scholarly journals Modified Cantwel-Ransley Reconstruction of Continent Penile Epispadias In Children: A Case Report

2021 ◽  
Vol 57 (3) ◽  
pp. 262
Author(s):  
Ahmad Nadhir ◽  
Tarmono Tarmono
Keyword(s):  
Case Report ◽  
Sexual Activity ◽  
Rare Condition ◽  
Urethral Catheter ◽  
Academic Hospital ◽  
Penile Length ◽  
Dorsal Wall ◽  
Cosmetic Appearance ◽  
Objective Outcomes

Epispadias as an isolated embryologic defect is a rare anomaly, with an incidence of 1 in 117.000 males. Isolated epispadias with continence is a very rare condition comprising less than 10% of all epispadias cases. Epispadias is a closure defect of the dorsal wall of the urethra. The biggest challenges for epispadias treatment are creating adequate penile length, straightening the severely curved penis, and creating a penopubic angle for allowing comfortable penetration of the penis. An 11-year-old boy underwent surgery for his continent penile epispadias in Dr. Soetomo General Academic Hospital. The surgical technique chosen for this patient was Modified Cantwell-Ransley repair. The dressing was opened on the 3rd day after the operation. The urethral catheter was removed on the 10th day. The patients underwent regular follow-up examinations for 6 months and were evaluated for subjective and objective outcomes. There was no post-operative fistula or urethral narrowing requiring urethral dilatation. The Uroflowmetry and post voiding residual ultrasound result was good. The cosmetic appearance of the penis was satisfying. Outcomes related to sexual activity were not evaluated because the patient had no sexual activity yet.

Reimplantation of an Inverted Maxillary Premolar: Case Report of a Multidiscplinary Treatment Approach

2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Rare Condition ◽  
Treatment Alternative ◽  
Normal Position ◽  
Sufficient Space ◽  
Viable Treatment

Inversion of premolars is an extremely rare condition, which usually requires extraction. This case report describes the inversion of an impacted maxillary second premolar in an 11-year-old male, and the multidisciplinary treatment approach for bringing the tooth into a normal position within the arch. In order to provide sufficient space for surgical reimplantation of the tooth, the mesially-drifted neighbouring maxillary first molar was first endodontically treated, followed by orthodontic distalization of the tooth. The inverted tooth was removed surgically and reimplanted without the use of splints for stabilization. After a 12-month follow-up period, the tooth maintained its vitality without any root resorption. Reimplantation of impacted inverted premolars can be a viable treatment alternative to extraction

scholarly journals Haemorrhagic suprarenal pseudocysts: a systematic review of a rare condition from family physicians’ perspective during the COVID-19 global pandemic

2021 ◽  
Vol 3 (1) ◽  
pp. 22-25
Author(s):  
Adekunle Olowu ◽  
Adel Abbas Alzehairy
Keyword(s):  
Case Report ◽  
Primary Care Physicians ◽  
Rare Condition ◽  
Index Patient ◽  
Management Algorithm ◽  
Global Pandemic ◽  
Surgical Expertise ◽  
Systemic Symptoms ◽  
Specific Symptoms

Adrenal cysts are rare lesions that could be epithelial, endothelial, parasitic or haemorrhagic[1], as well as pseudocysts. Haemorrhagic adrenal cysts are extremely rare and are often asymptomatic, so diagnosis can be really challenging. This can prove really difficult for primary care physicians who are often the frontline clinicians these patients tend to present to. They are usually benign lesions and do not often cause mortality if detected early and prompt surgery is done, as was the case with the patient in our case report[4]. When they do become symptomatic, they can present with different systemic symptoms as documented in literature, including in our case report[2,4]. Diagnosis is usually through Ultrasound and CT Scan and management is largely laparoscopic or open excision depending on the size of the lesion, surgical expertise and local protocol. Most patients make full recovery and mortality is extremely low [3]. The aim of this review is to provide a broader overview of the subject, highlight salient points in several studies relating to haemorrhagic cysts, provide an up to date follow up information on the index patient in our case report and to explore possible areas for future study [4,6]. This review also includes a suggested management algorithm and intends to emphasize the fact that patients who present in primary, urgent or emergency care settings with persistent non-specific symptoms should be investigated for rare diseases.

scholarly journals On-Top-Plasty for Atypical Thumb Duplication: A Case Report With 10 Year Follow-up

Hand ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. NP17-NP19 ◽  
Author(s):  
Albert Pons-Riverola ◽  
Eric Camprubi-Garcia ◽  
Sergi Barrera-Ochoa ◽  
Josep M. Bergua-Domingo ◽  
Jorge Knorr ◽  
...  
Keyword(s):  
Case Report ◽  
Ulnar Side ◽  
Cosmetic Appearance ◽  
Radial Side ◽  
Right Hand ◽  
Thumb Duplication ◽  
Hypoplastic Thumb

