La vulnérabilité d’un territoire, un héritage complexe à révéler : démonstration à travers l’étude géohistorique du risque d’inondation en Val d’Orléans (France) by Sylvain Dournel

“…This is an issue because the levees have often proven their unefficiency during the main floods, yet unusual and irregular. However, lull periods have made people wrongly think that they could overpower the risk. …”
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Suprapubic Catheter Migration: A Review of a Rare Complication by Amr Elmoheen, Mahmoud Saqr, Waleed Salem, Khalid Bashir, Ayman Hagras

“…Suprapubic catheter migration to the vesicoureteral junction is an unusual complication, causing an obstruction that led to hydronephrosis and dilation of the pelvicalyceal system. …”
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Successful Low-Dose tPA for Mechanical Mitral Valve Thrombosis in a Patient with Postinfarction Contained Left Ventricular Free Wall Rupture by James Livesay, Emmanuel Isang, Hassan Tahir, Raj Baljepally

“…Current treatment options for prosthetic valve thrombosis included surgery, thrombolytic therapy, and anticoagulation. We present a very unusual case of a patient with a recent ST-elevation myocardial infarction complicated by contained left ventricle free wall rupture and mechanical mitral valve thrombosis. …”
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A Novel Cause of Bowel Obstruction in a Patient with Long-Standing Crohn’s Disease by Satya V. Vedula, T. Paul Nickerson, Douglas J. Grider

“…Surgical excision revealed an unusual, 5 cm mass originating in the subserosa. Histopathology of the lesion was notable for a proliferation of cells with spindle and stellate-shaped nuclei and no appreciable mitotic figures, which extended into the muscularis and submucosa. …”
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Lymphatic Malformation, Retinoblastoma, or Facial Cleft: Atypical Presentations of PHACE Syndrome by María Fernández-Ibieta, Juan Carlos López-Gutiérrez

“…And, in the third case, the child presented with an unusual midline frontal bone cleft, corresponding to Tessier 14 cleft. …”
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Perforation of the Urinary Bladder Caused by Transurethral Insertion of a Pencil for the Purpose of Masturbation in a 29-Year-Old Female by Athanasios Bantis, Petros Sountoulides, Christos Kalaitzis, Stelios Giannakopoulos, Eleni Agelonidou, Soultana Foutzitzi, Stavros Touloupidis

“…The urethra is a usual site of introduction of foreign bodies for autoerotic stimulation. We present an unusual case of bladder perforation caused by foreign body that was self-inserted in the urethra and consequently slipped inside the bladder in a 29-year-old female patient with psychiatric disease. …”
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La collégiale Saint-Étienne de Neuvy-Saint-Sépulchre (Indre) by Simon Bryant

“…Many theories have been advanced concerning the history and the dating of this unusual monument. A recent building survey, carried out during restoration work, has managed to clarify the main phases of its evolution. …”
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Live Interpreting during the Covid-19 Pandemic: The Medium, the Mode and the Model by Muhammad Gamal

“…The paper examines the experience of a Sydney interpreter during the Covid-19 pandemic which witnessed a severe lockdown (June 2021) with members of the Australian army patrolling certain suburbs. In response to the unusual situation, the state government of New South Wales, Australia’s largest state decided to hold a daily press conference. …”
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Bilateral Ureteral Stenosis with Hydronephrosis as First Manifestation of Granulomatosis with Polyangiitis (Wegener’s Granulomatosis): A Case Report and Review of the Literature by Joelle Suillot, Jürg Bollmann, Samuel Rotman, Eric Descombes

“…This case emphasizes the importance of including ANCA-related vasculitis in the differential diagnosis of unusual cases of unilateral or bilateral ureteral stenosis.…”
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Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation by Hussein Daoud, Ashraf Abugroun, Shruti Erramilli, Surender Kumar

“…Acute coronary syndrome (ACS) secondary to a coronary embolism is an unusual occurrence, yet an important consideration given the difficult diagnosis. …”
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Widening the histopathological tool kit in clear cell odontogenic carcinoma for precision diagnostics by Ramya Ramadoss, Abigail Viola E, Chitra Shivalingam

