The importance of pelvic ring stabilization as a life-saving measure in pre-hospital – A case report commented by autopsy

: Facial ulcers may be the manifestation of a wide variety of disorders with infective, inflammatory, granulomatous, or malignant etiopathogenesis, leading to challenges in differential diagnosis and management. Mucormycosis is an angio-invasive, rapidly spreading, and potentially fatal fungal infection beginning from the nose and paranasal sinuses after the inhalation of fungal spores, manifesting with cutaneous necrotic eschar. The rhinomaxillary region is the commonest site involved, particularly in immunocompromised individuals. Mucormycosis incidence in people with coronavirus disease 2019 (COVID-19) is on the rise, especially in India during the second wave. Diabetes mellitus is an independent risk factor for severe COVID-19 infection, as well as for mucormycosis. We report an elderly gentleman with uncontrolled diabetes, treated for the COVID-19 infection, who presented with an ulcer over the left nasal ala. This case report highlights the importance of high-index suspicion and prompt and aggressive multidisciplinary management of mucormycosis, as a life-saving measure.

Download Full-text

Hysterectomy of a 15 Years Old Girl: A Rare Case Report

Donald School Journal of Ultrasound in Obstetrics & Gynecology ◽

10.5005/jp-journals-10009-1420 ◽

2015 ◽

Vol 9 (3) ◽

pp. 331-334

Author(s):

Tapasi Pati ◽

Sibananda Nayak ◽

Sanjukata Mohapatra ◽

Mahesh Chandra Sahu ◽

Rabindra Nath Padhy

Keyword(s):

Case Report ◽

Rare Case ◽

Vesicovaginal Fistula ◽

Obstet Gynecol ◽

Exploratory Laparotomy ◽

Unsuccessful Attempt ◽

Life Saving ◽

Rare Case Report ◽

History Of ◽

Saving Measure

ABSTRACT A 12 years old girl reported with a history of unsuccessful attempt at vaginoplasty. During admission, she was found to be in septic shock and detected to have pyoperitoneum as well as, involuntary leakage of urine. Exploratory laparotomy was carried out as the life saving measure. After 1 year, she was taken up for the repair of vesicovaginal fistula (VVF). She presented again with complaints of mass in lower abdomen after 8 months. When evaluated the mass was diagnosed as hematometra and blood was drained out, by syringing the uterus in a surgical procedure. Further she developed severe pain along with recurrence of the mass, which was progressively increasing in size. The repeat vaginoplasty was attempted but found unsuccessful, resulting in hysterectomy at 15 years. How to cite this article Pati T, Nayak S, Mohapatra S, Sahu MC, Padhy RN. Hysterectomy of a 15 Years Old Girl: A Rare Case Report. Donald School J Ultrasound Obstet Gynecol 2015;9(3):331-334.

Download Full-text

Hemicorporectomy as a life-saving strategy for severe pelvic ring crush injury: a case report

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-018-2140-z ◽

2018 ◽

Vol 28 (4) ◽

pp. 735-739 ◽

Cited By ~ 1

Author(s):

Salin Pereira Warr ◽

Paula M. Jaramillo ◽

Sebastian Tobon Franco ◽

Carlos Oliver Valderrama-Molina ◽

Alfredo Constain Franco

Keyword(s):

Case Report ◽

Pelvic Ring ◽

Crush Injury ◽

Life Saving

Download Full-text

Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

BMJ Case Reports ◽

10.1136/bcr-2021-245199 ◽

2021 ◽

Vol 14 (9) ◽

pp. e245199

Author(s):

Indunil Piyadigama ◽

Chinthaka Banagala ◽

Lakshman Kariyawasam ◽

Madura Jayawardane

Keyword(s):

Postpartum Haemorrhage ◽

Foley Catheter ◽

Labia Minora ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

Life Saving ◽

Saving Measure ◽

Vaginal Introitus ◽

Condom Catheter

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

Download Full-text

Sacral butterfly vertebrae in the setting of a sacral fracture and unstable pelvic ring injury: A case report and review of the literature

Trauma Case Reports ◽

10.1016/j.tcr.2018.11.011 ◽

2019 ◽

Vol 19 ◽

pp. 7-10

Author(s):

Yoshihiro Katsuura ◽

Dirk Kiner

Keyword(s):

Case Report ◽

Pelvic Ring ◽

Sacral Fracture ◽

Pelvic Ring Injury ◽

Review Of The Literature

Download Full-text

Concurrent End-Stage Cardiomyopathy and Aortic Disease in Patients with Marfan Syndrome: A Case Report and Literature Review

10.22541/au.162266144.45379601/v1 ◽

2021 ◽

Author(s):

Timothy Smith ◽

Jose Sleiman ◽

Nikita Zadneulitca ◽

Cedric Sheffield ◽

Viviana Navas ◽

...

Keyword(s):

Heart Failure ◽

Case Report ◽

Literature Review ◽

Marfan Syndrome ◽

Aortic Disease ◽

Connective Tissue Disorder ◽

Orthotopic Heart Transplantation ◽

Bentall Procedure ◽

Life Saving ◽

End Stage

Abstract Background: Marfan syndrome (MFS) is a connective tissue disorder that can lead to aortic disease, arrhythmias and heart failure. Many centers are reluctant to offer orthotopic heart transplantation (OHT) for patients with MFS with concurrent aortic disease due to complexity of the surgery and perceived inferior results when compared to patients without MFS. Methods: We present a case of a patient with MFS with previous Bentall procedure who underwent successful OHT, accompanied by a literature review on OHT performed for patients with MFS. Results and Conclusions: Patients with MFS who underwent OHT had no difference in mortality compared to patients without MFS. Even though OHT is technically more challenging when combined with concurrent intervention for aortic disease, it should be considered as a life-saving operation for patients with MFS.

Download Full-text

Aeromedical evacuation of a COVID-19 patient from a zonal hospital: A case report

Indian Journal of Aerospace Medicine ◽

10.25259/ijasm_51_2020 ◽

2021 ◽

Vol 65 ◽

pp. 51-54

Author(s):

S Patnaik ◽

LK Dash ◽

G Rajaram ◽

C Chattophadhayay

Keyword(s):

Armed Forces ◽

Aeromedical Evacuation ◽

Knowledge Based ◽

Global Pandemic ◽

Life Saving ◽

Tertiary Healthcare ◽

Airborne Rescue ◽

Spread Of Infection ◽

Saving Measure ◽

First Time

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has affected the whole world including many healthcare workers. In this era of ongoing global pandemic, the patient surge for aeromedical evacuation is going to increase. Case Details: A 54-year, male healthcare worker with no known co-morbidities, presented with complains of fever, myalgia, and sore throat at a zonal hospital of Indian Air Force in the northeast part of India. He was diagnosed with COVID-19 related bilateral extensive pneumonia. Despite of standard treatment, his condition deteriorated. An aeromedical evacuation of the patient was carried out to a tertiary healthcare centre at Delhi which involved 4-h of flying time. The Airborne Rescue Pod for Isolated Transportation (ARPIT) isolation pod was used to minimize the risk of contamination. Discussion: This was the first time that a COVID-19 patient was air evacuated in an isolation pod in Indian Armed Forces to the best of our knowledge. Based on our experience, we recommend that air evacuation of such a patient may be resorted to only as a life saving measure. The use of an isolation pod remains an unsettled issue; whereas, it gives absolute containment to spread of infection, it poses unique challenges in terms of handling the patient in case of an in-flight emergency. Certain modifications in the isolation pod have been recommended.

Download Full-text