Trousseau syndrome is a pathological condition that triggers thromboembolic symptoms including cerebral infarction due to a thrombotic tendency in cancer. We experienced a rectal cancer patient presenting a spectrum of thrombotic symptoms, and in an autopsy confirmed many intravascular thrombi such as nonbacterial thrombotic endocarditis. Although diagnosis and treatment of Trousseau's syndrome and nonbacterial thrombotic endocarditis is often difficult, it is one pathological condition which clinicians must have expert knowledge.
Isolated celiac artery dissection in the absence of aortic dissection is a rare occurrence. In the present study, we report a case of celiac artery dissection in a patient admitted with a chief complaint of sudden abdominal pain. The patient was suspected of having an aortic dissection and abdominal aortal aneurysm from contrast computed tomography (CT) images, and celiac artery dissection was found incidentally. Conservative therapy for blood pressure management was administered during hospitalization, and the patient was discharged without complications, enlargement of the dissection cavity, or organ ischemia. All existing treatments for celiac artery dissection lack evidence and are controversial. Therefore, the establishment of an appropriate treatment method based on case examination is necessary in the future.
We report a case of necrotizing fasciitis in an upper extremity that started as pyogenic flexor tenosynovitis of the hand. The patient survived without severe loss of hand function by rapid limited debridement based on the pathoanatomy of a horseshoe abscess of the hand.