scholarly journals Brachial artery pseudo-aneurysm in intravenous drug abuser: a rare case report

2019 ◽  
Vol 6 (6) ◽  
pp. 2207
Author(s):  
Naveed Nabi ◽  
Firdous Beigh ◽  
Showkat Mir
Keyword(s):  
Brachial Artery ◽  
Lower Limbs ◽  
Rare Entity ◽  
Sample Collection ◽  
Intravenous Drug Abuser ◽  
Rare Case Report ◽  
History Of ◽  
Pseudo Aneurysm ◽  
Cubital Fossa ◽  
Danlos Syndrome

Brachial artery pseudo-aneurysm (BAP) is a rare entity because pseudo-aneurysms are common in lower limbs.1 Usual causes of BAP are humeral fractures, iatrogenic causes (repeated punctures for sample collection, following construction of Brachio-cephalic fistula) or some genetic causes like Ehler Danlos syndrome (EDS). This case has been reported to highlight the importance of considering all the differential diagnosis while evaluation of an upper limb swelling especially in the cubital fossa and due consideration of history of any IV drug abuse.

Congenital Facial Palsy- A Rare Case Report

2021 ◽  
Author(s):  
Meenakshi Wadhwani
Keyword(s):  
Facial Palsy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Rare Entity ◽  
Provisional Diagnosis ◽  
Live Births ◽  
Rare Case Report ◽  
History Of ◽  
The Right

Congenital facial palsy is a very rare entity with an incidence of 2 per 1000 live births. It can be congenital, traumatic associated with birth trauma in the form of forceps delivery or developmental. We present the case of a 1-year-old girl who presented to the eye department of our tertiary care hospital with a deviation of face to the right side since birth along with watering of left eye and difficulty in taking feeds. There was a history of forceps-assisted vaginal delivery; a provisional diagnosis of congenital facial palsy was done with the probable cause of trauma.

scholarly journals POTT DISEASE IN IMMUNOSUPPRESSED PATIENT, A CASE REPORT.

2020 ◽  
Vol 7 (1) ◽  
pp. 52-54
Author(s):  
Heloyse Nascimento Lima ◽  
Romulo Braga Pires ◽  
Angelica Gomes de Carvalho ◽  
Isabella Vilane Braga Saboia Rythowem ◽  
Pedro Miranda Portugal Junior ◽  
...  
Keyword(s):  
Symptomatic Improvement ◽  
Lower Limbs ◽  
Immunosuppressed Patient ◽  
Rare Entity ◽  
Good Clinical Outcome ◽  
Pott’S Disease ◽  
Night Sweats ◽  
Immunosuppressed Patients ◽  
History Of ◽  
Extrapulmonary Manifestation

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. The pulmonary form is more frequent, but other body structures may be affected. Pott's Disease is a rare entity and accounts for about 0.5% - 1% of extrapulmonary manifestation, especially in immunosuppressed patients. It occurs through reactivation of sites for the spine and sometimes lower limbs. The symptomatology presents itself through the triad: abscess, paraplegia and gibbosity, associated with the classic clinical picture of pulmonary TB: fever, night sweats and chills. The aim of this study is to demonstrate a case of Pott's disease in a 56-year-old female patient with a history of chemotherapy due to non-Hodgkin's lymphoma. After treatment, the patient evolved with symptomatic improvement and good clinical outcome.

FEMORAL-FACIAL SYNDROME - A RARE CASE REPORT

2021 ◽  
pp. 34-35
Author(s):  
Kinjal Patel ◽  
Pragya Chaturvedi ◽  
Anu Bhandari
Keyword(s):  
Varus Deformity ◽  
Maternal Diabetes ◽  
Female Child ◽  
Lower Limbs ◽  
Fetal Malformation ◽  
Left Femur ◽  
Craniofacial Dysmorphism ◽  
Rare Case Report ◽  
History Of

Femoral-facial syndrome (FFS) is an extremely rare fetal malformation. It comprises bilateral femoral hypoplasia and craniofacial dysmorphism. Maternal diabetes is associated with approximately 40% of cases of FFS. We present the case of Femoral-Facial syndrome of Newborn female child. She was delivered by vaginal route at 36th week of gestation. Mother had a history of type 2 diabetes mellitus. She was having markedly shortened bilateral lower limbs, deformed hip joint and mild talipes equino-varus deformity of left foot. There was prominent forehead, short nose with broad tip, long philthrum, thin upper lip, micrognathism and malformed low set external ears. Skeletal radiograph shows complete absence of right femur and marked hypoplasia of left femur.

