Radioopaque Intrahepatic Duct Stones in Plain Radiograph: Case Report

Juvenile Psammomatoid Ossifying Fibromais a rare fibro-osseous tumor seen in children and adolescentand mostly arising from the cranio-facial bone.We report a case of 18-year-old boy who presented with diplopiaand progressive right fronto-orbital swelling. On plain radiograph and CT, it was diagnosed as fibrous dysplasiaand mucocele as differential diagnosis. The tumor was resected and histopathological examination showed psammomatoid features. Therefore, the diagnosis of Juvenile Psammomatoid Ossifying Fibroma must be based on both radiological and histopathological findings.

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ULTRASOUND FOR THE DETECTION OF VEGETATIVE FOREIGN BODY IN HAND — A CASE REPORT

Hand Surgery ◽

10.1142/s021881040400198x ◽

2004 ◽

Vol 09 (01) ◽

pp. 83-87 ◽

Cited By ~ 10

Author(s):

Y. T. Hung ◽

L. K. Hung ◽

J. F. Griffith ◽

C. H. Wong ◽

P. C. Ho

Keyword(s):

Case Report ◽

Foreign Bodies ◽

Soft Tissues ◽

Plain Radiograph ◽

Skin Wounds ◽

Organic Substances ◽

Penetrating Injuries ◽

Orthopaedic Practice ◽

Proper Role

Foreign bodies in soft tissues are commonly encountered in daily orthopaedic practice. While most of the metals and glass foreign bodies can be detected by plain radiograph, organic substances such as wood and vegetative materials are radiolucent. Unfortunately, these radiolucent foreign bodies are usually more prone to cause an inflammatory reaction and infection. The detection can be even more difficult in cases of multiple foreign bodies and in penetrating injuries with small innocuous skin wounds. Ultrasonography is a sensitive and reliable investigation for detection of foreign bodies in soft tissue. We present a case of penetration injury to thumb with residual radiolucent foreign bodies and demonstrate the proper role of ultrasonography in the management of foreign bodies in soft tissues.

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Bilateral Severe Genu Varum in Dyggve-Melchior-Clausen Syndrome – A Case Report

Journal of Orthopaedic Case Reports ◽

10.13107/jocr.2021.v11.i08.2378 ◽

2021 ◽

Vol 11 (8) ◽

Author(s):

Amit Kumar Yadav ◽

Farokh Wadia ◽

Sangeet Gawhale ◽

Sameer Panchal ◽

Pritam Talukder ◽

...

Keyword(s):

Mental Retardation ◽

Case Report ◽

Family History ◽

Autosomal Recessive ◽

Iliac Crest ◽

Plain Radiograph ◽

Genu Varum ◽

Radiological Sign ◽

Recessive Type ◽

Spondyloepimetaphyseal Dysplasia

Introduction: Dyggve-Melchior-Clausen (DMC) syndrome was described in 1962 as an autosomal recessive type of spondyloepimetaphyseal dysplasia associated with mental retardation. Dymeclin (DYM) gene on chromosome 18q12.1 that encodes for DYM protein which is expressed in cartilage, bone, and brain is mutated in DMC. Case Report: A 6 year -old male child presented with bilateral gradually progressive genu varum deformity of 4 years’ duration. There was no significant past medical and family history. A plain radiograph of his knee, pelvis, and spine shows some classical signs of skeletal dysplasia. A plain radiograph of the pelvis with both hips shows a classical semilunar, irregular lacy appearance around the iliac crest which is a pathognomonic radiological sign of this syndrome. Conclusion: The radiographic lacy appearance of iliac crests and generalized platyspondyly with double-humped end plates are pathognomonic of DMC. Keywords: Genu varum, Dyggve-Melchior-Clausen syndrome, spondyloepimetaphyseal dysplasia.

