Journal of Clinical and Medical Images, Medical Imaging Journal

Volume 4

Normal Brain MRI in an Adolescent with Primary Angiitis of the Central Nervous System: A Case Report. The Challenge of Diagnosing PACNS

1. Abstract We report on an adolescent affected by a progressive primary angiitis of the central nervous sys- tem (PACNS) and constantly normal high-resolution brain magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) exam. A 15-years-old-male came to our attention for a severe diffuse headache, associated with re- current episodes of vomiting, consciousness impairment and …

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Maydl’s Hernia:An Unusual Cause of Strangled Inguinal Hernia, A Case Report

Maydl’s hernia is one of the few causes of strangled inguinal hernia. It is characterized by the pres-ence in the sac of two intestinal loops connected by an intra-abdominal intermediate loop called retrograde, all drawing a “W” or an omega. The risk of this anatomical form is the necrosis of the intra-abdominal loop. Therefore, careful …

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Unusual Cause of Small Bowel Obstruction: Small Bowel Incarceration Through Uterine Perforation

Among the causes of small bowel obstruction, the incarceration of a bowel loop through uterine perforation is extremely rare. The purpose of our report is to illustrate the contribution of sonography in diagnosing this unusual surgical emergency through the case of a 28-year-old patient who was referred to our department a month after dilation and …

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Successful Replantation of Amputated Right Thumb in Resource Constrained Environment

A case of successful replantation of thumb at the proximal phalanx level is presented in this report. There were associated injuries of the index and middle fingers which were also managed with good functional outcome. The procedure was done with operating loupes and supra clavicular block with minimal facilities in a resource constrained environment of …

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Comparative Study of Gap Analysis Between Patient and Doctor AboutInformed

1. Abstract 1.1. Background: Consent is the most important factor in determining the legitimacy of any treatment offered by the doctor. Increasing advancement in medical technology and use of complicated intervention rendered the patients to adverse and unintended complications and therefore it became necessary for the patient to understand the details of the intervention/procedure and …

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Markers of Both Autoimmune and Apoptotic Processes in Initiation and Progression of Hashimoto’s Thyroiditis

1. Abstract 1.1. Purpose: Hashimoto’s thyroiditis (HT) is part of a spectrum of thyroid autoimmune conditions and the most frequent cause of hypothyroidism. Despite considerable progress achieved in identifying factors responsible for the development of HT, its pathogenesis remains unclear. 1.2. Methods: Following a literature analysis, we undertook a study aimed at a comprehensive evaluation …

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Hyperechoic Presentation of Air in Thyroid – Esophagus Fistula

An 83-year-old woman with primary hypothyroidism and multinodular goiter had maintained euthyroid status for many years under Eltroxin supplementation. Patient was asymptomatic, however during routine follow-up, ultrasonography of the thyroid revealed numerous hyperechoic ‘jelly-like’ pseudo-calcifications at the right thyroid (Figure 1A). Fine needle aspiration cytology to rule-out cancer reported only a fewmacrophage cells. Further survey …

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