An 80-year-old woman presented with general malaise and dyspnoea that has persisted for 2 months. Physical examination, laboratory tests, chest X-ray and ECG were normal, but tachycardia was not. A CT scan of the thorax performed due to suspicion of pulmonary embolism revealed a lesion in the right atrium and no other abnormalities. Echocardiography confirmed the presence of the tumour and also showed pulmonary hypertension. Cardiac myxoma was considered and the tumour was surgically removed. The patient recovered completely but the dyspnoea persisted. Cardiac myxoma is often difficult to confirm. Clinical presentation of a myxoma is determined by its location, size and mobility. Symptoms are a result of mechanical obstruction, embolism or constitutional effects. Treatment consists of surgical removal of the myxoma due to the associated risk of embolism and sudden death.
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Radiol Case Rep
March 2025
Internal Medicine Department, ULS do Alto Ave - Hospital Senhora da Oliveira Guimarães, Rua dos Cutileiros, n114, Creixomil, 4835-044, Portugal.
Cerebral abscess due to hematogenous spread originating from a urinary infection is a rare condition. This clinical case involves an 80-year-old woman with a history of recurrent urinary infections. She presented to the emergency department with fever and altered consciousness.
View Article and Find Full Text PDFCureus
November 2024
Pain Management, Singapore General Hospital, Singapore, SGP.
Subglottic stenosis poses a rare but life-threatening risk for difficult tracheal intubation. Here, we report a unique case of undiagnosed subglottic stenosis discovered during emergency intubation of an 80-year-old woman with type 2 respiratory failure from infective exacerbation of asthma. A small calibre size 5.
View Article and Find Full Text PDFAsian J Endosc Surg
December 2024
Department of Urology, Shonan-Fujisawa Tokushukai Hospital, Fujisawa, Japan.
Management of a small renal mass and a renal stone in the same kidney presents several dilemmas. Simultaneous robot-assisted partial nephrectomy and pyelolithotomy via the same surgical access site is a reasonable approach in a patient with both entities. An 80-year-old woman was diagnosed with a 2.
View Article and Find Full Text PDFAn 80-year-old woman with epigastric pain and weight loss presented to our hospital with cancer of the ascending colon and cholelithiasis. Initially hospitalized for a suspected gallstone attack, she later developed gangrenous cholecystitis. She underwent a laparoscopic cholecystectomy, which revealed abscess formation and necrosis extending into the gallbladder duct.
View Article and Find Full Text PDFGan To Kagaku Ryoho
December 2024
Dept. of Surgery, Kikkoman General Hospital.
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