A Word of Caution for Gossypiboma

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0041-1731779 ◽

2021 ◽

Author(s):

Bihter Sayan ◽

Esra Yamansavci Sirzai ◽

Bedrettin Yildizeli

Keyword(s):

Safety Issue ◽

Surgical Sponge ◽

Previous Operation ◽

Clinical Presentations

AbstractGossypiboma, a retained nonabsorbable surgical sponge, is a major safety issue despite being infrequent, causing serious malpractice debates. In addition to this, it may mimic a range different disease within the thorax and even have unpleasant clinical presentations even after years.In this article, we report four gossypiboma cases with nonspecific clinical presentations to emphasize the importance of keeping this diagnosis in mind with all patients who have had a previous operation.

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Gossypiboma: An uncommon but avoidable dreadful complication

Urologia Journal ◽

10.1177/03915603211010636 ◽

2021 ◽

pp. 039156032110106

Author(s):

Amit Sharma ◽

Deepak Biswal ◽

Satyadeo Sharma ◽

Siddhant Roy

Keyword(s):

Abdominal Cavity ◽

Legal Issues ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Clinical Presentations ◽

Avoidable Complication

Gossypiboma or retained surgical sponge in abdominal cavity is an avoidable complication which has wide variety of clinical presentations and associated medico-legal issues as well. The incidence is under-reported. Pre-operative diagnosis is difficult and management is surgical. We present a case of gossypiboma in a male with multiple vesico-cutaneous and colo-vesical fistulae.

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Impairment Tutorial: Functionally Limiting Upper Extremity Pain: Controversies in Impairment Rating

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2003.sepoct02 ◽

2003 ◽

Vol 8 (5) ◽

pp. 4-12

Author(s):

Lorne Direnfeld ◽

James Talmage ◽

Christopher Brigham

Keyword(s):

Upper Extremity ◽

Radicular Pain ◽

Illness Behavior ◽

Orthopedic Surgeon ◽

First Case ◽

Clinical Presentations ◽

Whole Person ◽

Physical Examinations ◽

Upper Extremity Impairment ◽

The Individual

Abstract This article was prompted by the submission of two challenging cases that exemplify the decision processes involved in using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). In both cases, the physical examinations were normal with no evidence of illness behavior, but, based on their histories and clinical presentations, the patients reported credible symptoms attributable to specific significant injuries. The dilemma for evaluators was whether to adhere to the AMA Guides, as written, or to attempt to rate impairment in these rare cases. In the first case, the evaluating neurologist used alternative approaches to define impairment based on the presence of thoracic outlet syndrome and upper extremity pain, as if there were a nerve injury. An orthopedic surgeon who evaluated the case did not base impairment on pain and used the upper extremity chapters in the AMA Guides. The impairment ratings determined using either the nervous system or upper extremity chapters of the AMA Guides resulted in almost the same rating (9% vs 8% upper extremity impairment), and either value converted to 5% whole person permanent impairment. In the second case, the neurologist evaluated the individual for neuropathic pain (9% WPI), and the orthopedic surgeon rated the patient as Diagnosis-related estimates Cervical Category II for nonverifiable radicular pain (5% to 8% WPI).

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Clinical presentations and hemodynamic patterns in subclavian steal S. Cencetti, S. Bacalli, A. Montigiani, A. Caneschi, L. Colzi, A.M. Buccheri, A. Lagi. Stroke Unit, General Medicine Department, S.Maria Nuova Hospital. Firenze, Italy

European Journal of Ultrasound ◽

10.1016/s0929-8266(97)90054-9 ◽

1997 ◽

Vol 5 ◽

pp. 22

Keyword(s):

Stroke Unit ◽

General Medicine ◽

Medicine Department ◽

Subclavian Steal ◽

Clinical Presentations

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Military Sexual Trauma Among Men: Assessment, Clinical Presentations and Treatment Issues

PsycEXTRA Dataset ◽

10.1037/e517322011-177 ◽

2007 ◽

Author(s):

Victoria Reynolds ◽

Margret E. Bell ◽

Christina Boggs ◽

Jennifer Alvarez

Keyword(s):

Sexual Trauma ◽

Military Sexual Trauma ◽

Clinical Presentations

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Haemobilia: rare cause of gastrointestinal bleding. Clinical presentations, etiology, management. Our experiences -10 case reports

Zeitschrift für Gastroenterologie ◽

10.1055/s-0032-1312442 ◽

2012 ◽

Vol 50 (05) ◽

Author(s):

Z Visnyei ◽

E Schafer ◽

K Kardos ◽

L Szentpétery ◽

A Iványi ◽

...

Keyword(s):

Case Reports ◽

Clinical Presentations

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The diagnosis and management of ocular myasthenia gravis

East European Journal of Parkinson`s Disease and Movement Disorders ◽

10.33444/2414-0007.5.1-2.3-8 ◽

2019 ◽

Vol 5 (1-2) ◽

pp. 3-8

Author(s):

Gordon Plant

Keyword(s):

Myasthenia Gravis ◽

Severe Form ◽

Differential Diagnostics ◽

Diagnosis And Management ◽

Ocular Myasthenia ◽

Clinical Presentations ◽

Ocular Myasthenia Gravis

Ocular myasthenia is not the most severe form of myasthenia but it might cause certain difficulties to diagnose. In this article, we shall discuss the clinical presentations of ocular myasthenia, its differential diagnostics, examinations and management. Keywords: ocular myasthenia gravis, diagnosis, examination, management.

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