scholarly journals Nonunion Humerous Fracture Infection Caused byRhizobium radiobacterin a 24-Year-Old Healthy Patient: A Rare Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Aikaterini Stamou ◽  
Charalampos Pavlopoulos ◽  
Stefanos Roumeliotis ◽  
Efthymios Samoladas ◽  
Ippokratis Xatzokos ◽  
...  
Keyword(s):  
Immune System ◽  
Humeral Fracture ◽  
Substantial Improvement ◽  
Rhizobium Radiobacter ◽  
First Case ◽  
Successful Infection ◽  
Rare Case Report ◽  
One Year ◽  
The Right ◽  
Car Accident

AlthoughRhizobium radiobacteris a pathogen commonly found in soil and plants, human disease caused by theRhizobiumgenus is rare and cited in immunocompromised patients and in those who carry foreign plastic bodies such as catheters. We present a case of a 24-year-old woman with an adequate immune system who underwent surgery for an open fracture of the right tibia and humerus due to a car accident. One year later, she was readmitted to the hospital, due to a nonunion of the humeral fracture for surgical debridement and revision of the internal fixation with iliac crest autograft.Rhizobium radiobacterwas isolated from the nonunion site, and the patient was treated with intramuscular administration of amikacin for 3 weeks followed by doxycycline per os for 8 weeks. After 3 months, the patient showed complete remission of the infection, substantial improvement, and union on the X-ray images. This is the first case ofRhizobium radiobacterinfection in a patient with an adequate immune system that did not carry any foreign body and probably was initially infected due to open wound exposure to soil. Treatment ofR. radiobacterinfections should be individualised according to the antimicrobial susceptibility test for a successful infection management.

scholarly journals Recurrent petit traumatic hernia plasty: case report

2019 ◽  
Vol 6 (2) ◽  
pp. 593
Author(s):  
Gamaliel Vázquez Estudillo ◽  
Edwin Y. Ochoa Viveros ◽  
Amado Q. Nicasio Delgado ◽  
David Trejo Cervantes ◽  
Gerardo Rodarte Cajica ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Surgical Procedure ◽  
Humeral Fracture ◽  
Lumbar Hernia ◽  
Abdominal Wall Defects ◽  
Large Hospital ◽  
Mesh Placement ◽  
First Case ◽  
One Year ◽  
Lower Lumbar

Lumbar hernias are very infrequent posterior abdominal wall defects. They are usually located in the upper lumbar triangle and represent approximately 1.5-2% of all hernias of the abdominal wall. In fact, there are few cases described in the literature and most of the large hospital centers have published only 2 or 3 cases. This is a 34 year-old female, who suffered a car accident, in which bilateral femoral fracture and left humeral fracture, after recovery of said fractures has asymmetry of flanks with the appearance of volume increase in the left abdominal flank, computed tomography was performed evidencing left lower lumbar hernia (Petit's Hernia) so, it was protocolized for open lumbar hernia repair with placement of mesh by anterior approach, later one year later, it presented recurrent left lumbar hernia, therefore, a protocol and surgical procedure of open lumbar plasty was performed again with mesh placement by lumbotomy approach in 2016. After a year of the surgical procedure, a pelvic abdominal control CT scan was requested, where a proper prosthesis placement was observed without protruding tissues. This was the first case of recurrent post-traumatic Pettit hernia in this institution. There are few cases reported in the universal literature, the treatment was surgical when performing the diagnosis, either laparoscopically or openly with decision and according to the experience of the surgeon.

scholarly journals Primary adrenocortical sarcomatoid carcinoma: Report of a case

2012 ◽  
Vol 6 (5) ◽  
Author(s):  
Jia-jun Yan ◽  
Ai-jing Sun ◽  
Yu Ren ◽  
Chuanlin Hou
Keyword(s):  
Adrenal Gland ◽  
Sarcomatoid Carcinoma ◽  
Final Diagnosis ◽  
Pathologic Examination ◽  
First Case ◽  
Complete Tumour ◽  
One Year ◽  
The One ◽  
The Right

We report the case of a 72-year-old man with a right adrenocortical mass who had undergone complete tumour excision with the adrenal gland and around adipose tissue. Pathologic examination led to a final diagnosis of primary sarcomatoid carcinoma of the right adrenal gland. The patient was without recurrence at the one year follow-up. To our knowledge, this is the first case in China and the second reported case in English published studies.

