Left atrial intramural hematoma is a rare complication of percutaneous coronary intervention. We report a case of left atrial intramural hematoma after percutaneous coronary intervention that was successfully treated by combining surgery with interventional therapy.

White esophagus is an extremely rare disease and recognized to be the result of chronic ischemic injury. We report here successful treatment of a case of white esophagus accompanying multiple areas of circumferential duodenal erosion extending to the upper jejunum in a middle-aged male.

Pfeiffer syndrome (PS) is a rare autosomal dominant genetic disorder characterized by craniosynostosis, broad thumbs / toes. Here we report a case of PS type 2 with increased nuchal translucency at early trimester.

A document by Hansheng Liang. Click on the document to view its contents.

Clinical ImagesTitle: Twenty-years’ use of expanded polytetrafluoroethylene sheet for an artificial cardiac pacemakerKenji Yorita1*, Junichi Takahashi2, Kazutoshi Tano3, Yoichi Ichikawa3, Nobumasa Hamaguchi4, Wataru Yasui51Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan2Department of Internal Medicine, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan3Department of Cardiovascular Surgery, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan4Department of Thoracic Surgery, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan5Department of Internal Medicine, Yusuhara Hospital, Kochi-city, Kochi, JapanThe authors report no conflict of interest, financial or otherwise.＊Corresponding Author: Kenji Yorita, M.D., Ph.D.,Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, 1-4-63-11, Hadaminamimachi, Kochi-city, Kochi 780-8562, JapanTel: +81-88-822-1201Fax: +81-88-822-1056E-mail: [email protected] : expanded polytetrafluoroethylene sheet, cardiac pacemaker, foreign body

Coronary-Cameral Fistula in a pediatric patient: An incidental diagnosis

Hypervirulent Klebsiella pneumoniae (hvKP) is recognized as a life-threatening community-acquired infection associated with pyogenic liver abscess. However, rhabdomyolysis secondary to hvKP infection is rare. We report the first case of rhabdomyolysis due to hvKP infection in a patient who survived. rhabdomyolysis and pyogenic liver abscess becoming septic shoc

The iliac vein is an extremely rare site of metastasis for extraskeletal mesenchymal chondrosarcoma (ESMC). Involvement of the veins usually leads to an extremely dismal prognosis.

Percheron’s artery (PA) occlusion is an uncommon type of stroke involving paramedian thalamus and/or midbrain infarction. It accounts for 4-18% of all thalamic infarcts and 0.1-2% of all strokes. Its clinical manifestations are variable and its mode of presentation as Weber’s syndrome is exceptional due to the unusual clinical presentatio

We describe a case of pancreatic tumor associated with a giant type IV hiatal hernia that had prolapsed into the posterior mediastinum. We initially performed hiatal hernia repair, followed by laparoscopic distal pancreatectomy, because the hernia repair enables performing pancreatectomy safety and in the normal anatomical position.

Ventricular septal rupture (VSR) is a rare complication of myocardial infarction that requires surgical repair. Herein we describe a case of intraoperative VSR requiring a second bypass run and patch repair. This case highlights the importance of early reperfusion and poses concern for delayed patient presentation during the COVID-19 pandemic.

Hypohidrotic ectodermal dysplasia is a heritable disease, characterized by hypodontia, hypotrichosis, and anhidrosis. This clinical report demonstrates prosthetic rehabilitation of a patient complaining of impaired mastication and the odd appearance of her jaws. Maxillary telescopic-overdenture and implant-supported mandibular prostheses were fabricated to improve mastication, speech, and aesthetics of the patient.

Synovial chondromatosis is a rare benign condition characterized by chondral proliferation from synovium forming loose bodies which can occur extra-articularly and intra-articularly. Surgical removal remains the mainstay of treatment for synovial chondromatosis. Due to the risk of recurrence, every case must be followed up with an MRI.

Marine Lenhart Syndrome (MLS) is caused by a coexistence of active thyroid nodules and Graves’ disease1. Here, we present a case of hyperthyroidism characterized by the presence of stimulating TSH receptor antibodies, unsuccessful radioactive iodine ablation, ultimately requiring Methimazole followed by thyroidectomy. We review the current literature.

Spontaneous coronary artery dissection (SCAD) is a rare condition which occurs predominantly in the postpartum period in young women. A SCAD whilst pregnant is very rare and poses significant risk to the mother and unborn child, and with minimal data on SCAD antenatally, this case highlights antepartum clinical considerations.

Background: The purpose of this article is armed to provide some experience and insight for the clinical treatment of primary mediastinal yolk sac tumor (PMYST) basing on our case report and relevant literature review. Case report and literature review: A 15-year-old boy was diagnosed as PMYST with the volume about 13*12*8cm. The

A document by Shahad Alhazmi. Click on the document to view its contents.

Introduction:To prevent acute or chronic allograft rejection, recipients of kidney transplants are needed to take immunosuppressive for the rest of their lives. However, their compromised immune system put them at risk for opportunistic infections as well1. Infection with the varicella-zoster virus (VZV) is an unusual in recipients of kidney transplants at a frequency rate from 1% to 11%, but the severity is more significant in transplant patients compared to the overall population 2, 3. Fever and a self-limiting rash on the skin and occasionally the mucosa may be the present symptoms of varicella infection. Additionally observed symptoms include headache, malaise, and appetite loss. The rash starts off as macules, quickly develops into papules and then goes through a vesicular stage and crusts over the lesions. After one to two weeks, crusts flake off4. Disseminated herpes zoster (HZ) in kidney transplant recipients can result in a very high overall mortality rate of up to 30% 5.Here we describe a 23-year-old male patient with a history renal transplant who presented to the emergency department with complaint of high grade fever, chills and generalized rash for 5 days.