Case 1.16

2014 ◽  
pp. 31-32
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Diabetes Mellitus ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Diffusion Weighted Image ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
Vehicle Accident ◽  
History Of ◽  
The Right ◽  
Ovarian Syndrome

22-year-old woman with a history of diabetes mellitus, hyperlipidemia, and polycystic ovarian syndrome; she was involved in a motor vehicle accident, and abdominal CT demonstrated multiple hepatic masses Axial fat-suppressed FSE T2-weighted image (Figure 1.16.1) demonstrates at least 2 hyperintense masses in the periphery of the right hepatic lobe. Diffusion-weighted image (b=600 s/mm...

scholarly journals Early Identification of Traumatic Durotomy Associated with Atlantooccipital Dislocation May Prevent Retropharyngeal Pseudomeningocele Development

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Robert S. Qiu ◽  
Mina G. Safain ◽  
Max Shutran ◽  
Alejandra M. Hernandez ◽  
Steven W. Hwang ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Csf Leak ◽  
Rare Presentation ◽  
Vehicle Accident ◽  
C2 Nerve Root ◽  
Csf Diversion ◽  
The Right ◽  
Atlantooccipital Dislocation ◽  
Mri Image

Atlantooccipital dislocation can be complicated by a traumatic durotomy that may lead to the rare development of a retropharyngeal pseudomeningocele. To our knowledge this has been reported only five times previously. We present the case of a 60-year-old man involved in a motor vehicle accident who suffered an atlantooccipital dislocation and C5-C6 three-column injury. A unique MRI image of a defect in the ventral dura posterior to C2 was appreciated. He underwent occiput to T2 internal fixation and arthrodesis. During surgery, CSF egress was seen caudal to the right C2 nerve root. A DuraMatrix onlay patch reinforced with DuraSeal was placed to stop the CSF leak. A lumbar subarachnoid drain was also placed. The patient made a satisfactory recovery with residual mild weakness of his right upper extremity. In this report, we demonstrate that careful MRI review can reveal a ventral durotomy in a traumatic atlantooccipital dislocation and, if discovered, effective treatment including a lumbar subarachnoid drain for CSF diversion may prevent progression to a retropharyngeal pseudomeningocele. The literature on this rare presentation and associated durotomy is provided.

Case 1.27

2014 ◽  
pp. 54-55
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Signal Intensity ◽  
Pulmonary Emboli ◽  
Axial Diffusion ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
P 75 ◽  
History Of ◽  
The Right

75-year-old woman with a history of deep venous thrombosis and pulmonary emboli Coronal SSFSE (Figure 1.27.1) and axial fat-suppressed FSE T2-weighted (Figure 1.27.2) images reveal a large exophytic mass projecting inferiorly from the right hepatic lobe, with a few scattered foci of mildly increased signal intensity. Axial diffusion-weighted image (b=400 s/mm...

Case 1.24

2014 ◽  
pp. 47-49
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Signal Intensity ◽  
Alcoholic Cirrhosis ◽  
Diffusion Weighted Image ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
Diffusion Weighted ◽  
History Of ◽  
And Diffusion

57-year-old man with a history of alcoholic cirrhosis Axial fat-suppressed FSE T2-weighted (Figure 1.24.1) and diffusion-weighted (b=100 s/mm2) (Figure 1.24.2) images demonstrate a peripheral right hepatic lobe mass that has mildly increased signal intensity relative to adjacent liver. Notice the higher signal intensity and greater contrast on the diffusion-weighted image (b=100 s/mm...

Case 1.9

2014 ◽  
pp. 17-18
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Signal Intensity ◽  
High Signal Intensity ◽  
Focal Lesion ◽  
High Signal ◽  
Diffusion Weighted Image ◽  
Kidney Donor ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
Adc Map ◽  
The Right

63-year-old female potential kidney donor with an indeterminate liver mass Axial fat-suppressed FSE T2-weighted (Figure 1.9.1) and SSFP (Figure 1.9.2) images demonstrate a focal lesion with high signal intensity in the right hepatic lobe. Diffusion-weighted image (b=600 s/mm2) and corresponding ADC map (...

scholarly journals A Rare Case of Spontaneous Bilateral Subcapsular Renal Hematoma

2020 ◽  
Vol 8 ◽  
pp. 232470962091809
Author(s):  
Tushar Bajaj ◽  
Ngon Trang ◽  
Faisal Nasrawi ◽  
Sabitha Eppanapally
Keyword(s):  
Diabetic Ketoacidosis ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Disease Stage ◽  
Close Monitoring ◽  
Invasive Approach ◽  
Subcapsular Hematoma ◽  
Vehicle Accident ◽  
History Of

Spontaneous bilateral renal subcapsular hematoma is a rare condition. On literature review, only 2 case reports have elucidated possible etiologies for such a presentation; however, no definite conclusions have been made. We present a rare case of a 52-year-old female with diabetes mellitus type 2, chronic kidney disease stage 4, hypertension, hyperlipidemia, prior traumatic brain injury via motor vehicle accident, who presented to our hospital with diabetic ketoacidosis and clinical signs of pyelonephritis; subsequently, imaging demonstrated spontaneous bilateral renal subcapsular hematoma. Risk factors for the rare presentation in this patient included pyelonephritis, history of bilateral ureteral stent placement, and a remote history of a mild unilateral renal laceration secondary to a motor vehicle accident. Typically, patients with this condition achieve spontaneous resolution with conservative management. Our patient initially presented with diabetic ketoacidosis and pyelonephritis but gradually developed retroperitoneal bleeding and hemorrhagic shock. Our patient’s critical condition required close monitoring in an intensive care unit and a more invasive approach including unilateral left renal artery embolization followed by a unilateral left nephrectomy. The patient ultimately recovered and continued to be followed outpatient without any serious long-term complications.

