Spontaneous liver rupture in a pregnant woman associated with HELLP syndrome

Spontaneous liver rupture is rare and highly dangerous, life-threatening condition occurring in 1–2% of pregnant women with preeclampsia and eclampsia. There are more than 100 similar case reports in the literature. It is believed that liver rupture is caused by HELLP syndrome as one of the signs of preeclampsia. The results of surgical treatment is still unsatisfactory. Appropriate treatment strategy is absent because of rareness of this condition. It is presented case report of a woman with spontaneous liver rupture associated with HELLP syndrome. Patient underwent perihepatic tamponade, endovascular embolization of right hepatic artery followed by right-sided hemihepatectomy.

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Pyriform sinus rupture caused by blunt trauma

The Neuroradiology Journal ◽

10.1177/1971400920975165 ◽

2020 ◽

pp. 197140092097516

Author(s):

Emil Jernstedt Barkovich ◽

M Reza Taheri

Keyword(s):

Blunt Trauma ◽

Pyriform Sinus ◽

Significant Heterogeneity ◽

Cervical Trauma ◽

Specific Location ◽

Appropriate Treatment ◽

Threatening Condition ◽

Pharyngeal Perforation ◽

Life Threatening ◽

Foreign Body Impaction

Hypopharyngeal perforation (HP) is a potentially life-threatening condition most associated with iatrogenic injury and foreign body impaction. Additionally, a number of cases of posterior HP have been reported following blunt cervical trauma. We present a case of a construction accident causing lateral hypopharyngeal rupture. Visceral perforation was initially diagnosed on computed tomography (CT) imaging and managed conservatively. We speculate this region may be particularly vulnerable to injury due to an anatomic transition in adjacent fascial support. A review of 29 prior cases suggests that this may be the first reported case of blunt trauma causing rupture of the pyriform sinus. However, significant heterogeneity exists in diagnostic approach. Radiography and CT are rapid, sensitive modalities for suggesting pharyngeal perforation, while fluoroscopy and endoscopy can better assess injury size and location and monitor resolution. Early radiologic recognition of hypopharyngeal injury is essential to initiate appropriate treatment. In certain cases, including our own, both the presence and specific location of perforation may be identified on initial CT images.

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ACECLOFENAC-INDUCED STEVENS-JOHNSON SYNDROME AFTER ONE SINGLE DOSE: A MAIDEN CASE REPORT

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i9.24067 ◽

2018 ◽

Vol 11 (9) ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Saurabh Agarwal ◽

Balaji O ◽

Navin Patil

Keyword(s):

Case Reports ◽

Tertiary Care ◽

Stevens Johnson Syndrome ◽

Care Hospital ◽

Skin Reactions ◽

Johnson Syndrome ◽

Organ Systems ◽

Major Organ ◽

Threatening Condition ◽

Life Threatening

Drugs are known to cause various adverse drug reactions involving major organ systems. Skin-related adverse reactions are very common and range from a simple rash to life-threatening condition like Stevens-Johnson syndrome. Various drugs are known to cause skin reactions which include antiepileptics, analgesics, antibiotics, and proton-pump inhibitors. Nonsteroidal anti-inflammatory drugs causing life-threatening conditions such as Stevens-Johnson syndrome and toxic epidermal necrolysis are very rare and only few case reports are published. Hence, we report a case of Aceclofenac-induced Stevens-Johnson syndrome after single time administration in a tertiary care hospital in India.

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Sebészi megoldások krónikus multivisceralis arteriás elzáródások esetében

Magyar Sebészet (Hungarian Journal of Surgery) ◽

10.1556/1046.74.2021.3.1 ◽

2021 ◽

Vol 74 (3) ◽

pp. 57-65

Author(s):

Csaba Dzsinich ◽

László Barta ◽

Klaudia Bogdány ◽

Tamás Tóth ◽

Tibor Pataki ◽

...

Keyword(s):