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Pneumomediastinum, subcutaneous emphysema and pneumorrhachis following cocaine insufflation: a case report

Acute Medicine Journal ◽

10.52964/amja.0820 ◽

2020 ◽

Vol 19 (3) ◽

pp. 154-158

Author(s):

Jill Burns ◽

◽

Allen Roby ◽

Tom Jaconelli ◽

◽

...

Keyword(s):

Case Report ◽

Subcutaneous Emphysema ◽

Illicit Drug ◽

Plain Radiograph ◽

Posterior Mediastinum ◽

Valsalva Manoeuvre ◽

Computerised Tomography ◽

Coronary Syndrome ◽

Rapid Absorption ◽

The Uk

A case report on a 36-year-old male patient presenting to the emergency department (ED) with chest tightness, nasal sounding voice and subcutaneous emphysema 72 hours after the nasal insufflation of approximately 0.5g of cocaine. A plain radiograph of the chest demonstrated an extensive pneumomediastinum with subcutaneous emphysema extending into his neck. A computerised tomography (CT) scan confirmed the above findings, along with a pneumorrhachis of the thoracic spine. He was admitted locally for further investigation and observation. Cocaine is the second most used illicit drug in the UK. The associated complications of cocaine can vary from acute coronary syndrome to acute psychosis. Pulmonological trauma secondary to cocaine misuse is commonly associated with inhalation of cocaine; we present this rare case of subcutaneous emphysema, pneumomediastinum and pneumorrhachis secondary to nasal insufflation. It is believed that deep nasal insufflation of cocaine is followed by forceful Valsalva manoeuvre, which allows for the rapid absorption of the drug and increases the euphoric effect. This forceful inhalation can lead to barotrauma and leakage of air into the posterior mediastinum.

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End-Range Mobilization Techniques in Adhesive Capsulitis of the Shoulder Joint: A Multiple-Subject Case Report

Physical Therapy ◽

10.1093/ptj/80.12.1204 ◽

2000 ◽

Vol 80 (12) ◽

pp. 1204-1213 ◽

Cited By ~ 98

Author(s):

Henricus M Vermeulen ◽

Wim R Obermann ◽

Bart J Burger ◽

Gea J Kok ◽

Piet M Rozing ◽

...

Keyword(s):

Case Report ◽

Range Of Motion ◽

Sagittal Plane ◽

Glenohumeral Joint ◽

Adhesive Capsulitis ◽

Plain Radiograph ◽

Shoulder Function ◽

Joint Mobility ◽

Lateral Rotation

Abstract Background and Purpose. The purpose of this case report is to describe the use of end-range mobilization techniques in the management of patients with adhesive capsulitis. Case Description. Four men and 3 women (mean age=50.2 years, SD=6.0, range=41–65) with adhesive capsulitis of the glenohumeral joint (mean disease duration=8.4 months, SD=3.3, range= 3–12) were treated with end-range mobilization techniques, twice a week for 3 months. Indexes of pain, joint mobility, and function were measured by the same observer before treatment, after 3 months of treatment, and at the time of a 9-month follow-up. In addition, arthrographic assessment of joint capacity (ie, the amount of fluid the joint can contain) and measurement of range of motion of glenohumeral abduction on a plain radiograph were conducted initially and after 3 months of treatment. Outcomes. After 3 months of treatment, there were increases in active range of motion. Mean abduction increased from 91 degrees (SD=16, range=70–120) to 151 degrees (SD=22, range=110–170), mean flexion in the sagittal plane increased from 113 degrees (SD=17, range=90–145) to 147 degrees (SD=18, range=115–175), and mean lateral rotation increased from 13 degrees (SD=13, range=0–40) to 31 degrees (SD=11, range=15–50). There were also increases in passive range of motion: Mean abduction increased from 96 degrees (SD=18, range=70–125) to 159 degrees (SD=24, range 110–180), mean flexion in the sagittal plane increased from 120 degrees (SD=16, range=95–145) to 154 degrees (SD=19, range=120–180), and mean lateral rotation increased from 21 degrees (SD=11, range=10–45) to 41 degrees (SD=8, range=35–55). The mean capacity of the glenohumeral joint capsule (its ability to contain fluid) increased from 10 cc (SD=3, range=6–15) to 15 cc (SD=3, range=10–20). Four patients rated their improvement in shoulder function as excellent, 2 patients rated it as good, and 1 patient rated it as moderate. All patients maintained their gain in joint mobility at the 9-month follow-up. Discussion. There seems to be a role for intensive mobilization techniques in the treatment of adhesive capsulitis. Controlled studies regarding the effectiveness of end-range mobilization techniques in the treatment of adhesive capsulitis are warranted.