scholarly journals Primary Cutaneous Mucinous Carcinoma Presenting as an Unusually Large Lesion - A Rare Case Report

2021 ◽  
Vol 10 (34) ◽  
pp. 2939-2941
Author(s):  
Jiby Soosen Ninan ◽  
Ajithakumari K. ◽  
Tony Mathew
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Mucinous Carcinoma ◽  
Malignant Tumour ◽  
Large Size ◽  
Rare Case Report ◽  
Eccrine Carcinoma ◽  
One Year ◽  
The Right ◽  
Adnexal Tumour

Primary cutaneous mucinous carcinoma (PCMC) also known as primary mucinous carcinoma of the skin (PMCS) or primary mucinous eccrine carcinoma (PMEC) is a rare malignant adnexal tumour of eccrine origin. Many visceral mucinous carcinomas especially of the breast and gastrointestinal tract can metastasize to the skin mimicking PCMC. Hence it is very important to rule out metastatic mucinous carcinomas before making a diagnosis of PCMC. Usually, PCMC presents as a slowgrowing tumour of considerably smaller size compared to our case. The large size and shorter duration are the key features of this case report. Here we report an unusually large-sized rare malignant tumour of skin appendage. Our patient was a 54-year-old lady who presented with progressive swelling of one year duration in the right frontoparietal area. Ultrasonography showed an ill-defined lesion in the subcutaneous plane with multiple cystic spaces within it. No bone involvement was noted. The excised lesion measured 13 x 7 x 2 cms and was diagnosed as primary cutaneous mucinous carcinoma on histopathological examination. The possibility of cutaneous secondaries from elsewhere was ruled out by detailed clinical and radiological investigations. The case is reported considering the unusually bigger size and shorter duration of this rare entity.

scholarly journals A Congenital Right Sided Diaphragmatic Hernia Presented in Pregnancy: Rare Case Report

2020 ◽  
Author(s):  
Pankaj Gharde ◽  
Sankalp Dwivedi ◽  
Pramita Muntode Gharde ◽  
Piyush Jamdade ◽  
Azeem Aalam
Keyword(s):  
Case Report ◽  
Diaphragmatic Hernia ◽  
Exploratory Laparotomy ◽  
Cardiovascular Complications ◽  
First Case ◽  
Symptomatic Management ◽  
Rare Case Report ◽  
The Right ◽  
Respiratory Complaints ◽  
Diaphragmatic Hernias

Abstract Background: Diaphragmatic hernias are infrequent and remain undiagnosed till the symptoms arise. One third of these patients are asymptomatic. Its diagnosis is only established on the emergence of gastrointestinal, respiratory or cardiovascular complications. Surgical intervention is needed if complications arise. These Diaphragmatic hernias usually involve the left side of diaphragm either through a congenital defect or from a trauma over abdomen or chest as the right side has a type of protective gear which is the Liver lying below the diaphragm. The occurrence of right sided diaphragmatic hernia is rarest of rare. Patients may present with shortness of breath, obstruction, strangulation, gangrene and perforation of gut. The mortality is very high. Symptomatic diaphragmatic hernia in pregnant females is a matter of greater concern. Case Report: A 21-yr-old female, primigravida, primipara, with 22 weeks gestation, complained of severe abdominal pain and intractable vomiting since the last 7 days and for this acute intestinal obstruction was admitted to the emergency department. At the local Primary Health Center her symptoms were partially relieved by symptomatic management, but due to recurrence of symptoms she was referred to our rural hospital.Her chest radiograph revealed a right sided diaphragmatic hernia with large and small intestine as its content. She had no abdominal or respiratory complaints in past. Initially the patient’s general condition improved by nasogastric aspiration but then she developed tachycardia, tachypnoea, nausea and vomiting despite nasogastric aspiration, so emergency exploration was done. Exploratory laparotomy along with right thoracotomy was performed. As the gut was gangrenous, resection anastomosis was done along with diaphragmatic hernia repair.Conclusion: Diaphragmatic hernia in adults and pregnancy is a very rare entity. The right sided diaphragmatic hernia is rarest of rare that too in pregnancy.What makes this case even extraordinary is, it being the first case in studied literature showing specific right sided presentation during pregnancy, as the rest are left sided. Even though the risk of morbidity and mortality is high, once complications arise, but early intervention improves the outcome.

