scholarly journals Subfascial‐located contraceptive devices requiring surgical removal

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Justin E. Hellwinkel ◽  
Matthew W. Konigsberg ◽  
Johana Oviedo ◽  
Paula M. Castaño ◽  
R. Kumar Kadiyala
Keyword(s):  
Upper Extremity ◽  
Biceps Brachii ◽  
Surgical Removal ◽  
Deep Tissue ◽  
Case Presentation ◽  
Office Setting ◽  
Contraceptive Devices ◽  
Contraceptive Implants ◽  
Neurovascular Structures ◽  
Effective Contraceptive

Abstract Background Subdermal etonogestrel implants are highly effective contraceptive methods. Despite standardization of insertion technique by the manufacturer, some implants are inadvertently placed too deeply within or below the plane of the biceps brachii fascia. Placement of these implants in a deep tissue plane results in more difficult removal, which is not always possible in the office setting. In rare cases, surgical removal by an upper extremity surgeon is warranted. Case presentation Here we present 6 cases of etonogestrel implants located in a subfascial plane requiring removal by an upper extremity surgeon. Implants were all localized with plain radiography and ultrasound prior to surgical removal. All cases had implants located in the subfascial plane and one was identified intramuscularly. The average age was 28 years (19–33) and BMI was 24.0 kg/m^2 (19.1–36.5), with the most common reason for removal being irregular bleeding. The majority of cases (5/6) were performed under monitored anesthesia care with local anesthetic and one case utilized regional anesthesia. All implants were surgically removed without complication. Conclusions Insertion of etonogestrel contraceptive implants deep to the biceps brachii fascia is a rare, but dangerous complication. Removal of these implants is not always successful in the office setting and referral to an upper extremity surgeon is necessary to avoid damage to delicate neurovascular structures for safe removal.

scholarly journals Neonate born with ischemic limb to a COVID-19 positive mother: management and review of literature

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Shahana Perveen ◽  
Karmaine A. Millington ◽  
Suchitra Acharya ◽  
Amit Grag ◽  
Vita Boyar
Keyword(s):  
Differential Diagnosis ◽  
Compartment Syndrome ◽  
Upper Extremity ◽  
Preterm Neonate ◽  
Review Of Literature ◽  
Case Presentation ◽  
Ischemic Limb ◽  
History Of ◽  
Hand Amputation ◽  
Work Up

AbstractObjectivesTo describe challenges in diagnosis and treatment of congenital neonatal gangrene lesions associated with history of maternal coronavirus disease 2019 (COVID-19) infection.Case presentationA preterm neonate was born with upper extremity necrotic lesions and a history of active maternal COVID-19 infection. The etiology of his injury was challenging to deduce, despite extensive hypercoagulability work-up and biopsy of the lesion. Management, including partial forearm salvage and hand amputation is described.ConclusionsNeonatal gangrene has various etiologies, including compartment syndrome and intrauterine thromboembolic phenomena. Maternal COVID-19 can cause intrauterine thrombotic events and need to be considered in a differential diagnosis.

scholarly journals Perianal Traumatic Myiasis in a Goat Caused by Wohlfahrtia magnifica (Schiner 1862) (Diptera: Sarcophagidae) in Konya Province of Turkey

2020 ◽  
Vol 1 (3) ◽  
pp. 73-75
Author(s):  
Dilge Sila Davulcu ◽  
Sule Yilmaz ◽  
Onur Ceylan ◽  
Bilal Dik
Keyword(s):  
Potassium Hydroxide ◽  
Morphological Characteristics ◽  
Tissue Loss ◽  
Perianal Area ◽  
Topical Antibiotic ◽  
Deep Tissue ◽  
Case Presentation ◽  
Antiseptic Solution ◽  
Stereo Microscope ◽  
Wohlfahrtia Magnifica

Introduction: The infestation of live humans and animals with dipterous larvae is called Myiasis. These larvae feed on the living or dead tissues, body fluids, and ingested foods of hosts at least for a certain period in myiasis cases. Case Presentation: During clinical examination, several larvae were detected in the perianal area of a goat at Selcuk University, Faculty of Veterinary Medicine, Internal Medicine Clinics. All visible larvae were cleaned by the clinician with the help of forceps. Ivermectin administered against larvae possibly penetrated deep into the wound. A topical antibiotic was also applied, and the wound was washed with an antiseptic solution. Several larvae were preserved in tubes including ethanol (70%) and transferred to parasitology laboratory. Firstly, the larvae were incised with a scalpel and cleared in potassium hydroxide (10%). Then, they were rinsed in distilled water, put into 70% ethanol for dehydration, and stored in 99% ethanol until dissection. The larvae were morphologically examined under a stereo microscope and dissected. The larvae were identified as third instar larvae of Wohlfahrtia magnifica according to the morphological characteristics of cephalo-pharyngeal skeleton, anterior spiracles, and peritremes. Conclusion: It should be kept in mind that in myiasis cases, early diagnosis is a very important factor in preventing deep tissue loss.

