scholarly journals Orbital Emphysema as a Consequence of Forceful Nose-Blowing: Report of a Case

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Yukino Ariyoshi ◽  
Hiromichi Naito ◽  
Tetsuya Yumoto ◽  
Atsuyoshi Iida ◽  
Hirotsugu Yamamoto ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Visual Acuity ◽  
Soft Tissue ◽  
Eye Movement ◽  
Conservative Management ◽  
Subcutaneous Emphysema ◽  
Orbital Fractures ◽  
Orbital Emphysema ◽  
Orbital Blowout Fractures ◽  
The Right

Orbital emphysema occurs when air enters the soft tissue surrounding the orbit. Although orbital blowout fractures are often caused by face trauma, nontraumatic orbital fractures can also occur but have been rarely described. Here, a case of orbital and palpebral emphysema caused by forceful nose-blowing is presented. Examination uncovered gross swelling of the right eye and discernable subcutaneous emphysema. The patient had normal eye movement and visual acuity. Orbital computed tomography (CT) revealed orbital emphysema secondary to an orbit floor fracture into the maxillary sinus, resulting from high intranasal pressure upon blowing her nose. The patient received conservative management with antibiotics and was given instructions not to sneeze or blow her nose. She fully recovered and all her symptoms completely resolved.

scholarly journals Recurrent Self-Induced Nontraumatic Orbital Emphysema Causing Orbital Compartment Syndrome with Optic Nerve Dysfunction

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
S. Cutting ◽  
C. Davies-Husband ◽  
C. Poitelea
Keyword(s):  
Visual Acuity ◽  
Optic Nerve ◽  
Compartment Syndrome ◽  
Valsalva Manoeuvre ◽  
First Case ◽  
Orbital Emphysema ◽  
History Of ◽  
Nerve Dysfunction ◽  
The Right ◽  
Needle Decompression

The majority of cases of orbital emphysema are due to trauma. Complications are rare, and therefore, the need for surgical intervention is uncommon. We present the first case of which we are aware in which nontraumatic orbital emphysema led to orbital compartment syndrome and subsequent optic nerve dysfunction. The patient underwent emergency needle decompression. A 51-year-old man presented to the Emergency Department with right-sided unilateral proptosis, reduced visual acuity, and binocular diplopia. This occurred after performing a Valsalva manoeuvre with no history of head trauma. He also mentioned that over the past year he had experienced multiple episodes of transient proptosis occurring after Valsalva manoeuvres. Visual acuity in the right eye was reduced to 6/21. A relative afferent pupillary defect was present and intraocular pressure (IOP) was 12 mmHg. The CT scan showed significant orbital emphysema in the medial aspect of the right orbit. Needle decompression was performed resulting in immediate resolution of his symptoms. This case demonstrates that, in cases of orbital emphysema, a lack of a history of trauma and a normal IOP cannot always be used to rule out serious pathology.

scholarly journals Medial Wall Fracture and Orbital Emphysema Mimicking Inferior Rectus Entrapment in a Child

2015 ◽  
Vol 8 (4) ◽  
pp. 345-347
Author(s):  
John Collin ◽  
Farid Afshar ◽  
Steven Thomas
Keyword(s):  
Intraocular Pressure ◽  
Eye Movement ◽  
Medial Wall ◽  
Orbital Fractures ◽  
Inferior Rectus ◽  
Orbital Trauma ◽  
Surgical Exploration ◽  
Prompt Treatment ◽  
Muscle Ischemia ◽  
Orbital Emphysema

Orbital emphysema is commonly associated with fractures of the orbital floor or medial wall. The air often dissipates spontaneously, but rarely can cause increased intraocular pressure and even loss of vision. Entrapment of the extraocular muscles can also occur with orbital fractures and may require prompt treatment in the pediatric patient due to the risk muscle ischemia. Both conditions can cause diplopia due to restriction of eye movement and differentiation of the two etiologies is important to prevent unnecessary surgical exploration. Identification and prompt management of raised intraocular pressure is essential in patients with orbital trauma. We present a case of orbital emphysema mimicking inferior rectus entrapment following trauma in an 11-year-old boy.

Bilateral Extracapsular Soft-Tissue Ossification Affecting Range of TMJ Motion in an Airedale Terrier

2013 ◽  
Vol 49 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Sarah Ellenberger ◽  
Christopher Snyder
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Range Of Motion ◽  
Soft Tissues ◽  
Single Treatment ◽  
Medial Aspect ◽  
Temporomandibular Joints ◽  
The Right ◽  
Pterygoid Muscles ◽  
Angular Process

