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Case reports in medicine 548건

  1. [해외논문]   Ischemic Stroke of the Artery of Percheron with Normal Initial MRI: A Case Report  

    Cassourret, Guillaume (Intensive Care Unit, Sainte-Anne Hospital, Boulevard Sainte Anne, 83000 Toulon, France ) , Prunet, Bertrand (Intensive Care Unit, Sainte-Anne Hospital, Boulevard Sainte Anne, 83000 Toulon, France ) , Sbardella, Fabrice (Department of Radiology, Sainte-Anne Hospital, 83000 Toulon, France ) , Bordes, Julien (Intensive Care Unit, Sainte-Anne Hospital, Boulevard Sainte Anne, 83000 Toulon, France ) , Maurin, Olga (Intensive Care Unit, Sainte-Anne Hospital, Boulevard Sainte Anne, 83000 Toulon, France ) , Boret, Henry (Intensive Care Unit, Sainte-Anne Hospital, Boulevard Sainte Anne, 83000 Toulon, France)
    Case reports in medicine v.2010 ,pp. 1 - 4 , 2010 , 1687-9627 ,

    초록

    The artery of Percheron is a solitary trunk representing an uncommon anatomic variant that provides bilateral arterial supply to the paramedian thalami and the rostral midbrain. Occlusion of this artery results in bilateral thalamic and mesencephalic infarctions. The clinical diagnosis is difficult because the complex anatomy causes large clinical variability. We report a case of a comatose patient with normal early head-computed tomography and magnetic resonance imaging. A bilateral paramedian thalamic infarct due to an occlusion of the artery of Percheron was revealed two days later by a new head computed tomography. To our knowledge, this is the first report in the literature of a symptomatic patient presenting an acute Percheron stroke with normal early brain magnetic resonance imaging. Our case indicates that a normal initial magnetic resonance imaging cannot formally eliminate the diagnosis of acute stroke of the artery of Percheron. We discuss the causes of noncontributive brain magnetic resonance imaging at the onset of this acute Percheron stroke and the alternative diagnosis and therapy methods.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Isolated Gastrointestinal Metastasis of Breast Carcinoma: A Case Report  

    Titi, M. A. (Department of Surgery, Crosshouse Hospital, Kilmarnock, Scotland KA2 0BE, UK ) , Anabtawi, A. (Unity Hospital, 1555 Long Pond Road, Rochester, NY 14626, USA ) , Newland, A. D. (Department of Surgery, Crosshouse Hospital, Kilmarnock, Scotland KA2 0BE, UK)
    Case reports in medicine v.2010 ,pp. 1 - 3 , 2010 , 1687-9627 ,

    초록

    Purpose . Gastrointestinal tract is one of the rare locations for breast cancer metastasis. This paper shows such metastasis may occur even in the absence of breast metastasis in other more common locations. Case Report . A 64-year old female was admitted to the hospital with abdominal discomfort and diarrhea. She had breast carcinoma treated 7 years previously with normal follow-up since. Colonoscopy showed hepatic flexure thickening that was confirmed to be breast metastasis. Staging investigations showed upper and lower gastrointestinal tract metastasis with negative findings elsewhere. Conclusion . Although more common causes for gastrointestinal symptoms should be excluded, however, a high index of suspicion of metastatic breast cancer is needed when such patients develop gastrointestinal symptoms.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Cutaneous Horn-Related Kaposi's Sarcoma: A Case Report  

    Onak Kandemir, Nilufer (Department of Pathology, Faculty of Medicine, Zonguldak Karaelmas University, 67100 Zonguldak, Turkey ) , Gun, Banu Dogan (Department of Pathology, Faculty of Medicine, Zonguldak Karaelmas University, 67100 Zonguldak, Turkey ) , Barut, Figen (Department of Pathology, Faculty of Medicine, Zonguldak Karaelmas University, 67100 Zonguldak, Turkey ) , Solak Tekin, Nilgun (Department of Dermathology, Faculty of Medicine, Zonguldak Karaelmas University, 67100 Zonguldak, Turkey ) , Ozdamar, Sukru Oguz (Department of Pathology, Faculty of Medicine, Zonguldak Karaelmas University, 67100 Zonguldak, Turkey)
    Case reports in medicine v.2010 ,pp. 1 - 3 , 2010 , 1687-9627 ,

    초록

    Cutaneous horn is characterized by the accumulation of abnormal keratinized material and may occur in association with a variety of benign, premalignant, and malignant cutaneous lesions. Cutaneous horn occurs very rarely in association with soft-tissue neoplasias. A cutaneous horn located on the toe was completely removed by excision in a 78-year-old male patient. Macroscopic examination revealed a hemorrhagic nodular lesion, 0.5 cm in diameter, located on the dermis underlying the cutaneous horn with a height of 1 cm. Histopathological examination revealed a neoplastic lesion consisting of fusiform cells and extravasated erythrocytes underlying the compact keratin mass. The immunohistochemical analysis showed immunoexpression of endothelial markers and HHV8 in fusiform cells. The case was evaluated as “cutaneous horn developed in a nodular stage Kaposi's sarcoma.” Our case is the second case of cutaneous horn related to Kaposi's sarcoma reported in the English literature and is presented in this case report with its clinical and histopathological features.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Long-Term Isoflurane Therapy for Refractory Bronchospasm Associated with Herpes Simplex Pneumonia in a Heart Transplant Patient  

