scholarly journals A Case of Endoscopic Drainage of Pterygoid Fossa Abscess Induced by Fungal Invasion

2020 ◽  
Vol 27 (2) ◽  
pp. 145-149
Author(s):  
Dong Young Kim ◽  
Jae Hwan Kwon ◽  
Joo Yeon Kim
Keyword(s):  
Quality Of Life ◽  
Rare Case ◽  
Infratemporal Fossa ◽  
Abscess Formation ◽  
Endoscopic Drainage ◽  
Conservative Approach ◽  
Fungal Invasion

The infratemporal fossa consists of critical structures affecting patient quality of life. Though abscess formation in the infratemporal fossa is very rare, drainage is highly recommended to avoid severe complications. We recently experienced a rare case of infratemporal fossa abscess. Such an abscess is easy to misdiagnose due to its rarity. Endoscopic drainage of the infratemporal fossa was conducted in this case, and its limited invasiveness was an advantage for a conservative approach. We present this case with a brief review of the approach to abscess of the infratemporal fossa area.

scholarly journals An Alternative Approach to the Terminal Management of Ogilvie Syndrome

2017 ◽  
Vol 11 (2) ◽  
pp. 352-358
Author(s):  
Daniel Galban ◽  
Joshua J. Baiel
Keyword(s):  
Quality Of Life ◽  
Surgical Resection ◽  
Medical Therapy ◽  
Subtotal Colectomy ◽  
Abdominal Discomfort ◽  
Conservative Approach ◽  
Replacement Surgery ◽  
Alternative Approach ◽  
Ogilvie Syndrome

Ogilvie syndrome is defined as colonic pseudo-obstruction due to nonmechanical causes. Mortality of nearly 50% is associated with perforation of the distended, pseudo-obstructed colon. While conservative medical therapy has proven to be beneficial in a majority of cases, >3% of patients have significant distention or perforation of the colon that warrants surgical resection. The case of a 48-year-old male with progressive abdominal discomfort and distention 12 days following knee replacement surgery is presented. He was subsequently diagnosed with colonic pseudo-obstruction and definitively treated with subtotal colectomy and colostomy. We propose that a more conservative approach to treatment of colonic pseudo-obstruction may prevent the need for colostomy, significantly improving quality of life.

scholarly journals Aglossia: Case Report

2015 ◽  
Vol 20 (01) ◽  
pp. 087-092 ◽  
Author(s):  
Silvana Bommarito ◽  
Luciana Zanato ◽  
Marilena Vieira ◽  
Fernanda Angelieri
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Rare Case ◽  
Rare Condition ◽  
Stomatognathic System ◽  
Multidisciplinary Cooperation ◽  
Compensation Mechanisms ◽  
Working Together ◽  
Multiprofessional Cooperation

Introduction Aglossia is a rare condition caused by failure of the tongue embryogenesis process (in the fourth to eighth weeks of gestation). The tongue is an organ used in different activities such as sucking, swallowing, chewing, and talking. It is also responsible for shaping palate dental arches (in its absence, they become atrophic). There are few similar cases reported in the literature. Objective To describe a rare case of aglossia and the multidisciplinary professionals working together for 5 years to treat the patient. Resumed Report An 8-year-old girl with aglossia had an assessment comprising: (1) clinical assessment of the stomatognathic system related to resting posture, tonus, and mobility; (2) orthodontic assessment; (3) surface electromyography of the chewing muscles; (4) swallowing videofluoroscopy. Conclusion The authors confirmed the need of multidisciplinary cooperation to improve the patient's quality of life, because agenesia implicates many activities/functions that depend on the tongue to fully work. Multiprofessional cooperation helps the patient learn compensation mechanisms.

scholarly journals Exploring Solitary Bone Plasmacytoma: A Rare Case Report

2021 ◽  
Vol 9 (1) ◽  
pp. 01-06
Author(s):  
Manuela B. Pucca ◽  
Pablo A. Brito-Souza ◽  
Gabriel M. Alexandre-Silva ◽  
Ana C. S. Oliveira ◽  
Kim Tavares Mesquita ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rare Case ◽  
Clinical Case ◽  
Plasma Cells ◽  
Malignant Neoplasms ◽  
Plasma Cell Neoplasms ◽  
Rare Case Report ◽  
Solitary Bone Plasmacytoma ◽  
Aggressive Tumor

