scholarly journals An unusual case of venous varix on forehead

2018 ◽  
Vol 6 (1) ◽  
pp. 314
Author(s):  
Sharadendu Bali ◽  
Sameer Pundeer ◽  
Maneshwar Singh Utaal
Keyword(s):  
Unusual Case ◽  
Valsalva Maneuver ◽  
Vascular Anomaly ◽  
Vascular Anomalies ◽  
General Surgeon ◽  
Medial Margin ◽  
Life Threatening ◽  
Eye Opening ◽  
Venous Varix

Vascular anomalies include a wide number of disorders from a simple birthmark to life threatening entities. One such vascular anomaly is venous varix which is a commonly encountered case by a general surgeon although venous varix occurring on the forehead as being reported here is a rarity. Authors present a case of swelling over forehead at orbital verge which becomes prominent on performing valsalva maneuver. Case is of a 10year old girl brought to OPD with complaints of swelling over the left side of forehead since birth which becomes prominent on valsalva maneuver, with no associated complaints of pain or difficulty in eye opening. On examination, there was a 2cm diameter swelling present over the left forehead just above the medial margin of left eyebrow. CECT Brain showed no bony or intra orbital extension. Patient underwent excision of the varix. Postoperatively patient recovered well and discharged with cosmetic satisfaction.

scholarly journals Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies

2021 ◽  
Author(s):  
Virender Malik ◽  
Harshith Kramadhari ◽  
Jawahar Rathod ◽  
Yadav W. Munde ◽  
Uday Bhanu Kovilapu
Keyword(s):  
Arteriovenous Malformation ◽  
Vascular Malformation ◽  
Management Strategies ◽  
Treatment Strategies ◽  
Vascular Anomaly ◽  
Classification Systems ◽  
Vascular Anomalies ◽  
Final Decision ◽  
Life Threatening

AbstractThe peripheral high-flow vascular malformation (HFVM) comprises arteriovenous malformation (AVM) and fistula (AVF), shows varied clinical presentation (ranging from subtle skin lesion to life-threatening congestive heart failure), and frequently poses diagnostic and therapeutic challenges. Importance of assigning a specific diagnosis to the vascular malformation cannot be overstated, as the treatment strategy is based on the type of vascular anomaly. Although the International Society for the Study of Vascular Anomalies (ISSVA) classification system is the most commonly accepted system for classifying congenital vascular anomalies in clinical practice, the Cho–Do et al classification is of utmost help in guiding optimal mode of treatment in peripheral AVM. Although transarterial approach remains the most commonly employed route for peripheral AVM embolization, the role of transvenous and direct percutaneous approach is ever increasing and the final decision on the approach depends on angioarchitecture of the AVM. In this article, we review various commonly employed classification systems for congenital vascular anomalies, and describe clinical features, imaging and treatment strategies for peripheral arteriovenous malformation (PAVM).

Radiоtherapy as salvage therapy for kaposiform hemangioendothelioma and giant angioma associated with Kasabach–Merritt phenomenon

2021 ◽  
pp. 12-17
Author(s):  
R. I. Khabarova ◽  
S. A. Kulyova ◽  
S. V. Ivanova ◽  
S. N. Novikov ◽  
E. D. Gumbatova ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Salvage Therapy ◽  
Vascular Anomaly ◽  
Vascular Anomalies ◽  
Diagnosis And Treatment ◽  
Vascular Tumors ◽  
Kaposiform Hemangioendothelioma ◽  
Timely Diagnosis ◽  
Life Threatening

The Kasabach–Merritt phenomenon is a rare thrombocytopenic consumption of coagulopathy that occurs against the background of such vascular anomalies as kaposiform hemangioendothelioma and giant angioma. Timely diagnosis and treatment of Kasabach–Merritt syndrome which includes therapy for vascular tumors and life‑threatening conditions are critical in resolving this rare vascular anomaly. The aim of the study is to analyze radiation therapy as salvage therapy for kaposiform hemangioendothelioma and giant angioma associated with the Kasabach–Merritt phenomenon.

