scholarly journals Stuttering priapism post C-spine schwannoma excision: case report

2020 ◽  
Vol 7 (9) ◽  
pp. 3077
Author(s):  
Ngwobia Peter Agwu ◽  
Ali Lasseini
Keyword(s):  
Penile Erection ◽  
Relevant Literature ◽  
Surgical Excision ◽  
Early Postoperative Period ◽  
Rare Occurrence ◽  
Spine Tumor ◽  
Sexual Stimulation ◽  
Cervical Spine Tumor ◽  
Stuttering Priapism ◽  
Delayed Intervention

Priapism is prolonged penile erection that persists beyond or is unrelated to sexual stimulation and this is associated with significant psychological, socioeconomic and physical morbidity. It is a urologic emergency as delayed intervention may result in penile fibrosis and consequent erectile dysfunction. The aim of this paper is to present our experience in the management of the rare occurrence of stuttering priapism in a 32 years old man following surgical excision of cervical schwannoma during the early postoperative period and review relevant literature on management of this urologic entity. Stuttering priapism may complicate cervical spine tumor excision but may demonstrate complete patient recovery. 

scholarly journals Recent advances in the management of priapism

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 37 ◽  
Author(s):  
Asif Muneer ◽  
Hussain M. Alnajjar ◽  
David Ralph
Keyword(s):  
Erectile Dysfunction ◽  
Muscle Function ◽  
Penile Erection ◽  
Medical Intervention ◽  
Physiological Mechanisms ◽  
Sexual Stimulation ◽  
Ischemic Priapism ◽  
Smooth Muscle Function ◽  
Urological Emergency ◽  
Stuttering Priapism

Priapism is an uncommon urological emergency that can lead to permanent impotence if prompt presentation and medical intervention is not performed. It is a breakdown of the usual physiological mechanisms controlling penile tumescence and detumescence, leading to a prolonged penile erection (>4 hours) that is unrelated to sexual stimulation. Currently, there are three accepted subtypes: ischaemic, non-ischaemic, and stuttering priapism, which is also known as recurrent ischemic priapism. The aim of treatment is the immediate resolution of the painful erection and the preservation of cavernosal smooth muscle function in order to prevent cavernosal fibrosis, which can lead to penile shortening and permanent erectile dysfunction.

scholarly journals Replantation of Spinous Process-lamina Complex in the Treatment of Cervical Spine Tumor : Two Cases Report and Literature Review

2021 ◽  
Author(s):  
Xu Jiahui ◽  
Ma Bin ◽  
Wang Chenggang
Keyword(s):  
Spinous Process ◽  
Tumor Resection ◽  
Good Health ◽  
Structure And Function ◽  
Anatomical Structure ◽  
Spine Tumor ◽  
Posterior Element ◽  
Cervical Spine Tumor ◽  
And Function

Abstract Purpose: The primary aim of our study was to prove that the replantation of spinous process-lamina complex is beneficial to restore the anatomical structure and function of the spine, and to find if it can reduce postoperative complications.Methods: We report two cases of cervical intraspinal tumor, whose postoperative pathological diagnosis, Respectively, are Neurilemmoma and meningioma. They all underwent the resection and replantation of spinous process-lamina complex, in which the resected spinous process-lamina complex was replanted at the end of the procedure, allowing a complete reconstruction of the posterior element of the spinal canal. Results：After the surgery, the symptoms were relieved, and no dysfunction of upper limbs and sphincter was observed. The tumors were benign pathologically and were diagnosed as Neurilemmoma and meningioma. The patient recovered and at 6-month follow-up had no complaints and in good health.Conclusion: After tumor resection, the replantation of spinous process-lamina complex is beneficial to restore the anatomical structure and function of the spine.

scholarly journals Iatrogenic Inflammatory Fibrosis of Hard Palate in a 13-Year-Old Female Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Shanthan Mettu ◽  
Radhika Muppa ◽  
G. Siva Prasad Reddy ◽  
Srinivas Nallanchakrava ◽  
Sri Veda Gurugubelli
Keyword(s):  
Female Patient ◽  
Hard Palate ◽  
Unusual Case ◽  
Fibrous Tissue ◽  
Surgical Excision ◽  
Inflammatory Cells ◽  
Nerve Tissue ◽  
Rare Occurrence ◽  
Reactive Process ◽  
Tooth Number

Palatal swellings are rare in children and the incidence differs from that of the adult counterparts. When the palatal swellings do arise in children, they usually are palatal abscess from periapical region, and few cases like pleomorphic adenoma in young adults have also been reported. But inflammatory fibrosis of palate in children is a rare occurrence. Inflammatory fibrosis is formation of excess fibrous connective tissue in an organ or tissue, as a reparative or reactive process. This report describes an unusual case of iatrogenic inflammatory fibrosis on the palate due to extraction of tooth number 22 in a 13-year-old female patient. The patient presented with a single large well-circumscribed oval palatal swelling that was soft, fluctuant, not fixed, and nontender. Surgical excision of the lesion was done and it was sent for histopathological assessment. The biopsy showed fibrous tissue with collagen fibers, spindle shaped fibroblasts, neovascularization, RBCs, chronic inflammatory cells, and traces of salivary gland and nerve tissue.

