scholarly journals Growing Skull Fracture of Temporal Bone in Adults: A Case Report and Literature Review

2020 ◽  
Vol 99 (10) ◽  
pp. 654-657
Author(s):  
Xiao-hong Yan ◽  
Ke Qiu ◽  
Yan Gao ◽  
Jianjun Ren ◽  
Danni Cheng ◽  
...  
Keyword(s):  
Literature Review ◽  
Head Trauma ◽  
Skull Fracture ◽  
Delayed Diagnosis ◽  
Postoperative Recovery ◽  
Mastoid Cavity ◽  
Growing Skull Fracture ◽  
Computed Tomographic ◽  
Uneventful Postoperative Recovery ◽  
History Of

Growing skull fracture (GSF) is an uncommon post-traumatic complication, which accounts for approximately 0.05% to 1% of all skull fractures. Delayed diagnosis of GSF in adulthood is rare and often involved with a variety of neurological symptoms. Here, we reported an adult patient, with an interval of 17 years from initial head trauma to first diagnosis of GSF. The patient complained of short periods of fainting and bilateral visual hallucinations, with a hard palpable bulge around his right occipitomastoid suture region. Computed tomographic imaging demonstrated an arachnoid cyst extending into right mastoid cavity. Consequently, the delayed diagnosis of GSF was confirmed, and the patient was managed with duroplasty and cranioplasty. At the 8-month follow-up, the patient showed an uneventful postoperative recovery. A comprehensive literature review was also conducted, and a total of 70 GSF cases were identified and summarized. According to the literature review, patients with GSF generally have a history of head trauma in their childhood, and delayed diagnosis is a common situation. Diagnosis of GSF should include complete retrospective medical history, physical, and imaging examinations. Once the diagnosis is confirmed, cranioplasty accompanied with duroplasty might be the most effective way to relieve symptoms and prevent further damage.

scholarly journals Growing skull fracture in a 2 months old child

2015 ◽  
Vol 29 (3) ◽  
pp. 285-288
Author(s):  
A. Tascu ◽  
Iulia E.B. Vapor ◽  
A. Iliescu ◽  
Irina Tudose ◽  
St.M. Iencean
Keyword(s):  
Head Trauma ◽  
Rare Complication ◽  
Skull Fracture ◽  
Dural Defect ◽  
Skull Fractures ◽  
Growing Skull Fracture ◽  
Leptomeningeal Cyst ◽  
Neurologic Deficits ◽  
Bone Fragments ◽  
Closed Head Trauma

Abstract A growing skull fracture, also called posttraumatic leptomeningeal cyst, is a rare complication of skull fractures - less than 1%, usually encountered in children younger than 3 years old. Although rare, this complication must be recognized early and treated to prevent permanent neurologic deficits. We present the case of a 2 months old child who had suffered a closed head trauma in a car accident 2 weeks before he was admitted in our clinic with a left parietal growing skull fracture. He was submitted to surgery and leptomeningeal cyst was evacuated, dural defect repaired and bone fragments fixed. Child was discharged 6 days postoperative without neurologic deficits. Growing skull fractures represent a rare complication of head trauma in small children. It is imperious to be recognized and treated in early phases to prevent debilitating permanent neurologic deficits in that category of population.

scholarly journals Right-sided strangulating diaphragmatic hernia in an adult without history of trauma: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Konstantinos G. Spiridakis ◽  
Mathaios E. Flamourakis ◽  
Ioannis G. Gkionis ◽  
Eleni I. Kaloeidi ◽  
Anthoula I. Fachouridi ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Clinical Status ◽  
Traumatic Injury ◽  
Postoperative Recovery ◽  
Case Presentation ◽  
Uneventful Postoperative Recovery ◽  
History Of ◽  
Chest X Ray ◽  
The Right ◽  
Diaphragmatic Hernias

Abstract Background Diaphragmatic hernia involves protrusion of abdominal contents into the thorax through a defect in the diaphragm. This defect can be caused either by developmental failure of the posterolateral foramina to fuse properly, or by traumatic injury of the diaphragm. Left-sided diaphragmatic hernias are more common (80–90%) because the right pleuroperitoneal canal closes earlier and the liver protects the right diaphragm. Diaphragmatic hernias in adults are relatively asymptomatic, but in some cases may lead to incarcerated bowel, intraabdominal organ dysfunction, or severe pulmonary disease. The aim of this report is to enlighten clinical doctors about this rare entity that can have fatal consequences for the patient. Case presentation We present a rare case of a right-sided strangulating diaphragmatic hernia in an adult Caucasian patient without history of trauma. Clinical examination revealed bowel sounds in the right hemithorax, which were confirmed by the presence of loops of small intestine into the right part of the thorax through the right diaphragm, as was shown on chest X-ray and computerized tomography. Deterioration of the clinical status of the patient led to an operation, which revealed strangulated necrotic small bowel. Approximately 1 m of bowel was removed, and laterolateral anastomosis was performed. The patient had an uneventful postoperative recovery and was discharged 8 days later. Conclusions Surgery is required to replace emerged organs into the abdomen and to repair diaphragmatic lesion. A delayed approach can have catastrophic complications for a patient.

scholarly journals Evaluation of the management of penetrating abdominal injuries - Lahore General Hospital Experience

