Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

Introduction. The paranasal sinuses mucoceles are benign expansive cystic lesions that occur rarely in the sphenoid sinus and contain mucous material enclosed by cylindrical pseudostratified epithelium. Objective. To report one case of sphenoid sinus mucocele that occurred with headache and was submitted to surgical treatment through endonasal endoscopy approach. Case Report. 59-year-old male patient with history of increasing frontoorbital, bilateral, fluctuating headache and exophthalmos. There was no other associated clinical abnormality. Computed Tomography (CT) and Magnetic Resonance Image (MRI) scans confirmed an expansive mass of sphenoid sinus, suggesting mucocele. The patient was submitted to endonasal endoscopic surgery with posterior ethmoidotomy, large sphenoidotomy, and marsupialization of the lesion. Conclusion. Mucoceles of the sphenoid sinus are a very rare condition with variable clinical and radiological presentation. Surgical treatment is absolutely indicated and early treatment avoids visual damage that can be permanent. Endonasal endoscopic approach with drainage and marsupialization of sphenoid sinus, using a transnasal corridor, is a safe and effective treatment modality.

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Impaired Extension of the Digits due to Bilateral Idiopathic Intrinsic Contracture: A Case Report

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835519720160 ◽

2019 ◽

Vol 24 (03) ◽

pp. 383-385

Author(s):

Yuki Kawasaki ◽

Soichi Ejiri ◽

Michiyuki Hakozaki ◽

Shinichi Konno

Keyword(s):

Eating Disorder ◽

Case Report ◽

Surgical Treatment ◽

Conservative Treatment ◽

Medical History ◽

Rare Condition ◽

Tendon Sheath ◽

Past Medical History ◽

Thenar Muscle ◽

History Of

Idiopathic intrinsic contracture (IIC) with no history of trauma, ischemia, or spasticity is extremely rare. We report herein a case of impaired extension of the digits due to bilateral IICs occurred in a 30-year-old woman with a past medical history of eating disorder and amenorrhea. Although no previous case has been reported in the literature, eight similar cases of IIC have been presented at Japanese domestic conferences. In these eight cases and the present case, resection of the thenar muscle cords and unilateral resection of the lateral band were effective. Since IIC in patients with an eating disorder is a rare condition, it would be treated conservatively at first as tendon sheath inflammation or locking. However, this condition may be resistant to conservative treatment, and surgical treatment should be considered in such cases.

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Bilateral Congenital Humeroradial Synostostis Presenting with Bilateral Proximal Radius Fractures: A Case Report

Case Reports in Orthopedic Research ◽

10.1159/000512183 ◽

2021 ◽

pp. 29-32

Author(s):

Elsiddig E. Mahmoud

Keyword(s):

Case Report ◽

Elbow Joint ◽

Parental Education ◽

Functional Disability ◽

Congenital Abnormalities ◽

Rare Condition ◽

Radius Fractures ◽

Proximal Radius ◽

History Of ◽

Uncommon Condition

Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

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Secondary venous aneurysm following intravenous drug abuse: A case report

Vojnosanitetski pregled ◽

10.2298/vsp140617026m ◽

2016 ◽

Vol 73 (5) ◽

pp. 500-503 ◽

Cited By ~ 1

Author(s):

Miroslav Markovic ◽

Marko Dragas ◽

Igor Koncar ◽

Igor Banzic ◽

Sinisa Pejkic ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Drug Application ◽

Rare Condition ◽

Intravenous Drug ◽

Venous Aneurysm ◽

General Surgeon ◽

Venous Flow

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.

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External fixator for the treatment of narrowed pelvic canal in a cat

Veterinární Medicína ◽

10.17221/173/2020-vetmed ◽

2021 ◽

Author(s):

S Pinna ◽

C Tassani ◽

M Rossini ◽

F Lanzi

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Clinical Examination ◽

External Fixator ◽

Invasive Procedure ◽

Sacral Fracture ◽

Minimally Invasive Procedure ◽

Canal Stenosis ◽

Applied Tension ◽

History Of

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors’ knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.

