Case Report

Point-of-care ultrasound for the diagnosis of an atypical small bowel obstruction in a cannabis user: a case report

Case Reports, Volume 23, Issue 1, Pages 1 – 52 (2024)

This case report describes an atypical small bowel obstruction in a 71- years old cannabis user and how point-of-care of ultrasound (PoCUS) helped to its management by further orientating the physician toward the bowel obstruction etiology, namely intussusception. Intussusception is the invagination of an intestinal segment into the adjacent segment. The acute clinical presentation of intussusception often has non-specific symptoms, and the diagnosis can be challenging. While the most common etiology is neoplasm, intussusception also occurs in bowel motility disorder such as after cannabis use. Although this case report illustrates intussusception PoCUS findings, these should nevertheless be integrated into the clinical picture and CT-scan should remain the gold standard complementary examination in case of a suspected bowel obstruction.

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A case report of extensive cerebral venous sinus thrombosis: a sequela of COVID-19?

Case Reports, Volume 20, Issue 3, Pages 157-248 (2021)

Coronavirus disease 2019 (COVID-19) is an infectious respiratory disease that is often the trigger for thrombotic complications. Cerebral venous sinus thrombosis (CVST) represents a small percentage of strokes, frequently proving to be a diagnostic challenge. We report a 31-year-old lady presenting with a persistent headache, 18 weeks after a mild COVID-19 illness. On her second visit, CT venography revealed extensive CVST. She was commenced on low-molecular-weight heparin, and was monitored closely in the neuro-medical intensive care unit. She was discharged 2 weeks later, with no residual neurological deficit, and commenced on a direct oral anticoagulant in the community. CVST should be considered in patients presenting with a refractory headache, with greater suspicion if previously infected with SARS-CoV-2.

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An unusual case of dysphagia

Case Reports, Volume 17, Issue 3, Pages 117 – 172 (2018)

A 51-year-old lady, with a background of an arachnoid cyst and ventriculo-peritoneal shunt in situ, presented to the Acute Medical Unit with a 2-day history of neck pain. She awoke from sleep with the pain and it persisted since. She had not been involved in any trauma, had no previous history of neck or back pain and her pain was not controlled with simple analgesia. She also complained of new odynophagia and high dysphagia, particularly to solid foods. There was no history of upper respiratory tract infection.

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Neurocysticercosis presenting as a ‘Stroke Mimic’

Case Reports, Volume 15, Issue 2, Pages 49 - 108 (2016)

A 62 year old Nepalese gentleman presented with left sided weakness and sensory loss. Initial brain CT scanning was suggestive of acute infarction but a subsequent MRI scan showed cysts with oedema. Cysticercosis serology was positive and a diagnosis of neurocysticercosis was made. The patient made almost a complete recovery after treatment with albendazole, praziquantel and steroids. Neurocysticercosis should be considered in the differential diagnosis when patients originating from endemic areas present with focal neurological deficit.

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An unusual cause of psoas abscess

Case Reports, Volume 1 Issue 1, Pages 1 - 32 (2002)

Abstract

This case study reports an uncommon cause of psoas abscess, a complication of pancreatic pseudocyst in a 75 years old man. A few other causes of psoas abscess and some complications of pancreatic pseudocyst are touched upon in this report,and management options in the treatment of pancreatic pseudocysts have been enumerated.

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