scholarly journals Luxation of Eye Ball Following Trauma - A Rare Case Presentation

2011 ◽  
Vol 51 (182) ◽  
Author(s):  
R Thapa
Keyword(s):  
Rare Case ◽  
Vision Loss ◽  
Relevant Literature ◽  
Rare Event ◽  
Minor Trauma ◽  
Visual Recovery ◽  
Rare Presentation ◽  
Case Presentation ◽  
Healthy Eyes

Luxation of the eye globe is a rare event but it carries a risk of threat to permanent vision loss if appropriate intervention is not initiated on time. Although a rare presentation following minor trauma, it is usually associated with other ocular conditions like shallow orbital socket, oppy eyelid syndrome, and exophthalmos. Prompt reduction results in restoration of full anatomical and visual recovery in otherwise healthy eyes. We herein report a case of luxation of the eye ball following trauma in a 15-year-old girl, who recovered completely after the surgrical correction and a review of the relevant literature. Keywords: eye ball, luxation, trauma  

A rare case of spontaneous haemothorax in patient with haemophilia A

2021 ◽  
Vol 14 (4) ◽  
pp. e242412
Author(s):  
Suthaphong Tripoppoom ◽  
Nophol Leelayuwatanakul
Keyword(s):  
Chest Pain ◽  
Rare Case ◽  
Rare Event ◽  
Haemophilia A ◽  
Minor Trauma ◽  
Conservative Approach ◽  
Pleuritic Chest Pain ◽  
Good Clinical Outcome ◽  
History Of

Haemorrhage in patients with haemophilia is common after minor trauma but may occur spontaneously. Despite the diversity of bleeding sites, spontaneous haemothorax, on a non-traumatic basis, is an exceedingly rare event and only a few cases had been reported. We present a case of a 43-year-old man with a history of haemophilia A who had pleuritic chest pain for 1 day without significant history of trauma. Diagnostic thoracentesis showed bloody pleural fluid in which neither abnormal cell nor organism was found. He was treated by cryoprecipitate replacement and therapeutic thoracentesis for releasing haemothorax. After discharge, the patient returned for follow-up with complete radiological resolution. Regarding the consequences of retained haemothorax from conservative approach and the procedure-related bleeding of given therapeutic intervention in haemothorax making its management in patients with haemophilia to be more challenging. Our case illustrates a conservative treatment of spontaneous haemothorax in patient with haemophilia resulting in a good clinical outcome.

scholarly journals A rare presentation of giant cystic retroperitoneal teratoma in adult; A case report.

2019 ◽  
Vol 26 (10) ◽  
pp. 1805-1809
Author(s):  
Imran Aslam ◽  
Balakhsher Zaman ◽  
Mohammad Sohail Asghar
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Rare Case ◽  
Clinical Presentation ◽  
Middle Age ◽  
Thyroid Tissue ◽  
Rare Presentation ◽  
Case Presentation ◽  
Retroperitoneal Teratoma ◽  
Abdominal Fullness

Teratoma are bizarre tumors of germ cell and are usually present in testis and ovaries and contains structures like hairs, teeth, bone, thyroid tissue or more complex organs. Retroperitoneal occurrence is an uncommon site of presentation. They are usually present in childhood and rarely in adults. Here we are discussing a rare case presentation of middle age female, presented with abdominal fullness and pain which later diagnosed as retroperitoneal teratoma on CT scan. Clinical presentation, workup, surgical management, and outcome is discussed in this study.

scholarly journals Scrotal calculi with delayed urethroscrotal fistula: a rare case presentation with literature review

2019 ◽  
Vol 6 (6) ◽  
pp. 2225
Author(s):  
Ramesh K. Aggarwal
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Clinical Presentation ◽  
Surgical Excision ◽  
Clinical Suspicion ◽  
Scrotal Skin ◽  
Rare Presentation ◽  
Case Presentation ◽  
Scrotal Swelling ◽  
Urethral Stone

