scholarly journals COVID-19 and psychiatric illness: rectal foreign bodies (30 stylus batteries) in a young male patient affected by Asperger syndrome

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Federico Lovisetto ◽  
Andrea Guala ◽  
Giuseppe Facciotto ◽  
Sandro Zonta
Keyword(s):  
Asperger Syndrome ◽  
Male Patient ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Young Male ◽  
Rectal Foreign Bodies ◽  
Unhealthy Behaviour ◽  
Transanal Extraction

Abstract Here we present the case of a 17-year-old male patient, affected by Asperger syndrome, who reached the emergency division of our hospital after anal insertion of some stylus batteries. Transanal extraction of 30 stylus batteries avoided surgical intervention. Lockdown and boredom due to the strict domestic quarantine policies adopted during COVID-19 pandemic might have unmasked in our patient a susceptibility to unhealthy behaviour.

Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241538
Author(s):  
Sivaraman Kumarasamy ◽  
Lileswar Kaman ◽  
Azhar Ansari ◽  
Amarjyoti Hazarika
Keyword(s):  
Foreign Body ◽  
Surgical Procedures ◽  
Foreign Bodies ◽  
Fire Hazard ◽  
Psychiatric Patients ◽  
Young Male ◽  
Energy Devices ◽  
Aerosol Spray ◽  
Rectal Foreign Bodies ◽  
Fire And Explosion

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

scholarly journals Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Niresh Thapa ◽  
Subi Basnyat ◽  
Muna Maharjan
Keyword(s):  
Foreign Body ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Interesting Case ◽  
Foreign Body Ingestion ◽  
Ileocecal Junction ◽  
Post Operative Period ◽  
History Of ◽  
Significant Injury

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.

scholarly journals Rectal Foreign Bodies:A Retrospective Study

2017 ◽  
Vol 6 (1) ◽  
pp. 1367
Author(s):  
Nishith M. Paul Ekka ◽  
Shital Malua ◽  
Pankaj Bodra
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Case Reports ◽  
Demographic Data ◽  
Case Series ◽  
Rectal Foreign Bodies ◽  
Obstetric Forceps ◽  
Transanal Extraction ◽  
Manual Extraction

<p><strong>Background</strong>: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.</p><p><strong>Objective</strong>: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.</p><p><strong>Material and methods</strong>: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.</p><p><strong>Results</strong>: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.</p><p><strong>Conclusions</strong>: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.</p>

scholarly journals Foreign body (copper wire) in urinary bladder and urethra: an unusual case presentation

2021 ◽  
Vol 8 (11) ◽  
pp. 3498
Author(s):  
Nipun Bansal ◽  
Anuj Mahajan ◽  
Manjunath Shetty ◽  
Prashanth Adiga ◽  
Kishan Raj ◽  
...  
Keyword(s):  
Foreign Body ◽  
Urinary Bladder ◽  
Male Patient ◽  
Severe Pain ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Copper Wire ◽  
Young Male ◽  
Case Presentation ◽  
History Of

Foreign bodies are rarely reported in the urinary bladder and urethra; though it is a topic of curiosity amongst the urologists and surgeon. In majority of the cases, the foreign body is removed via the transurethral approach. A 19-year-old young male patient was brought to our Institution with history of insertion of a wire through urethra during act of masturbation in the middle of night. Patient was having severe pain in penis along with burning micturition. Patient was taken up in emergency for retrieval of the foreign body (wire) transurethrally (cystoscopic approach). Scope was inserted through urethra and the foreign body retrieved was found to be “copper wire”.

scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

Remission of Recurrent Cochlear Hydrops Associated With Bromocriptine Treatment for Macroprolactinoma