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Alkaptonuria with extensive ochronotic degeneration of the Achilles tendon and its surgical treatment: a case report and literature review

Asian Biomedicine ◽

10.2478/abm-2021-0016 ◽

2021 ◽

Vol 15 (3) ◽

pp. 129-136

Author(s):

Nesrin Mwafi ◽

Ali Alasmar ◽

Monther Al-Momani ◽

Sattam Alazaydeh ◽

Omar Alajoulin ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Achilles Tendon ◽

Tendon Repair ◽

Functional Results ◽

Sudden Onset ◽

Flexor Hallucis Longus ◽

History Of ◽

Complete Disruption ◽

Collagenous Tissues

Abstract Background Alkaptonuria is a rare genetic metabolic disorder due to deficiency of homogentisate 1,2-dioxygenase (HGD), an enzyme catalyzing the conversion of homogentisate to 4-maleylacetoacetate in the pathway for the catabolism of phenylalanine and tyrosine. HGD deficiency results in accumulation of homogentisic acid and its pigmented polymer. Ochronosis is a bluish-black discoloration due to the deposition of the polymer in collagenous tissues. Extensive ochronotic involvement of the Achilles tendon in alkaptonuria and its surgical treatment is rarely reported. Case report A 43-year-old man presented to our clinic in March 2019 with sudden onset of left Achilles tendon pain with no history of prior trauma. Surgical exploration revealed a complete disruption of the tendon at its attachment to the calcaneus. Black pigmentation was extensive and reached the calcaneal tuberosity, extending about 7 cm from the insertion. Discussion Achilles reconstruction was performed using flexor hallucis longus tendon transfer. The patient experienced uncomplicated healing with satisfactory functional results. Conclusion Orthopedic surgeons should be aware of the progressive nature of alkaptonuria. Extensive degenerative changes of the ruptured tendon should be suspected so that physicians can plan tendon repair and facilitate prompt surgical intervention.

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Bone Remineralization around Dental Implants following Conservative Treatment after Peri-Implantitis

Case Reports in Dentistry ◽

10.1155/2019/7210837 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Algirdas Puisys ◽

Viktorija Auzbikaviciute ◽

Renata Simkunaite-Rizgeliene ◽

Dainius Razukevicius ◽

Rokas Linkevicius ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Conservative Treatment ◽

Dental Implants ◽

Dental Implant ◽

Posterior Part ◽

Treatment Method ◽

Color Changes ◽

Implant Placement ◽

History Of

The aim of this case report is to show that bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and only conservative treatment is performed. Patient came to the clinic after three years of dental implant placement complaining about swelling, sensitivity and gingiva color changes at the posterior part of the maxilla. During radiographic and intraoral examinations peri-implantitis of the #24 implant site was diagnosed. The surgical treatment method was rejected and performed conservative treatment instead. The outcome is promising; periapical radiographs three months later showed bone remineralization as well as stable bone after 10 years. A key clinical message: Bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and conservative treatment performed.

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Treatment of Fraley’s syndrome by upper-pole nephrectomy

Sao Paulo Medical Journal ◽

10.1590/s1516-31802007000600010 ◽

2007 ◽

Vol 125 (6) ◽

pp. 354-355

Author(s):

Thaís Bandeira Cerqueira ◽

Natalia Bacellar Costa Lima ◽

Romeu Magno Baptista Neto ◽

José Cohim Moreira Filho ◽

Luiz Eduardo Café

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Emergency Care ◽

Lumbar Pain ◽

Vascular Compression ◽

The Past ◽

Renal Arteriography ◽

History Of ◽

The Right

CONTEXT: Fraley’s syndrome is characterized by vascular compression on the superior infundibulum with secondary dilatation of the upper pole calyx, mostly located on the right side. CASE REPORT: We present the case of a 22-year-old woman with vascular compression of the upper-pole infundibulocalyceal system (Fraley’s syndrome). The patient had a history of frequent hospitalizations for emergency care due to lumbar pain over the past twelve months. The diagnosis was obtained following renal arteriography. Since the surgical treatment by means of upper-pole nephrectomy, the patient has not had any further symptoms.

