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Nong XF, Cao X, Tan XL, Jing LY, Liu H. Percheron syndrome with memory impairment as chief manifestation: A case report. World J Clin Cases 2025; 13:98937. [DOI: 10.12998/wjcc.v13.i13.98937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2024] [Revised: 11/14/2024] [Accepted: 12/27/2024] [Indexed: 01/11/2025] [Imported: 01/11/2025] Open
Abstract
BACKGROUND Percheron acute artery occlusion is a rare type of acute cerebral infarction.
CASE SUMMARY An elderly male presented with sudden-onset near-memory and sensory impairments for 5 days. Upon admission, based on symptoms, signs, magnetic resonance imaging, and computed tomography findings, a diagnosis of Percheron syndrome was made. Subsequently, anti-platelet therapy, lipid-lowering treatment, cerebral circulation enhancement (such as the administration of calcium channel blockers to improve cerebral blood flow), and neurotrophic support (such as the use of drugs like citicoline to protect nerve cells) were immediately implemented, along with additional symptomatic treatments. The patient’s symptoms were alleviated, following which he was discharged.
CONCLUSION The diagnosis of acute occlusion of the Percheron artery requires rich clinical expertise and accurate imaging tools. Timely intervention and effective follow-up hold significant implications for optimizing patient recovery.
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Bhowmik S, Hajra A, Bandyopadhyay D. Genetic insights in infectious diseases: Insights from a case report and implications for personalized medicine. World J Clin Cases 2025; 13:101438. [DOI: 10.12998/wjcc.v13.i13.101438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2024] [Revised: 12/10/2024] [Accepted: 12/23/2024] [Indexed: 01/11/2025] [Imported: 01/11/2025] Open
Abstract
The relationship between genetics and infectious diseases is important in shaping our understanding of disease susceptibility, progression, and treatment. Recent research shows the impact of genetic variations, such as heme-oxygenase promoter length, on diseases like malaria and sepsis, revealing both protective and inconclusive effects. Studies on vaccine responses highlight genetic markers like human leukocyte antigens, emphasizing the potential for personalized immunization strategies. The ongoing battle against drug-resistant tuberculosis (TB) illustrates the complexity of genomic variants in predicting resistance, highlighting the need for integrated diagnostic tools. Additionally, genome-wide association studies reveal antibiotic resistance mechanisms in bacterial genomes, while host genetic polymorphisms, such as those in solute carrier family 11 member 1 and vitamin D receptor, demonstrate their role in TB susceptibility. Advanced techniques like metagenomic next-generation sequencing promise detailed pathogen detection but face challenges in cost and accessibility. A case report involving a highly virulent Mycobacterium TB strain with the pks1 gene further highlights the need for genetic insights in understanding disease severity and developing targeted interventions. This evolving landscape emphasizes the role of genetics in infectious diseases, while also addressing the need for standardized studies and accessible technologies.
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Pérez-Holanda S. Life-threatening bleeding caused by artery pseudoaneurysm after endoscopic procedure successfully treated by artery embolization. World J Clin Cases 2025; 13:99278. [DOI: 10.12998/wjcc.v13.i13.99278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2024] [Revised: 12/17/2024] [Accepted: 12/25/2024] [Indexed: 01/11/2025] [Imported: 01/11/2025] Open
Abstract
The Kakinuma et al’s case report shows that non-pregnancy-related arterial pseudoaneurysm is a relatively rare, little known by some gynecologists, endoscopists, surgeons or radiologists, which can cause massive bleeding. Arterial pseudoaneurysm is a condition in which the wall of a blood vessel collapses due to some invasive event, and the resulting leaked blood is engulfed by soft tissues, forming a cavity that is in communication with the vessel. It is a potentially life-threatening complication that could occurs after some deliveries and some gynecological invasive procedures. Remarkably, an undetermined percentage of pseudoaneurysms are asymptomatic, and in an asymptomatic patient it is difficult to predict the risk of haemorrhage and the attitude to follow, which depends on several factors, such as, the size and location of the vessel involved, changes in the size of the pseudoaneurysm, or the available therapeutic resources to be offered to patients, among others circumstances. The management of abdominal arterial pseudoaneurysm does not have consistent scientific evidence, but it seems that, regardless of the associated circumstances, the pseudoaneurysm could be treated at least initially, and mainly, through endovascular procedures, as done by Kakinuma et al.