A 3 mo old female Airedale terrier presented with decreased range of motion of the temporomandibular joint (TMJ), which was first recognized at weaning. Computed tomography (CT) revealed abnormal, bilateral ossification of the soft tissues extending from the region of the tympanic bullae to the medial aspect of the angular process of each mandible. Those ossified structures most closely approximated the location of the lateral pterygoid muscles. The ossified structures were present at presentation and initially manifested as complete ossification on the right side. The condition progressed to complete bilateral ossification by 3 yr of age. The mandibular condyles associated with the temporomandibular joints were malformed. The patient had severe mandibular distoclusion with deviation of the mandible to the left. The left mandibular cheek teeth were positioned in a caudal cross bite. A single treatment of manual stretching and breakdown of the ossified muscle of mastication by placement of tongue depressors within the oral cavity resulted in no increase in TMJ range of motion as measured by the incisal opening. This is the first reported case of spontaneous false ankylosis of the TMJ in an Airedale terrier.

scholarly journals Staged Joint Arthrodesis in the Treatment of Severe Septic Ankle Arthritis Sequelae: A Case Report

2021 ◽  
Vol 18 (23) ◽  
pp. 12473
Author(s):  
Yong-Cheol Hong ◽  
Ki-Jin Jung ◽  
Hee-Jun Chang ◽  
Eui-Dong Yeo ◽  
Hong-Seop Lee ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Limb Salvage ◽  
Ankle Joint ◽  
Daily Life ◽  
Emission Computed Tomography ◽  
Ankle Arthritis ◽  
Joint Deformity ◽  
The Right

Septic ankle arthritis is a devastating clinical entity with high risks of morbidity and mortality. Prompt treatment is necessary because delayed or inadequate treatment can lead to irreversible damage that may occur on the articular surface, resulting in cartilage erosion, infective synovitis, osteomyelitis, joint deformity, and pain and joint dysfunction. An aggressive surgical approach is required when a joint infection causes severe limb-threatening arthritis. A 58-year-old woman visited our clinic with increasing pain in the right ankle, which had been present for the previous 2 months. She complained of discomfort in daily life due to deformity of the ankle; limping; and severe pain in the ankle even after walking a little. The patient reported a history of right-ankle injury while exiting a bus in her early 20s. Plain radiographs of the right ankle joint revealed that the medial malleolus was nearly absent in the right ankle joint on the anteroposterior view, and severe varus deformity was observed with osteoarthritic changes because of joint space destruction. Magnetic resonance imaging revealed diffuse synovial thickening of the destroyed tibiotalar joint with joint effusion. Hybrid 99mTc white blood cell single-photon emission computed tomography/computed tomography showed increased uptake along the soft tissue around the ankle joint; uptake was generally low in the talocrural and subtalar joints. A two-stage operation was performed to remove the infected lesions and correct the deformity, thus enabling limb salvage. The patient was nearly asymptomatic at the 6-month follow-up, with no discomfort in her daily life and nearly normal ability to carry out full functional activities. She had no complications or recurrent symptoms at the 1-year follow-up. We have described a rare case of a staged limb salvage procedure in a patient with chronic septic arthritis sequelae. For patients with severe joint deformity because of septic ankle sequelae, staged arthrodesis is a reliable method to remove infected lesions, solve soft tissue problems, correct deformities, and maintain leg length.

scholarly journals P17: PNEUMOMEDIASTINUM A RARE COMPLICATION OF COLONOSCOPY POLYPECTOMY SUCCESSFULLY TREATED WITH CONSERVATIVE MANAGEMENT

2016 ◽  
Vol 64 (3) ◽  
pp. 823.3-824
Author(s):  
C Rives ◽  
M Pourmorteza ◽  
E Carter ◽  
M Young
Keyword(s):  
Computed Tomography ◽  
Conservative Management ◽  
Subcutaneous Emphysema ◽  
Rare Complication ◽  
Vital Signs ◽  
Stable Condition ◽  
High Morbidity ◽  
Mortality And Morbidity ◽  
Packed Red Blood Cells ◽  
Free Air

Purpose of StudyColonoscopies are a relatively safe and are associated with few complications. We present a rare case of post-colonoscopy polypectomy resulting in a pneumomediastinum and subcutaneous emphysema.Methods UsedAn 84 year old male with a history of colonoscopy with polypectomy the day prior was admitted due to a syncopal episode. The only complaint was a small amount of dark red blood per rectum. On examination vital signs were stable, the patient appeared pale with dry membrane mucosa, abdominal and pulmonary exam were benign, labs were concerning for a Hgb 6.9 g/dl. Chest X-ray depicted free air beneath the right hemidiaphragm, computed tomography demonstrated pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema. Visceral angiogram failed to demonstrate any source of active bleeding. Due to the overall stable condition of the patient conservative management with prophylactic zosyn and transfusion of 2 units of packed red blood cells was initiated. Patient was discharged 5 days after admission with stable respiratory and hemodynamic signs.Summary of ResultsDiagnostic colonoscopies are relatively safe procedures with the most common complications being bleeding and perforations, with an incidence of less than .2%. Though perforations are rare they are associated with a high mortality and morbidity. Causes of perforation can be due to excessive insufflations, instrumental trauma and usually present with intra-abdominal free air but rarely with a pneumomediastinum. A pneumomediastinum is the presence of free air within the mediastinum and in our case was due to a micro-perforation from a colonic polypectomy. The colonic wall defect allowed free air into the retroperitoneum, which spread along the fascial planes and entered the mediastinum and subcutaneous tissues. The most sensitive test for pneumomediastinum is computed tomography and extra-pulmonary causes of pneumomediastinum can be successfully treated conservatively with rest and antibiotics.ConclusionsThough complications from polypectomies are rare, they can be associated with a high morbidity and mortality but rarely associated with pneumomediastinum and in certain stable patients can be treated with conservative management.

