Acute celiac artery occlusion secondary to blunt trauma: Two case reports

Abstract Background Blunt celiac artery injury is extremely rare, but it is easy to ignore. The clinical manifestation of celiac artery injuries is usually atypical, so it is easy to fail to diagnose them. Case presentation: We report two cases of celiac artery occlusion after multiple trauma admitted, its mechanisms were motor vehicle collision and fall from height, respectively. The first patient was combined with severe liver injury, and the right hepatic arterial was embolized with coil assisted by the operation through the superior mesenteric artery. Both patients were managed with non-operation treatment, and no complications occurred during hospitalization. Conclusions For patients with celiac artery injury, conservative treatment is an important choice, but successful treatment still needs to be individualized based on the patient's condition.

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45,X/46,XY ovotesticular disorder of sex development revisited: undifferentiated gonadal tissue may be mistaken as ovarian tissue

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2017-0039 ◽

2017 ◽

Vol 30 (8) ◽

Cited By ~ 5

Author(s):

Juliana Gabriel Ribeiro de Andrade ◽

Liliana Aparecida Lucci De Angelo Andrade ◽

Gil Guerra-Junior ◽

Andréa Trevas Maciel-Guerra

Keyword(s):

Germ Cells ◽

Gonadal Dysgenesis ◽

Case Reports ◽

Ovarian Tissue ◽

Case Presentation ◽

Disorder Of Sex Development ◽

Gonadal Tissue ◽

Sex Development ◽

Genital Ambiguity ◽

The Right

AbstractBackground:The 45,X/46,XY karyotype has been associated with mixed gonadal dysgenesis (MGD) and ovotesticular disorder of sex development (DSD). Our aim was to revise the diagnosis of ovotesticular DSD in two patients in the context of a retrospective study of 45,X/46,XY subjects with genital ambiguity.Case presentation:Patient 1 had a left streak gonad; the right one was considered an ovotestis. Patient 2 had a right testis; the left gonad was considered an ovary. Revision of the histological sections was performed. Both the “ovarian” part of the right gonad of patient 1 and the left “ovary” of patient 2 contained ovarian-type stroma with clusters of sex-cordlike structures and rare germ cells, compatible with undifferentiated gonadal tissue (UGT). Misdiagnosis of ovarian tissue in patients with 45,X/46,XY mosaicism or its variants could also be found in six published case reports.Conclusions:A distinction between 45,X/46,XY ovotesticular DSD and MGD should be made on past and future cases keeping in mind that UGT may be mistaken as ovarian tissue.

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Compartment Syndrome of the Hand: A Little Thought about Diagnosis

Case Reports in Emergency Medicine ◽

10.1155/2016/2907067 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Eric F. Reichman

Keyword(s):

Emergency Medicine ◽

Compartment Syndrome ◽

Motor Vehicle ◽

Case Reports ◽

Morbidity And Mortality ◽

Motor Vehicle Collision ◽

Compartment Syndromes ◽

Vehicle Collision

Compartment syndrome of the forearm is a well described entity but there have been relatively few case reports in the emergency medicine literature of hand compartment syndromes (HCS). Prompt recognition and treatment of this potential limb threat are essential to minimize morbidity and mortality. Presented is a case of a documented hand compartment syndrome following a motor vehicle collision.

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73-year-old Female with Syncope and Motor Vehicle Collision

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.7.53384 ◽

2021 ◽

Vol 5 (4) ◽

pp. 369-376

Author(s):

Kevin Flanagan ◽

Zachary Dezman ◽

Karl Dachroeden ◽

Laura Bontempo

Keyword(s):

Emergency Department ◽

Differential Diagnosis ◽

Motor Vehicle ◽

Motor Vehicle Collision ◽

Initial Assessment ◽

Case Presentation ◽

Traumatic Injuries ◽

Vehicle Collision ◽

Attending Physician ◽

Suspected Diagnosis

Introduction: Patients with traumatic injuries can be difficult to assess, and their evaluation often evolves in the emergency department (ED). We describe how an ED attending physician member developed a differential diagnosis for this presentation, arrived at a suspected diagnosis, and what test he proposed to prove his hypothesis. Case Presentation: This clinicopathological case presentation details the initial assessment and management of a 73-year-old female who presented to the ED following a motor vehicle collision precipitated by a syncopal episode. Conclusion: The final surprising diagnosis is then revealed.

