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Annals of Case Reports and Images (ACRI)

Online ISSN: 2639-8133

Annals of Case Reports and Images (ACRI)

Annals of Case Reports and Images (ACRI) is a peer-reviewed open access scientific journal published by SciTeMed Publishing Group. Annals of Case Reports and Images aims to serve as an important educational resource to enhance clinical outcomes and healthcare quality by disseminating a high volume of cases in all medical disciplines. ACRI provide a platform where healthcare professionals, researchers can easily find clinically important information on common and rare conditions.

Annals of Case Reports and Images covers all areas of medicine, nursing, dentistry, and biotechnology. ACRI is dedicated to publish quality case series, case reports, image visualization, innovative new work on image and graphics, case images, medical images such as anatomical and physiological. Annals of Case Reports and Images provides readers with critically peer-reviewed, carefully selected and up-to-date publications in the field of surgery. All the manuscripts submitted to ACRI will be subjected to peer-review by the Editors of the respective specialty section. The review process will be conducted by the handling editor alone or by collaborating with the outside experts. The decision will be finalized by the editor considering and analyzing the minimum of two independent reviewer’s comment. Authors may submit manuscripts and track the current status of their manuscript through the submission tracking system. Reviewers can download manuscripts and submit their comment to the editor through the same system, and editors can manage or monitor the whole submission/review/revise/publish process.

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Editorial Board

  • John D. Bullock, MD, MPH, MSc

    Professor Emeritus, Department of Ophthalmology
    Professor Emeritus, Department of Physiology and Biophysics
    Professor, Department of Community Health
    Professor, Department of Mathematics and Statistics
    Wright State University
    United States

    Dr. Bullock is a graduate of Dartmouth College and Harvard Medical School. He completed an internship in internal medicine at Washington University in St. Louis before serving in the U.S. Navy. After residency training in ophthalmology at Yale University, he completed fellowships at the University of California, San Francisco, and the Mayo Clinic. He received a Master of Science degree in Microbiology and Immunology from Wright State University and a Master of Public Health degree from the Harvard School of Public Health. He completed additional training from the Armed Forces Institute of Pathology, the CDC in Atlanta, the London School of Hygiene and Tropical Medicine, and the Pasteur Institute in Paris. He worked as an Ophthalmologist at the Albert Schweitzer Hospital in Haiti and held a clinical faculty position at Stanford University before coming to Wright State, where he served as Professor and Chair of the Department of Ophthalmology, Professor of Physiology and Biophysics, Associate Professor of Microbiology and Immunology, and was named the Brage Golding Distinguished Professor of Research. Dr. Bullock is the author or coauthor of more than 240 scientific publications. He is a member of Alpha Omega Alpha Honor Medical Society, Delta Omega Honorary Society in Public Health, the American Ophthalmological Society, and the Cornea Society (Member with Thesis). He is a Fellow of the American Academy of Ophthalmology, the Infectious Diseases Society of America, and the American College of Epidemiology. He has received numerous honors and awards. For over ten years, Dr. Bullock has been investigating a worldwide outbreak of Fusarium keratitis (published, in part, in the New England Journal of Medicine), which was traced to an improperly stored and bottled contact lens solution.

  • Renad Alyautdin, MD, PhD, Doc. Sci. (Med)

    Director of Centre for Expertise of Drug Safety
    Scientific Centre for Expert Evaluation of Medicinal Products
    Russia (Россия)

    Prof. Renad Alyautdin is the Director of Centre for Expertise of Drug Safety. Prof. Alyautdin is a medical educator and has more than 30 years of experience in academic medicine. He has an extensive research/publication portfolio in areas such as neuropharmacology and ocular pharmacology, as well as drug delivery systems through the blood-brain barrier into the brain, drug delivery into anterior and posterior eye chambers. 

  • Ayman Issa Sayegh, DVM, PhD, FTOS.

