Unusual Case of Low-Velocity Large Object Penetrating the Frontal Bone with Favorable Outcome: A Case Report in Pediatric Patient

BACKGROUND: Penetrating head injury is one of the deadliest forms of head trauma; the outcome is usually low, and patients who survive long enough require complex medical treatment. Immediate imaging assessment with appropriate management can improve patient recovery. CASE REPORT: We reported a case of head penetration trauma on a 12-year-old child with embedded cylindrical iron that enters the skull without any signs of neurological deficit. CONCLUSIONS: This case shows that aggressive diagnostic imaging and emergency care followed by proper immediate head surgery management and postoperative intensive care to monitor and intervene in possible surgical and medical complications could significantly improve patient outcomes.

Download Full-text

An Unusual Case of a Pharyngeal Fistula to the Cervical Spine Causing Osteomyelitis

Ear Nose & Throat Journal ◽

10.1177/01455613211029773 ◽

2021 ◽

pp. 014556132110297

Author(s):

Kevin B. Harris ◽

Achintya D. Singh ◽

Brian B. Burkey ◽

Amit Bhatt ◽

John J. Vargo ◽

...

Keyword(s):

Radiation Therapy ◽

Cervical Spine ◽

Mortality Rate ◽

Early Diagnosis ◽

Patient Outcomes ◽

Total Laryngectomy ◽

Unusual Case ◽

Vertebral Osteomyelitis ◽

Important Complication ◽

Improve Patient

Significance Statement Pharyngeal fistulas to the cervical spine resulting in vertebral osteomyelitis are a rare, yet clinically important, complication of total laryngectomy performed in conjunction with chemoradiotherapy or radiation therapy. This complication is likely underdiagnosed and can have a high mortality rate. It is very important that clinicians are aware of this complication as early diagnosis and management may improve patient outcomes.

Download Full-text

A case report of an incidental finding of congenital oesophageal diverticulum in a patient presenting with stridor

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa491 ◽

2020 ◽

Vol 2020 (12) ◽

Author(s):

Raju Limbu ◽

Sabrina Brar ◽

Prince Modayil

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Paediatric Patient ◽

Patient Outcomes ◽

Incidental Finding ◽

Team Approach ◽

Atypical Presentation ◽

Chest Discomfort ◽

Multidisciplinary Team Approach ◽

Improve Patient

Abstract Congenital oesophageal diverticulum is incredibly rare and has not commonly been published in the literature. Oesophageal diverticulum can be asymptomatic; however, symptoms such as dysphagia, regurgitation and chest discomfort may be present. We describe the case of a paediatric patient presenting with biphasic stridor, respiratory distress and cyanosis at birth, who was found to have a supraglottic cyst and later the presence of an oesophageal diverticulum shown on ultrasound imaging. There has been one other case reported in the literature of an oesophageal diverticulum presenting with stridor, and we therefore believe this is one of only two cases to illustrate this atypical presentation of congenital oesophageal diverticulum. It highlights the importance of a meticulous multidisciplinary team approach to patient care, as well as conducting appropriate investigations to aid early diagnosis to improve patient outcomes.

Download Full-text

CMV coinfection in treatment refractory immune checkpoint inhibitor colitis

BMJ Case Reports ◽

10.1136/bcr-2019-233519 ◽

2020 ◽

Vol 13 (5) ◽

pp. e233519

Author(s):

Kevin B Harris ◽

Pauline Funchain ◽

Brian B Baggott

Keyword(s):

Case Report ◽

Patient Outcomes ◽

Immune Checkpoint ◽

Immune Checkpoint Inhibitors ◽

Immune Checkpoint Inhibitor ◽

Checkpoint Inhibitor ◽

Checkpoint Inhibitors ◽

Treatment Refractory ◽

Cmv Colitis ◽

Improve Patient

As immune checkpoint inhibitors (ICIs) are increasingly used, clinicians are more frequently encountering the side effects of these therapies. ICIs have been implicated in numerous adverse effects against healthy tissues. We present a case of a patient who developed treatment refractory checkpoint inhibitor colitis. Following colonoscopy, it was discovered that this patient had cytomegalovirus (CMV) coinfection. This case report highlights the importance of undertaking an appropriate assessment, including endoscopic and histologic investigation, of patients with presumed ICI colitis. Accurately diagnosing a superimposed CMV colitis changes clinical management and can improve patient outcomes.

