scholarly journals Pseudotumor of the maxilla as first presentation of hemophilia B in a 1-year-old male

2021 ◽  
Vol 20 (1) ◽  
pp. 156-159
Author(s):  
M. P. Kalinina ◽  
A. V. Pshonkin ◽  
N. S. Grachev ◽  
A. V. Poletaev ◽  
D. V. Fedorova ◽  
...  
Keyword(s):  
Rare Complication ◽  
Coagulation Factor ◽  
Bone Lesions ◽  
Science Literature ◽  
Laboratory Examination ◽  
Facial Skeleton ◽  
World Science ◽  
Foot Bones ◽  
Inflammatory Processes ◽  
One Year

Pseudotumor is a rare complication of hemophilia with a prevalence 1–2% of all clinical cases. Commonly bone lesions affect long tubular bones, the pelvis, wrist and foot bones. According to world science literature only 16 cases of maxilla bone lesions in patients with hemophilia were found. This article describes a clinical case of maxilla pathological lesion with the destruction of facial skeleton bones in a one year old boy. The differential diagnosis included malignant and benign neoplasia, inflammatory processes. During laboratory examination a deficiency of IX coagulation factor was revealed and the patient was diagnosed with hemophilia В. The patient underwent surgical treatment by removing the lesion with specific replacement therapy; an intraosseous organizing hematoma was verified. The maxilla pseadotumor in this child was a manifestation of hemophilia. The patient's parents agreed to use the information, including the child's photo, in scientific research and publications. 

scholarly journals Obstructive Giant Inflammatory Polyposis: Is It Related to the Severity or the Duration of the Inflammatory Bowel Disease? Two Case Reports

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Antoine Abou Rached ◽  
Jowana Saba ◽  
Leila El Masri ◽  
Mary Nakhoul ◽  
Carla Razzouk
Keyword(s):  
Inflammatory Bowel Disease ◽  
Surgical Resection ◽  
Bowel Disease ◽  
Transverse Colon ◽  
Case Reports ◽  
Rare Complication ◽  
Inflammatory Bowel ◽  
Inflammatory Polyposis ◽  
One Year

We report two cases of giant inflammatory polyposis (GIP) with totally different presentation and evolution. The first patient had two giant pseudopolyps after one year of the diagnosis of UC. The second patient had one obstructive giant pseudopolyp secondary to CD at the level of the transverse colon, being totally asymptomatic years before the presentation. GIP is a rare complication of inflammatory bowel disease (IBD). It consists of numerous filiform polyps that look like a “mass of worms” or a “fungating” mass. Surgical resection is inevitable when GIP presents with obstructive symptoms.

Lethal aorto-oesophageal fistula 16 years after aortic prosthetic reconstruction: Delayed rupture as cause of death

2020 ◽  
pp. 002580242093679
Author(s):  
Beatrice Benedetti ◽  
Marica Felice ◽  
Francesco Locco ◽  
Paola Roberti ◽  
Roberto Demontis
Keyword(s):  
Vascular Surgery ◽  
Thoracic Aorta ◽  
Surgical Complications ◽  
Rare Complication ◽  
Thoracic Endovascular Aortic Repair ◽  
Descending Thoracic Aorta ◽  
Prosthetic Reconstruction ◽  
Clinical Onset ◽  
Aortic Repair ◽  
One Year

The development of aorto-oesophageal fistula (AOF) is a rare complication following thoracic aortic repair. Mortality is high, in most cases due to fatal haematemesis. The clinical onset is variable, occurring approximately one year after surgery. We report a case of a lethal AOF in a 58-year-old man. He underwent open vascular surgery 16 years prior to his death due to a rupture of the descending thoracic aorta. In the early 2000s, the open vascular approach was replaced by thoracic endovascular aortic repair. As a result of this approach, the number of surgical complications has reduced, with the exception of AOF.

scholarly journals Post-stroke psychosis: how long should we treat?

2017 ◽  
Vol 39 (2) ◽  
pp. 144-146 ◽  
Author(s):  
Maria do Céu Ferreira ◽  
Célia Machado ◽  
Beatriz Santos ◽  
Álvaro Machado
Keyword(s):  
Low Dose ◽  
Rare Complication ◽  
Acute Onset ◽  
Psychotic Symptoms ◽  
Antipsychotic Treatment ◽  
Antipsychotic Therapy ◽  
Post Stroke ◽  
History Of ◽  
One Year

