scholarly journals Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Gilang Vigorous Akbar Eka Candy ◽  
Supangat Supangat
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Plain Radiograph ◽  
Outlet Obstruction ◽  
Duodenal Atresia ◽  
Significant Morbidity ◽  
Case Presentation ◽  
Distended Abdomen ◽  
Infant Case ◽  
Infants And Young Children

Abstract Background Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileo-cecal, while jejuno-jejunal and ileo-ileal combined contribute only 2.5% of the cases. Case presentation A 5-day-old child presented with recurrent non-bilious vomiting since birth. Physical examination revealed a slightly distended abdomen. A plain radiograph revealed a countable bubble appearance. The initial clinical diagnosis was gastric outlet obstruction. During surgery, we discovered multiple ileo-ileal intussusception associated with duodenal atresia. We manually reduced the intussusceptions and bypassed the duodenal atresia using Kimura’s procedure. We did not find any significant morbidity in the post-operative phase. Conclusion Multiple ileo-ileal intussusception rarely associates with duodenal atresia. In our case report, the intussusceptions might be indirectly caused by duodenal atresia through various pathophysiology. Other unusual findings also supported this suggestion.

scholarly journals Minimal Invasive Surgical Management of Familial Arteriovenous Malformation

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mokhtar Mamdouh Abdel-Latif ◽  
Shankargouda Patil
Keyword(s):  
Case Report ◽  
Arteriovenous Malformation ◽  
Surgical Management ◽  
Arteriovenous Malformations ◽  
Minimal Invasive ◽  
Favorable Outcome ◽  
Significant Morbidity ◽  
Present Case Report ◽  
Case Presentation ◽  
Oral Region

Introduction. Familial arteriovenous malformations are exceedingly rare. They are often noted at birth. They can also present during childhood or adolescence. Sclerotherapy has proven to have a favorable outcome. Case Presentation. The present case report describes the treatment of arteriovenous malformations on the tongue, labial mucosa, and vermilion border in siblings treated with boiling saline injections. Conclusion. Sclerotherapy using boiling saline had shown to effectively treat arteriovenous malformations in the oral region without any significant morbidity.

Survival of multiple nail gun injuries to the head, lung, and heart: A case report

2020 ◽  
Author(s):  
Suo-Hsien Wang ◽  
Mao-Yu Chen ◽  
Tzu-Yen Huang ◽  
Che-Chia Chang ◽  
Chih-Ying Chien
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Suicide Attempt ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Treatment Strategies ◽  
Emergency Physicians ◽  
Significant Morbidity ◽  
Case Presentation ◽  
The Brain

Abstract Background: Most nail gun injuries occur at the extremities due to working accidents. Injuries to the brain or thorax are relatively rare, and cases with both injuries are even rarer. Initial evaluation, resuscitation and surgical planning can be challenging. Case presentation: Here, we present a case with nail gun injuries to the brain, lung, and heart by suicide attempt. The patient presented to the emergency department under shock. After resuscitation and surgical intervention, he was discharged without significant morbidity. Conclusions: Multiple nail gun injuries, especially those to vital organs such as the brain, lung, and heart, can be challenging to emergency physicians and surgeons. Imaging tools, treatment strategies, and possible complications are discussed in this article to provide optimized outcomes in such situations.

Tumoral calcinosis-like lesion of the foot. A case report

1998 ◽  
Vol 88 (2) ◽  
pp. 87-91 ◽  
Author(s):  
GW Chalmers ◽  
WR Brown ◽  
JJ Stienstra
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
End Stage Renal Disease ◽  
Magnetic Resonance Images ◽  
Tumoral Calcinosis ◽  
Illustrative Case ◽  
Significant Morbidity ◽  
Case Presentation ◽  
Stage Renal Disease ◽  
End Stage

Tumoral calcinosis-like lesions of the foot are a pedal manifestation of end-stage renal disease. Although they are benign, they have the potential to cause significant morbidity because of their invasive nature. Following a brief description of tumoral calcinosis-like lesions, the authors provide an illustrative case presentation including radiographs, magnetic resonance images, surgical photographs, and histopathology.

