Autotransfusion using a novel ultrafiltration device (Hemosep, Advancis Surgical) for the management of acute intraoperative haemorrhage in a dog

2019 ◽  
Vol 7 (2) ◽  
pp. e000795 ◽  
Author(s):  
Maria del Mar Diaz ◽  
Johanna Kaartinen
Keyword(s):  
Veterinary Medicine ◽  
Case Report ◽  
Blood Loss ◽  
Tibial Plateau ◽  
Major Complications ◽  
First Case ◽  
Surgical Field ◽  
One Year ◽  
Acute Haemorrhage ◽  
Entire Male

A one-year-old entire male Caucasian Mountain Dog underwent tibial plateau levelling osteotomy. During surgery the tibialis cranialis artery and vein were inadvertently severed and blood loss reached 20 per cent in 30 minutes. Blood from the surgical field was collected and an autotransfusion was performed using a novel ultrafiltration device (Hemosep, Advancis Surgical) without major complications. This case report describes the use the Hemosepand discusses the different techniques available for autotransfusion. To the authors’ knowledge, this is the first case report of autotransfusion using an ultrafiltration device to control acute haemorrhage in veterinary medicine.

scholarly journals Neurointerventional and Surgical Management of a Carotid Body Tumor: Case Report

2021 ◽  
pp. 22-27
Author(s):  
Richard Young
Keyword(s):  
Case Report ◽  
Blood Loss ◽  
Carotid Body ◽  
Interventional Procedures ◽  
Reduce Blood Loss ◽  
Head And Neck Tumor ◽  
Rare Type ◽  
Angiography Suite ◽  
Carotid Body Tumors ◽  
Surgical Field

Carotid body tumors are a rare type of head and neck tumor that can be safely resected with the help of pre-operative neuro-interventional embolization. This adjunct intervention helps reduce blood loss and to maintain a near bloodless surgical field that allows for good visualization of surrounding neurovascular elements. With the improvements of neuroimaging in the angiography suite and technologies surrounding neuro-interventional procedures, the complications of this procedure have decreased dramatically compared to what was reported in the 1980s-2000s.

scholarly journals Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yuji Maenohara ◽  
Ryutaro Takeda ◽  
Song Ho Chang ◽  
Yasunori Omata ◽  
Sakae Tanaka ◽  
...  
Keyword(s):  
Case Report ◽  
Metatarsophalangeal Joint ◽  
Distal Phalanx ◽  
First Metatarsophalangeal Joint ◽  
First Case ◽  
Significant Difference ◽  
Before And After ◽  
One Year ◽  
Common Manifestation

Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-year-old female. The medial bony excrescence which was obscure preoperatively became obvious postoperatively in the anteroposterior foot radiographs. The patient was successfully treated by an excision of the excrescence. In order to clarify the pathology of the excrescence, we reviewed the radiographs with respect to the excrescence before and after hallux surgeries including 97 metatarsal osteotomies and 33 MTP joint arthrodesis. The width of the excrescence measured in the anteroposterior foot radiographs displayed substantial increment one month after the hallux surgeries (osteotomy group: 0.9 ± 0.7 vs. 1.5 ± 0.7   mm , p < 0.01 ; arthrodesis group: 1.3 ± 0.8 vs. 1.8 ± 1.0   mm , p < 0.01 ). However, there was no significant difference in the width of the excrescence between one month after surgery and at the most recent follow-up of around 20 months in average after the surgery (osteotomy group: 1.5 ± 0.7 vs. 1.4 ± 0.7   mm , p = 0.62 ; arthrodesis group: 1.8 ± 1.0 vs. 1.8 ± 0.7   mm , p = 0.37 ). The present case and our radiographic review suggested that the postoperative medial bony excrescence was not the result of change of position of the preexisting excrescence. The correction of pronation deformity through hallux surgeries could emphasize the medial bony excrescence and cause symptomatic irritation upon shoe contact.

