scholarly journals Déplacement accidentel de la dent de sagesse maxillaire dans le vestibule jugal antérieur

NEMESIS ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 1-13
Author(s):  
Sakha Fathi ◽  
Raphael Olszewski
Keyword(s):  
Nous Avons ◽  
Ct Scan ◽  
Rare Complication

Les déplacements accidentels des dents de sagesse du maxillaire supérieur dans divers régions anatomiques sont rares. Nous avons effectué la recherche de littérature sur ce sujet de manière systématique en utilisant PubMed et DOAJ. Il n’existe pas d’illustration accessible gratuitement pour les voies de déplacements accidentels des dents de sagesse supérieurs imagées par le CT scan ou par le CBCT à part le déplacement vers la fosse infra-temporale et vers la fosse ptérygopalatine. Nous décrivons et illustrons par CBCT un cas unique dans la littérature médicale de déplacement accidentel du germe de la dent de sagesse du maxillaire supérieur dans l’espace jugal antérieur. Les raisons potentielles, les conséquences ainsi que les moyens de prévention de cette rare complication d’extraction de dents de sagesse sont aussi expliquées.

scholarly journals 782 A Rare Complication in A Post-Operative Bariatric Patient: COVID-19 Induced Mesenteric Venous Thrombosis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Winstanley ◽  
M Goodfellow
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Myeloproliferative Neoplasms ◽  
Rare Complication ◽  
Nasopharyngeal Swab ◽  
Thrombotic Complications ◽  
Tract Infections ◽  
Mesenteric Thrombosis

Abstract Introduction The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has provided enormous challenges in the delivery of surgical care. In addition to respiratory tract infections, coronavirus disease 2019 (COVID-19) is associated with both arterial and venous thrombotic complications. Case Details: We present a case of acute superior mesenteric venous (SMV) thrombosis in a 36-year-old female patient who underwent Roux-en-Y gastric bypass three years previously. Her presentation with acute abdominal pain occurred 6 days after a positive nasopharyngeal swab. An admission CT scan demonstrated an abrupt cut off in the proximal SMV with resultant small bowel oedema. Subsequent thrombophilia screening and mutation testing for myeloproliferative neoplasms were all negative. She had also previously carried three pregnancies to term without any thrombotic complications. Hence, the high suspicion of acute COVID-19 induced mesenteric thrombosis. Conclusions In patients who have previously undergone Rouy-en-Y gastric bypass and lost significant weight, acute abdominal pain normally raises a high suspicion of internal hernia. However, as the pandemic progresses surgeons need to be mindful of COVID-19 induced mesenteric thrombosis as a differential diagnosis during the workup of acute abdominal pain. This was well demonstrated on a CT scan with intravenous contrast.

scholarly journals The effective use of hyperbaric oxygen therapy (HBOT) in the management of air embolism – rare and potentially fatal acute complication of hemodialysis

2021 ◽  
Author(s):  
Grzegorz Kade ◽  
Sebastian Spaleniak ◽  
Artur Maliborski ◽  
Jacek Siewiera ◽  
Stefan Antosiewicz ◽  
...  
Keyword(s):  
Ct Scan ◽  
Hyperbaric Oxygen ◽  
Vascular Access ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Air Embolism ◽  
Arterial System ◽  
Sensor Failure ◽  
Acute Complication

Introduction: Air embolism is a rare and potentially fatal acute complication. Its causes are mainly iatrogenic. It requires rapid diagnostics and treatment, including hyperbaric oxygen therapy (HBOT). Aim: The main aim was to present the potential causes of air embolism during hemodialysis (HD) and show the importance of quick clinical diagnosis and therapy – on the base of clinical case. Case study: 65-years old male patient with diabetic nephropathy was treated with HD. The permanent dialysis catheters were used as vascular access due to the difficulties with formation of arteriovenous fistula. The massive air embolism occurred during one of the dialysis sessions. The clinical suspicion was confirmed by CT scan which showed the presence of gas bubbles in abdominal arteries. The cause of air embolism was sensor failure. The presence of patent foramen ovale (PFO) with reversed leakage caused the air ingress into arterial system. Patient was qualified for the immediate hyperbaric therapy. The quick improvement in the condition of the patient took place. Results and discussion: The massive air embolism may occur in HD patients, particularly in those who are dialyzed with use of catheters as vascular access. This rare complication should be considered in the case of sudden worsening of patient condition during HD procedure. The use of CT scan to confirm the air embolism suspicion and availability of HBOT are necessary for successful management of this complication. Conclusions: HBOT is a safe and effective method of air embolism treatment in HD patients.

scholarly journals Laryngopyocele in a case of bilateral mixed laryngocele: an impending airway emergency

2019 ◽  
Vol 12 (8) ◽  
pp. e229450
Author(s):  
Prasanna Kumar Saravanam ◽  
Vinoth Manimaran ◽  
Mohamed Ramadhan ◽  
Gowthame Kanagasabai Prakash
Keyword(s):  
Respiratory Distress ◽  
Ct Scan ◽  
Rare Complication ◽  
Acute Onset ◽  
Pyriform Sinus ◽  
Airway Compromise ◽  
Review Of Literature ◽  
Transcervical Approach ◽  
Airway Emergency ◽  
Enhanced Ct