“…It is critical to recognize this unusual tumor and distinguish it from other clear cell neoplasms in order to develop an effective treatment approach. …”
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False Gastric Diverticulum Arising from the Pylorus Associated with Gastric Outlet Obstruction by Umesh Jayarajah, Oshan Basnayake, Pradeep Wijerathne, Jayan Jayasinghe, Nilesh Fernandopulle, Ishan De Zoysa

“…A gastrojejunostomy and jejunojejunostomy were performed to bypass the obstruction which successfully relieved the symptoms. This is an unusual site for gastric diverticula, and when associated with gastric outlet obstruction, further distention of the diverticulum may cause more obstruction with worsening symptoms.…”
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Paraneoplastic Autoimmunity Associated with Testicular Myeloid Sarcoma and Chronic Myelomonocytic Leukemia by Jeffrey W. Craig, Richard J. Lin

“…The clinical presentations of these malignant neoplasms are highly variable, ranging from asymptomatic to localized mass effect. Here, we report an unusual case of myeloid sarcoma of the testis found in association with chronic myelomonocytic leukemia where the presenting symptoms were autoimmune pericarditis and migratory arthralgias and myalgias that preceded testicular enlargement by nearly three months. …”
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A Giant Cavernous Hemangioma of the Left Atrioventricular Groove by Chengming Fan, Changming Tan, Demiao Kong, Jinfu Yang, Shuwen Yuan, Sijie Wu

“…The patient originally tended to observation because this unusual cardiac tumoral mass was discovered incidentally during routine health examination of transthoracic echocardiography. …”
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Pseudomonas Aeruginosa and Cystic Fibrosis: Antibiotic Therapy and the Science behind the Magic by Noni E MacDonald

“…The predominant microbes involved in CF lung disease are unusual: Pseudomonas aeruginosa, Staphylococcus aureus and Burkolderia cepacia. …”
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Takotsubo Cardiomyopathy Coexisting with Acute Pericarditis and Myocardial Bridge by Seyed Hashem Sezavar, Neda Toofaninejad, Shokoufeh Hajsadeghi, Hassan Riahi Beni, Reza Ghanavati, Marjan Hajahmadi, Morteza Hassanzadeh

“…Hereby we present an unusual case of TCM that presents with signs and symptoms of acute pericarditis and was also found to have a coexisting coronary muscle bridge on coronary angiography. …”
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Pemphigus Vulgaris Presented with Cheilitis by Zaheer Abbas, Zahra Safaie Naraghi, Elham Behrangi

“…In 50 to 70% of cases, the initial manifestations of pemphigus vulgaris are oral lesions which may be followed by skin lesions. But it is unusual for the disease to present with initial and solitary persistent lower lip lesions without progression to any other location. …”
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Crossed Renal Ectopia without Fusion: An Uncommon Cause of Abdominal Mass by Ana Ratola, Maria Miguel Almiro, Rita Lacerda Vidal, Nuno Neves, Adelaide Bicho, Sofia Figueiredo

“…Most cases are asymptomatic and remain undiagnosed. We report an unusual case of nonfused crossed renal ectopia. The 11-year-old adolescent female patient was admitted with abdominal pain, anorexia, weight loss, and periumbilical mass. …”
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Synchronous primary aneurysmal bone cysts: A rare case report and literature review by Noori Al Kadhim, DO, Akinyemi A Akintayo, MD, Alexander Ree, MD, Pedram Rezai, MD

“…The occurrence of multiple concurrent primary ABCs is exceedingly rare; with only a few cases reported in the published literature. Here, we present an unusual case of this condition, along with a review of the typical presentation, imaging and pathological findings, and available treatment options.…”
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Case report: A rare case of chondrosarcoma-like malignant giant cell tumor in adolescent rib: diagnostic challenges and treatment by Zhuolin Qin, Longqian Li, Tao Jing, Cheng Wang

“…This case report describes a 19-year-old female presenting with a GCT of the rib with chondrosarcomatous differentiation, highlighting the challenges posed by its unusual location and pathological complexity. Multidisciplinary diagnostic approaches, including advanced imaging, immunohistochemistry (IHC), and pathology, were essential for confirming the diagnosis. …”
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