scholarly journals Case Report: Trochlear Wedge Sulcoplasty, Tibial Tuberosity Transposition, and Lateral Imbrication for Correction of a Traumatic Patellar Luxation in a Miniature Companion Pig: A Case Report and Visual Description

2021 ◽  
Vol 7 ◽  
Author(s):  
Jennifer Høy-Petersen ◽  
Joe S. Smith ◽  
Paul T. Merkatoris ◽  
Kelley E. Black ◽  
Cosette M. Faivre ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Repair ◽  
Treatment Plan ◽  
Operative Management ◽  
Tibial Tuberosity ◽  
Therapy Regimen ◽  
Pelvic Limb ◽  
Grade 3 ◽  
Visual Description ◽  
The Right

The objective of this case report was to describe successful surgical and post-operative management of a medial patellar luxation in a Vietnamese Potbellied Pig. A two-year old, castrated, Vietnamese Potbellied Pig presented to a veterinary teaching hospital for right pelvic limb lameness of 2 weeks duration. Upon physical examination a grade 3 patellar luxation was diagnosed on the right pelvic limb. Surgical repair included a trochlear wedge sulcoplasty, tibial tuberosity transposition, and lateral imbrication as described for canine patellar luxation. The pig was managed post-operatively with meloxicam and a physical therapy regimen of seven weeks duration. At recheck examination the pig was sound, no complications were observed, and the owners were satisfied with the outcome. As miniature companion pigs, such as Vietnamese Potbellied Pigs are currently increasing in popularity as pets, this case demonstrated that comparative techniques from other veterinary species should be considered when considering a treatment plan for a pig with a medial patellar luxation.

scholarly journals Ruptured Bilateral Pericallosal Artery Aneurysm in Mirror Position: Case Report

2018 ◽  
Vol 37 (03) ◽  
pp. 263-266
Author(s):  
Lucas Meguins ◽  
Linoel Valsechi ◽  
Ronaldo Fernandes ◽  
Dionei Morais ◽  
Antonio Spotti
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
External Ventricular Drain ◽  
Artery Aneurysm ◽  
Operative Management ◽  
Neurological Deficits ◽  
Pericallosal Artery ◽  
Digital Subtraction Arteriography ◽  
The Many ◽  
The Right

Introduction Pericallosal artery (PA) aneurysms represent 2 to 9% of all intracranial aneurysms, and their management remains difficult. Objective The aim of the present study is to describe the case of an adult woman with subarachnoid hemorrhage and bilateral PA aneurysm in mirror position. Case Report A 46-year-old woman was referred to our institution 20 days after a sudden severe headache. She informed that she was treating her arterial hypertension irregularly, and consumed ∼ 20 cigarettes/day. The patient was neurologically intact at admission. A non-contrast computed tomography (CT) on the first day of the onset of the symptoms revealed hydrocephaly and subarachnoid hemorrhage (Fisher III). An angio-CT/digital subtraction arteriography showed bilateral PA aneurysms in mirror position. The patient was successfully treated with surgery via the right interhemispheric approach (because the surgeon is right-handed); the surgeon performed the proximal control with temporary clipping, and introduced an external ventricular drain at the end of the surgery. The patient was discharged on the fourth postoperative day without any additional neurological deficits or ventricular shunts. Conclusion Ruptured PA aneurysm is a surgically challenging aneurysm due to the many anatomical nuances and risk of rebleeding. However, the operative management of ruptured bilateral PA aneurysms is feasible and effective.

Posttraumatic intercostal pulmonary herniation – case report

2021 ◽  
Vol 100 (5) ◽  
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Surgical Repair ◽  
Lung Parenchyma ◽  
Trauma Centre ◽  
Lower Limbs ◽  
Left Femur ◽  
Wall Defect ◽  
The Right ◽  
Car Accident

Introduction: Pulmonary hernias are rare conditions, most are the results of an injury or previous thoracic surgery. Case report: We present a case of a 48-year-old woman injured in a car accident. The examination in the trauma centre revealed a chest injury with herniation of the lung parenchyma into the chest wall and fractures of long bones of lower limbs. Initially, an osteosynthesis of the left femur and the right tibia fracture were performed. The patient underwent a subsequent surgery to repair the pulmonary hernia. Conclusion: A pulmonary hernia is diagnosed either directly during a clinical examination or by imaging. A sovereign diagnostic method is a computed tomography. The method of treatment is a surgical repair with primary suture of the chest wall defect or implantation of a mesh to repair the pulmonary hernia.

