Case report

1977 ◽  
Vol 91 (11) ◽  
pp. 989-992 ◽  
Author(s):  
Peter L. Cook ◽  
Brendan R. May

AbstractAbstract A CASE is presented in which a post-cricoid web was shown arising posteriorly instead of in the almost invariable anterior situation. The patient was not anaemic and some brief comments are made on the inconstant relationship between anaemia and the presence of a web.Kelly (1919) related dysphagia to anaemia and described how ‘the gullet seemed closed by a web passing backwards from the cricoid’. Subsequent authors emphasize this and Waldenstrom and Kjellberg (1939) state that radiologically and at oesophagosopy there is ‘a thin semilunar membrane on the anterior wall stretching towards the lateral walls of the gullet’ Shamma'a and Benedict (1958) and Seaman (1967) state that webs arise anteriorly but may be circumferential.This report presents a patient with longstanding dysphagia and anaemia in whom a posterior pharyngeal web was shown.

Author(s):  
Ankitha Peetha ◽  
Nahida Farheen Shaik ◽  
Spandana Ayela

Myocardial infarction can be complicated by Ventricular septal rupture which is a rare fatal grim mechanical complication of MI which is a surgical emergency due to its incredibly high mortality rate. We depict a case of Anterior wall MI which was complicated by Ventricular septal rupture post fibrinolytic therapy.


2007 ◽  
Vol 44 (4) ◽  
pp. 418-420
Author(s):  
William N. Williams ◽  
Glenn T. Turner ◽  
Kelley Lewis ◽  
Maria Inês Pegoraro-Krook ◽  
Jeniffer C. R. Dutka-Souza

Objective: The obturating pharyngeal flap used in correcting velopharyngeal insufficiency has been implicated in creating difficulty in nasal breathing for some patients and/or in causing hyponasal speech, obstructive sleep apnea, and snoring. This is a case report of an individually designed removable prosthesis that positions an acrylic tube through each port lateral to the pharyngeal flap, with the goal of preventing the collapse of the ports during sleep and the consequent snoring. Design: The acrylic tubes maintain an opening through both lateral ports preventing the soft tissues of the lateral walls from vibrating against the pharyngeal flap (causing the snoring sound) and allowing nasal breathing. Results: The acrylic tubes effectively eliminated the patient's problem of snoring. Conclusions: This case study demonstrates that snoring associated with a pharyngeal flap can be controlled prosthetically by maintaining an opening through the two lateral ports, preventing the soft tissues of the walls of the lateral ports from vibrating against the flap.


2014 ◽  
Vol 17 (4) ◽  
pp. 234 ◽  
Author(s):  
Ling Yunfei ◽  
Li Dongxu ◽  
Luo Shuhua ◽  
Wang Yabo ◽  
Deep San ◽  
...  

We describe the case of a 19-year-old Chinese woman who nine months prior underwent repair of an atrial septal defect and came to our hospital with a right atrial mass attached to the anterior wall of the right atrium on transthoracic echocardiography. Pathologic examination revealed the mass was a mixed-type thrombosis with some unusual organization, which previously was not described in literature.


2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Vera Seidel ◽  
Thorsten Braun ◽  
Radoslav Chekerov ◽  
Andreas Nonnenmacher ◽  
Jan-Peter Siedentopf ◽  
...  

Abstract Introduction Postpartum or peripartum hemorrhage (PPH) is a major cause of maternal death in Western industrialized countries. Fertility preserving second stage interventions following uterotonic drugs include embolization or ligation of relevant arteries, uterine tamponade or compression sutures. Little is known about the complications due to uterine compression sutures. We describe a case report in association with uterine compression sutures and provide a systematic review on necrosis due to compression sutures (CSU). Data sources A PubMed database search was done up to October 1, 2016 without any restrictions of publication date or journal, using the following key words: “compression suture” and “postpartum hemorrhage” or “peripartum hemorrhage”. Reported cases were considered eligible when reason for postpartum hemorrhage (PPH), type of compression suture, suture material and type of complication were described. Results Among 199 publications a total of 11 reported on uterus necrosis after CSU applied for PPH. B-Lynch and modifications were applied in seven cases, Cho compression sutures in three cases and in one case B-Lynch and Cho techniques were combined. In six cases no additional measures were applied, in two cases vessel ligation, in one case embolization and in one case intrauterine balloon application were applied. In one case of partial necrosis it is not reported if additional measures were applied. Discussion and conclusion Uterine compression sutures are a useful method for fertility preserving management of postpartum hemorrhage. The risk of serious complications demands the careful consideration of its use. More research is necessary to improve the technique.


2019 ◽  
Vol 27 (8) ◽  
pp. 695-697
Author(s):  
Georgi Yankov ◽  
Yordanka Yamakova ◽  
Borislav Vladimirov ◽  
Viktoria Ilieva ◽  
Svilen Alexov ◽  
...  

Revision surgery following colon interposition is a challenging problem. We describe a case of successful surgery for neo-esophago-sternocutaneous fistula as a late complication following coloesophagoplasty for intractable benign stricture. The cutaneous part of the fistula was excised and the distal part of the sternum was resected. On the anterior wall of the colon graft, there was a large defect that communicated with the posterior wall of the osteomyelitis-transformed sternum with sinus track formation. After excising the edges of the neoesophagus defect, Roux-en-Y neo-esophagojejunostomy and gastrostomy were carried out.


2018 ◽  
Vol 70 ◽  
pp. S125
Author(s):  
Binayendu Prakash ◽  
Sanghamitra Mishra ◽  
G.S.R. Murty ◽  
C.V. Rao ◽  
P.V.V.N.M. Kumar

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