Abstract Objective: To describe a rare case of a patient who developed psychotic symptoms after a right stroke that disappeared with antipsychotic treatment, but appears to need low-dose maintenance antipsychotic therapy. Case description: A 65-year-old man presented at the psychiatric emergency service with a history of persistent delusional jealousy, visual illusions and agitation with onset about 1 month after a right posterior cerebral artery ischemic stroke. These symptoms only disappeared with therapeutic dosages of an antipsychotic drug (3 mg/day of risperidone). At 2-year follow-up, he no longer had delusional activity and the antipsychotic treatment was gradually discontinued over the following year. However, 1 week after full cessation, the patient once more became agitated and suspicious and was put back on risperidone at 0.25 mg/day, resulting in rapid clinical remission. One year after the return to low-dose risperidone, the patient's psychopathology is still under control and he is free from psychotic symptoms. Comments: Psychosis is a relatively rare complication after stroke. To our knowledge, no cases of post-stroke psychosis that apparently require continuous low-dose antipsychotic treatment have been reported to date. Our case suggests that low-dose maintenance antipsychotic therapy may be needed for certain patients with post-stroke psychosis, especially for those with risk factors and non-acute onset.

Thrombosis of the internal carotid artery due to soft palate injury

1989 ◽  
Vol 103 (8) ◽  
pp. 796-797 ◽  
Author(s):  
Brian Mains ◽  
Michael Nagle
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Soft Palate ◽  
Internal Carotid ◽  
Rare Complication ◽  
Cerebral Infarct ◽  
Good Recovery ◽  
Left Hemiparesis ◽  
One Year ◽  
The Right

AbstractThrombosis of the internal carotid artery is a rare complication of soft palate injury, only 16 cases having been previously documented. We present the case of a 51/2 year-old-boy who sustained an apparently trival laceration to the right aspect of the soft palate. However, 48 hours after injury, a right cerebral infarct occurred with subsequent left hemiparesis. On supportive and rehabilitative management he made a good recovery over a period of one year.

scholarly journals Hysterectomy optimization technology in patients with overweight

2020 ◽  
Vol 3 (13) ◽  
pp. 22-26
Author(s):  
B. Khabrat ◽  
O. Lytvak ◽  
B. Lysenko ◽  
A. Khabrat ◽  
V. Pasko
Keyword(s):  
High Frequency ◽  
Uterine Fibroids ◽  
Control Group ◽  
Proximal Point ◽  
Testing Method ◽  
Inflammatory Processes ◽  
Serious Injury ◽  
One Year ◽  
Stage 1

Aim. The aim of our work was the development and testing method of hysterectomy, which would greatly facilitate radical hysterectomy in patients who are overweight. Materials and methods. In the main group of supervision were included 76 women who had 0 and stage 1 prolapse by POP-Q classification and were operated under minimally invasive surgery of RPCPCM in the period from 2019 to 2020because of uterine fibroids by the method developed by us.The control group consisted of 50 women whom was performed intrafascial hysterectomy by the method of Oldridge. To study the vaginal profile marked by two indicators: the length of the vagina and the range of displacement of the proximal point of the vagina (apex), which were determined before surgery and 24 months after surgery at intervals of one year. Determining the length of the vagina was performed in the supine position, immediately determine the most proximal point of the vagina. Results and discussion Conclusions. Methods of intrafascial hysterectomy using high-frequency diathermy are effective in preventing prolapse stump and shortening of the vagina. Shortening of the vagina in patients in the control group may have been caused by the degenerative processes due to serious injury of support structures and vessels of proximal vagina with the emergence in this context of inflammatory processes in the stump. Shortening of the vagina in patients operated on the proposed method was observed. Trends shortening of the vagina or prolapse at follow-up were found.

scholarly journals Mandibular Fracture in a Child Resulting from a Dog Attack: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Hannah Cottom ◽  
Dery Tuopar ◽  
Phillip Ameerally
Keyword(s):  
Soft Tissues ◽  
Rare Complication ◽  
Mandibular Fracture ◽  
Facial Fractures ◽  
Dog Bite ◽  
Facial Skeleton ◽  
Head Region ◽  
Maxillofacial Fracture ◽  
The Face ◽  
Minor Injuries

Dog attacks are extremely frequent and are thought to be responsible for an average of 250,000 minor injuries and emergency unit attendances each year. Children in particular are more likely to experience dog-bite injuries with 5–9-year olds most susceptible. The majority of injuries are to the head region, with the lips, cheeks, and nose often affected. Most injuries experienced are confined to the soft tissues; nevertheless, maxillofacial fracture is a potential albeit rare complication. The incidence of facial fractures in relation to dog bites is unknown; however, some have estimated that facial fractures could occur in 5% of dog attacks. However mandibular fracture following a dog bite is extremely rare, with review of the literature only identifying three cases. We present a further case in which a five-year-old sustained numerous soft-tissue lacerations to the face and hand, together with fracture of the mandibular symphysis following a dog attack. The fracture was successfully repaired using open reduction and internal fixation with titanium plates and screws. The case emphasises that although maxillofacial fracture is rare, it may occur following a dog bite and that thorough and systematic examination of the facial skeleton is crucial to exclude the presence of such injuries.

Phase II study of recombinant alpha-2 interferon in resistant multiple myeloma.