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Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report

Annals of Pediatric Surgery ◽

10.1186/s43159-020-00049-5 ◽

2020 ◽

Vol 16 (1) ◽

Author(s):

Gilang Vigorous Akbar Eka Candy ◽

Supangat Supangat

Keyword(s):

Case Report ◽

Physical Examination ◽

Plain Radiograph ◽

Outlet Obstruction ◽

Duodenal Atresia ◽

Significant Morbidity ◽

Case Presentation ◽

Distended Abdomen ◽

Infant Case ◽

Infants And Young Children

Abstract Background Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileo-cecal, while jejuno-jejunal and ileo-ileal combined contribute only 2.5% of the cases. Case presentation A 5-day-old child presented with recurrent non-bilious vomiting since birth. Physical examination revealed a slightly distended abdomen. A plain radiograph revealed a countable bubble appearance. The initial clinical diagnosis was gastric outlet obstruction. During surgery, we discovered multiple ileo-ileal intussusception associated with duodenal atresia. We manually reduced the intussusceptions and bypassed the duodenal atresia using Kimura’s procedure. We did not find any significant morbidity in the post-operative phase. Conclusion Multiple ileo-ileal intussusception rarely associates with duodenal atresia. In our case report, the intussusceptions might be indirectly caused by duodenal atresia through various pathophysiology. Other unusual findings also supported this suggestion.

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An Unexpected Image on Plain Radiograph in a Child with Abdominal Complaints: A Case Report

Turkish Journal of Pediatric Emergency and Intensive Care Medicine ◽

10.4274/cayd.galenos.2018.02486 ◽

2020 ◽

Vol 7 (1) ◽

pp. 30-33

Author(s):

Nilgün Erkek ◽

Latife Öz ◽

Meryem Keçeli Başaran ◽

Gökhan Arslan

Keyword(s):

Case Report ◽

Plain Radiograph

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Type II Proximal Focal Femoral Deficiency in a Three-Year-Old Female: A Case Report

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/43260.14104 ◽

2020 ◽

Author(s):

Muhammad Baba Sule ◽

Ibrahim Haruna Gele ◽

Yakubu Bababa Shirama ◽

Muhammad Abacha

Keyword(s):

Case Report ◽

Lower Limb ◽

Plain Radiograph ◽

Limb Length Discrepancy ◽

Lower Limbs ◽

Coxa Vara ◽

Type Ii ◽

Male Ratio ◽

Abnormal Gait ◽

Apparent Loss

Proximal Focal Femoral Deficiency (PFFD) is a term used to describe a condition where the femur is short and associated with an apparent loss of continuity between the shaft and neck. PFFD is reported as an uncommon but complex clinical condition. This was commonly grouped with other disorders like coxa vara and short bowel tumours. This has a female to male ratio of 2:1 and an incidence of 1 case per 50,000 population to 1 case per 200,000 population. This is a case report of a three-year-old female that was referred for plain radiograph of the lower limbs on account of limb-length discrepancy and abnormal gait. The plain pelvic and lower limb radiograph showed a markedly shortened femur with non-demonstration of the femoral head and neck. There was a vertically oriented acetabula fossa with altered acetabula and iliac angles. The patient is currently managed conservatively mainly by reassurance and use of crutches.

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