scholarly journals Schwannoma of the medial plantar nerve: a case report

2021 ◽  
Vol 15 (2) ◽  
pp. 171-174
Author(s):  
Adriano Machado Filho ◽  
Jefferson Soares Martins ◽  
Paulo Victor de Souza Pereira ◽  
Ademir Freire de Moura Júnior
Keyword(s):  
Case Report ◽  
Surgical Planning ◽  
Level Of Evidence ◽  
Medial Plantar Nerve ◽  
Plantar Surface ◽  
Patient Level ◽  
Red Flag ◽  
Plantar Region ◽  
Second Toe ◽  
Multiple Schwannomas

We report the case of a 60-year-old woman with a schwannoma of the medial plantar nerve. She presented with the complaint of pain for about 2 years and a painful lesion in the medial plantar region of the left forefoot and on the second toe. Physical examination showed well-defined, firm tumor masses painful to palpation on the medial and plantar surface of the left forefoot and second toe. We surgically explored the area and excised 3 lesions, resulting in complete pain relief and no aesthetic complaints. Schwannomas of the medial plantar nerve are rare tumors, with only a few reports of cases extending to the forefoot. The finding of multiple schwannomas may be a red flag for the possible existence of local, painful, nerve lesions despite a negative Tinel sign. Appropriate surgical planning contributed to our successful intervention, without aesthetic, painful, or functional sequelae for the patient. Level of Evidence V; Therapeutic Studies; Expert Opinion.

scholarly journals SERRATIA MARCESCENS AS A CAUSE OF CERVICAL MYELOPATHY

2019 ◽  
Vol 18 (4) ◽  
pp. 327-329
Author(s):  
Mireles Cano José Nicolás ◽  
García Gonzalez Oscar Guillermo ◽  
Romero Conejo Luis Benito ◽  
Colin González Christian Gerardo ◽  
Reyes Velasco Esteban ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Serratia Marcescens ◽  
Causative Agent ◽  
Cervical Pain ◽  
Abscess Drainage ◽  
Level Of Evidence ◽  
Patient Level ◽  
Carbohydrate Intolerance

ABSTRACT Introduction: The main causative agent of spinal infections is Mycobacterium Tuberculosis, followed by saprophytes of the skin. The most affected segment is the lumbar, followed by the thoracic. Objective: Case report. Results: A previously healthy 40-year-old man with posterior cervical pain and myelopathy was referred to our spine service for vertebral destruction syndrome in C3-C4 and altered carbohydrate metabolism. Microdiscectomy and abscess drainage were performed and a biopsy was taken for definitive diagnosis. Multiresistant Serratia Marcescens was isolated in the culture. Both the myelopathy and carbohydrate intolerance were resolved as the infection was resolved. Conclusion: The significance of this case lies in the infective presentation of the S. Marcescens in an immunocompetent person, since it is mainly an opportunistic microorganism, and in the atypical location. The most commonly isolated pathogen is Mycobacterium Tuberculosis, followed by Staphylococcus aureus. Identification of the causative agent is essential to the initiation of antibiotic therapy. Therefore, microbiological isolation plays a fundamental role in the treatment, recovery and quality of life of the patient. Level of evidence V; Case report.

scholarly journals Ischemic priapism due to coagulopathy of severe COVID-19 infection

2021 ◽  
pp. 205141582110259
Author(s):  
Dominic C Grimberg ◽  
Rohit Tejwani ◽  
Armand Allkanjari ◽  
Michael T Forrester ◽  
Bryan D Kraft ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Disease ◽  
Disease Process ◽  
Hypercoagulable State ◽  
Management Approach ◽  
Single Center ◽  
Level Of Evidence ◽  
Ischemic Priapism

Initially thought to be a primarily respiratory disease process, the hypercoagulable state associated with COVID-19 has been associated with myriad clinical sequelae. We report a case of stuttering ischemic priapism associated with COVID-19, and describe a management approach to achieve detumescence in patients undergoing ventilatory proning limiting penile access. Level of evidence: Not applicable for this single center case report.

scholarly journals Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

2017 ◽  
Vol 8 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Brent Matthews ◽  
Kaushik Hazratwala ◽  
Sergio Barroso-Rosa
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Treatment Options ◽  
The Elderly ◽  
Fracture Pattern ◽  
Patella Fracture ◽  
Level Of Evidence ◽  
Fixation Failure ◽  
Number Of Patients ◽  
Mesh Augmentation

Objectives: To review comminuted patella fracture in the elderly patients and examine the surgical options to avoid complications such as fixation failure and poor functional outcome. To provide an example of mesh augmentation in comminuted patella fracture in the elderly patients. Data Sources: A literature review was conducted by the authors independently using Ovid, Medline, Cochrane, PubMed, and Clinical Key in English. We aimed to review data on patients older than 65 with comminuted patella fracture. Search conducted between July and December 2015. Study Selection: Search terms included patella fracture, elderly, and fixation failure. Abstracts were included if they were a case report, cohort series, or randomized control trial. Further inclusion criteria were that they were available in full text and included patient age(s), operative details, follow-up, and outcome discussion. Data Extraction: Each study was assessed according to its level of evidence, number of patients, age of patients, fracture patterns described, complications of treatment, and results summarized. Data Synthesis: Paucity of data and heterogeneity of studies limited statistical analysis. Data are presented as a review table with the key points summarized. Conclusion: In patella fracture, age >65 years and comminuted fracture pattern are predictors of increased fixation failure and postoperative stiffness, warranting special consideration. There is a trend toward improved functional outcomes when augmented fixation using mesh or plates is used in this group. Further level 1 studies are required to compare and validate new treatment options and compared them to standard surgical technique of tension band wire construct.