A fatal combination of duodenal atresia with preduodenal portal vein, malrotation, and hypoplastic left heart syndrome: A case report

2020 ◽  
Vol 9 ◽  
pp. 19
Author(s):  
Priyanka Mittal ◽  
Nitin James Peters ◽  
Ram Samujh
Keyword(s):  
Case Report ◽  
Portal Vein ◽  
Cardiac Disease ◽  
Duodenal Atresia ◽  
Left Heart ◽  
Hypoplastic Left Heart ◽  
Case Presentation ◽  
Cardiac Anomalies ◽  
Preduodenal Portal Vein ◽  
Left Heart Syndrome

Background: Duodenal atresia (DA) is often associated with anomalies that include annular pancreas, cardiac anomalies, intestinal malrotation, situs inversus, or splenic anomalies. Association of duodenal atresia with complex cardiac anomalies is scarcely reported in the literature. Case Presentation: A term neonate was diagnosed with duodenal atresia and found to have a preduodenal portal vein and malrotation. A gastro jejunostomy was added to the procedure, due to the pre duodenal portal vein. On post-operative day 4, the patient had sudden desaturation. The respiratory system was normal and there was no evidence of septicaemia. On the post-operative echocardiogram, the diagnosis of hypoplastic left heart was made and the patient eventually succumbed to his complex cardiac disease. Conclusion: This is a rare combination of multiple anomalies and we report the clinical and anatomical findings of this patient.

scholarly journals Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Surasak Puvabanditsin ◽  
Marissa Botwinick ◽  
Charlotte Wang Chen ◽  
Aditya Joshi ◽  
Rajeev Mehta
Keyword(s):  
Plain Radiograph ◽  
Plain Film ◽  
Exploratory Laparotomy ◽  
Duodenal Atresia ◽  
X Rays ◽  
Double Bubble ◽  
Case Presentation ◽  
Upper Gi ◽  
Intestinal Gas ◽  
Distal Bowel

Background. The presence of distal bowel gas in an infant does not exclude the diagnosis of duodenal atresia. Case Presentation. We report a term neonate with Down syndrome. The infant developed vomiting and cyanosis with each feeding soon after birth. Plain film abdominal X-rays showed a nonspecific gas-filled stomach and small bowel. Duodenal atresia and an anomalous common bile were noted on an upper GI study and exploratory laparotomy. Conclusion. In the absence of a “double bubble” appearance and intestinal gas distally on a plain radiograph, one must not exclude duodenal atresia as the differential diagnosis.

scholarly journals Rare Strain ofVibrio choleraeSepticemia in a Patient with Multiple Myeloma

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Deepu Daniel ◽  
Sunil Kumar
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Vibrio Cholerae ◽  
Multiorgan Failure ◽  
Morbidity And Mortality ◽  
Significant Morbidity ◽  
Vibrio Cholera ◽  
Case Presentation ◽  
Immunosuppressed Patients

Introduction. Non-O1/non-O139 is a rare strain ofVibrio cholerathat has been documented to cause significant morbidity and mortality in the immunosuppressed population.Case Presentation. A patient with multiple myeloma develops non-O1/non-O139Vibrio cholerasepticemia, leading to multiorgan failure and ultimately death.Discussion. An exceedingly rare strain ofVibrio cholera, non-O1/non-O139, may be an important factor of morbidity and mortality in certain immunosuppressed populations, such as patients with multiple myeloma and malignancies.Conclusion. Bacteremia involving generally noninvasive microbes, such as non-O1/non-O139Vibrio cholerae, can have significant deleterious effects in the immunosuppressed patients as shown by this case report. Physicians need to be more diligent when treating these patients.

scholarly journals Diffuse Skin Tightness in Familial Mediterranean Fever: A Case Report and Review of Literature

2015 ◽  
Vol 4 (4) ◽  
pp. 169-72
Author(s):  
Elham Behrangi ◽  
Nasrin Shayanfar ◽  
Hadi Mohagheghian Yaghoubi ◽  
Saman Aghabekloo ◽  
Zahra Azizian
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Systemic Sclerosis ◽  
Familial Mediterranean Fever ◽  
Physical Examination ◽  
Autosomal Recessive ◽  
Review Of Literature ◽  
Case Presentation ◽  
Tight Skin ◽  
Mediterranean Fever

Introduction: Familial Mediterranean Fever (FMF) is an autosomal recessive inherited disorder that has skin presentations like vasculitis and paniculitis. There has not been shown any association between systemic sclerosis and FMF in studies. Hence, we report a case of FMF with diffuse skin tightness. Case Presentation: An 18-year-old girl known as a case of FMF for 3 years presents to our department with tight skin since childhood. The stiffness of skin appeared when she was about 7 years old. In physical examination, tight skin with general induration in all surfaces of skin, sclerodactyly and beaked nose microstomia are noticed. The findings of all hematological, biochemical and pathological studies were normal. Conclusion: Finally, it may be concluded that FMF should be considered as a differential diagnosis in patients attending with skin tightness and the possible etiology is cytokines. [GMJ.2015;4(4):169-72]

scholarly journals Fournier’s gangrene following an ant bite in a healthy man: A very rare case report