Severe Disease ◽

Fatal Outcome ◽

Adequate Treatment ◽

Long Run ◽

Appropriate Treatment ◽

Slow Progression ◽

Threatening Condition ◽

Visceral Arteries ◽

Clinical Consequences ◽

Life Threatening

Összefoglaló. Bevezetés: A zsigeri artériák akut elzáródása fulmináns klinikai képpel társul, és az esetek jelentős százalékában gyorsan halálhoz vezet. Ha ezen artériák obliteratív folyamata lassan alakul ki, a zsigeri artériák gazdag kollaterális kapacitása a klinikai tüneteket sokáig elfedi. Az esetek egy részében az anatómiailag közel fekvő renalis artériák obliteratív folyamata, illetve a társuló aortoiliacalis szűkületek és/vagy elzáródások rendkívül szerteágazó klinikai képet okozhatnak. Az átfedések más hasi betegségekkel félrevezetők lehetnek, emiatt késedelmes felismerésük súlyos következményekkel járhat. Előfordulásuk nem gyakori, ismeretük azonban nélkülözhetetlen mind a diagnosztika, mind a megoldás szempontjából. Dolgozatunkban e bonyolult kórkép eseteit tárgyaljuk, és ismertetjük a megoldások lehetőségeit. Summary. Introduction: Acute occlusions of the visceral arteries result in fulminant clinical consequences and without fast and appropriate treatment may lead to fatal outcome. If the obliterative disease has slow progression the huge capacity of the collateral circulation of the visceral arteries may remain free of symptoms at long run. By progression of the obliterative disease and extension to both, the renal arteries and the aortoiliac segment the clinical picture becomes more colourful. Symptoms mimicking other abdominal disorders may easily lead to misdiagnosis and/or unnecessary delay of adequate treatment – finally to organ or life threatening condition. In the present paper we deal with this infrequent, but severe disease in order to recognize it in time, to recommend proper diagnostic workup and propose adequate treatment.

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A life-threatening condition – ruptured ectopic pregnancy with negative urine pregnancy test: A case report

Malaysian Family Physician ◽

10.51866/cr1117 ◽

2021 ◽

Vol 16 (1) ◽

pp. 121-123

Author(s):

Fadzilah Mohamad ◽

Ahmad Shuib Yahya ◽

Aneesa Abdul Rashid ◽

Navin Kumar Devaraj ◽

Abdul Hadi Abdul Manap

Keyword(s):

Abdominal Pain ◽

Emergency Management ◽

Ectopic Pregnancy ◽

Case Reports ◽

Rare Occurrence ◽

Pregnancy Test ◽

Threatening Condition ◽

Life Threatening ◽

Rule Out ◽

Urine Pregnancy Test

Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Complete assessment is critical in this important diagnosis in order to plan for the appropriate emergency management.

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A rare case of unruptured tubal pregnancy at ten weeks of gestation

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v2i3.9966 ◽

2014 ◽

Vol 2 (3) ◽

pp. 148-151

Author(s):

Shreyashi Aryal ◽

Meena Thapa ◽

Chanda Karki

Keyword(s):

Average Duration ◽

Case Reports ◽

Tubal Pregnancy ◽

Crown Rump Length ◽

Medical College ◽

Foot Length ◽

Threatening Condition ◽

Life Threatening ◽

History Of ◽

Gestational Sac

Ectopic pregnancy is a life threatening condition and can present itself in diverse ways. This case reports a 23 years primigravida, admitted with history of amenorrhoea of ten weeks and right sided unruptured tubal pregnancy diagnosed on routine ultrasonography. On laparoscopy, there was an unruptured tubal pregnancy with gestational sac measuring around 6 × 5 cm. The foetus had crown rump length of 32 mm and foot length of 5 mm; both of which correspond probably to 10 to 11 weeks size. Segmental resection of the affected part of the fallopian tube was done laparoscopically. Rarely tubal pregnancy can remain asymptomatic and unruptured for longer duration of gestation than the usual scenario. The reported average duration of diagnosis of unruptured tubal pregnancy is of nine weeks and this case explores the possibility of removing an intact foetus at longer gestational age through laparoscopy.Journal of Kathmandu Medical College Vol. 2, No. 3, Issue 5, Jul.-Sep., 2013 Page: 148-151DOI: http://dx.doi.org/10.3126/jkmc.v2i3.9966Uploaded date : 3/4/2014

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Different Manifestations of Rare Cases of Unruptured Sinus of Valsalva Aneurysm—Case Series and Literature Review

International Journal of Angiology ◽

10.1055/s-0038-1639591 ◽

2018 ◽

Vol 28 (03) ◽

pp. 202-206 ◽

Cited By ~ 1

Author(s):

Bhagya Narayan Pandit ◽

Siva Subramaniyan ◽

Tarun Kumar ◽

Richa Agrawal ◽

Deepankar Vatsa

Keyword(s):

Case Reports ◽

Case Series ◽

Individual Case ◽

Sinus Of Valsalva ◽

Aortic Sinus ◽

Sinus Of Valsalva Aneurysm ◽

Severe Aortic Regurgitation ◽

First Case ◽

Threatening Condition ◽

Life Threatening

AbstractSinus of Valsalva aneurysm (SVA) is rare, and aneurysm of the left sinus of Valsalva is extremely rare cardiovascular disease. Clinical presentation can vary from mostly asymptomatic to catastrophic life-threatening emergency. We report four extremely rare cases of SVA with different manifestations of which one case involved left aortic sinus with large unruptured aneurysm causing severe mitral regurgitation (MR) and severe aortic regurgitation (AR). The second case aneurysm was from right sinus presented with trifascicular block with intermittent complete heart block (CHB). Third was a diagnosed case of unruptured right SVA and while awaiting for surgery he had sudden cardiac death (SCD) at home. Therefore, SVA can present from asymptomatic to life-threatening condition, such as SCD. To the best of our knowledge, there are individual case reports in literature, and this is the first case series of unruptured SVA in literature highlighting the rarity of this disease.

