Indian Journal of Case Reports

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https://imsear.searo.who.int/handle/123456789/162465

Chief-Editor: Dr. Amit Agarwal
ISSN:(Print) 2454-129X (Online) 2454-1303

Frequency: Quarterly

Language: English

Open Access Peer-reviewed journal

Web site: https://atharvapub.net/index.php/IJCR/index

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Now showing 1 - 20 of 763

Radiological diagnosis of Cysticercosis of Breast - An unusual presentation.
(2015-01) Sharma, B B; Jilowa, S; Kumar, S; Bhardwaj, A; Singh, Y; Mishra, R K
Breast cysticercosis manifestation is usually uncommon and only a few cases have been reported in the literature. This manifests in the form of signs and symptoms which normally do not point towards the diagnosis. The radiological modalities always narrow down the gap between the complaints and the diagnosis. We present a case with cysticercus cysts in breast parenchyma as well as in both pectoral muscles which was suspected on ultrasonography (USG) and diagnosed on Magnetic Resonance Imaging (MRI). The patient responded to the medical treatment conservatively thus avoiding excisional biopsy. Follow up and repeat MRI has confirmed the cure of the complaints as well as the disease.
Mayer-Rokitansky-Kuster-Hauser Type I Syndrome - A Case Report.
(2015-01) Sharma, B B; Sharma, S; Singh, Y; Balesa, J
Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome is not uncommon as this is a part of the Mullerian agenesis. This is usually diagnosed during adolescent period when signs and symptoms of the ongoing changes in female body type are delayed. We present 17 years old adolescent female who presented with primary amenorrhoea as the normal menstruation did not start at puberty. She was diagnosed as MRKH Type I Syndrome on the basis of radiological investigations.
Incomplete Kawasaki Disease in a Three Month Old Infant.
(2015-01) M, Ashraf; A, Taleb; A, Shamsah; H, Al-Sharhan
Kawasaki disease (KD) is an acute systemic vasculitis of unknown aetiology that has largely replaced rheumatic heart disease as a cause of acquired heart disease in children of many developed countries. We report a case of incomplete KD in a threemonth- old girl. The diagnosis of incomplete KD was made after exclusion of conditions with similar presentation. She was treated with intravenous immunoglobulin following which she made an uneventful recovery but demonstrated thrombocytosis in the second week of convalescence. It is important for the treating physicians to become aware of the incomplete KD as prompt diagnosis and early treatment of these patients with intravenous immunoglobulin is vital for the prevention of lethal coronary complications. Physicians need to have a "high index of suspicion" for KD and even, higher for IKD.
Clinico-radiological correlation of Primary Multifocal Osseous NHL.
(2015-01) Jilowa, S; Sharma, S; Sharma, S; Atwal, S S; Bhardwaj, A; Sharma, B B
Multifocal skeletal involvement in primary non-Hodgkin’s Lymphoma (NHL) is very rare as compared to the focal one. These findings of multifocal nature are more common in children than in adults. We present 52 years old male patient who presented with slow growing multiple tender swellings on the left side of mandible and on the medial end of right first rib. We present the clinico-radiological aspects of the disease which lead to suspicion of the NHL and later proved to be primary non- Hodgkin’s Lymphoma on fine needle aspiration cytology.
Outcome of Heterotopic Pregnancy Following Ovulation Induction by Clomiphene Citrate.
(2015-01) Ripal, Gevariya; Michelle, Fonseca
Heterotopic pregnancy, though rare is a combined pregnancy in which simultaneous intrauterine and extrauterine pregnancy occur. The estimated incidence is 1 in 30000 following spontaneous pregnancy while it can be as high as 1 % after the use of artificial reproductive techniques. We present a case of 33 year old female who conceived after ovulation induction with clomiphene citrate and came with acute abdominal pain. Her ultrasound was suggestive of 10 weeks live intrauterine pregnancy with ruptured left tubal ectopic. Laparotomy with left salpingectomy was done without affecting intrauterine pregnancy. Pregnancy progressed uneventfully until 37 weeks and a healthy male baby was delivered by caesarean section. So, heterotopic pregnancy must be considered in a patient with lower abdominal pain in early gestation particularly those who conceive after artificial reproductive techniques.
Management of Community Acquired Respiratory Tract Infections with Co-morbidities.
(2015-01) Balamurugan, Santhalingam
Community-acquired respiratory tract infections are one of the commonest infections seen in the clinical practice and an important cause of mortality and morbidity, especially in patients with immune-compromised states. Two cases of antibiotic resistant community-acquired lower respiratory tract infections in a 42-year-old male and a 68-year-old male are reported. Both had presented with lower respiratory tract symptoms, previously treated with antibiotics. The patients were immunecompromised and suffered from conditions such as Diabetes and COPD. Along with this, they had an infection caused by resistant bacteria. The clinical history, investigations and the appropriate line of treatment selected in order to resolve complications in the present cases are detailed here.
