scholarly journals Importance of serum calcium in spontaneous neck haematoma

2020 ◽  
Vol 13 (9) ◽  
pp. e237267
Author(s):  
Matthew Zammit ◽  
Richard Siau ◽  
Alessandro Panarese
Keyword(s):  
Case Report ◽  
Parathyroid Hormone ◽  
Literature Review ◽  
Respiratory Distress ◽  
Serum Calcium ◽  
Unusual Case ◽  
Elevated Serum ◽  
Signs And Symptoms ◽  
Operative Management ◽  
Diagnostic Value

We present an unusual case of spontaneous cervical haemorrhage secondary to extra-capsular bleeding from a parathyroid adenoma. Signs and symptoms on presentation included sore throat, dysphagia and anterior chest ecchymosis. While CT confirmed active cervical haemorrhage, elevated serum calcium and parathyroid hormone raised suspicion of possible parathyroid pathology. This case report and literature review highlight the diagnostic value of serum calcium in presentations of acute spontaneous neck haematoma. This should be considered especially in the acute phase, where imaging may not identify the source of haemorrhage. Initial observation and deferred surgery is the treatment of choice, with emergency operative management reserved for respiratory distress and worsening compressive symptoms.

scholarly journals Non‐operative management of primary omental torsion, a case report and literature review

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Mohammed S. Foula ◽  
Mohammed Sharroufna ◽  
Zahra H. Alshammasi ◽  
Omar S. Alothman ◽  
Bayan A. Almusailh ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Operative Management ◽  
Omental Torsion ◽  
Non Operative Management

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

scholarly journals Acute respiratory distress syndrome due to vivax malaria: case report and literature review

2005 ◽  
Vol 9 (5) ◽  
Author(s):  
André V. Lomar ◽  
José E. Vidal ◽  
Frederico P. Lomar ◽  
Carmen Valente Barbas ◽  
Gustavo Janot de Matos ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Case Report ◽  
Literature Review ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Malaria Case ◽  
Vivax Malaria ◽  
Distress Syndrome
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