scholarly journals VP29.10: Non‐janiceps cephalopagus: an extremely rare type of conjoined twins – case report

2021 ◽  
Vol 58 (S1) ◽  
pp. 219-220
Author(s):  
L. Giurcaneanu ◽  
M. Heim
Keyword(s):  
Case Report ◽  
Conjoined Twins ◽  
Rare Type

scholarly journals Anesthesia for separation of conjoined twin a case report

2014 ◽  
Vol 24 (1) ◽  
pp. 34-37
Author(s):  
Md Nurul Amin ◽  
Md Akkas Miah ◽  
Md Shamsur Rahman ◽  
Naira Akhter
Keyword(s):  
Nervous System ◽  
Case Report ◽  
General Condition ◽  
Intestinal Tract ◽  
Conjoined Twins ◽  
Organ System ◽  
Monitoring Device ◽  
Rare Type ◽  
Anaesthesia Machine ◽  
Made In

Pygopagus is a rare type of conjoined twins and the incidence is about 6% and these babies are united dorsolaterally in the sacrum and the perineum. Conjoined twins were being separated with increasing frequency and success, concomitant with the improvements being made in the care of pediatrics surgical and anesthesiologist team. The conjoined twins which were presented to us for anesthesia were female pygopagus. They were born on March 21, 2010 in remote village of Sylhet, at home by an uncomplicated vaginal delivery. At birth, the twins were 2.8 kg attached at their back. They baby was separate organ system except a common anus. The operation was to be performed on the lower intestinal tract and on the nervous system at the same time it was decided to include a neurosurgeon in this team. At the age of 100 days when both weight 5.4 kg general condition was good, two team of surgeon and anesthetist, at beginning one operation table two anaesthesia machine with individual monitoring device required preponed. Since surgery was uneventfully. Despite this decision or perhaps even because of it, there was no infection postoperatively. The twins recuperated well from their adventure. DOI: http://dx.doi.org/10.3329/jbsa.v24i1.19798 Journal of Bangladesh Society of Anaesthesiologists 2011; 24(1): 34-37

scholarly journals Omphalopagus conjoined twins separation during coronavirus disease-19 pandemic era: A case report

2021 ◽  
pp. 106150
Author(s):  
Tri Hening Rahayatri ◽  
Rizky Amaliyah ◽  
Nandita Melati Putri ◽  
Niken Wahyu Puspaningtyas ◽  
Mulya Rahma Karyanti ◽  
...  
Keyword(s):  
Case Report ◽  
Conjoined Twins

scholarly journals Prolonged Survival in Patients with Metastatic HER2-Positive Inflammatory Breast Cancer: A Case Report and Review of the Literature

2021 ◽  
pp. 1071-1079
Author(s):  
Jennifer Y. Ge ◽  
Beth Overmoyer
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Inflammatory Breast Cancer ◽  
Targeted Therapies ◽  
De Novo ◽  
Review Of The Literature ◽  
Her2 Positive ◽  
Rare Type ◽  
Favorable Prognosis ◽  
Poor Outcomes

Inflammatory breast cancer (IBC) is a rare type of breast cancer that is associated with poor outcomes compared with non-IBC. Overexpression of HER2 is enriched in IBC, and those with HER2-positive disease have a relatively favorable prognosis, with improved survival over the last two decades driven by the advent of novel targeted therapies. Here, we present two patients who have survived for over 10 years after being diagnosed with de novo metastatic HER2-positive IBC. We review the data for the treatments available for metastatic HER2-positive IBC and the evolving treatment recommendations for this disease.

scholarly journals A case report describing the successful separation of ischiopagus tetrapus conjoined twins in Vietnam

2021 ◽  
Vol 16 (9) ◽  
pp. 2658-2662
Author(s):  
Truong Quang Dinh ◽  
Nguyen Minh Duc ◽  
Ho Tan Thanh Binh ◽  
Ta-Thi Thuy Hang ◽  
Nguyen-Thi Cam Xuyen ◽  
...  
Keyword(s):  
Case Report ◽  
Conjoined Twins ◽  
Successful Separation

scholarly journals Mood symptoms Associated with CADASIL Syndrome: A Case Report

CNS Spectrums ◽  
2021 ◽  
Vol 26 (2) ◽  
pp. 144-144
Author(s):  
Asad Shaikh ◽  
Joel Idowu
Keyword(s):  
Case Report ◽  
Clinical Symptoms ◽  
Psychiatric Symptoms ◽  
Small Vessel Disease ◽  
Altered Mental Status ◽  
Hereditary Disease ◽  
African American Female ◽  
Psychiatric Disturbance ◽  
Rare Type ◽  
Parietal Lobes

