scholarly journals Autopsy Findings in Case of Fatal Scorpion Sting: A Systematic Review of the Literature

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 325
Author(s):  
Alessandro Feola ◽  
Marco Alfonso Perrone ◽  
Amalia Piscopo ◽  
Filomena Casella ◽  
Bruno Della Pietra ◽  
...  
Keyword(s):  
Complex Structure ◽  
Correct Diagnosis ◽  
Scorpion Venom ◽  
Public Health Issue ◽  
Review Of The Literature ◽  
Scorpion Sting ◽  
Local Effects ◽  
Autopsy Findings ◽  
Venom Glands ◽  
Acidic Proteins

Scorpion sting is a public health issue in several countries, particularly in America, the Middle East, India and Africa. The estimated annual global incidence of scorpion envenomings is about 1.5 million, resulting in 2600 deaths. Scorpions are Arthropoda characterized by a tail ending in a terminal bulbous (telson) containing paired venom glands and the stinger. There are 19 known families of scorpions and more than 2200 species, of which about 50 from the families of Buthidae, Hemiscorpiidae and Scorpionidae are harmful to humans. Scorpion venom is a complex structure composed of neurotoxic proteins, salts, acidic proteins and organic compounds, thereby having neurologic, cardiovascular, hematologic and renal side effects, in addition to local effects such as redness, pain, burning and swelling. When the sting is fatal, the mechanism of death is often related to cardiotoxicity with terminal pulmonary edema. However, the cholinergic excess or the neuromuscular excitation can provoke respiratory failure. Sometimes, death is due to an anaphylactic reaction to the envenoming. The purpose of this literature review is to evaluate the autopsy findings in scorpion sting-related deaths in order to better understand the pathophysiological mechanisms underlying them, thus helping pathologists in defining the correct diagnosis.

Thrombosed Urethral Prolapse: a case series and review of the literature

2021 ◽  
pp. 205141582110328
Author(s):  
Abisola Oliyide ◽  
Ijeoma Chibuzo ◽  
Magda Kujawa
Keyword(s):  
Clinical Condition ◽  
Correct Diagnosis ◽  
Age Distribution ◽  
Case Series ◽  
Review Of The Literature ◽  
Level Of Evidence ◽  
Case Presentation ◽  
Urethral Prolapse ◽  
Evidence Level

Thrombosed urethral prolapse is a rare clinical condition. In this context, we describe our experience and compare our findings with the literature, following presentation of five consecutive cases over 2 years. This will hopefully improve awareness and appropriateness of specialty referrals as a correct diagnosis is rarely established prior to the patient being seen by a urologist. We also wish to highlight a case presentation of thrombosed urethral prolapse outside the bimodal age distribution which has been recorded in the literature. Level of Evidence: Level 4

Hemorrhagic Periventricular Leukomalacia: Diagnosis by Real Time Ultrasound and Correlation with Autopsy Findings

PEDIATRICS ◽  
1982 ◽  
Vol 69 (3) ◽  
pp. 282-284 ◽  
Author(s):  
Alan Hill ◽  
G. Leland Melson ◽  
H. Brent Clark ◽  
Joseph J. Volpe
Keyword(s):  
White Matter ◽  
Real Time ◽  
Intraventricular Hemorrhage ◽  
Periventricular Leukomalacia ◽  
Correct Diagnosis ◽  
Definitive Diagnosis ◽  
Periventricular White Matter ◽  
Ultrasound Scanning ◽  
Autopsy Findings ◽  
Hemorrhagic Lesion

Hemorrhage into areas of periventricular leukomalacia may occur and range in size from microscopic to massive. Hitherto, the definitive diagnosis has been made only at autopsy. A case is described in which the diagnosis of hemorrhagic periventricular leukomalacia was made antemortem by real-time ultrasound scanning and confirmed at autopsy. Periventricular/intraventricular hemorrhage, a more common hemorrhagic lesion, may extend into periventricular white matter in a location ventral and medial to hemorrhagic periventricular leukomalacia. Real-time ultrasound scanning is a safe and reliable means of defining the topography of these two hemorrhagic lesions and, thereby, of suggesting the correct diagnosis.

