scholarly journals A case of Stanford B type aortic dissection in a patient whose initial complaints were a toothache and left shoulder pain

2015 ◽  
Vol 8 (1) ◽  
pp. 69 ◽  
Author(s):  
Youichi Yanagawa ◽  
Masateru Ueno ◽  
Kazuhiko Omori
Keyword(s):  
Aortic Dissection ◽  
Shoulder Pain ◽  
Left Shoulder ◽  
Stanford B

Severe Referred Shoulder Pain Following Revision Fundoplication From a Stich on the Diaphragm

2021 ◽  
pp. 000313482110111
Author(s):  
Kevin J. Gale ◽  
Santana Sanchez ◽  
Thomas J. Sorenson ◽  
Todd D. Elftmann
Keyword(s):  
Hiatal Hernia ◽  
Shoulder Pain ◽  
Medical Management ◽  
Nissen Fundoplication ◽  
Left Shoulder ◽  
Toupet Fundoplication

Complications following fundoplication surgery for hiatal hernias are rare. Herein, we present the case of a 61-year-old woman who underwent a Nissen fundoplication, complicated by dysphagia, and a revision modified Toupet fundoplication for a hiatal hernia, after which she began to experience severe prandial referred left shoulder pain that was refractory to medical management. We hypothesized that a diaphragmatic suture placed during the revision fundoplication could be the source of the pain, and we elected to remove the suture, resulting in resolution of the pain. This pain remained resolved at the most recent follow-up on postoperative week six, and the patient had no further concerns.

ASSA13-08-8 Features and Treatments of Hypertension in Elderly Patients with Stanford B Aortic Dissection

Heart ◽  
2013 ◽  
Vol 99 (Suppl 1) ◽  
pp. A38.2-A38
Author(s):  
Sun Mingyu ◽  
Wang Xiaozeng ◽  
Jing Quanmin ◽  
Wang Zulu ◽  
Han Yaling
Keyword(s):  
Aortic Dissection ◽  
Elderly Patients ◽  
Stanford B

Hemorrhagic fever with renal syndrome with concurrent aortic dissection: a case report

2020 ◽  
Author(s):  
Fengqi Qiu ◽  
Congcong Li ◽  
Jianya Zhou
Keyword(s):  
Acute Kidney Injury ◽  
Aortic Dissection ◽  
Kidney Injury ◽  
Hemorrhagic Fever ◽  
Sudden Onset ◽  
High Fever ◽  
Hantaan Virus ◽  
Hantavirus Infection ◽  
Microvascular Damage ◽  
Stanford B

Abstract Background Hemorrhagic fever with renal syndrome (HFRS) is caused by hantaviruses presenting with high fever, hemorrhage, acute kidney injury. Microvascular injury and hemorrhage in mucus was often observed in patients with hantavirus infection. Infection with bacterial and virus related aortic aneurysm or dissection occurs sporadically. We present a previously unreported case of hemorrhagic fever with concurrent Stanford B aortic dissection. Case presentation: A 56-year-old man complained of high fever, generalized body ache, with decreased platelet counts of 10 × 10^9/L and acute kidney injury. The ELISA test for Hantaan virus of IgM and IgG antibodies were both positive. During the convalescent period, he complained sudden onset acute chest pain radiating to the back and the CTA revealed an aortic dissection of the descending aorta extending to iliac artery. He was diagnosed with Hemorrhagic fever with renal syndrome and Stanford B aortic dissection. The patient recovered completely after surgery with other support treatments. Conclusion We present a case of HFRS complicated with aortic dissection,and no study has reported the association of HFRS with aortic disease. However, we suppose that hantavirus infection not only cause microvascular damage but may be risk factor for acute macrovascular detriment. A causal relationship has yet to be confirmed.

A Rake’s Progress

2020 ◽  
pp. 169-174
Author(s):  
Pat Croskerry
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Shoulder Pain ◽  
Heart Attack ◽  
Correct Diagnosis ◽  
Uneventful Recovery ◽  
Left Shoulder ◽  
Loss Of Consciousness ◽  
Middle Aged ◽  
Rake's Progress

This case discusses a middle-aged male who experiences abdominal pain and loss of consciousness at a mall. His wife believes he is having a heart attack and rushes him to a nearby emergency department. He is also experiencing some left shoulder pain and diaphoresis, which is misinterpreted at triage. This communication error leads to him being misassigned to a cardiac area. Eventually, the correct diagnosis is made, and the patient makes an uneventful recovery.

scholarly journals Just the Facts: Point-of-care ultrasound in the management of shoulder dislocations

CJEM ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. 287-290
Author(s):  
Ryan Henneberry ◽  
Tara Dahn ◽  
Paul Atkinson
Keyword(s):  
Emergency Department ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Shoulder Dislocation ◽  
Point Of Care ◽  
Left Shoulder ◽  
Point Of Care Ultrasound ◽  
Posterior Shoulder Dislocation ◽  
Posterior Shoulder

A 59-year-old man presents with left shoulder pain after falling while playing with his dog at the park. He drove himself to the emergency department (ED). He reports 5/10 pain and has reduced range of motion of the shoulder. His shoulder looks normal on exam and is not squared off. You wonder if he might have a posterior shoulder dislocation.

scholarly journals Rapid Destruction of the Humeral Head Caused by Subchondral Insufficiency Fracture: A Report of Two Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Kenichi Goshima ◽  
Katsuhiko Kitaoka ◽  
Junsuke Nakase ◽  
Hiroyuki Tsuchiya
Keyword(s):  
Shoulder Pain ◽  
Humeral Head ◽  
Elderly Women ◽  
Total Shoulder Arthroplasty ◽  
Insufficiency Fracture ◽  
Joint Destruction ◽  
Acute Onset ◽  
Joint Effusion ◽  
Left Shoulder ◽  
Rapid Destruction

Rapidly destructive arthritis (RDA) of the shoulder is a rare disease. Here, we report two cases, with different destruction patterns, which were most probably due to subchondral insufficiency fractures (SIFs). Case 1 involved a 77-year-old woman with right shoulder pain. Rapid destruction of both the humeral head and glenoid was seen within 1 month of the onset of shoulder pain. We diagnosed shoulder RDA and performed a hemiarthroplasty. Case 2 involved a 74-year-old woman with left shoulder pain. Humeral head collapse was seen within 5 months of pain onset, without glenoid destruction. Magnetic resonance imaging showed a bone marrow edema pattern with an associated subchondral low-intensity band, typical of SIF. Total shoulder arthroplasty was performed in this case. Shoulder RDA occurs as a result of SIF in elderly women; the progression of the joint destruction is more rapid in cases with SIFs of both the humeral head and the glenoid. Although shoulder RDA is rare, this disease should be included in the differential diagnosis of acute onset shoulder pain in elderly female patients with osteoporosis and persistent joint effusion.

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