Vertebral Artery Sacrifice versus Skeletonization in the Setting of Cervical Spine Tumor Resection: Case Series

2020 ◽  
Vol 139 ◽  
pp. e601-e607 ◽  
Author(s):  
Erick M. Westbroek ◽  
Zach Pennington ◽  
Jeff Ehresman ◽  
A. Karim Ahmed ◽  
Philippe Gailloud ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Vertebral Artery ◽  
Tumor Resection ◽  
Case Series ◽  
Spine Tumor ◽  
Cervical Spine Tumor

scholarly journals ROLE OF SURFACE BRACHYTHERAPY IN PREVENTING RECURRENCE IN RECURRENT EAR KELOID AFTER EXCISION-SINGLE INSTITUTION PROSPECTIVE STUDY

2020 ◽  
pp. 1-3
Author(s):  
N. Poonkodi ◽  
B. Grace Mercy Pricilla
Keyword(s):  
Radiation Treatment ◽  
Wound Dehiscence ◽  
Surgical Excision ◽  
Early Postoperative Period ◽  
Advisory Panel ◽  
Adjuvant Radiation ◽  
Hdr Brachytherapy ◽  
Medical College ◽  
Scar Management ◽  
Madras Medical College

Background Adjuvant radiation therapy is a recognised option for the treatment of keloid scars. It was first described by Sequeira in 19091 and is currently considered the most efficacious modality according to the international advisory panel on scar management. The reported therapeutic response rates are generally in the range of 67–98%. Following surgical excision of a scar, active blood borne repopulation of fibroblasts occurs; postoperative radiation treatment is thought to prevent recurrence by inducing fibroblastic apoptosis as well as imparting toxicity to endothelial cells. Aim of the study. 1. To confirm post-operative HDR brachytherapy reduce the recurrence in recurrent keloid. Materials and Methods All recurrent ear keloids operated at department of plastic surgery, madras medical college were included in the study and brachycatheter inserted during excision and HDR radiotherapy was given early postoperative period. The further fractions are given such that there is 6 hr gap between two fractions. The treatment is given as 3 gy in 4#, 4 gy in 3#,6 gy in 2 #,12gy in 1#. Total dose was 12 gy. Period of study :3 years (2017-2020), conducted in MMC, Chennai. Primary end point was recurrence. All cases were analysed using standard statistical methods. Results Total no cases included were 15. Recurrence found in 1 cases(6%). Recurrence rate was significantly reduced following post excision HDR brachytherapy(P=0.0002). Complications encountered are wound dehiscence, hyper/hypopigmentation and thinning of cartilage. Conclusion. Hereby concluded that recurrence in ear keloids after recurrent ear keloid excision was potentially prevented by HDR surface brachytherapy. It can be useful in other locations for preventing recurrence.

A Rare Occurrence of Primary Breast Mucormycosis, A Case Report

2021 ◽  
pp. 222
Author(s):  
Keyword(s):  
Soft Tissue ◽  
Antifungal Agents ◽  
Clinical Presentation ◽  
Hematologic Malignancy ◽  
Surgical Excision ◽  
Pulmonary Complications ◽  
Rare Occurrence ◽  
Transplant Recipients ◽  
Immunosuppressed Patients ◽  
Common Clinical Presentation

Zygomycosis occurs primarily in immunosuppressed patients and those with diabetes mellitus. Incidence of zygomycosis has increased among transplant recipients, patients with hematologic malignancy and Covid-19 associated pulmonary complications. Soft tissue zygomycosis may be localized, extend to deep underlying tissues, or may be disseminated. The most common clinical presentation is induration of the skin with surrounding erythema, rapidly progressing to necrosis.Histological examination and culture of soft tissue are important for the diagnosis of cutaneous zygomycosis. Treatment consists of surgical excision or debridement, reversal of predisposing factors and administration of antifungal agents (amphotericin B formulations, Posaconazole/or Isavuconazole).

scholarly journals Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Sinan Carkman ◽  
Volkan Ozben ◽  
Haydar Durak ◽  
Kagan Karabulut ◽  
Turgut Ipek
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Relevant Literature ◽  
Surgical Excision ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Lost To Follow Up

Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.

scholarly journals Combined transoral and endoscopic approach for cervical spine tumor resection

Medicine ◽  
2019 ◽  
Vol 98 (22) ◽  
pp. e15822 ◽  
Author(s):  
Jun Zhou ◽  
Yong-Tian Lu ◽  
Fei-Yan Lu
Keyword(s):  
Cervical Spine ◽  
Tumor Resection ◽  
Endoscopic Approach ◽  
Spine Tumor ◽  
Cervical Spine Tumor
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