Revista de informes de casos clínicos

Juvenile polyps may also present with prolapse of the polyp from the anus, abdominal pain due to intussusception or may even be asymptomatic. All such polyps should be removed by colonoscopy or transanal resection.
Objective: To share the experience of Juvenile polyposis, at Bwindi community hospital Uganda.
Design and methods: These are case reports of two children second degree relatives, who presented with recurrent rectal bleeding for 4 months after every passage of stool, with prolapse of a mass and were managed at Bwindi community hospital
Results: These patients were all admitted for a total of two days in Hospital. Average hemoglobin was 11.5 mg/dl. Both had a preoperative colonoscopy that revealed a solitary polyp in the rectal canal. They both underwent Examination Under Anesthesia (EUA) and transanal polypectomy.
Conclusion: Juvenile Polyps (JP) are rare, but a key cause of rectal bleeding in children and in low resource settings, transanal polypectomy remains the treatment of choice.

Ossifying fasciitis is a very rare benign tumor of reactive character that can mimic malignant lesions, especially osteosarcoma. We report a
case of a 19-months-old boy, who experienced a rapidly growing hard painless swelling at the right side of the mandible. Resection of the
mass, and a detailed correlation with a clinicopathological and radiological analysis led to the final diagnosis of ossifying fasciitis of the
submandibular region at the lower boarder of the mandible.

Bone Marrow Edema Syndrome (BMES) is a clinical syndrome of unknown etiology characterized by the acute onset of pain gradually worsening over several weeks to months. Radiographic changes occur, but laboratory studies are generally unremarkable. It can primarily affect the foot and ankle and should be considered in the differential diagnosis of patients with acute foot and ankle pain, particularly in middle age men, and women in the third trimester of pregnancy. I here present 2 case reports of BMES of the ankle. Appropriate conservative treatment resulted in resolution of symptoms. Bone marrow edema syndrome can present a diagnostic challenge, but awareness of the typical presenting features and investigation findings can makes the diagnosis more accessible.

Client Z.I was 36 years old man with presenting complaints of sleep disturbance, difficulty in concentration, restlessness, fatigue, lack of interest in anything, suicidal ideation and history of suicide attempt. In Forma assessment; Siddique Shah Depression Inventory (SSDI), Suicidal Ideation Scale (SIS) were used and in informal assessment observations, clinical interview, mental status examination, Dysfunctional Thought Record chart (DTR) used for diagnosis. Client was diagnosed with major depression disorder. Management plan was devised based on cognitive behaviour therapy techniques such as identifying distortions, ABC model, distraction techniques, motivational interviewing and hope box/survival kit, moreover no harm contract, art therapy, social therapy were used. Total 14 sessions were conducted.

Background: The purposes of this case series was to identify clinical characteristics of patients with restrictive eating disorders who have experienced pneumothorax or pneumomediastinum and elucidate possible risk factors for the development of pneumothorax or pneumomediastinum in this patient population through literature review. The scope of the case series is limited to patients admitted for medical stabilization from severe restrictive Eating Disorders (EDs).

Methods: We compiled a series of adult patients with severe EDs who were diagnosed with a pneumothorax or pneumomediastinum while admitted to the ACUTE Center for Eating Disorders at Denver Health between April 2016 and January 2021. Additionally, a series of adult patients who reported a history of pneumothorax on admission to the same institution, during the same time period, were identified and characteristics of their pneumothorax were obtained using outside records provided by the patient at time of their admission. A literature review of cases of pneumothorax and pneumomediastinum in patients with EDs was completed.

Results: Twenty-five cases of pneumothorax were identified in patients with anorexia nervosa (AN) or avoidant/restrictive food intake disorder (ARFID), all of whom were below normal body weight, between cases at our institution and literature review. Additionally, 5 patients at our institution, and 21 patients with EDs from the literature with below normal body weight with spontaneous pneumomediastinum were identified.

Conclusions and limitations: The relationship of spontaneous pneumomediastinum in patients with AN and ARFID and low body weights is well established and can be managed conservatively with good outcomes. It is currently unclear if the starved state, and the lung changes it induces in these patients increases patients’ risk for spontaneous pneumothorax. Patients with AN and ARFID may be at higher risk for iatrogenic pneumothorax with certain invasive procedures. There is direct connection between patients’ eating disorder and occurrence of traumatic pneumothorax. Patients at expected body weights, or in larger bodies with restrictive Eds, were not included in this study and therefore, their risk of pneumothorax and pneumomediastinum in relation to their eating disorder behaviours is unknown.

Introducción: Existe mucho interés y un intenso debate sobre los efectos adversos de las vacunas anti-SARS CoV2 en el contexto de la pandemia mundial de la infección por SARS Co-V2.

Objetivo del estudio: el propósito de este artículo es demostrar un vínculo entre la inoculación de la vacuna y el desarrollo de algunos síntomas clínicos inusuales.

Métodos: Se describe el caso de una joven de 21 años que presentó síntomas de fiebre, molestias en el tórax y en las extremidades del brazo izquierdo alrededor de 10 días después de recibir su primera dosis de la vacuna Moderna, requiriendo un viaje a urgencias y hospitalización 14 días después. Se diagnosticaron artritis séptica de la articulación esternoclavicular izquierda, mediastinitis, trombosis venosa profunda del miembro superior izquierdo y embolia pulmonar como resultado de las pruebas instrumentales realizadas durante la estancia hospitalaria, en particular la angiografía computarizada de tórax y miembro superior izquierdo; el crecimiento de Staphylococcus aureus en un hemocultivo. La paciente recibió terapia bacteriana y anticoagulante y se recuperó clínica y radiológicamente, lo que le permitió ser dada de alta a los 10 días de la hospitalización.

Resultados: Dada la secuencia cronológica, el papel causal de la vacunación en la formación del cuadro clínico es extremadamente probable en este caso, pero con un mecanismo no específico plausible que incluye la inyección de la vacuna a nivel venular o arteriolar y la adherencia a la asepsia.

Conclusión: Aunque en los últimos años se han descrito casos de artritis séptica posvacunales frente a la gripe y al neumococo, así como más recientemente frente al SARS CoV2 (en particular con afectación de la articulación del hombro), la novedad de nuestro hallazgo radica en que sería el primer caso de artritis séptica con localización esternoclavicular, lo que en sí mismo es poco habitual.