scholarly journals Post-traumatic bronchobiliary fistula

2019 ◽  
Vol 12 (4) ◽  
pp. e228294 ◽  
Author(s):  
Niladri Banerjee ◽  
Amulya Rattan ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Early Diagnosis ◽  
Surgical Management ◽  
Gold Standard ◽  
Complete Recovery ◽  
Rare Entity ◽  
Bronchobiliary Fistula ◽  
Confirmatory Tests ◽  
Post Traumatic ◽  
Torso Trauma ◽  
Individualised Treatment

Post-traumatic bronchobiliary fistula (BBF) is a rare entity, with only a few cases reported worldwide. Bilioptysis is pathognomonic of the condition, however, bronchoscopy and bronchoalveolar lavage along with CT are used for confirmation. We describe this condition in a young woman who presented to us with bilioptysis following a laparotomy for blunt torso trauma. Diagnosis was made of BBF, followed by surgical management and complete recovery. We emphasise the signs of early diagnosis, confirmatory tests, individualised treatment and advocate surgical management as the gold standard of treatment.

scholarly journals Late Surgical Management Of A Rare Case Of Post-traumatic Orbital Encephalocele

2019 ◽  
Vol 16 (3) ◽  
pp. 76-79
Author(s):  
Yugal Jyoty Nepal ◽  
Sushil Krishna Shilpakar ◽  
Gopal Sedain ◽  
Dipendra Kumar Shrestha
Keyword(s):  
Optic Nerve ◽  
Early Diagnosis ◽  
Surgical Management ◽  
Visual Loss ◽  
Vascular Supply ◽  
Bony Defect ◽  
Irreversible Damage ◽  
Orbital Roof ◽  
Blunt Head Trauma ◽  
Post Traumatic

Orbital roof fractures after blunt head trauma are not uncommon. Hernia ion of the brain tissues into the orbit through a bony defect, so-called post-traumatic orbital encephalocele, is a rare entity. The herniated braint issue causes compression of the intraorbital contents, particularly the optic nerve, extraocular nerves and muscles and compromise the vascular supply. Raisedintraorbital pressure may lead to irreversible damage to the optic nerve. This can be prevented by early diagnosis and timely management. Repair of the orbital roof needs to be performed to avoid transmission of intracranial pressure into the orbit. Early intervention is needed in order to prevent visual loss. We present a case of posttraumatic orbital encephalocele who underwent latesurgical treatment with direct repair of dura opening, reinforcement with temporalis fascia and reconstruction of orbital roof using skull bone graft. Complete resolution of the pulsatile proptosis with excellent cosmetic result was observed at follow up. However, the visual diminution did not recover significantly due to late diagnosis and intervention. Early diagnosis and surgical management of this rare condition can prevent permanent visual loss and also achieve good cosmetic results.

Petrous Apex Cephaloceles: Radiology Features and Surgical Management of a Rare Entity

2020 ◽  
Author(s):  
Madeline Epsten ◽  
Mehmet Kocak ◽  
Andre Beer Furlan ◽  
Bledi C. Brahimaj ◽  
Richard W. Byrne ◽  
...  
Keyword(s):  
Surgical Management ◽  
Petrous Apex ◽  
Rare Entity

scholarly journals Post Traumatic Biparietal Mirror Extradural Haematoma – A Case Report and Review of Literature

2018 ◽  
Vol 32 (3) ◽  
pp. 458-461
Author(s):  
G. Venkateswara Prasanna ◽  
Sathish Kumar Vandanapu ◽  
Hima Bindu
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Emergency Evacuation ◽  
Extradural Haematoma ◽  
Rare Entity ◽  
Review Of Literature ◽  
Careful Planning ◽  
Cerebral Trauma ◽  
Post Traumatic ◽  
Extradural Haematomas

Abstract Bilateral extradural haematomas [EDH] are rare and it is an uncommon consequense of cranio cerebral trauma. The mortality is higher than unilateral extradural haematoma and management of extradural haematomas requires careful planning, judicial surgical exposure and most important is timing of evacuation of extradural haematomas. Emergency evacuation of bilateral extradural haematomas were performed in this case with uneventful postoperative period. The pathophysiology and surgical nuances of this rare entity been discussed.

Prognostic factors influencing the outcome of empyema surgical management: prospective study in a Moroccan university center.

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Sara Hafidi ◽  
Souheil Boubia ◽  
Abdellah Fatene ◽  
Najat Id El Haj ◽  
Mohammed Ridai
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Public Health Problem ◽  
Pleural Empyema ◽  
Chronic Alcoholism ◽  
University Teaching ◽  
University Center ◽  
Post Traumatic ◽  
Surgery Department ◽  
Delay Of Diagnosis

Background: Pleural empyema is a public health problem, and is the most frequent complication of pleural infection with significant morbidity and mortality worldwide. Our study aims to highlight the management of pleural empyema and evaluate its prognosis factors involved especially in surgical treatment. Patients and Methods: A prospective analysis of 53 patients who underwent surgical treatment of pleural empyema, from January 2015 to December 2019 at the thoracic surgery department in a tertiary referral university teaching hospital. Our study included patients who required surgical treatment for pleural empyema and were excluded patients with destroyed lungs associated with pyothorax. Results: The mean age of patients was 39.24±15.89 years and 79,24% of them were males. In 85.7% of the cases, the etiology was undetermined in 34%, parapneumonic in 1.9%, of tuberculosis in 54.71%, post-traumatic in 11, 3%, postoperative in 7.5% and iatrogenic in 1.9%. 45 patients were treated with broad-spectrum antibiotics therapy adapted after antibiogram 14.38±21.76 days before the operation. A complete debridement and decortications were performed by VATS in 28 and by PLT in 22 patients. No major complications occurred. At a mean term follow-up of 20 months (3months—3 years); all patients were alive with no recurrence. The analysis of the results showed 4 factors of poor prognosis: delay of diagnosis and surgery (P = 0.02), chronic alcoholism (P = 0.034), preoperative ventilation disorder/COPD (P = 0.04) and active tuberculosis (P= 0, 05). Conclusion: The success of surgical management of pleural empyema depends on several factors, which predict the prognosis, but can be prevented.

