BACKGROUND The burden of disease caused by Streptococcus agalactiae has increased significantly among older adults in the last decades. Group B streptococcus infection can be associated with invasive disease and severe clinical syndromes, such as meningitis and endocarditis. CASE PRESENTATION We present the case of a 56-year-old man who developed multiple mycotic aneurysms of the right hepati...

background: according to the angiographic findings, 3%-8% of atherosclerotic coronary artery patients suffer from coronary artery ectasia (cae). we conducted this study to estimate the prevalence of cae among patients who underwent angiography and compared this group with those patients without cae and atherosclerosis in terms of common coronary heart disease (chd) risk factors. methods : this ...

RATIONALE Endoscopic retrograde cholangiopancreatography (ERCP) is the treatment of choice for biliary complications in liver transplantation (LT) recipients as it is both diagnostic and therapeutic. The specific risks following ERCP among LT recipients have not been well studied. PATIENT CONCERNS A 56-year-old man with a history of orthotopic LT underwent endoscopic retrograde cholangiopancr...

Congenital absence of left circumflex artery is a rare congenital anomaly of the coronary arteries. The prevalence of the anomaly in different studies ranges from 0.6% to 1.3%. Of these, 80% are benign and asymptomatic and 20% are clinically important. We report a 56-year-old man presented with acute resting chest pain who was diagnosed as having acute anterolateral infarction accompanied by el...

Background: Pseudoaneurysm of the cystic artery is a rare complication following cholecystitis and its presentation as upper gastrointestinal hemorrhage (UGIH) is even more rare. Thirteen such cases have been reported with only 2 of them presented with UGIH alone. Case presentation: We report a case of cystic artery pseudoaneurysm in a 43-year-old woman following an acute attack of cholecystiti...

Purpose of this paper was to introduce two rare cases of uncommon celiac trunk (CT) variations, respectively: hepatosplenomesenteric trunk (HSMT) with left gastric artery (LGA) deriving directly from the aorta and CT composed of LGA and splenic artery (SA) with the common hepatic artery (CHA) originating from the superior mesenteric artery (SMA). Coexistence of polisplenia and IVC anomalies wer...

this report presents a case of vertebral artery dissection (vad), which was misdiagnosed as cerebrovascular accident (cva) in initial examinations.in this case, a 33-year old woman, who was involved in a car accident, was referred to khoy legal medicine centre by traffic court two months after the accident.the patient was examined by the author, who was on an assignment at the centre.at this ti...