scholarly journals Surgicel Mimicking Brain Abscess: A Case Report

2021 ◽  
Vol 3 (01) ◽  
pp. 45-46
Author(s):  
Ali Niyaf ◽  
Kiran Niraula ◽  
Chandra Prakash Limbu ◽  
Arusha Ali Rasheed ◽  
Aminath Zauma
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Brain Abscess ◽  
Surgical Procedures ◽  
Brain Lesion ◽  
Hemostatic Agent ◽  
Oxidized Cellulose ◽  
Intracranial Hematoma ◽  
Diagnostic Dilemma

Hemostasis is one of the most essential measures in Neurological procedures. Surgicel (Oxidized cellulose) is one of the most frequently used hemostatic agent used worldwide during surgical procedures. We aim to present a case of radiological diagnostic dilemma of a ring enhancing brain lesion where brain abscess, intracranial hematoma and surgicelloma was identified as challenging differential diagnosis. In this paper, we present a case, where a complication occurred with the use of surgicel following craniectomy and evacuation of hematoma.

scholarly journals Pneumatosis Intestinalis: A Case Report and Approach to Management

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Sean Donovan ◽  
Joseph Cernigliaro ◽  
Nancy Dawson
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Bowel Wall ◽  
Surgical Intervention ◽  
Wide Spectrum ◽  
Pneumatosis Intestinalis ◽  
Rapid Evaluation ◽  
Thought Process ◽  
Diagnostic Dilemma ◽  
Clinical Scenarios

Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.

scholarly journals Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report

2015 ◽  
Vol 1 (4) ◽  
pp. 174-178
Author(s):  
Asha Naik ◽  
Cristobal Rincon-Aznar
Keyword(s):  
Methylene Blue ◽  
Differential Diagnosis ◽  
Case Report ◽  
Serotonin Syndrome ◽  
Unknown Etiology ◽  
Diagnostic Dilemma ◽  
Neurological Signs ◽  
Delayed Recovery ◽  
Icu Management ◽  
Serotonin Toxicity

Abstract We report a case of delayed recovery from general anesthesia following a routine parathyroidectomy. Our objectives are to describe the process of establishing a differential diagnosis and subsequent management of a patient presenting with atypical neurological signs from an unknown etiology and to increase awareness about the potential for serotonin syndrome and neurotoxicity due to known interactions between methylene blue and selective serotoninnoradrenaline re-uptake inhibitors. ICU management of Serotonin Toxicity is briefly described.

Primary Ewing's Sarcoma of the Mandibular Ramus: A Case Report

1980 ◽  
Vol 88 (3) ◽  
pp. 211-214 ◽  
Author(s):  
Diran O. Mikaelian ◽  
Stuart A. Scherr ◽  
Leopoldo E. Delucca
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Mandibular Ramus ◽  
Diagnostic Dilemma ◽  
Rare Finding ◽  
Diagnosis And Prognosis ◽  
Histopathologic Findings ◽  
Microscopic Findings

Primary Ewing's sarcoma of the mandible is an exceedingly rare finding in the practice of otolaryngology. A case of this neoplasm occurring as a parotid mass is presented. It represented a diagnostic dilemma because of its elusive histopathologic findings. The gross and clinical appearances, microscopic findings, differential diagnosis, and prognosis of this neoplasm are discussed.

scholarly journals Advancing Mandibular Swelling: A Diagnostic Dilemma

2013 ◽  
Vol 14 (4) ◽  
pp. 754-758
Author(s):  
KF Basavaraj ◽  
AU Madihalli ◽  
Abdul Mujeeb ◽  
Samir Mansuri ◽  
Mohammed Abid Hussain
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Treatment Planning ◽  
Malignant Tumors ◽  
Accurate Diagnosis ◽  
Illustrative Case ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
The Face

ABSTRACT Asymmetrical swelling of the mandible in adolescence may pose a significant diagnostic dilemma. The differential diagnosis ranges from traumatic, infectious, and metabolic processes to benign and malignant tumors. Also may present with similar clinical and radiological features, making an accurate diagnosis quite difficult. This is an illustrative case involving a 30-year-old female who initially presented with complaint of pain and swelling in the lower left side of the face for 2 months. Multiple investigations and several biopsies were required to arrive at a diagnosis. This paper deals with a case report of a fibrosarcoma involving the mandible highlighting the importance of early diagnosis and treatment planning. How to cite this article Basavaraj KF, Madihalli AU, Mujeeb A, Mansuri S, Hussain MA. Advancing Mandibular Swelling: A Diagnostic Dilemma. J Contemp Dent Pract 2013;14(4):754-758.

scholarly journals Referred Pulpal Pain with Atypical Features in an Endodontically Treated Tooth due to Learned Phenomenon

2014 ◽  
Vol 4 (1) ◽  
pp. 60-62
Author(s):  
AR Vivekananda Pai ◽  
Rachit Jain
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Previous Treatment ◽  
Endodontic Treatment ◽  
Diagnostic Dilemma ◽  
Retrospective Diagnosis ◽  
Atypical Features ◽  
Endodontically Treated Tooth

