Journal of Clinical and Medical Images (ISSN 2640-9615)

Clinical Image

Gastric Leiomyosarcoma: A Common Tumor in an Uncommon Location

A previously healthy 51-year-old female presented with gradually worsening, 10/10 non-radiating epigastric abdominal pain associated with nausea, bilious vomiting, and weight loss. Computed tomography of the abdomen with intravenous contrast showed a large 10.7cm x 9.5cm exophytic mass in the antrum/body of the stomach (Figure 1A). An upper endoscopic evaluation revealed a large fungating, infiltrative, […]

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Retroperitoneal Mass: A Typical Retroperitoneal Extension of Non-Infective Iliopsoas Bursitis in a Lupus Patient

A 42-year-old man with systemic lupus erythematosus in clinical remission presented with a onemonth history of left hip and lower back pain. He had received prednisolone, chloroquine and mycophenolate under clinical remission for 2 years. Physical examination revealed deep tenderness over lateral aspect of the left hip. Laboratory tests showed normal renal and hepatic function

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Extremely Large Intra-Abdominal Fibromatosis Present as a Life-Threatenening Surgical Emergency

Intra-abdominal fibromatosis, the most common primary tumor of the mesentery, is a benign and rare tumor that can affect any age group of patients. It is characterized by local aggressiveness, and usually develops in the retroperitoneum or mesentry [1]. Although it could be primary, where it is a rare varient of benign stromal neoplasms of

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Synchronous Primary Hepatosplenic Diffuse Large B-cell Lymphoma and Early Gastric Adenocarcinoma Hongzhen

A 66-year-old man presented with belching for 3 weeks and all physical examinations were unremarkable. The patient is a hepatitis C virus carrier and his liver enzymes and tumor markers was normal. Gastroscopy revealed a type IIa + IIc lesion at the gastric body with irregular microsuface under narrow band Imaging with magnification endoscopy (NBI-ME)

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A Typical Case of Tuberous Sclerosis – Ocular and Systemic Findings

A young male presented with complaints of itching in both eyes. Visual acuity was 6/6 in both eyes. Anterior segment was grossly normal. Right eye retina showed normal disc with an inferotemporal irregular flat white lesion less than1/2 disc diameter. Left eye retina showed normal disc with whitish mulberry like growth abutting inferonasal disc margin

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Spondylodiscitis Cervical After Radiotherapy Treatment of Posterior Pharyngeal Wall Carcinoma

We report the case of a 68-year-old patient treated with radio chemotherapy for P16 negative T4N0M0 squamous cell carcinoma who developed spondylodiscitis following necrosis of the posterior pharyngeal wall. The patient’s primary history included non-insulin-dependent diabetes, hypertension, dyslipidemia, sleep apnea syndrome, hyperthyroidism, occasional alcohol intoxication and an estimated 20PA withdrawal smoking habit. Six months after

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Superficial Femoral Artery Transection from Penetrating Trauma of the Right Thigh

A 24-year-old male presented to the emergency room at the University Hospital of Patras after sustaining a penetrating stab wound to the right thigh from a thin knife reportedly 4-cm in length. The patient was hypotensive with a blood pressure of 73/47 mmHg and tachycardic with a pulse of 130 beats per minute in the

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An Unusual Bullous Subconjunctival Haemorrhage from Blunt Trauma

We present an 88-year-old Chinese gentleman who hit his right eye against a tap. He was washing his face when his knees buckled. Medical conditions include warfarin for atrial fibrillation and ischaemic cardiomyopathy. He presented to the emergency department with persistent copious bleeding from his right eye. CT brain showed pre-septal right orbital haematoma with

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