scholarly journals Displaced acromion fracture associated with anterior glenohumeral subluxation in a polytrauma patient: a case report

2020 ◽  
Author(s):  
Afif Harb ◽  
Sam Razaeian ◽  
Dafang Zhang ◽  
Christian Krettek ◽  
Nael Hawi
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Treatment Guidelines ◽  
Glenohumeral Joint ◽  
Deltoid Muscle ◽  
The Body ◽  
Case Presentation ◽  
Acromion Fracture ◽  
Surgical Fixation ◽  
Polytrauma Patient

Abstract Background: Fractures of the acromion process of the scapula are a rare entity that account for approximately 7% to 16% of all scapula fractures, which in turn account for 0.5% to 1% of all fractures in the body. These fractures usually occur from direct trauma to the shoulder or as a result of overuse injuries to the shoulder joint. Given the rare incidence of these fractures, there are currently no treatment guidelines for treating these fractures when diagnosed. Case presentation: In this case report, we discuss how a secondarily diagnosed displaced acromion fracture associated with anterior glenohumeral joint subluxation in a polytrauma patient was surgically treated. After surgical fixation of this fracture and accordingly neutralizing all the dislocating tension forces exerted by the deltoid muscle, the glenohumeral joint was spontaneously relocated postoperatively. Conclusion: Patient with shoulder trauma should be carefully examined for acromion fractures. Acromion fractures can be treated with good results with early surgical treatment and proper fixation. Surgical treatment is important to regain shoulder functions, as it enables early rehabilitation.

Traumatic ulnar artery aneurysm secondary to basketball dunk: a case report and review

Vascular ◽  
2012 ◽  
Vol 20 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Kambiz J Cohen-Kashi ◽  
Joshua Leeman ◽  
Ian Rothkopf ◽  
Douglas M Rothkopf
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Traumatic Injury ◽  
Artery Aneurysm ◽  
Ulnar Artery ◽  
Case Presentation

Ulnar artery aneurysms are uncommon lesions. They are often caused by traumatic injury to the hand. Ulnar artery aneurysms have been reported in association with multiple sports-related activities, but never secondary to a basketball injury. The following is a case presentation of an ulnar artery aneurysm likely formed secondary to repetitive basketball slam dunking with accompanying review of diagnosis and surgical treatment of ulnar artery aneurysms.

scholarly journals Successful Management of Cryptococcal Meningitis and Bone Marrow Infiltration in a Young HIV/AIDS Patient: A Case Report and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Sonika Patel ◽  
Marla Jalbut ◽  
Kimberly S. Esham ◽  
David Stone
Keyword(s):  
Bone Marrow ◽  
Case Report ◽  
Treatment Guidelines ◽  
Newly Diagnosed ◽  
Review Of The Literature ◽  
Successful Management ◽  
Related Complication ◽  
Case Presentation ◽  
Recommended Treatment ◽  
Established Treatment

Bone marrow cryptococcosis has been rarely reported in the literature, and there are no established treatment guidelines specific to this AIDS-related complication. The recommended treatment for AIDS-related invasive fungal treatments include amphotericin B and flucytosine which are associated with an array of complications making optimal treatment recommendations difficult. This case presentation represents an example of a patient with newly diagnosed AIDS and bone marrow cryptococcosis, which was successfully managed with an antifungal regimen adjusted to her comorbidities.

Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Chiravila Omanakuttan Pillai Sambhu ◽  
Changuli Krishna Bhat Prathibha ◽  
Kesavan Parameswaran Namboothiri ◽  
Puthanmadom Venkataramana Sharma Anandaraman
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Plaque Psoriasis ◽  
Skin Diseases ◽  
The Body ◽  
Case Presentation ◽  
Special Mode ◽  
Special Diet ◽  
Temporary Relief ◽  
Before And After

Abstract Background Plaque Psoriasis is very embarrassing condition of skin as it produces itchy rashes and scaly lesions which may not respond well to the treatment. It can be correlated with Kitibhakushta which is one among the 18 types of Kushta (skin diseases). Several corticosteroids for skin applications are used now a day’s which gives only temporary relief. Case presentation A 36 years old moderate built male patient complains of blackish skin rashes with itching, pain and scaling all over the body for three months. Based on the symptoms, Dosha (Biological humors) involved were assessed as Kapha (binding factors) and Vata (vital force of life) and suggestive of Kitibhakushta. Diagnosis of the Plaque psoriasis was further confirmed by biopsy. Classical Kushta treatment was adopted here. As Poorvakarma (pre-operative procedures), Rukshana (Dehydrating therapy) was done and then Snehapana (intake of medicated ghee) was administered. Then classical Vamana (emetic therapy) and Virechana (purgative therapy) were performed. This took almost one month. After Samsarjana (special diet) patient was administered Manibhadragula as Shodhana Rasayana for a period of one month. Results At the end of Manibhadragula intake, remarkable changes were observed in all the symptoms. There were significant changes seen in PASI, DLQI and photographs taken before and after treatment. Conclusions Here the special mode of administration of Manibhadragula as mentioned in Ashtanga Hridaya helps for Shodhana and the Shodhana itself has Rasayana action. Drugs also have Rasayana property. This made the authors to propose a new concept called Shodhana Rasayana. Classical treatment by considering the condition of Roga (disease) and Rogi (patient) helps for management of Kushta.