Background: A very uncommon pattern of thumb duplication consists of an ulnar-side floating thumb and a radial-side distally hypoplastic thumb. Methods: We report the case of a 15-month-old child with this type of thumb duplication on his right hand treated with an on-top-plasty technique. The ulnar-side segment was pedicled and transferred to the lateral thumb, which was distally resected. Results: A well-aligned and widely mobile thumb with a wide first web and an excellent cosmetic appearance was exhibited 10 years after surgery. Conclusions: On-top-plasty technique might be amenable to reconstruct certain atypical thumb duplications.

scholarly journals Nonstented tubularized incised plate urethroplasty with Y-to-I spongioplasty in non–toilet trained children

2013 ◽  
Vol 2 (2) ◽  
pp. 110 ◽  
Author(s):  
Fayez Almodhen ◽  
Ahmed Alzahrani ◽  
Roman Jednak ◽  
Jean Paul Capolicchio ◽  
Mohamed T. El Sherbiny
Keyword(s):  
Standard Deviation ◽  
Urethral Catheter ◽  
Cosmetic Appearance ◽  
Supportive Role ◽  
Tubularized Incised Plate ◽  
Urinary Extravasation ◽  
Tubularized Incised Plate Urethroplasty ◽  
Urethral Stent

Introduction: This study was designed to evaluate the supportive role of spongioplastyduring tubularized incised plate (TIP) urethroplasty repair of hypospadias.Methods: All non–toilet trained children who underwent TIP repair for primaryhypospadias by 1 surgeon over a 30-month period were included inour study. The divergent spongiosa was mobilized off the corpora cavernosaand was rotated toward the midline to wrap the neourethra. A dartos flapwas used to cover the neourethra. The neourethra was calibrated immediatelyafter surgery in all patients. A urethral stent was left in place only when difficultcalibration was encountered. Complications and cosmetic appearance weredocumented at last follow-up.Results: Thirty-two consecutive patients with a mean age of 18 (standard deviation[SD] 6) months were included in the study. The defects were distal andmid-shaft in 26 patients (81.3%) and proximal-shaft in 6 (18.8%). No intraoperativecatheterization difficulties were encountered and all repairs were nonstented.Antibiotics and anticholinergics were not required. Mean follow-up was9 (SD 6) months. Urinary extravasation developed in 1 patient (3.1%) on the secondpostoperative day. A urethral catheter was easily inserted and left indwellingfor 5 days. One patient presented 6 days postoperatively with suspected voidingdifficulty. Urethral calibration was easily performed excluding any mechanicalobstruction. There were no urinary fistulae and reoperation was not required.An excellent cosmetic appearance was achieved in all patients.Conclusion: TIP urethroplasty is a versatile operation that can be performed inalmost all cases of penile hypospadias. A nonstented technique for hypospadiasrepair simplifies postoperative care and obviates the need for antibioticsand anticholinergics. We believe that spongioplasty provides good supportto the neourethra and the hypoplastic distal urethra that may facilitate catheterizationin the immediate and early postoperative periods, if required. Futurecontrolled study is warranted to further evaluate the role of spongioplasty.

CONGENITAL TRUE COMPLETE SYMPHALANGISM OF ALL PROXIMAL INTERPHALANGEAL JOINTS OF HANDS WITH CARPAL ANOMALIES: A CASE REPORT

Hand Surgery ◽  
2001 ◽  
Vol 06 (02) ◽  
pp. 223-226 ◽  
Author(s):  
Ibrahim Tuncay ◽  
Fuat Akpinar ◽  
Nihat Tosun
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Clinical Problem ◽  
Carpal Bones ◽  
Skeletal Survey ◽  
Skeletal Deformities ◽  
Type Iii ◽  
Congenital Fusion

Symphalangism is a rare condition which manifests in either PIP or DIP joint congenital fusion. Symphalangism may be with some other skeletal deformities. In our case, all PIP joints of both hands were fused with bilateral hypoplasia of carpal bones and Minaar type III lunatotriquetral coalition congenitally. No motion was detected in PIP joints with absence of cutaneous creases over all PIP joints. Radiologically, carpal hypoplasia and lunatotriquetral coalition were seen in all fingers with the absence of PIP joints. The patient's skeletal survey revealed no other pathology. He had no complaints related to his hands. So, regular follow-up was recommended. This pathology was presented as rarely observed although clinical problem is usually not so much.

scholarly journals Chondroblastoma of thoracic vertebra in young adult causing paraparesis

2017 ◽  
Vol 31 (3) ◽  
pp. 335-338
Author(s):  
Pramod J. Giri ◽  
Vaibhav S. Chavan
Keyword(s):  
Case Report ◽  
World Literature ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Thoracic Vertebra ◽  
Complete Excision ◽  
The World ◽  
Posterior Element ◽  
Almost All

Abstract Chondroblastoma of spine is very rare condition. To best of our knowledge, fewer than 30 cases have been reported in the world literature. Almost all of them involved both anterior & posterior component of vertebra. There are only few reports with isolated posterior element involvement. Clinical presentation of paraparesis because of vertebral chondroblastoma is very rare. This case report presents 17 yr old male with chondroblastoma involving posterior thoracic vertebra presenting with quadriparesis which improved after successful treatment. Early diagnosis and complete excision with periodic follow up is necessary for treatment of this disease.