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Bao SX, Yuan XL, Yan L, Xu J. Pegaspargase induced multiple organ failure with acute lymphoblastic leukemia: A case report. World J Clin Cases 2025; 13:100735. [DOI: 10.12998/wjcc.v13.i13.100735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2024] [Revised: 11/10/2024] [Accepted: 12/09/2024] [Indexed: 01/11/2025] [Imported: 01/11/2025] Open
Abstract
BACKGROUND The introduction of pegaspargase has greatly advanced the treatment of acute lymphoblastic leukemia (ALL). In the literature, only one case of pegaspargase-induced multiple organ failure has been reported, and the patient died due to multiple organ failure.
CASE SUMMARY Herein, we present a rare case of a 40-year-old man with ALL who developed multiple organ failure after treatment with pegaspargase. The patient had two rare phenomena reflecting poor prognosis, including the discrepancy between clinical manifestations and liver function and persistently low alpha-fetoprotein (AFP) levels from subacute liver failure. However, the patient was successfully treated using a multidisciplinary team approach.
CONCLUSION This is the first case report of successful treatment of pegaspargase-induced multiple organ failure. The findings emphasize the importance of a multidisciplinary team approach in treating pegaspargase-induced multiple organ failure.
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Lin CY, Yu YY. Mandibular left first premolar with three roots and three canals: A case report. World J Clin Cases 2025; 13:100822. [DOI: 10.12998/wjcc.v13.i13.100822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2024] [Revised: 11/29/2024] [Accepted: 12/20/2024] [Indexed: 01/11/2025] [Imported: 01/11/2025] Open
Abstract
BACKGROUND The numbers of mandibular first premolar roots and root canals vary, and the incidence of three roots and three canals is 0.09%.
CASE SUMMARY In this article, we review the root and root canal conditions for the mandibular first premolar and report the case of a mandibular left first premolar with three roots and three canals in a male patient, with suggestions for clinical diagnosis and treatment. The patient was referred by an orthodontist for the extraction of the tooth. Preoperative cone-beam computed tomography examination revealed that it had three roots. Under local anesthesia, the extraction socket was carefully expanded, and the tooth was successfully removed intact using forceps. The procedure was uneventful, with no root fractures, postoperative bleeding, or sensory abnormality observed.
CONCLUSION The mandibular first premolar is characterized by multiple roots and canal variations that can increase the difficulty of treatment.
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Zhou JL, Xie F. Precision en-bloc retroperitoneal paraganglioma resection performed laparoscopically: A case report. World J Clin Cases 2025; 13:98721. [DOI: 10.12998/wjcc.v13.i12.98721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2024] [Revised: 10/12/2024] [Accepted: 12/17/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
BACKGROUND Phaeochromocytoma and paragangliomas (PPGL) are rare neuroendocrine tumors usually caused by parasympathetic or sympathetic nerves, with an overall incidence of approximately 0.66 cases per 100000 people per year. Most PPGLs are asymptomatic, and a few develop symptoms, such as elevated blood pressure and rapid heart rate, because of the release of catecholamines. According to the literature, surgical resection is the mainstay of PPGL treatment. However, the choice between minimally invasive surgery and open surgery remains controversial, particularly in cases involving complex anatomical relationships. We successfully resected a tumor located between the inferior vena cava and abdominal aorta using a minimally invasive approach with the assistance of computed tomography (CT) angiography and three-dimensional reconstruction, resulting in a favorable outcome.
CASE SUMMARY A 56-year-old woman was admitted to the hospital with right upper abdominal discomfort for more than 6 months, experiencing occasional pins and needles sensation and radiation from the right shoulder and back. Prehospital CT of the upper abdomen revealed a retroperitoneal mass suspected to be a retroperitoneal ganglioneuroma. Surgery was recommended, and an enhanced CT scan of the upper abdomen, along with preoperative three-dimensional reconstruction, was performed after admission. The imaging indicated that the mass, measuring approximately 4.1 cm × 3.8 cm × 4.8 cm, was situated between the abdominal aorta and the inferior vena cava, extending downward to the level of the left renal vein. After ruling out any contraindications to surgery, a minimally invasive laparoscopy was performed to excise the mass precisely. The surgery was successful without any postoperative complications, and the 2-month follow-up revealed no abnormal signs of recurrence.