AbstractObjectiveTo discuss the psychiatric symptoms that are associated with CADASIL syndrome Abstract Cerebral:Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a rare type of hereditary disease involving the small cerebral vessels. The clinical symptoms are various and include recurrent ischemic strokes, migraine with aura, seizures with epilepsy, psychiatric problems such as mood disturbances, and progressive cognitive decline leading to dementia. This disease needs awareness amongst the psychiatrists even though it is discussed much more in neurology literature. Psychiatric symptoms are seen in 20–41% of patients with CADASIL syndrome (1, 2). Psychiatric symptoms are actually the initial presentation in 15% of the cases. (3) The psychiatric disturbance most reported are mood disturbances (9–41%) especially depression. Here a 42-year-old African American female was brought to the hospital emergency room after she was found wandering in the streets. Psychiatry was consulted for altered mental status. Upon evaluation by the psychiatric consult service she was only oriented to person, depressed, anxious and complaining of headaches. Initial CT scan showed marked small vessel disease and old lacunar infarcts in the basal ganglia and right corona radiata. Magnetic Resonance Imaging (MRI) of the brain showed acute infarcts in the right posterior frontal and right parietal lobes along with old infarcts. Her symptoms and findings on imaging were consistent with CADASIL syndrome. Once the diagnosis was confirmed and prior records were obtained patient was resumed on an antidepressant and anxiolytic.ConclusionThe purpose of this case report was to discuss psychiatric symptoms associated with CADASIL syndrome. Although there has been research showing a relationship between vascular disease and depression, a review of the literature suggests that there needs to be more research done to explore other psychiatric disturbances that may be seen with this syndrome. Psychiatric symptoms that are untreated can have the potential to further impact the quality of life therefore psychiatrists need to be aware of this syndrome in order to treat these patients promptly.References1 https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-017-0778-8 2 http://dx.doi.org/10.32474/OJNBD.2018.01.000101 3 https://pdfs.semanticscholar.org/47f6/5952ee3c5dcf2a61345f704914b17fa8dc0d.pdf

scholarly journals Primary small cell type of non-Hodgkin lymphoma of the colon: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Eyal Meir ◽  
Chovav Handler ◽  
Uri Kaplan ◽  
Doron Kopelman ◽  
Ossama A. Hatoum
Keyword(s):  
Case Report ◽  
Hodgkin Lymphoma ◽  
Small Cell ◽  
Primary Lymphoma ◽  
Cell Type ◽  
Rare Type ◽  
Case Presentation ◽  
Carcinoma Of The Colon ◽  
Non Hodgkin Lymphoma ◽  
High Level

Abstract Introduction Primary lymphoma of the colon is exceedingly rare and comprises 0.2–1% of all colon tumors. The most common subtype of lymphoma in the colon is non-Hodgkin lymphoma. Symptoms are often nonspecific, and treatment varies between chemotherapy alone and a combination of surgery and chemotherapy. Case presentation We describe a case of a Ashkenazi Jew patient who presented in the typical way that carcinoma of the colon might present but turned out to have a very rare type of tumor in both its histology and its location. Conclusion There was apparent discordance between the relative bulkiness and gross appearance of the tumor with the unrevealing result of the biopsies, demanding a high level of suspicion as to the actual presence and possible type of such a tumor in the future.

