scholarly journals Life-threatening retroperitoneal hematoma after percutaneous vertebroplasty for lumbar fracture

2020 ◽  
Vol 6 (4) ◽  
pp. 840
Author(s):  
Catarina Aleixo ◽  
Jose Marinhas ◽  
Filipe Santos ◽  
Rolando Freitas ◽  
Ricardo Santos Pereira
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Early Recognition ◽  
Invasive Procedure ◽  
Retroperitoneal Hematoma ◽  
Minimally Invasive Procedure ◽  
Prompt Treatment ◽  
Support Measures ◽  
Life Threatening ◽  
Lumbar Fracture ◽  
Specific Potential

<p>Percutaneous vertebroplasty is a safe and effective minimally invasive procedure with specific potential complications. Among these, vascular injuries have seldomly been reported. We present a rare case of retroperitoneal hematoma, presumably from injury to one of the lumbar arteries following percutaneous vertebroplasty in a patient treated for lumbar fracture. Even though the situation was life-threatening, conservative treatment and support measures sufficed in controlling the bleeding and the patient recovered fully. Spine surgeons should be especially aware of this specific and often late-presenting complication, as early recognition and prompt treatment are fundamental to decrease its morbidity and mortality.</p>

Postpartum ovarian vein thrombosis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Kelly Ribeiro ◽  
Samir Mahboobani ◽  
Katherine Van Ree ◽  
Katy Clifford ◽  
TG Teoh
Keyword(s):  
Abdominal Pain ◽  
Complete Resolution ◽  
Early Recognition ◽  
Ovarian Vein ◽  
Transabdominal Ultrasound ◽  
Case Presentation ◽  
Vein Thrombosis ◽  
Prompt Treatment ◽  
Life Threatening ◽  
Ovarian Vein Thrombosis

Abstract Objectives Postpartum ovarian vein thrombosis (POVT) is a rare pathology that can lead to severe complications such as sepsis, extension of the thrombus leading to organ failure, and pulmonary embolism. It therefore requires early recognition and prompt treatment. Case presentation A patient with right POVT presented four days after delivery with acute right-sided abdominal pain and fever. Appendicitis was initially considered, before an abdominal-pelvic computed tomography raised the suspicion of POVT, subsequently confirmed through transabdominal ultrasound. Antibiotics and anticoagulation were initiated, with rapid clinical improvement and complete resolution of the thrombus three months later. Conclusions Diagnosing POVT is challenging as it clinically mimics other more frequent conditions. It is rare but life-threatening and should be considered in all females presenting with abdominal pain and fever in the postpartum period.

scholarly journals Thromboembolic complications of thyroid storm

2014 ◽  
Vol 2014 ◽  
Author(s):  
T Min ◽  
S Benjamin ◽  
L Cozma
Keyword(s):  
Atrial Fibrillation ◽  
Early Recognition ◽  
Massive Pulmonary Embolism ◽  
Clinical Findings ◽  
Favourable Outcome ◽  
Thyroid Storm ◽  
List Type ◽  
Chads2 Score ◽  
Prompt Treatment ◽  
Life Threatening

Summary Thyroid storm is a rare but potentially life-threatening complication of hyperthyroidism. Early recognition and prompt treatment are essential. Atrial fibrillation can occur in up to 40% of patients with thyroid storm. Studies have shown that hyperthyroidism increases the risk of thromboembolic events. There is no consensus with regard to the initiation of anticoagulation for atrial fibrillation in severe thyrotoxicosis. Anticoagulation is not routinely initiated if the risk is low on a CHADS2 score; however, this should be considered in patients with thyroid storm or severe thyrotoxicosis with impending storm irrespective of the CHADS2 risk, as it appears to increase the risk of thromboembolic episodes. Herein, we describe a case of thyroid storm complicated by massive pulmonary embolism. Learning points Diagnosis of thyroid storm is based on clinical findings. Early recognition and prompt treatment could lead to a favourable outcome. Hypercoagulable state is a recognised complication of thyrotoxicosis. Atrial fibrillation is strongly associated with hyperthyroidism and thyroid storm. Anticoagulation should be considered for patients with severe thyrotoxicosis and atrial fibrillation irrespective of the CHADS2 score. Patients with severe thyrotoxicosis and clinical evidence of thrombosis should be immediately anticoagulated until hyperthyroidism is under control.

(221) Percutaneous Vertebroplasty: Minimally Invasive Procedure for Vertebral Fracture

Pain Medicine ◽  
2001 ◽  
Vol 2 (3) ◽  
pp. 248-248
Author(s):  
Jashvant G. Patel ◽  
Sunil K. Singh ◽  
Manish K. Singh ◽  
Rollin M. Gallagher
Keyword(s):  
Vertebral Fracture ◽  
Minimally Invasive ◽  
Percutaneous Vertebroplasty ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure

scholarly journals Traumatic pseudoaneurysm of the cavernous carotid: a lethal complication of craniofacial trauma

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Omar Ahmed ◽  
Sara Mahmood ◽  
Youssef Aladham ◽  
Moustafa Mohamed Abdelnaby
Keyword(s):  
Early Recognition ◽  
Endovascular Coiling ◽  
Carotid Angiography ◽  
Oculomotor Palsy ◽  
Prompt Treatment ◽  
Life Threatening ◽  
Traumatic Pseudoaneurysm ◽  
Craniofacial Trauma ◽  
Cavernous Carotid Artery