The Solitary Bone Plasmacytoma (SBP) is a rare oncologic disease corresponding to less than 5% of the malignant neoplasms of the plasma cells. It is characterized as a localized aggressive tumor consequent to the accumulation of monoclonal plasma cell neoplasms and, due to the rarity of the disease, there are only few clinical studies reporting it especially regarding prognostic factors and treatment. Here, we report a fatal clinical case of SPB in Roraima, the northernmost state of Brazil. The study shows a case of solitary bone plasmacytoma on the femur, where the patient was submitted to the preconized radiotherapy cycles. However, over approximately four-years following the diagnose, the patient required multi-modal approach to guarantee quality of life during the survival time. Finally, this study explores SBP-related issues and examines the challenges physicians face when managing the care of patients with SBP.

scholarly journals EPISPADIAS IN GIRLS

2019 ◽  
Vol 23 (3) ◽  
pp. 166-168
Author(s):  
A. E. Soloviev
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Plastic Surgery ◽  
Clinical Picture ◽  
Bladder Neck ◽  
Rare Case ◽  
Diagnosis And Treatment ◽  
X Ray

Purpose. To study the clinical picture, diagnosis and treatment of epispadias in girls. Material and methods. 22 girls with epispadias of various forms were under supervision for 50 years. During diagnostics the following issues were used: anamnesis, examination, catheterization and uroflowmetry, cystoscopy of the bladder, ultrasound and X-ray examination. Results and discussion. Out of 22 girls with epispadias, clitoral epispadia (partial ) was in 10 patients; sub-symphisal (subtotal) - in 4; symphisal (total) - in 8 girls. In 10 girls with the clitoral form, urological examination was made because of changes in the urine. Girls with sub-symphisal epispadia complained of irritation and itching in the vulva. All had vulvitis, cystitis, chronic pyelonephritis. In 2 patients, renal doubling was diagnosed; in other 2 patients ureterohydronephrosis and kidney dystopia were diagnosed. Uroflowmetry revealed hyperactive bladder in all. 8 girls with the total (symphisial) form of epispadia and urinary incontinence were operated by the Derzhavin technique; after the surgery the function of bladder sphincter was restored and the patients could have a normal quality of life. Conclusion. Epispadia in girls is a rare case . There are clitoral, sub-symphisal and symphisal (total) forms of epispadias. Cluster and sub-symphisial forms do not require surgical treatment. While in the symphisial (total) form, plastic surgery on the bladder neck by the Derzhavin technique is recommended. It is a good option for recovery.

Successful laparoscopic management of accessory cavitated uterine mass: a rare case

2021 ◽  
Vol 10 (3) ◽  
pp. 1198
Author(s):  
Dinesh D. Pratapwar ◽  
Sarika Pramod Zunjare ◽  
Fasiha Tasneem
Keyword(s):  
Quality Of Life ◽  
Congenital Anomaly ◽  
Rare Case ◽  
Postoperative Results ◽  
Duration Of Symptoms ◽  
Laparoscopic Management ◽  
Laparoscopic Excision ◽  
High Degree

Accessory cavitated uterine mass (ACUM) is a rare and unique congenital anomaly. The dysmenorrhea presented by these patients is almost never resolved by any medications but only by surgical line of management. Herein, we are discussing a case of ACUM who had medically refractory dysmenorrhea and treated by laparoscopic excision and repair. ACUM is the newly identified popping up cause of dysmenorrhoea requiring surgical line of management only. Fewer than 40 cases, worldwide, have been reported in the literature with the youngest case being a 13-year-old girl. Laparoscopic excision has shown good postoperative results. Dysmenorrhea is a significant cause of reduced quality of life. High degree of suspicion, early investigations and identification of such cases help in appropriate management and reduce the duration of symptoms and thus the seamy side of life can be made better. 