    Professor and Head, Department of Biomedical Sciences; Associate Dean for Research and Advanced Studies
    Tuskegee University
    United States

    Dr. Sayegh has the required expertise and the necessary training to conduct the proposed research. His academic and professional background as a veterinarian and a neuroscientist, especially his training in rodent surgery and feeding behavior. During the past 16 years of research he has been studying the role of the nerves of the gastrointestinal tract in the reduction of food intake by the gut peptide cholecystokinin (CCK) using immunohistochemical detection of Fos-like immunoreactivity and measuring food intake in normal and surgically altered Sprague Dawley rats. Dr. Sayegh‘s laboratory is considered the only feeding laboratory that utilizes enteric Fos-like immunoreactivity. During this period his team produced 46 peer-reviewed research articles and other review articles, book chapters and proceedings. He has collaborated with world-renowned scientists in the fields of ingestive behavior and peptide biochemistry including Gerard P. Smith, and James Gibbs, who published the original work on GRP and CCK and trained me to conduct feeding behavioral analysis, and Joseph Reeve Jr, who discovered GRP-29 and CCK-58 which will be used is this proposal. As a program manager, PI or co-PI on several current and previous university- and NIH-funded grants, Dr. Sayegh laid the groundwork for the proposed research. He developed the intra-arterial catheterization technique and we purified CCK-58 and GRP-29. In addition, Dr. Sayegh’s team established the use of the automated feeding system, the BioDAQ system, to measure and analyze food intake and many other feeding behaviors that they will determine in this proposal. Dr. Sayegh’s team is the only laboratory in the feeding behavior area that uses intra-arterial catheterization to deliver satiety peptides to their specific gastrointestinal sites of action and we are the only laboratory that utilizes CCK-58 and GRP-29. They generated all of the feeding data by this technique and by these peptides as shown by their publication record. Using the unique techniques they were able to determine the site of action for GRP-29, CCK-58 and GLP-1, which will be utilized in the current proposal to help to measure body weight changes influenced by these peptides in the DIO rat model. Working in a minority black institution allowed Dr. Sayegh to receive an SC1 award prior to this application (2010-2016). All the findings generated by that application form the foundation for the current proposal, including the discovery and synthesis of GRP-29, the development and mastering of the intra-arterial catheterization technique and determination of the specific gastrointestinal sites of action that regulate meal size and intermeal interval length by CCK-58, GRP-29 and GLP-1.

  • Suhail Rasool, PhD

    Research Assistant Professor, Department of Human Sciences
    Auburn University
    United States
    Dr. Rasool’s primary research goals are directed towards understanding and investigating the aggregation pathways of various amyloid proteins and development of therapeutic modalities for neurodegenerative diseases using transgenic mouse models. Dr. Rasool investigated the aggregation profile and structural properties of various amyloid proteins like Abeta, tau, alpha synuclein. In addition to biochemical characterization, he immunizes various transgenic mouse model of Alzheimer’s disease with various peptides, stem cells and antibodies to investigate their effect on cognition and Alzheimer’s pathology. Using hybridoma cell culture enables the generation of various conformational specific monoclonal and polyclonal antibodies for various amyloid proteins.
  • Zoran Todorovic, MD, PhD

    Department of Pharmacology, Clinical Pharmacology and Toxicology
    School of Medicine, University of Belgrade
    Serbia (Србија)
    Dr. Zoran Todorovic received his PhD at the University of Belgrade, Serbia. His specialization and sub-specialization are in the areas of Clinical Pharmacology and FMUB. His completed his Postdoc at William Harvey Research Institute, London, UK. He is a Full Professor of Pharmacology, Clinical Pharmacology and Toxicology at the University of Belgrade since 2008. He serves as a visiting Professor at Icahn School of Medicine at Mount Sinai, NYC, 2017. Dr. Todorovic has expensive clinical trial experience and serves as a clinical pharmacologist for more than 10 phase III/IV studies. As a distinguished researcher, Dr. Todorovic authors more than 300 publications (more than 40 CC/SCI in extenso publications). He serves as an editor of the international monograph and more than 400 citations in CC/SCI journals. Dr. Zoran Todorovic currently serves as President of the Bioethics Society of Serbia, and member of the National HERE Team (Higher Education Reform Experts).
  • Dimitrios Dionysopoulos, DDS, MSc, PhD