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Occlusion of Internal Carotid Artery in Kimura's Disease

Case Reports in Medicine ◽

10.1155/2010/407538 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 6

Author(s):

Tomonori Tamaki ◽

Node Yoji

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Case Reports ◽

Lymphoid Hyperplasia ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Internal Carotid Artery Occlusion ◽

Kimura’S Disease ◽

The Right

We describe a unique case of Kimura's disease in which cerebral infarction was caused by occlusion of the right internal carotid artery. A 25-year-old man with Kimura's disease was admitted to our hospital because of left hemiparesis. Computed tomography and magnetic resonance imaging of the head showed infarction in the right frontal and temporal lobes. Cerebral angiography demonstrated right internal carotid artery occlusion affecting the C1 segment, with moyamoya-like collateral vessels arising from the right opthalamic artery. Kimura's disease is a chronic disease characterized by the clinical triad of slowly enlarging subcutaneous masses with lymphoid hyperplasia in the head and neck. It often occurs in young Asian men. In our patient, the pathogenesis of internal carotid artery occlusion was unknown. There have only been a few case reports in which occlusion of the internal carotid artery was associated with autoimmune disease, and no previous cases of internal carotid occlusion associated with Kimura's disease have been reported. We suspected that occlusion of this patient's internal carotid artery may be caused by the autoimmune mechanism that underlies Kimura's disease.

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The Unique Bipolar Clavicle Dislocation: A Novel Reconstruction Technique and Case Report

Case Reports in Orthopedics ◽

10.1155/2020/8888818 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Ameesh Dev ◽

Gautham Prabhakar ◽

Anil Dutta ◽

Khang Dang

Keyword(s):

Motor Vehicle ◽

Treatment Options ◽

High Energy ◽

Reconstruction Technique ◽

Unique Case ◽

Rare Injury ◽

Energy Mechanism ◽

Vehicle Collision ◽

Fall From Height ◽

Single Standard

A bipolar clavicle separation is defined as a simultaneous dislocation of the ipsilateral sternoclavicular joint (SCJ) and acromioclavicular joint (ACJ). This rare injury pattern is usually the result of a high-energy mechanism, such as a motor vehicle collision or fall from height. While there are several treatment options such as screw fixation, sutures, or plate fixations, there is no single standard approach for this infrequent injury. We describe a unique case of bipolar clavicle dislocation, specifically an anteriorly displaced SCJ and posteriorly displaced ACJ, treated with a novel surgical technique—a TightRope technique (Arthex®) and semitendinosus allograft.

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Car Accident Due to Horse Crossing the Motorway: Two Case Reports

The Bulletin of Legal Medicine ◽

10.17986/blm.2017227929 ◽

2018 ◽

Vol 23 (1) ◽

pp. 73-76 ◽

Cited By ~ 1

Author(s):

Serbülent Kılıç ◽

Gürol Cantürk

Keyword(s):

Forensic Medicine ◽

Case Reports ◽

Scar Tissue ◽

Causal Link ◽

Cranial Bone ◽

Vehicle Collisions ◽

Vehicle Collision ◽

First Case ◽

Key Words Animal ◽

The Right

Basic Commercial Court in Ankara wanted a report from our department of forensic medicine about two injury cases due to animal vehicle collision. The reports should include the disability rate and the duration of unfunctionality. After the examination we prepared the reports. Both vehicle collisions happened due to free ranging horse crossing the motorway. Both cases had different types of injury due to trauma. Vehicle collision due to horse crossing the motorway is rarely met in Turkey. Our first case is a man that had upper extremity and facial injury. He uses prothesis due to ear amputation. He has a scar tissue on the right side of his face and left forearm. The other case is three-years-old boy that had cranial bone fracture and cranial hematoma. He has also hemiparesis of the right side of body. Both cases have neurologic sequels but they have no psychiatric sequels. In literature, animal vehicle collisions involve lots of animal species such as kangaroo, deer, camel and moose. Animal vehicle collision involving the horses is rarely met. Forensic medicine specialists should state the causal link between traumatic events and disabilities in order to help justice. Our aim to present the current two cases is investigation of injuries of animal related collision and makes forensic medicine specialists pay attention to the subject of preparing reports about such cases. Key words: Animal vehicle collision; death; disability; horse; injury; motorway.