    Hornuss, C. (Department of Anaesthesiology, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, 81377 Munich, Germany ) , Firsching, M. (Department of Anaesthesiology, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, 81377 Munich, Germany ) , Dolch, M. (Department of Anaesthesiology, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, 81377 Munich, Germany ) , Martignoni, A. (Department of Anaesthesiology, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, 81377 Munich, Germany ) , Peraud, A. (Department of Neurosurgery, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, 81377 Munich, Germany ) , Briegel, J. (Department of Anaesthesiology, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, 81377 Munich, Germany)
    Case reports in medicine v.2010 ,pp. 1 - 4 , 2010 , 1687-9627 ,

    초록

    A 47-year-old man with a history of heart transplant was admitted after severe traumatic brain injury and seizures. During mechanical ventilation, the patient developed bronchospasm that severely compromised respiratory function that led to cardiac arrest. After resuscitation, application of isoflurane through the Anaesthetic Conserving Device (AnaConDa) in the ICU successfully treated bronchospasm, provided adequate sedation, and enabled appropriate ventilation and diagnostic bronchoscopy. A subsequent bronchoalveolar lavage revealed a high amount of Herpes simplex DNA. Herpes simplex pneumonia was diagnosed and treated with acyclovir. Isoflurane treatment was applied for twelve days total without side effects on renal and cerebral function. The patient recovered quickly after the termination of sedation. At discharge, he was fully awake without focal neurological deficiency and his long-term outcome was excellent. This case demonstrates that isoflurane is a treatment option in life-threatening cases of bronchospasm and a safe option for long-term sedation.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Acute Tension Pneumothorax Following Cardiac Herniation after Pneumonectomy  

    Steinmann, Daniel , Rohr, Eva , Kirschbaum, Andreas
    Case reports in medicine v.2010 ,pp. 1 - 3 , 2010 , 1687-9627 ,

    초록

    A 47-year-old man with a history of heart transplant was admitted after severe traumatic brain injury and seizures. During mechanical ventilation, the patient developed bronchospasm that severely compromised respiratory function that led to cardiac arrest. After resuscitation, application of isoflurane through the Anaesthetic Conserving Device (AnaConDa) in the ICU successfully treated bronchospasm, provided adequate sedation, and enabled appropriate ventilation and diagnostic bronchoscopy. A subsequent bronchoalveolar lavage revealed a high amount of Herpes simplex DNA. Herpes simplex pneumonia was diagnosed and treated with acyclovir. Isoflurane treatment was applied for twelve days total without side effects on renal and cerebral function. The patient recovered quickly after the termination of sedation. At discharge, he was fully awake without focal neurological deficiency and his long-term outcome was excellent. This case demonstrates that isoflurane is a treatment option in life-threatening cases of bronchospasm and a safe option for long-term sedation.

    원문보기

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Pericardiectomy for Pleuropericardial Effusion Complicating Bacterial Pneumonia  

    Quarti, Andrea (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, 60128 Ancona, Italy ) , de Benedictis, Fernando Maria (Department of Pediatrics, Ospedali Riuniti, 60128 Ancona, Italy ) , Soura, Elli (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, 60128 Ancona, Italy ) , Pozzi, Marco (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, 60128 Ancona, Italy)
    Case reports in medicine v.2010 ,pp. 1 - 2 , 2010 , 1687-9627 ,

    초록

    Severe pericardial effusion is a rare complication of bacterial pneumonia and it usually disappears under medical treatment. Herein we report a case of a girl with a congenital immunodeficient syndrome and bacterial pneumonia, who developed recurrent and life-threatening pericardial effusion refractory to medical treatment. She was finally treated with pericardiectomy.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Inflammatory Myofibroblastic Bladder Tumor in a Patient with Von Recklinghausen's Syndrome  

    Chatzidarellis, Eleftherios (2nd Department of Urology Athens Medical School, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece ) , Mazaris, Evangelos (2nd Department of Urology Athens Medical School, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece ) , Skolarikos, Andreas (2nd Department of Urology Athens Medical School, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece ) , Maria, Demonakou (Department of Pathology, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece ) , Mitsogiannis, Iraklis (2nd Department of Urology Athens Medical School, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece ) , Mousiou, Nafsika (Department of Pathology, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece ) , Bisas, Apostolos (2nd Department of Urology Athens Medical School, Sismanoglio Hospital, Sismanogliou 1, 15126 Marousi, Athens, Greece)
    Case reports in medicine v.2010 ,pp. 1 - 4 , 2010 , 1687-9627 ,

