Open Access Case Report

Post Traumatic L5-S1 Dislocation

Drissi Ghassen, Farid Harrar, Mohamed Khaled

International Journal of Medical and Pharmaceutical Case Reports, Page 1-6
DOI: 10.9734/IJMPCR/2018/45467

Lumbosacral dislocations are rare disorders. We report here the case of a 66-year-old man victim of a heavy load crush with right lumbar impact point causing lumbar trauma.

The examination showed a lumbar swelling corresponding to a subcutaneous hematoma. There were no signs of spinal nerves injury.

Radiographic examination showed L5-S1 anterolisthesis grade II with staged breaks of the transverse processes of L2 to L5. Computed Tomography Scan confirmed these findings and also revealed a bilateral anterior and asymmetric anterior dislocation of the L5 vertebra on the sacrum without evidence of disc herniation.

The patient underwent surgery within 24 hours. After L5 laminectomy, L5-S1 discectomy and segmental reduction and stabilisation by lumbo-sacro-iliac arthrodesis.

After 10-month follow-up, the patient was satisfied and did not show any discomfort.

Open Access Case Report

Case Report: How May Ocular Alignment Guide the Topography of the Lesion

Cucchiara María Camila, Zalazar Guillermo, Bernaba Elisabet, Laura Ortube, Sandra Barbosa, Sergio Carmona

International Journal of Medical and Pharmaceutical Case Reports, Page 1-6
DOI: 10.9734/IJMPCR/2018/46077

A 58 years old pale patient of hypertension, with a history of left thalamic hemorrhagic stroke (2010), had a sudden onset and progressive evolution that began a few hours ago, characterized by right palpebral ptosis and diplopía. The condition was followed by left faciobrachiocrural paresis, difficulty to maintain the sitting or standing and sensory impairment. The patient was found with conditions, such as, Eye-opening upon request, Disoriented in time, Lack of verbal initiative, Central left facial palsy, Left brachiocrural paresis (4/5), Imposibility to maintain a seating or standing position and Bilateral Babinski. The symptomps can only be explained by a biliateral thalamic lesion, although unilateral lesions can occasionally cause similar symptoms.

Open Access Case Study

Silent Gigantic Solitary Fibrous Tumour of the Pleura: 2 Rare Case Reports and Review of the Literature

Ho Tat Bang, Le Quang Dinh, Tran Thanh Vy

International Journal of Medical and Pharmaceutical Case Reports, Page 1-8
DOI: 10.9734/IJMPCR/2018/44699

Solitary fibrous tumours of the pleura (SFTP) are rare primary tumours that arise from the submesothelial tissue. They are mostly benign and asymptomatic, and by growing, they cause chest pain, irritating cough, and dyspnoea due to the pressure created on the surrounding structures. Immunohistochemical analysis has an expanding role in diagnostic. Surgical resection is the main treatment. We reviewed two patients who had undergone complete surgical resection for treatment and followed up periodically for two years at the University Medical Center at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

Open Access Case Study

Primary Breast Lymphoma with Delay Response to Treatment: A Case Report

Gharekhanloo Farideh, Arash Dehghan

International Journal of Medical and Pharmaceutical Case Reports, Page 1-6
DOI: 10.9734/IJMPCR/2018/45145

Primary breast lymphoma is a rare disease and representing 0.04 – 0.5% of all malignant female breast tumour. Patient usually present to palpable mass in the breast without any evidence of lymphoma in the other organs. Imaging finding is non-specific. Histopathologic exam is only confirmed with histopathologic examination. We report a 57 years old women presented with a palpable mass in the left breast from 2 month ago. Ultrasonography and elastography revealed a 3 cm hard lobulated mass. The mass was lobulated with partially obscured border in mammogram without micro calcification histopathologic and immunohistochemical finding confirmed the diagnosis. Chemotherapy was initiated with RCHOP regiment however after two cycle of chemotherapy there isn’t any obvious response to treatment .repeat biopsy revealed some edematous changes within tumoral mass resulted in false growth of tumor however after 8 cycle of chemotherapy the mass regressed. Early and accurate diagnosis and complete course of treatment is crucial for appropriate treatment strategies and avoid unnecessary mastectomy in management of primary breast lymphoma.

Open Access Case Study

Endovascular Treatment for a Femoral Arteriovenous Fistula after Removal of a Hemodialysis Catheter

Lam Thao Cuong, Ho Tat Bang, Nguyen Duy Tan

International Journal of Medical and Pharmaceutical Case Reports, Page 1-6
DOI: 10.9734/ijmpcr/2018/v11i430092

Double-lumen catheters are commonly utilized to acquire temporary access for hemodialysis in patients suffering from acute renal failure. There are many complications related to catheter puncture. An arteriovenous fistula (AVF) is rare but occasionally fatal. This case report presents a female patient, 49 years old with a post-catheterization AVF between the femoral common artery and femoral vein, which was successfully treated with a peripheral cover stent placement. A four-week clinical follow-up showed the patient’s condition had significantly improved.