scholarly journals Primary renal angiosarcoma: Case report and literature review

2013 ◽  
Vol 7 (5-6) ◽  
pp. 430 ◽  
Author(s):  
Ahmed Chaabouni ◽  
Nouri Rebai ◽  
Kamel Chabchoub ◽  
Mohamed Fourati ◽  
Mahdi Bouacida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Solid Tumour ◽  
Soft Tissue Sarcomas ◽  
Malignant Tumour ◽  
Computed Tomography Scan ◽  
The Right ◽  
Tomography Scan

Angiosarcoma is a rare malignant tumour occurring in less than 2% of soft tissue sarcomas. Angiosarcoma involving the kidney usually represents metastasis from skin or visceral primary lesions, while angiosarcoma primarily occurring in the kidney is a very rare neoplasm. We report a case of angiosarcoma of the right kidney in a 59-year-old male. The computed tomography scan showed a solid tumour with a low increased density after administration of contrast medium. Histological examination of the piece of nephrectomy confirmed the diagnosis.

scholarly journals An Atypical Presentation of Retroperitoneal Fibrosis

2016 ◽  
Vol 10 (3) ◽  
pp. 157-159 ◽  
Author(s):  
Wei Phin Tan ◽  
Thomas Hwang ◽  
Robert Medairos ◽  
Dennis A. Pessis
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Retroperitoneal Fibrosis ◽  
Urinary Tract Symptoms ◽  
Proximal Ureter ◽  
Elevated Creatinine ◽  
The Right ◽  
New Diagnosis ◽  
Repeat Imaging

A 69-year-old man with a psoriatic arthritis treated with infliximab for 1 month presented to the urology clinic for lower urinary tract symptoms. He was found to have a new diagnosis of elevated creatinine. Computed tomography of the abdomen and pelvis revealed bilateral severe hydronephrosis with abnormal soft tissue thickening of the right renal pelvis and proximal ureter. Bilateral stents were placed after ureteroscopy demonstrated no abnormalities. A computed tomography-guided biopsy of the peri-ureteral lesions revealed fibroadipose tissue with sclerosis and extensive chronic inflammation consistent with retroperitoneal fibrosis. Infliximab was discontinued and the patient was started on corticosteroids. Follow-up magnetic resonance imaging of the abdomen and pelvis at 2 months revealed total resolution of soft tissue and inflammation along the proximal ureter bilaterally. Repeat imaging demonstrated no hydronephrosis after stents removal, and the patient's creatinine remains normal at 12 months follow-up.

Evaluation of 99mTc-Label led Vitamin K4 as an Agent for Testicular Imaging

1991 ◽  
Vol 30 (01) ◽  
pp. 35-39 ◽  
Author(s):  
H. S. Durak ◽  
M. Kitapgi ◽  
B. E. Caner ◽  
R. Senekowitsch ◽  
M. T. Ercan
Keyword(s):  
Soft Tissue ◽  
Room Temperature ◽  
Normal Subjects ◽  
Left Testis ◽  
Wide Range ◽  
Activity Ratios ◽  
The Right ◽  
Radioactivity Levels

Vitamin K4 was labelled with 99mTc with an efficiency higher than 97%. The compound was stable up to 24 h at room temperature, and its biodistribution in NMRI mice indicated its in vivo stability. Blood radioactivity levels were high over a wide range. 10% of the injected activity remained in blood after 24 h. Excretion was mostly via kidneys. Only the liver and kidneys concentrated appreciable amounts of radioactivity. Testis/soft tissue ratios were 1.4 and 1.57 at 6 and 24 h, respectively. Testis/blood ratios were lower than 1. In vitro studies with mouse blood indicated that 33.9 ±9.6% of the radioactivity was associated with RBCs; it was washed out almost completely with saline. Protein binding was 28.7 ±6.3% as determined by TCA precipitation. Blood clearance of 99mTc-l<4 in normal subjects showed a slow decrease of radioactivity, reaching a plateau after 16 h at 20% of the injected activity. In scintigraphic images in men the testes could be well visualized. The right/left testis ratio was 1.08 ±0.13. Testis/soft tissue and testis/blood activity ratios were highest at 3 h. These ratios were higher than those obtained with pertechnetate at 20 min post injection.99mTc-l<4 appears to be a promising radiopharmaceutical for the scintigraphic visualization of testes.

Sign in / Sign up

Export Citation Format

Share Document