IJSS Case Reports & Reviews

Editor: Dr Dhairya Lakhani
ISSN: 2349-6940

Frequency: Monthly

Language: English

Open Access Peer-reviewed journal

Web site: https://ijsscr.com

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Recent Submissions

Now showing 1 - 20 of 310
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    Distal Biceps Tendon Rupture: A Rare Condition with Difficult Treatment.
    (2016-11) Tiwary, Satyendra K; Bilunia, Ravi; Kumar, Puneet; Khanna, Ajay Kumar
    We report a case of 59-year-old male who experienced sharp pain in his arm and elbow after lifting a heavy object. History and physical examination raised suspicion for biceps rupture. Magnetic resonance imaging determined chronic tear of superfi cial fi bers of the long head of biceps in the distal arm. Surgical repair was performed for this tear by excising ruptured long head of biceps. Traumatic rupture of the biceps tendon is rare. When rupture does occur, it usually involves the long head of the proximal insertion. Rupture of the proximal biceps tendon occurs in 90-97% of all biceps ruptures and almost exclusively involves the long head. Distal biceps tendon rupture only occurs in about 3% of all biceps tendon injuries. Th e outcome was reasonably well with this rare injury pattern and even after excision of biceps 80% of his premorbid function was restored. He has good strength and is able to participate fully in his work.
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    Minimally Invasive Retroperitoneal Pancreatic Necrosectomy via Percutaneous Drainage Tract: A Case Report.
    (2016-11) Mohamed, Shawnas Bahnou Noor; Raja, H
    Open necrosectomy is the gold standard for treatment of infective pancreatic necrosis but has a very high mortality rate. Th ere are percutaneous methods, but these do not help in removing the necrosis adequately. Minimal invasive retroperitoneal pancreatic necrosectomy drainage is a relatively easy technique with acceptable morbidity and mortality. We report here a 35-year-old male patient who presented with necrotizing pancreatitis and fl uid collection in the retroperitoneal space which was successfully treated with minimally invasive retroperitoneal pancreatic necrosectomy using the percutaneous pigtail drainage tract as a guide. Th is approach reduced the risk of multiple organ failure and respiratory complications.
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    Horizontal Fractures - A Silent Finding: A Case Series.
    (2016-11) Garg, Himani; Khurana, Karan
    Incisors are common teeth to suff er dental trauma, with root fracture occurring in <3% of injuries. Horizontal root fractures occur mainly in the middle third of root mostly aff ect upper central incisors. Nevertheless, apical and coronal 3rd fracture is also sometimes reported. Th e fracture may go undiagnosed for many years until the patient reports with discolored, mobile tooth which on radiograph reveals a break in continuity of the root. Th is paper reports the management of three horizontal root fractures (delayed and immediate) in upper incisors; two treated with mineral trioxide aggregate and calamus (Dentsply) for warm vertical obturation and one with fi ber post.
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    Oral Submucous Fibrosis: An Update and Overview on Classification Systems.
    (2016-10) Gupta, Shreya; Dangle, Ashwini Manoj; Mathew, Evelyn; Gandhi, Rajat
    Oral submucous fibrosis (OSMF) is a potentially malignant disorder and crippling condition of oral mucosa and a devastating oral disease; however, it is avertable. It largely affects individuals of Southeast Asia and Indian subcontinent, where chewing of areca nut and its commercial preparation is high. Identification of this condition is so obvious that it is considered as a spot on diagnosis. Still, histopathological investigation remains the gold standard for diagnosis of OSMF. This review offers the collection of a range of classification methods based on clinical and/or histopathological features of OSMF from numerous databases. The advantages and drawbacks of these classifications supersede each other, leading to incomprehension. Need arises to have an accepted classification which can be widely used all over to steer clear of perplexity.
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    Oral Lesions - Leading Diagnosis of Disseminated Histoplasmosis.
    (2016-10) Bhoweer, Anilkumar L; Ranpise, Sudarshan G