Laryngopyocele is a rare complication involving the laryngocele which can present with acute airway compromise. A 31-year-old man presented with acute onset respiratory distress and dysphagia. He had swelling on either side of upper aspect of the neck with tenderness on left side. Videolaryngoscopy using 70° rigid Hopkins rod telescope showed a swelling in the left pyriform sinus pushing the ipsilateral vocal cord. However, glottic space was adequate. Contract-enhanced CT scan of the neck confirmed left-sided mixed laryngopyocele with contralateral mixed laryngocele. Patient underwent excision of both the lesions in a single stage by transcervical approach. Laryngopyocele in a case of bilateral mixed laryngocele presenting as an impending airway emergency has not been reported in literature. The diagnostic and therapeutic challenges are discussed here along with review of literature.

scholarly journals Post V-P shunt surgical site EDH an uncommon complication: case report

2017 ◽  
Vol 31 (2) ◽  
pp. 253-256
Author(s):  
Manish Garg ◽  
Deepashu Sachdeva ◽  
Ketan Patel ◽  
Anita Jagetia ◽  
A. K. Srivastava
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Rare Complication ◽  
Shunt Infection ◽  
Shunt Surgery ◽  
Vp Shunt ◽  
Post Surgery ◽  
Shunt Migration ◽  
Uncommon Complication

Abstract ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.

scholarly journals Colonoscopic Splenic Injury: A Simplified Radiologic Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Tara Chen ◽  
Qiu Tong ◽  
Alexander Kurchin
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Large Bowel ◽  
Therapeutic Approach ◽  
Splenic Injury ◽  
Rare Complication ◽  
Diagnosis And Treatment ◽  
Bowel Diseases

Colonoscopy is a commonly performed procedure for diagnosis and treatment of large bowel diseases. Recognized complications include bleeding and perforation. Splenic injury during colonoscopy is a rare complication. We report a case of a 73-year-old woman who presented with left-sided abdominal pain after colonoscopy with finding of splenic injury on CT scan. She was managed conservatively. We discuss the diagnostic and therapeutic approach to colonoscopic splenic injury.

scholarly journals A Rare Case: Tuberculous Peritonitis, Encapsulating Peritoneal Sclerosis, and Incisional Hernia in Continuous Ambulatory Peritoneal Dialysis Patient

2021 ◽  
Vol 9 (C) ◽  
pp. 128-132
Author(s):  
Enita R. Kurniaatmaja ◽  
Ria Bandiara ◽  
Ika Kustiyah Oktaviyanti ◽  
Mohammad Rudiansyah
Keyword(s):  
Peritoneal Dialysis ◽  
Ct Scan ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Peritoneal Dialysis Patient ◽  
Good Prognosis ◽  
Tuberculous Peritonitis ◽  
Resistant Bacteria ◽  
Wall Thickening ◽  
Fluid Analysis

BACKGROUND: Peritonitis is the most common infectious complication of peritoneal dialysis (PD) with an estimated ratio of 1:20–30 patients per month. In addition, less than 3% cases are due to Mycobacteria, although not all are caused by Mycobacteria tuberculosis. Therefore, specific examinations are needed for proper diagnosis. Encapsulating peritoneal sclerosis (EPS), another rare complication of PD, accounts for 0.7–13.6 per 1000 patients per year. CASE REPORT: A 37-year-old man undergoing PD, with complaints of intermittent abdominal pain and cloudy fluid, followed by nausea, vomiting, and constipation. Furthermore, visible protrusion was observed on the abdominal wall due to the wound from the Tenckhoff catheter insertion surgery. This is clearly comprehended as the patient sits or stands but disappears on lying down. Along with the condition, continuous ambulatory PD (CAPD) ultrafiltration ability decreases, rough defecation occurs, with a hard sensation on the lower right abdomen. Moreover, the patient had earlier suffered peritonitis for the 3rd time. The results of the dialysate fluid analysis showed a cloudy liquid coloration, as the number of cells 278, polymorphonuclear 87, mononuclear 13, Ziehl–Neelsen +1 and acid-resistant bacteria +3 staining, including GeneXpert MTB/RIF, were positive. Furthermore, abdominal computed tomography (CT) scan revealed a thick peritoneum, partly with calcification, air-filled intestinal, dilated colon with wall thickening. Furthermore, the mesentery lining the liver and intestine were observed to be dense with multiple calcifications to support an EPS. Definitive diagnosis is confirmed by laparotomy and/or laparoscopy, but CT scan provides an alternative. Subsequently, CAPD utilization is discontinued and switched to renal replacement therapy to hemodialysis twice a week due to several complications associated with PD, ranging from recurrent peritonitis, tuberculous peritonitis, EPS, and incisional hernias responsible for an ineffective PD ultrafiltration. CONCLUSION: At present, the combination of clinical symptoms, radiology, and medical pathology remains the key to diagnosing tuberculous peritonitis and EPS. Consequently, prompt and precise analysis determines a good prognosis.

