scholarly journals Tension Pneumothorax, Pneumoperitoneum, and Cervical Emphysema following a Diagnostic Colonoscopy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Pourmand ◽  
Hamid Shokoohi
Keyword(s):  
Rare Case ◽  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Tube Thoracostomy ◽  
Diagnostic Colonoscopy ◽  
Rare Case Report ◽  
Initial Injury ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Anatomical Connection

Colonoscopy is currently a widespread procedure used in screening for colorectal cancer. Iatrogenic colonic perforation during colonoscopy is a serious and potentially life-threatening complication that can cause significant morbidity and mortality. “Triple pneumo” (a combination of pneumothorax, pneumomediastinum, and pneumoperitoneum) following colonoscopy is a rare but a serious condition requiring immediate diagnosis and emergent intervention. In majority of these cases a colonic perforation is the initial injury that is followed by pneumothorax and pneumomediastinum through the potential anatomical connection with retroperitoneal and mediastinal spaces. In this rare case report we are presenting a case of “triple pneumo” with no evidence of colonic perforation. This patient developed a simultaneous pneumoperitoneum, pneumomediastinum, and a tension pneumothorax requiring immediate tube thoracostomy. This case may raise the awareness on the likelihood of these serious complications after colonoscopy.

scholarly journals A RARE CASE REPORT ON MYXOEDEMA COMA

2021 ◽  
pp. 1-3
Author(s):  
SHANTHI B ◽  
MARY CHANDRIKA A
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Rare Case ◽  
Previous History ◽  
Altered Mental Status ◽  
Electrolyte Imbalance ◽  
Rare Case Report ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication

Myxoedema coma is a sporadic life-threatening complication of severe hypothyroidism with high mortality. Altered mental status and hypothermia are the main symptoms of myxoedema coma. Apart from that, hypoxia, bradycardia, hypotension, anemia, and hyponatremia would be present. Few patients present comatose with severe myxoedema. Presenting coma may mislead the diagnosis of this condition. A female patient presented with fever, breathlessness, and disorientation was admitted. First diagnosed to have electrolyte imbalance and treatment was started accordingly. The patient did not show much of an improvement, and it took a day to identify the presence of severe hypothyroidism. Treating hypothyroidism resulted in an advance in the patient condition. Patients’ previous history of hypothyroidism was not informed during admission. It is always tough to diagnose myxoedema coma when the patients’ previous history of hypothyroidism is unknown. Hence, it is still essential to have hypothyroidism in mind while treating patients with comatose. This case has been reported to alert physicians in diagnosing myxoedema coma patients and to proceed with the treatment at the earliest.

scholarly journals A Case Report of Delayed Hemothorax Complicated by Fibrothorax

2021 ◽  
Vol 4 (3) ◽  
pp. 184-190
Author(s):  
Tanvi Chokshi ◽  
Alexandra Theodosopoulos ◽  
Ethan Wilson ◽  
Michael Ysit ◽  
Sameir Alhadi ◽  
...  
Keyword(s):  
Thoracic Trauma ◽  
Tube Thoracostomy ◽  
Rib Fractures ◽  
Thoracic Injury ◽  
Open Thoracotomy ◽  
Older Patient ◽  
Ct Guided ◽  
Life Threatening ◽  
Retained Hemothorax ◽  
Life Threatening Complication

Delayed hemothorax is a potentially life-threatening complication of thoracic trauma that should be carefully considered in all patients presenting with thoracic injury. We report a case of delayed hemothorax in a 77-year-old male presenting eleven days’ status post multiple right mid- to high-rib fractures. His case was complicated by retained hemothorax after CT-guided chest-tube with subsequent video-assisted tube thoracostomy (VATS) revealing fibrothorax necessitating conversion to open thoracotomy. Known risk factors for development of delayed hemothorax include older patient age, three or more rib fractures, and presence of mid- to high-rib fractures, and should be used in risk stratification of thoracic trauma. Tube thoracostomy is often sufficient in management of delayed hemothorax. In rare cases, hemothoraces can be complicated by retained hemothorax or fibrothorax, which require more invasive therapy and carry greater morbidity and mortality.

