Unique case of post-traumatic sacral osteomyelitis

Objectives Venous aneurysms are uncommon. They can involve both superficial and deep venous systems. We hereby present a unique case of gastrocnemius venous aneurysm developed after compressive knee trauma. Report A large venous aneurysm in the left popliteal fossa was detected by chance in a 44-year-old woman one month after a compressive trauma to the posterior surface of the knee. Magnetic resonance-imaging of the same knee had documented normal venous anatomy one year earlier. The venous aneurysm involved the medial gastrocnemius vein near its confluence in the popliteal vein and was surgically resected. Histopathology evidenced a true venous aneurysm. The patient was discharged under oral anticoagulation for three months. At one year follow-up, neither complications nor new venous aneurysm development was detected. Conclusions An accurate evaluation of the venous system is always mandatory after limb traumas which may lead to post-traumatic venous pseudo-aneurysms, as well as more rarely, true venous aneurysms in the lower extremities.

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Conservative management of post-traumatic cerebral myiasis: report of a unique case and literature review

Journal of the Pakistan Medical Association ◽

10.47391/jpma.2189 ◽

2021 ◽

Author(s):

Mubarak Ali Algahtany ◽

Abdulaziz Khalid Alzailaie ◽

Mohamed Ahmad Khoudir ◽

Feras Mubarak Alqahtani ◽

Tagwa Abdallah Osman ◽

...

Keyword(s):

Conservative Management ◽

Surgical Intervention ◽

Primary Treatment ◽

Surgical Removal ◽

Left Temporal Lobe ◽

Unique Case ◽

Level Of Consciousness ◽

Post Traumatic ◽

First Time ◽

The Brain

Cerebral myiasis is extremely rare, and surgical intervention is the primary treatment used. Successful conservative management alone, without surgical removal of the brain infestation has not yet been published. We report the a case of a 24-year-old African homeless man who was found on the street in a state of decreased level of consciousness, with larvae exiting from the left supra and postauricular dirty wounds and from his left ear. The patient was diagnosed with post-traumatic cerebral myiasis of the left temporal lobe and cerebellum. It was treated successfully by debridement of the external wounds and administration of antibiotics, without surgical removal of the brain infestations. For the first time, this case illustrates the novelty and appropriateness of the conservative management of cerebral myiasis. This is also the first report of cerebral myiasis with cerebellar involvement and the second report of post-traumatic cerebral myiasis in literature. Continuous...

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Unique case of a post-traumatic nasoseptal arteriovenous malformation

BMJ Case Reports ◽

10.1136/bcr-2020-239482 ◽

2021 ◽

Vol 14 (1) ◽

pp. e239482

Author(s):

Kelvin Yong Jie Lim ◽

Alvin Yong Quan Soon ◽

Jian Li Tan

Keyword(s):

Case Report ◽

Arteriovenous Malformation ◽

Arteriovenous Malformations ◽

Unique Case ◽

Post Traumatic

Extracranial manifestation of arteriovenous malformations (AVMs) is uncommon. Nasoseptal AVMs are an even rarer entity. In this case report, we present an interesting and first-of-its-kind case of the development of a left nasoseptal AVM in a 60-year-old man after a fall. This was likely post-traumatic, unlike the usual congenital AVMs described in the literature. The patient was managed conservatively with regular follow-up for the AVM as he was asymptomatic.

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