Glenohumeral Joint Trauma

2019 ◽  
pp. 52-57
Author(s):  
Michael O’Keeffe ◽  
Kiran Khursid ◽  
Peter L. Munk ◽  
Mihra S. Taljanovic
Keyword(s):  
Surgical Treatment ◽  
Humeral Head ◽  
Glenohumeral Joint ◽  
The Body ◽  
Bone Lesions ◽  
Glenoid Fossa ◽  
Rotator Cuff Injuries ◽  
Joint Dislocations ◽  
Bony Bankart ◽  
Joint Trauma

Chapter 12 discusses glenohumeral joint trauma. The shoulder is one of the most frequently dislocated joints in the body. The glenohumeral joint is ball and socket articulation between the humeral head and scapular glenoid. The humeral head is significantly larger than the glenoid fossa, which predisposes this joint to instability. Anterior shoulder dislocations are more common than those occurring posteriorly, and true inferior dislocations are rare. Bone injuries associated with anterior glenohumeral joint dislocations are the bony Bankart and Hill-Sachs lesions. The diagnosis of dislocation is made on radiographs. CT examination is useful in the evaluation of associated bone lesions and glenoid bone loss. Magnetic resonance arthrography (MRA) is the study of choice in the evaluation of associated glenolabral and rotator cuff injuries. Initial treatment is closed reduction with immobilization and subsequent physical therapy. Surgical treatment is indicated for complicated dislocations with instability.

scholarly journals Conservative management of trachea-to-innominate artery transfixion with a guidewire during percutaneous tracheostomy: a case report

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Giancarlo Varelli ◽  
Roberto Cioni ◽  
Sergio Casagli ◽  
Rosa Cervelli ◽  
Claudia Brusasco ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Interventional Radiology ◽  
Case Report ◽  
Surgical Treatment ◽  
Ultrasound Examination ◽  
Standard Procedure ◽  
Percutaneous Tracheostomy ◽  
Innominate Artery ◽  
Airway Protection ◽  
Case Presentation

Abstract Background Tracheostomy is a standard procedure in critically ill patients requiring mechanical ventilation or airway protection for extended periods. The main cause of death is haemorrhage, most commonly owing to a trachea-to-innominate artery fistula, usually requiring surgical treatment. Case presentation Here we report the case of an 83-yr-old woman with a subarachnoid haemorrhage, who incurred a trachea-to-innominate artery transfixion following percutaneous tracheostomy, successfully and conservatively managed by interventional radiology. Conclusions The use of peri-procedural ultrasound examination of the neck can reduce the risk of complications related to vessel anatomical variants. When the tracheostomy is complicated by bleeding, the procedure should be stopped in order to diagnose the vascular iatrogenic injury and to evaluate the best therapeutic approach by a multidisciplinary team.

scholarly journals Huge Lipoma Involving Left Cheek Region: A Case Report

2019 ◽  
Vol 8 (2) ◽  
pp. 96-98
Author(s):  
Muhammad Jamal ◽  
Kaleem Ullah ◽  
Laiba Saher
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Small Proportion ◽  
Neck Region ◽  
The Body ◽  
Left Cheek ◽  
Head And Neck Region ◽  
Rare Finding ◽  
History Of ◽  
Diagnostic Modalities

Lipomas are very common benign lumps that can be encountered in any part of the body but a small proportion present in the head and neck region. In this case report we have discussed the diagnosis and surgical treatment of an asymptomatic huge lipoma of left cheek. The patient had this swelling present for the last 5 years. Initially there was a slight increase in the size of the swelling but since the last 3 years there is no change in size. There was no history of associated pain and tenderness. The patient had esthetic concerns because of which the lesion was excised. These lipomas continue to grow slowly, showing variable signs including dysphagia, dyspnea, and dysphonia due to the compressing effect on surrounding structures. It can also be a matter of cosmetic concern. With this case report, authors will also highlight the diagnostic modalities and treatment for lipomas occurring in unusual areas in the body. It is a rare finding that occurs anterior to parotid but can be treated successfully by current surgical approach.Key Words:, , 

scholarly journals A rare case of chest wall lipoma growing into the pleural cavity: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Hyo Joon Jang ◽  
Bu Hyeon Choi ◽  
Seong Oh. Park
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Chest Wall ◽  
Rare Case ◽  
Pleural Cavity ◽  
Case Presentation

Abstract Background Several cases of lipoma in unusual locations in the thorax have been reported. Appropriate surgical treatment depending on the location and shape is often required. Case presentation We herein report an extremely rare case of a chest wall lipoma growing into the pleural cavity. The tumor was successfully removed without damaging the capsule by a combination of direct and thoracoscopic approaches. Conclusions Chest wall lipomas growing into pleural cavity can be successfully treated by a combination of direct and thoracoscopic approaches.