Tension Pneumothorax Secondary to Colonic Perforation During Diagnostic Colonoscopy: Report of a Case

Surgery Today ◽  
2006 ◽  
Vol 36 (5) ◽  
pp. 478-480 ◽  
Author(s):  
Chad G. Ball ◽  
Andrew W. Kirkpatrick ◽  
Shawn Mackenzie ◽  
Sean M. Bagshaw ◽  
Adam D. Peets ◽  
...  
Keyword(s):  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Diagnostic Colonoscopy

scholarly journals Delayed presentation of diaphragmatic hernia in a young and fit patient requiring emergency management

1970 ◽  
Vol 6 (3) ◽  
pp. 50-51
Author(s):  
SM Tuladhar ◽  
VK Sharma
Keyword(s):  
Peptic Ulcer ◽  
Early Diagnosis ◽  
Emergency Management ◽  
Diaphragmatic Hernia ◽  
Tension Pneumothorax ◽  
Peptic Ulcer Perforation ◽  
Delayed Presentation ◽  
Medical Sciences ◽  
Life Threatening ◽  
Life Threatening Complication

Diaphragmatic hernia, when they do present in adults, can manifest as a life threatening complication. Symptoms might initially be minimal in young and fit patients. They can also easily mimic complications like peptic ulcer perforation or tension pneumothorax and early pathophysiological correlation is required to reach an early diagnosis and treatment. DOI: 10.3126/jcmsn.v6i3.4077Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 3 pp.50-51

scholarly journals A Rare Case Report of Life-Threatening Severe Protein-Losing Gastroenteropathy

2021 ◽  
pp. 1-3
Author(s):  
Maheep Sangha ◽  
◽  
Colleen Kelly ◽  
Keyword(s):  
Intensive Care Unit ◽  
Rare Case ◽  
Interstitial Pressure ◽  
Protein Loss ◽  
Protein Losing Enteropathy ◽  
Rare Case Report ◽  
Life Threatening ◽  
Inflammatory Bowel ◽  
Protein Rich ◽  
Rare Instance

Protein-losing gastroenteropathy is a rare syndrome of protein loss from the gastrointestinal system. It manifests with hypoproteinemic edema, which may be due to either lymphatic leakage due to increased interstitial pressure or leakage of protein-rich fluids due to intestinal disorders. Our case describes a 65-year-old female with life-threatening protein-losing enteropathy (PLE) requiring multiple transfers to intensive care unit for vasopressor support. In this rare instance, her extensive initial workup did not reveal any etiology for PLE, but she was later found to have underlying Crohn’s colitis. Protein-losing enteropathy is an underdiagnosed complication of inflammatory bowel disease and must be considered while treating patients with colitis.

scholarly journals Rare presentation of the great imitator: a rare case report

2017 ◽  
Vol 3 (3) ◽  
pp. 453
Author(s):  
Ravindranath Brahmadeo Chavan ◽  
Vasudha Abhijit Belgaumkar ◽  
Aarti Sudam Salunke ◽  
Sharada Shivaji Chirame
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Rare Case ◽  
Signs And Symptoms ◽  
Rare Presentation ◽  
The Past ◽  
Modern Health Care ◽  
Rare Case Report ◽  
Life Threatening ◽  
Primary Care Clinicians

<span>Syphilis is often thought to be a disease of the past, largely eradicated in modern health care; however, the rates are still extremely high in certain populations. The diagnosis of syphilis may be overlooked by primary-care clinicians due to the presence of nonspecific signs and symptoms that may be indistinguishable from other diseases. Left undiagnosed and untreated, life-threatening complications, including hepatitis, stroke, and nervous system damage, may occur particularly in immuno-compromised individuals. We present a case of lues maligna an extremely rare presentation of syphilis.</span>

scholarly journals A Rare Case of Sino-Orbital Invasive Aspergillosis in a Kidney Transplant Recipient

2020 ◽  
pp. 1-4
Author(s):  
Adela D. Mattiazzi ◽  
Adela D. Mattiazzi ◽  
Camilo A. Cortesi ◽  
Efrat Saraf Lavi ◽  
Giselle Guerra ◽  
...  
Keyword(s):  
Transplant Recipient ◽  
Kidney Transplant ◽  
Rare Case ◽  
Kidney Transplant Recipient ◽  
Organ Transplant ◽  
Orbital Exenteration ◽  
Transplant Recipients ◽  
Significant Morbidity ◽  
Life Threatening ◽  
Life Threatening Complication

Invasive sino-orbital aspergillosis is an uncommon but potentially life-threating complication of kidney transplantation. Here we report a case of a patient with invasive aspergillus fumigatus sinusitis extending into the orbit in a kidney transplant recipient who was successfully treated with voriconazole and surgical debridement without requiring orbital exenteration. This case illustrates a rare but life-threatening complication of immunosuppression that highlights the importance of suspecting and promptly recognizing fungal infection of the sinuses in vulnerable organ transplant recipients in order to avoid significant morbidity and mortality.

Life Threatening Involvement of Bilateral Total Maxilla by a Large Radicular Cyst: A Rare Case Report

2019 ◽  
Vol 10 (9) ◽  
pp. 1617
Author(s):  
Harsh Mohan Pathak ◽  
Sobhan Mishra ◽  
Neeta Mohanty ◽  
Sanchari Sinha Roy ◽  
Satchidananda Meher
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Radicular Cyst ◽  
Rare Case Report ◽  
Life Threatening
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