Massive Subcutaneous Emphysema, Pneumoperitoneum, Pneumoretroperitoneum, and Pneumoscrotum Following ERCP in Living Liver Donor: Apparent Life-threatening Event

Author(s):  
Sami Akbulut
Author(s):  
Eva Prado ◽  
Elena M. Chamorro ◽  
Alejandro Marín ◽  
Carlos G. Fuentes ◽  
Zhao Chen Zhou

Author(s):  
Himang Jharaik ◽  
Bishan Dhiman ◽  
S. K. Verma ◽  
Aditi Sharma

Background: Antepartum haemorrhage, a life-threatening event, is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, considered to be 20 weeks in developed countries and 28 weeks in countries with low resource settings. We evaluated the consequences of antepartum haemorrhage, their maternal and perinatal outcome so as to outline the proper management of patient in order to improve both maternal and perinatal morbidity and mortality.Methods: This one-year prospective study totaled 133 cases of APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing.Results: Total 6693 deliveries were conducted out of which 133 presented as APH and incidence of APH was found out to be 1.98%. Placenta previa was most common. APH was commonly associated with multigravida and most cases were in age group of 26-30 years. Most of the PP and abruption cases were admitted at 34-37 weeks and 31-33 weeks respectively. High risk factors included previous LSCS and D and C, hypertension, multiple pregnancies and malpresentations. Most of the patients underwent preterm LSCS. Most fetal complications were due to prematurity. 58.6% patients were transfused blood. Overall perinatal mortality was 20.1% and maternal mortality was zero.Conclusions: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility goes a long way in avoiding APH related maternak and fetal complications.


2009 ◽  
Vol 33 (4) ◽  
pp. 333-336
Author(s):  
Marco Cicciù ◽  
Giovanni Battista Grossi ◽  
Mario Beretta ◽  
Davide Farronato ◽  
Concetta Scalfaro ◽  
...  

Aim: To report the clinical case of a child with facial and periorbital emphysema caused by an orthodontic device. Case report: An 11-year-old child presented to our clinic showing moderate swelling of the left facial area. Based on his dental history, physical findings, and instrument examinations, the diagnosis of cervicofacial emphysema was established, caused by disengagement of the facebow. One week later, all swelling and crepitus had disappeared without complications. Most patients who develop subcutaneous emphysema after a dental procedure have only moderate local swelling, which normally resolves spontaneously and without complications within a week. However, the spread of large amounts of air into the deeper spaces may cause life-threatening sequelae. Conclusions: Orthodontists should be aware that the use of extraoral traction applied via a facebow can cause soft tissue injures and emphysema of the cervicofacial region. It is important to avoid misdiagnosis and to appropriately inform patient and parents about this condition.


2011 ◽  
Vol 137 (4) ◽  
pp. 359 ◽  
Author(s):  
Mark W. Willis ◽  
Joshua L. Bonkowsky ◽  
Rajendu Srivastava ◽  
J. Fredrik Grimmer

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S362-S363
Author(s):  
Mohsin Khan ◽  
Vikram Nangia ◽  
Tabitha Cumpian ◽  
M. Eyman Mortada ◽  
Mohamed Djelmami-Hani ◽  
...  

2009 ◽  
Vol 124 (6) ◽  
pp. 677-679 ◽  
Author(s):  
G Fyrmpas ◽  
J Constantinidis ◽  
N Foroglou ◽  
P Selviaridis

AbstractObjective:To highlight the possibility of pituitary apoplexy after functional endoscopic sinus surgery for elimination of sinonasal infection, an important preparatory step for safe trans-sphenoidal access to the pituitary fossa.Case report:A 67-year-old man with a known pituitary macroadenoma developed headache, diplopia and reduced vision after endoscopic middle meatal antrostomy and ethmoidectomy for rhinosinusitis with polyps. Magnetic resonance imaging showed pituitary haemorrhage. The patient underwent emergency endoscopic trans-sphenoidal resection of the tumour, with significant symptomatic improvement. Despite mild right eyelid ptosis and persistent diabetes insipidus, the patient resumed normal activities in a few weeks. To our knowledge, this is the first report of pituitary apoplexy after a nasal operation.Conclusion:Pituitary apoplexy is a rare and potentially life-threatening event in high risk patients with pituitary adenomas; it may occur spontaneously or after surgical procedures. Early, combined surgical intervention by rhinologists and neurosurgeons is recommended. The endoscopic trans-sphenoidal approach is a safe and effective technique for the acute management of pituitary apoplexy.


2018 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Mohammad Saud Khan ◽  
Faisal Jamal ◽  
Zubair Khan ◽  
Abhinav Tiwari ◽  
Hermann Simo ◽  
...  

Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patient who developed scrotal pain and swelling following ERCP. He was found to have extensive pneumoscrotum, pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed with retroperitoneal duodenal perforation. He was managed conservatively with close monitoring and supportive care.


PEDIATRICS ◽  
2005 ◽  
Vol 115 (4) ◽  
pp. 885-893 ◽  
Author(s):  
D. A. Brand ◽  
R. L. Altman ◽  
K. Purtill ◽  
K. S. Edwards

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