Abstract Pseudoaneurysm of the cavernous carotid artery is a rare, yet life-threatening complication of craniofacial trauma. It may well present itself with delayed massive epistaxis up to several months after the initial insult. Early recognition and prompt treatment are the key in management and a high index of clinical suspicion is always required. In this article, we report a patient with a penetrating head injury who developed delayed epistaxis along with unilateral abducent and partial oculomotor palsy. Urgent diagnostic carotid angiography was undertaken, followed by endovascular coiling that resulted in no recurrence for a year of follow-up.

scholarly journals (221) Percutaneous Vertebroplasty: Minimally Invasive Procedure for Vertebral Fracture

Pain Medicine ◽  
2008 ◽  
Vol 2 (3) ◽  
pp. 248-248
Author(s):  
Jashvant G. Patel ◽  
Sunil K. Singh ◽  
Manish K. Singh ◽  
Rollin M. Gallagher
Keyword(s):  
Vertebral Fracture ◽  
Minimally Invasive ◽  
Percutaneous Vertebroplasty ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure

Vertebroplasty for Osteoporotic Compression Fractures: Current Practice and Evolving Techniques

Neurosurgery ◽  
2002 ◽  
Vol 51 (suppl_2) ◽  
pp. S2-96-S2-103 ◽  
Author(s):  
Keith R. Peters ◽  
Bernard H. Guiot ◽  
Pamela A. Martin ◽  
Richard G. Fessler
Keyword(s):  
Minimally Invasive ◽  
Current Practice ◽  
Bone Structure ◽  
Percutaneous Vertebroplasty ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Compression Fractures ◽  
Osteolytic Metastases ◽  
Cutting Needle ◽  
Osteoporotic Compression Fractures

Abstract PERCUTANEOUS VERTEBROPLASTY WAS developed in France by Deramond et al., who provided initial reports of the procedure in 1987. This minimally invasive procedure uses a large-bore bone-cutting needle to percutaneously access a vertebral body, inject bone cement, and thereby stabilize and reinforce the remaining bone structure. The procedure was used initially to treat aggressive hemangiomas, but it then was extended to the treatment of osteolytic metastases and myeloma and currently osteoporotic compression fractures refractory to medical therapy. In this article, we review the current technique and its indications along with emerging devices and areas of current research.

scholarly journals Percutaneous Vertebroplasty

2018 ◽  
Vol 22 (4) ◽  
pp. 150-156
Author(s):  
Luiz Roberto Aguiar ◽  
Carolina Martins ◽  
Edgar Garcete Farinã ◽  
Heraldo Mello Neto ◽  
Gerson Link Bichinho ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Medical Therapy ◽  
Percutaneous Vertebroplasty ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Santa Cruz ◽  
Compression Fractures ◽  
Current Technique ◽  
Osteolytic Metastasis ◽  
Osteoporotic Compression Fractures

Percutaneous Vertebroplasty is a minimally invasive procedure initially developed to treat aggressive hemangiomas, which was then further extended to vertebral tumors - especially aggressive osteolytic metastasis and myeloma - and is currently largely applied in osteoporotic compression fractures that are refractory to medical therapy. In this article we formulate and answer questions reviewing the current technique, its indications and potential  complications. This paper summarizes the experience of the Department of Neurosurgery at Hospital Santa Cruz in Curitiba (PR) and aims at providing a source of reference to neurosurgeons interested in this procedure. 

scholarly journals Prevention and management of major complications in percutaneous endoscopic gastrostomy

2021 ◽  
Vol 8 (1) ◽  
pp. e000628
Author(s):  
Kurt Boeykens ◽  
Ivo Duysburgh
Keyword(s):  
Clinical Practice ◽  
Abdominal Wall ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Early Recognition ◽  
Endoscopic Technique ◽  
Abdominal Wound ◽  
Review Of The Literature ◽  
Endoscopic Gastrostomy ◽  
Major Complications ◽  
Life Threatening

BackgroundPercutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the ‘pull’ technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a ‘blind’ perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.MethodAnarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.ResultsThis review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.ConclusionsMajorcomplications are rare but prevention, early recognition and popper management areimportant.

Pharmacology Update: School Nurse Role and Emergency Medications for Treatment of Anaphylaxis

2021 ◽  
pp. 1942602X2110219
Author(s):  
Theresa A. Bingemann ◽  
Anil Nanda ◽  
Anne F. Russell
Keyword(s):  
Side Effects ◽  
School Personnel ◽  
Local Environment ◽  
School Nurses ◽  
First Line ◽  
Onset Of Action ◽  
Epinephrine Administration ◽  
Prompt Treatment ◽  
Nurse Role ◽  
Life Threatening

Anaphylaxis is a rapidly occurring allergic reaction that is potentially life threatening. Recognition of the early signs and prompt treatment of anaphylaxis is critical. School nurses are tasked with educating nonmedical school personnel on the recognition and treatment of anaphylaxis and emphasizing that epinephrine is the first line of treatment for anaphylaxis. Fortunately, there is now availability of multiple epinephrine administration devices. However, this also means that there are more devices that school nurses and nonmedical assistive personnel need to learn about to be able to administer in an emergency. Once epinephrine is administered, emergency medical services must be activated. Education regarding what to expect after the administration of epinephrine with respect to side effects and onset of action is also necessary. Though adjunctive medicines, such as antihistamines and inhalers, may also be administered after the injection of epinephrine, they should not be solely relied on in anaphylaxis. School nurses are uniquely situated for this role, as they understand the local environment in a school and can assess and reassess the needs of the faculty and staff.

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