929 Not Another Abscess - A Case of Streptococcal Myositis Misdiagnosed as a Right Axillary Abscess

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
O Oyende ◽  
J Jackman
Keyword(s):  
White Cell Count ◽  
General Surgeon ◽  
High Dose ◽  
General Anaesthetic ◽  
Microbiological Analysis ◽  
Reactive Protein ◽  
Affected Tissue ◽  
Life Threatening ◽  
History Of ◽  
High Degree

Abstract Introduction Streptococcal myositis is a rare form of infectious myositis caused by Lansfield A beta-haemolytic streptococci. It is characterised by rapidly spreading inflammation that can result in severe systemic toxicity and necrosis of the affected tissue if not diagnosed and aggressively treated. Presentation We report a case of a 42-year-old male who presented with a one-week history of worsening right axillary swelling that progressed to painful swelling of his arm. Inflammatory markers were significantly elevated with a white cell count of 17 ×109/L and C-reactive protein of 212 mg/L. On examination, a fluctuant axillary swelling was appreciated, and a decision was made for incision and drainage under general anaesthetic. Intraoperative aspiration of his arm revealed copious purulent fluid prompting intraoperative orthopaedic consult and exploration of the anterior compartment in which there was extensive involvement of the biceps muscle. The microbiological analysis revealed gram-positive cocci in chains, and microbiology advice sought for tailoring of antibiotic regimen. He has recovered well. Discussion Though uncommon, the emergency general surgeon should have a high degree of suspicion when evaluating soft tissue infections to avert potentially disastrous outcomes. Conclusion Early diagnosis, aggressive management with high-dose intravenous antibiotics, and surgical debridement are principles to treat this rare, life-threatening infection.

scholarly journals Vibrio vulnificus necrotizing fasciitis associated with acupuncture

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Yael Kotton ◽  
Soboh Soboh ◽  
Naiel Bisharat
Keyword(s):  
Necrotizing Fasciitis ◽  
Unusual Case ◽  
Vibrio Vulnificus ◽  
Needle Insertion ◽  
Infectious Complications ◽  
Alcoholic Fatty Liver ◽  
Acupuncture Needle ◽  
Life Threatening ◽  
Subcutaneous Tissues ◽  
Alcoholic Fatty Liver Disease

Necrotizing fasciitis is a severe life-threatening infection of the deep subcutaneous tissues and fascia. Infection with <em>Vibrio vulnificus</em>, a halophilic Gram-negative bacillus found worldwide in warm coastal waters, can lead to severe complications, particularly among patients with chronic liver diseases. We herein present an unusual case of necrotizing fasciitis caused by <em>V</em>. <em>vulnificus</em> triggered by acupuncture needle insertion. The patient, who suffered from diabetes mellitus and non-alcoholic fatty liver disease and worked at a fish hatchery, denied any injury prior to acupuncture. This is the first ever reported case of <em>V. vulnificus</em> infection triggered by acupuncture needle insertion, clearly emphasizing the potential hazards of the prolonged survival of <em>V. vulnificus</em> on the skin. The potential infectious complications of acupuncture needle insertion are discussed.

An unusual case of concurrent Kounis syndrome and prolonged QT in a young patient

2021 ◽  
pp. 1-3
Author(s):  
Emrah Erdogan ◽  
Murat Cap ◽  
Gorkem Kus ◽  
Cem Gokhan ◽  
Yakup Kilic
Keyword(s):  
Acute Coronary Syndrome ◽  
Young Patient ◽  
Unusual Case ◽  
Allergic Reactions ◽  
Kounis Syndrome ◽  
Unique Case ◽  
Coronary Syndrome ◽  
Life Threatening ◽  
Anaphylactoid Reactions ◽  
Prolonged Qt

Abstract Allergic reactions related to drug use is a common entity presenting often from minor urticaria to life-threatening anaphylactoid reactions. A common but easily overlooked diagnosis, Kounis syndrome, is an established hypersensitivity coronary disorder induced by drugs, foods, environmental factors, and coronary stents that can present in the same way as non-allergy-induced acute coronary syndrome. Here within, we present a unique case of dual presentation of Kounis syndrome and prolonged QTc in a young patient after a single dose of Domperidone and Lansoprazole.

Diagnostic radiology findings and spectrum of therapeutic interventions in gynaecological and urogenital vascular anomalies

2021 ◽  
pp. 20210246
Author(s):  
Nadja Grill ◽  
Felix Struebing ◽  
Lena Krebs ◽  
Maliha Sadick
Keyword(s):  
Treatment Options ◽  
Vascular Anomaly ◽  
Vascular Anomalies ◽  
Urogenital Tract ◽  
Diagnostic Radiology ◽  
Therapeutic Interventions ◽  
Interdisciplinary Management ◽  
Interventional Treatment ◽  
Invasive Treatment ◽  
Pictorial Review