scholarly journals Engineering modelling of structural details of a bridge

2013 ◽  
Vol 12 (2) ◽  
pp. 055-062
Author(s):  
Stefan Pradelok ◽  
Piotr Bętkowski ◽  
Adam Rudzik ◽  
Piotr Łaziński
Keyword(s):  
Computational Model ◽  
Personal Computer ◽  
Complex Structure ◽  
Railway Bridge ◽  
Local Effects ◽  
Correct Operation ◽  
Proposed Model ◽  
Short Period ◽  
Structural Details ◽  
Truss Member

This paper presents a method of engineering modelling of structural details, which enables the analysis of local static and dynamic effects in a complex structure with the use of a personal computer. An analysed structural detail, modelled with the use of shell finite elements, is mounted to a spatial truss member system. Then, on the basis of prepared computational model, a static or dynamic analysis is carried out. The proposed model allows to detect the local effects in a theoretical. Conducted analyses confirmed the correct operation of such a computational model. Hence, the method of modelling presented in this paper allows to analyse the local effects on ordinary personal computer and more importantly, the results of such calculations are available within a relatively short period of time. The calculations are carried out by analysing the local effects in a steel node of the truss railway bridge.

Extra-adrenal Myelolipoma in the Renal Hilum: A Case Report and Review of the Literature

2006 ◽  
Vol 130 (7) ◽  
pp. 1049-1052
Author(s):  
Sameer S. Talwalkar ◽  
Saad Paul Shaheen
Keyword(s):  
Differential Diagnosis ◽  
Adipose Tissue ◽  
Correct Diagnosis ◽  
Review Of The Literature ◽  
Adrenal Myelolipoma ◽  
Cell Lineages ◽  
Retroperitoneal Tumors ◽  
Renal Hilum ◽  
Hematopoietic Precursor ◽  
Prognostic Implications

Abstract Myelolipoma most commonly arises in the adrenal gland. Extra-adrenal myelolipomas are rare; to our knowledge, approximately 37 previous cases have been reported. We report a myelolipoma presenting as a localized mass in perirenal adipose tissue juxtaposed to the renal hilum in a 65-year-old Caucasian man who presented with back pain, weight loss, hematuria, and flank pain. The most likely diagnostic considerations were pyelonephritis or primary renal malignancy. However, histology revealed mainly mature adipose tissue along with multiple scattered islands of hematopoietic precursor cells. Representation of all the three hematopoietic cell lineages (granulocytic, erythroid, and megakaryocytic) was present. Perirenal masses such as morphologically identified myelolipomas are rarely, if ever, considered in differential diagnosis. The purpose of this report is to elicit consideration of extra-adrenal myelolipoma when formulating a differential diagnosis for perirenal and retroperitoneal tumors. Although primary and secondary malignant retroperitoneal tumors are much more common and aggressive neoplasms, establishing the correct diagnosis has important therapeutic and prognostic implications.

Penetrating Gastric Ulcer Presenting as a Subcapsular Liver Abscess

2007 ◽  
Vol 73 (1) ◽  
pp. 82-84
Author(s):  
Kota R. Venkatesh ◽  
Andrew Halpern ◽  
Lee B. Riley
Keyword(s):  
Helicobacter Pylori ◽  
Gastric Ulcer ◽  
Liver Abscess ◽  
Conventional Treatment ◽  
Correct Diagnosis ◽  
Suppressive Therapy ◽  
Review Of The Literature ◽  
Successful Management ◽  
Helicobacter Pylori Eradication ◽  
Diagnostic Modalities

This report describes a subcapsular liver abscess secondary to a penetrating gastric ulcer. The initial read on the CT scan misinterpreted the abscess cavity as an opacified loop of bowel, although it was very conspicuous on a retrospective review. A penetrating gastric ulcer was identified with esophagogastroduodenoscopy and the subcapsular liver abscess was subsequently detected using MRI. Although the conventional treatment of this condition is surgery, successful management was accomplished with a combination of percutaneous drainage, Helicobacter pylori eradication, and acid-suppressive therapy. A review of the literature is provided, including associated cases and the diagnostic modalities used in the evaluation of this condition. This case illustrates how one can arrive at the correct diagnosis with the use of multiple complementary modalities of investigation.