    Department of Operative Dentistry
    Aristotle University of Thessaloniki
    Greece (Ελλάδα)
    Dr. Dimitrios Dionysopoulos graduated from Aristotle University of Thessaloniki, Faculty of Dentistry with the degree of DDS. He completed his Post-graduate Program in Operative Dentistry. Later he received his PhD degree entitled “In vitro comparative study on cariostatic effect of contemporary fluoride-releasing materials for conservative restorations” in Operative Dentistry from Aristotle University of Thessaloniki. He then served as a Research Associate and a clinical instructor at the Department of Operative Dentistry of Aristotle University of Thessaloniki. Dr. Dionysopoulos is an active researcher with extensive publications, he authored more than 30 academic articles published in SCI journals. Dr. Dionysopoulos primary areas of investigation include Operative Dentistry, Preventive Dentistry, Conservative Dentistry, Dental Materials, Fluoride, Lasers in Dentistry and Adhesive Dentistry.
  • Zhenghong Wu, PhD

    Professor & Doctoral Supervisor, Department of Pharmceutics
    China Pharmceutical University
    China (中国)

    Prof. Zhenghong Wu is a professor in pharmaceutics and a vice Chair of the Nanjing Pharmaceutical Association, he is also a licensed Pharmacists in China. Dr. Wu is a member of several journal editorial boards as well as reviewers for over a dozen pharmaceutical and drug delivery journals. He also serves as a reviewer for the National Natural Science Foundation of China, and China Academic Degrees & Graduate Education Development Center of the Ministry of Education. Prof. Wu received his PhD (pharmaceutics, in 2003) and MS (pharmaceutical analysis, in 1997) from China Pharmaceutical University. He worked as vice dean of Pharmacy School in Xinjiang Medical University from 2014 to 2016, as visiting scholar in Rutgers University (USA) from 2012 to 2013, as assistant mayor in Taixing Municipal Government of Jiangsu Province from 2010 to 2011, as postdoctoral fellow in Academy of Military Medical Science (Beijing, China) from 2003 to 2005. He served as clinical pharmacist in the First Affiliated Hospital of Anhui Medical University from 1990 to 1994, in the Drum Tower Hospital Affiliated to Nanjing University from 1997 to 2003. He joined the Department of Pharmaceutics, China Pharmaceutical University as assistant professor in 2003, and later became associate professor in 2005. From 2006 to 2016, He served as deputy director of the Experiment Center for Pharmacy. Dr Wu has published more than 150 publications including papers, book and textbook chapters, conference proceedings, and patents. He has trained more than 60 PhD/MS students, and visiting scholars. His research is funded by National Basic Research Program of China, the National Natural Science Foundation of China, and other national sources. His group’s main research focus lies in the area of biopharmaceutics, targeted drug delivery, nanotechnology (polymers, dendrimers, liposomes, etc.) for cancer treatment, molecular targeting; use of macromolecules for drug delivery, modified-release preparations.