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Endovascular Embolization of Gastroduodenal Artery in its Pancreatogenous Arrosia: a Clinical Case

Medical Radiology and radiation safety ◽

10.12737/1024-6177-2019-64-6-88-90 ◽

2019 ◽

Vol 64 (6) ◽

pp. 88-90

Author(s):

M. Popov ◽

S. Voskanyan ◽

A. Dunaev ◽

A. Bashkov ◽

M. Aronov ◽

...

Keyword(s):

Surgical Treatment ◽

Clinical Case ◽

Pancreatic Pseudocyst ◽

Pancreatic Head ◽

Endovascular Embolization ◽

Gastroduodenal Artery ◽

Common Causes ◽

Threatening Condition ◽

Life Threatening ◽

Vascular Structures

Arrosion of the peripancreatic vascular structures is a rare, but life-threatening condition and requires surgical treatment. One of the most common causes of arrosia is the presence of pancreatic pseudocyst. Imaging methods play a crucial role not only in terms of identifying the described pathology, but also in planning the tactics of surgical treatment. We present a clinical case of a patient, a 44-year-old male, with pseudocyst in the pancreatic head in the presence of chronic pancreatitis, complicated by bleeding into its cavity as a result of an arrosion of the gastroduodenal artery, which required endovascular embolization and drainage of the pseudocyst. This clinical case shows the possibility of endovascular embolization of the injured gastroduodenal artery with microspirals.

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Liver rupture in HELLP syndrome

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2013-0083 ◽

2015 ◽

Vol 4 (1) ◽

Author(s):

Katrin Jungfleisch ◽

Monica Fittschen ◽

Hans-Jürgen Rapp ◽

Henry Schäfer ◽

Franz Bahlmann

Keyword(s):

Hellp Syndrome ◽

Clinical Symptoms ◽

Case Reports ◽

Uneventful Recovery ◽

Caucasian Woman ◽

Liver Rupture ◽

Hepatic Hematoma ◽

Post Surgery ◽

Elevated Liver Enzymes ◽

Hepatic Subcapsular Hematoma

AbstractWe report on a 30-year-old Caucasian woman admitted to our clinic after 34 weeks of gestation because of a severe partial hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. A cesarean section was performed when her clinical symptoms and laboratory values worsened. Intraoperatively she was diagnosed with hepatic subcapsular hematoma and liver rupture. Surgical treatment, including perihepatic packing with sterile towels removed 2 days post-surgery, resulted in an uneventful recovery. The patient was discharged 26 days after admission. Case reports such as ours may contribute to the management of pregnancies complicated by hepatic hematoma and rupture of the liver capsule associated to HELLP syndrome.

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Anaphylaxis and other allergic reactions to food: a global challenge

BMJ Case Reports ◽

10.1136/bcr-2019-231425 ◽

2020 ◽

Vol 13 (5) ◽

pp. e231425

Author(s):

Antonio Jose Reyes ◽

Amanda Sheena Hosein ◽

Kanterpersad Ramcharan ◽

Sean Perot

Keyword(s):

Early Recognition ◽

Public Awareness ◽

Successful Outcome ◽

Allergic Reactions ◽

Global Challenge ◽

Link Type ◽

Preventative Measures ◽

Appropriate Treatment ◽

Threatening Condition ◽

Life Threatening

We describe a case of a biphasic anaphylactic reaction that occurred in a young woman soon after the ingestion of soy milk that led to her hospitalisation. Early recognition and appropriate treatment led to a successful outcome of this life-threatening condition. Challenges encountered in the care of this common illness are highlighted. There is a need for an increase in public awareness on dangerous allergic reactions caused by allergens present in food products in public use, thereby facilitating primary preventative measures to minimise its occurrence. Healthcare stakeholders need to implement measures of contemporary preventative medicine and efficient therapeutic protocols to safeguard the public welfare concerning this global health problem where appropriate interventions can reduce morbidity and mortality. Trial registration numbers NCT02991885 and NCT02851277.

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