scholarly journals Poland’s syndrome concomitant with congenital proximal and distal radioulnar synostosis: A rare case report

2021 ◽  
Author(s):  
Şerif Seyyid Ünsal ◽  
Uğur Bezirgan ◽  
Emre Anıl Özbek ◽  
Mustafa Özyıldıran ◽  
Tuğrul Yıldırım ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Distal Part ◽  
Pectoral Muscle ◽  
Poland Syndrome ◽  
Radioulnar Synostosis ◽  
First Case ◽  
Rare Case Report ◽  
Post Traumatic ◽  
The Right

Radioulnar synostosis is a rare disease which causes supination and pronation restriction as a result of osseous or fibrous connections between the radius and ulna. Radioulnar synostosis includes both congenital and post-traumatic types. Post-traumatic radioulnar synostosis can be seen in the proximal, middle, and distal part of the forearm, depending on the location of the trauma. Congenital proximal radioulnar synostosis occurs as a result of a separation defect between the radius and ulna in the embryonic period. In the presence of congenital proximal radioulnar synostosis, the patient should be evaluated for accompanying syndromes and possible developmental anomalies. In this report, we present a rare case of both proximal and distal radioulnar synostosis. Hypoplasia of the right pectoral muscle mass, hypoplastic appearance of the right nipple, presence of proximal and distal radioulnar synostosis in the right forearm, and accompanying symbrachydactyly suggested Poland syndrome. To the best of our knowledge this is the first case of congenital proximal and distal radioulnar synostosis with Poland syndrome.

scholarly journals First case of periprosthetic joint infection due to Clostridioides difficile in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Song ◽  
Hong Yi Shao ◽  
Xiang Cheng ◽  
Yu Guo
Keyword(s):  
Hip Joint ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Sample Collection ◽  
Movement Restriction ◽  
Clostridioides Difficile ◽  
First Case ◽  
Intestinal Infections ◽  
One Year ◽  
The Right

Abstract Background Clostridioides difficile usually causes intestinal infections. However, a 75-year-old lady had a periprosthetic joint infection due to this microorganism. We report a C. difficile infection of a prosthetic hip joint. Such an infection is rarely reported around the world. Case presentation The elder female patient presented with a 2-year history of right hip pain with movement restriction. Her right leg was shorter than another. The skin around the right hip joint was red and swollen without sinus. Her lab test result showed elevator ESR and CRP. Her X-ray film showed a massive bone defect. The patient had a total hip arthroplasty 16 years ago and had a revision 5 years ago. During this hospitalization, her cultures of the synovial fluid and tissue repeatedly grew C. difficile. She improved following two-stage revision surgery and antibiotic treatment. The patient has no recurrence of infection after a one-year follow-up. Conclusion A rapid and accurate sample collection is significant for culture results, making an outstanding contribution to the successful treatment.

scholarly journals “False Patellar Duplication” Originated from Synovial Osteochondromatosis in Knee Joint: A Rare Case Report

2019 ◽  
Vol 7 (24) ◽  
pp. 4347-4350
Author(s):  
Dung Tran Trung ◽  
Tung Pham Son ◽  
Thien Chu Dinh ◽  
Toi Chu Dinh
Keyword(s):  
Case Report ◽  
Knee Joint ◽  
Soft Tissue Tumors ◽  
Synovial Osteochondromatosis ◽  
First Case ◽  
The World ◽  
Rare Case Report ◽  
Cartilage Tumors ◽  
The Right ◽  
Good Range

BACKGROUND: “False patellar duplication” is a situation where there are two pieces in the position of a knee-joint like patella. It can derive from cartilage tumors, soft tissue tumors, or gout tumors, or due to the heterotopic ossification, forming a sub patella in the knee joint. CASE REPORT: A woman, 57 years old, healthy history, she has hospitalized for right knee joint pain since 2 years. Diagnosis: the synovial osteochondromatosis of the right knee. We decided to conduct and arthroscopy and removal. After 18 months surgery, the patient knee joint is currently good, range of motion (ROM) (-10)°- 0°-160°, Lysholm Knee Scoring Scale 85/100 point. CONCLUSION: This is the second case in the world and the first case in Vietnam. This is an experience in the process of diagnosis, arthroscopic treatment and differentiation from the "double patellae" status.