CONCLUSION This case report describes successful and precise laparoscopic resection of a retroperitoneal tumor. The patient recovered well during the 2-month follow-up, and postoperative pathology revealed a paraganglioma.
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Janež J, Romih J, Čebron Ž, Gavric A, Plut S, Grosek J. Intraluminal migration of a surgical drain near an anastomosis site after total gastrectomy: A case report. World J Clin Cases 2025; 13:99229. [DOI: 10.12998/wjcc.v13.i12.99229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Revised: 11/29/2024] [Accepted: 12/13/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
BACKGROUND Esophagojejunal anastomotic leakage (EJAL) is a severe complication following gastrectomy for gastric cancer, typically treated with drainage and nutritional support. We report a case of intraluminal drain migration near the esophagojejunal anastomosis (EJA), resulting in persistent drainage and mimicking EJAL after total gastrectomy.
CASE SUMMARY A 64-year-old male underwent open total gastrectomy with Roux-en-Y reconstruction for gastric adenocarcinoma, with two silicone drains placed near the EJA. On postoperative day (POD) 4, the patient developed signs of peritonitis and sepsis, necessitating surgical re-exploration abscess drainage, peritoneal lavage, and drain repositioning. A contrast swallow study on POD 18 revealed rapid filling of the abdominal drain without extraluminal contrast collection. Persistent drainage prompted an upper gastrointestinal endoscopy on POD 59, which revealed approximately 5 cm of the drain within the esophagus, with the perforation site located 2 cm distal to the intact EJA. The drain was repositioned under endoscopic guidance. A repeat contrast radiograph on POD 67 demonstrated no evidence of extraluminal contrast extravasation or filling of the abdominal drain. The patient was subsequently discharged without further incident.
CONCLUSION Intraluminal drain migration is a rare complication following gastric surgery but should be considered when persistent drainage occurs.
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Liu XC, Liu YX, Liu C. Concurrent occurrence of adenocarcinoma and urothelial carcinoma of the prostate: Coexistence mechanisms from multiple perspectives. World J Clin Cases 2025; 13:100248. [DOI: 10.12998/wjcc.v13.i12.100248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2024] [Revised: 11/29/2024] [Accepted: 12/19/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
This article discusses the coexistence of prostate adenocarcinoma and prostate urothelial carcinoma. Combining existing literature and research results, the potential mechanisms of the co-occurrence of these two cancers are explored, including the role of androgen receptor, gene mutations, and their complex interactions in cell signaling pathways, etc. Also, the hypothesis of prostate cancer transformation into urothelial carcinoma is explained from some perspectives, including tumor multipotent stem cell differentiation, epithelial-mesenchymal transition, mesenchymal-epithelial transition, and other mechanisms. Ultimately, the goal is to provide more accurate diagnoses and more personalized treatments in clinical practice, as well as to lay the foundation for improving patient prognoses in the future.
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Byeon H. Enhancing orthodontic osteodilated arch treatment through comprehensive nursing interventions and cognitive behavioral therapy. World J Clin Cases 2025; 13:99301. [DOI: 10.12998/wjcc.v13.i12.99301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2024] [Revised: 09/19/2024] [Accepted: 12/18/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
Orthodontic osteodilated arch treatment represents a pivotal approach in dental orthodontics to address dental crowding and misalignment. Integrating cognitive behavioral therapy (CBT) into comprehensive nursing interventions (CNI) aims to address these issues holistically. This editorial explores the effectiveness of CBT-based CNI in improving patient outcomes in orthodontic care. Innovations in remote CBT delivery, such as virtual reality, have also shown potential in reducing pain, anxiety, and depression, emphasizing CBT's adaptability in orthodontic settings. The findings underscore the importance of integrating psychological support into orthodontic care to enhance patient adherence, satisfaction, and overall treatment success. The editorial advocates for a holistic approach that combines psychological and physiological care, highlighting the transformative potential of CBT-based interventions in orthodontic treatment.