scholarly journals Successful Resection of an Endobronchial Pleomorphic Adenoma Using Cryotherapy: A Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 17-20
Author(s):  
Stephanie Mitri ◽  
Joseph Yammine ◽  
Khalil Diab
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Pleomorphic Adenoma ◽  
Middle Lobe ◽  
Safe Method ◽  
First Case ◽  
Pleomorphic Adenomas ◽  
Right Middle Lobe ◽  
One Year

Background: Pleomorphic adenomas are very rare benign bronchial tumors. They are typically either removed surgically, or if not amenable to surgery, via therapeutic bronchoscopy. We present the first case of an endobronchial pleomorphic adenoma removed by cryotherapy. Case Report: This is the case of a 54-year-old man with a right middle lobe pleomorphic adenoma that was detected incidentally during a bronchoscopy, which was performed due to acute respiratory failure and presence of ground glass opacities on imaging. The tumor led to a chronic cough and partial right middle lobe atelectasis. It was resected successfully using endobronchial cryotherapy without any noted complications. There has been no recurrence of disease one year after the intervention. Conclusion: This is the first report in the literature of a pleomorphic adenoma successfully removed via cryotherapy without recurrence. Endobronchial cryotherapy appears to be an effective and safe method of removing endobronchial pleomorphic adenomas. 

scholarly journals Primary Small-Cell Carcinoma of the Palate with Cushing’s Syndrome: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Yingqiu Song ◽  
Zhenyu Lin ◽  
Lingjuan Chen ◽  
Gang Wu
Keyword(s):  
Case Report ◽  
Cell Carcinoma ◽  
Small Cell Carcinoma ◽  
Cushing’S Syndrome ◽  
Neck Region ◽  
Cushing's Syndrome ◽  
Small Cell ◽  
First Case ◽  
Tender Mass ◽  
One Year

We report a 24-year-old woman presenting with a relapsed soy-bean-size tender mass at the junction of the soft and hard palate and a history of palatine tumor of small cell carcinoma. Reexcision surgery was performed and histopathological features were consistent. The patient was treated with six cycles of chemotherapy consisting of etoposide and cisplatin. After one year, the patient developed bone metastases and Cushing's syndrome, and successfully recovered with subsequent chemotherapy with irinotecan and cisplatin plus radiotherapy. There was no evidence of recurrence or metastasis for more than three years. Small cell carcinoma originating in the head and neck region has been reported to be highly aggressive and has a poor prognosis. This is the first case report of a patient with relapsed primary small cell carcinoma of the palate and successfully treated with second-line chemotherapy and local radiotherapy.

scholarly journals  Erythema multiforme minor in a dog following inappropriate intranasal Bordetella bronchiseptica vaccination: a case report

2011 ◽  
Vol 56 (No. 11) ◽  
pp. 568-572 ◽  
Author(s):  
MH Kang ◽  
HM Park
Keyword(s):  
Case Report ◽  
Erythema Multiforme ◽  
Clinical Signs ◽  
Skin Lesions ◽  
Bordetella Bronchiseptica ◽  
Hydropic Degeneration ◽  
First Case ◽  
History Of ◽  
One Year

A one-year-old, intact female, Yorkshire terrier dog was presented with a six-month history of multifocal, polycyclic erythematous lesions with epidermal collarette formation at the axillae, the trunk and ventral abdomen. The dog had a history of an inappropriate vaccine administration one day prior to the onset of clinical signs. The histopathology of the lesions revealed apoptosis of keratinocytes in the overlying epidermis, hydropic degeneration and lymphocytic exocytosis. The clinical signs and histopathology of the lesions were compatible with erythema multiforme. The skin lesions resolved after treatment with prednisolone combined with azathioprine for one month. No recurrence of clinical signs occurred during the follow-up period (four months). This is the first case report of erythema multiforme associated with an accidental subcutaneous injection of a Bordetella bronchiseptica vaccine. &nbsp;

scholarly journals Post Traumatic Chronic Encapsulated Intracerebral Hematoma in a Child: Case Report and Brief Review of Literature