  • Toru Watanabe, MD, PhD

    Department of Pediatrics
    Niigata City General Hospital
    Japan (日本)

    Dr. Toru Watanabe is an Associate Manager of the Department of Pediatrics, Niigata City General Hospital in Japan. He graduated from Niigata University School of Medicine in 1985, and has been working at the Department of Pediatrics, Niigata City General Hospital until now. He got a PhD from the Department of Cell Biology, Institute of Nephrology, Faculty of Medicine, Niigata University in 2002. His specialty is Kidney diseases, especially pediatric nephrology and renal tubular disorders. He was given the Plenary Presentation Award in 1994 and the Best Clinical Research Award in 1999 from the Japanese Society for Pediatric Nephrology, an Honorary Title of Leading Article to his article in 2013 from European Journal of Pediatrics, a Key Scientific Article, featured in Global Medical Discovery (Canada) in 2013, and a Cutting-Edge Biomedical Research, featured in World Biomedical Frontiers (USA) in 2013, and Sentinel of Science Award in 2016 from Publons (NZ). He published more than 90 papers in peer reviewed international journals. He has reviewed more than 500 manuscripts submitted to international journals including JAMA, Am J Kidney Dis, Pediatr Nephrol, J Pediatr, Pediatrics, Pediatr Res and others. He is an Editorial Board Member of 35 international journals.

  • Patorn Piromchai, MD, MSc, PhD, FRCOT, FICS

    Assistant Professor, Department of Otorhinolaryngology
    Khon Kaen University
    Thailand (ไทย)
    Dr. Patorn Piromchai is an assistant professor and consultant of the Department of Otorhinolaryngology, Khon Kaen University. He completed his residency in Otolaryngology – H&N Surgery from Khon Kaen University. He received his Master in Clinical Trials from London School of Hygiene and Tropical Medicine, University of London, UK and Doctor of Philosophy (PhD) from the University of Melbourne, Australia. His research interests are in the area of Otology, Rhinology, and Thyroid Surgery. His main researches based on Virtual Reality, and Computational Imaging collaborates with an interdisciplinary team. He was appointed as Honorary Fellow of the University of Melbourne since 2017.
  • Faris Q.B. Alenzi, PhD, MSc, BSc

    Professor of Immunology, Department of Medical Laboratories
    Prince Sattam bin Abdulaziz University
    Saudi Arabia (‫المملكة العربية السعودية‬‎)

    Prof. Alenzi received his Master of Science and PhD from the Imperial College, School of Medicine, University of London, UK. He served as Dean of College of Applied Medical Sciences, Al-Kharj University, Saudi Arabia. He is currently a Professor of Immunology at the Salman bin Abdulaziz University (Al-Kharj), Saudi Arabia. Prof. Alenzi is a distinguished researcher, he has more than 130 indexed scientific publications. Prof. Alenzi is also an author of Three Books in Immunology and a co-author of Fundamentals of Cancer biology. Prof. Alenzi is the Founding Editor of the “Saudi Journal of Applied Sciences” under Princess Noura University. He also serves as an Editor for British Journal of Medicine and Medical Research.

  • Teodoro Cordova Fraga, PhD

    División de Ciencias e Ingenierías
    University of Guanajuato
    Mexico (México)

    Prof. Fraga received his PhD in Physics from the University of Guanajuato with research stages at the University of Sao Paulo and Vanderbilt University. He is currently a Titular Professor at the science and engineering division from the University of Guanajuato. Prof. Fraga has an extensive national and international research and publication portfolio in the areas of Biomagnetism such as measurement of magnetic fields in biological systems, stomach mechanical activity, motility, colon transit time and pulsed wave velocity of the heart, Natural Oral Contrast to MRI of the GI tract, implementation of Ultrasound to gastric evaluation, medical instrumentation for cardiac evaluation and magnetic hyperthermia, Magnetobiology and biomedical instrumentation of different portable devices. Prof. Fraga’s current research projects include aorta wave behavior on skin level by using biomagnetic technique, gastric emptying by monitoring a non digestible magnetic particles, effects of the magnetic field on cells growing, magnetic signal processing of MRI and Ultrasound, instrumentation and evaluation on cells grown, evaluation of dislocations hip in newborn by sound, signal processing, sound transference through human systems.

