“The importance of being external”: review of the literature of the rare phenomenon of common carotid occlusion with bulb reverse-crossed stenosis and external collaterals activation. Is still correct speaking about carotid steal?

Author(s):  
Giuseppe Miceli ◽  
Antonino Tuttolomondo ◽  
Mariachiara Velardo ◽  
Francesco Bencivinni ◽  
Sonia Poma ◽  
...  
2013 ◽  
Vol 18 (4) ◽  
pp. 315-317
Author(s):  
Adam Wood ◽  
Katie Wassil ◽  
Elisa Edwards

Vancomycin is a glycopeptide antibiotic that is used by the enteral route for the treatment of Clostridium difficile infections and is not thought to be absorbed into the systemic circulation. We report on a 2-year-old, 12.5-kg patient with confirmed C difficile colitis and renal insufficiency that was treated with 125 mg of enteral vancomycin (10 mg/kg); the patient developed measurable systemic concentrations as high as 17.8 mg/L. However, as the patient's colitis began to improve, the serial vancomycin concentrations reflected little to no continued absorption of vancomycin. A review of the literature regarding this rare phenomenon is discussed.


2018 ◽  
Vol 90 (3) ◽  
pp. 220-223
Author(s):  
Marco Garofalo ◽  
Alessandro Colella ◽  
Paolo Sadini ◽  
Lorenzo Bianchi ◽  
Giacomo Saraceni ◽  
...  

Introduction: Self-inflicted orchidectomy and auto-castration, also known as “Eshmun complex” is a rare phenomenon. The aim of our study it to present the management of a patient who performed a self orchiectomy and propose a non-systematic review of literature about self-orchiectomy. Material and method: A 27-years old male Patient with psychiatric disorder was admitted to our ward to have been cutted his scrotum with scissors and cut away his left testicle causing active bleeding from the left spermatic artery. The patient underwent emergency surgery with clamping of the spermatic cord and hemostasis of the wound. Results: After surgery the clinical condition of the patient remained good during whole hospitalization. Urgent psychiatric evaluation was performed in order to administer proper therapy for acute management. To best of our knowledge, only 11 cases of self-orchidectomy are reported in literature and all of them except 1 case, underwent surgical exploration. Conclusions: Self-orchidectomy is an extremely rare phenomenon, often associated with psychiatric disorders, compounded by the use of drugs. In our opinion, emergency surgery should be the first choice of treatment, offering diagnostic and hemostatic purpose in a single act, aimed to prevent acute and postacute complications.


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Nasir Hussain ◽  
Moona Khan ◽  
Aparna Natarajan ◽  
Mubeenkhan Mohammedabdul ◽  
Usman Mustafa ◽  
...  

Hypercalcemia is a common medical problem with an estimated prevalence of 15% among hospitalized patients. Multiple myeloma (MM) and primary hyperparathyroidism (PHPT) are among the most common causes of hypercalcemia but coexistence of both pathologic processes in a patient is an extremely rare phenomenon. In this paper we have discussed a patient presenting with this rare phenomenon. We have also provided a comprehensive review of the scientific literature published on codiagnosis of MM and PHPT.


2020 ◽  
Vol 68 (6) ◽  
pp. 1132
Author(s):  
Md.Shahid Alam ◽  
Shruti Nishanth ◽  
Srikanth Ramasubramanian ◽  
Meenakshi Swaminathan ◽  
Bipasha Mukherjee

Vascular ◽  
2009 ◽  
Vol 17 (5) ◽  
pp. 281-283 ◽  
Author(s):  
Predrag Matic ◽  
Nenad Ilijevski ◽  
Sandra Radak ◽  
Jovo Kolar ◽  
Djordje Radak

Recanalization of an occluded extracranial internal carotid artery is a rare event. The mechanism remains unclear. We report a case of recanalized internal carotid artery in its extracranial portion. The patient underwent successful carotid endarterectomy.


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