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Lan B, Qiang Z. Small bowel obstruction due to intra-abdominal hernia: New thoughts on diagnosis and treatment. World J Clin Cases 2025; 13:102204. [DOI: 10.12998/wjcc.v13.i12.102204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2024] [Revised: 11/04/2024] [Accepted: 12/16/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
Internal herniation (IH) refers to the movement of intra-abdominal organs or tissues out of their original position through normal or abnormal orifices and fissures in the peritoneum or mesentery and into an anatomic space within the abdominal cavity. Although the incidence of small bowel obstruction (SBO) caused by IH is very low (approximately 0.2% to 0.9%), its incidence may be increased in certain specific populations or in postoperative patients. Recently Kaw et al shared their 13-year experience of managing IHs in a tertiary care hospital in India. This retrospective study analyzed and determined the clinico-demographic profiles, radiological and operative findings and postoperative course of patients with IH and the association with SBO. The results provide valuable insights into early diagnosis and establishment of a timely treatment regimen for this condition and emphasize the importance of combining rapid imaging evaluation with the traditional therapeutic approach of laparoscopic surgery, thus providing a novel perspective on the diagnosis and treatment of SBO caused by IH.
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Yuan TY, Chen YX, Zhao YG, Wang B, Wang SX. Gastrointestinal bleeding due to small bowel metastasis from lung adenocarcinoma: A case report. World J Clin Cases 2025; 13:100045. [DOI: 10.12998/wjcc.v13.i12.100045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2024] [Revised: 10/25/2024] [Accepted: 12/16/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
BACKGROUND Lung cancer is the most prevalent malignant tumor in human body, and is characterized by a high level of malignancy. The most common metastatic sites include the liver, bone, brain, and adrenal gland, while lung cancer resulting in gastrointestinal tract metastasis is uncommon.
CASE SUMMARY A 74-years-old man with lung cancer was hospitalized owing to blood in the stool, The cause was identified as metastasis to the small intestine, and the patient subsequently underwent radical resection of the small intestine tumor. Currently, the overall condition of the patient is good, and undergoing combined chemotherapy.
CONCLUSION Early intervention in patients with metastatic tumors can significantly improve prognosis.
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Chen KQ, Jiang WQ, Li XR. Diagnostic value of upper gastrointestinal imaging for duodenal webbing in adults: A case report. World J Clin Cases 2025; 13:101443. [DOI: 10.12998/wjcc.v13.i12.101443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2024] [Revised: 12/10/2024] [Accepted: 12/18/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
BACKGROUND Duodenal web is a rare congenital malformation, exceedingly uncommon in adults, and often misdiagnosed due to the subtle imaging features.
CASE SUMMARY By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution, this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs, outlines its typical radiographic features, and provides a literature review on the etiology, clinical presentation, and management of this condition.
CONCLUSION This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.
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Srichawla BS, Kaur T, Singh H. Corticosteroids in posterior reversible encephalopathy syndrome: Friend or foe? A systematic review. World J Clin Cases 2025; 13:98768. [DOI: 10.12998/wjcc.v13.i12.98768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2024] [Revised: 10/24/2024] [Accepted: 12/17/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
BACKGROUND Posterior reversible encephalopathy syndrome (PRES) is a complex neurological disorder characterized by symptoms such as headaches, seizures, confusion, and visual disturbances. The pathophysiology of PRES involves endothelial dysfunction, disrupted cerebral autoregulation, and resulting vasogenic edema. Hypertension and other factors that alter cerebral autoregulation are critical in its development. Corticosteroids, widely used for their anti-inflammatory and immunosuppressive properties, play a controversial role in PRES.
AIM To elucidate the dual role of corticosteroids in the context of PRES by critically evaluating the existing literature. Specifically, it seeks to assess the results of PRES induced by corticosteroid therapy and the efficacy and safety of corticosteroids in the treatment of PRES. By synthesizing case reports and series, this review aims to provide a comprehensive understanding of the mechanisms, clinical presentations, and management strategies associated with corticosteroid-related PRES.
METHODS The review was carried out according to the PRISMA guidelines. The databases searched included Science Direct, PubMed, and Hinari. The search strategy encompassed terms related to corticosteroids and PRES. Studies were included if they were peer-reviewed articles examining corticosteroids in PRES, excluding non-English publications, reviews, and editorials. Data on patient demographics, clinical characteristics, imaging findings, corticosteroid regimens, and outcomes were extracted. The risk of bias was evaluated using the Joanna Briggs Institute tool for case reports.