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A rare case of atlantooccipital dissociation in the context of occipitalization of the atlas, with a 2-year follow-up

Journal of Neurosurgery Spine ◽

10.3171/2012.10.spine12430 ◽

2013 ◽

Vol 18 (2) ◽

pp. 189-193 ◽

Cited By ~ 5

Author(s):

Navjot Chaudhary ◽

Bill H. Wang ◽

Kevin R. Gurr ◽

Stewart I. Bailey ◽

Christopher S. Bailey

Keyword(s):

Rare Case ◽

Motor Vehicle ◽

Spinal Injury ◽

Bowel Function ◽

Joint Mechanics ◽

Vehicle Collision ◽

The Right ◽

Favorable Neurological Outcome ◽

Atlantooccipital Dislocation

Atlantooccipital dislocation (AOD) is a rare and often fatal injury. In cases of survival, residual deficits are severe and often include cranial nerve palsy, quadriplegia, or respiratory issues. Occipitalization is defined as partial or complete congenital fusion of the occiput to the atlas and is exceptionally rare. The authors present a rare case of AOD superimposed on a congenital occipitalization of the atlas. This 39-year-old man had AOD following a motor vehicle collision. On examination, his overall motor score on the American Spinal Injury Association scale was 5/100, and his rectal tone was absent. Computed tomography demonstrated AOD in an area of occipitalization. Magnetic resonance imaging revealed ligamentous injury leading to C1–2 instability. Intervention included occipital cervical instrumentation fusion from the occiput to C-3. Six months postoperatively, imaging revealed fusion of the graft and consolidation of the fractured occipitalization. At the 2-year follow-up, the patient's strength was 3/5 for wrist extension and handgrip on the right side and full strength in the rest of the myotomes. Bladder and bowel function was also normalized. A high-velocity collision led to disruption of the atlantooccipital ligaments and fracture of the occipitalized lateral masses in this patient. Internal fixation and fusion led to good fusion postoperatively. Occipitalization probably led to abnormal joint mechanics at the C1-occiput junction, which might have altered the amount of force required to fracture the occipitalization and produce AOD. This difference may partially account for the favorable neurological outcome in the featured patient compared with traditional cases of AOD.

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Robotic Transthoracic Primary Repair of a Diaphragmatic Hernia and Reduction of an Intrathoracic Liver

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000455 ◽

2018 ◽

Vol 13 (1) ◽

pp. 54-55 ◽

Cited By ~ 3

Author(s):

Sarah J. Counts ◽

Areo G. Saffarzadeh ◽

Justin D. Blasberg ◽

Anthony W. Kim

Keyword(s):

Minimally Invasive ◽

Operating Room ◽

Diaphragmatic Hernia ◽

Motor Vehicle ◽

Primary Repair ◽

Abdominal Injuries ◽

Robotic Platform ◽

Robotic Assisted ◽

Vehicle Collision ◽

The Right

This case involves a 70-year-old woman who presented after a low-speed motor vehicle collision with a traumatic right hemidiaphragm rupture and herniation of the liver into the right chest. She was brought to the operating room for a robotic-assisted minimally invasive transthoracic repair of this hernia with diaphragm plication. The case and video described in this report highlight the utility of the robotic platform in performing a transthoracic diaphragm repair and plication after a right-sided traumatic diaphragm rupture in a patient without concomitant abdominal injuries.

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Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.8.48388 ◽

2020 ◽

Vol 4 (4) ◽

pp. 623-625

Author(s):

Krista Wiese ◽

Stacey Ernest ◽

W. Seth Dukes

Keyword(s):

Emergency Department ◽

Case Report ◽

Cesarean Section ◽

Uterine Rupture ◽

Motor Vehicle ◽

Rare Complication ◽

Cesarean Sections ◽

Vehicle Collision ◽

Emergency Cesarean ◽

The Right

Introduction: Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients. Case Report: A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen. Conclusion: Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.

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