    Histoplasmosis is a systemic mycotic infection caused by Histoplasma capsulatum. Although rare in India, it is endemic in over 300 countries. If immunity is good in a healthy person, even if this fungus is inhaled, it may cause mild symptoms and can be controlled by supportive therapy. However, in persons with very low immunity, as in the case of human immunodeficiency virus-positive persons, a serious disseminated form could be life-threatening in delayed diagnosis and delay in proper treatment. Due to pulmonary symptoms, it is commonly misinterpreted as tuberculosis and treated accordingly without results. However, oral lesions which occur can reveal the correct diagnosis by biopsy procedure and microscopic confirmation of this rare disease. We had a 76-year-old patient suffering from pulmonary signs of cough, weakness, and with gums and tongue lesions, who was referred by a general dental practitioner for diagnosis of oral lesions. The tongue and gums lesions biopsy revealed the correct diagnosis of granulomatous lesion with yeast-like organisms of giant cells, indicating histoplasmosis capsulatum diagnosis which was later treated by immunology experts in the hospital with proper antifungal agents like amphetericin B and management of this disseminated histoplasmosis with other investigations. Therefore, systemic diseases also need oral examination to rule out many unusual diseases.
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    A Rare Clinical Phenomenon of Six Distomolars: A Case Report.
    (2016-10) Rao, H T Arvind; Iqbal, Mohammed; Gupta, Anand
    Th e report presents a case of a rarely occurring totally impacted two bilateral maxillary distomolar and single bilateral mandibular distomolar. Th e appearance of supernumerary teeth is a relatively uncommon dental anomaly and it is rare for patients to have six impacted distomolars. Th e aim of this case report is to describe the presence of bilateral distomolars in the maxilla and mandible in a young female patient aged 19 years. Orthopantomogram revealed impacted six bilateral distomolars. Following orthodontic treatment, the patient was referred for removal of distomolars along with all the four impacted third molars under local anesthesia.
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    Preprosthetic Surgery: Review of Literature.
    (2016-09) Chari, Haripriya; Shaik, Khadar Vali
    Following the loss of natural teeth after extraction, the bone begins to resorb. Th e results of this resorption are accelerated by wearing dentures and tend to aff ect the mandible more severely than the maxilla. Besides, general factors include the presence of nutritional abnormalities and systemic bone disease such as osteoporosis; endocrine dysfunction may aff ect bone metabolism. Preprosthetic surgical treatment must begin with a thorough history and physical examination of the patient. Sometimes, there are contraindications to surgery because the patient suff ers from serious general disease. Specifi c attention should also be given to laboratory tests which could inform us as to a degree of bone resorption. Successful treatment with removable prosthesis is dependent on many factors. One component that can profoundly aff ect treatment success is the condition of the denture-bearing tissues. Every eff ort should be made to ensure that both the hard and soft tissues are developed in a form that will enhance the patient’s ability to wear a denture. It is the responsibility of the practitioner to carefully evaluate and identify the need for any alteration of the denture-bearing areas and to educate the patient as to the importance of accomplishing this vital procedure.
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    Bilateral Fusion of Permanent Mandibular Incisors: A Rare Developmental Anomaly.
    (2016-09) Rai, Harshita; Keluskar, Vaishali; Bagewadi, Anjana
    Fusion is a rare developmental anomaly. Th e prevalence ranges from 0.5% to 5% based on geographic, racial, or genetic factors, which occur as a result of physical force or pressure leading to prolonged contact of the adjacent tooth follicles thus resulting in the fusion of tooth buds. Bilateral fusion of teeth has been reported to be very rare as compared to unilateral fusion which is around 0.05%. Although asymptomatic, they can be a predisposing factor for caries and cause periodontal problems due to malalignment in the arch. Th e aim of this article is to present a rare case of bilateral fusion of mandibular anterior teeth and discuss the possible histogenetic mechanism and future treatment prospectives.
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    Bronchial Carcinoid in a Child: A Case Report.
    (2016-09) Bedi, Nandini K; Bedi, H S; Grewal, Alka G
    Bronchial carcinoid (BC) make up 80-90% of a group of lung tumors formerly called “bronchial adenomas,” which also included adenoid cystic carcinoma and mucoepidermoid carcinoma; hence, their actual incidence was not accurately known. It is a rare entity in the pediatric population where metastatic lung tumors greatly outnumber primary lung tumors. BC account for 2-5% of all lung neoplasms in adults but are the most common primary lung neoplasm of childhood, accounting for 80% of malignant bronchopulmonary neoplasms in children. We have presented a case of left BC in an 11-year-old boy, with a short review of literature, and discussed the management. We have discussed the surgical procedure in detail, pointing out the possible pitfalls and their management.