scholarly journals Rare case report of mermaid baby: sirenomelia

2021 ◽  
Vol 10 (5) ◽  
pp. 2088
Author(s):  
Pinki Mazumdar ◽  
Pranoy Nath
Keyword(s):  
Congenital Anomaly ◽  
Pulmonary Hypoplasia ◽  
Renal Agenesis ◽  
Lower Limbs ◽  
Female Ratio ◽  
Rare Case Report ◽  
Internal Genitalia ◽  
History Of ◽  
Anorectal Atresia ◽  
Male To Female

Sirenomelia or mermaid baby is a rare and fatal congenital anomaly. It is characterized by varying degrees of fusion of lower limbs, thoracolumbar spinal anomalies, sacrococcygeal agenesis, genitourinary malformations, lower gastrointestinal tracts anomalies (e.g. renal agenesis, absent bladder, anorectal atresia) and absent internal genitalia. Most of the cases are associated with Potter’s facies and pulmonary hypoplasia. The incidence of the disease was 0.8-1 case/1,00,000 births and male to female ratio being 3:1. We reported a case of 19 years old primi at 35 weeks 3 days of gestation with history of tobacco intake during pregnancy who delivered a 1.24 kg baby with single fused lower limbs with a rudimentary tail and multiple congenital anomalies .There was also evidence of Potter’s facies .The baby died within 20 mins after birth. Sirenomelia is a rare but lethal congenital anomaly. Prevention is possible and when diagnosed antenatally, termination should be offered.

Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 155-160
Author(s):  
Mohsen Aghapoor ◽  
◽  
Babak Alijani Alijani ◽  
Mahsa Pakseresht-Mogharab ◽  
◽  
...  
Keyword(s):  
Antifungal Drugs ◽  
The Body ◽  
Lower Limbs ◽  
Lumbar Pain ◽  
Case Presentation ◽  
Delay In Diagnosis ◽  
Death Case ◽  
Therapeutic Results ◽  
History Of ◽  
Probable Diagnosis

Background and Importance: Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare, particularly in patients without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to complications and even death. Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved. Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.

Congenital Intercostal Hernia: A Rare Entity

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 48
Author(s):  
Syed Muzamil Andrabi ◽  
Mohd Yousuf Dar ◽  
Javid Ahmad Bhat
Keyword(s):  
Male Patient ◽  
General Surgery ◽  
Rare Entity ◽  
Intercostal Hernia ◽  
History Of ◽  
Lateral Chest ◽  
Patient Department

A 35-year-old male patient presented to the General Surgery Out Patient Department with a history of swelling on the left lateral chest since birth. The swelling appeared during inspiration and disappeared during expiration. JMS 2018;21(1):48 

Variant origin of Common Interosseous Artery from Brachial Artery

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Pralhad D. Subbannavar
Keyword(s):  
Brachial Artery ◽  
The Body ◽  
Dead Body ◽  
Invasive Procedures ◽  
Arterial Variations ◽  
Statistical Inferences ◽  
Individual Variations ◽  
Interosseous Artery ◽  
Cubital Fossa ◽  
Dissection Techniques

Acharya Sushruta has emphasized the method and importance of dissection to study anatomy practically. Perfect knowledge of anatomy is vital for practicing surgeons and hence the training of dissecting the dead body was considered as mandatory for surgeons. Though dissection techniques may give the perception of the structure of organs, the pervading and subtle consciousness in the body can be experienced with the eyes of knowledge and penance only. Though the standard anatomy is defined based on statistical inferences on comparing large number of subjects, individual variations and exceptional structural specialties tend to occur quite frequently. Proper recording and publication of such instances would strengthen the knowledge base of the science. Knowledge regarding arterial variations of upper limb is important for surgeons and orthopedicians as they are commonly involved in invasive procedures. We report a case ofvariant origin of right common interosseous artery from brachial artery in cubital fossa. It followed a normal course after the origin.

scholarly journals Sirenomelia: two case reports

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Asiyeh Shojaee ◽  
Firooze Ronnasian ◽  
Mahdiyeh Behnam ◽  
Mansoor Salehi
Keyword(s):  
Case Reports ◽  
Three Dimensional ◽  
First Trimester ◽  
Mendelian Inheritance ◽  
Lower Limbs ◽  
Congenital Deformity ◽  
White Family ◽  
Her Family ◽  
Caudal Regression ◽  
History Of