scholarly journals Intraparenchymal Supratentorial Neurenteric Cyst

2004 ◽  
Vol 31 (3) ◽  
pp. 412-416 ◽  
Author(s):  
Edward Kachur ◽  
Lee-Cyn Ang ◽  
Joseph F. Megyesi
Keyword(s):  
Cystic Lesion ◽  
Brain Parenchyma ◽  
Neurenteric Cyst ◽  
Complete Excision ◽  
First Case ◽  
History Of ◽  
The Central Nervous System ◽  
One Year ◽  
The Right ◽  
The Brain

Background:Neurenteric cysts are congenital cysts of the central nervous system that are believed to be of endodermal origin. In this report we present the unique case of a supratentorial neurenteric cyst that is contained entirely within the brain parenchyma.Methods:Apatient presented with an intraparenchymal cystic lesion that was subsequently identified as a neurenteric cyst. This lesion is reviewed in light of the available literature.Case report:A 35-year-old female presented with a one year history of progressive headaches and seizure-like episodes. Her examination revealed no deficits. Magnetic resonance imaging showed a 4 cm x 4 cm x 4 cm cystic lesion within the parenchyma of the right frontal lobe. A right frontal craniotomy and complete excision of the cystic lesion was performed. Pathologic examination confirmed that it was a neurenteric cyst. Postoperatively the patient's symptoms improved.Conclusion:Review of the literature revealed this to be the first case of a surgically excised, pathologically confirmed supratentorial neurenteric cyst, contained entirely within the brain parenchyma.

scholarly journals Neck subcutaneous nodule as first metastasis from broad ligament leiomyosarcoma: a case report and review of literature

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fiorella Cazzato ◽  
Angela D’Ercole ◽  
Graziano De Luca ◽  
Francesca B. Aiello ◽  
Adelchi Croce
Keyword(s):  
Broad Ligament ◽  
Neck Region ◽  
Neck Mass ◽  
High Recurrence Rate ◽  
Low Grade ◽  
Morphological Examination ◽  
First Case ◽  
One Year ◽  
The Right ◽  
Primary Leiomyosarcoma

Abstract Background Leiomyosarcoma usually develops in the myometrium and is characterized by a high recurrence rate, frequent hematogenous dissemination, and poor prognosis. Metastasis is usually to lungs, liver, and bone, and occasionally to the brain, but seldom to the head and neck region. Primary leiomyosarcoma very rarely arises in the broad ligament. Case presentation A 54-year old woman presented to the otolaryngology department with a mass in the right posterior region of the neck 4 years after surgery for a primary leiomyosarcoma of the right broad ligament. The neck mass was removed and found to be a metastatic leiomyosarcoma. Leiomyosarcoma localizations in lungs and liver were absent. Morphological examination showed both the primary and the secondary leiomyosarcomas to have features of low-grade tumors. One year after excision of the neck mass, the patient presented with tachycardia. Echocardiography detected two intracardiac nodules suggestive of metastatic tumors. Chemotherapy was administered; the disease has been stable since then. Conclusions We report the first case of broad ligament leiomyosarcoma with the neck subcutaneous region being the first site of secondary involvement. We speculate that the Batson venous plexus might have been the pathway of dissemination.

scholarly journals Vascular malformation of the parotid gland: a rare case report

2017 ◽  
Vol 4 (6) ◽  
pp. 2081
Author(s):  
Chisel Bhatia ◽  
Satish Dalal ◽  
Vundavalli Sattibabu ◽  
Jagat P. Beniwal
Keyword(s):  
Parotid Gland ◽  
Vascular Malformation ◽  
Rare Case ◽  
Rare Condition ◽  
Superficial Parotidectomy ◽  
Parotid Region ◽  
Superficial Lobe ◽  
Rare Case Report ◽  
One Year ◽  
The Right

Vascular malformation of the parotid gland is an extremely rare condition with very few reported cases in the literature. Here we report a case of a 55 years old, female who presented with the complaint of swelling in the right parotid region for one year. Imaging revealed a vascular malformation involving the superficial lobe of the right parotid gland. Superficial Parotidectomy was done and histopathology was consistent with the diagnosis of vascular malformation of the parotid.

Sign in / Sign up

Export Citation Format

Share Document