ABSTRACT Pulpal pain does not refer to an endodontically treated tooth. Nevertheless, such a potential may exist based on a learned phenomenon due to previous treatment experiences but is rarely reported. Further, it is seldom reported to occur with atypical features. This case report is on a patient who was presented with pain in endodontically treated lower first molar (36) and recommended to undergo retreatment. However, endodontic treatment in 26 relieved the pain showing occurrence of referred pulpal pain in 36. But due to atypical referral and unknown endodontic status in 36, only uneventful follow-up confirmed the retrospective diagnosis of referred pulpal pain in 36. Pulpal pain can refer to an endodontically treated tooth based on learned phenomenon. Such a referral can also occur with atypical features and pose a diagnostic dilemma. Therefore, referred pulpal pain should be considered in the differential diagnosis of pain in an endodontically treated tooth. How to cite this article Pai ARV, Vikram M, Jain R. Referred Pulpal Pain with Atypical Features in an Endodontically Treated Tooth due to Learned Phenomenon. J Contemp Dent 2014;4(1): 60-62.

scholarly journals Osteoid Osteoma of the Great Toe Mimicking Osteomyelitis: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ismail Turkmen ◽  
Bugra Alpan ◽  
Salih Soylemez ◽  
Feyza Unlu Ozkan ◽  
Koray Unay ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Osteoid Osteoma ◽  
Severe Pain ◽  
Young Male ◽  
Benign Tumors ◽  
Long Bones ◽  
Review Of The Literature ◽  
Great Toe ◽  
Diagnostic Dilemma

Osteoid osteomas are well-known benign tumors, seen generally in long bones. When seen in phalanxes or toes, they can cause a diagnostic dilemma. A young male presented to us with complaints of enlargement of the great toe and severe pain. He had had an ingrown toe-nail operation before, and this situation caused a diagnostic dilemma. In this case report, we emphasize that osteoid osteomas can cause diagnostic dilemmas and it should be kept in mind as a differential diagnosis.

Endometriosis at Cesarean Section Scar

2017 ◽  
Vol 35 (3) ◽  
pp. 147-149
Author(s):  
Quorrata Eynul Forhad ◽  
Kamrun Nahar ◽  
Hosne Ara Baby
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Cesarean Section ◽  
Abdominal Wall ◽  
Surgical Procedure ◽  
Diagnostic Dilemma ◽  
Abdominal Wall Endometriosis ◽  
Treatment And Prevention ◽  
Uterine Mucosa ◽  
General Surgeons

Endometriosis may be defined as presence of functioning endometrium (glands and stroma) in sites other than uterine mucosa. The prevalence of endometriosis is about 10%. According to Nominato, cesarean section remains the most common surgical procedure related to the development of abdominal wall scar endometriosis1. But endometriosis sometimes presented to general surgeons as a lump in the abdomen. It can pose a diagnostic dilemma and should be in the differential diagnosis of lumps in the abdomen in females. Diagnosis is usually made following histological examination. This is a case report of abdominal wall endometriosis following cesarean section. This report discusses and evaluates the incidence, course, diagnosis, treatment and prevention of this condition.J Bangladesh Coll Phys Surg 2017; 35(3): 147-149

Hemothorax as a Complication after Anterior Cervical Discectomy: Case Report

Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. E871-E871 ◽  
Author(s):  
B Sanjay Harhangi ◽  
Tomas Menovsky ◽  
Hans A.L. Wurzer
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Cervical Spine ◽  
Respiratory Failure ◽  
Surgical Procedures ◽  
English Language ◽  
Clinical Presentation ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Language Literature

Abstract OBJECTIVE AND IMPORTANCE: Anterior cervical discectomy is one of the most frequently performed surgical procedures of the cervical spine. CLINICAL PRESENTATION: We describe a patient with a postoperative hemothorax as a complication after an anterior cervical discectomy. INTERVENTION: The patient was intubated, and reoperation and bronchoscopy were performed. CONCLUSION: To the best of our knowledge, such a complication has not been described before in the English-language literature. We conclude that hemothorax is a rare, although serious, complication after anterior cervical discectomy and should be included in the differential diagnosis for patients with respiratory failure after an anterior cervical discectomy.

scholarly journals Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
K. N. Srivastava ◽  
Amit Agarwal
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Mesenteric Cyst ◽  
Review Of The Literature ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
History Of ◽  
The Right

The term gossypiboma is used to describe a retained surgical sponge after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 38-year-old lady who presented with vague pain and chronic lump in the right iliac fossa region. She had a history of cesarean section 4 years ago. Radiological investigations were inconclusive in detecting the retained sponge. A working diagnosis of mesenteric cyst was made and an exploratory laparotomy was done where she was found to have a large gossypiboma densely adhered to the small bowel and surrounding structures. Though rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain or chronic lump even years after the operation.

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