scholarly journals Treatment of Iatrogenic Cervical Esophageal Transection following Thyroidectomy: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Kai-Yun Hsueh ◽  
En-Kuei Tang
Keyword(s):  
Surgical Intervention ◽  
Primary Repair ◽  
Rare Condition ◽  
Review Of Literature ◽  
Fatal Complication ◽  
Case Presentation ◽  
T Tube ◽  
Mediastinal Abscess ◽  
Prompt Diagnosis ◽  
Gastric Pull Up

Abstract Background: iatrogenic cervical esophageal transection after thyroidectomy is an extremely rare condition that requires prompt diagnosis and surgical intervention.Case presentation: we reported a rare case of iatrogenic cervical esophageal transection following thyroidectomy for thyroid carcinoma in a 54-year-old woman. Primary repair was not achievable because of loss of a long segment of the cervical esophagus. A modified diversion was performed by inserting a T-tube into the remnant esophagus, followed by gastrostomy and jejunostomy. The next day, mediastinal abscess was detected on chest computed tomography; therefore, thoracoscopic mediastinotomy was performed, with placement of two drains. After 6 months, thoracoscopic esophagectomy, alimentary reconstruction with gastric pull-up, and cervical esophagogastrostomy anastomosis were performed. The patient was discharged on postoperative day 18, without complications.Conclusions: iatrogenic cervical esophageal transection following thyroidectomy is a rare but fatal complication. It can be successfully managed with a series of treatments, including modified diversion procedure, prompt drainage of mediastinitis, alimentary reconstruction with gastric pull-up, and cervical esophagogastrostomy anastomosis.

scholarly journals Torsion of a Pedunculated Subserous Leiomyoma in a Pregnant Woman: A Rare Case Report

2021 ◽  
Vol 105 (1-3) ◽  
pp. 134-137
Author(s):  
Cenk Yasa ◽  
Ozlem Dural ◽  
Irem Demiral ◽  
Cihan Comba ◽  
Omer Demir ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Surgical Intervention ◽  
Rare Condition ◽  
Lower Quadrant ◽  
Pfannenstiel Incision ◽  
Life Saving ◽  
Rare Case Report ◽  
Primigravid Woman ◽  
The Right ◽  
Prompt Diagnosis

Torsion of a pedunculated subserous leiomyoma in a pregnant woman is a rare condition that requires prompt diagnosis and urgent surgical intervention. In this report, we present a case of torsion of a pedunculated subserous leiomyoma in a primigravid woman aged 33 years in her 30th week of gestation. A primigravid woman aged 33 years presented to our clinic in her 30th week of gestation with pain in the right lower quadrant that had developed in the last 24 hours. Our diagnosis was torsion of a pedunculated leiomyoma. The patient received a tocolytic of nifedipine and indomethacin preoperatively. Given the volume of the uterus and as a precaution to potential complications, a lower transverse (pfannenstiel) incision was preferred. The laparotomic myomectomy was successfully performed and the pregnancy continued uneventfully. Even though torsion of a pedunculated subserous leiomyoma in pregnancy is a very rare condition, prompt diagnosis and urgent surgical intervention is life saving and provides more favorable maternal and fetal outcomes. The surgical approach should be tailored to the patient and to the characteristics of the myoma and an expert team of surgeons and anesthesiologists is essential in order to reduce the risk of complications.

scholarly journals Congenital Internal Hernia: Rare Cause of Acute Abdominal Pain

2021 ◽  
pp. 791-794
Author(s):  
Jay Patel ◽  
Antoine Hamedi ◽  
Muhammad Khalil ◽  
Jessica El-Bahri
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Internal Hernia ◽  
Poor Prognosis ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Internal Hernias ◽  
Congenital Internal Hernia ◽  
Prompt Diagnosis

Acute abdominal pain is a common presenting symptom that possesses a wide differential. Congenital internal hernias are a rare condition that often presents with abdominal pain and can lead to obstruction. Early diagnosis is often difficult and therefore can present acutely and in an emergent setting. Prompt recognition of symptoms and evaluation are important to prevent poor prognosis. We are presenting a case of a congenital internal hernia in a patient presenting with nonspecific symptoms. Prompt diagnosis and subsequent surgical intervention allowed for appropriate management and resolution of symptoms.

scholarly journals Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Michael Gerbo ◽  
Chad Crigger ◽  
Yasamin Samadi ◽  
Michael C. Ost ◽  
Osama Al-Omar
Keyword(s):  
Testicular Torsion ◽  
Surgical Intervention ◽  
Rare Condition ◽  
In Utero ◽  
Psychological Consequences ◽  
Intrauterine Development ◽  
Case Presentation ◽  
Surgical Exploration ◽  
Diagnosis And Management

Background. Prenatal testicular torsion (PTT) is exceedingly rare in intrauterine development, often diagnosed at the time of birth and very rarely diagnosed in utero during routine gestational ultrasound. As a result, incidence is unknown, and there exists no consensus regarding the pathophysiology of this phenomenon nor universally recognized algorithms and guidelines regarding its diagnosis and management. Case Presentation. We present the case of an antenatally diagnosed torsion and our subsequent management which included ipsilateral orchiectomy and prophylactic contralateral orchiopexy via a scrotal approach. Conclusion. While controversy regarding surgical intervention in patients with unilateral PTT exists due to poor salvage rates—estimated to be less than 1%—the risk of anorchia is higher in affected patients due to limitations in the accuracy of detecting bilateral testicular involvement. Risk of misdiagnosis of bilaterality may lead to lasting sequelae such as infertility and devastating psychological consequences for affected patients, supporting the need for surgical exploration, as was performed in our case.