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    Interdental Papilla Management “Reality or A Myth” - A Review.
    (2016-08) Kaliappan, Satish; Jha, Abhinav; Alok, Abhijeet; Kumari, Namrata
    Interdental papillary recession has been esthetical as well as an oral hygiene maintenance problem for the patients. Abnormal tooth shape, improper contours of prosthetic restorations, and traumatic oral hygiene procedures may also negatively influence the outline of the interdental soft tissue. There are very fewer surgical techniques to create interdental papilla, which has been very technique sensitive and less predictive in treatment outcome; in this article, a review is attempted to illustrate various causes, classification, and management of interdental papilla.
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    Cecal Endometriosis: An Unusual Cause of Adult Ileocolic Intussusception.
    (2016-08) Sunny, Ann; Mohan, L N
    Endometriosis is defined as the presence of endometrial tissue outside the endometrium and the myometrium. The gastrointestinal tract is the most common site for extrapelvic endometriosis, affecting 5-15% of women in the childbearing age group; the rectum and the sigmoid colon are the most common sites involved. Terminal ileal and cecal involvement is rare and may mimic malignancy of the colon. It is even rarer for endometriosis of the cecum to cause intussusception. The diagnosis of endometriosis in the ileocecal region is seldom made preoperatively in the absence of the previous endometriosis. Ileocolic endometriosis presenting predominantly as a mural mass and causing intussusception is very rare with few reports in world literature. We report a case of ileocolic endometriosis causing intussusceptions in an adult.
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    Emergency Abdominoperineal Resection for Rectal Prolapse with Gangrenous Bowel.
    (2016-08) Ballal, Paritosh; Sunny, Ann; Govindraj, Sridar
    Rectal prolapse is a relatively rare condition. Most cases are chronic and present electively. However, a complete rectal prolapse with gangrenous bowel is an uncommon life-threatening emergency condition. Gangrenous bowel significantly increases morbidity and mortality and thus an urgent surgical intervention is always indicated. We describe a case with the above mentioned rare presentation, and he was successfully treated with an emergency abdominoperineal resection (APR). Irreducible rectal prolapse with gangrenous bowel is rarely encountered and literature on this presentation is very scanty. Here, we present a patient with complete rectal prolapsed with gangrenous bowel treated successfully with emergency APR.
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    Cementoblastoma a Rare Odontogenic Tumor - A Case Report and Differential Diagnosis.
    (2016-08) Dogra, K Suruchi; Sharma, Anupriya; Sharma, Naveen; Sharma, Ashish
    Cementoblastoma is a rare odontogenic tumor derived from the odontogenic mesenchymal tissues. It has distinct clinical, radiographical, and histological features that aid in correct diagnosis. This article presented a case of 35-year-old female patient with pain and swelling in the right cheek region. Radiographic examination was suggestive of benign cementoblastoma in relation to unerupted right maxillary third molar. The tumor was surgically removed along with tooth, and the diagnosis of cementoblastoma was confirmed by histopathology examination.
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    Cemento-ossifying Fibroma: A Case Report.
    (2016-07) Reddy, Ravikanth; Sarkar, Parthasarathi; Manuel, Roger Anthony; Saxena, Deepali; Hoisala, V Ravi
    Cemento-ossifying fi broma is a benign rare tumor of mesenchymal origin seen in the third or fourth decade in females. It arises from the mesenchymal blast cells of the periodontal ligament and can mature into cementum, bone, or fi brous tissue or varying proportions of each. Th e lesion is most commonly seen in the jaw. It appears as a well-defi ned circumscribed unilocular radiolucent lesion. Radio-opacity of the lesion depends on the concentration of cement or bone or in the concentration of both. We present the imaging features of cemento-ossifying fi broma in a 73-year-old female patient, involving the left maxilla.
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    A Rare Presentation of an Unusual Foreign Body: A Case Report.
    (2016-07) Kamath, P Shrinath D; Sima, Natashya H; Shetty, Kishore C; Raghuraj, U
    Foreign bodies within the submandibular gland are found to be a rare phenomenon and when it occurs is most frequently found within the submandibular duct. Here, we present a case of a 33-year-old male who presented with submandibular sialadenitis caused by the foreign body penetrating the submandibular gland.
