Shark attacks on the Transkei Coast of South Africa: A case report

Shark attacks are relatively uncommon, but can be fatal in nature. It is diffcult to understand the behaviour and motivation of this predator.In the summer of 1998 a 28-year-old male, who was an experienced, enthusiastic surfer, was attacked by a shark near Hole-in-the Wall on the Wild Coast in the Transkei region of South Africa. His right lower limb was severed, with profuse bleeding from the torn femoral artery. Sharp broken ends of the femur and torn muscles were noticed at autopsy. The viscera were extremely pale. The lungs, in addition to being pale, were shrunken and dry, and there was no fluid that oozed out upon squeezing the cut surface. The case history, physical findings, and medico-legal implications are discussed in this report. Preventive and safety measures related to shark attacks are suggested.

Download Full-text

Deep Femoral Artery Aneurysm Presenting as Lower Limb Swelling: A Case Report

Yonsei Medical Journal ◽

10.3349/ymj.2006.47.1.148 ◽

2006 ◽

Vol 47 (1) ◽

pp. 148 ◽

Cited By ~ 7

Author(s):

Yong-Pil Cho ◽

Soo-Jung Choi ◽

Tae-Won Kwon ◽

Myoung-Sik Han ◽

Yong-Ho Kim ◽

...

Keyword(s):

Case Report ◽

Femoral Artery ◽

Lower Limb ◽

Artery Aneurysm ◽

Deep Femoral Artery ◽

Deep Femoral Artery Aneurysm

Download Full-text

A VARIATION IN ORIGIN OF BRANCHES OF PROFUNDA FEMORIS ARTERY IN RELATION WITH FEMORAL ARTERY: A CASE REPORT

10.36106/gjra/9608472 ◽

2021 ◽

pp. 6-7

Author(s):

Sonia Meend ◽

Priyanka Devatwal ◽

Priyanka Verma ◽

Bhumica Bodh

Keyword(s):

Interventional Radiology ◽

Case Report ◽

Femoral Artery ◽

Lower Limb ◽

Branching Pattern ◽

Profunda Femoris Artery ◽

Female Cadaver ◽

The Right ◽

Thigh Region ◽

Profunda Femoris

Introduction – Profunda femoris is the main course of supply to the muscles of thigh area. It is the biggest part of femoral supply route in the thigh region. It gives out branches named medial circumex femoral and lateral circumex femoral and four perforating branches and proceeds as the fourth perforating branch in the mid of thigh. A variation regarding the branching pattern of profunda femoris artery was observed with an origin of medial and lateral circumex arteries is been seen in a formalin embalmed 55 years of age female cadaver during typical dissection procedure in the dissection hall. Methods - The study was undertaken on lower limb of a fully embalmed 55years old female cadaver in the department of anatomy, used for routine dissection for teaching undergraduate and post graduate medical students. Result - In this female cadaver on left side of lower limb, there was an uncommon origin of lateral circumex femoral artery directly from the femoral artery with a normal emergence of medial circumex femoral artery from profunda femoris artery. While on the right side of the same Cadaver, the profunda femoris artery arose at usual distance i.e., 3.7cm below inguinal ligament, from posterolateral aspect of femoral artery and then it bifurcates into lateral and medial circumex femoral artery. Conclusion - Current examination will assist the clinicians to bypass iatrogenic inconveniences during a surgical procedure and will likewise help them in methodology for interventional radiology around this region.

Download Full-text

A Variant Origin Of Profunda Femoris Artery and A Common Stem for the origin of Medial And Lateral Circumflex Arteries – A Case Report

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v1i4.6934 ◽

2017 ◽

Vol 1 (4) ◽

Author(s):

Pralhad D. S.

Keyword(s):

Case Report ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Popliteal Artery ◽

Lower Limb ◽

Considerable Extent ◽

Profunda Femoris Artery ◽

Left Lower Limb ◽

Profunda Femoris

The variations of the profunda and its branches are numerous and to a considerable extent, largely associated with one another. In occlusion of the superficial femoral artery, the profunda femoris artery forms an effective collateral bed between the ileo-femoral segment and the popliteal artery and its branches. Acharya Sushrutha has clearly mentioned about the importance of dissection., One who is intended to acquire definite knowledge of surgery should keenly study the anatomy from the books as well as from the dissection. Femoral artery is the most important artery supplying the lower limb and in case of cadavers this artery is used for the embalmment procedure. During the routine dissection classes for the UG’s, a variation was observed in the origin of profunda femoris and a common stem for the origin of medial and lateral circumflex arteries in the left lower limb.