scholarly journals Combined surgical and medical treatment in an adolescent with severe gynecomastia due to excessive estradiol secretion: a case report

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jung-Eun Moon ◽  
Cheol Woo Ko ◽  
Jung Dug Yang ◽  
Joon Seok Lee
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Tanner Stage ◽  
Positive Outcome ◽  
Aromatase Activity ◽  
Pediatric Endocrinology ◽  
Case Presentation ◽  
Estradiol Secretion ◽  
Postoperative Symptoms

Abstract Background Gynecomastia develops due to the reversed estradiol-to-Testosterone ratio in adolescence, and symptoms typically improve within 2 years. The causes vary widely, including estrogen excess and tumors, and surgical treatment is usually given in late adolescence because postoperative symptoms may recur in adolescents. This study reports a case of a pediatric patient with severe gynecomastia due to excessive estradiol secretion who showed a positive outcome after receiving surgical treatment combined with aromatase inhibitor administration. Case presentation A 9-year old boy visited to the Department of Pediatric Endocrinology for breast budding. At that time, the patient showed breasts at Tanner stage II and no abnormality on hormone tests. During a follow-up, both gynecomastia had progressed to Tanner stage III–IV at age 13. Tamoxifen 10 mg bid was administered; however, the condition rapidly progressed to Tanner stage V at 13.5 years. The evaluation of pathologic gynecomastia showed an increase of estradiol to 296 pg/mL with normal range 10 ~ 36 pg/mL and microlithiasis in both testes. As the condition worsened, total mastectomy was performed at the age of 13.5 years. Based on the assessment that elevated aromatase activity had induced breast budding, we changed the medication to anastrozole (Arimidex) 1 mg once a day, after which the estradiol level improved to 38.5 pg/mL and was maintained well in the two-year postoperative follow-up. Conclusions This case report shows a combined plastic surgery and appropriate medical management bring a positive outcome in severe gynecomastia patient.

scholarly journals Leptomeningeal metastasis from melanoma emulating chronic subdural hematoma: a case report

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Pawan Yadav ◽  
Govind Mangal ◽  
Uday Bhaumik ◽  
Sanjeev Agarwal ◽  
Poojan Thakor ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Human Body ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Leptomeningeal Metastasis ◽  
Primary Lesion ◽  
Case Presentation ◽  
Recurrent Vomiting ◽  
Surgical Preparation

Abstract Background Melanoma is a disease in which the patient doesn’t know about the primary lesion, and it has a propensity to metastases to any organ in the human body. Amongst melanoma, leptomeningeal metastasis has the least incidence. Case presentation In this case, we report a 56-year-old lady presenting with headache, recurrent vomiting and slurring of speech which on imaging was suggestive of chronic subdural hematoma which had led to surgical preparation but upon further examination, and radioimaging was found to be leptomeningeal metastasis from melanoma for which systemic therapy was started. Conclusions The concern is vigilance that is much needed in any case presenting in emergency. When the diagnosis is chronic subdural hematoma, it is followed by surgical treatment which is not done for leptomeningeal metastasis.

scholarly journals Laparoscopic approach for surgical treatment of pleuroperitoneal communication interfering with peritoneal dialysis: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Satoko Yorinaga ◽  
Takehiro Maki ◽  
Noriko Kawai ◽  
Hiroyuki Kaneko ◽  
Kenjiro Misu ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Case Report ◽  
Surgical Treatment ◽  
Pleural Effusion ◽  
Laparoscopic Approach ◽  
Fistula Closure ◽  
Thoracoscopic Approach ◽  
Case Presentation ◽  
Pleuroperitoneal Communication ◽  
The Right

Abstract Background Pleuroperitoneal communication is a rare disorder that interferes with peritoneal dialysis. Although favorable results of thoracoscopic fistula closure have been reported, there are some cases in which the fistulas cannot be identified by thoracoscopy and the patients are forced to switch to hemodialysis. Case presentation We present two cases of pleuroperitoneal communication in which diaphragmatic fistulas could not be identified thoracoscopically, but could be identified laparoscopically. Patient 1 had difficulty continuing peritoneal dialysis 9 months after its introduction due to right pleural effusion. Although we could not detect the fistula thoracoscopically, we could laparoscopically identify the fistula in the center of the tendon of the right diaphragm and closed the site from the thoracic side. Patient 2 developed dyspnea due to right pleural effusion 6 months after the introduction of peritoneal dialysis. We could not find the fistulas with a thoracoscopic approach, but could identify multiple diaphragmatic fistulas with a laparoscopic approach and close the sites from the thoracic side. Conclusion In the surgical treatment of pleuroperitoneal communication, diaphragmatic fistulas can be identified laparoscopically even when thoracoscopic observation fails to find any fistulas.

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