scholarly journals Ectopic Teeth in Ovarian Teratoma: A Rare Appearance

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Yashwant Ingale ◽  
Akhil A. Shankar ◽  
Samapika Routray ◽  
Manoj Agrawal ◽  
Ajit Kadam ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Diagnostic Techniques ◽  
Ovarian Teratoma ◽  
Germ Layers ◽  
The Right

Teratoma consists of tissues derived from all the three germ layers, and there may be presence of appendages as a representation of these germ layers as well. Teratomas of the ovary are known to occur in a fairly large number of women. These may be present clinically at a much later stage, permitting a limited treatment plan. Newer diagnostic techniques are always welcome in identifying these lesions. This case report discusses the case of a 40-year-old woman with a large teratoma in the right ovary and its diagnostic and surgical modalities.

scholarly journals Post Endoscopic Retrograde Cholangiopancrea-Togram (ERCP) Perforation Managed Successfully Conservatively: A Case Report

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Abdul Malek Mohamad ◽  
Azrin Waheedy Ahmad ◽  
Junaini Kasian
Keyword(s):  
Case Report ◽  
Early Recognition ◽  
Hepatic Duct ◽  
Operative Management ◽  
Free Fluid ◽  
Contrast Extravasation ◽  
Distal Common Bile Duct ◽  
Cbd Stone ◽  
The Right ◽  
Non Operative Management

Introduction: We aim to report an uncommon case of post ERCP perforation that effectively managed conservatively in non-hepatobiliary surgery centre. Case report: A 46-year-old man diagnosed to have obstructive jaundice secondary to distal common bile duct (CBD) stone. He underwent ERCP at a private centre, sphincterotomy was performed, but, the operator had failed to insert the stent and complicated with post ERCP perforation evidenced by contrast extravasation beyond 1/3rd of the CBD and referred to our centre. Patient was subjected for re ERCP. There were difficulties in cannulating the CBD and stent was inserted. Cholangiogram revealed contrast leak around the pancreatic duct and bifurcation of hepatic duct. There was no evidence of CBD stone. Computed Tomography (CT) of the abdomen revealed extensive subcutaneous emphysema on the right side of the abdomen to right inguinal region, extensive retroperitoneal free air and pneumoperitoneum, but there were no free fluid or contrast extravasation. The patient subjected for non-operative management (NOM) for the complication and kept fasting with total parenteral nutrition and intravenous antibiotic. He recovered well with the opted management. Patient was programmed with Gastrograffin study after 10 days that showed no evidence of contrast leak to suggest free bowel injury. He was allowed orally after that and was discharged well after 15 days with stent in situ. During follow up, he was well, and the stent removed after 3 months. Patient planned for laparoscopic cholecystectomy and on table cholangiogram. Conclusion:  Post ERCP perforation is uncommon but lethal. Early recognition of the complication is crucial hence appropriate management can be arranged to avoid death. To date, surgery is not the only choice available to manage this complication.

scholarly journals A Case Report: Rare Anomaly of a Single Coronary Artery Arising from the Right Aortic Sinus of Valsalva

2020 ◽  
Vol 1 (1) ◽  
pp. 58-64
Author(s):  
Kassem Farhat ◽  
Jean Dib ◽  
Antoine El Khoury ◽  
Alain Asmar
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Early Recognition ◽  
Treatment Plan ◽  
Anatomical Variation ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
Blood Tests ◽  
The Right

Background: Single Coronary Artery (SCA) is a rare, most commonly asymptomatic, congenital anomaly which is usually discovered incidentally during investigations. This entity consists of a single coronary artery supplying the entire myocardium. It may be classified based on the origin and the course of the artery. Depending on the patient's presentation and its severity, medical or invasive interventions may be warranted. Case Report: A 65-year-old female patient known to have diabetes and hypertension presented to our emergency department with chest pain and discomfort. Blood tests and electrocardiography (ECG) showed no significant abnormalities, but on coronary angiography, we suspected an anatomical variation. Computed tomography angiography (CTA) confirmed our suspicion revealing a single coronary artery supplying the entire myocardium and arising from the right sinus of Valsalva. The patient received medical therapy and was discharged home. Conclusion: We presented this case of Single Coronary Artery due to the rarity of this diagnosis. Presentation, treatment plan, and prognosis typically vary depending on the subtype of the anomaly. Early recognition is very important, especially in young adults.

