Long-Term Rare Complication of Rhinoplasty: Nasal Dorsum Cyst

Abstract Conduit stenosis is a major, albeit rare, complication following the Fontan palliation. A single-baffle conduit with polytetrafluoroethylene is widely used for an extracardiac type Fontan palliation. A polyethylene terephthalate conduit (Dacron) is sometimes used for the conduit when more flexibility is required. A Y-shaped conduit is rarely used, but it may reduce the energy loss and achieve better hepatic flow distribution. Data on the long-term patency and complications when using a Y-shaped Dacron conduit is lacking. We report a case of a severely stenotic Y-shaped Dacron conduit in a patient who underwent extracardiac Fontan palliation.

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Totally implantable catheter embolism: two related cases

Sao Paulo Medical Journal ◽

10.1590/s1516-31802008000600011 ◽

2008 ◽

Vol 126 (6) ◽

pp. 347-349 ◽

Cited By ~ 3

Author(s):

Rodrigo Chaves Ribeiro ◽

Áurea Cristina Ferreira Monteiro ◽

Quirino Cavalcante Menezes ◽

Sérgio Tomaz Schettini ◽

Sonia Maria Rossi Vianna

Keyword(s):

Wilms Tumor ◽

Rare Complication ◽

Case Series ◽

Stage Iv ◽

Venous Access ◽

Endovascular Procedure ◽

Asymptomatic Patients ◽

Case Series Study ◽

Series Study

CONTEXT AND OBJECTIVE: Long-term totally implantable catheters (e.g. Port-a-Cath®) are frequently used for long-term venous access in children with cancer. The use of this type of catheter is associated with complications such as infection, extrusion, extravasation and thrombosis. Embolism of catheter fragments is a rare complication, but has potential for morbidity. The aim here was to report on two cases in which embolism of fragments of a long-term totally implantable catheter occurred. DESIGN AND SETTING: Case series study at Hospital do Servidor Público Estadual, São Paulo. METHODS: Retrospective review of catheter embolism in oncological pediatric patients with long-term totally implantable catheters. RESULTS: The first patient was a 3-year-old girl diagnosed with stage IV Wilms' tumor. Treatment was started with the introduction of a totally implantable catheter through the subclavian vein. At the time of removal, it was realized that the catheter had fractured inside the heart. An endovascular procedure was necessary to remove the fragment. The second case was a boy diagnosed with stage II Wilms' tumor at the age of two years. At the time of removal, it was noticed that the catheter had disconnected from the reservoir and an endovascular procedure was also necessary to remove the embolized catheter. CONCLUSION: Embolism of fragments of totally implantable catheters is a rare complication that needs to be recognized even in asymptomatic patients.

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A clinical course of a patient with anorexia nervosa receiving surgery for superior mesenteric artery syndrome

Journal of Eating Disorders ◽

10.1186/s40337-021-00436-2 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Ken Kurisu ◽

Yukari Yamanaka ◽

Tadahiro Yamazaki ◽

Ryo Yoneda ◽

Makoto Otani ◽

...

Keyword(s):

Weight Loss ◽

Body Weight ◽

Anorexia Nervosa ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Rare Complication ◽

Nutrition Therapy ◽

Psychological Status ◽

Sma Syndrome

Abstract Background Superior mesenteric artery (SMA) syndrome is a well-known but relatively rare complication of anorexia nervosa. Although several reports have proposed surgery for SMA syndrome associated with anorexia nervosa, these have shown poor outcomes or did not reveal the long-term weight course. Thus, the long-term effectiveness of surgery for SMA syndrome in such cases remains unclear. This case report describes a patient with anorexia nervosa who underwent surgery for SMA syndrome. Case presentation An 18-year-old woman presented with anorexia nervosa when she was 16 years old. She also presented with SMA syndrome, which seemed to be caused by weight loss due to the eating disorder. Nutrition therapy initially improved her body weight, but she ceased treatment. She reported that symptoms related to SMA syndrome had led to her weight loss and desired to undergo surgery. Laparoscopic duodenojejunostomy was performed, but her body weight did not improve after the surgery. The patient eventually received conservative nutritional treatment along with psychological approaches, which led to an improvement in her body weight. Conclusions The case implies that surgery for SMA syndrome in patients with anorexia nervosa is ineffective for long-term weight recovery and that conservative treatment can sufficiently improve body weight; this is consistent with the lack of evidence on the topic and reports on potential complications of surgery. Due to difficulties in assessing psychological status, consultation with specialists on eating disorders is necessary for treating patients with severely low body weight.

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P1836Constrictive pericarditis after open heart surgery: a 20-year case controlled study

European Heart Journal ◽

10.1093/eurheartj/ehz748.0588 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

A E Moreyra ◽

Y Yang ◽

S Zinonos ◽

N M Cosgrove ◽

J Cabrera ◽

...