scholarly journals Retrograde venous bullet embolism after thoracic gunshot

2013 ◽  
Vol 12 (4) ◽  
pp. 324-328 ◽  
Author(s):  
Leonardo Pessoa Cavalcante ◽  
Marcos Velludo Bernardes ◽  
Ricardo Dias da Rocha ◽  
Marcos Henrique Parisati ◽  
Jose Emerson dos Santos Souza ◽  
...  
Keyword(s):  
Ct Scan ◽  
Gunshot Wound ◽  
Rare Complication ◽  
Iliac Vein ◽  
X Rays ◽  
Abdominal Injuries ◽  
Internal Iliac Vein ◽  
Internal Iliac ◽  
The Right

Bullet embolism is a rare complication of penetrating gunshots. We present a case of a 24-year-old man with a gunshot wound in the left scapular area, with no exit wound. Abdominal X-rays and a computed tomography (CT) scan suggested that the bullet was located within the intra-abdominal topography (intrahepatic), but laparotomy revealed no intra-abdominal injuries. After surgery, a sequential CT scan showed that the bullet had migrated to the right internal iliac vein (IIV). Venography confirmed the diagnosis of right IIV embolism and the decision was taken to attempt snare retrieval of the bullet, which was unsuccessful. It was therefore decided to leave the missile impacted inside the right IIV and the patient was put on oral anticoagulation. The patient recovered and was event free at 6 months' follow up.

Injury to the inferior vena cava as a complication of ureteral splint insertion – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 335-338
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Ct Scan ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
B Lymphoma ◽  
Ureteral Stenting

The authors describe a rare complication of ureteral stenting is the case study of a patient admitted to the hospital for congestion in the outlet system of both kidneys due to external ureteral compression by tumorous mass in the retroperitoneum. Histology confirmed the B-lymphoma of the retroperitoneum as a cause of the patient‘s problems. The ureteral stent was perforated in the course of inserting the stent into the ureter and the end of the splint was introduced into the inferior vena cava. The patient was asymptomatic, and this complication was detected as late as on day 12 on the follow-up CT scan. Stent extraction was without complications and without bleeding.

scholarly journals Metallic embolus to the brain in a patient with mechanical heart valves: an extremely rare complication

2019 ◽  
Vol 12 (8) ◽  
pp. e230653 ◽  
Author(s):  
Shazib Sagheer ◽  
Abu Baker Sheikh ◽  
Jon J Hallstrom ◽  
Veena Raizada
Keyword(s):  
Ct Scan ◽  
Heart Valves ◽  
Rare Complication ◽  
Replacement Surgery ◽  
Mechanical Valves ◽  
Rheumatic Valve Disease ◽  
History Of ◽  
The Right ◽  
The Brain ◽  
Paroxysmal Positional Vertigo

A 46-year-old man with a medical history of rheumatic valve disease underwent mitral and aortic valve replacements with On-X and CarboMedics Top Hat supra-annular mechanical valves, respectively. Seven months after the valve replacement surgery, the patient presented with dizziness. A CT scan of the brain was done as part of a thorough workup of dizziness. The CT scan revealed a small metallic density in the M2 branch of the right middle cerebral artery. The metallic density was believed to be a metallic embolus that originated from the mechanical valves or the suturing material, that is, Cor-Knot fastener. Although in our case, the dizziness was believed to be the result of benign paroxysmal positional vertigo, through this case, we aim to highlight this extremely rare structural complication of mechanical valves. This complication can have serious and potentially fatal consequences such as embolic component-related stroke or another organ infarction.

scholarly journals Posttraumatic Atlantoaxial Rotatory Dislocation in a Healthy Adult Patient: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Giuseppe Maida ◽  
Eleonora Marcati ◽  
Silvio Sarubbo
Keyword(s):  
Ct Scan ◽  
Healthy Adult ◽  
Rare Complication ◽  
Radiographic Evaluation ◽  
Review Of The Literature ◽  
Rotatory Dislocation ◽  
Surgical Fusion ◽  
Cord Injury ◽  
Neurologically Intact ◽  
Atlantoaxial Rotatory Dislocation

Atlantoaxial rotatory dislocation (AARD) is a rare complication in adults usually leading to pain, spinal cord injury, or death. Clinical and radiological diagnosis is difficult and often delayed. We report a rare case of posttraumatic AARD in a neurological intact 27-year-old male in which initial radiographic evaluation was negative. A computed tomography (CT) scan was promptly done because the patient showed a severe torticollis. Therefore, early diagnosis, immobilisation, and surgical fusion and arthrodesis were performed. After surgery, cervical pain and torticollis were resolved and the patient remained neurologically intact with a CT scan documentation of fusion at the 3-year followup.

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