RESULTS A total of 56 cases of PRES (66.1% women, 33.9% men) potentially induced by corticosteroids and 14 cases in which corticosteroids were used to treat PRES were identified. Cases of PRES reportedly caused by corticosteroids showed a mean age of approximately 25.2 years, with seizures, headaches, hypertension, and visual disturbances being common clinical sequelae. Magnetic resonance findings typically revealed vasogenic edema in the bilateral parieto-occipital lobes. High-dose or prolonged corticosteroid therapy was a significant risk factor. On the contrary, in the treatment cases, corticosteroids were associated with positive outcomes, including resolution of vasogenic edema and stabilization of symptoms, particularly in patients with underlying inflammatory or autoimmune diseases.
CONCLUSION Corticosteroids have a dual role in PRES, capable of both inducing and treating the condition. The current body of literature suggests that corticosteroids may play a greater role as a precipitating agent of PRES rather than treating. Corticosteroids may induce PRES through hypertension and subsequent increased cerebral blood flow and loss of autoregulation. Corticosteroids may aid in the management of PRES: (1) Enhancing endothelial stability; (2) Anti-inflammatory properties; and (3) Improving blood-brain barrier integrity. Mechanisms which may reduce or mitigate vasogenic edema formation.
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Swarnakar R, Yadav SL. Integration of rehabilitation and palliative care in cancer management: A futuristic model. World J Clin Cases 2025; 13:102326. [DOI: 10.12998/wjcc.v13.i12.102326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2024] [Revised: 12/05/2024] [Accepted: 12/16/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
It explores the integration of rehabilitation and palliative care in cancer management, advocating for a holistic approach that addresses the diverse needs of patients throughout their treatment journey. Traditional cancer care often prioritizes curative interventions at the expense of overall well-being, leading to a fragmented experience for patients. By combining rehabilitation-focused on restoring function and improving physical health-with palliative care-emphasizing symptom management and quality of life-healthcare providers can create a comprehensive support system. The essay highlights the importance of interdisciplinary collaboration among healthcare professionals, as well as the need for education and training to implement this integrated model effectively. Additionally, it addresses potential barriers such as funding limitations and institutional resistance. Ultimately, the integration of these two disciplines represents a critical evolution in cancer care, enhancing patient outcomes and ensuring that individuals receive compassionate, patient-centered support throughout their journey.
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Shulkin A, Efanov JI. Enhancing outcomes in severe lymphedema through combined treatment strategies. World J Clin Cases 2025; 13:98825. [DOI: 10.12998/wjcc.v13.i12.98825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2024] [Revised: 11/19/2024] [Accepted: 12/17/2024] [Indexed: 01/07/2025] [Imported: 01/07/2025] Open
Abstract
Lymphedema, particularly in its advanced stages, presents significant challenges in treatment, often necessitating a combination of therapies to manage symptoms effectively and improve patient outcomes. This article reviews the findings of Wang et al, regarding the use of lymphovenous anastomosis and complex decongestive therapy in treating severe, deformed stage III lymphedema with recurrent infections. The case report details the promising results achieved through this combined therapy, highlighting substantial reductions in limb volume and the complete resolution of recurrent lymphangitis. The patient experienced notable improvements in weight loss, physical function, and quality of life. Despite its strengths, the study has several limitations. It lacks specific details on the types of lymphovenous anastomoses performed and complex decongestive therapy protocols, such as frequency and adherence, making reproducibility difficult. The short follow-up period of six months limits understanding of long-term efficacy, and more consistent reporting of key metrics such as weight loss and body mass index would enhance outcome assessments. This article emphasizes the importance of integrating minimally invasive surgical techniques with conservative therapies to address both the symptoms and underlying causes of lymphedema. Further research is essential to standardize protocols and refine combined treatment strategies.