Download Full-text

Combined Approaches to the Skull Base for Intracranial Extension of Tumors via Perineural Spread can Improve Patient Outcomes

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0036-1579796 ◽

2016 ◽

Vol 77 (S 01) ◽

Cited By ~ 1

Author(s):

Sheri Palejwala ◽

Jonnae Barry ◽

Crystal Rodriguez ◽

Chandni Parikh ◽

Stephen Goldstein ◽

...

Keyword(s):

Skull Base ◽

Patient Outcomes ◽

Intracranial Extension ◽

Perineural Spread ◽

Improve Patient

Download Full-text

Chylopericardium following Atrial Septal Defect Repair: Case Report

The Heart Surgery Forum ◽

10.1532/hsf98.20041118 ◽

2005 ◽

Vol 8 (1) ◽

pp. 23 ◽

Cited By ~ 2

Author(s):

Sanjay Kumar ◽

Bharati Sinha

Keyword(s):

Case Report ◽

Atrial Septal Defect ◽

Cardiac Tamponade ◽

Unusual Case ◽

Septal Defect ◽

Clinical Course ◽

Defect Repair ◽

Cardiac Operations

Chylopericardium after intrapericardial cardiac operations is extremely rare. We present an unusual case of postoperative chylopericardium with cardiac tamponade following atrial septal defect repair, and we comment on the clinical course and treatment.

Download Full-text

Case Report: An Unusual Case of systemic Hydatid Disease

Indian Journal Of Applied Research ◽

10.15373/2249555x/july2014/187 ◽

2011 ◽

Vol 4 (7) ◽

pp. 537-538

Author(s):

Dr. Saurabh Chaudhuri ◽

◽

Dr. Priscilla Joshi ◽

Dr. Mohit Goel ◽

Dr. Wasim Siddiqui

Keyword(s):

Case Report ◽

Hydatid Disease ◽

Unusual Case

Download Full-text

Premalignant and Malignant Lesions of the Heterotopic Pancreas in the Esophagus: a Case Report and Review of the Literature

Journal of Gastrointestinal and Liver Diseases ◽

10.15403/jgld.2014.1121.242.uly ◽

2015 ◽

Vol 24 (2) ◽

pp. 235-239 ◽

Cited By ~ 9

Author(s):

Jan Ulrych ◽

Vladimir Fryba ◽

Helena Skalova ◽

Zdenek Krska ◽

Tomas Krechler ◽

...

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Unusual Case ◽

Accurate Diagnosis ◽

Heterotopic Pancreas ◽

Premalignant Lesions ◽

Resected Specimen ◽

Review Of The Literature ◽

Severe Dysphagia ◽

Malignant Lesions

Heterotopic pancreas is a congenital pathology of the gastrointestinal tract, particularly rare in the esophagus. Both symptomatology and findings during preoperative examinations are non-specific and therefore do not often lead to an accurate diagnosis, which is usually revealed only by histopathological assessment of a resected specimen. We report an unusual case of a patient suffering from severe dysphagia caused by heterotopic pancreas in the distal esophagus with chronic inflammation and foci of premalignant changes. This article also reviews 14 adult cases of heterotopic pancreas in the esophagus previously reported in the literature, with the aim of determining the clinical features of this disease and possible complications including rare premalignant lesions and malignant transformation. Especially with regard to those complications, we suggest that both symptomatic and incidentally found asymptomatic lesions should be resected.

Download Full-text

Microporous Polysaccharide Hemosphere Absorbable Hemostat (AristaAH®) in Re-Operative Cardiac Surgical Procedures

US Cardiology Review ◽

10.15420/usc.2012.9.2.96 ◽

2012 ◽

Vol 9 (2) ◽

pp. 96-98

Author(s):

Brian A Bruckner ◽

Matthias Loebe

Keyword(s):

Patient Outcomes ◽

Surgical Procedures ◽

Systematic Approach ◽

Surgical Intervention ◽

Transfusion Requirement ◽

Cardiac Surgical Procedures ◽

Platelet Inhibitors ◽

Hemostatic Agents ◽

Surgical Field ◽

Improve Patient

Patients undergoing re-operative cardiac surgical procedures present a great challenge with regard to obtaining hemostasis in the surgical field. Adhesions are ever-present and these patients are often on oral anti-coagulants and platelet inhibitors. As part of a well-planned surgical intervention, a systematic approach to hemostasis should be employed to decrease blood transfusion requirement and improve patient outcomes. Topical hemostatic agents can be a great help to the surgeon in achieving surgical field hemostasis and are increasingly being employed. Our approach, to these difficult patients, includes the systematic and planned use of AristaAH, which is a novel hemostatic agent whose use has proven safe and efficacious in our patient population.

Download Full-text