scholarly journals Parasitic rachipagus conjoined twin: case report

2018 ◽  
Vol 22 (3) ◽  
pp. 313-316 ◽  
Author(s):  
Nima Khavanin ◽  
John R. Ruge ◽  
Frank A. Vicari ◽  
Eric J. Belin ◽  
Robert G. Kellogg ◽  
...  

A parasitic twin represents a rare developmental anomaly in which an asymmetrical, nonviable conjoined twin is attached to the host body at the time of birth. Rachipagus is among the rarest of conjoined twin subtypes and typically features a parasitic twin mass attached at the spine. Herein, the authors review the literature and describe the case of a 9-month-old girl presenting with a rachipagus parasitic twin consisting of a fully developed set of lower extremities originating from the midline upper back. After a complete workup to delineate parasite and autosite anatomy, the parasitic twin mass was successfully excised by a multidisciplinary team of surgeons, and the resulting defect was closed in a single stage.

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Parkash Mandhan ◽  
Amer Al Saied ◽  
Mansour J. Ali

Congenital diaphragmatic hernia is a common developmental anomaly encountered by paediatric surgeons. It is known to be associated with extradiaphragmatic malformations, which include cardiac, renal, genital, and chromosomal abnormalities. Herein, we report a newborn born with concurrent congenital diaphragmatic hernia, Meckel’s diverticulum, and heterotopic pancreatic tissue. This is the first case report of such a triad with description of possible mechanisms of the development.


Author(s):  
Laura L. Cord ◽  
Veena Rajpal ◽  
Nancy Pearl Solomon

Purpose At Walter Reed National Military Medical Center, service members (SMs) with polytraumatic injuries, usually resulting from blast explosions, are routinely referred to the Speech Pathology Clinic for evaluation of swallowing function. The purpose of this clinical focus article is to advance the speech-language pathologist's (SLP) knowledge of polytrauma and to improve the care of individuals with traumatic injuries, especially related to nutrition and swallowing within a larger multidisciplinary team approach. Case Report Previous research within our center identified common demographic and injury characteristics of SMs with combat-related injuries that led to referrals for swallowing evaluation. An SM with polytraumatic injuries was selected for this case report to illustrate the relevance of the research findings and also the importance of multidisciplinary team support to appropriately manage such complex cases. Evaluations and relevant treatments are described across a 3-month acute care hospitalization, including swallowing and nutritional recommendations at the time of each swallowing evaluation. Discussion Comparisons of polytrauma cases at Walter Reed National Military Medical Center with literature from civilian trauma centers revealed somewhat longer hospitalizations and the particular influence of maxillofacial trauma on dysphagia outcomes. The complex case reported in this article illustrates the importance of multidisciplinary care and coordination, with particular emphasis on the intersecting roles of the SLP and registered dietitian. This report can serve as a guide for SLPs working in trauma settings for developing prognostic statements, treatment plans, and multidisciplinary interaction.


2017 ◽  
Vol 5 (9) ◽  
pp. 1450-1453 ◽  
Author(s):  
Prakasit Chirappapha ◽  
Panya Thaweepworadej ◽  
Nuttapong Ngamphaiboon ◽  
Matchuporn Sukprasert ◽  
Thongchai Sukarayothin ◽  
...  

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii190-iii190
Author(s):  
Sibel Kocak ◽  
Arzu Ozdemir Kayalar ◽  
Fatih Akbay ◽  
Aysegul Kudu ◽  
Gunden Deger ◽  
...  

2011 ◽  
Vol 64 (1) ◽  
pp. 71
Author(s):  
Hee Jung Suh ◽  
Wan Tae Kim ◽  
Min Jeong Seo ◽  
Yoon Jung Kim

2016 ◽  
Vol 9 ◽  
pp. CCRep.S39052 ◽  
Author(s):  
Sarah A. Elkourashy ◽  
Abdulqadir J. Nashwan ◽  
Syed I. Alam ◽  
Adham A. Ammar ◽  
Ahmed M. El Sayed ◽  
...  

Extranodal lymphoma (ENL) occurs in approximately 30%–40% of all patients with non-Hodgkin lymphoma and has been described in almost all organs and tissues. However, diffuse large B-cell lymphoma is the most common histological subtype of non-Hodgkin lymphoma, primarily arising in the retroperitoneal region. In this article, we report a rare case of an adult male diagnosed with primary diffuse large B-cell lymphoma of the gluteal and adductor muscles with aggressive bone involvement. All appropriate radiological and histopathological studies were done for diagnosis and staging. After discussion with the lymphoma multidisciplinary team, it was agreed to start on R-CHOP protocol (rituximab, cyclophosphamide, doxorubicin (Adriamycin), vincristine (Oncovin®), and prednisone) as the standard of care, which was later changed to R-CODOX-M/R-IVAC protocol (rituximab, cyclophosphamide, vincristine (Oncovin®), doxorubicin, and high-dose methotrexate alternating with rituximab, ifosfamide, etoposide, and high-dose cytarabine) due to inadequate response. Due to the refractory aggressive nature of the disease, subsequent decision of the multidisciplinary team was salvage chemotherapy and autologous stem cell transplant. The aim of this case report was to describe and evaluate the clinical presentation and important radiological features of extranodal lymphoma affecting the musculoskeletal system.


Author(s):  
Ramakrishnan Narayanaswamy

<p class="abstract"><span lang="EN-US">Lingual Thyroid is a rare developmental anomaly. It is the most common benign mass found at the junction of the anterior two third and the posterior one third of the tongue. It requires to be excised if it becomes symptomatic by becoming a goiter. It is usually treated medically by thyroxin suppression therapy. However, in cases where the response to medical treatment is poor, it can be excised or transposed. We present a case report of a 28-year-old female with Lingual thyroid who underwent a novel surgical cervical transposition procedure with good result.</span></p>


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