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Lopes-Júnior LC, de Lima RAG. Utilizing complementary therapy to enhance quality of life and reduce stress and fatigue in pediatric cancer patients. World J Clin Cases 2025; 13:98013. [DOI: 10.12998/wjcc.v13.i11.98013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2024] [Revised: 11/05/2024] [Accepted: 12/05/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing, especially in pediatric oncology. This is a promising field of investigation for clinical nurses and researchers, and when it is subsidized by medium-range theories, they corroborate the diagnoses and interventions of nursing in oncology, enhancing the science of nursing care. This minireview article aims to discuss the utilizing the hospital clowns as a complementary therapy, to enhance quality of life and reduce stress and fatigue in pediatric cancer patients. Overall, the evidence presented so far pointed out that complementary therapy might help improve the quality of life of pediatric cancer patients, and that complementary therapy usage should be part of a health comprehensive care model, delivering therapeutic approaches that might enhance the mind-body during a pediatric cancer patients’ life span. The results of scientific investigations by nurses, particularly those linked to the basic sciences, play a critical role in advancing personalized care in pediatric integrative oncology.
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Yang Y, Guan ZW, Li QF. Dystrophic epidermolysis bullosa caused by novel frameshift mutation in the COL7A1 gene: A case report. World J Clin Cases 2025; 13:99256. [DOI: 10.12998/wjcc.v13.i11.99256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2024] [Revised: 11/25/2024] [Accepted: 12/10/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
BACKGROUND Dystrophic epidermolysis bullosa is characterized by fragile ulcerations of the skin caused by mutations in specific genes. However, genetic typing of this condition is rare.
CASE SUMMARY An 11-year-old female suffered from recurrent fever, visible ulcerations of the entire skin, and severe malnutrition. Genetic testing revealed a frameshift mutation in the coding region 4047 of the 35th intron region of COL7A1, and she was diagnosed as malnutrition-type epidermolysis bullosa. Drug therapy (immunoglobulin, fresh frozen plasma), topical therapy (silver ion dressing), fever reduction, cough relief, and promotion of gastrointestinal peristalsis are mainly used for respiratory and gastrointestinal complications. The patient’s condition improved after treatment.
CONCLUSION Dystrophic epidermolysis bullosa caused by a new framework shift mutation in COL7A1 should be taken seriously.
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Chou YC. Parietal peritoneal hernia after abdominal hysterectomy for forty years: A case report. World J Clin Cases 2025; 13:98570. [DOI: 10.12998/wjcc.v13.i11.98570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2024] [Revised: 10/28/2024] [Accepted: 12/06/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
BACKGROUND Internal hernia is a rare complication following abdominal surgery, primarily resulting from structural defects caused by anastomosis. We report a unique case of a late abdominal wall internal hernia highly suspected as resulting from insufficient peritoneal closure.
CASE SUMMARY A 72-year-old woman presented with symptoms of intestinal obstruction 40 years after undergoing an abdominal hysterectomy. Abdominal computed tomography revealed a suspicious closed loop of intestine; then, a laparotomy was performed for suspected internal hernia. During the procedure, herniation of intestine into the preperitoneal space through a parietal peritoneal defect between rectus abdominis and sigmoid colon was identified. Intestinal reduction, resection of the ischemic segment and closure of the peritoneal defect were performed. The patient recovered well.
CONCLUSION Non-closure of peritoneum might lead to late internal hernias. Meticulous peritoneal closure should be considered to prevent this potentially lethal complication.
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Wang JZ, Chen H. Hepatic hemangiomas mimicking gastrointestinal stromal tumors: A case report. World J Clin Cases 2025; 13:101668. [DOI: 10.12998/wjcc.v13.i11.101668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2024] [Revised: 11/19/2024] [Accepted: 12/05/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
BACKGROUND Hepatic hemangiomas can be challenging to diagnose, particularly when they present with atypical features that mimic other conditions, such as gastrointestinal stromal tumors (GISTs). This case highlights the diagnostic difficulties encountered when imaging subepithelial lesions, especially when conventional methods such as computed tomography (CT) and endoscopic ultrasound (EUS) are used.
CASE SUMMARY A 44-year-old woman presented with intermittent abdominal distension and heartburn for three months. Her medical history included iron deficiency anemia, menorrhagia, and previous cholecystectomy. One week prior to admission, an endoscopy suggested a bulging gastric fundus, which was likely a GIST, along with chronic nonatrophic gastritis and bile reflux. CT and EUS revealed nodules in the gastric fundus, which were initially considered benign tumors with a differential diagnosis of stromal tumor or leiomyoma. During surgery, unexpected lesions were found in the liver pressing against the gastric fundus, leading to laparoscopic liver resection. Postoperative pathology confirmed the diagnosis of hepatic cavernous hemangiomas. The patient recovered well and was discharged five days later, with normal follow-up results at three months.
