Thyroid storm is a rare and life-threatening disease which may cause multiple organ failure. We experienced an atypical case of thyroid storm with Multiple Organ Failure (MOF), Disseminated Intravascular Coagulation (DIC), and stroke with a normal serum FT3 level who died in 2 years and 7 months post event of thyroid storm. An autopsy revealed severe atrophy of the thyroid with diffuse fibrosis. It appeared that the patient's underlying thyroid disease was chronic thyroiditis or atrophic thyroiditis, and the thyroid storm was caused by atypical painless thyroiditis and/ or Basedow's disease concurrent with chronic thyroiditis. To our knowledge, this is the first report ever of autopsy of thyroid storm by advanced chronic thyroiditis, possibly atrophic thyroiditis.

Cite this Article: Harada Y, Handa M, Koyama K, Shinagawa T, Taniyama M. Atypical Case of Thyroid Storm Revealed by Autopsy. Int J Case Rep Short Rev. 2017;3(3): 049-052.

Published: 12 September, 2017

Shringarpure S. Shrikant*, Shringarpure S. Sanish, Inamdar M. Ravindra, Kulkarni R. Sourabh and Patkar VS

Hemangiomas are benign vascular tumors, most commonly involving the liver and skin whereas involvement of genitourinary system is rare. Urethral involvement is rare and only few cases have been reported in the literature. Only few cases of hemangioma in the female urethra have been reported. We report a case of hemangioma in a 60 year old female who presented with intermittent urethral bleeding. Physical examination revealed an erythematous, polypoidal mass surrounding the urethral meatus. We performed a surgical resection of the tumor with fulguration of the base with diathermy under spinal anesthesia. The post-operative course was uneventful. Final diagnosis on histopathology showed cavernous type of urethral hemangioma. This case has been presented for its rare occurrence in females and to update through a review of literature aspects of the diagnosis and therapeutic care of urethral hemangioma.

Cite this Article: Shringarpure SS, Shringarpure SS, Inamdar MR, Kulkarni RS. Female Urethral Cavernous Hemangioma: an Unusual Cause of Hematuria. Int J Case Rep Short Rev. 2017;3(3): 046-048.

Published: 26 August, 2017

G. Baulier* and N. Issa

A 77 year-old man with no significant medical history presented with sudden onset febrile headache and blurred vision. Clinical presentation was mimicking bacterial meningitis with nuchal rigidity, fever and hypotension. Clinical exam revealed variable left upperlid ptosis and diplopia.

Cite this Article: Baulier G, Issa N. A Misleading Presentation of Pituitary Apoplexy. Int J Case Rep Short Rev. 2017;3(3): 044-045.

Published: 26 August, 2017

David L. Manuel, Aaron Harman and Ducksoo Kim*

Nonoperative management of renal cell carcinoma was first described approximately 20 years ago [1-5]. There are multiple modalities to nonoperatively treat renal cell carcinoma, including radiofrequency ablation, (RFA), cryogenic ablation, and microwave ablation. Multiple studies have demonstrated decreased morbidity with nonoperative treatment [6-7]. We report a complication from a C02 microwave ablation that, to our knowledge, has never been described in the English literature. Management of the complication is discussed. The patient had a complete recovery without any deficits.

Cite this Article: Manuel DL, Harman A, Kim D. Extensive Subcutaneous Co2 Deposition during Microwave Ablation of a Renal Cell Carcinoma: a Case Report. Int J Case Rep Short Rev. 2017;3(3): 039-043.

Published: 25 July, 2017

Maddibande R. Sreevathsa*

Primary tuberculosis of the pancreas is a rare entity and less than 100 cases have been reported worldwide in the English literature. In most cases this entity presenting as a mass lesion in the pancreas on imaging, masquerade as carcinoma of pancreas. We report 2 cases of primary pancreatic tuberculosis, a 45 year old male and a 58 years old female presenting with abdominal pain and weight loss, with the first patient presenting in addition with fever and obstructive jaundice. Both patients on imaging were diagnosed as cancer of the pancreas (head and body respectively) and underwent laparotomy for planned resection. In both patients the tumor was found inoperable and hence incision biopsy was done. Biopsy confirmed tuberculosis on histopathology. Both patients were treated with anti- tubercular drugs and were totally symptom free at one year after treatment. The literature is reviewed.

Cite this Article: Sreevathsa MR. Primary Pancreatic Tuberculosis Masquerading as Cancer - Case Reports and a Short Review. Int J Case Rep Short Rev. 2017;3(3): 035-038.

Published: 02 August, 2017