitis in an elderly, pointing out that in selected cases direct surgery could avoid misdiagnosis, delays and overtreatment.
We report a case of successful management of short bowel syndrome in a young patient with gangrene of most of intestine following ileocecal knotting. Aggressive resuscitations, timely surgical intervention and use of parenteral nutrition have a good outcome. Key words: knotting, intestinal obstruction, shock, short bowel syndrome
The patient was a 78 year old man who had undergone thrombolysis and angioplasty LAD.. After 45 days, he returned to the clinic with icterus, after detailed work up,suspecting clopidogrel induced liver injury, the clopidogrel was substituted with ticagrelor. icterus and laboratory abnormality was relieved in 2 weeks.
Rosai Dorfman disease is a rare cause of sinus histiocytosis with massive lymphadenopathy, in developing countries it mimics tuberculosis and malignancies like lymphoma and its often mismanaged. A high index of suspicion is necessary for its diagnosis. It resolves spontaneously therefore observation is currently the advocated approach for its management.