Research Desk

Jul 17, 2019

This is a case of a 66-year-old female was referred to receive treatment for a cutaneous tumor on her right lateral nose wall, which had been growing rapidly for 3 months. Histological analysis of a biopsy specimen of the tumor suggested that it was a squamous cell carcinoma. Surgical excision was performed with a 3-mm margin. The tumor was histologically diagnosed as an eccrine porocarcinoma (EPC).

Jul 17, 2019

This is the two-case report of low-grade fibromyxoid sarcoma (LGFMS) with variable clinical presentations.  The first case was a 17-year-old female who referred to our department due to deaf ear on the right together with ipsilateral gag reflex impairment and globus sensation in the pharynx. The second case was a 35-year-old female with recurrent LGFMS, suffering from headaches, vertigo, and episodes of loss of consciousness. LGFMS of the temporal bone is a rare pathology.

Jul 17, 2019

This is a case of an 86-year-old male patient who started enzalutamide (160 mg) for castration-resistant prostate cancer (CRPC) treatment, experienced nausea and vomiting approximately 2 weeks after the start of treatment. Enzalutamide treatment was stopped for two weeks, then restarted enzalutamide at a half-dose (80 mg); the dose was then increased to 120 mg. He remained free from any adverse events and showed good CRPC control for 53 months. So, this patient with enzalutamide-induced nausea and vomiting, whose symptoms were overcome and in whom long-term CRPC control was achieved following a temporary drug holiday.

Jul 17, 2019

The subject of this case report is a 6-month-old boy who presented with what appeared to be severe bilateral congenital hallux valgus. However, an MRI was suggestive of preaxial polydactyly without a supernumerary digit. At 26 months of age, clinical follow-up demonstrated that the deformity had improved and the patient was doing well clinically without intervention. Congenital hallux valgus is an uncommon deformity. This patient demonstrates that the etiology may be incomplete preaxial polydactyly without a supernumerary digit.

 

Jul 17, 2019

This is a 50-year-old man who presented with a 4-week history of dyspnea after exposure to the red tide. Computed tomography (CT) of the chest showed diffuse bilateral ground-glass opacities and interstitial thickening. Bronchoalveolar lavage cultures and cytology were negative. The patient was started on steroids. Over the next few weeks, the patient’s symptoms resolved. Repeat CT chest showed complete resolution of the ground glass opacities. Steroids were then tapered. Most patients who are exposed to algal blooms have self-limiting symptoms. Patients with asthma are particularly susceptible to worsening respiratory symptoms after exposure to brevotoxin aerosols.

Jul 16, 2019

A 17-year-old female Caucasian patient presented with a Class II malocclusion, severe maxillary dental crowding, moderate mandibular dental crowding, anterior open bite, upper midline deviation to the right, and upper right central incisor in infraocclusion due to ankylosis. Treatment involved the use of the ankylosed tooth as anchorage for the distalization of the right upper segment to correct the Class II malocclusion and to create space prior to surgery. 

Jul 16, 2019

A case of a 55-year-old female with neurogenic bladder secondary to spinal cord injury (SCI). Her incontinence was conservatively managed with indwelling Foley drainage. Despite continued upsizing of the Foley catheters, the patient continued to have urinary leakage. The patient subsequently underwent a transvaginal bladder neck closure with suprapubic bladder neck diversion. The urethra was successfully closed and uniquely supported by the use of cadaveric pericardial tissue.

Jul 16, 2019

An injectable prolonged release buprenorphine with flexible dose options has recently been approved by the European Commission. Adoption of the injectable form was clinically successful with no withdrawal signs, nor evidence of use of other drugs. Patient reported outcomes were positive including reduction in cravings and anxiety and improved attitude, relationships, and general mood.

Jul 16, 2019

A case of a 68-year-old obese patient, who has acute small bowel obstruction due to strangulated internal hernia through an appendicular tourniquet. This appendicular tourniquet results from the adhesion between the tip of the appendix and its body. This obstruction was complicated by plugged perforation. Resection of the small bowel segment was performed, in addition to appendectomy, lavage, and drainage. The postoperative recovery was uneventful.

Jul 16, 2019

A case of epiploic appendagitis presenting with with acute pain in the left iliac fossa that started the day before. The objective of the case report is increasing knowledge of this disease and its diagnostic imaging findings, in order to reduce harmful and unnecessary surgical interventions.