CONCLUSION This case underscores the challenges in the preoperative diagnosis of GISTs, particularly the limitations of the use of CT and EUS for the evaluation of subepithelial lesions. While CT is the primary tool for visualizing abdominal tumors, it is difficult to detect smaller lesions and assess the layers of the gastrointestinal wall on CT. EUS is recommended for the evaluation of nodules smaller than 2 cm and is useful for distinguishing GISTs from other lesions; however, its accuracy with regard to the differential diagnosis is relatively low. In this case, the gastric distension observed on imaging led to the compression of a liver tumor against the stomach, resulting in the misinterpretation of the tumor as a gastric wall lesion.
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Xu SH, Xu H, Xiao KW, Mao SJ. Exercise rehabilitation on patients with non-small cell lung cancer: A meta-analysis of randomized controlled trials. World J Clin Cases 2025; 13:100161. [DOI: 10.12998/wjcc.v13.i11.100161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2024] [Revised: 11/19/2024] [Accepted: 12/16/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
BACKGROUND Lung cancer is one of the most common and deadly cancers worldwide. As the disease progresses and due to the side effects of treatment, patients’ physical activity significantly decreases.
AIM To systematically review and conduct a meta-analysis on the effects of exercise rehabilitation on the physical activity of lung cancer patients and determine the best implementation methods to provide clinical guidance.
METHODS Literature was searched through multiple electronic databases. A random effects model was used to combine effect sizes through standardized mean difference (SMD). The Cochrane risk of bias tool was used to assess the quality of the literature, sensitivity analysis was used to ensure the robustness of the results, and Egger’s test was used to detect publication bias and asymmetry.
RESULTS A total of 11 studies involving 541 patients were included in this study. The physical endurance, muscle function and cardiopulmonary function of non-small cell lung cancer (NSCLC) patients were evaluated. The overall effect size of the six-minute walk test (6MWT) was not statistically significant. However, subgroup analysis found that endurance significantly improved when exercise duration exceeded 0.5 hours (P ≤ 0.05). In terms of muscle function, the overall effect size was SMD = 0.619. Subgroup analysis showed that strength training, respiratory training, and cross-training (XT) significantly improved muscle function. Exercise rehabilitation significantly enhanced cardiopulmonary endurance (SMD = 0.856, P = 0.002), and the effect was better when the single exercise duration was more than 1 hour, age was over 65 years, and the intervention period was more than 3 months.
CONCLUSION Exercise rehabilitation effectively improved muscle function in NSCLC patients, especially strength training, respiratory training, and cross-training. Cardiopulmonary function also showed improvement, particularly when exercise duration exceeded 1 hour, age was ≥ 65 years, and the intervention period was more than 3 months. A single exercise duration of more than 0.5 hours can enhance patients’ physical endurance. Appropriately increasing exercise duration and selecting suitable exercise forms can effectively improve the physical activity of NSCLC patients.
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Tyagi S, Upadhyay S, Bharara T, Sahai S. Nipah virus: Preventing the next outbreak. World J Clin Cases 2025; 13:99748. [DOI: 10.12998/wjcc.v13.i11.99748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Revised: 11/11/2024] [Accepted: 12/11/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
Nipah is a deadly viral infection which has come to the news highlight recently, due to its fresh onslaught in Southern India. As the world continues to recover from coronavirus disease 2019, the World Health Organization has identified a list of high-priority pathogens with the potential to cause future pandemics. Among them is the Nipah virus (NiV), which poses a significant threat. Even a small outbreak could trigger widespread panic among the public. The emergence and re-emergence of NiV among other zoonotic infections is a stern reminder of the importance of One health concept.
