scholarly journals Dorsal penile frenulum a rare congenital abnormality

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
A. M. Mukendi ◽  
S. W. Doherty

Abstract Background Dorsal penile frenulum is noted to be an extremely rare congenital penile abnormality. Only two cases have been reported in the literature. Case presentation A 31-year-old male was involved in a motor vehicle accident and sustained a pelvic fracture and a scrotal laceration which was the main reason for urology consult. Genital examination revealed a circumcised penis, the presence of two frenula and a right scrotal laceration. Scrotal laceration was cleaned and closed. Orthopaedic surgeon took over the patient for the pelvic fracture. Conclusion This is the third reported case of a dorsal penile frenulum incidentally found in a circumcised male and completely asymptomatic. A brief review of relevant embryology and anatomy is herein discussed.

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Amy Schumer ◽  
Stephen Contag

Abstract Introduction Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a genetic disorder that can cause fatal tachyarrhythmias brought on by physical or emotional stress. There is little reported in the literature regarding management of CPVT in pregnancy much less during labor. Case presentation A gravida 2, para 1 presented to our high-risk clinic at 15 weeks gestation with known CPVT. The Caucasian female patient had been diagnosed after experiencing a cardiac arrest following a motor vehicle accident and found to have a pathogenic cardiac ryanodine receptor mutation. An implantable cardioverter defibrillator was placed at that time. Her pregnancy was uncomplicated, and she was medically managed with metoprolol, flecainide, and verapamil. Her labor course and successful vaginal delivery were uncomplicated and involved a multidisciplinary team comprising specialists in electrophysiology, maternal fetal medicine, anesthesiology, general obstetrics, lactation, and neonatology. Conclusions CPVT is likely underdiagnosed and, given that cardiovascular disease is a leading cause of death in pregnancy, it is important to bring further awareness to the diagnosis and management of this inherited arrhythmia syndrome in pregnancy.


1994 ◽  
Vol 15 (8) ◽  
pp. 446-449 ◽  
Author(s):  
Kenneth A. Stephenson ◽  
Timothy L. Beck ◽  
E. Greer Richardson

Dislocations of lesser metatarsophalangeal joints are rare and are almost always dorsal hyperextension injuries. The patient reported sustained plantar dislocations of the second and third metatarsophalangeal joints in a motor vehicle accident; the mechanism of injury was hyperflexion. Closed reduction was not possible, and at the time of open reduction, the extensor digitorum longus and brevis tendons to the third toe were trapped beneath the plantar aspect of the third metatarsal head. Once the tendons were retracted dorsomedially, the joint was easily reduced. Fixation with a Kirschner wire was necessary because of joint instability.


2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Andrea Kleindienst ◽  
Tobias Engelhorn ◽  
Verena Roeckelein ◽  
Michael Buchfelder

Abstract Background A generally accepted rule is that posttraumatic syringomyelia (PTS) results from spinal cord injury (SCI). Case presentation Here, we report the development of syringomyelia without SCI in a 54-year-old Caucasian man following a mild motor vehicle accident. The computed tomography on admission excluded an injury of the spine. Because of neck and back pain, magnetic resonance imaging was performed on day 3 post-injury and demonstrated minimal changes from a ligamentous strain at the cervicothoracic transition. Any traumatic affection of the bone, vertebral discs, intraspinal compartment, or spinal cord were excluded. Some limb weakness and neurogenic bladder dysfunction started manifesting within the following weeks. Repeated MRIs following the accident demonstrated arachnoid adhesions at the C1–2 level and spinal cord edema equivalent to a pre-syrinx state at 12 months and syrinx formation at 24 months. Because of further deterioration, decompression was performed at 36 months. Conclusions We conclude that even after a minor trauma PTS can occur and that medullary edema (pre-syrinx state) may precede syrinx formation.


2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668499 ◽  
Author(s):  
Adam Smith ◽  
IA Malek ◽  
James Lewis ◽  
K Mohanty

We report a case of bilateral external iliac artery compression after application of subcutaneous anterior pelvic fixation (INFIX) technique in a 51-year-old male with an unstable pelvic fracture sustained following a motor vehicle accident. This has not been previously reported in the literature. The management of this complication is discussed in detail, along with key precautions and technical steps to consider while utilizing the ‘INFIX’ technique for pelvic fractures.


2003 ◽  
Author(s):  
David Walshe ◽  
Elizabeth Lewis ◽  
Kathleen O'Sullivan ◽  
Brenda K. Wiederhold ◽  
Sun I. Kim

1996 ◽  
Vol 35 (04/05) ◽  
pp. 309-316 ◽  
Author(s):  
M. R. Lehto ◽  
G. S. Sorock

Abstract:Bayesian inferencing as a machine learning technique was evaluated for identifying pre-crash activity and crash type from accident narratives describing 3,686 motor vehicle crashes. It was hypothesized that a Bayesian model could learn from a computer search for 63 keywords related to accident categories. Learning was described in terms of the ability to accurately classify previously unclassifiable narratives not containing the original keywords. When narratives contained keywords, the results obtained using both the Bayesian model and keyword search corresponded closely to expert ratings (P(detection)≥0.9, and P(false positive)≤0.05). For narratives not containing keywords, when the threshold used by the Bayesian model was varied between p>0.5 and p>0.9, the overall probability of detecting a category assigned by the expert varied between 67% and 12%. False positives correspondingly varied between 32% and 3%. These latter results demonstrated that the Bayesian system learned from the results of the keyword searches.


Tracheobronchial foreign bodies are a common problem in clinical practice. We present the case of a patient with three aspirated teeth following a motor vehicle accident.


Author(s):  
Tal Margaliot Kalifa ◽  
Misgav Rottenstreich ◽  
Eyal Mazaki ◽  
Hen Y. Sela ◽  
Schwartz Alon ◽  
...  

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