scholarly journals OP19.02: Clinical history of recto-vaginal septa deep infiltrating endometriosis during repeated ovulation induction: a case report

2012 ◽  
Vol 40 (S1) ◽  
pp. 111-111
Author(s):  
F. Leone ◽  
C. Marciante ◽  
M. Mariani ◽  
A. Crepaldi
Keyword(s):  
Case Report ◽  
Ovulation Induction ◽  
Clinical History ◽  
Deep Infiltrating Endometriosis ◽  
History Of ◽  
Infiltrating Endometriosis

scholarly journals Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy

2020 ◽  
Vol 13 (3) ◽  
pp. 1239-1243
Author(s):  
Shenthol Sasankan ◽  
Lorraine Rebuck ◽  
Gloria Darrah ◽  
Moises Harari Turquie ◽  
Ian Rabinowitz
Keyword(s):  
Pancreatic Cancer ◽  
Case Report ◽  
Targeted Therapy ◽  
Therapeutic Response ◽  
Case Reports ◽  
Clinical History ◽  
P53 Mutation ◽  
Metastatic Pancreatic Cancer ◽  
First Case ◽  
History Of

We report on the clinical history of a 49-year-old female with metastatic pancreatic cancer. She was initially treated with standard chemotherapy as per current guidelines. She was found to have both a BRAF and P53 mutation, and received dabrafenib and trametinib with deep responses, both radiographically and biochemically (CA19-9). Her response has been more clinically relevant than responses in previous case reports of patients with BRAF-positive pancreatic cancer treated with targeted therapy. To the best of our knowledge, this is the first case report showing a dramatic therapeutic response to combination therapy with dabrafenib and trametinib in metastatic pancreatic cancer.

Cycloid Psychosis: A Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S532-S532
Author(s):  
G. Martinez-Ales ◽  
I. Louzao ◽  
A. Irimia ◽  
M.F. Bravo ◽  
J. Marin
Keyword(s):  
Case Report ◽  
Psychotic Disorders ◽  
Clinical History ◽  
Diagnostic Systems ◽  
Cycloid Psychosis ◽  
History Of ◽  
Competing Interest ◽  
High Index Of Suspicion ◽  
Clinical Pictures ◽  
Restitutio Ad Integrum

IntroductionEpisodes of time-limited acute psychosis, with full recovery in between, are categorized as acute polymorphic psychotic or brief psychotic disorders. Leonhard described the three forms of cycloid psychosis (CP). Perry considers it a separate entity.Case reportWe report the case of a 54-year-old male, with a 9-year history of brief psychotic disorders. He was admitted to an inpatient unit after a 4-day episode of persecutory delusion, leading to high emotional repercussions and isolation at home. Euthymia was present. Previous admissions, 9 and 5 years before, presented similar clinical pictures. Treatment with low dose paliperidone during 6-month periods had led to the complete resolution of the episodes (restitutio ad integrum: no psychotic manifestations and the ability to run his business). In this episode, 8 days after the reintroduction of 12 mg of paliperidone per day, cessation of the symptoms took place. Careful reconstruction of the clinical history showed no stressors or drug consumption. And immediately previous 5-day phase of insomnia, hyperactivity and expenditure was described by the patient's wife.DiscussionThree inpatient admissions, a careful clinical history and a thorough review of the evidence regarding Perris criteria led to a diagnosis of CP.ConclusionCP, a classical nosological approach, is helpful in a clinical setting, as it might imply different prognosis and treatment. Recognition of CP, not included as an entity by the major diagnostic systems, requires a high index of suspicion.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Polyarticular Septic Arthritis with Bilateral Psoas Abscesses following Acupuncture

2009 ◽  
Vol 27 (2) ◽  
pp. 81-82 ◽  
Author(s):  
Michihiro Ogasawara ◽  
Keisuke Oda ◽  
Ken Yamaji ◽  
Yoshinari Takasaki
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Septic Arthritis ◽  
Acupuncture Treatment ◽  
Psoas Abscess ◽  
Clinical History ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
History Of ◽  
Long Course

