Postpolypectomy coagulation syndrome - an uncommon complication of colonoscopy

2021 ◽  
Vol 79 ◽  
pp. 133-135
Author(s):  
Joseph Kus ◽  
Saem Haque ◽  
Joao Kazan-Tannus ◽  
Anugayathri Jawahar
Keyword(s):  
Uncommon Complication

scholarly journals When less is more: a daring conservative approach to postpneumonectomy oesophago-pleural fistula

2019 ◽  
Vol 30 (1) ◽  
pp. 146-148
Author(s):  
Lara Girelli ◽  
Elena Prisciandaro ◽  
Niccolò Filippi ◽  
Lorenzo Spaggiari
Keyword(s):  
Clinical Presentation ◽  
Clinical Status ◽  
High Morbidity ◽  
Conservative Approach ◽  
Chronic Fistula ◽  
Less Is More ◽  
Primary Surgery ◽  
History Of ◽  
Uncommon Complication

Abstract Oesophago-pleural fistula is an uncommon complication after pneumonectomy, usually related to high morbidity and mortality. Due to its rarity and heterogeneous clinical presentation, its diagnosis and management are challenging issues. Here, we report the case of a patient with a history of pneumonectomy for a tracheal tumour, who developed an asymptomatic oesophago-pleural fistula 7 years after primary surgery. In consideration of the patient’s good clinical status and after verifying the preservation of respiratory and digestive functions, a bold conservative approach was adopted. Five-year follow-up computed tomography did not disclose any sign of recurrence of disease and showed a stable, chronic fistula.

scholarly journals Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss

2021 ◽  
pp. 190-194
Author(s):  
Aravindh S. Ganapathy ◽  
Myron S. Powell ◽  
James L. Pirkle
Keyword(s):  
Weight Loss ◽  
Peritoneal Dialysis ◽  
Subcutaneous Tissue ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Review Of The Literature ◽  
Significant Weight Loss ◽  
Exit Site ◽  
Special Circumstances ◽  
Uncommon Complication

Extrusion of the superficial cuff of a peritoneal dialysis (PD) catheter is an uncommon complication that may be associated with infection or malfunction. However, extrusion of both the superficial and deep cuffs of a double-cuff catheter is rare and uniformly associated with failure and peritonitis. We report a case of a presternal-type PD double-cuff catheter with extrusion of both cuffs through an abdominal exit site after 6 years of use that has remained functional, which has not been previously reported. In this case, the patient had achieved a 60-kg weight loss resulting in retraction of the subcutaneous tissue around both cuffs, while the catheter was held in place by the titanium connector between the presternal extension tubing and the inner, coiled catheter. In such special circumstances, extrusion of both cuffs may not necessitate urgent catheter removal. A review of the literature revealed previous cases of superficial cuff extrusions with catheters remaining functional but not with deep cuff extrusion.

scholarly journals Eczema herpeticum: A clinical diagnosis not to be missed

2020 ◽  
pp. 201010582097867
Author(s):  
Gabriel Hong Zhe Wong ◽  
Derrick Chen Wee Aw
Keyword(s):  
Atopic Dermatitis ◽  
Drug Reaction ◽  
Clinical Diagnosis ◽  
Skin Infection ◽  
Eczema Herpeticum ◽  
Cutaneous Drug Reaction ◽  
Uncommon Complication

Eczema herpeticum is an uncommon complication of atopic dermatitis, but often has a typical recognisable appearance. This report serves to highlight this feature in a patient who was misdiagnosed initially with a bacterial skin infection and then with a severe cutaneous drug reaction.

scholarly journals Testicular infarction and rupture: an uncommon complication of epididymo-orchitis

2016 ◽  
Vol 2016 (5) ◽  
pp. rjw077 ◽  
Author(s):  
Daniel Chia ◽  
Peter Penkoff ◽  
Matthew Stanowski ◽  
Kieran Beattie ◽  
Audrey C. Wang
Keyword(s):  
Testicular Infarction ◽  
Uncommon Complication

Postendarterectomy Common Carotid Artery Pseudoaneurysm

Vascular ◽  
2006 ◽  
Vol 14 (3) ◽  
pp. 177-180 ◽  
Author(s):  
Nenad S. Ilijevski ◽  
Predrag Gajin ◽  
Vojislava Neskovic ◽  
Jovo Kolar ◽  
Djordje Radak
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Carotid Surgery ◽  
Artery Pseudoaneurysm ◽  
Adjacent Structures ◽  
Uncommon Complication

Pseudoaneurysm (PSA) formation is an uncommon complication in carotid surgery. PSA of the carotid artery requires surgical or endovascular treatment to prevent PSA thrombosis, embolization from the thrombotic material within the PSA, hemorrhage after rupture, or compression on the adjacent structures. We present a case of a symptomatic common carotid PSA that occurred 14 months after routinely performed eversion carotid endarterectomy.

scholarly journals Laparoscopic treatment of a gastro-gastric fistula after Roux-en-Y gastric bypass—report of two cases

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Joana Raquel Rodrigues Gaspar ◽  
Paula Marques ◽  
Isabel Mesquita ◽  
Mário Marcos ◽  
Jorge Santos ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Staple Line ◽  
Treatment Modalities ◽  
Gastric Fistula ◽  
Optimal Management ◽  
Laparoscopic Treatment ◽  
Post Operative Period ◽  
Initial Surgery ◽  
Staple Line Leaks ◽  
Uncommon Complication

Abstract The most frequently performed bariatric surgery is the laparoscopic Roux-en-Y gastric bypass (LRYGB). An uncommon complication of LRYGB is gastro-gastric fistula (GGF). Possible causes of GGF include incomplete transection of the stomach during the initial surgery, staple-line leaks in the post-operative period and marginal ulcers. The optimal management of GGF is still under debate, with medical, endoscopic and surgical treatment modalities available. The authors present two cases of a GGF successfully managed with a laparoscopic surgical approach, after failed medical and endoscopic treatment.

scholarly journals Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Umair Masood ◽  
Anuj Sharma ◽  
Wajihuddin Syed ◽  
Divey Manocha
Keyword(s):  
Heat Stroke ◽  
Kidney Injury ◽  
Bowel Ischemia ◽  
Ascending Colon ◽  
Rare Presentation ◽  
Early Presentation ◽  
Adequate Hydration ◽  
Unique Aspect ◽  
Bowel Movements ◽  
Uncommon Complication

A healthy 27-year-old female presented to the hospital after she collapsed an hour into her first marathon run on a hot humid day. On presentation, she was hyperthermic, encephalopathic, tachycardic, and hypotensive. On admission, she was found to have lactic acidosis, rhabdomyolysis, and acute kidney injury and was treated with cold normal saline and cooling blankets. She subsequently started having abdominal pain and bloody bowel movements. Computed tomography of the abdomen revealed ascending colon thickening. Furthermore, her lab findings showed transaminitis and elevated coagulation parameters. Due to the acute hypotensive state from the heat stroke, patient had developed bowel ischemia, ischemic hepatitis, and disseminated intravascular coagulation, all of which are uncommon complications of heat stroke. She was managed aggressively with intravenous fluid hydration with resolution of her symptoms over the course of 4 days. In addition to the uncommon complications, early presentation of this bowel ischemia despite adequate hydration in such a healthy individual is another unique aspect of the case.

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