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Sridhar GR, Yarabati V, Gumpeny L. Predicting outcomes using neural networks in the intensive care unit. World J Clin Cases 2025; 13:100966. [DOI: 10.12998/wjcc.v13.i11.100966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2024] [Revised: 11/21/2024] [Accepted: 12/12/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
Patients in intensive care units (ICUs) require rapid critical decision making. Modern ICUs are data rich, where information streams from diverse sources. Machine learning (ML) and neural networks (NN) can leverage the rich data for prognostication and clinical care. They can handle complex nonlinear relationships in medical data and have advantages over traditional predictive methods. A number of models are used: (1) Feedforward networks; and (2) Recurrent NN and convolutional NN to predict key outcomes such as mortality, length of stay in the ICU and the likelihood of complications. Current NN models exist in silos; their integration into clinical workflow requires greater transparency on data that are analyzed. Most models that are accurate enough for use in clinical care operate as ‘black-boxes’ in which the logic behind their decision making is opaque. Advances have occurred to see through the opacity and peer into the processing of the black-box. In the near future ML is positioned to help in clinical decision making far beyond what is currently possible. Transparency is the first step toward validation which is followed by clinical trust and adoption. In summary, NNs have the transformative ability to enhance predictive accuracy and improve patient management in ICUs. The concept should soon be turning into reality.
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Hao SY, Muhetaer Y, Zheng X, Long YL, Song JQ, Zhong M. Rapid improvement in postpartum pulmonary hypertension associated with hereditary hemorrhagic telangiectasia: A case report and review of literature. World J Clin Cases 2025; 13:98128. [DOI: 10.12998/wjcc.v13.i11.98128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 11/18/2024] [Accepted: 12/10/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
BACKGROUND Postpartum pulmonary arterial hypertension (PAH) complicated with hereditary hemorrhagic telangiectasia (HHT) is a rare condition. Diagnosing and treating PAH in patients with HHT can be challenging. To the best of our knowledge, no previous reports have investigated the efficacy of pulmonary vasodilators in improving hemodynamics in postpartum patients with this disease.
CASE SUMMARY In this paper, we report a postpartum case of HHT combined with PAH, presenting with worsening dyspnea. Genetic testing revealed that the patient carried a heterozygous variant of activin receptor-like kinase 1. The patient received various treatments, including diuretics, anticoagulants, sildenafil, macitentan, inhalation of nitric oxide, and iloprost. Changes in PaO2/FiO2, pulmonary artery systolic pressure as assessed by echocardiography, and N-terminus pro-brain natriuretic peptide levels suggested that, except for iloprost inhalation, the other treatments appeared to have limited efficacy.
CONCLUSION To our knowledge, this is the first report on efficacy of pulmonary vasodilators in postpartum patients with HHT and PAH.
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Posa A, Genco E. High-grade pancreatic intraepithelial neoplasia: A commentary of magnetic resonance cholangiopancreatography findings. World J Clin Cases 2025; 13:98854. [DOI: 10.12998/wjcc.v13.i11.98854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2024] [Revised: 10/18/2024] [Accepted: 12/16/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
Commentary on the role of magnetic resonance cholangiopancreatography findings in diagnosing high grade pancreatic intraepithelial neoplasms.
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Yao JK, He ZY, Zhu Z, Huang HT. Treatment of thymoma with low-dose glucocorticoids before surgery for significant tumor shrinkage: A case report. World J Clin Cases 2025; 13:98979. [DOI: 10.12998/wjcc.v13.i11.98979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 11/27/2024] [Accepted: 12/13/2024] [Indexed: 12/26/2024] [Imported: 12/26/2024] Open
Abstract
BACKGROUND Thymic epithelial neoplasms are rare malignant neoplasms originating in the thymus gland. There have been case reports of patients with advanced thymomas treated with a methylprednisolone pulse or with glucocorticoid (GCs) shock before surgery, followed by surgical treatment, all of whom achieved good results. The effect of GCs on thymomas is related mainly to the action on GC receptors in thymic lymphocytes and epithelial cells. GC receptor expression has been associated with a better prognosis in patients with thymomas, including those with surgically removed thymomas.
CASE SUMMARY We report a case of a patient with thymoma who had a significant response to preoperative low-dose GC therapy. A mediastinal tumor was detected in the patient via computerized tomography upon admission. The tumor was initially suspected to be a thymic tumor, but lymphoma could not be ruled out. The tumor shrank significantly after low-dose (5 mg/day) GC therapy. Thoracoscopic thymoma resection was performed after puncture pathology was confirmed. The patient recovered well after the operation and is currently performing well with no recurrence of the tumor.
CONCLUSION This case highlights that low-dose GCs are effective in the treatment of thymomas, and we believe that GCs should be applied more frequently and studied more thoroughly in the treatment of thymomas.
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