scholarly journals Spontaneous resolution of chronic subdural hematoma: Does only the size matter?

2019 ◽  
Vol 10 ◽  
pp. 194
Author(s):  
Messias Gonçalves Pacheco Junior ◽  
Bruno Lima Pessoa ◽  
Jose Alberto Landeiro ◽  
Pedro Henrique de Abreu Macedo ◽  
Marco Antônio Araújo Leite
Keyword(s):  
Surgical Intervention ◽  
Chronic Subdural Hematoma ◽  
Spontaneous Resolution ◽  
Computed Tomography Scan ◽  
Ataxic Gait ◽  
The Right ◽  
Size Matter ◽  
Head Computed Tomography ◽  
Tomography Scan

Background: Chronic subdural hematomas (CSDHs) usually occur late in adults and older after mild head trauma. Surgical intervention is the first treatment option in CSDH with conservative management being adopted in few cases. Case Description: We report a case of a 71-year-old man who presented a spontaneous resolution of a large CSDH. He presented with a difficulty of speech and an ataxic gait. Head (computed tomography scan) showed a low-density lesion located in the right frontal-temporal-parietal region. Conclusion: In this report, we discuss the spontaneous resolution of a large CSDH in elderly patients, without surgical intervention. Gradually, several successful nonsurgical therapies for the treatment of these hematomas are reported, although further studies are essential to establish the role of these nonsurgical treatments of CSDHs.

scholarly journals Chronic subdural hematoma

2021 ◽  
pp. 1-7
Author(s):  
Blanca Piedra Herrera ◽  
Yanet Yanet Acosta Piedra
Keyword(s):  
Subdural Hematoma ◽  
Head Injuries ◽  
Young Patients ◽  
Chronic Subdural Hematoma ◽  
Complete Recovery ◽  
Computed Tomography Scan ◽  
History Of ◽  
Third Cranial Nerve Palsy ◽  
The Right ◽  
Tomography Scan

Chronic subdural hematoma (CSH) is a common neurosurgical pathology that is recognized as a consequence of minor head injuries that are usually diagnosed in senile patients, although it can occur in young patients without a history of trauma. The objective of this work is the presentation of a patient with a bilateral CSH, with unusual characteristics. Clinical case: a 46-year-old female patient with no history of head trauma or other concomitant pathology is presented, who consulted for a 15-day-old headache. Physical examination confirmed mydriasis, Hutchinson’s pupil, bilateral papilledema and exophoria of the right eye, third cranial nerve palsy, and trunk ataxia. She was cataloged with Glasgow 13. Early anti-cerebral edema treatment was performed and the manifestations largely disappeared. A computed tomography scan diagnosed a bilateral fronto temporal subdural hematoma with displacement of the midline structures to the left. She underwent emergency surgery and was discharged completely recovered three days later. Conclusion: HSC can present with different clinical forms, simulating expansive tumor processes, cerebrovascular attacks, dementias or neurological entities of another nature. The case management by clinicians and neurosurgeons was quick and effective, which explains that the patient had an early and complete recovery. In these cases, medical action is decisive in the success of the treatment.

scholarly journals The runaway kidney: a rare case of a parastomal hernia with partial kidney herniation

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Jonathan B Livezey ◽  
Alexa M Bolock ◽  
Timothy J Farrell
Keyword(s):  
Parastomal Hernia ◽  
Surgical Intervention ◽  
Ureteral Stone ◽  
Kidney Injury ◽  
Computed Tomography Scan ◽  
Abdominal Organs ◽  
Surgical History ◽  
The Right ◽  
Proximal Ureteral Stone ◽  
Tomography Scan

Abstract Although parastomal hernias are a common complication of ostomy formation, herniation of intra-abdominal organs, aside from intestine, is infrequent. Furthermore, herniation of retroperitoneal organs, such as the kidney, is an extremely rare finding. We report the case of a 59-year-old male with a right ileostomy who presented with an acute kidney injury with suggestive urinary tract infection. A computed tomography scan revealed a left proximal ureteral stone with left hydronephrosis and a prominent right parastomal hernia with herniation of the mesenteric/retroperitoneal fat, portion of the right kidney, right proximal ureter and some bowel. The patient was taken to the operating room for a left cystourethroscopy with stent placement and made a full recovery. Due to the patient’s extensive surgical history, high risk of postoperative infection and lack of evidence demonstrating functional impairment of the right kidney, surgical intervention was not recommended at the present time.

