Öz Axillary web syndrome (AWS) is a clinical syndrome that usually seen after surgical intervention to axillary region. Fibrosis surrounded sclerotic vein and lymphatic tissue (cording), can extends from axilla to arm and hand. AWS can limit off shoulder range of motion (ROM) and can be the cause of shoulder pain. In the case we share, it is noteworthy that any predisposing factor does not exist. 41-year-old male patient was admitted our outpatient clinic with pain and feeling of tension on the right axilla which started 2 weeks ago during the daily activities. On the physical examination there was a subcutaneous cord that was visible from the right axillary region to the middle of the right arm. His right shoulder movements were limited and painful. The patient was prescribed oral nonsteroidal antiinflammatory drug (NSAID), electrotherapy program and shoulder stretching/strengthening exercises. After 2 months, on the re-examination, his right shoulder ROM was painless and in normal range; the subcutaneous cording had completely recovered. Clinicians should consider AWS, in differential diagnosis in patients with axillary region/shoulder pain and shoulder ROM limitation. These patients may benefit from appropriate combination therapies that include physical therapy modalities and NSAIDs.
Low back pain (LBP) is one of the most important health conditions that can affect human with physical and psychosocial changes. Nonspecific LBP, defined as self-limiting and which exact cause cannot be determined, is common among older adults. Besides, lumbar disc herniation should be the first diagnosis that comes to mind in between 40–60 years-old patients with clinical findings of radiculopathy with LBP. However, in order not to miss important causes such as malignancy that can cause LBP, the patient's anamnesis should be deepened, and physical examination should be performed carefully. We reported the case of a 53-year-old woman with anaplastic carcinoma of the pancreas (APC) where the initial symptom was LBP accompanied by radiculopathy and diagnosed by tru-cut biopsy from the sacral metastatic soft tissue mass, which was specified by the advanced imaging. APC is a rare cancer, and the survival time of the patients is quite short due to its rapid spread and resistance to chemotherapy and radiotherapy. Based on this case, clinicians should evaluate the patient detailly, prefer further imaging when necessary, and discuss the case with musculoskeletal radiologists when there are diagnostic problems, which will reduce the possibility of overlooking the underlying serious causes of LBP.
Background Recently, it has been reported that there is an increase in the incidence of arterial and venous thrombotic complications associated with severe COVID-19 disease. Studies have revealed the definition of COVID-19-associated coagulopathy as the underlying cause of these complications. With the emergence of hypercoagulability, systemic anticoagulant therapy was required at variable doses and durations in COVID-19 patients. Case Report: We present the case of a 79-year-old female patient who developed ischemic stroke, deep vein thrombosis, and acute pulmonary embolism, respectively, despite the use of anticoagulants since hospitalization for severe COVID-19 disease. Discussion Owing to SARS-CoV2 infection may be accompanied by comorbidities such as hypoxia, immobilization, active cancer, and obesity, close patient monitoring should be performed during the period of active disease and recovery. Conclusion The most important message to be taken from this case is that even in patients using anticoagulants, there is still a higher risk of thrombotic complications.
Low back pain (LBP) is one of the most important health conditions that can affect human with physical and psychosocial changes. Nonspeci c LBP, de ned as self-limiting and which exact cause cannot be determined, is common among older adults. Besides, lumbar disc herniation should be the rst diagnosis that comes to mind in between 40-60 years-old patients with clinical ndings of radiculopathy with LBP.However, in order not to miss important causes such as malignancy that can cause LBP, the patient's anamnesis should be deepened, and physical examination should be performed carefully. We reported the case of a 53-year-old woman with anaplastic carcinoma of the pancreas (APC) where the initial symptom was LBP accompanied by radiculopathy and diagnosed by tru-cut biopsy from the sacral metastatic soft tissue mass, which was speci ed by the advanced imaging. APC is a rare cancer, and the survival time of the patients is quite short due to its rapid spread and resistance to chemotherapy and radiotherapy. Based on this case, clinicians should evaluate the patient detailly, prefer further imaging when necessary, and discuss the case with musculoskeletal radiologists when there are diagnostic problems, which will reduce the possibility of overlooking the underlying serious causes of LBP.
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