scholarly journals Retenção Urinária Como Manifestação de Hematocolpos

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Íris Santos Silva ◽  
Renata Martello ◽  
António Mendes ◽  
Albertino Chaves
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Retention ◽  
Genital Tract ◽  
Rare Condition ◽  
Tanner Stage ◽  
Imperforate Hymen ◽  
Uncommon Condition ◽  
Rare Symptom

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 – 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

scholarly journals Bilateral Congenital Humeroradial Synostostis Presenting with Bilateral Proximal Radius Fractures: A Case Report

2021 ◽  
pp. 29-32
Author(s):  
Elsiddig E. Mahmoud
Keyword(s):  
Case Report ◽  
Elbow Joint ◽  
Parental Education ◽  
Functional Disability ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Radius Fractures ◽  
Proximal Radius ◽  
History Of ◽  
Uncommon Condition

Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

scholarly journals Ovarian Torsion in a 5-Year Old: A Case Report and Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Clinical Suspicion ◽  
Ovarian Torsion ◽  
Surgical Emergencies ◽  
High Clinical Suspicion ◽  
Tract Infections ◽  
Prompt Diagnosis

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.

scholarly journals Torsion of the Ovary in Infancy, a Rare Emergency; A Case Report

2021 ◽  
pp. 90-96
Author(s):  
Abdelilah Radi ◽  
Karima Larbi Ouassou ◽  
Amal Hassani ◽  
Rachid Abilkassem ◽  
Aomar Agadr ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Clinical Evaluation ◽  
Clinical Picture ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Ovarian Torsion ◽  
Positive Diagnosis ◽  
Hemorrhagic Risk ◽  
Made In

Torsion of the ovary is a rare condition whose diagnosis remains difficult given the non-specificity of the clinical picture as well as the difficulty of clinical evaluation, especially in young girls. It is a surgical emergency because it involves the vital prognosis by the hemorrhagic risk, and functional prognosis by the risk of infertility. The clinical picture is dominated by acute abdominal pain. Our work reports the case of a 2-year-old girl in whom the diagnosis of ovarian torsion was made in front of an atypical clinical picture. Laparoscopy is the method of choice for making a positive diagnosis and performing a conservative procedure as described in this work.

scholarly journals Bladder Diverticulitis: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Michael Silberman ◽  
Rebecca Jeanmonod
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Tract Infection ◽  
Acute Urinary Retention ◽  
Disease Process ◽  
Multifactorial Disease ◽  
Bladder Diverticulum

Bladder diverticulum, an outpouching of the mucosa through the muscular wall of the bladder, is a multifactorial disease process that can be either acquired or congenital. Although small diverticuli are usually asymptomatic, a large diverticulum may result in hematuria, urinary tract infection, acute abdomen due to its rupture, acute urinary retention, or neoplasm formation. We describe the case of an elderly gentleman who presented to the emergency department with abdominal pain and was ultimately diagnosed with bladder diverticulitis, a disease not previously described in the literature.

scholarly journals Neonatally Diagnosed Imperforate Hymen: Hymen Saving Surgery

2017 ◽  
Vol 24 (3) ◽  
pp. 55-59
Author(s):  
Maram A. Enani ◽  
Wejdan O. Ba-Amer ◽  
Alfaf S. Aljohani ◽  
Shahad A. Aljohani ◽  
Noor A. Aljohani ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Genital Tract ◽  
Neonatal Period ◽  
Female Genital Tract ◽  
Late Diagnosis ◽  
Diagnosis And Treatment ◽  
Early Management ◽  
Imperforate Hymen ◽  
Female Genital

Imperforate hymen is the most common obstructive anomalies of the female genital tract. It is usually an isolated anomaly but can be rarely syndromic. It can be asymptomatic until puberty, but the diagnosis as early as neonatal period has been reported and as with our neonate with hematocolpos. The aim of this case report is to present the early diagnosis and treatment of a female neonate with imperforate hymen taking into consideration the religious and traditional value of preservation of virginity in our community, and to stress the importance of careful post birth examination of the neonate and early management to avoid complications of late diagnosis.

Infectious mononucleosis - not always a benign condition: a case report of infectious mononucleosis–associated acute acalculous cholecystitis

CJEM ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 154-156 ◽  
Author(s):  
Andrew Cameron ◽  
Kosalan Akilan ◽  
David Carr
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Critical Illness ◽  
Infectious Mononucleosis ◽  
Early Adulthood ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Benign Condition ◽  
Emergency Department Patients

AbstractInfectious mononucleosis is typically a self-limited viral infection of adolescence and early adulthood that resolves in a period of weeks, causing no major sequelae. We describe a case of a healthy 18-year-old female diagnosed with infectious mononucleosis who also presented with right upper quadrant abdominal pain, moderate transaminitis, and cholestatic biochemistry. An ultrasound revealed acute acalculous cholecystitis, generally a condition seen in the context of critical illness. Further investigating emergency department patients with infectious mononucleosis is often not indicated, but may be important for those who present atypically.

scholarly journals Misdiagnosed Spontaneous Carotid Cavernous Sinus Fistula

2019 ◽  
Vol 3 (3) ◽  
pp. 256-258
Author(s):  
Maureen Canellas ◽  
Navneet Cheema
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Cavernous Sinus ◽  
Dry Eye ◽  
Vision Loss ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Carotid Cavernous Sinus Fistula ◽  
Blurry Vision

A 63-year-old female presented to the emergency department with worsening left-sided blurry vision and diplopia. She had previously seen several physicians and had been diagnosed with common ocular conditions – keratoconus and dry eye. However, despite treatment her symptoms were worsening. By the time her true underlying diagnosis was treated, she was left with permanent vision loss. This case report discusses the presentation, diagnosis, and treatment of her rare condition.

Case Report of Carbon Monoxide Poisoning in a Pregnant Patient: Mother Died, Baby Survived

2009 ◽  
Vol 16 (3) ◽  
pp. 176-178 ◽  
Author(s):  
Z Cakir ◽  
M Emet ◽  
I Caner ◽  
S Aslan ◽  
A Saritas
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Carbon Monoxide ◽  
Cerebral Palsy ◽  
Case Report ◽  
Carbon Monoxide Poisoning ◽  
Rare Condition ◽  
Pregnant Patient ◽  
Spontaneous Respiration ◽  
Foetal Distress

Carbon monoxide poisoning in pregnant women is a relatively rare condition. We report a 32-year-old woman in her 32nd week of pregnancy found unconscious in the bathroom. On arrival, her pulse and blood pressure were undetectable. Cardiopulmonary resuscitation was applied. The mother's carboxyhaemoglobin level was 57%. Due to foetal distress, Caesarean section was performed in the emergency department. The baby was intubated due to the absence of spontaneous respiration. The level of carboxyhaemoglobin in the cord blood was 32%. After staying in the newborn unit for 47 days, the baby was discharged with a sequela of cerebral palsy.

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