Author name: Clinical and Medical Images

A 77-year-old Japanese woman with cystic tumor of the pancreas was received regularly check-up in the other institution twice a year. She was introduced to our institution because her carbohydrate antigen 19-9 (CA19-9) level was elevated up to 487 IU/mL to investigate the cause. The physical examination was unremarkable and laboratory examination revealed elevated amylase […]

A 55-year-old man was admitted to our hospital with watery diarrhea for two months. Physical examination was unremarkable. Biochemical parameters were normal. CA19-9 and CEA were within normal range, and soluble interleukin-2 receptor was slightly elevated. Contrast-enhanced computed tomography revealed the ileac tumor with cavity adjacent to the rectum [Figure 1]. Barium enema demonstrated rapid

A 15 years old girl followed by our Neuropsychiatric Children Department for a borderline disorder and anorexia nervosa, presented with a 7 months history of multiple horizontal skin lesions with an erythematous-edematous appearance, almost localized on the lower legs. Closed to these more active recent lesions, linear atrophic and hypertrophic skin lesions were present without

We present a film of a cleaving embryo from one to- two cells, with one cell hatching out from the zone pellucida, and thereafter their development into two blastocysts. The two blastocysts were separated and sent to a comprehensive molecular analysis (polymorphic markers and array-CGH), demonstrating identical twins. The embryo in the zona pellucid showed

It’s a 24 years old female patient who presented with rhinological burning pain evolving since 1 year. She didn’t consult until a blistering lesion filled half of the oral cavity. The initial biopsy of the tumor was interpreted as a round cell tumor process.

We report a case of a 23 year old female with history of fever and malaise since 3 days. We received her blood sample for complete blood count along with peripheral blood smear examination. The blood test showed leukocytosis 23,500 cells/uL, Hemoglobin- 12.2 gm/dl and Platelet count 1, 58,000/Ul. The peripheral blood examination showed marked

A 32 years old woman lastly operated for hepatic hydatic cyst and cholecystectomy, presented for jaundice, fever and right hypochondrium pain. Abdominal examination was showed tenderness of the right hypochondrium. Biological tests showed cholestasis with total bilirubin 123 and conjugated at 80 with elevated CRP (205) and cytolisis. Prothrombin time was normal. Abdominal ultrasound (Figure

A 13-year-old boy with a history of complicated pneumonia at the age of 20 months (Figure 1-A) managed with antibiotics and chest drainage presented with hemoptysis. Chest radiography showed multiple small, thin-walled cavities (Figure1-B). Chest scan showed massive necrosis of the left lung (C and D). Lung perfusion scan showed differential perfusion of left: right