Vascular anomalies represent a rare congenital disease with manifestation at diverse anatomical sights and presenting with heterogenous symptoms. Undetected, they can progress and create acute and chronic complications with functional impairment. The manifestation in the female and male pelvis and the urogenital tract represents a multidisciplinary challenge for physicians. Especially outpatient management in gynaecology and urology is affected. Diagnostic Radiology holds an important supportive role in early diagnosis of the underlying urogenital vascular anomaly and referral to interventional radiology, either for minimal invasive treatment, or to surgery for further assessment. This pictorial review creates awareness for the spectrum of vascular anomalies of the gynaecological and urogenital tract, their characteristic imaging findings and dedicated interventional treatment options. The individual description of vascular anomalies, based on an appropriate nomenclature and classification standard, is a guide for radiologists to distinguish the underlying vascular anomaly from other vascular disorders and to accelerate diagnosis as well as therapeutic proceedings. In consequence, interdisciplinary management of patients with vascular anomalies of the female and male pelvis will benefit.

Undetected Long-Term Hypothyroidism Caused by Hashimoto’s Thyroiditis with Severe Cardiac Complications – An Unusual Case of Child Neglect

2021 ◽  
Author(s):  
Karl Otto Schneider
Keyword(s):  
Child Neglect ◽  
Trisomy 21 ◽  
Unusual Case ◽  
Complex Congenital Heart Disease ◽  
Cardiac Complications ◽  
Feeding Difficulties ◽  
Abuse And Neglect ◽  
Long Time ◽  
Life Threatening

IntroductionNeglect in childhood may often be undetected for a long time. Parents of patients of handicapped children are often unable to cope with multiple medical and psychological problems that exist with such patients despite support by the health services [Jacobi G, Dettmeyer R, Banaschak S, Brosig B et al. Child abuse and neglect: diagnosis and management. Dtsch Arztebl Int 2010; 107: 231–240]. This is especially true for patients with trisomy 21 because they frequently suffer from complex congenital heart disease, feeding difficulties and behaviour anomalies. Additionally, various degrees of hypothyroidism are very frequent in Down syndrome but rarely lead – as in our case – to a life threatening disease.

scholarly journals An Unusual Case of Aplastic Anemia Caused by Temozolomide

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Gazi Comez ◽  
Alper Sevinc ◽  
Ozlem Nuray Sever ◽  
Taner Babacan ◽  
Ibrahim Sarı ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Adjuvant Therapy ◽  
Aplastic Anemia ◽  
Adjuvant Treatment ◽  
Unusual Case ◽  
English Literature ◽  
Bone Marrow Aspiration ◽  
High Grade Glioma ◽  
High Grade ◽  
Life Threatening

Radiotherapy and concomitant/adjuvant therapy with temozolomide are a common treatment regimen for children and adults with high-grade glioma. Although temozolomide is generally safe, it can rarely cause life-threatening complications. Here we report a case of a 31-year-old female patient who underwent surgical resection followed by radiotherapy plus concomitant temozolomide. She developed pancytopenia after adjuvant treatment with temozolomide. A bone marrow aspiration and biopsy showed hypocellularity with very few erythroid and myeloid cells, consistent with aplastic anemia. In the English literature, aplastic anemia due to temozolomide is extremely rare.

scholarly journals Endovascular Embolization to Control Life-Threatening Epistaxis Due to a Post Radiotherapy Pseudoaneurysm of the Maxillary Artery

2002 ◽  
Vol 8 (3) ◽  
pp. 317-320
Author(s):  
P.Y. Marcy ◽  
N. Magné ◽  
C. Bailet ◽  
G. Poissonnet ◽  
R.J. Bensadoun ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Unusual Case ◽  
False Aneurysm ◽  
Endovascular Embolization ◽  
Complete Healing ◽  
Maxillary Artery ◽  
Fusiform Aneurysm ◽  
Severe Epistaxis ◽  
Life Threatening ◽  
Pharyngeal Area

We report an unusual case (never described) of a false aneurysm of the maxillary artery following irradiation and biopsy that ruptured into the nasopharynx in an 34-year-old man who presented with severe epistaxis 15 months after radiation therapy of the nasopharynx (80 Gy). Angiography revealed a fusiform aneurysm of the second portion of the maxillary artery, which was successfully embolized but the patient died from a pseudomonas septicemia three months later. False aneurysms of the maxillary artery following irradiation are exceptional complications. Despite a successful endovascular treatment, the absence of collateral revascularization did not allow to complete healing of the radionecrotic pharyngeal area and led to a lethal septicemia.

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