1985 ◽  
Vol 3 (5) ◽  
pp. 654-659 ◽  
Author(s):  
J J Costanzi ◽  
M R Cooper ◽  
J H Scarffe ◽  
H Ozer ◽  
S S Grubbs ◽  
...  
Keyword(s):  
Phase Ii ◽  
Phase Ii Study ◽  
Complete Response ◽  
Bone Lesions ◽  
Hematologic Toxicity ◽  
Intravenous Therapy ◽  
Multicenter Phase ◽  
One Year ◽  
Multiple Drugs ◽  
Improvement In Survival

A multicenter phase II study of INTRON, recombinant alpha-2 interferon (Schering Corp, Kenilworth, NJ), in patients with relapsing or refractory myeloma was initiated. Patients received either intravenous therapy for two weeks followed by subcutaneous therapy or subcutaneous dosing from initiation of treatment. Of 38 evaluable patients, 19 were refractory and 19 had relapsed at entry. Twenty-five of 38 had received prior treatment with multiple drugs. Responses were seen among 2/19 refractory patients and 5/19 relapsing patients. Three of seven responders continue to respond for more than one year while receiving maintenance therapy. Most patients experienced improvement in bone pain, and one patient, with a complete response, had healing of bone lesions. Survival curves show a statistically significant improvement in survival for responders v nonresponders. INTRON was well-tolerated with only four patients discontinuing treatment due to adverse effects. Thirty-two percent of patients had hematologic toxicity requiring dose adjustment; however, there was no evidence of cumulative hematologic toxicity. No patients developed serum neutralizing factors to interferon. Additional trials are warranted to study the activity of INTRON in previously untreated patients.

scholarly journals PROPOSAL OF A REVISIONAL SURGERY TO TREAT NON-INSULINOMA HYPERINSULINEMIC HYPOGLICEMIA POSTGASTRIC BYPASS

2015 ◽  
Vol 28 (4) ◽  
pp. 278-281 ◽  
Author(s):  
José SAMPAIO-NETO ◽  
Alcides José BRANCO-FILHO ◽  
Luis Sérgio NASSIF ◽  
André Thá NASSIF ◽  
Flávia David João De MASI ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Revisional Surgery ◽  
Rare Complication ◽  
Gastric Fundus ◽  
Hyperinsulinemic Hypoglycemia ◽  
Proximal Jejunum ◽  
Surgical Methods ◽  
Maintain Weight Loss ◽  
One Year

Background: Hyperinsulinemic hypoglicemia with severe neuroglycopenic symptoms has been identified as a late and rare complication in patients submitted to Roux-en-Y gastric bypass. However, the potential gravity of its manifestations requires effective treatment of this condition. The absence of treatment makes it necessary to develop more effective clinical or surgical methods. Aim: To present one surgical option to revisional surgery in the treatment of hyperinsulinemic hypoglicemia Methods: The procedure consists in reconstituting alimentary transit through the duodenum and proximal jejunum, while keeping the restrictive part of the gastric bypass. As an additional strategy to maintain weight loss, is realized gastric fundus resection, aiming to suppress ghrelin production more effectively. Results: It was used in three patients with successful results in one year of follow-up. Conclusion: The procedure to reconstruct the food transit through the duodenum and proximal jejunum, keeping the restrictive component of gastric bypass in the treatment of hyperinsulinemic hypoglycemia showed good initial results and validated its application in other cases with this indication.

scholarly journals Diagnostic dilemmas of mechanical restriction of the medial rectus: A case report

2018 ◽  
Vol 9 ◽  
pp. 215265671876423
Author(s):  
James A. Gallogly ◽  
Farhoud Faraji ◽  
Mejd H. Jumaily ◽  
John S. Schneider ◽  
Joseph D. Brunworth
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Rectus Muscle ◽  
Medial Rectus ◽  
Surrounding Tissue ◽  
Laboratory Evaluation ◽  
Nasal Disease ◽  
Oral Steroids ◽  
Inflammatory Processes ◽  
Ethmoid Sinuses

Background Due to the proximity of the maxillary sinus and ethmoid sinuses to the orbit, inflammatory processes that originate in the sinonasal region have the potential to extend into the orbit. Objective We presented a case of ptosis and restrictive strabismus of the medial rectus muscle. Methods A case report with a literature review of possible diagnoses. Results Biopsy, imaging, and laboratory evaluation by otolaryngology, ophthalmology, and rheumatology services were unable to identify the cause of the fibrosis after 22 months of follow-up. A response to oral steroids indicated an inflammatory process. Conclusion Unilateral mechanical restriction of the medial rectus muscle is a rare complication of nasal disease. Inflammatory processes and iatrogenic injury are known to cause fibrosis of surrounding tissue. We presented a unique case of medial rectus fibrosis that did not meet the diagnostic criteria of recognized etiologies.

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