فهرست مطالب

Journal of Case Reports in Practice
Volume:5 Issue: 2, Apr 2017

  • تاریخ انتشار: 1396/10/30
  • تعداد عناوین: 3
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  • Zare Samad, Hashemi Mostafa Page 1
    Herein, we report a rare case of pediatric penile fracture with severe urethral avulsion, caused by bicycle fall. The patient was a eight years old boy that referred to emergency department with the moderate degree of swelling, ecchymosis and penile deformity. He was not able to viding. Scrotal and testicular examination were normal. Ultrasonography demonstrate soft tissue swelling along the penile body, spongiosal and cavernosal linear tearing with ventral hematoma of the basal penis. Reterograde urethrography demonstrated extravasation of the contrast media on the one third portion of the proximal penile urethra. After degloving incision, gentle urethroplasty was performed with buccal mucosal graft. The corpora cavernosa was repaired airily with fine continual absorbable suture.
    Keywords: penis, fracture, urethral injury, children
  • Asadollahi Hamid, Moghimi Mansour, Amirbeigy Mohammad Kazem Page 2
    Celiac disease (CD) is an immune-mediate enteropathy with variable presentations which is triggered by exposure to dietary gluten in genetically predisposed people. Here, we describe a 57 year-old woman, with no past history of CD-related features presenting with abdominal pain, iron deficiency anemia and elevated liver enzymes, as well as T cell lymphoma and portal vein thrombosis (PVT). To date, there are few reports of CD concomitant with PVT but to the best of our knowledge, none of them described the concurrent T cell lymphoma. Chronic inflammation due to the underlying CD is likely the most plausible explanation for developing both T cell lymphoma and hypercoagulability state leading to PVT.
    Keywords: celiac disease, T, cell lymphoma, portal vein thrombosis
  • Jokar Mohammad Hossein, Mirfeizi Zahra, Atabati Elham Page 3
    The patient to be presented here was a 44-year-old man who was admitted with the muscle weakness, cough, weight loss, and dyspnea. He was a known case of dermatomyositis since 4 months ago. The characteristic features of his condition included with the purpuric cutaneous scaling rash, heliotrope rash Gottron’s papules, shawl sign, dyspnea and 25 kg weight loss. Thoracic computed tomography revealed ground glass opacities and pneumomediastinum. The patient was diagnosed with dermatomyositis. pneumomediastinum, pneumothorax and subcutaneous emphysema were observed as well. Despite intensive immunosuppressive therapy, clinical deterioration and radiological progression were observed and the patient died...
    Keywords: subcutaneous emphysema, pneumothorax, pneumomediastinum, dermatomyositis