Papillary fibroelastomes are rare benign neoformations usually originating from the valvular endocardium, presenting with cerebral ischemia and/or myocardial infarction due to embolization from the mass. We report an exceedingly rare case of aortic wall papillary fibroelastoma simulating unstable angina, diagnosed with trans-thoracic/trans-esophageal echocardiography and CT scan and surgically successfully removed

Nephrogenic diabetes insipidus (NDI) is rarely considered against more common differentials such as diabetes mellitus in patients presenting with polydipsia and polyuria. Hypokalaemia and hypercalcemia are known to induce NDI but not much is known about hypomagnesemia. Hypokalaemia refractory to therapy should prompt consideration of hypomagnesemia.

We present the first documented case of a 69 year-old female with history of sickle cell anemia with hereditary persistence of fetal hemoglobin that presented due to joint pains and COVID-19 infection. The red blood cell exchange transfusion may play an important factor in preventing intubations and longer hospital stays.

The COVID-19 pandemic has raised concern of viral transmission during otolaryngological procedures by means of droplets/saliva. The use of PPE and isolation settings are mandatory during surgery. This paper describes the development of the STAPID setting to reduce salivary spread during a sialendoscopy-assisted transfacial removal of a parotid stone.

The study investigates the case of a total thyroidectomy, where after dissection multiple nodules showed two malignant patterns by immunohistochemistry. Molecular analysis based on DNA methylation profile was used to further inspect the origin of the coexisting neoplasms. We confirmed the presence of malignant skin melanoma involving medullary thyroid cancer.

Gardner syndrome (GS) with odontogenic sinusitis is rare but should be suspected in patients with multiple osteomas of the skull and facial bones, excess teeth, impacted teeth, and odontomas. Early diagnosis of GS and treatment for familial adenomatous polyposis may improve prognosis.

Subcutaneous emphysema of the extremities can be associated with necrotizing fasciitis, a surgical emergency. It can sometimes also be caused by local spreading of air from a retroperitoneal bowel perforation. Other than this specific symptom, the diagnosis of retroperitoneal perforation is usually impeded by lack of signs of peritoneal irritation.

A 36-year-old male with non-lesional refractory frontal-lobe epilepsy, diagnosed at 16 years of age, and with a history of four hospitalizations for refractory status epilepticus and admitted to the intensive care unit with focal seizures in the right upper limb, impaired consciousness, and recurrent progression to bilateral tonic-clonic seizures.

Pulmonary sarcomatoid carcinoma; non-small cell lung cancer; EGFR mutation; MET amplification; crizotinib/gefitinib

Noonan syndrome is a genetic multisystem disorder characterized by distinctive facial features, developmental delay, congenital heart disease, and other conditions. It is associated with mutation of genes encoding the proteins in the RAS-MAPK pathway, including PTPN11. We herein describe the first case of Noonan syndrome complicated with hepatocellular carcinoma.

Abdominal wall endometrioma is an extremely rare entity with a precise incidence of 0.07%–0.47% remaining an insidious cause of usually delayed diagnosis. Differential diagnosis should include that rare condition and ultrasonography remains a pivotal tool to unravel that enigma as well.

A 34-year-old woman presented due to progressive painful swelling around the nail of the right index finger. Onychectomy and drainage of the abscess of the affected finger were performed as the inflammation was progressive despite the previous antibiotic therapy. The microbiological culture revealed a ciprofloxacin-susceptible Citrobacter braakii.

We report a spinal metastatic patient with an atypical presentation of inguinal pain. He was managed with L1 laminectomy and posterior instrumentation. After the surgery, his pain was significantly relieved. This study underscores the importance of spinal examination in those with a known tumor.

Case summary: The MRI of a 73 year old male patient with paraparesis, showed an intramedullary mass at the thoracic spinal cord extending from T6 to T8. Partial surgical removal was preformed and a biopsy was taken, followed by postoperative radiotherapy.

We report an unusual finding of DCIS within a cystic lesion in a black man highlighting the need for adequate workup, and timely follow-up for men with breast/chest wall masses given the lack of screening in this population. Furthermore, we will explore how race contributes to prognosis and health outcomes.

88-year-old male with recent history of mastoiditis status post completing outpatient antibiotic regimen presented with worsening neck pain. Found to have complications of cerebral venous sinus thrombosis, skull base osteomyelitis and a retropharyngeal mass. This is the eleventh case in medical literature reporting on this phenomenon.

Endocarditis due to multidrug-resistant Enterococci and specifically multidrug-resistant Enterococcus faecium (E. fαecium) is rare. Optimal antimicrobial therapy still remains undefined and a challeging issue. We report a case of native valve endocarditis due to vancomycin-resistant E. faecium (VRE) in a 65-years-old man with significant comorbid conditions.

We describe a case of permanent pacemaker implantation in a 59-year-old male with subclavian vein occlusion undergoing hemodialysis. The balloon-target puncture technique aided successful and safe transvenous permanent pacemaker implantation.