scholarly journals Appendicitis in puerpeium: Case report

2011 ◽  
Vol 58 (4) ◽  
pp. 111-112 ◽  
Author(s):  
Milica Berisavac ◽  
Biljana Kastratovic-Kotlica ◽  
V. Tosic ◽  
N. Markovic ◽  
S. Ljustina ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Early Detection ◽  
Acute Appendicitis ◽  
Abdominal Wall ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Laboratory Infection ◽  
Infection Parameters ◽  
Clinical Signs And Symptoms

Acute appendicitis in puerperium is often diagnosed too late, because clinical signs can be unrelaible. Abdominal wall rigidity is rarely noticed in puerpeium because of weak abdominal wall muscles, laboratory parameters are not enough relaible and atipycal appendix presentation makes difficulties in diagnosis3,4. Knowing clinical signs and symptoms of appendicitis, possible complications and their early detection, make a chance for a good surgical outcome. Measuring of axillar and rectal temperature can take confusion in, and prolong time until surgical treatment. Leucocytosis in puerperium is not valid for diagnosis. We report a case of patient in puerperium with high laboratory infection parameters. Diagnosis of appendicitis is made based on clinical signs and symptoms, that is proved intraoperatively and histologicaly. Appendectomy without perforation carries less risks for mother and fetus.

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part I, Case Report

2021 ◽  
Author(s):  
Frederick M Burkle ◽  
Kevin S Hadley ◽  
Leah L Ridge ◽  
Jan K Herman ◽  
Firas H Kobeissy
Keyword(s):  
Case Report ◽  
Vietnam War ◽  
Brain Injuries ◽  
Right Hemisphere ◽  
Clinical Signs ◽  
Vitreous Hemorrhage ◽  
Signs And Symptoms ◽  
Foramen Magnum ◽  
Delayed Onset ◽  
Clinical Signs And Symptoms

ABSTRACT Introduction The diagnosis of traumatic brain injuries is typically based on hemispheric blasts resulting in degrees of unconsciousness and associated cerebral injuries. This case report describes a Vietnam War era setting in which a traumatic blast wave struck the posterior cranium in the region of the foramen magnum, occipital crest, and other skull openings (orbit, oronasal, and ear) and the unique secondary clinical signs and symptoms experienced over time. Materials and Methods This case report describes secondary delayed-onset clinical signs and symptoms consistent with progressive decades-long physical and functional complications. The traumatic blast resulted in brief unconsciousness, decreased vision in left eye, confusion, right sided hemotympanum, deafness, severe tinnitus, severe nasopharynx pain and difficulty swallowing, pain in right posterior and occipital area of the head, and loss of dental amalgams. Subsequent exams revealed progressive hyperacusis, sea sickness, dysdiadochokinesis, diagnosis of 9th and 10th cranial nerve traumatic schwannomas, hyperdense changes to the frontal lobe white matter, progressive tinnitus, chronic vertigo, right-sided high-frequency hearing loss, progressive oculo-gyric crisis of Tumarkin-like seizures, left-sided chronic vitreous hemorrhage, and diminished right hemisphere performance of the brain based on neurophysiological assessment. No post-traumatic stress, depression, or other emotional or psychiatric difficulties were claimed. Conclusion This case report, unique to the English language scientific literature, discusses in detail the secondary signs and symptoms of a foramen magnum and occipital crest focused-associated blast injury.

scholarly journals Expanding spontaneous pneumothorax in COVID-19 pneumonia: Case report and review of literature

2021 ◽  
Vol 13 (3) ◽  
pp. 258-262
Author(s):  
Afshin Mohammadi ◽  
Behdad Boroofeh ◽  
Alisa Mohebbi ◽  
Mohammad Mirza-Aghazadeh-Attari
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Present Article ◽  
Spontaneous Pneumothorax ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Review Of Literature ◽  
Pneumonia Case ◽  
Rapid Deterioration ◽  
Clinical Signs And Symptoms

Coronavirus disease 2019 has presented itself with a variety of clinical signs and symptoms. One of these has been the accordance of spontaneous pneumothorax which in instances has caused rapid deterioration of patients. Furthermore pneumothorax may happen secondary to intubation and the resulting complications. Not enough is discussed regarding cases with COVID-19 related pneumothorax and proper management of these patients. The present article reports an elderly patient with spontaneous pneumothorax secondary to COVID-19 and reviews the existing literature.

scholarly journals Clinical symptoms, paraclinical tests and histopathological results in children with acute appendicitis in Zabol southeast of Iran: a cross-sectional study

2017 ◽  
Vol 5 (7) ◽  
pp. 2836
Author(s):  
Mehran Hesaraki
Keyword(s):  
Acute Appendicitis ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Intestinal Loop ◽  
Negative Appendectomy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Signs And Symptoms ◽  
Histopathological Results