scholarly journals Chronic subdural hematoma

2021 ◽  
pp. 1-7
Author(s):  
Blanca Piedra Herrera ◽  
Yanet Acosta Piedra
Keyword(s):  
Subdural Hematoma ◽  
Head Injuries ◽  
Young Patients ◽  
Chronic Subdural Hematoma ◽  
Complete Recovery ◽  
Computed Tomography Scan ◽  
History Of ◽  
Third Cranial Nerve Palsy ◽  
The Right ◽  
Tomography Scan

Chronic subdural hematoma (CSH) is a common neurosurgical pathology that is recognized as a consequence of minor head injuries that are usually diagnosed in senile patients, although it can occur in young patients without a history of trauma. The objective of this work is the presentation of a patient with a bilateral CSH, with unusual characteristics. Clinical case: a 46-year-old female patient with no history of head trauma or other concomitant pathology is presented, who consulted for a 15-day-old headache. Physical examination confirmed mydriasis, Hutchinson’s pupil, bilateral papilledema and exophoria of the right eye, third cranial nerve palsy, and trunk ataxia. She was cataloged with Glasgow 13. Early anti-cerebral edema treatment was performed and the manifestations largely disappeared. A computed tomography scan diagnosed a bilateral fronto temporal subdural hematoma with displacement of the midline structures to the left. She underwent emergency surgery and was discharged completely recovered three days later. Conclusion: HSC can present with different clinical forms, simulating expansive tumor processes, cerebrovascular attacks, dementias or neurological entities of another nature. The case management by clinicians and neurosurgeons was quick and effective, which explains that the patient had an early and complete recovery. In these cases, medical action is decisive in the success of the treatment.

Intestinal Obstruction and Ileus: Role of Computed Tomography Scan in Diagnosis and Management

2007 ◽  
Vol 73 (12) ◽  
pp. 1210-1214
Author(s):  
Vinod A. Sebastian ◽  
Kevin J. Nebab ◽  
Michael A. Goldfarb
Keyword(s):  
Intestinal Obstruction ◽  
Ct Scan ◽  
Surgical Intervention ◽  
Significant Proportion ◽  
The Other ◽  
Mechanical Obstruction ◽  
Computed Tomography Scan ◽  
Community Based ◽  
Tomography Scan

A significant proportion of patients with intestinal obstruction will be evaluated with a CT scan of the abdomen. This study presents a group of 97 patients diagnosed with mechanical obstruction or ileus on CT scan over a 16-month period at a community based teaching hospital and follows the further management of these patients. Our study shows that 43.3 per cent of patients with mechanical obstruction, diagnosed by CT scan, eventually needed surgical treatment. On the other hand, even when CT indicates ileus, 20 per cent of these patients may still require surgical intervention.

scholarly journals Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma

2021 ◽  
pp. 201010582199280
Author(s):  
Hany Haqimi Wan Hanafi ◽  
Nazri Mustaffa ◽  
Yeong Yeh Lee ◽  
Siti Nurbaya Mohd Nawi
Keyword(s):  
Diabetes Mellitus ◽  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Surgical Intervention ◽  
Computed Tomography Scan ◽  
Emphysematous Pyelonephritis ◽  
Urological Emergency ◽  
Tomography Scan

The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.

scholarly journals The role of radioimmunoscintigraphy and computed tomography scan prior to reassessment laparotomy of patients with ovarian carcinoma: A preliminary report

Cancer ◽  
1996 ◽  
Vol 77 (11) ◽  
pp. 2286-2293 ◽  
Author(s):  
Michael W. Method ◽  
Aldo N. Serafini ◽  
Hervy E. Averette ◽  
Michael Rodriguez ◽  
Manuel A. Penalver ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ovarian Carcinoma ◽  
Preliminary Report ◽  
Computed Tomography Scan ◽  
Tomography Scan

An Infant with COVID-19-Associated Intussusception

2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
Common Cause ◽  
Caregiver Education ◽  
Intermittent Abdominal Pain ◽  
The Right ◽  
Tomography Scan

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.

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