Treatment of upper extremity venous aneurysms with a polytetrafluoroethylene-covered stent

Vascular ◽  
2016 ◽  
Vol 25 (4) ◽  
pp. 439-441
Author(s):  
David Parizh ◽  
Jesse Victory ◽  
Syed Ali Rizvi ◽  
Anil Hingorani ◽  
Enrico Ascher
Keyword(s):  
Subclavian Vein ◽  
Covered Stent ◽  
Open Approach ◽  
Significant Morbidity ◽  
Computed Tomography Scan ◽  
Open Resection ◽  
Case Presentation ◽  
Aneurysm Resection ◽  
Viable Method ◽  
Tomography Scan

Background Venous aneurysms of the upper torso are uncommon in contrast to the abdomen and lower extremities. Mostly silent, they can cause significant morbidity. Large or symptomatic venous aneurysms are generally treated with open resection. To our knowledge, there are no documented cases of head and neck venous aneurysms treated by a hybrid endovascular and open approach. Case Presentation A 56-year-old female presented with the complaint of pain and increasing size of a supraclavicular mass. Imaging revealed a large saccular aneurysm of the subclavian vein with the presence of a large intramural thrombus on computed tomography scan with contrast. A covered stent was deployed in order to exclude the aneurysm from circulation. Three weeks later, the symptoms continued, and an aneurysmorrhaphy was performed to excise the stent and aneurysm resection. Discussion A combined endovascular and open approach to resection of symptomatic subclavian vein aneurysms is a viable method with minimal morbidity.

scholarly journals Excessive dynamic airway collapse during general anesthesia: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Shunichi Murakami ◽  
Shunsuke Tsuruta ◽  
Kazuyoshi Ishida ◽  
Atsuo Yamashita ◽  
Mishiya Matsumoto
Keyword(s):  
General Anesthesia ◽  
Airway Pressure ◽  
Positive End Expiratory Pressure ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Airway Lumen ◽  
Asthma Attack ◽  
Airway Collapse ◽  
History Of ◽  
Tomography Scan

Abstract Background Excessive dynamic airway collapse (EDAC) is an uncommon cause of high airway pressure during mechanical ventilation. However, EDAC is not widely recognized by anesthesiologists, and therefore, it is often misdiagnosed as asthma. Case presentation A 70-year-old woman with a history of asthma received anesthesia with sevoflurane for a laparotomic cholecystectomy. Under general anesthesia, she developed wheezing, high inspiratory pressure, and a shark-fin waveform on capnography, which was interpreted as an asthma attack. However, treatment with a bronchodilator was ineffective. Bronchoscopy revealed the collapse of the trachea and main bronchi upon expiration. We reviewed the preoperative computed tomography scan and saw bulging of the posterior membrane into the airway lumen, leading to a diagnosis of EDAC. Conclusions Although both EDAC and bronchospasm present as similar symptoms, the treatments are different. Bronchoscopy proved useful for distinguishing between these two entities. Positive end-expiratory pressure should be applied and bronchodilators avoided in EDAC.

scholarly journals 55 year-old Female with Hematuria

2020 ◽  
Vol 4 (2) ◽  
pp. 232-233
Author(s):  
Drew Long ◽  
Brit Long
Keyword(s):  
Computed Tomography ◽  
Renal Mass ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Flank Pain ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Left Ureter ◽  
Tomography Scan

Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC). Discussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.

scholarly journals The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Samid M. Farooqui ◽  
Houssein Youness
Keyword(s):  
Fungal Infections ◽  
Left Lung ◽  
Sporothrix Schenckii ◽  
Computed Tomography Scan ◽  
Dimorphic Fungus ◽  
Carcinoma Of The Esophagus ◽  
Case Presentation ◽  
The Past ◽  
Thoracic Computed Tomography ◽  
Tomography Scan

Background. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporotrichosis in the past, presented with dysphagia and was found to have squamous cell carcinoma of the esophagus. After undergoing chemotherapy, extensive cavitary lesions were observed on thoracic computed tomography scan. A bronchoalveolar lavage revealed the presence of Sporothrix schenckii sensu lato. Despite treatment with itraconazole, he eventually required a left pneumonectomy for progressive destructive cavitary lesions involving the left lung. Conclusion. This case highlights the importance of considering past fungal infections, albeit cured, in patients initiating immunosuppressive therapy.

scholarly journals Nonspecific orbital inflammation and thyroid eye disease, a rare comorbidity: report of two cases and review of literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bahram Eshraghi ◽  
Amin Dehghan ◽  
Niloofar Javadi ◽  
Mohammadreza Fazel
Keyword(s):  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Review Of Literature ◽  
Computed Tomography Scan ◽  
Inflammatory Mass ◽  
Case Presentation ◽  
Orbital Inflammation ◽  
Tomography Scan ◽  
Pathological Assessment ◽  
New Onset