Background: This article aimed to assessment clinical signs and symptoms, paraclinical tests and histopathological results in children with acute appendicitis.Methods: A cross-sectional study conducted on 100 children with acute appendicitis in an urban hospital in southeast of Iran from January to December 2016. Participants were selected by simple random sampling method. Clinical signs and symptoms, paraclinical tests and histopathological results recorded in checklists. The data were analyzed using SPSS 22.Results: Mean age of the patients was 10.26±3.25, fourthly-eight of patients (58.5%) were males and 34 patients (41.5%) were females. The most frequent clinical signs and symptoms were acute suppurative appendicitis with peri appendicitis (45.83%) and acute suppurative appendicitis (39.58%). The most frequent results in ultrasound reports were Intestinal loop thickness greater than 6 mm without peristalsis (positive report) (46.34%) and Invisible appendix (nega Hesaraki tive report) (13.41%).Conclusions: The results of this study showed that abdominal pain and RLQ tenderness were the most common signs and symptoms and WBC left-shift was the most common laboratory finding. Since the rate of negative appendectomy in this study was consistent with surgical results and other articles, it is concluded that diagnostic accuracy of preoperative appendectomy was acceptable and most children with acute appendicitis underwent appendectomy.

Association Rate between Incisional and Pelvic Endometriosis

2011 ◽  
Vol 3 (4) ◽  
pp. 183-187 ◽  
Author(s):  
Saeed Alborzi ◽  
Bahareh Hamedi ◽  
Sedigheh Abbasi ◽  
Mohammad Ebrahim Parsanejad ◽  
Jaleh Zolghadri
Keyword(s):  
Abdominal Wall ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Pelvic Cavity ◽  
Pelvic Endometriosis ◽  
Association Rate ◽  
Abdominal Wall Endometriosis ◽  
The Mean ◽  
Clinical Signs And Symptoms ◽  
Wall Mass

Purpose To investigate the association rate between abdominal wall and pelvic endometriosis in a population of Iranian patients, in University and private hospitals of Shiraz University of Medical Sciences. Methods 30 women were diagnosed as abdominal wall endometriosis according to the clinical signs and symptoms (dysmenorrhea, dyspauronia and pelvic pain) and the sonographic findings. The mean age of the patients was 30.5 ±3.3 (range 21–35) years. All the patients underwent resection of abdominal wall mass and investigation of the pelvic cavity for detecting pelvic endometriosis by laparoscopy. The pelvic endometriosis was scored and the stage was determined. Results 28 (93.3%) patients were found to have concomitant pelvic endometriosis. The mean score of pelvic endometriosis was 9.3 ± 6.6 (range 3–33). Of the patients, 10 (33.3%) suffered from stage I endometriosis, 16 (53.3%) from stage II, and 2 (6.7%) from stage III. Only 2 (6.7%) patients did not have concomitant pelvic endometriosis. The abdominal wall mass was successfully excised in all the cases. The histopathology diagnosis was confirmed in all the cases. Conclusions The association rate between abdominal wall and pelvic endometriosis is higher than that previously reported, up to 90%. Thus, routine investigation of the pelvic cavity is recommended in all the patients with abdominal wall endometriosis.

scholarly journals Aspergillus fumigatus spondylodiscitis with bilateral psoas abscess in a renal transplant patient with pulmonary tuberculosis : A rare case report

2015 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Ravikumar Tv ◽  
Raghvendra Rao ◽  
Amit Grover ◽  
Daksh Gadi
Keyword(s):  
Case Report ◽  
Pulmonary Tuberculosis ◽  
Invasive Aspergillosis ◽  
Aspergillus Fumigatus ◽  
Psoas Abscess ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Rapid Progression ◽  
Mortality And Morbidity ◽  
Clinical Signs And Symptoms

<p><strong>Background:</strong> Aspergillus spondylodiscitis is increasingly described in immune-compromised patients. Its diagnosis is challenging and its delay results in high mortality and morbidity in view of its relative infrequency and the non- specific clinical signs and symptoms.</p><p><strong>Case report:</strong>We report a case of thoracic spondylodiscitis caused by Aspergillus fumigatus in a patient of renal transplantation and with proven pulmonary tuberculosis.</p><p><strong>Conclusion:</strong>We reiterate that transplantist and the treating physician should have high grade of suspicion for the invasive Aspergillosis even when the patient complains of vague non-specific back pain, and aggresively aim to rule out fungal infection. Early surgical debridement and antifungal therapy to be executedto prevent rapid progression of invasive aspergillosis and neurological damage.</p>

scholarly journals Currarino Syndrome in a China children’s health institute: on diagnosis and surgical treatment