Hyperphosphaturic Mesenchymal Tumor induced Osteomalacia– A Case Report.
(2015-01) Sharma, B B; Sharma, S; Prasad, A; Ahuja, A; Kumar, V; Jilowa, S
Hyperphosphaturic Mesenchymal Tumor (HMT) is a very rare benign tumor of the soft tissue or bone which produces tumor induced osteomalacia, also called as oncogenic osteomalacia. This activity can only be stopped by the surgical removal of the tumor. We present a 23 years old man who presented with long standing bony pains without any relief by a variety of medications. The clue to the diagnosis was taken from pelvis skiagram, Magnetic Resonance Imaging (MRI) of the body, PET scan and the blood chemistry.
Mucopolysaccharidosis type II (Hunter syndrome) – A case report.
(2015-01) Agrawal, Amit; Shrivastava, Jyotsna
Hunter syndrome or mucopolysaccharidosis (MPS) type II is an X-linked recessive disorder caused by a defect in the metabolism of glycosaminoglycans (GAGs). We present a rare case of MPS with a typical presentation of coarse facies, short stature, mild mental retardation and absence of corneal clouding. His radiographic findings were suggestive of MPS and diagnosis was confirmed by demonstrating deficient Iduronate-2-sulphatase enzyme in plasma. We present this case to highlight the distinctive manifestations as well as radiological and definitive diagnostic findings of the Hunter syndrome.
Radiological Spectrum of von Hippel-Lindau disease – A Case Report.
(2015-01) Sharma, S; Sharma, S; Ramchandran, P; Sharma, S; Sharma, B B
Von Hippel-Lindau (VHL) disease is an autosomal dominant genetic disorder resulting from inactivation of tumor suppression genes located at the chromosome 3p 25.5. VHL comprises of many benign and malignant tumors along affecting various systems of the body with variable manifestations. A wide variation in radiological spectrum is seen as per the involvement of particular system or organ. The imaging modalities like Ultrasonogrphy (USG), Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI) play an important role in diagnosing and treating the affected individuals. These also play equally important role in the screening and follow up of such cases. We present a case of an 18 year old female, who was diagnosed with VHL at the age of 10 years, where imaging modalities helped her management and follow up.
Berardinelli - Seip Congenital Lipodystrophy - An infantile presentation.
(2015-01) Nayak, Snehamayee
Berardinelli – Seip congenital lipodystrophy (BSCL) is an inherited form of generalized lipodystrophy characterized by loss of subcutaneous fat, hypertriglyceridemia, insulin resistance and acanthosis nigricans. Rare cases of BSCL type 2 present during infancy or early childhood. It is caused by mutation in Seipin gene. It is a severe phenotype with premature death occurring in 15% cases. We present such a rare case of BSCL in a five month old infant.
Cannon Ball Secondaries.
(2015-04) Dharmashaktu, Ganesh Singh
An unusual presentation of rectal atresia with rectal duplication cyst in a neonate: A case report.
(2015-04) Patil, Prashant S; Kothari, Paras; Gupta, Rahul; Gupta, Abhaya; Kekre, Geeta; Dikshit, K Vishesh; Kamble, Ravi
A 10 days old male baby brought with abdominal distension and cystic swelling in the left buttock. Radiological investigations suggested para-rectal abscess or rectal duplication cyst. Patient underwent transverse loop colostomy and later definitive surgery by posterior sagittal approach. Intra-operative findings were suggestive of small atretic rectal segment with duplication cyst of the rectum. To the best of our knowledge, neonatal rectal atresia with rectal duplication cyst has not been reported in English literature.
Rosai Dorfman Disease – A case report.
(2015-04) Chaudhary, Vinod; Khamkar, Anil; Tiwari, Manish; Suryawanshi, Amol
Rosai Dorfman disease or Sinus histiocytosis with massive lymphadenopathy (SHML) is a benign, self-limiting disorder that commonly presents as massive bilateral and painless cervical lymphadenopathy. We present a case of a 6 year old male child who presented with cervical lymphadenopathy with no other complains and was diagnosed on fine needle aspiration cytology as a case of Rosai Dorfman disease. Patient was given low dose steroids to which patient responded well and became asymptomatic in 15 days.
A case of severe hypothyroidism presenting only with bleeding diathesis.
(2015-04) Mukherjee, Sudeb; Datta, Suhana; Mukherjee, Apurba Kumar; Datta, Pramatha Nath; Maisnam, Indira
Hypothyroidism can present with the variety of clinical features; however, bleeding manifestations as a sole presentation of hypothyroidism is extremely rare. Hemostatic disorder may be a manifestation of several underlying etiology. Here, we report a case of a 14 year old girl who initially presented with bleeding diathesis without any other symptoms suggestive of thyroid dysfunction but later on investigations was found to be suffering from severe hypothyroidism.