2017 ◽  
Vol 14 (3) ◽  
pp. 46-48
Author(s):  
Yam Bahadur Roka ◽  
Mohan Karki
Keyword(s):  
Case Report ◽  
Clinical Symptoms ◽  
Neurological Deficits ◽  
Intracerebral Hematoma ◽  
Diagnostic Modality ◽  
Ct Guided ◽  
Stereotactic Aspiration ◽  
First Case ◽  
History Of ◽  
One Year

Chronic encapsulated intracerebral hematoma (CE-ICH) is an uncommon pathology that presents with headache, seizure, focal neurological deficits, or as a tumor. Trauma as a cause for CE-ICH is even rare and we believe this is the first case report as “trauma causing chronic encapsulated intracerebral hematoma “search in PubMed did not reveal any results. Repeated micro-hemorrhages in the CM or AVM are supposed to cause this lesion which progress from an earlier encapsulated phase to a thick capsulated stage with edema and clinical symptoms. CT or MRI is the diagnostic modality and it mimics, tumor, AVM, CM, angiomableed, cerebral abscess, metastatic mass or neurocysticercosis. Burr hole, mini-craniotomy, craniotomy, CT guided stereotactic aspiration or endoscopic excision are some options with equally good results. The present case with history of trauma was managed successfully with craniotomy with no recurrence for past one year. Nepal Journal of Neuroscience, Volume 14, Number 3, 2017, page: 46-48

Nasal craniopharyngioma: case report and literature review

2011 ◽  
Vol 125 (5) ◽  
pp. 517-519 ◽  
Author(s):  
J C Magill ◽  
M S Ferguson ◽  
A Sandison ◽  
P M Clarke
Keyword(s):  
Case Report ◽  
Adjuvant Radiotherapy ◽  
English Language ◽  
Middle Turbinate ◽  
Craniofacial Resection ◽  
Complete Excision ◽  
First Case ◽  
History Of ◽  
One Year ◽  
Midfacial Degloving

AbstractObjective:We report the first case in the English language literature of an adamantinomatous infrasellar craniopharyngioma, and we describe our management strategy.Case report:A 46-year-old woman presented with a six-month history of left-sided nasal obstruction and epistaxis. Rhinological examination revealed a left-sided, polypoidal lesion lying medial to the middle turbinate. An urgent examination under anaesthesia was organised; biopsies were considered characteristic of craniopharyngioma. Magnetic resonance imaging and computed tomography demonstrated a well defined, heterogeneous, infrasellar mass centred in the midline, extending anteriorly into the left nasal cavity and posteriorly encasing both internal carotid arteries. Craniofacial resection was performed via a midfacial degloving approach, with adjuvant radiotherapy. The patient was disease-free one year post-operatively.Conclusion:Craniopharyngiomas should be considered in the differential diagnosis of a unilateral nasal polyp. Although technically benign, they are locally aggressive. Therefore, we recommend complete excision with adjuvant radiotherapy if margins are involved or close.

Comparison of complications following tibial tuberosity advancement and tibial plateau levelling osteotomy in very large and giant dogs 50 kg or more in body weight

2017 ◽  
Vol 30 (04) ◽  
pp. 299-305 ◽  
Author(s):  
Matthew Barnhart ◽  
Shawn Kennedy ◽  
Steven Naber ◽  
Eric Hans
Keyword(s):  
Antibiotic Therapy ◽  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Major Complication ◽  
Surgical Revision ◽  
Tibial Tuberosity ◽  
Cranial Cruciate Ligament ◽  
Major Complications ◽  
One Year ◽  
Cranial Cruciate Ligament Disease