  • José Carlos Tavares, PhD

    Research Laboratory of Pharmaceuticals, Department of Biological and Health Sciences
    Federal University of Amapá
    Brazil (Brasil)

    Dr. Tavares is a Full Professor of Pharmaceutical Sciences and Medicine at the Federal University of Amapa, Amapá, Brazil. He is also a lecturer in Graduate Program in Tropical Biodiversity and Pharmaceutical Sciences. Dr. Tavares research interest are in the areas of non-Clinic Studies, nanomedicine, anti-inflammatory, analgesic and new gastric anti-ulcer.

  • Costas Fourtounas, MD. PhD

    Associate Professor, Department of Internal Medicine -Nephrology
    University of Thessaly
    Greece (Ελλάδα)

    Prof. Fourtounas completed his Medical Degree from the Medical School of Thessaloniki University, Greece. Later he received his PhD degree from Athens Medical School, University of Athens. Prof. Fourtounas is an active researcher with extensive publications, he authored more than 80 academic articles published in SCI journals. He serves in the editorial board and as peer reviewers of highly ranked international peer-reviewed journals. He is currently an Associate Professor at the Department of Internal Medicine from the University of Thessaly.

  • Italo Giuffre, MD, PhD

    Consultant, Department of Ophthalmology
    Catholic University of Rome
    Italy (Italia)

    Dr. Italo Giuffre' is a Consultant at the Department of Ophthalmology at Catholic University of Rome (Italy) since 2009 and Lecturer at the Orthoptics School in Bozen (Italy). He graduated as Medical Doctor cum laude at Tor Vergata University in 1988. In 1992, Dr. Giuffre' postgraduated cum laude in Ophthalmology at Sapienza University. He received a PhD in Neuropaediatrics and malformative diseases at Sapienza University. Dr. Giuffre is an active researcher with extensive publications, his publications include one book about Genetics of Eye diseases, INC Editor 2000, five chapters in international books about ibopamine, apoptosis and tumorigenesis and genetics of glaucoma and over 80 articles in peer-reviewed journals. His current research interests focus on cataract, glaucoma, hereditary eye diseases, orbit, paediatric ophthalmology and refractive surgery.

  • William Cho, MD, PhD

    Queen Elizabeth Hospital
    Department of Clinical Oncology
    China (中国)

    Dr. William Cho is a Biomedical Scientist in Queen Elizabeth Hospital. His main research interests have been focusing on cancer studies utilizing high-throughput technologies to discover biomarkers for cancer diagnosis, treatment prediction and prognostication. He is a Chartered Scientist granted by the Science Council (UK), a Registered Chinese Medicine Practitioner (HK), Guest Professor of a number of Universities and a Fellow Member of several institutes, including the Institute of Biomedical Science (UK), Hong Kong Institute of Biomedical Science and Hong Kong Society for Molecular Diagnostic Sciences. Dr. Cho has published over 200 peer-reviewed papers (Lancet Oncology, Clinical Cancer Research, Clinical Chemistry, Annual Oncology, etc) covering cancer biomarkers, proteomics, microRNAs, Chinese medicine and plenty of books including "MicroRNAs in cancer translational research", "An omics perspective on cancer research", "Supportive cancer care with Chinese medicine", etc. He serves as the Editor-in-Chief, Editor and Associate Editor of a number of international medical journals. Dr. Cho is also an international renowned grant reviewer of the Hope Funds for Cancer Research (USA), Cancer Research (UK), MRC Research Grant (UK), Health Research Board (Ireland), Science Foundation (Ireland), Istituto Toscano Tumori (Firenze), The Foundation Fournier-Majoie for Innovation (Brussels), National Medical Research Council (Singapore), The Medical Research Council (South Africa), and Academia Sinica Investigator Award (Taiwan), etc.

