scholarly journals Pseudomyogenic hemangioendothelioma secondary to fibrous dysplasia of the left lower extremity in a 14-year-old female: a case report

2016 ◽  
Vol 14 (1) ◽  
Author(s):  
Conglin Ye ◽  
Xiaolong Yu ◽  
Jin Zeng ◽  
Hucheng Liu ◽  
Min Dai
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Fibrous Dysplasia ◽  
Pseudomyogenic Hemangioendothelioma ◽  
Left Lower Extremity

Abstract 275: Angioscore Balloon in the Treatment of Collagen Plug Occlusion and Acute Limb Ischemia: Case Report

2012 ◽  
Vol 32 (suppl_1) ◽  
Author(s):  
Pooja M Swamy ◽  
Abeer Berry ◽  
Mahir D Elder
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Femoral Artery ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Common Femoral Artery ◽  
Closure Device ◽  
Acute Limb Ischemia ◽  
Access Site ◽  
Left Lower Extremity

BACKGROUND: Complications of the vascular access-site (VAS) are not uncommon. With the evolution of hemostatic techniques used in the access site closure, in the last two decades, the rate of VAS related complications has significantly reduced from 6% to 2%. However, they still remain to be an important cause of morbidity following catheterization procedures. The most common complications encountered with closure of VAS are hematoma formation, arterio-venous fistula, dissection, pseudo -aneurysm and limb ischemia. According to two meta-analyses, the incidences of these complications were very low. The incidence of collagen plug from an Angioseal(™) device causing acute leg ischemia is low and upon occurrence, the use of an Angioscore(™) balloon in successful revascularization has never been reported. CASE PRESENTATION: A 62-year-old male with known severe peripheral artery disease, diabetes mellitus, hypertension and hypercholesterolemia had a successful angioplasty of a 100% chronically occluded right superficial femoral artery (SFA) via the left common femoral artery. An Angioseal (™) closure device was used to achieve hemostasis. The patient was discharged home after an uneventful post procedural course. Two days later, he presented to the ER with a cold and numb left lower extremity. On exam, the left lower extremity had no palpable pulse from below right femoral artery, confirmed by Doppler. The extremity was cold to touch with decreased sensory perception. Patient was found to have critical left lower extremity ischemia. He was emergently taken for a selective left lower extremity angiogram using the right common femoral artery for access. Fragments of the closure device and a collagen plug causing a total occlusion of the left common femoral artery were found. After a pre-dilatation with a 4.0x 40 balloon under prolonged inflations, a lesion reduction from 100 % to 30% with a TIMI 0 to TIMI 3 flow was achieved using an Angioscore (™) 5.0x 40 balloon inflated at 10 atmospheres. Subsequently, using laser 2.0 atherectomy of the left common femoral artery was performed. Flow in the dorsalis pedis artery was confirmed with Doppler. DISCUSSION: The Angio-Seal(™) device has a polylactide and polyglycolide polymer anchor, a collagen plug and a suture contained within a carrier system. Hemostasis is achieved by compressing the arterial puncture site between the anchor and the collagen plug. With newer studies, it appears that the occurrence of critical limb ischemia from collagen plug is under recognized. We therefore, with this case report urge the physicians to be aware of this serious though rare complication of closure devise and also highlight the successful use of Angioscore (™) balloon in the emergent treatment of non-athermatous vascular occlusion causing critical limb ischemia.

scholarly journals Red eyes presenting with a fistulous lesion in the left lower extremity: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Natalia Palmou-Fontana ◽  
Enrique Judez Navarro ◽  
Oscar Martín Melero ◽  
Sergio Losa Palacios
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Left Lower Extremity ◽  
Red Eyes

scholarly journals Accident and vascular injury with stingray in the Alto Juruá, Acre, Brazil: a case report

