Clinical Image

September 12, 2022 – Clinical Image

Dear Editor, Primary melanoma of the eyelid represents a small proportion of melanomas. In literature, only few cases have been reported, probably because its location and the resistance of patients to surgery make its diagnosis difficult. We present a peculiar case of an 80-years-old patient with a lesion of the left lower eyelid. The lesion …

An Unlucky Case or a Lucky Follow-Up? Read More »

1. Abstract A 51-year Asian man, with Ulcerative Colitis (UC) for 10 years, presented as 8 months history of intermittent abdominal pain and change in bowel habits, feeling of lump-in-abdomen, tenesmus, bleeding per rectum and significant weight loss for 2 months. He was never on immunosuppressant for UC. MRI abdomen showed circumferential enhancing thickening (up …

Colonic Stricture in Ulcerative Colitis: Diagnosis Out-of-the-Way Read More »

1. Clinical Image A 15-year-old girl, with a previous allergic asthma diagnosis, was evaluated because of progressive dysphagia and heartburn over the last two months. An upper gastrointestinal endoscopy was performed and showed an apparent trachealization of all segments of the oesophageal mucosa (Figure 1 and 2). Histological analysis of three-level biopsies revealed hyperplasia of …

Glycogenic Acanthosis: Just an Incidental Finding? Read More »

1. Clinical Medical Image The patient was 18 years old, followed for Hodgkin’s lymphoma at puberty stage under treatment, admitted for absence of menarche and pelvic pain. Pelvic ultrasound revealed uterine agenesis, confirmed by pelvic MRI which showed uterine agenesis with hypoplasia of the upper 2/3 of the vagina continuing with elongated T2 hypointense structures …

Rokitansky-Mayer-Kuster-Hauser Syndrome Read More »

1. Clinical Medical Image A 65 old man, with a history of heavy smoking was diagnosed with pulmonary tuberculosis. Admitted to the emergency room for respiratory distress with hemoptysis and stage III dyspnea, the biological workup revealed a hemoglobin of 9 with d-dimer of 10000, The thoracic angioscanner showed a distal right pulmonary embolism with …

Hemoptysis on False Rasmussen Aneurysm Read More »

1. Clinical Image A 71-year-old man underwent an elective liver transplantation for decompensated alcoholic liver cirrhosis. He had a medical history of Chronic Obstructive Pulmonary Disease (COPD) group B. In the pre-operative examination, spirometry had revealed: Forced Expiratory Volume (FEV-1), 2.18 L (69% of predicted value), forced vital capacity (FVC), 3.50 L (84%), Total Pulmonary …

Excessive Dynamic Airway Collapse Read More »

1. Abstract 1.1. Introduction: The World Health Organization says there are nearly 1 million cases of rifampicin-resistant tuberculosis (RR-TB) worldwide in 2019. About 78% of cases are multidrug-resistant (MTB), of which India bears the heaviest burden. Early diagnosis and determination of drug resistance could promote effective treatment ofspinal tuberculosis and reduce therisk ofMTB.

1. Clinical Images A 71-year-old man presents to the clinic complaining of 1-month right-sided headache, motivating prior hospital visits for analgesia. Pain is persistent, with paroxysmal exacerbations, accompanied by nausea and heartburn. He feels tingling on the right face. MRI was done (Figure 1), revealing T2 FLAIR hiperintensity along trigeminal ganglia and tract. Carbamazepine thrice …

Magnetic Resonance Imaging of an Atypical Trigeminal Neuralgia Case Read More »

1. Clinical Image A 52-year-old man with no surgical history was admitted to our hospital. Physical examination revealed tenderness in the lower abdomen. Contrast-enhanced computed tomography (CT) showed a closed-loop formation and edema of the distal ileum between the sigmoid colon and left psoas muscle (Figure A). Edema and a sac-like appearance of the ileum …

Characteristic Computed Tomography Findings of Intersigmoid Hernia Read More »