scholarly journals Bifocal Disruption of the Patellar Tendon with Avulsion of the Tibial Tuberosity: A Case Report

2020 ◽  
Vol 14 (1) ◽  
pp. 120-124
Author(s):  
Takuya Sekiguchi ◽  
Yoshihiro Hagiwara ◽  
Masahito Honda ◽  
Eiji Itoi
Keyword(s):  
Case Report ◽  
Patellar Tendon ◽  
Fibrous Tissue ◽  
Knee Extensor ◽  
Superficial Layer ◽  
Left Knee ◽  
Tibial Tuberosity ◽  
First Case ◽  
Deep Layers ◽  
The Right

Introduction: Bifocal disruption of the knee extensor system is rare. Coincident bifocal proximal and distal disruptions of the patellar tendon are extremely rare in adults. Case Report: A 38-year-old man presented to our clinic with severe right knee pain after falling down the stairs and abruptly bending the right knee. Plain radiographs of this knee showed tibial avulsion and a high riding patella, suggesting underlying Osgood-Schlatter disease, which was also present to a milder degree in the left knee. Magnetic resonance imaging confirmed an avulsion of the tibial tuberosity and showed concomitant avulsion of the patellar tendon without bone marrow edema. Computed tomography showed that the fragment of the tibial tuberosity had a dull-edged margin, and cortical bones were partially exposed. During surgery, the patellar tendon was divided into superficial and deep layers. The superficial layer was peeled from an attachment at the patella, while the deep layer was from the tibia and contained the fragment of the tibial tuberosity. The detached side of the fragment and tibia were coated with dense, fibrous tissue. Surgical repair was performed, with excellent outcomes. Radiographic and intraoperative findings suggested Osgood-Schlatter disease, which might cause avulsion of the tibial tuberosity. Conclusion: This is the first case of the bifocal proximal and distal rupture of the patellar tendon with the avulsion of the tibial tuberosity. Bifocal disruption of the patellar tendon should be considered in patients presenting with avulsion of the tibial tuberosity and suspected Osgood-Schlatter disease.

scholarly journals Case Report of a Giant Adrenal Myelolipoma in a Patient with Sickle Cell Anaemia

2021 ◽  
pp. 88-93
Author(s):  
Udochikwuka Patience Ikejiaku ◽  
Chidinma Adaobi Udah ◽  
Johnpatrick Uchenna Ugwoegbu ◽  
Emeka Nwolisa
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Sickle Cell ◽  
Sickle Cell Anaemia ◽  
Imaging Techniques ◽  
Vena Cava ◽  
Operative Management ◽  
Lumbar Region ◽  
Adrenal Myelolipoma ◽  
The Right

Adrenal myelolipomas (AMLs) are rare benign adrenal tumours containing adipose and hematopoietic tissue as a result of reticuloendothelial cell metaplasia. In this case report, we describe the diagnostic evaluation and the operative management of a giant adrenal myelolipoma in a 14-year-old male who has sickle cell anaemia. He presented with a one-week history of bilateral leg swelling. A physical examination revealed a mass in the right lumbar region. Ultrasound of the abdomen revealed a well-defined rounded echo-complex encapsulated supra-renal mass impinging on the upper pole of the right kidney, displacing it downwards. There was also marked compression of the inferior vena cava. A computed tomography scan showed a large mass occupying the right adrenal gland. The patient had an exploratory laparotomy with excision of the right adrenal tumour. Histopathological (Immunohistochemistry) evaluation of the mass confirmed the diagnosis of adrenal myelolipoma. The diagnosis of an adrenal myelolipoma requires a good history, physical examination, a high index of suspicion, imaging techniques, and a thorough histopathological evaluation. Surgery is the main treatment modality and good post-operative management minimizes complications and guarantees rapid recovery.

scholarly journals Early detection of odontoma in patients with clinical features of periodontal disease: a case report