scholarly journals Karakteristik radiograf kista dentigerous dengan menggunakan CBCT-scan

2020 ◽  
Vol 4 (2) ◽  
pp. 15
Author(s):  
Berty Pramatika ◽  
Aga Satria Nurrachman ◽  
Eha Renwi Astuti
Keyword(s):  
Case Report ◽  
Surgical Planning ◽  
Dentigerous Cyst ◽  
Three Dimensional ◽  
Case Series ◽  
Impacted Tooth ◽  
Adjacent Structures

Objectives: The aim of this report which contains three case series is to describe the radiographic characteristic of dentigerous cyst using CBCT. Case Report: In the case presented here, all of the three patients had dentigerous cyst developing in impacted tooth, but did not have the same symptoms. CBCT radiography examination was carried out to find out the margin of the cortical extension, the diameter of the lesion, and the relations between the lesion and adjacent structures. The result of CBCT examination shows there is a variation of radiograph characteristics of dentigerous cyst among the three patients. Conclusion: CBCT is a very useful complementary tool for diagnosis and surgical planning in cases of dentigerous cyst, because three-dimensional viewing of the structures offers greater accuracy in lesion identification.

scholarly journals Extensive giant cell tumor on the foot completely wrapping the extensor hallucis longus

2018 ◽  
Vol 12 (4) ◽  
pp. 352-55
Author(s):  
Anderson Humberto Gomes ◽  
Bruno Janotti Pádua ◽  
Luiz Eduardo Moreira Teixeira ◽  
Claudio Beling Gonçalves Soares
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Surgical Planning ◽  
Treatment Success ◽  
Synovial Cyst ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Extensor Hallucis Longus

In this study, we report the case of a patient with a lobulated expansile lesion of 16.6 cm in its largest diameter, who was referred as having a simple “synovial cyst” in the foot that actually was a giant cell tumor of the tendon sheath along the extensor hallucis longus. Conducting a differential diagnosis of a “synovial cyst” in the foot and ankle, performing adequate surgical planning and using imaging tests, such as nuclear magnetic resonance, increases the probability of treatment success. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Virtual surgical planning and 3D-printed guided biopsy of bilateral lesions in the mandible: a case report

2020 ◽  
Vol 4 (4) ◽  
pp. 185-192
Author(s):  
Douglas Rangel Goulart ◽  
Lucas Raineri Capeletti ◽  
Gabriel Henrique Campos Pinheiro ◽  
Mateus Veppo dos Santos ◽  
Alessandro Lourenço Januario
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Surgical Planning ◽  
Inferior Alveolar Nerve ◽  
Postoperative Recovery ◽  
Virtual Surgical Planning ◽  
Drill Guide ◽  
Bone Biopsies ◽  
3D Printed ◽  
Bilateral Lesions

Purpose: To report the use of virtual surgical planning and a 3D printed drill guide for the biopsy of mandibular lesions. Case report: A 38-year-old woman presented with two bilateral lesions in the mandibular body, in close proximity to the inferior alveolar nerve and the molar roots. An incisional biopsy was planned with coDiagnostiX software using the cone beam computed tomography DICOM files and a cast model that had been digitalized using a bench scanner (7series, Dental Wings, Quebec, Canada). A tooth-supported drill guide was produced by 3D printing with digital light processing technology (Moonray S, Sprintray, CA, USA). The surgical procedure was performed under local anesthesia. No complications were observed intraoperatively or during postoperative recovery. Conclusion: The use of an intraoperative surgical 3D-printed drill guide enables a smaller surgical procedure and more precise bone biopsies.

Survival of multiple nail gun injuries to the head, lung, and heart: A case report

2020 ◽  
Author(s):  
Suo-Hsien Wang ◽  
Mao-Yu Chen ◽  
Tzu-Yen Huang ◽  
Che-Chia Chang ◽  
Chih-Ying Chien
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Suicide Attempt ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Treatment Strategies ◽  
Emergency Physicians ◽  
Significant Morbidity ◽  
Case Presentation ◽  
The Brain

Abstract Background: Most nail gun injuries occur at the extremities due to working accidents. Injuries to the brain or thorax are relatively rare, and cases with both injuries are even rarer. Initial evaluation, resuscitation and surgical planning can be challenging. Case presentation: Here, we present a case with nail gun injuries to the brain, lung, and heart by suicide attempt. The patient presented to the emergency department under shock. After resuscitation and surgical intervention, he was discharged without significant morbidity. Conclusions: Multiple nail gun injuries, especially those to vital organs such as the brain, lung, and heart, can be challenging to emergency physicians and surgeons. Imaging tools, treatment strategies, and possible complications are discussed in this article to provide optimized outcomes in such situations.

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