  • Muhammad Torequl Islam, MD, PhD

    Department of Pharmaceutical Sciences
    Federal University of Piauí, Teresina
    Bangladesh (বাংলাদেশ)
    Dr. Torequl Islam received his PhD degree in Pharmaceutical Science at Federal University of Piaui, Brazil in 2017. He has more than eight years experience in teaching and research in Pharmacy and Biotechnology. He has research collaborations with Bangladesh, Australia, United States and a number of institutions in Brazil. Dr. Torequl Islam is an active researcher with extensive publications, he is the author and co-author of more than 100 articles published in highly ranked academic journals. Dr. Torequl Islam’s current research interests focus on drug discovery and development, neuroscience, cancer strategy, biosensor technology and genetics.
  • Kishore Kumar Jella, PhD

    Winship Cancer Institute of Emory University
    Department of Radiation Oncology
    United States
    Dr. Kishore Kumar Jella received his PhD in Radiation Biology at the Dublin Institute of Technology, Dublin, Ireland. He is currently a working as a Research Scientist, in the Department of Radiation Oncology, Emory University School of Medicine, Atlanta, USA. Dr. Jella’s major research interests are in exploring the role of extracellular matrix components (secreted vesicles and soluble proteins) in cancer and intercellular communication. The history of radiation compromises the ability of cells to response to DNA damage through various non-targeted effects. The work is focused on identification of signaling molecules generated following exposure of human cells to high and low-linear energy transfer (LET) radiation. Dr. Jella is using high-throughput sequencing and proteomic methodology to identify exosomal RNAs and proteins involved in this signaling. Dr. Jella is also working on identifing the role of exosomes in radiation-induced abscopal effects and potential for translational clinical trials. The project also involves the identification of novel biomarkers in clinical settings after radiation exposure.
  • Praveen Kammar, MS, MCh

    Colorectal division, Dept. Of Surgical Oncology
    Tata Memorial Center, Mumbai, India
    India (भारत)

    Dr. Praveen Kammar has extensive experience in assisting and operating in robotic coorectal surgeries on Da-Vinci Xi robotic system platform, operating colorectal malignancies laparoscopically, cytoreductive surgeries and intraperitoneal chemotherapy for advanced colorectral,ovarian and peritoneal malignancies. Dr. Kammar’s clinical interests lie in minimal access surgeries ( laparoscopic and robotic and endoscopic ) of GI tract malignancies. Dr. Kammar is active in academic activities including research publications and medical statistics.


  • Chin-Lung Kuo, MD, PhD

    Institute of Brain Science
    National Yang-Ming University
    Taiwan (台灣)

    Dr. Chin-Lung Kuo is the Director of the Department of Otolaryngology, Taoyuan Armed Forces General Hospital, Taiwan, ROC. Dr. Kuo received his medical degree from the National Defense Medical Center and earned his PhD degree at the Institute of Brain Science, National Yang-Ming University, Taiwan, ROC. He completed his otolaryngology residency, chief residency, and fellowship training at the Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taiwan, ROC. Dr. Kuo continues to make contributions to the scientific community. His primary field of study is otology, and his research is focused on middle ear surgery and hearing loss. Dr. Kuo has been invited to speak at international conferences and institutes. Dr. Kuo has been the first or corresponding author on more than 50 published articles in the last 5 years, including SCI original papers, review articles, as well as book chapters. In 2012, his research paper was chosen as the cover story of the journal Audiology and Neurotology. In addition, Dr. Kuo received the Outstanding Paper Award from the Laser Medicine Education and Research Foundation in 2013, and was awarded the 2015 Hayashi SPIO (Society for Promotion of International Otorhinolaryngology) Scholarship in Japan. Dr. Kuo believes that increased availability of research data can benefit both medical research and science education. For further details regarding his research, please use the following link to access his blog.