2019 ◽  
Vol 1 (1) ◽  
pp. 5
Author(s):  
Febri EN Tetelepta ◽  
Andi M. Adam
Keyword(s):  
Chronic Periodontitis ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Treatment Options ◽  
Initial Therapy ◽  
Curative Therapy ◽  
Probing Depth ◽  
Grade 3 ◽  
Severity Of The Disease ◽  
The Right

Objective: Chronic periodontitis is an infection of the gingiva that causes damage to the soft tissues and tooth-supporting bones. Chronic periodontitis is usually a slowly progressive disease that does not cause the affected individual to feel pain. For most patients, gingival bleeding during oral cleansing procedures is a sign of reported disease. Odontoma is an odontogenic tumor, characterized by slow growth. The tumor consists of enamel, dentin, cementum and sometimes pulp tissue.Methods: A 38-year-old male patient complaints swollen gums on the right upper back region. Clinical examination showed the presence of gingiva swelling, fistula, and grade 3 teeth mobility. In the systemic condition of the patient, malaise, fever and lymphadenopathy were not found. The treatment plan includes subgingival scaling treatment as well as antibiotic therapy as initial therapy. Advanced treatment is then continued with curative therapy with surgical extirpation, periodontal surgery and bone graft.Results: The success of treatment is shown by controlled inflammatory as well as probing depth. The condition of the teeth and the dental-jaw relationship has been restored after treatment.Conclusions: Chronic periodontitis with odontoma indicates treatment options according to the severity of the disease, access to mechanical care, and the patient's systemic condition.Keywords: Bone grafting, Gingival overgrowth, Odontoma, Surgical flap.

scholarly journals Pleomorphic Adenoma of Neck: Case Report

2021 ◽  
pp. 54-58
Author(s):  
Deepankar Shukla ◽  
Nitin Bhola
Keyword(s):  
Case Report ◽  
Pleomorphic Adenoma ◽  
Treatment Plan ◽  
Salivary Gland Tumor ◽  
Surgical Removal ◽  
Tumour Mass ◽  
Gland Tumor ◽  
Pleomorphic Adenomas ◽  
The Face ◽  
The Right

Pleomorphic adenomas are benign tumour of the salivary glands that mostly affect the parotid gland. The tumor's "pleomorphic" form can be explained by its epithelial and connective tissue origins. Females between the ages of 30 and 50 are more likely to get the tumour. The tumour usually presents as asymptomatic swelling that progresses slowly. The majority of treatment is surgical removal of the tumour mass, with special attention paid to preserving the facial nerve. This is a case report of a 42-year-old female patient who had a pleomorphic adenoma of the submandibular gland. On the right side of the face, the patient had a slowly growing asymptomatic swelling. Pleomorphic adenoma is the commonest salivary gland tumor characterized by  diverse  histomorphological  features.  Early diagnosis and treatment plan entails thorough history taking, clinical examination, coupled with radiographic and histopathological findings.

scholarly journals Antebrachial microvascular flap for reconstruction of the pelvic limb: case report

2019 ◽  
Vol 7 (5) ◽  
pp. 1952
Author(s):  
Rodrigo Banegas-Ruiz ◽  
Alan I. Valderrama-Treviño ◽  
J. A. Rivas-Montero ◽  
F. F. Gómez-Mendoza ◽  
E. García-Martínez ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
High Energy ◽  
Healing Time ◽  
Surgical Approaches ◽  
High Energy Trauma ◽  
Microvascular Flap ◽  
Pelvic Limb ◽  
The Right ◽  
Key Aspects

Complex defects in the soft tissues of the foot and ankle caused by high-energy trauma, infection, cancer or diabetes require rapid and effective treatment which decreases the risk of infection, bone healing time, hospital stay and number total of surgical approaches. Authors report a clinical case of a 23-year-old female patient who suffers high-energy trauma due to a motorcycle accident which causes exposure of the distal third of the tibia, loss of the tibial joint face, and loss of tissue throughout the region of the malleolus medial of the right pelvic extremity. Tissue transfer to the pelvic limb is performed using left contralateral radial antebrachial free flap as donor area. This case report aims to emphasize the key aspects of the high energy trauma approach by using microvascular flaps, as well as the satisfactory evolution of the patient that directly affects the prognosis for life and function.

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