scholarly journals Isoniazid-induced gynaecomastia: report of a paediatric case and review of literature

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarah Wing Yiu Poon ◽  
Ka Ka Siu ◽  
Anita Man Ching Tsang
Keyword(s):  
Case Report ◽  
Paediatric Population ◽  
Adult Males ◽  
Common Condition ◽  
Review Of Literature ◽  
Case Presentation ◽  
Paediatric Case ◽  
Prepubertal Boys ◽  
Prompt Diagnosis ◽  
New Onset

Abstract Background Gynaecomastia is a fairly common condition in puberty but is rare in prepubertal boys. While it is necessary to exclude possible endocrinopathay in prepubertal gynaecomastia, medication is an important and potentially reversible cause to consider in new onset gynaecomastia. Isoniazid-induced gynaecomastia has been reported in adult males, but none was reported in the paediatric population and general paediatricians may not be aware of this uncommon side effect. Case presentation We hereby report a 11-year-old prepubertal boy who developed gynaecomastia while taking anti-tuberculosis drugs. Investigations excluded endocrinopathies. Gynaecomastia subsided 8 weeks after stopping isoniazid. Conclusion This case is the first paediatric case report describing the association of gynaecomastia with isoniazid use. It is important for general paediatricians to recognize this entity, as prompt diagnosis and cessation of the offending drug can lead to resolution of the problem.

scholarly journals Spontaneous Penile (Cavernosal) Abscess: Case Report with Discussion of Aetiology, Diagnosis, and Management with Review of Literature

2005 ◽  
Vol 5 ◽  
pp. 39-41 ◽  
Author(s):  
Jayesh Sagar ◽  
Bethani Sagar ◽  
D. K. Shah
Keyword(s):  
Case Report ◽  
Erectile Function ◽  
Surgical Intervention ◽  
Rare Condition ◽  
Surgical Drainage ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Penile Deviation ◽  
Over Time

The rare presentation of spontaneous, corpus cavernosal abscess with evident pus discharge is reported. The 19-year-old English man was successfully treated with surgical drainage and antibiotics with long-term sequelae in form of mild, left-sided penile deviation, but normal erectile function. Though he did not require any further surgical intervention for correction of chordee at that time, there remains a possibility of it getting worse over time, which may ultimately need surgery for correction. The possible aetiology, diagnosis, and treatment of this rare condition are briefly discussed.

SURGICAL MANAGEMENT OF OBTURATOR NERVE LESIONS

Neurosurgery ◽  
2009 ◽  
Vol 65 (suppl_4) ◽  
pp. A24-A28 ◽  
Author(s):  
Ryan Kitagawa ◽  
Daniel Kim ◽  
Natasha Reid ◽  
David Kline
Keyword(s):  
Surgical Intervention ◽  
Primary Repair ◽  
Rare Condition ◽  
Adductor Muscle ◽  
Obturator Nerve ◽  
Nerve Lesions ◽  
Obturator Neuropathy ◽  
Urological Procedures ◽  
Treatable Condition

Abstract OBJECTIVE Obturator neuropathy is a rare condition that may result from orthopedic, gynecological, or urological procedures or injuries. These pathologies are amenable to surgical intervention, and an accurate physical examination and electromyography are necessary before treatment. METHODS Six patients with obturator nerve lesions underwent surgical exploration and decompression or primary repair. Their charts were retrospectively reviewed, and the electromyographic, surgical, and follow-up data were recorded. RESULTS Postoperatively, all patients reported improved symptoms in the form of pain relief, numbness resolution, or improved adductor muscle strength. CONCLUSION Obturator nerve injury is a treatable condition with minimal surgical complications and morbidities.

A Rare Case of Congenital Missing Mandibular Second Molar: Report and Review of Literature

2020 ◽  
Author(s):  
Deepashri H Kambalimath
Keyword(s):  
Tooth Development ◽  
Rare Condition ◽  
Review Of Literature ◽  
Indian Literature ◽  
Missing Teeth ◽  
Second Molar ◽  
The World ◽  
Mandibular Second Molar ◽  
Sporadic Cases ◽  
Genetic And Environmental Factors

Congenital missing permanent second molar is an extremely rare condition. Non syndromic mandibular second molar agenesis associated with other anomalies has occasionally been reported in literature, but isolated sporadic cases are rarely observed. Number of interactions between genetic and environmental factors during the process of tooth development might be the causative etiology for agenesis. This report presents an isolated case of hypodontia with absence of bilateral mandibular second molar agenesis in a healthy 18 year old female patient is presented and literature review on prevalence of most missing teeth with incidence of missing second molar in various regions of the world and in various regions of Indian continent is presented. No such case has been reported in Indian literature so far.

Sign in / Sign up

Export Citation Format

Share Document