scholarly journals Early Experience in Surgical Treatment of Adolescence Idiopathic Scoliosis: A Report of Four Cases

2020 ◽  
Author(s):  
Muhammad Wafiuddin Ahmad ◽  
Ed Simor Khan ◽  
Rajandra Kumar ◽  
Zamzuri Zakaria ◽  
Ahmad Faizal ◽  
...  
Keyword(s):  
Case Report ◽  
Idiopathic Scoliosis ◽  
Surgical Intervention ◽  
Spinal Instrumentation ◽  
Early Experience ◽  
Skin Closure ◽  
History Of ◽  
Risk And Benefit ◽  
Early Surgical Intervention ◽  
Timely Treatment

Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmetic can be expected. In this case report, there is the management of four patients surgically using the posterior spinal instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. A thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using the same surgical technique. Neuromonitoring was used throughout the whole surgery until skin closure. All patients were hospitalized around one week. Post-operatively patients were followed up at two weeks, six weeks, three months, and every six months thereafter. It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.

scholarly journals Deformity Correction Surgery in Adolescent Idipathic Scoliosis-Our Early Experience

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Ed Simor Khan Mor Japar Khan ◽  
Rajandra Kumar A/L Karupiah ◽  
Muhammad Wafiuddin Ahmad ◽  
Ahmad Faizal Roslan ◽  
Muhammad Jasfizal Jasni ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Three Dimensional ◽  
Spinal Instrumentation ◽  
Deformity Correction ◽  
Early Experience ◽  
Skin Closure ◽  
Teenage Girls ◽  
Lateral Curvature ◽  
History Of ◽  
Risk And Benefit

Introduction: Adolescent Idiopathic Scoliosis (AIS) is the most common spinal deformity among teenage girls. It is defined as three dimensional lateral curvature in coronal plane of more than 10 degrees. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmesis can be expected. Materials and Methods: We reported our early experience in managing five patients surgically using the Posterior Spinal Instrumentation and fusion. Preoperatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. Thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using same surgical technique. Neuromonitoring were used throughout the whole surgery until skin closure. All patients were hospitalised around one week. Post-operatively patients were follow-up at two weeks, six weeks, three months, and every six months thereafter. Result: It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Conclusion: Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.

scholarly journals Correction to: Early surgical intervention for structural infantile spasms in two patients under 6 months old: a case report

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Haiyan Yang ◽  
Zhiquan Yang ◽  
Jing Peng ◽  
Yehong Huang ◽  
Zhuanyi Yang ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Infantile Spasms ◽  
Early Surgical Intervention

Inferior Vena Cava Aneurysm

Vascular ◽  
2009 ◽  
Vol 17 (5) ◽  
pp. 284-289 ◽  
Author(s):  
Karen Woo ◽  
Patrick Cook ◽  
Mohsin Saeed ◽  
Ralph Dilley
Keyword(s):  
Case Report ◽  
Natural History ◽  
Inferior Vena Cava ◽  
World Literature ◽  
Inferior Vena ◽  
Surgical Intervention ◽  
Vena Cava ◽  
The World ◽  
History Of ◽  
Embryologic Development

Aneurysms of the inferior vena cava (IVC) are exceedingly rare; less than 50 cases have been reported in the world literature. Owing to the paucity of data regarding the natural history of IVC aneurysms, there is no consensus on their treatment. This case report describes the evaluation of an IVC aneurysm in a 56-year-old male, briefly discusses the embryologic development of the IVC, and revisits the question of whether surgical intervention is indicated in these patients.

An Impacted Malformed Primary Maxillary Central Incisor Diagnosed as a Compound Odontoma.

2008 ◽  
Vol 33 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Dror Aizenbud ◽  
Yael Pery Front
Keyword(s):  
Normal Development ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Permanent Tooth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
History Of ◽  
The Right ◽  
Compound Odontoma ◽  
Early Surgical Intervention

An odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. This report presents a case of an unerupted malformed primary central incisor, histologically diagnosed as a compound odontoma. A 5.5 year-old healthy boy presented with an unerupted maxillary left primary central incisor and mild gingival buccal swelling. No history of traumatic injury was recorded. Radiological examination revealed a tooth-like mass with a partially developed root and a malformed crown in the area of the left primary central incisor. Delayed development of the successor left permanent incisor in comparison to the right one was noted. The rational for early surgical intervention to enable normal development and eruption of permanent incisors is described. Clinical and radiographic diagnoses as well as several etiological factors and a differential diagnosis are considered and reviewed.

scholarly journals Accidental multiple magnet ingestion by an adult: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2050
Author(s):  
Suraj Gopal ◽  
Dubey Indu Bhushan ◽  
Junaid Ahmad Sofi
Keyword(s):  
Foreign Body ◽  
Surgical Intervention ◽  
The Other ◽  
Foreign Body Ingestion ◽  
Pressure Necrosis ◽  
History Of ◽  
Magnet Ingestion ◽  
Magnetic Foreign Body ◽  
Asymptomatic Individuals ◽  
Early Surgical Intervention