AbstractBackgroundSirenomelia, also called mermaid syndrome, is a rare lethal multi-system congenital deformity with an incidence of one in 60,000–70,000 pregnancies. Sirenomelia is mainly characterized by the fusion of lower limbs and is widely associated with severe urogenital and gastrointestinal malformations. The presence of a single umbilical artery derived from the vitelline artery is the main anatomical feature distinguishing sirenomelia from caudal regression syndrome. First-trimester diagnosis of this disorder and induced abortion may be the safest medical option. In this report, two cases of sirenomelia that occurred in an white family will be discussed.Case presentationWe report two white cases of sirenomelia occurring in a 31-year-old multigravid pregnant woman. In the first pregnancy (18 weeks of gestation) abortion was performed, but in the third pregnancy (32 weeks) the stillborn baby was delivered by spontaneous vaginal birth. In the second and fourth pregnancies, however, she gave birth to normal babies. Three-dimensional ultrasound imaging showed fusion of the lower limbs. Neither she nor any member of her family had a history of diabetes. In terms of other risk factors, she had no history of exposure to teratogenic agents during her pregnancy. Also, her marriage was non-consanguineous.ConclusionThis report suggests the existence of a genetic background in this mother with a Mendelian inheritance pattern of 50% second-generation incidence in her offspring.

scholarly journals Atypical cutaneous and musculoskeletal manifestation of SARS-CoV-2: ‘COVID-19 toes’ and spasticity in a 48-year-old woman

2021 ◽  
Vol 14 (3) ◽  
pp. e241410
Author(s):  
Avery Kopacz ◽  
Cameron Ludwig ◽  
Michelle Tarbox
Keyword(s):  
Nervous System ◽  
Adult Patient ◽  
Early Identification ◽  
Lower Limbs ◽  
Rare Occurrence ◽  
Cutaneous Manifestations ◽  
Crucial Component ◽  
History Of ◽  
Screening Questions ◽  
Insight Into

Establishing accurate symptomatology associated with novel diseases such as COVID-19 is a crucial component of early identification and screening. This case report identifies an adult patient with a history of clotting dysfunction presenting with rare cutaneous manifestations of COVID-19, known as ‘COVID-19 toes’', previously described predominantly in children. Additionally, this patient presented with possible COVID-associated muscle spasticity of the lower limbs, as well as a prolonged and atypical timeline of COVID-19 infection. The rare occurrence of ‘COVID-19 toes’' in this adult patient suggests that her medical history could have predisposed her to this symptom. This supports the coagulopathic hypothesis of this manifestation of COVID-19 and provides possible screening questions for patients with a similar history who might be exposed to the virus. Additionally, nervous system complaints associated with this disease are rare and understudied, so this novel symptom may also provide insight into this aspect of SARS-CoV-2.

scholarly journals Type 4 appendiceal diverticulum within a de Garengeot hernia

2016 ◽  
Vol 98 (7) ◽  
pp. e141-e142 ◽  
Author(s):  
SH Rossi ◽  
E Coveney
Keyword(s):  
Femoral Hernia ◽  
Cystic Lesion ◽  
Vermiform Appendix ◽  
Clinical Suspicion ◽  
Intraluminal Pressure ◽  
Rare Entity ◽  
History Of ◽  
The Right ◽  
De Garengeot Hernia ◽  
Learning Points

A de Garengeot hernia is defined as an incarcerated femoral hernia containing the vermiform appendix. We describe the case of a patient with a type 4 appendiceal diverticulum within a de Garengeot hernia and delineate valuable learning points.A 76-year-old woman presented with a 2-week history of a non-reducible painless femoral mass. Outpatient ultrasonography demonstrated a 36mm × 20mm smooth walled, multiloculated, partially cystic lesion anterior to the right inguinal ligament in keeping with an incarcerated femoral hernia. Intraoperatively, the appendix was found to be incarcerated in the sac of the femoral hernia and appendicectomy was performed. Histopathology demonstrated no evidence of inflammation in the appendix. However, an incidental appendiceal diverticulum was identified.It is widely recognised that a de Garengeot hernia may present with concomitant appendicitis, secondary to raised intraluminal pressure in the incarcerated appendix. Appendiceal diverticulosis is also believed to develop in response to raised pressure in the appendix and may therefore develop secondary to incarceration in a de Garengeot hernia. To our knowledge, only one such case has been described in the literature. A de Garengeot hernia is a rare entity, which poses significant diagnostic challenges. A high index of clinical suspicion is necessary as these hernias are at particularly high risk of perforation and so prompt surgical management is paramount.

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