scholarly journals Acute myocarditis and pulmonary edema due to scorpion sting

2016 ◽  
Vol 2016 (1) ◽  
Author(s):  
Montaser Ismail ◽  
Nidal Assad ◽  
Jassim Al Suwaidi ◽  
Maryam Al Kawari ◽  
Amar Salam
Keyword(s):  
Cardiogenic Shock ◽  
Pulmonary Edema ◽  
Acute Myocarditis ◽  
Stable Condition ◽  
Young Male ◽  
Myocardial Damage ◽  
Right Heart Catheterization ◽  
Scorpion Venom ◽  
Heart Catheterization ◽  
Scorpion Sting

Objective: To present a case of a serious manifestation of scorpion sting, which was not reported before in Qatar, review the literature, and compare with previously reported similar cases. Case presentation and intervention: A young male patient was admitted to CCU with a clinical picture of acute toxic myocarditis and cardiogenic shock with abnormal ECG and elevated cardiac markers after a scorpion sting to his right big toe. Thorough investigations, including echocardiography, cardiac MRI and right heart catheterization, supported the diagnosis. Coronary angiography was normal. Patient was managed conservatively with supportive measures, mechanical ventilation, IV fluids, inotropic agents, steroids, antibiotics and Prazocin. Over 9 days of hospital course, patient gradually improved, was successfully extubated, and was discharged in a stable condition. Conclusion: Toxic myocarditis (with myocardial damage), pulmonary edema and cardiogenic shock are reported manifestations of scorpion venom intoxication. 

scholarly journals Gastric Plexiform Fibromyxoma Arising in the Cardia in an Adolescent Male: A Rare Tumor with an Unusual Location

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Awrad Nasralla ◽  
Mufeed Alwabari ◽  
Osama Alsaif ◽  
Samir S. Amr
Keyword(s):  
Abdominal Pain ◽  
North America ◽  
Gastrointestinal Stromal Tumor ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Adolescent Male ◽  
Rare Tumor ◽  
Review Of The Literature ◽  
Unique Case

Plexiform fibromyxoma of the stomach, also known as plexiform angiomyxoid myofibroblastic tumor, is a rare benign gastric mesenchymal tumor, first described in 2007, which usually arises in the gastric antrum and affects adults. Few cases have been reported in children and adolescents. It can present with different clinical manifestations including abdominal pain, dyspepsia, hematemesis, and vomiting. Preoperatively, this tumor is usually diagnosed as gastrointestinal stromal tumor (GIST), and the correct diagnosis is made only after histopathological examination following surgical resection. Most cases were reported from East Asia (China, Japan, and Korea), North America, and Europe. We report herein a unique case of plexiform fibromyxoma, the first to be reported from the Middle East, arising in the cardia of the stomach in a 16-year-old adolescent male, with a brief review of the literature.

scholarly journals Inguinal hernia with complete urinary bladder herniation: a case report and review of the literature

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Vasiliki Papatheofani ◽  
Katharina Beaumont ◽  
Natascha C Nuessler
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Correct Diagnosis ◽  
Bladder Wall ◽  
Review Of The Literature ◽  
Scrotal Hernia ◽  
Urological Symptoms ◽  
Urinary Bladder Wall ◽  
Bladder Herniation ◽  
Inguinal Herniation

Abstract Although inguinal hernias are common, inguinal herniation of the urinary bladder wall is rare. Moreover, the complete migration of the urinary bladder into the scrotum is considered less frequent. The majority of patients with bladder hernias are asymptomatic and diagnosis is made intraoperatively; however, difficulties in urination may lead to the correct diagnosis. We report about a case of a large right-sided scrotal hernia with complete bladder herniation presenting without urological symptoms.

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