Accidental multiple magnetic foreign body ingestion although common in children is rare in adults. Multiple magnetic foreign body ingestion possess a definitive risk of causing intestinal perforation, volvulus or fistulas and requires early surgical intervention even in apparently asymptomatic individuals to prevent catastrophic complications. We report a case of an 18 year old male with a history of accidental simultaneous ingestion of two semi-circular shaped magnets along with a nail. The peculiarity of the case being that despite the magnets being simultaneously ingested, one was in the stomach and the other in the jejunum adhered to each other through the transverse colon mesentery causing pressure necrosis of the adjoining wall with the patient being asymptomatic.

scholarly journals Under the Radar: A Case Report of a Missed Aortoenteric Fistula

2021 ◽  
Vol 5 (3) ◽  
pp. 312-315
Author(s):  
Blake Briggs ◽  
David Manthey
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Imaging Modality ◽  
Aortic Surgery ◽  
Aortoenteric Fistula ◽  
Prior History ◽  
Gi Bleeding ◽  
Life Threatening ◽  
History Of ◽  
Widespread Availability

Introduction: An aortoenteric fistula (AEF) is an abnormal connection between the aorta and the gastrointestinal tract that develops due to a pathologic cause. It is a rare, but life-threatening, cause of gastrointestinal (GI) bleeding. Although no single imaging modality exists that definitively diagnoses AEF, computed tomography angiography (CTA) of the abdomen and pelvis is the preferred initial test due to widespread availability and efficiency. Case Report: Many deaths occur before the diagnosis is made or prior to surgical intervention. We describe a case of a patient with a history of aortic graft repair who presented with active GI bleeding. Conclusion: Although CTA can make the diagnosis of AEF, it cannot adequately rule it out. In patients with significant GI bleeding and prior history of aortic surgery, vascular surgery should be consulted early on, even if CTA is equivocal.

scholarly journals A Case Report on a Large, Peduncular Intra-abdominal Hepatocellular Carcinoma Extending into the Retroperitoneum

2020 ◽  
Author(s):  
Dana M Omer ◽  
Jordan Dozier ◽  
Zongxian Cao ◽  
Hongfa Zhu ◽  
Donald McCain
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Surgical Intervention ◽  
Partial Gastrectomy ◽  
Left Lobe ◽  
R0 Resection ◽  
Liver Malignancy ◽  
Operative Planning ◽  
History Of ◽  
Viral Hepatitis Infection

Abstract Background Hepatocellular carcinoma is a primary liver malignancy often caused by viral hepatitis infection due to chronic inflammation and persistent cytokine release. Although rare, patients may present with large, pedunculated hepatocellular neoplasms that extend into the intra-abdominal space. Here, we present a case report on a 66-year-old male who was found to have such a mass that required careful pre-operative planning to complete a challenging, yet worthwhile, surgical intervention with R0 resection. Case Presentation A 66-year-old Caucasian male with a history of Hepatitis C presented with 4-5 months of abdominal pain, distention and weight loss. Imaging revealed a large heterogenous mass attached to the left lobe of the liver, with compression of the stomach, transverse colon and abdominal wall. Biopsy revealed hepatocellular carcinoma with extensive necrosis and ultimately the patient required surgical intervention, which required resection of omentum, partial gastrectomy, hepatectomy and extensive dissection of the mass to separate the tumor from the remaining intra-abdominal structures and the retroperitoneum. Conclusion Peduncular hepatocellular carcinomas vary in presentation and difficulty of resection. The prognosis and probability of successful surgical intervention depends on the level of differentiation, early staging, size of the neoplasm and invasion into surrounding structures. In this case, R0 resection was successfully performed.

Tumefactive fibroinflammatory lesion of the frontal sinus

2010 ◽  
Vol 124 (11) ◽  
pp. 1212-1215 ◽  
Author(s):  
C M Philpott ◽  
A R Javer
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Frontal Sinus ◽  
Surgical Intervention ◽  
Systemic Steroid ◽  
Review Of The Literature ◽  
Systemic Steroid Therapy ◽  
History Of ◽  
New Location ◽  
Tumefactive Fibroinflammatory Lesion

AbstractObjective:A 65-year-old man presented with a nine-month history of swelling in the midline of the forehead. After surgical intervention, this lesion was found to be a tumefactive fibroinflammatory lesion of the frontal sinus. This case report and review aims to report this new location for tumefactive fibroinflammatory lesion, and to discuss whether, in retrospect, there would have been alternative options to surgery.Methods:Case report and literature review.Results:Tumefactive fibroinflammatory lesions are rare. Although cases in the sinonasal tract have been described, none involving the frontal sinus have previously been reported. A review of the literature suggests that these lesions have an association with other fibroinflammatory lesions, and may be amenable to systemic steroid therapy.Conclusion:Each case should be managed on its merits, and a biopsy taken followed by subsequent screening for associated fibroinflammatory lesions. In the case of an isolated lesion, a surgical approach is probably favoured in a patient suitable for general anaesthesia.

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