2020 ◽  
Author(s):  
Wenbo Pang ◽  
Yajun Chen ◽  
Chunhui Peng ◽  
Kai Wang ◽  
Xiang Qi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Operative Treatment ◽  
Multidisciplinary Approach ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Bowel Function ◽  
Currarino Syndrome ◽  
Clinical Signs And Symptoms ◽  
Prompt Diagnosis

Abstract Background Currarino syndrome is a rare disease which needs multidisciplinary management. Misdiagnosis with mal-management is common in children. This study was to summarize the clinical features of children diagnosed with Currarino syndrome in a China institute, with an emphasis on diagnosis and surgical treatment, in order to aid in the diagnosis and determination of the optimal operative treatment. Results From 2016 to 2018, seven patients were diagnosed with Currarino syndrome in our department. One patient was male and six were female, with an admission age of 27.00(16.00, 44.00) months. In four patients, diagnosis of the presacral masses had been missed. Ultrasonography, plain sacral radiographs, contrast enemas and magnetic resonance imaging are necessary for the prompt diagnosis of this syndrome. The initial treatment involved a sagittal anorectoplasty and resection of the mass, followed by a defunctioning ostomy and closure of the stoma in a staged multidisciplinary approach. A limited sagittal route was chosen for the surgical treatment in this group. After closure of the ileostomy or colostomy, bowel function was satisfactory in all children. Conclusion Improved knowledge of the different clinical signs and symptoms of Currarino syndrome will result in appropriate imaging and prompt diagnosis. A protocol with rational timing of multidisciplinary surgical procedures may help to avoid undesirable outcomes. The limited sagittal route is available for effective operative treatment.

RADICULAR CYST ENUCLEATION, APICOECTOMY AND MANAGEMENT OF OSSEOUS CAVITY USING ALLOPLAST AND PLATELET RICH FIBRIN IN RELATION TO NON-VITAL TEETH- A CASE REPORT

2021 ◽  
pp. 79-80
Author(s):  
Namburi Rajesh ◽  
Rajendran Poornima
Keyword(s):  
Case Report ◽  
Tissue Regeneration ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Radicular Cyst ◽  
Present Case Report ◽  
Platelet Rich Fibrin ◽  
Dental Examination ◽  
Clinical Signs And Symptoms ◽  
Osseous Defect

One of the most common dental cysts to affect the human jaw is radicular cyst. The tooth/teeth associated with radicular cysts are usually non-vital and rarely presents with clinical signs and symptoms until diagnosed during routine dental examination. The present case report highlights on radicular cyst enucleation, apicoectomy of the involved teeth and periodontal management of the resultant osseous defect using alloplast bone graft, platelet-rich brin (PRF) and guided tissue regeneration (GTR) membrane.

scholarly journals Cervical spondylotic myelopathy: surgical decision making

1996 ◽  
Vol 1 (6) ◽  
pp. E3 ◽  
Author(s):  
Sait Naderi ◽  
Edward C. Benzel ◽  
Nevan G. Baldwin
Keyword(s):  
Decision Making ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Cervical Spondylotic Myelopathy ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Controversial Issue ◽  
Surgical Decision ◽  
Clinical Signs And Symptoms ◽  
Surgical Decision Making

Cervical spondylotic myelopathy can produce a variety of clinical signs and symptoms secondary to neural compromise and biomechanical involvement of the spine. The surgical treatment of cervical spondylotic myelopathy remains a controversial issue after many years of study, evolution, and refinement. Several ventral, dorsal, or combined approaches have been defined. The complications associated with ventral approaches and the concerns about kyphosis following dorsal approaches led to the development of a variety of laminoplasty procedures. This paper reviews the biomechanical basis of cervical spondylotic myelopathy and its effect on choosing the appropriate surgical approach.

scholarly journals Terminal Pregnancy Complicated by Measles and Premature Labor: a Case Report

2013 ◽  
Vol 2 (2) ◽  
pp. 88-89
Author(s):  
Yu-chen Zhang ◽  
Li Liu ◽  
Xiao-li Yang
Keyword(s):  
Case Report ◽  
Measles Virus ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Premature Delivery ◽  
Premature Labor ◽  
Laboratory Examination ◽  
Clinical Signs And Symptoms ◽  
Pass Through ◽  
Complicated Pneumonia

Abstract Measles infection in pregnant women is a very dangerous clinical condition. Patients usually had complicated pneumonia, and measles virus could pass through the placenta to the fetus, leading to premature delivery, stillbirth, miscarriage and neonatal measles. In this report, we described one such case, which was diagnosed by clinical signs and symptoms, clinical and laboratory examination. After proper therapeutic treatment, the infection was well-controlled and a baby was born by nature labor.

Sign in / Sign up

Export Citation Format

Share Document