scholarly journals Neglected Pessary in Patient with Pelvic Organ Prolapse: A Case Report

2019 ◽  
Author(s):  
Zinat Ghanbari ◽  
Maryam Deldar-Pesikhani ◽  
Tahereh Eftekhar ◽  
Leila Pourali ◽  
Atiyeh Vatanchi ◽  
...  
Keyword(s):  
Case Report ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Pelvic Organ ◽  
Purulent Discharge ◽  
Vaginal Mucosa ◽  
Academic Hospital ◽  
Vaginal Pessary ◽  
First Choice

Objective: To report the neglected pessary in a patient with pelvic organ prolapse. Pelvic organ prolapse (POP) is one of the most important medical challenges in women especially elderly. One of the conservative treatments of symptomatic POP is pessary placement. Case report: A 84-year-old woman, para 10 was referred to female pelvic floor clinic of an academic hospital for vaginal bleeding and neglected vaginal pessary. Vaginal examination in the pelvic floor clinic revealed an entrapped ring pessary in severely atrophic vaginal mucosa with purulent discharge. Conclusion: Although pessary is the first choice and one of the best conservative treatment for pelvic organ prolapse, it shouldn’t be used for poor cooperative patient who cannot comply with regular follow-up visits which may cause harmful complications.

scholarly journals Convulsive Seizures as Presenting Symptom of Metronidazole-Induced Encephalopathy: A Case Report

2018 ◽  
Vol 10 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Caspar Godthaab Sørensen ◽  
William Kristian Karlsson ◽  
Faisal Mohammad Amin ◽  
Mette Lindelof
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Pleural Empyema ◽  
Clinical Suspicion ◽  
Cerebellar Dysfunction ◽  
Blood Samples ◽  
Hyperintense Signal ◽  
Signal Changes ◽  
Convulsive Seizures

Introduction: Encephalopathy and convulsive seizures are rare manifestations of metronidazole toxicity. The incidence is unknown, but the condition has most frequently been reported in patients in their fifth to sixth decades. Usually, this condition is regarded as reversible, but permanent deficits and even death have been reported. Case Report: A 66-year-old female patient undergoing metronidazole treatment for pleural empyema was admitted to our institution after her second episode of seizure. Over the course of 1 week after admittance, the patient developed several convulsive seizures along with progressive cerebellar dysfunction and cognitive impairment. MRI revealed bilateral, symmetrical hyperintense signal changes in the pons and dentate nuclei. EEG, ECG, lumbar puncture, and blood samples were normal. The patient improved already 2–3 days after discontinuation of metronidazole and was discharged fully recovered after 17 days. Follow-up clinical assessment and MRI were unremarkable. Conclusion: Metronidazole-induced encephalopathy is a rare condition, and due to a general lack of awareness the diagnosis is often delayed. This condition should be considered in metronidazole-treated patients presenting with unprovoked seizures, myoclonus, cerebellar signs, and encephalopathy. Characteristic MRI lesions may support the clinical suspicion.

Pregnancy a short time after multimodal therapy for bilateral breast cancer: A case report and review of literature

2010 ◽  
Vol 17 (4) ◽  
pp. 440-443 ◽  
Author(s):  
Timur Koca ◽  
Zuleyha Akgun ◽  
Serap Baskaya Yucel ◽  
Nihal Zerman Dag ◽  
Mehmet Teomete
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Multimodal Therapy ◽  
Bilateral Breast Cancer ◽  
Rare Condition ◽  
Review Of Literature ◽  
Short Time

Pregnancy occurring after multimodal therapy in a woman with breast cancer with a 1-year follow-up period is a relatively rare condition and has been defined as pregnancy-associated breast cancer. A patient can become pregnant after chemotherapy for breast cancer while she is on tamoxifen. However, the effects of tamoxifen on fetus and on the course of the pregnancy are still unknown. Here, we present a 39-year-old woman treated with chemotherapy and radiotherapy for bilateral breast cancer, and who became pregnant while taking tamoxifen.

scholarly journals Totally Tubeless Outpatient Percutaneous Nephrolithotomy: Initial Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Darren Beiko ◽  
Meghana Samant ◽  
Thomas B. McGregor
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Urethral Catheter ◽  
Ureteral Stent ◽  
Outpatient Basis ◽  
Nephrostomy Tube ◽  
First Case

We report the first case of totally tubeless outpatient percutaneous nephrolithotomy (PCNL). Our patient was discharged home safely less than 4 hours following uncomplicated PCNL with no nephrostomy tube, ureteral stent, or urethral catheter. Follow-up the next day in clinic confirmed that the procedure was successful, as the patient was clinically well and stone free. To our knowledge, this is the first case report of totally tubeless (no nephrostomy, no ureteral stent) PCNL performed on a truly outpatient basis.

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