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.
Dr. Murali Vettath has immensely contributed to the field of beating heart surgery and to cardiac surgery at large. He has been one of the pioneers of off pump surgery, having performed the first beating heart surgery in Bangladesh. He has had extensive training in coronary artery surgery from Australia, Holland and Paris. Dr. Vettath has great treasure of achievement to his credit. He has invented a proximal anastomotic device used widely in beating heart surgery. Has recently developed-The SIMS.(simple Indian made stabilizer) which has been sent for patenting-( June 2015)-Performed more that 250 OPCABs with that so far. He had performed "two heart transplants" in 2015 at Kozhikode. He has also devised techniques of long mammary patch anastomosis for diffusely diseased coronary artery. He has fabricated many instruments and devices used in beating heart surgery. Dr. Vettath has delivered many lectures, presented research papers and published articles in national and international forums. He has received several awards and honors in recognition of his excellence. Dr. Vettath has been a front runner in the quest to perform 100% off pump surgeries for coronary artery bypass grafting and has been instrumental in starting OPCAB (off pump by surgery) in many cardiac centers.
Dr. Shashank Kumar is working as Assistant Professor at Center for Biochemistry and Microbial Sciences, Central University of Punjab, Bathinda, India. Dr. Kumar did BSc, MSc and PhD Biochemistry (2005-2014) from Department of Biochemistry, University of Allahabad, Allahabad, India. He worked as Postdoctoral Fellow at Department of Biochemistry, King George’s Medical University, Lucknow, India. Dr. Kumar has about 30 published scientific papers/reviews/editorial articles in various National/International peer reviewed Journals of repute. He edited several books such as “Concepts in Cell Signaling” etc. He has expertise in areas of Free radical biology, Cancer biology, Characterization of plant products, Xenobiotic metabolism, and Microbiology. Dr. Kumar is familiar with many biochemical techniques such as Spectrophotometry, ELISA, Electrophoresis, PCR, RT-PCR, Flow Cytometry, TLC, HPLC, LC-MS, Cell culture and Microbiological techniques. He has presented his research findings in more than 25 National/International Conferences and attended about 30 Workshop at the majority of major Universities and Medical Colleges throughout the India. Dr. Kumar is life time member of Italo-Latin American Society of Ethnomedicine, Indian Sciences Congress Association, India, and member of Asian Council of Science Editors, Dubai, UAE and Publication Integrity & Ethics, London. Dr. Kumar has been awarded Junior/Senior and Research Associate Fellowships formulated and funded by various Indian agencies such as Indian Council of Medical Research, University Grants Commission, Council of Scientific and Industrial Research India.
Dr. Nicolas Padilla-Raygoza received his MD in 1984, he completed Postgraduate in Epidemiology in 2001 from the University of London. He received Master and Doctorate in Sciences (Epidemiology) from Atlantic International University. He received Master in Social Gerontology in 2016 and he is currently a Doctoral Candidate Doctor in Nutrition from the Universidad Internacional Iberoamericana. Dr. Nicolas Padilla-Raygoza has authored more than 70 academic articles and 12 book chapters. He has more than 25 thesis of Master Degree in Nursing. He is the Co-Director of two thesis on Doctorate in Nursing. His research interests include pediatrics, dysplasia of the hip in children, chronic and non-transmissible diseases, infectious diseases and geriatric medicine.
Dr Shikha Rani is currently Lecturer cum Antenatal Medical Officer at the Department of Obstetrics & Gynaecology from the Government Medical College & Hospital, Chandigarh, India. She has authored more than 15 acedemic articles and serves as journal referee for Indian Paediatrics, British journal of Medicine and Medical research, Asian Journal of Medicine.
Dr. Scicchitano received his Medical Degree from the University of Bari, Italy, 2008. He completed an internship in the rehabilitation cardiovascular center “Istituto Codivilla-Putti” – Cortina D’Ampezzo, Italy in 2011. He is currently a member of the Working Groups on Atherosclerosis and Vascular Biology and Acute Cardiac Care and - European Society of Cardiology. Dr. Scicchitano is an active researcher with extensive publications, he authored more than 100 academic articles and serves in the Editorial Board for highly ranked academic journals.
Dr. Çelik is a researcher in the Division of Endocrinology and Metabolism at the University of Trakya Medical School in Edirne, Turkey. His research interests include genetic basis of endocrine diseases, particularly those involving the thyroid and parathyroid glands as well as obesity and neuroendocrine regulation of food intake and body weight, molecular basis of insulin resistance and type II diabetes, Gaucher’s disease, pituitary adenomas. Dr. Çelik's works focus on understanding the pathogenesis and the biology of thyroid cancers with the goal of identifying new molecular-based therapies. He is a member of Society of Endocrinology and Metabolism of Turkey, and the European Society of Endocrinology.
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.
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.
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.
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.
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.
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.
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.