Download Full-text

Misophonia: An Evidence-Based Case Report

American Journal of Audiology ◽

10.1044/2020_aja-19-00111 ◽

2020 ◽

Vol 29 (4) ◽

pp. 685-690

Author(s):

C. S. Vanaja ◽

Miriam Soni Abigail

Keyword(s):

Quality Of Life ◽

Case Report ◽

Case History ◽

Pure Tone ◽

Physiological Responses ◽

Evidence Based ◽

Management Option ◽

Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Download Full-text

Acute limb ischemia in a patient with pre-fibrotic myelofibrosis complicated by heparin-induced thrombocytopenia and thrombosis – case report and systematic review of dabigatran use

VASA ◽

10.1024/0301-1526/a000876 ◽

2020 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Marina Di Pilla ◽

Stefano Barco ◽

Clara Sacco ◽

Giovanni Barosi ◽

Corrado Lodigiani

Keyword(s):

Systematic Review ◽

Case Report ◽

Lower Limb ◽

Limb Ischemia ◽

Acute Limb Ischemia ◽

Review Of The Literature ◽

Heparin Induced Thrombocytopenia ◽

Lower Limb Ischemia ◽

Vein Thrombosis ◽

Left Lower Limb

Summary: A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT.

Download Full-text

Lower limb ischemia, the cause arising from difficult healing wounds – a case report

Leczenie Ran ◽

10.15374/lr2015008 ◽

2015 ◽

Vol 12 (2) ◽

pp. 59-67

Author(s):

Paulina Mościcka ◽

Maria T. Szewczyk ◽

Elżbieta Hancke ◽

Justyna Cwajda-Białasik ◽

Paweł Wierzchowski ◽

...

Keyword(s):

Case Report ◽

Lower Limb ◽

Limb Ischemia ◽

Lower Limb Ischemia ◽

Healing Wounds

Download Full-text

Technical Challenge of Transfemoral Aortıc Valve Implantatıon in A Patıent Wıth Extreme Femoral Artery Tortuosıty – A Case Report

Journal of Cardiology & Current Research ◽

10.15406/jccr.2017.08.00291 ◽

2017 ◽

Vol 8 (4) ◽

Keyword(s):

Case Report ◽

Aortic Valve ◽

Femoral Artery ◽

Technical Challenge ◽

Aortic Valve Implantation ◽

Valve Implantation

Download Full-text

A Call for Public Participation in the Treaty-making Process in South Africa: What can South Africa Learn from the Kingdom of Thailand?

Comparative and International Law Journal of Southern Africa ◽

10.25159/0010-4051/6029 ◽

2020 ◽

Vol 53 (1) ◽

Author(s):

Retselisitsoe Phooko

Keyword(s):

South Africa ◽

Human Rights ◽

Public Participation ◽

International Treaty ◽

Legal Implications ◽

Future Situation ◽

Rules Of Procedure ◽

The Republic ◽

The Government ◽

Personal Jurisdiction

On 2 August 2002 South Africa signed the Southern African Development Community (SADC) Protocol on Tribunal and the Rules of Procedure Thereof, thus effectively recognising and accepting the jurisdiction of the SADC Tribunal. Among the cases received by the SADC Tribunal was a complaint involving allegations of human rights violations by the government of Zimbabwe. It ruled that the government of Zimbabwe had violated human rights. Consequently, Zimbabwe mounted a politico-legal challenge against the existence of the Tribunal. This resulted in the review of the role and functions of the Tribunal in 2011 which resulted in the Tribunal being barred from receiving new cases or proceeding with the cases that were already before it. Furthermore, on 18 August 2014, the SADC Summit adopted and signed the 2014 Protocol on the Tribunal in the SADC which disturbingly limits personal jurisdiction by denying individual access to the envisaged Tribunal, thus reducing it to an inter-state judicial forum. This article critically looks at the decision of 18 August 2014, specifically the legal implications of the Republic of South Africa’s signing of the 2014 Protocol outside the permissible procedure contained in article 37 of the SADC Protocol on the Tribunal. It proposes that South Africa should correct this democratic deficit by introducing public participation in treaty-making processes in order to prevent a future situation where the executive unilaterally withdraws from an international treaty that is meant to protect human rights at a regional level. To achieve this, this article makes a comparative study between South Africa and the Kingdom of Thailand to learn of any best practices from the latter.

Download Full-text