scholarly journals Klippel–Feil Syndrome with Sprengel Deformity and Extensive Upper Extremity Deformity: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
John W. Stelzer ◽  
Miguel A. Flores ◽  
Waleed Mohammad ◽  
Nathan Esplin ◽  
Jonathan J. Mayl ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Shoulder Girdle ◽  
Severe Form ◽  
Upper Extremities ◽  
Congenital Deformity ◽  
Radiographic Imaging ◽  
Case Presentation ◽  
Vertebral Bodies ◽  
Woodward Procedure ◽  
Associated Abnormalities

Introduction. Klippel–Feil syndrome (KFS) is a congenital anomaly resulting from fusion of cervical vertebral bodies secondary to the dysregulation of signaling pathways during somite development. It is commonly associated with scoliosis and Sprengel deformity. We present a case of KFS with commonly associated abnormalities as well as deformities that have not yet been reported in the literature. Case Presentation. A 3-year-old girl presented for further evaluation of a left upper extremity deformity following a negative genetic workup. Upon physical exam and radiographic imaging, the patient was diagnosed with KFS and associated abnormalities including cervical scoliosis, Sprengel deformity, and congenital deformity of the left upper extremity. Deformities of the left upper extremity include radioulnar synostosis, a four-rayed hand, and absent thenar musculature. The Sprengel deformity was corrected surgically with a Woodward procedure. Discussion. Congenital musculoskeletal deformities can be differentiated based upon spinal and limb embryology. The presence of extraspinal abnormalities not originating from somite differentiation may suggest a severe form of KFS. Important considerations in the workup of the KFS patient include looking for deformities of the shoulder girdle and upper extremities to identify abnormalities for intervention at a young age.

scholarly journals Two different clinical forms of squamous cell carcinoma (SCC) in the perineum and vulva of two mares

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Andrzej Raś ◽  
Iwona Otrocka-Domagała ◽  
Małgorzata Raś-Noryńska
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Ultrasound Examination ◽  
Histopathological Examination ◽  
Reproductive Organs ◽  
Malignant Neoplasms ◽  
Surgical Removal ◽  
Chemotherapy Treatment ◽  
Case Presentation

Abstract Background Genital malignant neoplasms in mares are relatively rare. The treatment involve surgical removal of the tumour masses, chemotherapy or both. Case presentation Two elderly warmblood mares, aged 16 and 20 were presented in University Clinic with the lumpy lesions at the region of perineum and left labia. Surgical removals of tumour masses were performed on standing animals. Removed tissues were subjected to histopathological examination which confirmed SCC. Conclusions Clinical and ultrasound examination of reproductive organs in both mares showed no inflammatory or neoplastic changes. Both mares healed within 2 weeks after surgery and showed no signs of tumour recurrence for the following year despite no chemotherapy treatment.

Functional Effects of Inertial Training of the Upper Extremity

2003 ◽  
Vol 12 (3) ◽  
pp. 229-239 ◽  
Author(s):  
Todd A. McLoda ◽  
Kate M. Murphy ◽  
Steve Davison
Keyword(s):  
Upper Extremity ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Biceps Brachii ◽  
Exercise Group ◽  
Emg Activity ◽  
Control Group ◽  
Significant Group ◽  
Time Interaction ◽  
Size Groups

Context:Inertial training of the shoulder.Objective:To determine the differences of functional and EMG measures between a control group and an exercise group of overhead throwers.Design:Repeated measures.Setting:Research laboratory.Participants:17 intercollegiate baseball players and 19 intercollegiate softball players divided into 2 equal-size groups, control and exercise.Main Outcome Measures:Preliminary data were recorded, including throwing velocity, throwing accuracy, and EMG activity of the biceps brachii, upper pectorals, and posterior deltoid. The exercise group completed a 4-week training regimen on the Impulse Inertial Trainer. All participants returned for follow-up measures.Results:No significant group-by-time interaction occurred relative to ball velocity, accuracy, or EMG activity.Conclusion:For experienced throwers, functional measures and muscle activity during throwing were not affected by inertial training of the upper extremity.

scholarly journals Metal Foreign Bodies Have Been in the Lungs for Five Years: a Case Report

2021 ◽  
Author(s):  
Yuan Li ◽  
Zhong Li ◽  
Jun-Cai Liu
Keyword(s):  
Foreign Body ◽  
Pulmonary Artery ◽  
Foreign Bodies ◽  
Treatment Plan ◽  
High Density ◽  
Surgical Removal ◽  
Metallic Foreign Body ◽  
Case Presentation ◽  
Appropriate Treatment ◽  
Limb Trauma