Scrotal calculi are not so common entity in the clinical presentation. Scrotourethral fistula is an abnormal communication between scrotal skin and the urethra, usually result of the inflammation and due to perforation by urethral calculi and sometimes iatrogenic due to surgery done for urethral stone removal or uretheroplasty. We present here a very rare case of young adult gentleman who initially presented with a scrotal swelling, turned out into scrotal calculi while doing surgical excision, later on presented as uretheroscrotal fistula that managed conservatively. After going through the available literature and through the pub med articles (approx 148 articles while searching with titles of ‘scrotal calculi’, ‘scrotourethral fistula’, ‘uretherocutaneous fistula’) we found only 1-2 cases of scrotourethral fistula. A high index of clinical suspicion and examination is needed to diagnose such asymptomatic rare presentation cases.

scholarly journals Rhabdomyosarcoma of urethra a rare case presentation

2016 ◽  
Vol 19 (1) ◽  
pp. 31-33
Author(s):  
N. Thapa ◽  
B.B. Thapa ◽  
B.B. Bhandari ◽  
B.K. Hamal
Keyword(s):  
Rare Case ◽  
Radical Surgery ◽  
Rare Presentation ◽  
Case Presentation ◽  
History Of

Rhabdomyosarcoma of urethra is extremely a rare presentation. Only few cases were found documented and published in literature. We present a case of rhabdomyosarcoma in the urethra presenting with history of gross heamaturia. Diagnosis of this case was made cystoscopically and confirmed by histopathologically. Complete radical surgery followed by six cycle chemotherapy was given in this case.

scholarly journals Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication

2020 ◽  
Vol 4 (3) ◽  
pp. 472-473
Author(s):  
Jagdipak Heer ◽  
Sean Heavey ◽  
Daniel Quesada ◽  
Phillip Aguìñiga-Navarrete ◽  
Madison Garrett ◽  
...  
Keyword(s):  
Emergency Department ◽  
Vision Loss ◽  
Corneal Stroma ◽  
Physical Exam ◽  
Ocular Injury ◽  
Corneal Ulceration ◽  
Rare Presentation ◽  
Case Presentation ◽  
Incidental Diagnosis ◽  
Methamphetamine Use

Case Presentation: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. Discussion: Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision.

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

scholarly journals A rare case of Pseudomonas aeruginosa bacteremia in a newborn with 58 perforations in the small intestine

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuanyuan Xu ◽  
Danqun Jin ◽  
Huan Ye ◽  
Youfeng Liang
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Small Intestine ◽  
Early Detection ◽  
Abdominal Surgery ◽  
Rare Case ◽  
Venous Blood ◽  
Case Presentation ◽  
Systemic Infections ◽  
Emergency Abdominal Surgery ◽  
Timely Treatment

Abstract Background Community-acquired infections of Pseudomonas aeruginosa (P. aeruginosa) occur very rarely. Case presentation P. aeruginos was detected in cultures of venous blood and peritoneal exudate of a newborn with 58 perforations in the small intestine. Intravenous administration of imipenem cilastratin sodium and emergency abdominal surgery were performed. The patient fully recovered and was discharged 17 days after the operation. Conclusions Mild symptoms of systemic infections in newborns may delay the diagnosis. Early detection and timely treatment are the key to improved prognosis.

scholarly journals Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review

2021 ◽  
Vol 07 (03) ◽  
pp. e124-e126
Author(s):  
Mark Portelli ◽  
Mark Bugeja ◽  
Charles Cini
Keyword(s):  
Computed Tomography ◽  
Young Adult ◽  
Rare Case ◽  
Surgical Repair ◽  
Bochdalek Hernia ◽  
Case Presentation ◽  
Atypical Case ◽  
Accident And Emergency ◽  
History Of ◽  
Accident And Emergency Department

Abstract Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect. Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh. Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.

scholarly journals Emphysematous pyelonephritis with air bubble in the inferior vena cava

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem
Keyword(s):  
Septic Shock ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Presentation ◽  
Emphysematous Pyelonephritis ◽  
Case Presentation ◽  
Air Bubble ◽  
First Case ◽  
The Right

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.

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