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    Capillary Hemangioma Mimicking Pyogenic Granuloma: A Rare Case Report in Male.
    (2016-07) Jha, Abhinav; Alok, Abhijeet; Kumar, Mukesh; Hasan, Kamal
    Oral hemangiomas and pyogenic granuloma are common benign lesions of oral mucosa. Pyogenic granuloma occurs mainly in women with gingiva being the preferred site while hemangiomas occur in lips and tongue with very rare occurrence in palatal areas. Hemangiomas are mostly seen in infants. The clinical diagnosis of these lesions still throws a challenge to the dental professionals as they can mimic oral carcinomas. The purpose of this article is to report a rare case of capillary hemangioma occurring on the junction of the hard and soft palate of a male which was clinically diagnosed as a pyogenic granuloma.
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    Ameloblastic Carcinoma of Mandible: A Case Report.
    (2016-07) Gowhar, Owais; Singh, Narendra Nath; Ain, Tasneem S; Sultan, Saima
    Ameloblastic carcinoma is an uncommon malignant odontogenic tumor of jaws and is a highly aggressive tumor with rapid growth and also a high potential for distant metastasis. Th e most common site of occurrence is posterior mandible. Clinically, it is aggressive and has potential for local destruction. Th e majority of the cases arise de novo, while few cases arise from a pre-existing ameloblastoma. Th e radiological feature of the ameloblastic carcinoma is usually similar to that of ameloblastoma except for the presence of focal radiopacity, which apparently refl ects dystrophic calcifi cation. Herein, we report a case of ameloblastic carcinoma in the left mandible of a 60-year-old female patient.
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    Intussusception Due to Inflammatory Fibroid Polyp.
    (2016-07) Vasanth, K A Dilip; Rao, B Ananda Rama; Reddy, Sridhar
    Since 1976 to 2011, a sum of 89 cases of infl ammatory fi broid polyp (IFP) of the gastrointestinal tract is recorded in the literature. Th e lesion is always benign, may occur at any age but is most common in the sixth and seventh decades, and involves the stomach most frequently. Abdominal pain, often related to obstruction, is the principal symptom. Th e lesions are sessile or polypoidal, originate in the gut submucosa, vary greatly in cellularity, and have a wide range of tissue eosinophilia. We are presenting a rare case of ileoileal intussusception caused by IFP in a 32-year-old female. Resection and end-to-end anastomosis was done after reducing the intussusceptum.
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    Urethrogram Revisited: A Pictorial Review.
    (2016-06) Johny, Jovis; Sarkar, Partha Sarathi; Saxena, Deepali; Philip, Babu
    Urological pathologies especially stricture urethra are a cause of significant morbidity and hence radiological evaluation of the same is of prime importance to determine the treatment protocol for each disease. A retrospective analysis of the conventional radiographic imaging findings of traumatic and nontraumatic lower urinary tract pathologies was done over a period of 5 years, and the case spectrum included urethral and bladder diverticulum, urethritis, posterior urethral valves, and fistulas (including urethra - perineal, rectourethral and vesicovaginal fistulas). The rarer nontraumatic pathologies were prostatic utricles, urethral polyps, bladder neck obstruction, hypospadias, anterior urethral valve, vesical calculus, etc., The traumatic case spectrum included cases of urethral injuries and intra/extraperitoneal bladder rupture. This pictorial assay reviews the need of retrograde urethrogram–micturating cystourethrogram for the evaluation of the anterior urethral, posterior urethral and bladder pathologies (traumatic and nontraumatic) and also describes each pathology with respect to etiology, diagnosis and imaging findings.
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    Localized Pigmented Villonodular Synovitis of Knee: A Mimicker.
    (2016-06) Senthil, Vishnu; Madi, Sandesh; Pandey, Vivek; Acharya, Kiran
    Pigmented villonodular synovitis is a benign neoplastic condition arising from the synovium. The synovium is pigmented (loaded with increased mitochondria siderosomes), metaplatic, pedicled or non-pedicled, and hypertrophied. It commonly arises from mensicocapsular junction. It presents as a localized or diffuse variety. Localized variety presents with locking, effusion, pain, reduced range of motion, palpable mass, or pain over the joint line which mimics different pathological conditions. We present a case of localized pigmented villonodular synovitis which led to diagnostic dilemma and mimicked common pathological conditions. Very few case reports are reported in which the lesion is only diagnosed with arthroscopy when other imaging and clinical findings are misleading.