Abstract Background: Metallic foreign body migration into the pulmonary artery after limb trauma is extremely rare. If not treated in time, the patient may die. The metallic foreign body was implanted from the thigh into the pulmonary artery and remained for 5 years. It has never been reported in limb trauma.Case Presentation: The patient was a 51-year-old male who had a small metal foreign body embedded in the middle and lower left thigh due to trauma. The foreign body was not found during emergency debridement operation. During the operation, a full-body X-ray was used to reveal a high-density shadow in the left upper lung. The 3D-CT of the chest immediately confirmed that the high-density shadow was a small iron foreign body, and the iron fragment foreign body was present in the pulmonary artery branch, but no abnormal symptoms were observed. He was hospitalized for observation for 3 days without obvious discomfort and refused to open his chest. The patient then decided to leave the hospital voluntarily.Conclusion: Surgical removal of all foreign bodies traveling to the pulmonary artery is not necessary, and the most appropriate treatment plan should be made considering the location of the foreign body, the patient's wishes and the general condition.

scholarly journals Interhemispheric transcallosal transchoroidal approach to a pineal teratoma in a 15-year-old boy

2021 ◽  
Vol 5 (1) ◽  
pp. V5
Author(s):  
Giuseppe Cinalli ◽  
Maria Rosaria Scala ◽  
Alessandra Marini ◽  
Alessia Imperato ◽  
Giuseppe Mirone ◽  
...  
Keyword(s):  
Endoscopic Third Ventriculostomy ◽  
Third Ventricle ◽  
Complete Removal ◽  
Endoscopic Biopsy ◽  
Immature Teratoma ◽  
Third Ventriculostomy ◽  
Surgical Removal ◽  
Transcallosal Approach ◽  
Neurovascular Structures ◽  
Very High

In this video, the authors present an interhemispheric transcallosal transchoroidal approach to a pineal mass in a 15-year-old boy. He received emergency endoscopic third ventriculostomy (ETV), then an endoscopic biopsy that revealed an immature teratoma. Surgical removal was selected. The mass was located very high in the posterior third ventricle, hidden behind the splenium of the corpus callosum and the vein of Galen, so an interhemispheric transcallosal approach followed by a complete dissection of the whole choroidal fissure was chosen and allowed complete removal of the tumor. Microsurgical dissection is presented, showing clearly in detail all the neurovascular structures encountered. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2126.

scholarly journals A case report of a spontaneous sternocleidomastoid hematoma: a challenging diagnosis in infantile neck swellings

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Monia Ghammam ◽  
Lobna Chouchane ◽  
Jihene Houas ◽  
Mouna Bellakhdher ◽  
Heyfa Bel Hadj Miled ◽  
...  
Keyword(s):  
Vascular Malformations ◽  
Past History ◽  
Surgical Removal ◽  
Imaging Features ◽  
Case Presentation ◽  
Cervical Hematoma ◽  
Neck Masses ◽  
Common Complaint ◽  
History Of ◽  
Malignant Lesions

Abstract Background Pediatric neck masses are a common complaint in children. The most common etiologies include congenital lesions, lymphadenopathy, vascular malformations, inflammatory, and malignant lesions. Spontaneous sternocleidomastoid hematoma is exceptional in infant. Case presentation We describe a case of spontaneous cervical hematoma diagnosed in a 4-month-old child. Past history did not reveal a neck trauma, a history of difficult labor, a bleeding disorder or a pertinent family history. The diagnosis was suspected based on the imaging features and confirmed after surgical removal. Conclusions Sternocleidomastoid swelling is commonly encountered in infancy. Ultrasound still remains the initial modality of choice. The management modalities are controversial.

scholarly journals Variations of Biceps Brachii Muscle and its Clinical Importance

2020 ◽  
Author(s):  
Jolly Agarwal ◽  
Krishna Gopal
Keyword(s):  
Biceps Brachii ◽  
Clinical Importance ◽  
Uttar Pradesh ◽  
Nerve Supply ◽  
Biceps Brachii Muscle ◽  
Muscle Belly ◽  
Iatrogenic Injuries ◽  
Pronator Teres ◽  
Radial Tuberosity ◽  
Neurovascular Structures

Introduction: Biceps brachii is one of the functionally important muscles of front of the arm. As the name indicates biceps brachii is having two heads of origin and it inserts on the posterior surface of radial tuberosity. Variations may be present in the form of additional heads of origin or they may be present at its insertion. These variations may affect action of muscle and may cause compression of nearby neurovascular structures. Aim: To determine the variation in anatomy of biceps brachii with respect to its origin, insertion and its nerve supply. Materials and Methods: The present osteological study was conducted on 32 arms of embalmed cadavers (including both right and left) of Department of Anatomy, SRMS IMS, Bareilly, Uttar Pradesh, India from 2015-2018 period. The dissection of arm was done according to standard guidelines and biceps brachii muscle was cleaned. The origin, insertion and nerve supply of biceps brachii muscle was observed and noted for any variation. Results: In the present study an additional head of origin of biceps on right and left side of two cadavers were found. In present study inferomedial origin of biceps brachii was found. The present study also showed the presence of musculotendinous slip at its insertion. This slip was going towards the muscle belly of pronator teres. Conclusion: There are numerous variations seen in biceps brachii which can put a surgeon in dilemma and it may result in iatrogenic injuries. Hence, it is important to have a knowledge about its variations so that such injuries can be prevented.

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