Epilepsy Nurse Specialist, 15 years’ experience, UK

2020 ◽  
pp. 154-157
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Quality Of Life ◽  
Health Professionals ◽  
Neurological Disorder ◽  
Rare Case ◽  
Daily Basis ◽  
Duty Of Care ◽  
Nurse Specialist ◽  
Epileptic Attack ◽  
Ongoing Support

This chapter describes the experience of an epilepsy nurse with patients with Non-Epileptic Attack Disorder (NEAD). It specifically details a rare case where the patient was undoubtedly diagnosed with NEAD and the diagnosis was met with complete acceptance. The patient was able to move forward with her life, putting this period of living with NEAD behind her, a period of time that possibly spanned several years. Ultimately, carers have a duty to provide ongoing support throughout the trajectory of the journey of patients with NEAD despite it being a psychiatric and not a neurological disorder. This condition if untreated or treated inappropriately can fundamentally affect quality of life on a daily basis, and health professionals all have a duty of care to address that.

scholarly journals Linfedema Primário em Membro Superior Esquerdo em Paciente Idosa / Primary Lymphedema in Upper Left Member in Elderly Patient

2016 ◽  
Vol 6 (3) ◽  
pp. 133-141
Author(s):  
Melissa Andreia de Moraes Silva ◽  
Camila Bueno da Silva ◽  
Isabella João Milan ◽  
Seleno Glauber de Jesus-Silva ◽  
Rodolfo Souza Cardoso
Keyword(s):  
Quality Of Life ◽  
Elderly Patient ◽  
Case Report ◽  
Early Diagnosis ◽  
Rare Case ◽  
Lymphatic System ◽  
Multidisciplinary Treatment ◽  
Primary Lymphedema ◽  
Patient Prognosis

Introdução: O Linfedema Primário (LP) é caracterizado por disfunção do sistema linfático de etiologia idiopática. Este pode ser dividido em congênito, precoce e tardio, sendo o tipo congênito o mais raro. O diagnóstico desta patologia é predominantemente clínico,  podendo  ser  solicitado  linfocintilografia quando  há  dúvida  diagnóstica. O diagnóstico  precoce  está  diretamente  relacionado  com  o  melhor  prognóstico  do paciente, postergando limitações físicas e psico­sociais. O tratamento do LP é clínico e multiprofissional. Relato do Caso: Relatou­se caso raro de uma paciente de 78 anos de idade, sexo feminino, portadora de Linfedema Primário em membro superior esquerdo desde o nascimento, o qual foi investigado durante a infância, porém com resultados inconclusivos. Conclusão: Embora seja pequena a quantidade de trabalhos sobre o tema, este relato confirma que o diagnóstico precoce é fundamental e que o tratamento igualmente precoce e multiprofissional melhora a qualidade de vida dos pacientes.Palavras­chave:  Linfedema, Sistema Linfático, Extremidade Superior, Idoso, CintilografiaABSTRACTIntroduction: Primary lymphedema (PL) is characterized by dysfunction of the lymphatic system of idiopathic etiology. It can be divided into congenital, early and late,  with  the congenital type being the rarest. The diagnosis of this pathology is predominantly clinical, and a lymphoscintilography may be requested when the diagnostic is uncertain. Early diagnosis is directly related to better patient prognosis, delaying physical and psychosocial limitations. Treatment of PL is clinical and multiprofessional. Case Report: The aim of this paper is to describe a rare case of a 78­ year­old female with primary lymphedema in the left arm since her birth, which was investigated during childhood, but with inconclusive results. Conclusion: Although there is small  amount of work on the topic, this report confirms that early diagnosis is crucial and also that  early and multidisciplinary treatment improves the quality of life of patients.Keywords: Lymphedema, Lymphatic System, Upper Extremity, Elderly, Radionuclide Imaging  

scholarly journals Review of hysterectomies in Department of Obstetrics and Gynaecology at tertiary care hospital in Northern India

2018 ◽  
Vol 7 (12) ◽  
pp. 4977
Author(s):  
Vandana Solanki ◽  
Urmila Singh ◽  
Seema Mehrotra ◽  
Shuchi Agarwal ◽  
Apala Priyadarshini
Keyword(s):  
Quality Of Life ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Conservative Approach ◽  
Abnormal Placentation ◽  
Common Indication ◽  
Northern India ◽  
Obstetrics And Gynaecology