2020 ◽  
Vol 6 (2) ◽  
pp. 115-117
Author(s):  
Abbas Edalatkhah ◽  
Mohammad Ali Jafari ◽  
Sima Valizadeh ◽  
Alireza Esmaeili ◽  
Ehsan Zarepur
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Antibiotic Therapy ◽  
Rare Case ◽  
Saline Solution ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Case Presentation ◽  
Rare Case Report ◽  
Extensive Necrosis

Objective: Necrotizing fasciitis of the perinea, referred to as Fournier’s gangrene, is a necrotizing infection of the perinea. To the best of our knowledge, there is no report on the Fournier’s gangrene following an ant bite and this is a rare case report of this type. Case Presentation: In this rare case report we describe a 20-year-old man who developed Fournier’s gangrene following an ant bite which resulted in his death. He sustained numerous ant bites in the perinea. Subsequently, he suffered from itching of the area and had scratched the area frequently leading to dermal ulcers and laceration, pain, and swelling of the scrotal area followed by fever and diminished consciousness. Finally, he presented to the emergency room (ER) after 72 hours of ant bites with a shock. Physical examination revealed extensive necrosis of scrotum. The primary treatments including antibiotic therapy, normal saline solution, and dopamine were not effective. Conclusion: Even a simple nonpoisonous insect bite can lead to Fournier’s gangrene and death. Paying greater attention to the site of bite, especially in the perinea which is anatomically more susceptible to infection, observing hygienic principles, and quick access to healthcare centers may prevent the patient’s death.

scholarly journals Non-Endoscopic Endo-nasal Dacryocystorhinostomy in a Saddle shaped nose: A Case Report

2021 ◽  
Vol 13 (1) ◽  
pp. 152-156
Author(s):  
Binita Bhattarai ◽  
Koshal Shrestha ◽  
Laxmi Devi Manandhar
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Laser System ◽  
Endoscopic Endonasal ◽  
Case Presentation ◽  
Tender Mass ◽  
Silicon Tube ◽  
Medial Canthal Tendon

Introduction: Non Endoscopic endo-nasal dacryocystorhinostomy retains the benefit of an Endo-nasal approach and can be done without using an expensive video endoscope or laser system. Case presentation: A 22 years old female presented with epiphora and medial canthal mass in her left eye, accompanied by discharge and recurrent conjunctival congestion since childhood. Physical examination revealed loss of height of the nose with discharge in her left eye, and am immobile and non-tender mass below the level of medial canthal tendon. On applying pressure over the lesion there was mucopurulent discharge from both the upper and lower punctum . The bridge of the nose was very flat and external dacryocystectomy was a challenge. A non-endoscopic endonasal dacryocystorhinostomy with silicon tube intubation was planned. During the procedure, the bone was lower than normal requiring more bone nibbling. Epiphora was resolved immediately after surgery. Conclusion: Non-Endoscopic endo-nasal dacryocystorhinostomy has the benefit of doing it through an endo-nasal approach without expensive and space consuming video-endoscope making more room for bone nibbling even in a narrow and deformed nasal cavity.

scholarly journals Giant vulva fibroma presenting as a genital mass: a case report

2020 ◽  
Vol 21 (2) ◽  
pp. 1-6
Author(s):  
Edgar Ndaboine ◽  
Dismas Matovelo ◽  
Arnold Itemba ◽  
Cosmas Mbulwa
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Spinal Anesthesia ◽  
Surgical Excision ◽  
Well Being ◽  
Hormonal Changes ◽  
Case Presentation ◽  
Limited Mobility ◽  
The Right ◽  
Unusual Finding

Introduction: Even though vulva fibroma is rare, it is among the solid tumors of the vulva. Its cause is unknown although it has been associated with physiological hormonal changes. We report a patient with a unique vulva fibroma which has grown to the extent of interfering with her gait and urination. Case presentation: A 22-year-old woman presented with a genital mass which had been present for the duration of 2 years and felt embarrassed to report to the hospital early as the growth was in the genital area, with the perception of it being a sexually related illness, despite having not yet started engaging in sexual activity. On physical examination, a palpable pendulous mass of about [30 x 22] cm was seen originating from the right labia and extending to the right perineum. The mass was firm, nodulated, non-tender and had limited mobility. Surgical excision was performed under spinal anesthesia. Histologically, features suggestive of mixoid fibroma were reached after the mass was excised.  No recurrence has been observed. Conclusion: Clinicians should be aware of this rare disease which can be associated with recurrence if there is incomplete excision. Again, the unusual finding of the genital mass can be very embarrassing to the patient affecting her psychosocial well-being. It needs to be treated immediately upon diagnosis.  

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