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Ajmal Farooq
Keyword(s):  
General Hospital ◽  
Exploratory Laparotomy ◽  
Postoperative Recovery ◽  
Abdominal Injury ◽  
Outcome Study ◽  
Abdominal Injuries ◽  
Firearm Injury ◽  
Uneventful Postoperative Recovery ◽  
History Of ◽  
Penetrating Abdominal Injury

Objectives To study the changing pattern of penetrating abdominal injury, to check the effectiveness of management, to audit the associated morbidity and mortality and to suggest ways and means to improve serious outcome. Study Design: Prospective interventional. Place and Duration of study: Department of surgery Lahore General Hospital, Lahore from March 1998 to March 2004. Subject/Method: Exploratory laparotomy of all patients with history of penetrating abdominal injury with at least breach of peritoneum. Results: In a 114 20 patient exploratory laparotomy was performed their average pulse rate was 110 / min, systolic blood pressure 90 / mm Hg with Hb range of 5.5 gm / dl to 11.5 g / dl. There were 68% victim of firearm injury and 32%o were suffered from stab on exploration virtually no organ found to escape injury while 42 (10%) cases turned out to be negative with uneventful postoperative recovery. 94(24.2%) patients developed post operative complications while 42(10%) patients expired. Conclusion: Time should not be wasted in investigating unstable patients rather these should be resuscitated in Operation Theater and early exploratory laparotomy should be performed more sophisticated diagnostic facilities like ultrasound, CT, MRI, Endoscopy, selective angiography should be made available in emergency and there should be regular audit of all penetrating abdominal injuries.

scholarly journals Gastric Perforation Following Dog Bite in a Child

2018 ◽  
Vol 08 (01) ◽  
pp. e18-e20 ◽  
Author(s):  
Shailendra Singh ◽  
Shashank Verma ◽  
Praveen Singh ◽  
Anand Pandey
Keyword(s):  
Gastric Perforation ◽  
Postoperative Recovery ◽  
Clinical Scenario ◽  
Anterior Surface ◽  
Dog Bite ◽  
Visceral Injury ◽  
Uneventful Postoperative Recovery ◽  
History Of

AbstractDog bite in children leading to visceral injury is a very uncommon clinical scenario. We treated a 6-year-old child who had a history of dog bite over the abdomen. At laparotomy, one perforation was found on the anterior surface of the stomach. The perforations were repaired primarily. The child made an uneventful postoperative recovery.

scholarly journals Posttraumatic Intradiploic Leptomeningeal Cyst: A Rare Complication of Head Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Jernailsingh Bava ◽  
Ashank Bansal ◽  
Santosh Bhaugaunda Patil ◽  
Kiran Ashok Kale ◽  
Anagha Rajiv Joshi
Keyword(s):  
Differential Diagnosis ◽  
Head Trauma ◽  
Bone Fracture ◽  
Rare Complication ◽  
Skull Fracture ◽  
Occipital Bone ◽  
Leptomeningeal Cyst ◽  
History Of ◽  
Uncommon Complication

Posttraumatic intradiploic leptomeningeal cyst is an exceedingly uncommon complication of skull fracture in childhood with only about twenty-one cases described in literature till now. We report 2 such cases of intradiploic leptomeningeal cyst of occipital bone in two 17- and 21-year-old males presenting with headache with history of occipital bone fracture in childhood and briefly discuss its pathogenesis and differential diagnosis.

scholarly journals Case Report of a 17 Year Young Adult with Dermmoid Cyst in Thymus

2015 ◽  
Vol 10 (1) ◽  
pp. 47-50
Author(s):  
Shantonu Kumar Ghosh ◽  
Khan Mohammad Amanur Rahman ◽  
Md Mostafizur Rahman ◽  
Md Ashraful Islam ◽  
Asit Baran Adhikary ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Sinus Tract ◽  
Postoperative Recovery ◽  
History Of Surgery ◽  
Complete Excision ◽  
Good Physical Condition ◽  
Uneventful Postoperative Recovery ◽  
History Of ◽  
Thymic Neoplasm

Teratoma of thymus gland is a rare variety of anterior mediastinaltumour. It may cause compression over airway resulting respiratory depression. This is a case of a 17 yearyoung adult, farmer, presented with swelling over front of root of neck for 1 month with history of surgery over the same region 4 months back. Clinically two oval, pedunculated masses were found. CT scan of chest revealed enlargement of thymus. FNAC of the mass could not exclude possibility of mesenchymal or thymic neoplasm. Peroperativelythymus was found enlarged and was variegated in appearance (dermoid and gelatinous material was found). Thymus was resected in toto. Excision of sinus tract was also done. His operation was uneventful, postoperative recovery was excellent. He was discharged to home on 14th postoperative day with good physical condition. Although rare, mediastinalteratoma should be considered as a differential diagnosis of anterior mediastinaltumours. Early diagnosis and complete excision is necessary. Possibility of malignant change should also be considered.University Heart Journal Vol. 10, No. 1, January 2014; 47-50

Growing skull fracture in an adult nine years after blunt head trauma

2011 ◽  
Vol 18 (6) ◽  
pp. 855-857 ◽  
Author(s):  
Gilberto Ka Kit Leung ◽  
Koon Ho Chan ◽  
Kwun Ngai Hung
Keyword(s):  
Head Trauma ◽  
Skull Fracture ◽  
Growing Skull Fracture ◽  
Blunt Head Trauma

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

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