2019 ◽  
Vol 28 (3) ◽  
pp. 548-552
Author(s):  
Andro Košec ◽  
Ivan Kruljac ◽  
Jakov Ajduk
Keyword(s):  
Dopamine Receptors ◽  
Male Patient ◽  
Endolymphatic Hydrops ◽  
Young Male ◽  
Oral Steroid ◽  
Case Description ◽  
Diuretic Treatment ◽  
Potential Therapeutic Role ◽  
Transient Improvement ◽  
Systemic Glucocorticoids

Objective Current recommendations for cochlear hydrops treatment include systemic glucocorticoids and diuretics. Cochlear cells express dopamine receptors, although their role is unknown in the pathophysiology of cochlear hydrops. Case Description We report the case of remission of recurrent right-sided cochlear hydrops in a young male patient treated with bromocriptine due to pituitary macroprolactinoma. Transient improvement was observed after oral steroid and diuretic treatment, but cochlear hydrops recurred until the dose of bromocriptine was increased to 10 mg daily. Conclusion Bromocriptine may stimulate dopamine receptors in cochlear cells with potential therapeutic role in patients with cochlear hydrops. There are no widely accepted and effective treatments for endolymphatic hydrops, and identifying potential new and efficacious therapeutics is of high relevance.

scholarly journals Attenuation of COVID-19-induced cytokine storm in a young male patient with severe respiratory and neurological symptoms

2021 ◽  
Author(s):  
Christian Muschitz ◽  
Anita Trummert ◽  
Theresa Berent ◽  
Norbert Laimer ◽  
Lukas Knoblich ◽  
...  
Keyword(s):  
Decision Making ◽  
Male Patient ◽  
Young Male ◽  
Standard Of Care ◽  
Multiple Organ ◽  
Cytokine Storm ◽  
Invasive Ventilation ◽  
Organ Systems ◽  
The Central Nervous System

SummarySevere acute respiratory syndrome coronavirus type 2 (SARS-CoV-2), the etiological agent of coronavirus disease 2019 (COVID-19), produces protean manifestations and causes indiscriminate havoc in multiple organ systems. This rapid and vast production of proinflammatory cytokines contributes to a condition termed cytokine storm. A 35-year-old, otherwise healthy, employed, male patient was tested positive for COVID-19. He was admitted to the hospital on disease day 10 due to retarded verbal reactions and progressive delirium. On account of these conditions and the need for noninvasive/invasive ventilation, a combination treatment with baricitinib and remdesivir in conjunction with standard of care was initiated. The cytokine storm was rapidly blocked, leading to a vast pulmonary recovery with retarded recovery of the central nervous system. We conclude that the rapid blockade of the COVID-19-induced cytokine storm should be considered of avail as a principle of careful decision-making for effective recovery.

scholarly journals Extreme hypereosinophilia in a young male patient presenting with palindromic morphoea

Rheumatology ◽  
1999 ◽  
Vol 38 (11) ◽  
pp. 1158-1159 ◽  
Author(s):  
S. A. W. Fadilah ◽  
S. K. Cheong ◽  
S. Shahdan
Keyword(s):  
Male Patient ◽  
Young Male

Lumbar epidural hematoma associated with spondylolyses

2008 ◽  
Vol 8 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Chima O. Ohaegbulam ◽  
Ian F. Dunn ◽  
Pierre d'Hemecourt ◽  
Mark R. Proctor
Keyword(s):  
Epidural Hematoma ◽  
Surgical Intervention ◽  
Relevant Literature ◽  
Young Male ◽  
Active Patient ◽  
Male Patients

✓ This report describes 3 young male patients with multiple lumbar spondylolyses in combination with a symptomatic epidural hematoma. The records of all 3 patients were reviewed for clinical details. All patients were successfully treated without surgical intervention. Initial neuroimaging results for all patients revealed epidural hematomas, and follow-up imaging confirmed resolution of the hematomas. The relevant literature is briefly reviewed to examine the rarity of this combination. Spontaneous epidural hematomas may occur in the setting of spondylolysis, and this diagnosis should be considered when imaging reveals an unusual epidural lesion in a young active patient.

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