Abstract Background To present the very rare comorbidity of developing non-specific orbital inflammation (NSOI) in two patients with histories of definite thyroid eye disease (TED). Case presentation Both patients complained of new-onset progressive proptosis although their thyroid disease was controlled and computed tomography scan revealed an intraorbital inflammatory mass. The pathological assessment indicated that both patients had developed fibrosing NSOI. Therefore, intravenous corticosteroids were administered. The mass regressed and the amount of proptosis was decreased in both patients. Conclusions We reviewed all related cases in the literature and extracted their clinical and radiological characteristics for this paper. Ophthalmologists should consider TED and NSOI in patients with a new-onset complaint of proptosis. Despite rare comorbidity of TED and NSOI, it should be considered especially in patients with refractory proptosis, and lead to its further evaluation and prompt management.

scholarly journals The Best Strategy for Nasogastric Tube Removal in Patients with Acute Appendicitis Complicated with Ileus: A Case Report and Review.

2020 ◽  
Author(s):  
Yu-Ju Tseng ◽  
Pei-Yin Huang ◽  
Po-Chu Lee ◽  
Tzu-Hsin Lin ◽  
Rey-Heng Hu
Keyword(s):  
Acute Appendicitis ◽  
Nasogastric Tube ◽  
Lower Abdominal Pain ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Nasogastric Tubes ◽  
Tube Removal ◽  
Common Causes ◽  
Periappendiceal Abscess ◽  
Tomography Scan

Abstract BackgroundAcute appendicitis is one of the most common causes of the acute abdomen. However, acute appendicitis complicated with ileus is uncommon. By presenting this case, we aim to give some suggestions on the postoperative care, especially an algorithm for the insertion and removal of nasogastric tube.Case presentation A 20-year-old man presenting with left lower abdominal pain and symptoms of ileus was diagnosed with acute appendicitis complicated with ileus by computed tomography scan. A nasogastric tube was inserted for the ileus preoperatively. He underwent laparoscopic appendectomy, during which periappendiceal abscess with local peritonitis was noted. The nasogastric tube was removed on the first postoperative day, but symptoms of ileus developed again. Urografin study revealed contrast media retaining in the small bowel, so nasogastric tube reinsertion was performed. The nasogastric tube was removed on the ninth postoperative day after the recovery from ileus. The patient was discharged on the thirteenth postoperative day.ConclusionPatients of acute appendicitis with ileus should be assessed carefully. Nasogastric tubes shouldn’t be removed until the following requirements are satisfied: Firstly, symptoms of abdominal distention and nausea relieve. Secondly, no more hypoactive bowel sounds are found. And finally, nasogastric tube drainage becomes less than 200mL per day, or the passage of flatus or stool presents.

A Huge Mullerian Duct Remnants in An Adult: A Case Report and Literature Review

2020 ◽  
Author(s):  
Yonghui Wang ◽  
Peng Xiang ◽  
Wei Wang ◽  
Shuang Li ◽  
Hao Ping ◽  
...  
Keyword(s):  
Cystic Lesion ◽  
Pelvic Cavity ◽  
Mullerian Duct ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Müllerian Duct ◽  
Laparoscopic Excision ◽  
Tomography Scan ◽  
Mullerian Duct Remnant

Abstract Background: müllerian duct remnant is a disease which was reported infrequently. The cyst’s size in this case is even rarer. We performed surgery on this patient and introduced the procedure in detail. Case presentation: We present a case that a 58-year-old patient with a huge müllerian duct remnant between the prostate and rectum. Magnetic resonance imaging and computed tomography scan of abdominal and pelvic showed that a cystic lesion with a size of 14×10×10 cm in the pelvic cavity. There were no surgical contraindications were found after some related preoperative examinations, so the laparoscopic surgery was performed. The features of the mass of postoperative pathologic examination presented that the characteristics are consistent with the Müllerian duct. Conclusions: Laparoscopic excision is a perfect way to manage müllerian duct remnant. This way can get good outcome and minimize the damage to the patient.

scholarly journals A COVID-19 pregnant patient with thrombotic thrombocytopenic purpura: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Soheila Aminimoghaddam ◽  
Narjes Afrooz ◽  
Setare Nasiri ◽  
Ozra Motaghi Nejad ◽  
Fatemeh Mahmoudzadeh
Keyword(s):  
Computed Tomography ◽  
Viral Infection ◽  
Thrombotic Thrombocytopenic Purpura ◽  
White Woman ◽  
Pregnant Patient ◽  
Computed Tomography Scan ◽  
Thrombocytopenic Purpura ◽  
Case Presentation ◽  
Chest Computed Tomography ◽  
Tomography Scan

