Volume 3 Issue 3

Issue 3 Articles

Tenckhoff’s Catheter Recurrent Obstruction by Fallopian Tube

Clinical Image
The incidence of end-stage kidney disease, in the Caucasian population, is 275 cases per 1 million people per year. Currently, nearly 10% of patients under renal replacement therapy are under peritoneal dialysis. The catheter’s dysfunction is generally caused by its displacement, obstruction by omentum, small bowel, fibrin deposits, and exceptionally, by the cecal appendix or a Fallopian tube. We present the clinical case of a 44-years-old female patient, who started an ambulatory continuous peritoneal dialysis...

The Panda Sign

Clinical Image
A 39 year old right handed lady presented with a 3 month history of worsening chin and bilateral leg tremors. Secondary to this she had multiple falls. This was on a background of 18 months of intentional hand tremors. On examination she had marked rigidity bilaterally, intention tremor and an unsteady gait. Kayser-Fleischer rings were noted on examination of her eyes. An MRI brain (Figure 1) was performed which demonstrates the ‘Panda sign’ in the...

Overview and Case Observation of Electric Field Treatment (TTF) of Glioblastoma

Case Report
Glioblastoma (GBM) belong to the central nervous system of the common tumors, the incidence of about 50% of primary malignant tumor in the brain, and high malignant degree and poor prognosis, it is a kind of highly invasive tumors, show the invasive growth, complete resection is very difficult, as the intraoperative neural navigation, intraoperative ultrasound, intraoperative MRI techniques such as the development of glioma safe resection scope expands unceasingly, at present, the standard treatment for...

Palmar Bowen Disease Mimicking Wart and Diagnosed by Dermoscopy

Clinical Image
55-year-old female, phototype III, with no history of melanoma, with an erythematous papule, eroded on the surface, well limited, involving the palm skin of the right hand (Figure 1). The lesion had persisted for 2 months despite the use of topicals and salicylic acid ointments. The patient was immunocompetent, with no history of arsenic ingestion, trauma, burns or ionizing radiation at the site has been reported.

Subphrenic Abcess as a Rare Complication of Acute Appendicitis

Clinical Image
Subphrenic abscess is an uncommon complication of acute appendicitis since the advent of surgical treatment [1,2]. We report a case of a 47-year-old female, without any significant medical history, who had been diagnosed with acute appendicitis but refused surgical treatment. Three weeks later, she went to the Emergency Room with fever, abdominal pain and respiratory distress. Blood analysis revealed hemoglobin of 10.0g/dL, 27890 leukocytes, 652000 platelets, C-reactive protein of 92mg/L, total bilirubin of 1mg/dL, alanine...