Management of recurrent post-traumatic seroma of thigh (Morel-Lavallée lesion) by percutaneous aspiration and sclerotherapy using tetracyclines (PAST)

2021 ◽  
Vol 14 (1) ◽  
pp. e238804
Author(s):  
Arunesh Gupta ◽  
Vineet Kumar ◽  
Apurva Agarwal ◽  
Aneesh Suresh
Keyword(s):  
Early Diagnosis ◽  
Conservative Management ◽  
Bacterial Contamination ◽  
Soft Tissues ◽  
Successful Outcome ◽  
Serous Fluid ◽  
Percutaneous Aspiration ◽  
Post Traumatic ◽  
Open Debridement ◽  
Definitive Management

Morel-Lavallée lesion is a chronic, recurrent collection of serous fluid in the soft tissues and usually occurs following injury. The most common sites are thigh, hip and pelvic region. This presents as a local or diffuse swelling and may cause discomfort to the patient besides being a potential site for bacterial contamination. So, early diagnosis and timely management is crucial for an early and successful outcome. The investigation modality of choice for diagnosis of these lesions is MRI. Definitive management ranges from percutaneous aspiration with or without sclerotherapy to open debridement and irrigation. Although recurrences are common with conservative management, it can be minimised with judicious use of sclerotherapy.

Tummy Ouchie

2020 ◽  
pp. 103-110
Author(s):  
Nkeiruka Orajiaka ◽  
Meghan Dishong
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Gold Standard ◽  
Care Management ◽  
Nonoperative Management ◽  
Abdominal Mass ◽  
Abdominal Ultrasound ◽  
Abdominal Emergencies ◽  
Morbidity Risk ◽  
Red Currant

Intussusception is one of the most common abdominal emergencies in children. The classic triad of symptoms involves colicky abdominal pain, an abdominal mass, and red currant jelly stools, but this is seen in only about 15% of cases of children with intussusception. Early diagnosis and management reduce morbidity, risk for complications, and surgical intervention. Abdominal ultrasound is generally accepted as the gold standard for diagnosis. Treatment typically involves an air or hydrostatic enema; however, variability and controversies still exist in treatment and post-care management for nonsurgical cases. Variability also still exists in post-reduction care of children with intussusception. Feeding and monitoring times after nonoperative management differ between institutions. Some patients are advanced to feeds as tolerated while some others are placed in fasting to rest the bowel and prevent recurrence.

scholarly journals The preliminary experience of methylene blue assisted laparoscopy in the treatment of renal parapelvic cysts

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Zhen Ma ◽  
Song Li ◽  
Fang-Min Chen ◽  
Da-Hai Yu ◽  
Xiao-Guang Zhang ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Gold Standard ◽  
Open Surgery ◽  
Renal Cyst ◽  
Complete Recovery ◽  
Practical Method ◽  
Common Disease ◽  
Laparoscopic Treatment ◽  
Collection System ◽  
Ureteral Catheterization

Abstract Renal cyst is a common disease in humans and laparoscopic renal cyst decortication is the gold standard for treatment. However, specialized surgical skills are required for the treatment of renal parapelvic cysts. In this study, we describe an improved laparoscopic method for the treatment of renal parapelvic cysts involving the use of continuous infusion of methylene blue. Sixteen patients with renal parapelvic cyst were enrolled in this study. All patients underwent retrograde ureteral catheterization, with continuous perfusion of the renal pelvis using a solution of 0.2% methylene blue and saline, during laparoscopic decortication of the parapelvic cyst. In one patient, the cyst communicated with the renal collection system which was injured, but this was immediately repaired intraoperatively. All operations were successful, and none was converted to open surgery. There were no occurrences of persistent urinary fistula, bleeding, or other complications postoperatively. All patients were followed-up for 3–24 months, and results of postoperative imaging investigations revealed that all of our patients experienced either complete recovery or a greater than 50% decrease in size of the cysts. Our study demonstrates that methylene blue-assisted laparoscopic treatment is a safe, effective and practical method for the treatment of renal parapelvic cysts.

scholarly journals Pseudomonas pelvic osteomyelitis in a healthy child

2011 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Nour Akhras ◽  
Alexander Blackwood
Keyword(s):  
Case Report ◽  
Healthy Child ◽  
Complete Recovery ◽  
Rare Entity ◽  
Healthy Adolescent ◽  
First Case

Pediatric pelvic osteomyelitis is a rare entity. The diagnosis is frequently delayed due to difficulty in confirming the diagnosis. To our knowledge, this is the first case report of Pseudomonas pelvic osteomyelitis in a previously healthy adolescent boy. The diagnosis was made radiographically and confirmed by culture. The patient was treated with Levofloxacin and Gentamicin resulting in a complete recovery.

Sign in / Sign up

Export Citation Format

Share Document