    초록

    Myofibroblastic tumor, also known as inflammatory pseudotumor or pseudosarcoma, is a benign tumor with mesenchymal origin. Bladder location is very uncommon. We report the case of a 58-year-old man with a history of von Recklinghausen's disease who complained for painless macroscopic hematuria 5 months after suprapubic prostatectomy. The radiograph evaluation revealed a bladder tumor, and the pathologic examination following a transurethral resection showed inflammatory myofibroblastic tumor of the bladder. The patient finally underwent a radical cystectomy due to the uncertain pathogenesis of inflammatory myofibroblastic tumor as well as the rarity of cases published on bladder tumors in Von Recklinghausen's patients.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma  

    Lee, Sang Kwon (Department of Radiology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of Korea ) , Kim, Mi Jeong (Department of Radiology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of Korea ) , Kwon, Sun Young (Department of Pathology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of Korea)
    Case reports in medicine v.2010 ,pp. 1 - 3 , 2010 , 1687-9627 ,

    초록

    We report the imaging and pathologic findings of fishbone-associated actinomycosis of the anterior cervical space in a 57-year-old man, misdiagnosed preoperatively as a malignancy originating from thyroglossal duct cyst. CT revealed an enhancing mass containing a small abscess pocket and two sharp linear calcifications within it, which infiltrated into the strap muscle. Pathologic examination demonstrated two fishbones within the actinomycotic abscess. Fishbone-associated actinomycosis should be considered when a cervical mass contains sharp linear calcifications.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Massive Fetomaternal Hemorrhage Caused by an Intraplacental Choriocarcinoma: A Case Report  

    Henningsen, Anna-Karina Aaris (Department of Obstetrics and Gynecology, Glostrup Hospital, University of Copenhagen, Nodre Ringvej 37, 2600 Glostrup, Denmark ) , Maroun, Lisa Leth (Department of Pathology, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark ) , Havsteen, Hanne (Department of Oncology, Herlev Hospital, University of Copenhagen, Herlev Rinvej 75, 2730 Herlev, Denmark ) , Svare, Jens (Department of Obstetrics and Gynecology, Glostrup Hospital, University of Copenhagen, Nodre Ringvej 37, 2600 Glostrup, Denmark)
    Case reports in medicine v.2010 ,pp. 1 - 3 , 2010 , 1687-9627 ,

    초록

    Background . Intraplacental choriocarcinoma is a rare but highly malignant trophoblastic neoplasm. When found near term the risk of maternal metastasis is high because of the late diagnosis. Case . We describe a case of an intraplacental choriocarcinoma diagnosed postpartum after a near-term delivery of a severely anemic infant. A fetomaternal hemorrhage resulted in a hemoglobin concentration in the infant of only 2,1 g/dL. Neither mother nor child showed signs of metastatic disease. The macroscopic examination showed a hydropic placenta weighing more than 1 kilogram. Microscopy showed an intraplacental choriocarcinoma 3 cm in diameter. The tumor had infiltrated the maternal basal plate. Conclusion . Fetomaternal bleeding is a rare form of presentation of choriocarcinoma but its presence should always warrant detailed examination of placenta, mother, and infant.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Symptomatic Hypoglycemia Related to Inappropriately High IGF-II Serum Levels in a Patient with Desmoplastic Small Round Cell Tumor  

    Barra, Williams Fernandes (Departamento de Oncologia Clínica, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil ) , Castro, Gilberto (Departamento de Oncologia Clínica, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil ) , Hoff, Ana Oliveira (Endocrinology, Grupo Fleury, São Paulo, Brazil ) , Siqueira, Sheila A. C. (Departamento de Oncologia Clínica, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil ) , Hoff, Paulo M. (Departamento de Oncologia Clínica, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil)
    Case reports in medicine v.2010 ,pp. 1 - 3 , 2010 , 1687-9627 ,

    초록

    A 45-year old man was diagnosed with desmoplastic small round cell tumor (DSRCT) with involvement of the peritoneum and pelvis. Disease progression was observed despite systemic chemotherapy. Six months after diagnosis, he developed severe hypoglycemia presented with seizures. He received intravenous glucose infusion and hydrocortisone with poor glycemic control, but with seizures resolution. The investigation excluded insulinoma, adrenal, liver and GH deficiencies. Laboratory showed slight rise of IGF-II and significant increase of the ratio IGF-II : IGF-I, which is pathognomonic of non-islet cell tumor hypoglycemia (NICTH). He received the diagnoses of NICTH related to IGF-II inappropriate production by DSRCT. Despite the attempt to control tumor mass and hypoglycemia, the patient died 9 months after diagnosis. NICTH related to inappropriate IGF-II secretion should be investigated in all cancer patients with refractory hypoglycemia whom insulinoma and other metabolic abnormalities were excluded from.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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