scholarly journals Traumatic gastric rupture following blunt abdominal trauma: a case report about an atypical modality of presentation

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Dario Giambelluca ◽  
Dario Picone ◽  
Natalino Carmelo Pennisi ◽  
Bruno Luciani ◽  
Giuseppe Lo Re ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Presentation ◽  
Operative Morbidity ◽  
Mortality And Morbidity ◽  
Vehicle Accident ◽  
Gastric Rupture ◽  
History Of

Gastric rupture following blunt abdominal trauma is a rare presentation with a reported incidence of 0.02-1.7% in current literature. Traumatic gastric rupture is usually associated with other visceral injuries, such as splenic lesions and fractures. Prompt diagnosis and early intervention reduce mortality and morbidity. History of a recent meal has been implicated in traumatic gastric rupture. 2 We report a case of blunt abdominal trauma with an isolated gastric rupture after a motor vehicle accident, managed successfully without any post-operative morbidity and mortality.

scholarly journals RESTORASI PASAK FIBER DAN PORCELAIN FUSED TO METAL PADA FRAKTUR GIGI INSISIF RAHANG ATAS PASCA PERAWATAN ENDODONTIK

2019 ◽  
Vol 1 (1) ◽  
pp. 71-77
Author(s):  
Deli Mona ◽  
Endang Sukartini
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Resin Composite ◽  
Endodontic Treatment ◽  
Fiber Post ◽  
Vehicle Accident ◽  
Resin Core ◽  
Long Time ◽  
History Of ◽  
Glass Fiber Post

Teeth with is treated with endodontic treatment has own problems, tends to be weaker because of dentin removal and reduced moisture content, so, requires post and crown restoration treatment. The principle of making restoration should be to restore function, esthetic, and to distribute chewing load, so, both teeth and its crown can be used in a long time in oral cavity. This case report described about 23-year-old female patient with a history of truma motor vehicle accident. Tooth 11,12,21 was fractured 2/3 crown with pulp exposed. The diagnosis which estabilished for this case is irreversible pulpitis and the treatment planning are one visit root canal treatment, post and fiber insertion and porcelain fused to metal restoration. On the first visit, acces preparation with crown down technique was done and rootcanals filled with gutta percha and sealer AH 26 with lateral condensation technique. Fiber post was insertion in next visit and cementation with dual-cured resin. Core was made in resin composite and porcelain fused to metal was inserted after control of patient condition in 1 week. One of those methods that used in this case is prefabricated glass fiber post, because of its biocompatibility, more aesthetic, has a modulus of elasticity which is resemble with dentine. Pressure that its transmitted by post to dentin is low, so, this is minimize a root fractured. The result of this treatment and the restoration was good, there were no patient complaints, and normal gingival seemed around the teeth. Restoration post endodontic treatment can be done with several techniques, one is post and porcelain fused to metal to produce a good restoration.

Probability Analysis of Motor Vehicle Accidents

2002 ◽  
Author(s):  
Scott Kimbrough
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Probability Analysis ◽  
Maximum Information ◽  
Vehicle Accidents ◽  
Vehicle Accident ◽  
Stop Sign ◽  
Oncoming Vehicle ◽  
Probability Methods ◽  
The Right

Probability analysis is the key to extracting the maximum information from the evidence surrounding a motor vehicle accident. Moreover, it gives essential perspective to the answers drawn from the evidence, by conveying the uncertainty about the answers. In this paper, probability methods are used to analyze a typical intersection type collision between two vehicles. It is a situation in which one of the vehicles pulls out from a stop sign into the path of the other vehicle, which had the right of way. The vehicle that pulls out into the path of the oncoming vehicle precipitates the accident, but the driver of the oncoming vehicle may have contributed to the accident by traveling at excessive speed and or by being inattentive.

scholarly journals Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature

2015 ◽  
Vol 100 (3) ◽  
pp. 444-449 ◽  
Author(s):  
Vasileios Kalles ◽  
Maria Dasiou ◽  
Georgia Doga ◽  
Ioannis Papapanagiotou ◽  
Evangelos A Konstantinou ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Thoracic Wall ◽  
Hernia Sac ◽  
Vehicle Accident ◽  
Intercostal Hernia ◽  
Area 6 ◽  
The Right ◽  
Transdiaphragmatic Intercostal Hernia

Intercostal hernias are rare, and usually occur following injuries of the thoracic wall. The scope of this report is to present a case of a 53-year-old obese patient that developed a transdiaphragmatic intercostal hernia. The patient presented with a palpable, sizeable, reducible mass in the right lateral thoracic wall, with evident bowel sounds in the area, 6 months after a motor-vehicle accident. On computed tomography (CT), the hernia sac contained part of the liver and part of the ascending colon. A surgical repair of the defect was performed, using a prosthetic patch. The patient's postoperative course was uneventful and she remains recurrence free at 12 months after surgery. Intercostal hernias should be suspected following high-impact injuries of the thoracic wall, and CT scans will facilitate the diagnosis of intercostal hernia. We consider the surgical repair of the defect, with placement of a prosthetic mesh, as the treatment of choice to ensure a favorable outcome.

Embolization of the Stent to the Right Heart After a Motor Vehicle Accident

2010 ◽  
Vol 27 (5) ◽  
pp. 587-589 ◽  
Author(s):  
Ming C. Hsiung ◽  
Yi Cheng Chang ◽  
Jeng Wei ◽  
Gong-You Lan ◽  
Kuo Chen Lee ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Right Heart ◽  
Vehicle Accident ◽  
The Right
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