SummaryObjectives: To analyse and compare major complications in dogs ≥50 kg undergoing tibial tuberosity advancement (TTA) or tibial plateau levelling osteotomy (TPLO) for treatment of cranial cruciate ligament disease.Methods: Medical records and radiographs of client-owned dogs (≥50 kg) treated for cranial cruciate ligament disease with either TTA or TPLO between January 2011 and November 2015 were reviewed. Ninety-one TTA cases and 54 TPLO cases met the study inclusion criteria. All complications within one year of surgery were recorded. Major complications were those requiring surgical revision or intervening medical therapy to resolve. Logistic regression analysis evaluated for associations with major complication occurrence. Major complications were statistically compared between TTA and TPLO treatment groups.Results: Incidence of major complications following TTA and TPLO surgery were 19.8% and 27.8%, respectively. Surgical site infection (SSI) was the single most common major complication following both TTA (15.4%) and TPLO (25.9%) surgery. There were no significant differences between TTA and TPLO treatment regarding the rate of SSI, surgical revision, or overall occurrence of major complications. Postoperative antibiotic therapy significantly reduced the risk of a major complication in all dogs ≥50 kg (p = 0.015; OR: 0.201: 95%CI: 0.055–0.737).Clinical significance: Major complications occurred frequently following TTA and TPLO treatment of cranial cruciate ligament disease in dogs ≥50 kg. The increased chance for SSI should be considered and postoperative antibiotic therapy is recommended.

scholarly journals Ocular manifestation in progeria: A case report

2020 ◽  
Vol 12 (1) ◽  
pp. 133-138
Author(s):  
Rinkal Suwal ◽  
Pranita Dhakal ◽  
Purushottam Joshi
Keyword(s):  
Case Report ◽  
Bright Light ◽  
Ocular Manifestations ◽  
First Case ◽  
Musculoskeletal Abnormalities ◽  
One Year ◽  
Progeria Syndrome ◽  
Hutchinson Gilford Progeria Syndrome ◽  
Delayed Growth

Introduction: Progeria also known as Hutchinson Gilford Progeria Syndrome (HGPS) (MIM176670) is a very uncommon fatal genetic untimely aging syndrome. It is characterized by retarded physical development, accelerated degeneration of the skin, cardiovascular and musculoskeletal abnormalities. Other features include prominent eyes, thin nose, small chin and thin lips. Eyebrow hair loss, madarosis and lagopththalmos are the common ocular manifestations. Case: We report a case of five year old boy with complaints of discomfort in bright light and a whitish appearance in his right eye for two months. He was accompanied by the parents. They complained of loss of eyelashes and eyebrows. In the developmental history he was normal at birth till the age of one year then they noticed gradual hair fall, delayed growth, wrinkling of skin, increase in size of head and thinning of limbs. Conclusion: This is the first case report from Nepal with the ocular presentation of progeria indicating the role of ocular senescence in patients with Hutchinson Progeria Gilford Syndrome.

scholarly journals Chemoradiotherapy for Inoperable Carotid Body Leiomyosarcoma: A Case Report and Review of Literature

2021 ◽  
Vol 10 ◽  
Author(s):  
Cheng-Sheng Liu ◽  
Jia-Ruey Tsai ◽  
Yi-Tzu Kao ◽  
Long-Sheng Lu ◽  
Yin-Ju Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Body ◽  
Concurrent Chemoradiotherapy ◽  
Neck Mass ◽  
Definitive Treatment ◽  
Tumor Control ◽  
Rare Tumor ◽  
First Case ◽  
One Year ◽  
Vascular Leiomyosarcoma

Vascular leiomyosarcoma is an extremely rare tumor and is associated with poor prognosis among leiomyosarcoma. Surgical resection remains the main treatment option. But outcome of definitive treatment with chemoradiotherapy in inoperable patients is not clear. Here, we report treatment and outcome of definitive chemoradiotherapy in a case of vascular leiomyosarcoma. A 64-year-old man with the initial presentation of pulsatile right neck mass was diagnosed with right carotid body leiomyosarcoma. He refused surgical intervention due to risk of carotid body injury and ischemic stroke. Successful tumor control was achieved with carboplatin-based concurrent chemoradiotherapy. Investigational liquid biopsy for circulating sarcoma cells was also performed to analyze drug sensitivity profile of this rare tumor. One year after treatment, the disease remained well controlled and there was no evidence of baroreflex failure or treatment-related late toxicities. To our best knowledge, this is the first case report of right carotid body leiomyosarcoma controlled with definitive concurrent chemoradiotherapy. The approach of personalized multi-modality treatment will be a focus of our future investigation.

Sign in / Sign up

Export Citation Format

Share Document