2019 ◽  
Vol 29 (3) ◽  
pp. 427-432
Author(s):  
Marlon Negreiros de Holanda ◽  
Ozianndeny Ferreira Câmara ◽  
Delcio Damasceno da Silva ◽  
Paulo Sérgio Bernarde ◽  
Ageane Mota da Silva ◽  
...  
Keyword(s):  
Case Report ◽  
South America ◽  
Lower Extremity ◽  
Vascular Injury ◽  
Surgical Intervention ◽  
Great Saphenous Vein ◽  
High Morbidity ◽  
Case Presentation ◽  
Left Lower Extremity ◽  
Freshwater Stingray

Introduction: Fish accidents, called ichthyism, are common and considered a neglected health problem with high morbidity and low lethality. Noteworthy are the poisonings by freshwater stingrays, which are considered very serious and one of the most important injuries caused by aquatic animals in South America. Case Presentation: To describe an accident and vascular injury with venomous stingray animals in the Alto do Juruá, Acre, Brazil. Male patient admitted due to stingray in the left lower extremity 20 days ago. Conclusion: The freshwater stingray, due to its sharp characteristics, injured the great saphenous vein, requiring surgical intervention. The situation presented negative evolution due to the lack of necessary procedures in the first attendance, such as the proper cleaning of the wound and the removal of the sting.

Unilateral Gluteal Hypoplasia and Brachysyndactyly: Lower Extremity Counterpart of the Poland Anomaly

PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 653-654
Author(s):  
Vincent M. Riccardi
Keyword(s):  
Mammary Gland ◽  
Case Report ◽  
Lower Extremity ◽  
Upper Extremity ◽  
Pectoralis Major ◽  
Developmental Origin ◽  
Left Lower Extremity

The Poland anomaly is characterized by unilateral upper extremity brachysyndactyly, ipsilateral aplasia/hypoplasia of the sternal head of the pectoralis major, and/or hypoplasia of the nipple or mammary gland. A case is presented here of a child with a comparable combination of findings in a lower extremity. Because her abnormalities are so similar to those seen in the Poland anomaly they may be instructive as to the developmental origin of the Poland anomaly. CASE REPORT A 21-month-old girl was referred for evaluation of a small left lower extremity.

scholarly journals Late-Onset GBS Lower Extremity Cellulitis in Premature Neonate with a GBS Negative Mother with Alternative Modes of Transmission: A Case Report

2021 ◽  
Vol 16 (1) ◽  
pp. 29-32
Author(s):  
Bansari Patel ◽  
Lakshan Fonseka ◽  
Nasser Hashem ◽  
Mitchell Goldstein
Keyword(s):  
Case Report ◽  
Breast Milk ◽  
Lower Extremity ◽  
Preterm Infants ◽  
Clinical Observation ◽  
Late Onset ◽  
Retrospective Case ◽  
Modes Of Transmission ◽  
Left Lower Extremity ◽  
Transmission Modes

Purpose: To report a case of cellulitis-causing late-onset Group B streptococcus (GBS) GBS in a neonate with a previously negative antenatal tested mother. This report aims to discuss the various transmission modes potentially causing this case of cellulitis, such as contaminated breast milk.  Case Description:  A preterm neonate, born via cesarean section (C-section) at 29 weeks gestation to a G1P0 mother with a negative GBS rectovaginal antenatal swab test, subsequently developed late-onset cellulitis in the lower extremity due to GBS 19 days later.  Methods: This is a retrospective case report followed by clinical observation, blood cultures, imaging, and antibiotic interventions.    Results: A neonate with left lower extremity cellulitis was found to be GBS positive from a previously negative antenatal GBS-negative mother.   Discussion: As GBS is a common pathogen of neonatal sepsis and less commonly cellulitis, testing rectovaginal fluids once may not be enough to prevent neonates and preterm infants from protecting against transmission. As there have been rare cases of GBS-contaminated breast milk, culturing and testing of breast milk should also be considered, especially in preterm infants.

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