STUDY OF CLINICAL CASES OF MYOCHE’S MYOPATHY AND DIFFERENTIAL DIAGNOSIS WITH OTHER TYPES OF ADVERSE MYOPATHIES

2021 ◽  
Author(s):  
K. Sarazhyna ◽  
Y. Solodovnikova ◽  
A. Son
Keyword(s):  
Case Report ◽  
Genetic Testing ◽  
Skeletal Muscles ◽  
Molecular Genetic ◽  
Clinical Signs ◽  
Lower Limbs ◽  
Molecular Genetic Testing ◽  
Membrane Repair ◽  
Rare Type ◽  
A Cell

Markesbery-Griggs myopathy, Miyoshi type (MM) is a rare type of myopathy, a form muscular dystrophy with the main involvement of the lower girdle and distal parts of the legs. Due to complexity of genetic testing, the diagnosis is mainly made on the neurological examination of the patient, which adds value to this case report. The childhood or adolescence onset of the disease is characterized initially by the calf muscles` wasting, accompanied by the severe elevation of the serum creatine kinase, as well as a slowly progressive ascending course. The disease refers to dysferlinopathies with various mutations in the DYSF gene. The dysferlin protein is localized in the plasma membrane and in the T-tubule system of skeletal muscles. Physiologically, skeletal muscles are constantly exposed to micromembrane lesions. Depending on the severity, these damages are restored using various complexes. One of the main reparative complexes is the dysferlin-dependent mechanism. Mutations can lead to a defect in the membrane repair, causing the influx of Ca 2+ into the cell, which leads to a cell`s destruction. There are three genetically identifiable types of Miyoshi myopathy: MMD1, MMD2, MMD3. The main clinical signs of the disease are the muscle weakness and atrophy, with predominant involvement of the distal parts of the lower limbs, especially in the gastrocnemius and plantar muscles. The MM causes tip toe walking disturbances and difficulties in climbing the stairs. Progression of the disease and further atrophy leads to the wasting of the lower girdle muscles, mainly gluteal ones. Peculiarity of these myopathies is the absence of cardiomyopathy, due to the immunity of cardiomyocytes to a deficiency of the protein dysferelin. Diagnosis is made on the basis of muscle biopsy and molecular genetic testing. The gold standard is immunoblotting or immunohistochemistry. One of treatment methods is the use of improperly folded dysferlin (treatment with a proteasome inhibitor MG-132) in fibroblasts with restoration of membrane sealing. The aim of this case report is to present an example of a possible clinical diagnosis of MM in a young man, in the absence of opportunities for molecular genetic testing.

scholarly journals Thoracopagus conjoined twin - a case report

1970 ◽  
Vol 10 (4) ◽  
pp. 289-292
Author(s):  
F Sharmin ◽  
F Begum ◽  
T Parveen ◽  
SF Khatun ◽  
W Fatima
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Caesarean Section ◽  
Early Diagnosis ◽  
Conjoined Twins ◽  
Separation Procedure ◽  
Review Of The Literature ◽  
Surgical Separation

A patient at her 38+ wks of pregnancy as a ultrasonographically diagnosed case of conjoined twin admitted in our department with ruptured membrane. Two live female babies joined at the chest were delivered by caesarean section. The parents refused a separation operation and the mother and the babies were discharged from hospital at 6th post natal day. A review of the literature suggests that early diagnosis by a combination of ultrasound and MRI is essential for management as it provides prognosis for viability and process of surgical separation and also the opportunity for early counseling of parents and termination if indicated. Key world: Conjoined twins; thoracopagus; prenatal diagnosis; separation procedure DOI: http://dx.doi.org/10.3329/bjms.v10i4.9504 BJMS 2011; 10 (4): 289-292

scholarly journals External supravesical hernia is a rare type of abdominal wall hernia: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 40-41 ◽  
Author(s):  
Pankaj Kumar Saha ◽  
Ratna Rani Roy ◽  
Mohammad Emrul Hasan Khan ◽  
Md Mamunur Rahman ◽  
Kazi Shafiqul Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Surgical Anatomy ◽  
Rare Type ◽  
First Case ◽  
Made In

The first case of external supravesical hernia was made in 1804; but it is so rare that it is very difficult to find any case reported in Bangladesh. Here a case of external supravesical hernia is described in a male who was presented with a left sided direct incomplete reducible inguinal hernia. This report aims to review and discuss the surgical anatomy of these rare supravesical hernias and calls attention to the confusing presentation and treatment of this conditionJ Shaheed Suhrawardy Med Coll, 2015; 7(1):40-41

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