Posts Tagged ‘medical image’

Cases Network – Image of the month

August 18, 2009

Every month we select an image from Cases Journal or the Journal of Medical Case Reports (JMCR) that we feel is that little bit extra special.

Below is our choice for this month:

Photograph showing the sigmoid colonic perforation. Figure taken from Joglekar et al., "Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report"

Photograph showing the sigmoid colonic perforation. Figure taken from Joglekar et al., "Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report"

Sigmoid colonic perforation is an acute surgical emergency.

The patient in this case presented with a 3-day history of colicky generalised abdominal pain, gradually getting worse and eventually localising to the right iliac fossa (classical symptoms of acute appendicitis).

A provisional diagnosis of acute appendicitis was made, and consent was taken for appendicectomy. During the operation, a small (2 mm) perforation was found in the distal sigmoid colon through which a chicken bone was protruding outward.

Fewer than 1% of ingested foreign bodies will perforate the bowel. Although most sharp objects pass without complications, once beyond the oesophagus, they carry an increased risk of complications.

Diagnosis of an intestinal perforation can be difficult and the authors emphasise the need for a high degree of suspicion and awareness on the part of the clinician. They stress that situations such as these highlight the importance of obtaining full consent from the patients; this is particularly important when there is a diagnostic dilemma, as this may have future medico-legal implications. It is important to inform patients about an alternative diagnosis.

Our deputy editor said: “Excellent and intreresting case, also very well written“.

For all the clinical details, read the full case report here.

Title: “Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report”

Authors: Sandeep Joglekar, Iqbal Rajput, Sachin Kamat and Sarah Downey

To see a selection of our previous ‘Image of the month’ choices, visit our facebook site here.

EmailFor your chance to nominate a case report for the ‘Image of the month’, simply email us at: info@casesnetwork.com You can even nominate your own case!

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Cases Network – Image of the month

July 17, 2009

Every month we select an image from Cases Journal or the Journal of Medical Case Reports (JMCR) that we feel is that little bit extra special.

Below is our choice for this month:

Metastatic tubulopapillary renal cell carcinoma (TPRCC)

Metastatic tubulopapillary renal cell carcinoma (TPRCC)

The patient in this case was diagnosed with tubulopapillary renal cell carnicoma (TPRCC) – the second most common histologic subtype of kidney cancer. On first presentation, the tumour was confined to the pelvis, but two years later, he presented with this rapidly growing mass, located on the midline anterior chest wall. A biopsy of the mass confirmed the diagnosis of metastatic TPRCC.

After three months of treatment, the patient also developed severe headaches and blurred vision and was diagnosed with choroidal metastasis. Choroidal metastiasis from TPRCC is currently very exceptional.

The authors recommend a high index of suspicion and adequate investigation of patients with visual complaints and history of renal carcinoma.

For all the clinical details, read the full case report here.

Title: “Choroidal metastasis from tubulopapillary renal cell carcinoma: a case report”

Authors: Ibrahim Elghissassi, Hanane Inrhaoun, Nabil Ismaili and Hassan Errihani

To see a selection of our previous ‘Image of the month’ choices, visit our facebook site here.

EmailFor your chance to nominate a case report for the ‘Image of the month’, simply email us at: info@casesnetwork.com

Cases Network – Image of the month

June 17, 2009

We have been running the feature ‘Image of the month’ on our facebook site for some time and now we are expanding to include these images on our blog site.

Every month we select an image from Cases Journal or the Journal of Medical Case Reports (JMCR) that we feel is that little bit extra special.

Below is our choice for this month:

Spontaneous corneal melting during pregnancy: a case report

Spontaneous corneal melting during pregnancy: a case report

This figure shows the split lamp appearance of both eyes of a patient in the midterm of pregnancy.

Although the underlying mechanisms remain to be clarified, this case report demonstrates that physiological changes during pregnancy might lead to devastating corneal complications, such as corneal melting, in high-risk women with compromised corneas.

For all the clinical details, read the full case report here.

Title: “Spontaneous corneal melting during pregnancy: a case report”

Authors: Joo Youn Oh, Mee Kum Kim, Joong Shin Park, Won Ryang Wee

To see a selection of our previous ‘Image of the month’ choices, visit our facebook site here.

EmailFor your chance to nominate a case report for the ‘Image of the month’, simply email us at: info@casesnetwork.com