Abstract Background Pregnancy seems to increase the risk of thrombotic thrombocytopenic purpura (TTP) relapses and make the TTP more severe in any of the pregnancy trimesters, or even during the postpartum period. Case presentation This study highlights details of treating a COVID-19 pregnant patient who survived. This 21-year addicted White woman was admitted at her 29th week and delivered a stillbirth. She was transferred to another hospital after showing signs of TTP, which was caused by a viral infection. Conclusion This viral infection caused fever and dyspnea, and the patient was tested positive for COVID-19 infection. A chest computed tomography scan showed diffuse multiple bilateral consolidations and interlobar septal thickening. She stayed at the Intensive Care Unit for 20 days and treated with plasmapheresis. As far as we know, this is the first report of a TTP pregnant patient with COVID-19 infection.

scholarly journals Spontaneous pneumomediastinum, pneumothorax and subcutaneous emphysema in COVID-19 patients—a case series

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Akshat Agrawal ◽  
Kamal Kumar Sen ◽  
Gitanjali Satapathy ◽  
Humsheer Singh Sethi ◽  
Ajay Sharawat ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
Case Series ◽  
Prior History ◽  
Invasive Ventilation ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Spontaneous Pneumomediastinum ◽  
History Of ◽  
Time Of Admission ◽  
Tomography Scan

Abstract Background Spontaneous pneumomediastinum, pneumothorax and spontaneous subcutaneous emphysema are rare entities. A rising trend in the setting of COVID-19 even in patients who are not put on invasive ventilation can suggest an alternative aetiology. Case presentation We describe four cases which presented with suspected symptoms of COVID-19 and were diagnosed with pneumomediastinum, pneumothorax, and subcutaneous emphysema which would have been missed if not for computed tomography scan performed at the time of admission. Three of these cases had no prior history of any iatrogenic intervention, and the fourth person developing pneumothorax and subcutaneous emphysema after intubation. Conclusions Pneumomediastinum, pneumothorax and subcutaneous emphysema can be noted as a complication of COVID-19 itself as well as the complication of management of COVID-19.

Gastroduodenal intussusception and pylorus obstruction induced by a c-KIT-negative gastric gastrointestinal stromal tumor: case report and review of the literature

2018 ◽  
Vol 56 (04) ◽  
pp. 374-379 ◽  
Author(s):  
Yong Zhou ◽  
Xu-Dong Wu ◽  
Quan Shi ◽  
Chuan-hai Xu ◽  
Jing Jia
Keyword(s):  
English Language ◽  
Acute Abdominal Pain ◽  
Wedge Resection ◽  
Endoscopic Examination ◽  
Gastric Gist ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Gastroduodenal Intussusception ◽  
Tomography Scan

Abstract Introduction Gastrointestinal stromal tumors (GISTs) are infrequently reported to cause gastroduodenal intussusception, especially in the cases with complete pylorus obstruction. GISTs comprise only 1 – 3 % of all gastrointestinal tract tumors, and most of them strongly express the c-KIT protein. Approximately 5 % of GISTs show negative staining of c-KIT. Case presentation A 69-year-old man complained of acute abdominal pain accompanied with nausea and vomiting for 6 hours. Emergency endoscopic examination, upper gastroenterography, and computed tomography scan suggested gastroduodenal intussusception and pylorus obstruction induced by a gastric GIST. Laparoscopic exploration and wedge resection of the tumor were performed in the patient. Postoperative histological examination showed a gastric GIST with c-KIT-negative expression. Conclusion Herein, we report the unique findings of a c-KIT-negative gastric GIST presenting with gastroduodenal intussusception and pylorus obstruction. We also reviewed the English language literature of gastroduodenal intussusception induced by GISTs and put our case in the context of the previously reported cases.

scholarly journals Elective laparoscopic colectomy in a patient 3 weeks after coronavirus disease 2019 infection: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yuki Tateno ◽  
Kimito Harada ◽  
Fumiki Okamoto ◽  
Hideo Katsuragawa
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Colectomy ◽  
Sigmoid Colon Cancer ◽  
Optimal Timing ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Elective Colectomy ◽  
Tomography Scan ◽  
Preoperative Examination ◽  
Selection Of

Abstract Background According to previous reports, surgery is not recommended until at least 4 weeks after the symptoms of coronavirus disease 2019 resolve. However, strong evidence has not been established regarding the optimal timing and preoperative examination for elective laparoscopic colectomy for colorectal cancer in individuals with a previous coronavirus disease 2019 infection. Case presentation A 63-year-old Asian man underwent elective laparoscopic colectomy for sigmoid colon cancer 3 weeks after asymptomatic coronavirus disease 2019. The postoperative course was good, and none of the surgical staff was infected with coronavirus disease 2019. Conclusion In this patient infected with coronavirus disease 2019 within 4 weeks of surgery, preoperative venous ultrasound of the lower extremities and a chest computed tomography scan were useful examinations for ensuring a safe surgical procedure for the patient and the staff. Surgery within 4 weeks may be possible with careful selection of cases based on thorough preoperative examination. This report may contribute to the development of a consensus on performing safe elective colectomy for colon cancer in persons previously infected with coronavirus disease 2019.

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