  • João Paulo Schwartz, PhD

    Department of Orthodontics
    Justus Liebig University Giessen, Paulista State University
    Brazil (Brasil)
    Dr. Schwartz is a PhD Researcher in Orthodontics at Justus Liebig University Giessen, Hessen, Germany and at Paulista State University, FOAr-UNESP, Araraquara, São Paulo, Brazil. He received a Masters in Odontological Science - Orthodontics at Paulista State University and completed his residency in Orthodontics at Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Brazil. Dr. Schwartz's research interests include orthodontics, cleft lip-palate, dental anomalies, Cone-Beam Tomography Computed and Herbst appliance.

Assistant Editors

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Early View

  • Early Progressive Atrioventricular Block After Amplatzer Septal Occluder Closure of a Large Atrial Septal Defect

    Authors describe a 4-year-old boy with a moderate secundum atrial septal defect who developed rapidly progressive heart block after device closure. After surgical removal and patch closure he had gradual return to sinus rhythm. This report highlights the continued needed vigilance of heart block after atrial septal defect device closure.

    Annals of Case Reports and Images. 2019;2(1):3
    DOI: 10.24983/scitemed.acri.2019.00118
    Article Type: Case Report
  • Aberrant Renal Vessels

    A 55-year-old postmenopausal lady was presented with recurrent carcinoma of ovary. A computed tomography scan of the abdomen was performed after neoadjuvant chemotherapy, showing retroaortic left renal vein and precaval right renal artery, along with the resolution of previous vaginal vault lesion. The intraoperative findings revealed a peritoneal carcinomatosis index of 3, according to an incidental deposit found on the vaginal vault infiltrating into the rectum. During retroperitoneal lymph node dissection, as part of the procedures in cytoreduction, aberrant renal vessels were identified. A complete clearance was done safeguarding the vessels as seen in the intraoperative image.

    Annals of Case Reports and Images. 2019;2(1):2
    DOI: 10.24983/scitemed.acri.2019.00099
    Article Type: Image
  • Asymptomatic Rectal Perforation After Radiation for Rectal Cancer: A Diagnostic Dilemma and Role of MRI

    Radiation forms a vital part of neoadjuvant treatment in locally advanced rectal cancer (LARC) and recurrent rectal cancers. The adverse effects of radiation are well recognized; however, radiation-induced perforation at the tumour site is very rare and is poorly understood. A symptomatic rectal perforation requires an emergency surgical intervention. However, it may present silently and can give rise to suspicion of disease progression and/or residual disease on imaging. Authors present two cases of silent perforations. Both gave rise to a considerable diagnostic dilemma, which was resolved by careful evaluation with MRI.

    Annals of Case Reports and Images. 2019;2(1):1
    DOI: 10.24983/scitemed.acri.2019.00095
    Article Type: Case Report

Current Issue

Volume 1, Issue 2

  • Continuous Muscle Relaxant Administration for the Management of Severe Tracheomalacia

    Management of children with severe tracheomalacia is very difficult. Most cases require mechanical ventilation; the mortality rate from severe tracheomalacia is as high as 80%. Crying is often triggered, the respiratory condition gets worse, and eventually, it leads to death. For severe cases, surgical treatment should be considered immediately. Meanwhile, the prevention of fatal attacks by medical treatment is indispensable while waiting for surgery. In this report, a method to manage the patients with severe tracheomalacia using muscle relaxant was discussed. Based on clinical experience, continuous administration of 7 μg/kg/min of rocuronium was required to prevent life-threatening cyanotic attacks. However, the infusion requirements of rocuronium would show patient-to-patient variability. Further, case reports and evaluation of the effectiveness of muscle relaxants for the treatment of severe tracheomalacia were required.

    Annals of Case Reports and Images. 2018;1(2):1
    DOI: 10.24983/scitemed.acri.2018.00087
    Article Type: Idea and Innovation
  • Eight-and-a-Half Syndrome Presented with Trigeminal Neuralgia

    Most isolated syndromes of Eight-and-a-Half Syndrome are associated with vascular etiology. Symptomatic trigeminal neuralgia due to infarction is rare. The author reports a patient with left-sided facial pain. It was followed by one-and-a-half syndrome with facial nerve palsy during the next day. Diffusion-weighted magnetic resonance imaging of his head revealed restricted diffusion in the left inferior pontine tegmentum neighboring the fourth ventricle extending ventrally. This case is the first report of Eight-and-a-Half Syndrome presented with recurrent attacks of unilateral facial pain, fulfilling criteria for classical trigeminal neuralgia.

