Finding the way into the darkness. A unique endourologic realignment to treat a complete disruption of the posterior urethra to a 7 years old boy. A case report

Abstract Background Alkaptonuria is a rare genetic metabolic disorder due to deficiency of homogentisate 1,2-dioxygenase (HGD), an enzyme catalyzing the conversion of homogentisate to 4-maleylacetoacetate in the pathway for the catabolism of phenylalanine and tyrosine. HGD deficiency results in accumulation of homogentisic acid and its pigmented polymer. Ochronosis is a bluish-black discoloration due to the deposition of the polymer in collagenous tissues. Extensive ochronotic involvement of the Achilles tendon in alkaptonuria and its surgical treatment is rarely reported. Case report A 43-year-old man presented to our clinic in March 2019 with sudden onset of left Achilles tendon pain with no history of prior trauma. Surgical exploration revealed a complete disruption of the tendon at its attachment to the calcaneus. Black pigmentation was extensive and reached the calcaneal tuberosity, extending about 7 cm from the insertion. Discussion Achilles reconstruction was performed using flexor hallucis longus tendon transfer. The patient experienced uncomplicated healing with satisfactory functional results. Conclusion Orthopedic surgeons should be aware of the progressive nature of alkaptonuria. Extensive degenerative changes of the ruptured tendon should be suspected so that physicians can plan tendon repair and facilitate prompt surgical intervention.

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Acinous cell carcinoma of the larynx

The Journal of Laryngology & Otology ◽

10.1017/s0022215100109570 ◽

1989 ◽

Vol 103 (6) ◽

pp. 638-641 ◽

Cited By ~ 6

Author(s):

S. Kallis ◽

D. J. Stevens

Keyword(s):

Case Report ◽

Cell Carcinoma ◽

Short Report ◽

Review Of The Literature ◽

Carcinoma Of The Larynx ◽

Acinous Cell ◽

The Way

AbstractAcinous cell tumours of the larynx and trachea are extremely rare. A recent review of the literature has only found four reported cases. This short report describes such a patient and discusses her management in the light of previous articles. In view of its rarity in the laryngotracheal area and the uncertainty in the way in which the tumour should be managed, we thought the following case report and review of the literature would be of interest.

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Psychosocial Consequences of Upper Limb Injury

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(95)80046-8 ◽

1995 ◽

Vol 20 (6) ◽

pp. 776-781 ◽

Cited By ~ 5

Author(s):

M. C. PATERSON ◽

F. D. BURKE

Keyword(s):

Case Report ◽

Upper Limb ◽

Psychological Aspects ◽

Psychological State ◽

Or Management ◽

Limb Injury ◽

Psychosocial Consequences ◽

Technical Terms ◽

The Way

Upper limb surgeons have little in the way of training in the identification or management of the psychological aspects of limb injury. Surgeons in training tend to see their speciality in technical terms, only slowly appreciating that the psychological state of the patient profoundly affects outcome in many cases. The case report that follows charts the psychological progress of a patient following severe upper limb injury. Surgeons usually view rehabilitation in physical terms. This report emphasizes the psychological aspects of a major limb injury to a policeman (MP) who subsequently studied psychology at PhD level.

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DIFFICULT INTUBATION AT BAY! C-MAC FAILS TO PAY!! CRITICAL POSITIONING PAVES THE WAY!!!, DIFFICULT INTUBATION IN A CASE OF OBSTRUCTIVE HYDROCEPHALUS POSTED FOR V.P. SHUNT

10.36106/ijar/9314607 ◽

2021 ◽

pp. 64-65

Author(s):

Ankita Yadav ◽

Gurjinder Singh ◽

Parasmani Parasmani

Keyword(s):

Case Report ◽

Difficult Intubation ◽

Direct Laryngoscopy ◽

Head Circumference ◽

Congenital Abnormalities ◽

Obstructive Hydrocephalus ◽

Vp Shunt ◽

Shunt Placement ◽

Induction Of Anaesthesia ◽

The Way

Children with gross hydrocephalus present various challenges to the anaesthesiologists. The problems encountered are not only limited to associated congenital abnormalities and physiological derangements due to raised intra cranial tension, even intubation in such cases can pose great difculty owing to the increased head circumference that makes the alignment of oro-pharyngo- [1,3] laryngeal axis under direct laryngoscopy almost impossible . Difcult airway cart, C- MAC, paediatric breoptic bronchioscope and all possible difcult airway armamentarium must be checked to be in place before induction of anaesthesia in such cases to potentially avoid any [2] airway disaster . Here is a case report of a child with gross hydrocephalus posted for emergency VP shunt placement that turned out to be an extremely challenging airway.

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Masculine urethral diverticulum after radical prostatectomy: Case report and literature review

Urologia Journal ◽

10.1177/039156039205901s81 ◽

1992 ◽

Vol 59 (1_suppl) ◽

pp. 249-251

Author(s):

P. Iannicelli ◽

A. Rosa ◽

G. Aimè ◽

G. Pagani

Keyword(s):

Case Report ◽

Radical Prostatectomy ◽

Literature Review ◽

Urethral Diverticulum ◽

Posterior Urethra

The authors report a case of post radical prostatectomy diverticulum of the posterior urethra. They suggest some clinical and pathological hypotesis of the causes of these rare conditions. A revision of the literature is also reported.

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Management of Pneumomediastinum Associated with H1N1 Pneumonia: A Case Report

The Journal of Critical Care Medicine ◽

10.2478/jccm-2019-0001 ◽

2019 ◽

Vol 5 (1) ◽

pp. 28-33 ◽

Cited By ~ 4

Author(s):

Bhavna P Singh ◽

Gurucharan S Shetty ◽

Padmakumar Arayamparambil Vijayan ◽

Ullas Gopalakrishna ◽

Garud Chandan ◽

...

Keyword(s):

Case Report ◽

Similar Condition ◽

Current Paper ◽

Tropical Countries ◽

Spontaneous Pneumomediastinum ◽

Uncommon Condition ◽

The Subject ◽

H1n1 Pneumonia ◽

The Way

Abstract H1N1 is seen in tropical countries like India, occurring irrespective of the season. Complications of the disease are frequently encountered and there is little in the way or guidelines as to the how these should be managed. The treatment of one such complication, a recurrent pneumiomediastinum is the subject of the current paper. The management followed guidance for the treatment of a similar condition known as primary spontaneous pneumomediastinum, an uncommon condition resulting from alveolar rupture-otherwise known as the Macklin phenomenon.

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