scholarly journals A Rare Case Report of a Consecutive Rib Fractures as an Isolated Obstetrical Complication

2020 ◽  
Vol 8 (C) ◽  
pp. 12-14
Author(s):  
Ivka Djaković ◽  
Ana Meyra Potkonjak ◽  
Filip Murn ◽  
Vedrana Zubčić ◽  
Vesna Košec

AIM: The aim of the following paper is to present the case of a term neonate with consecutive posterior rib fractures as an isolated finding after birth. METHODS: In the medical literature, there have been reported some sporadic cases indicating rib fractures in neonates. We present literature review and report a rare case of consecutive posterior rib fractures in neonate born following an uneventful pregnancy and uncomplicated labor. MAIN FINDING: The most common factors that can lead to rib fractures are birth trauma, cardiopulmonary resuscitation, and underlying disorders influencing bone development. In the presented case, there were no signs of other bone fractures or systems involved. CONCLUSION: Isolated form of consecutive posterior rib fracture after birth is a rare obstetrical complication. It is most likely caused by birth trauma but should be interpreted as a clinical sign of the potential syndrome. A decision whether to perform an X-ray depends on a physical examination of the newborn within the 1st h of life.

Author(s):  
Dr. Radha Krishna K ◽  
Dr. Bushra Khan ◽  
Dr. Atif Abdul Samee ◽  
Dr. Syed Mujtaba Ibrahim

Introduction: The Omentum is rich in blood supply. Omental Infarction can be classified as primary or secondary depending on the pathogenesis. Aims and Objectives: To report a case of DU perforation with secondary Omental Infarction. Case Details: A 21 year old male patient came with complaints of generalized dull aching abdominal pain, associated with persistent vomiting and high grade fever since 3 days. On examination, he was drowsy, BP was not recordable and peripheral pulses were not palpable. Abdominal examination revealed guarding and rigidity. X-ray erect abdomen showed gas under the right dome of the diaphragm (pneumoperitoneum). The patient was taken up for an exploratory laparotomy. Intraoperatively, findings included: 1) A 0.5*0.5cm in size perforation over the anterior first part of the duodenum, 2) approximately 3L of haemorrhagic peritoneal fluid 3) necrosed omentum and 4) petechial patches over the parietal wall of peritoneum. Primary repair of the DU perforation with omental plug (modified graham’s repair) with omentectomy of the necrosed part of omentum was done. The HPE report of excised specimen of omentum was suggestive of intense congestion and necro-inflammatory reaction of the omentum with necrosis and netrophilic infiltrate. Conclusion: A rare case of DU perforation with secondary omental necrosis is being reported. Keywords: DU Perforation; Omental Necrosis; Omental Infarction; Modified Graham’s patch Abbreviations: OI- Omental Infarction, DU- Duodenum.


Author(s):  
Dharitri M. Bhat ◽  
Pradip R. Butale ◽  
Dinkar T. Kumbhalkar ◽  
Waman K. Raut

Fetus acardius amorphous is a rare fetal malformation, lacking a functional heart and bearing no resemblance to human embryos. The main differential diagnosis is with placental teratoma and is based on the degree of skeletal organization and umbilical cord formation. A 27-year old woman delivered a healthy newborn at 36 weeks gestation. An oval well defined mass, covered with normal looking skin, was connected to the placenta with a thin walled vessel. X-ray examination of the mass revealed the presence of vertebral column. Histopathologic examination demonstrated the presence admixture of tissues including neural tissue, osteoid, cartilage, muscle, fat etc. beneath the skin. The rarity of fetal monsters without a functioning heart is emphasized.