We report a case of polyarticular septic arthritis with bilateral psoas abscesses. A 50-year-old woman was admitted with fever, multiple joint swelling and pain. She had a clinical history of acupuncture therapy for treatment of her chronic lower back pain two days before the appearance of her symptoms. Methicillin-sensitive Staphylococcus aureus was isolated from blood culture, knee joint fluids and psoas abscess. After a long course of antibiotics for 70 days together with drainage of the abscess, the condition completely resolved. The acupuncture is the probable cause of the infection, and this case report reveals the importance of asking about a clinical history of acupuncture treatment and of making repeated bacterial examinations in undiagnosed polyarthritis patients.

scholarly journals Multiple bilateral dermoid cysts with ectopic pregnancy: a rare case report

2020 ◽  
Vol 10 (1) ◽  
pp. 358
Author(s):  
Divya Agrawal
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Dermoid Cyst ◽  
Ovulation Induction ◽  
Rare Case ◽  
Cystic Teratoma ◽  
Ovarian Neoplasm ◽  
Ovarian Stroma ◽  
Rare Case Report ◽  
History Of

Mature cystic teratoma (dermoid) is a common ovarian neoplasm but less frequently occurs bilaterally specially with ectopic pregnancy. It poses challenge in management in a young woman with history of infertility where preservation of ovarian stroma takes the priority. Here presented case of 30-year-old para 0, gravida 1 women who was diagnosed with ectopic pregnancy with history of infertility of 4 years. She underwent laparotomy where salpingectomy was done owing to tubal rupture. Dermoid cyst was removed simultaneously. When both ovaries were palpated, three more dermoids were found and taken off as well. Earlier ovulation induction was given before adhesions take upper hand and patient was pregnant in first cycle.  

Hysteroscopic vaginoscopy. An additional diagnostic tool for recto-vaginal deep infiltrating endometriosis

2020 ◽  
pp. 228402652096786
Author(s):  
Brunella Zizolfi ◽  
Virginia Foreste ◽  
Attilio Di Spiezio Sardo ◽  
Pierluigi Giampaolino ◽  
Annarita Gencarelli ◽  
...  
Keyword(s):  
Bowel Resection ◽  
Uterine Cavity ◽  
Accurate Diagnosis ◽  
Endometrial Tissue ◽  
Deep Infiltrating Endometriosis ◽  
Resonance Imaging ◽  
Total Hysterectomy ◽  
Segmental Bowel Resection ◽  
History Of ◽  
Infiltrating Endometriosis

Endometriosis is the presence of endometrial tissue outside the uterine cavity. Rectovaginal infiltration is present in 5% to 25% of the patients diagnosed with endometriosis. Accurate diagnosis is imperative for adequate counseling. Hysteroscopic vaginoscopy allows the inspection of the posterior vaginal fornix, not only providing better visualization of the area due to image magnification, but also allowing to obtain biopsy providing pathologic confirmation. We report the case of a 49-year-old nulliparous patient with long history of severe dysmenorrhea, deep dyspareunia and debilitating chronic pelvic pain not responding to medical treatment. On physical exam, recto-vaginal tender nodularity was palpated. Vaginal ultrasound and magnetic resonance imaging confirmed the presence of the nodular formation extending up to the rectum. In-office vaginoscopy revealed a perforated bulge on the uterine cervix, mimicking a double cervix. A biopsy of the nodule confirmed the presence of endometrial tissue, confirming the diagnosis of endometriosis. Patient underwent total hysterectomy with excision of deep infiltrating endometriosis which required segmental bowel resection with diverting loop colostomy. The final pathology confirmed the diagnosis of deep infiltrating endometriosis.

scholarly journals Severe oropharyngeal dysphagia following COVID-19: a case report

2020 ◽  
Author(s):  
Giulia De Vincentis ◽  
Chiara Ferrari ◽  
Dario Guerini Rocco
Keyword(s):  
Case Report ◽  
Oropharyngeal Dysphagia ◽  
Vocal Folds ◽  
Clinical History ◽  
Rehabilitation Treatment ◽  
Severe Dysphagia ◽  
History Of ◽  
First Time ◽  
Intensive Rehabilitation

This case report describes the clinical history of a COVID-19 patient with a non-immediate diagnosis of severe dysphagia that required a gastrostomy positioning. A vocal folds paresis was observed for the first time in the course of a Sars-CoV-2 infection. Thanks to intensive rehabilitation treatment, the outcome was favourable.

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