Tuberculous Liver Abscess with Right Sided Pleural Effusion.
(2015-04) Yadav, Prashant; Punera, Dinesh Chandra; Nautiyal, Ramgopal; Kumar, Anand
Tuberculosis is a rare cause of liver abscess even in countries where the tuberculosis is prevalent, liver may be involved as a part of miliary tuberculosis or as local tuberculosis. We present a case of tuberculous liver abscess in patient with smear positive pulmonary tuberculosis and right pleural effusion. A positive BACTEC culture and Polymerase chain reaction (PCR) for Acid Fast Bacilli (AFB) in the pus aspirated from abscess confirmed the diagnosis of tuberculous liver abscess.
Giant Fronto-parietal Encephalocele: A rare case report.
(2015-04) Dalal, Poonam; Rattan, K N; Gupta, Mohit; Rattan, Ananta
Although encephaloceles are common, but giant encephaloceles are rare with only few published short series and are mostly described in occipital location. Giant frontal encephaloceles are very rarely reported with only four published case reports in the world literature and giant encephalocele in fronto-parietal region has not been reported till date. Herein, we report a rare case of giant frontoparietal encephalocele in a six month old girl.
Importance of Conventional Radiography in Diagnosis and Management of Giant Cell Tumour at an unusual location.
(2015-04) Jilowa, Sarita; Verma, G C; Sharma, B B; Singh, Jitendra; Singh, Yashvant; Mishra, R K; Bhardwaj, Atul
Giant cell tumour (GCT) or osteoclastoma of the bone is mostly benign but locally aggressive primary tumour of unknown origin occurring at epiphysis. It is a tumour of long bones and rarely seen in bones of hand and foot. The cases are reported in tarsal and carpal bone but involvement of metatarsal bone is very rare. We present a case of twenty years old female patient with GCT of second metatarsal of left foot. The patient underwent aggressive curettage and filling with bone chips and is on regular follow up.
Simpus Apus Sirenomelia – A case report of a rare congenital anomaly.
(2015-04) Agrawal, Amit; Shrivastava, Jyotsna
Sirenomelia, also known as “mermaid syndrome”, is a rare congenital deformity of uncertain etiology. Sirenomelia is characterized by complete or partial fusion of lower limbs, giving the appearance of the tail of a ‘mermaid’. This syndrome is almost always lethal due to associated congenital visceral abnormalities such as severe lung hypoplasia, and abnormalities of the kidneys, large intestines, and genitalia. We hereby, report a case of sirenomeila due to rarity of this condition and term live birth.
Challenges in diagnosis and management of snake bites in resource poor settings: A case report of suspected Russell’s viper envenomation.
(2015-07) Lamb, Thomas
Snake bite is a common and neglected problem resulting in a large global mortality and morbidity per year. In India alone, an estimated 45,900 deaths occur per annum. The outlined case of suspected Russell’s Viper (Daboia russelii) envenomation occurred in rural West Bengal. The case was misdiagnosed on two occasions resulting in a substantial delay in antivenom therapy. The resultant delay contributed to a significant morbidity and prolonged hospital admission. The case report illustrates some practical difficulties faced by clinicians pertaining to diagnosis, complications and resource limitations. These areas are discussed with a view to improving awareness and management. Simple practical tools are included to assist a clinician faced with snake bites in South Asia.
Tuberculous intestinal perforation in a case of Burkitt lymphoma on chemotherapy - A case report.
(2015-07) Kekre, Geeta; Gupta, Rahul; Gupta, Abhaya; Kothari, Paras; Patil, Prashant; Dikshit, Vishesh; Kamble, Ravi
Intestinal perforation induced by chemotherapy in a patient of Burkitt lymphoma is a known potential complication which carries high mortality. Perforation may also occur as a result of the transmural nature of the tumour. Patients on chemotherapy are prone to contract infectious diseases due to a compromised immune system. Pulmonary tuberculosis has been reported in these patients, but abdominal tuberculosis has not. We report the case of a five year old boy on chemotherapy for Burkitt lymphoma, and who developed a tuberculous jejunal perforation. The patient underwent drain insertion and stabilization followed by exploratory laparotomy with resection of the pathological segment and closure of the duodenal stump at the fourth part. Bowel continuity was re-established by gastrojejunostomy. Histopathologic examination of the resected segment revealed intestinal tuberculosis. Anti -tubercular therapy was started and continued for nine months. The last cycle of chemotherapy was administered 1 month after surgery. At 1 year of follow up the patient is asymptomatic and thriving well.

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