Background: With the advancement of newer and conservative approach in the management of many gynaecological conditions, hysterectomy still remains the chief modality of treatment. The aim of this study was to analyze the various indications, clinical profile, and outcome of all the patients who underwent hysterectomy at premier teaching hospital in Northern India.Methods: This study involved all the patients who underwent hysterectomy from 1st Jan 2017 to 31st Dec 2017 in tertiary care hospital India.Results: Out of total 513 hysterectomies, 105 were obstetric and 408 were gynaecological hysterectomies. In obstetric hysterectomies 40% were due to rupture uterus, 38% were due to abnormal placentation. In gynaecological hysterectomies, 75.5 % abdominal & 24.5 % were vaginal.75.7 % were for benign conditions and 24.3% were for malignant conditions. Most common indication was AUB.Conclusions: Hysterectomy is commonly done to improve the quality of life but at the same time in obstetrics emergencies it’s a lifesaving procedure. So, its indications should be clearly evaluated, and patient should be clearly counselled about conservative options, risk and benefits of the procedure.

scholarly journals Palliative Surgical Resection of an Extensive Metastatic Cardiac Myxofibrosarcoma

2019 ◽  
Vol 12 ◽  
pp. 117954761983731
Author(s):  
Dimos Karangelis ◽  
Amine Mazine ◽  
Bobby Yanagawa ◽  
David Latter
Keyword(s):  
Quality Of Life ◽  
Surgical Resection ◽  
Cardiac Tumor ◽  
Rare Case ◽  
Tumor Resection ◽  
Improve Quality ◽  
Superior Pulmonary Vein ◽  
The Right ◽  
Complex Joint

Herein, we report a rare case of metastatic secondary cardiac myxofibrosarcoma in a 33-year-old female patient. The tumor infiltrated the right lung and was extending into the heart via the right superior pulmonary vein. The patient who initially presented with a stroke was found to be at a high risk of recurrent embolic events and therefore was managed successfully surgically with a complex joint thoracic and cardiac tumor resection. This case illustrates that, in the setting of an extensive metastatic myxofibrosarcoma, an aggressive palliative surgical resection can be successfully performed to improve quality of life.

scholarly journals Bacteroides fragilis sacral spondylodiscitis and epidural abscess after sacrocolpopexy: a case report and literature review

2019 ◽  
Vol 47 (9) ◽  
pp. 4568-4574 ◽  
Author(s):  
Nina Gorišek Miksić ◽  
Milka Kljaić Dujić ◽  
Jana Rejc Marko ◽  
Matjaž Voršič ◽  
Igor But
Keyword(s):  
Quality Of Life ◽  
Antimicrobial Therapy ◽  
Epidural Abscess ◽  
Bacteroides Fragilis ◽  
Infectious Complications ◽  
Antimicrobial Treatment ◽  
Good Effect ◽  
Conservative Approach ◽  
Pelvic Support

Spondylodiscitis with or without epidural abscess is a rare, although serious, complication after sacrocolpopexy. We present a case of an 81-year-old patient who developed anaerobic Bacteroides fragilis sacral spondylodiscitis with epidural abscess 18 weeks after laparoscopic sacrocolpopexy. Because of the patient’s old age, comorbidities, and further complications during hospitalization, she was treated conservatively with an early switch to oral antimicrobial therapy with good oral bioavailability. Because of retention of titanium bone anchors in the first sacral vertebra, oral antimicrobial treatment with biofilm-active clindamycin was prolonged to 6 months. This conservative approach was successful. One year after discontinuation of antimicrobial therapy, the patient had no signs of recurrence of infection or other complications. With retention of implanted material, we preserved good pelvic support with a good effect on the patient’s quality of life. A combined surgical and antimicrobial therapy with mesh removal is the treatment of choice in most cases of spinal infectious complications. However, we would like to emphasize the need for an individualized therapeutic approach in the growing population of frail and polymorbid, older patients, where a conservative approach can have important effects on the quality of life. Infectious complications can have devastating consequences in these patients.

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