    Annals of Case Reports and Images. 2018;1(2):2
    DOI: 10.24983/scitemed.acri.2018.00088
    Article Type: Case Report


  • Management of a Giant Cystic Mass in a Young Otherwise Healthy Woman

    Authors report a new perspective on the case of a 22-year-old female with no significant medical history who posed a diagnostic and therapeutic challenge; a giant cystic mass of the abdominal cavity.

    Annals of Case Reports and Images. 2018;1(1):1
    DOI: 10.24983/scitemed.acri.2018.00052
    Article Type: Case Report
  • Hepatocyte Nuclear Factor 1-β Gene Mutation: Brief Report and Review of Hepatic Involvement

    Authors report a young girl with an HNF1β mutation, who had a history of neonatal cholestasis, persistent liver dysfunction, and developed insulin-dependent diabetes without renal involvement. Further, authors review the literature related to the hepatic involvement associated with HNF1β mutations.

    Annals of Case Reports and Images. 2018;1(1):2
    DOI: 10.24983/scitemed.acri.2018.00054
    Article Type: Case Report
  • Granular Cell Tumor of Esophagus: A Rare Disease of the Esophagus

    Esophageal granular cell tumors (GCT) represent a rare entity of tumors of the esophagus. Patients with esophageal GCTs are usually asymptomatic, with the lesion most commonly presenting as an incidental finding on endoscopy. The GCTs of the esophagus are poorly understood in medical literature. It is unknown if they undergo malignant degeneration, whether the malignancy can be diagnosed preoperatively, and how the tumor can be managed. The authors evaluated the clinical and pathologic features of all esophageal GCTs at their institution to understand them better.

    Annals of Case Reports and Images. 2018;1(1):3
    DOI: 10.24983/scitemed.acri.2018.00076
    Article Type: Case Report
  • Management of Post-Traumatic Posterior Rectal Pouch Through a Posterior Approach

    Proximal fecal diversion is the treatment of choice in the cases of extra-peritoneal rectal injuries that are not amenable for primary repair due to their distant location or high grade. The posterior approach enables complete excision of well-defined abscess cavities that communicate with the rectal lumen with full-thickness repair of the rectal defect. An important privilege of pouch excision through the posterior approach was the preservation of rectal reservoir and the sensation that would have been compromised if proctectomy with coloanal anastomosis was alternatively performed.

    Annals of Case Reports and Images. 2018;1(1):4
    DOI: 10.24983/scitemed.acri.2018.00081
    Article Type: Case Report
  • Cardiac Arrest and Seizure Following Cannabis Overdose and Alcohol Withdrawal

    Cannabis remains one of the most universally abused recreational drugs. Cannabis abuse can have several cardiovascular adverse effects and an overdose can lead to cardiac arrest. Binge alcohol drinking and subsequent withdrawal in the background of cannabis overdose can lead to convulsion and QT prolongation leading to malignant arrhythmia. We report two cases of ventricular fibrillation complicated with seizure precipitated by cannabis overdose and alcohol withdrawal. Such serious clinical presentation complicated with cardiac arrest does not necessarily lead to a fatal outcome if timely medical attention and care are provided. Timely aggressive resuscitative measures combined with intensive care can lead to a successful outcome. Later on, psychiatric counseling and occupational and behavioral therapies can help them to live longer.

    Annals of Case Reports and Images. 2018;1(1):5
    DOI: 10.24983/scitemed.acri.2018.00082
    Article Type: Case Report