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Rupture of sinus of Valsalva aneurysm: case report and review of contemporary literature

Perfusion ◽

10.1177/0267659120966915 ◽

2020 ◽

pp. 026765912096691

Author(s):

Jean-Luc Duval ◽

Richard AE Ramsingh ◽

Natasha C Rahaman ◽

Risshi D Rampersad ◽

Gianni D Angelini ◽

...

Keyword(s):

Case Report ◽

Cardiac Failure ◽

Congenital Heart ◽

Contemporary Literature ◽

Rare Condition ◽

Aneurysm Rupture ◽

Sinus Of Valsalva ◽

Sinus Of Valsalva Aneurysm ◽

History Of ◽

High Index Of Suspicion

Sinus of Valsalva aneurysm rupture is a rare condition with a great potential for morbidity and mortality if not promptly diagnosed and managed. We present an unusual non-infected sinus of Valsalva aneurysm rupture in a 47-year-old female. This case report, a likely presentation of a late congenital heart defect, highlights the need for a high index of suspicion in a patient with atypical history of congestive cardiac failure.

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Thyrotoxic periodic paralysis in new-onset hyperthyroidism – a case report and review of the literature

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v12i4.9207 ◽

2014 ◽

Vol 12 (4) ◽

pp. 531

Author(s):

Joaquim Custódio da Silva Junior ◽

Helton Estrela Ramos

Keyword(s):

Case Report ◽

Previous History ◽

Rare Condition ◽

Periodic Paralysis ◽

Emergency Physicians ◽

Review Of The Literature ◽

Font Size ◽

Thyrotoxic Periodic Paralysis ◽

History Of ◽

New Onset

Thyrotoxic periodic paralysis (TPP) is a rare condition related to hyperthyroidism, with specific clinical and physiopathological features. In this article, we discuss a case report of a patient that develops TPP with no previous history of thyroid illness, highlighting semiological characteristics that can help Emergency physicians to suspect of this condition. Subsequently, we review the recent articles about TPP, with focus in the molecular basis of ion channelopathies and predisposing factors, and discuss the therapeutic approach at acute phase of TPP and prevention of crisis recurrence.

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Tolosa-Hunt: Case Report

10.5327/1516-3180.390 ◽

2021 ◽

Author(s):

Lília Tereza Diniz Nunes ◽

Flávia S. Silva ◽

Karyme G. Aota ◽

Maria Beatriz Miranda S. B. de Assis ◽

João Fellipe B. Bento ◽

...

Keyword(s):

Case Report ◽

Cavernous Sinus ◽

Clinical Care ◽

Cranial Nerves ◽

Rare Condition ◽

Unknown Etiology ◽

Specific Diagnosis ◽

Hunt Syndrome ◽

Diagnosis By Exclusion ◽

History Of

Context: Tolosa-Hunt Syndrome (STH) is a rare condition with unknown etiology, it affects both genders equally. It is manifested by inflammation of the cavernous sinus and involvement of some cranial nerves pairs. Case report: MSR, 39 years, male, diver in the mining zone, history of recurrent otitis with acute pain and gradual hearing loss that progressed. He was admitted to the General Hospital of Palmas with symptoms of retrorbital headache. After physical exams it was found an ophthalmoplegia with right amaurosis and ipsilateral pain. The neurological examination showed a right eye with loss of photomotor reflex and presence of consensual reflex and eyelid ptosis. After 38 days in hospital, a probable septic thrombosis of the cavernous sinus was found, antibiotic and corticosteroids therapy was initiated. The patient also reports significant improvement in headache and partially in vision, he is currently hospitalized with clinical care and antibiotic therapy, awaiting results of the image examination report. Conclusions: Painful ophthalmoplegia in most cases is not diagnosed as STH. The differential diagnosis for this pathology is most often through brain magnetic ressonance and the ICHD-3 beta diagnostic criteria, STH should be suspected, but it is still necessary to close the diagnosis by exclusion, due to the lack of a specific diagnosis.

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