Author(s):  
Gunjan Upadhyay

<p>Osteoid osteoma of calcaneum in a juxta-articular position is a rare finding, it is most often misdiagnosed. It mimics as arthritis. Osteoid osteoma is benign bone neoplasia mostly in male in 2<sup>nd</sup> - 3<sup>rd</sup> decade of life. It has typical features of night pain relieved with salicylates. 35 years old female present with right heel pain. Mother has positive history of rheumatoid arthritis. X-ray and computer tomography were done for diagnosis. Diagnosis was made of juxta –articular position of osteoid psteoma in the calcaneum. Lesion was excised after pre-anesthesia checkup and sent for histopathology. Once investigation was done diagnosis was made as an osteoid osteoma in juxta articular position of calcaneum. Treated by excision of the lesion surgically and specimen sent for biopsy which confirm osteoid osteoma.</p>


Author(s):  
Sandeep Kumar Kar ◽  
Deepanwita Das ◽  
Chaitali Sen ◽  
Riju Bhattacharya ◽  
Asit Munsi

A boy aged 1year presented with persistent cough, sputum and fever for last two months which is did not subside in spite of empirical mediacal therapy. For last 15 days symptoms started to aggravate and not responding to medical management. Chest X-ray showed a pin in the right main bronchus with more radiolucency of right lung. CT scan of chest revealed radiodense linear opacity in the right lower lobe primary and secondary bronchus with partial collapse consolidation of right lower lobe medial basal and lateral basal segment. Rigid bronchoscopic removal was tried but failed. Ultimately thoracotomy was done to remove the foreign body.


2013 ◽  
Vol 03 (02) ◽  
pp. 100-101
Author(s):  
Suresh G. ◽  
Rama Prakasha S. ◽  
Giridhar B. H. ◽  
Shama Prakash K.

AbstractAn elderly patient was evaluated for fever and cough of three weeks duration. Chest X-ray revealed a thin walled cavity in the right parahilar region. Sputum Acid Fast Bacilli was negative and sputum culture has grown multidrug resistant Burkholderia Cepacia sensitive to carbapenams only. This is a rare case report of community acquired B. Cepacia infection in an individual wherein the clinical presentation was mimicking smear negative pulmonary tuberculosis, but the patient has shown a complete clinical and radiological response to imipenam.


Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 257-260
Author(s):  
You-cai Zhu ◽  
Xue-ping Lin ◽  
Yan Lu ◽  
Wen-xian Wang ◽  
Kai-qi Du ◽  
...  

AbstractHemangiomas of the rib are extremely rare benign neoplasm. Here we present a case in a 47-year-old female, detected by chest X-ray and underwent a surgical resection. Histologically, the tumor was composed of a homogeneous conglomerate, irregular, thin walled and dilated blood vessels containing red blood cells, supported by fibrous stroma and intermingled to regular bone trabeculae. The postoperative courses were uneventful, and there was no recurrence during 64 months follow-up.


2020 ◽  
Vol 8 ◽  
pp. 232470962096364
Author(s):  
Tushar Bajaj ◽  
Bushra Malik ◽  
Sudhagar Thangarasu

The differentiation between tension bullae, chronic tension pneumothorax, and atypical pneumothorax is difficult just from history and physical examination alone. A chest X-ray may help determine the underlying etiology; however, further imaging with computed tomography in stable patients may be necessary for accurate assessment of size, number, and location before considering any interventions. In this article, we present a rare case report of tension bullae with peripheral pneumothorax and recommend against needle thoracostomy in stable patients with tension bullae in order to obtain further imaging that may result in a change in the standard management.


Author(s):  
S. K. Peng ◽  
M.A. Egy ◽  
J. K. Singh ◽  
M.B. Bishop

Electron microscopy and energy dispersive x-ray microanalysis (EDXA) are found to be very useful tools for identification of etiologic agents in pneumoconiosis or interstitial pulmonary disorders. Pulmonary interstitial fibrosis and granulomatosis are frequently associated with occupational and environmental pollution. Numerous reports of pneumoconiosis in various occupations such as coal and gold miners are presented in the literature. However, there is no known documented case of pulmonary changes in workers in the sandpaper industry. This study reports a rare case of pulmonary granulomatosis containing deposits from abrasives of sandpaper diagnosed by using EDXA.


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