Keyword(s):

Constrictive Pericarditis ◽

Heart Surgery ◽

Rare Complication ◽

Open Heart Surgery ◽

Controlled Study ◽

Robert Wood Johnson Foundation ◽

Open Heart ◽

Significant Difference ◽

Long Term Prognosis

Abstract Background Constrictive pericarditis (CoPe) after open-heart surgery (OHS) is a rare complication. Information on the incidence, determinants, and prognosis of this condition has been scarcely reported. Purpose To investigate the long term prognosis of CoPe after OHS. Methods Using the Myocardial Infarction Data Acquisition System database, we analyzed records of 144,902 patients that had OHS in New Jersey hospitals between 1995 and 2015. CoPe was identified in 79 patients after discharge. Differences in proportions were analyzed using chi square. Cases and controls were matched for demographics and comorbidities. Cox proportional hazard models were used to evaluate outcome risks. Log-rank test was used to assess differences in the Kaplan-Meier survival curves. Results Patients with CoPe were more likely to have history of valve disease (HVD) (p<0.0001), atrial fibrillation (AF) (p=0.0006) and chronic kidney disease (CKD) (p=0.012). Significant predictors of CoPe were AF (HR 1.62, 95% CI 1.02–2.59), CKD (HR 2.70, 95% CI 1.53–4.76), diabetes (HR 1.73, 95% CI 1.08–2.80) and HVD (HR 3.11, 95% CI 1.88–5.15). Patients with CoPe compared to matched controls had a higher 10-year mortality (p<0.0001). This became a statistically significant difference at 6 years after surgery (Figure). Survival Curve Conclusion Constrictive pericarditis is a rare complication of OHS and occurs more frequently in patients with AF, CKD, diabetes and HVD. It is associated with an unfavorable long-term prognosis. The data highlight the need for strategies to help prevent this complication. Acknowledgement/Funding Robert Wood Johnson Foundation

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Dermal filler migration complications following lip augmentation procedures

Journal of Aesthetic Nursing ◽

10.12968/joan.2020.9.7.276 ◽

2020 ◽

Vol 9 (7) ◽

pp. 276-281

Author(s):

Danielle Davy

Keyword(s):

Hyaluronic Acid ◽

Rare Complication ◽

Post Treatment ◽

The Body ◽

Dermal Filler ◽

Dermal Fillers ◽

Short Term ◽

Lip Augmentation ◽

Permanent Fillers

Filler migration is a rare complication of dermal filler treatment. Although most research has found that more permanent fillers, such as silicone, are more likely to migrate due to their long-term presence in the body, there have also been reported cases of filler migration from short-term hyaluronic acid-based dermal fillers. As lip augmentation procedures are fast becoming one of the most frequently requested treatments in medical aesthetics, this article looks at the longevity of hyaluronic acid lip dermal fillers, while also aiming to assess the cause of dermal filler post-treatment migration and evaluating how to minimise its risk.

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Pseudoaneurysm a rare complication of transradial cardiac catheterization: a case report

Vascular ◽

10.1177/1708538113478745 ◽

2013 ◽

Vol 21 (5) ◽

pp. 331-334 ◽

Cited By ~ 1

Author(s):

Tariq Bhat ◽

Hilal Bhat ◽

Sumaya Teli ◽

Bartaula Rajiv ◽

Muhammad Akhtar ◽

...

Keyword(s):

Radial Artery ◽

Cardiac Catheterization ◽

Rare Complication ◽

Arterial Occlusion ◽

Surgical Excision ◽

Artery Occlusion ◽

Transfemoral Approach ◽

Radial Artery Occlusion ◽

Viable Approach

Transradial access for cardiac catheterization is a safe and viable approach with significantly lower incidence of major access-related complications compared with the transfemoral approach. As this form of access is getting wider acceptance among interventional cardiologists, awareness of its complications is of vital importance. Asymptomatic radial artery occlusion, non-occlusive radial artery injury and radial artery spasm are commonly reported complication of this approach. Symptomatic radial arterial occlusion, pseudoaneurysm and radial artery perforation are rarely reported complications of transradial approach. Early identification of these uncommon complications and their urgent management is of significant importance. We present the case of an 80-year-old lady who developed pseudoaneurysm a week after transradial cardiac catheterization managed with surgical excision with no long-term sequela.

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Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire

Case Reports in Cardiology ◽

10.1155/2018/9210764 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Natasha Corballis ◽

Sreekumar Sulfi ◽

Alisdair Ryding

Keyword(s):

Rare Complication ◽

Coronary Intervention ◽

Bare Metal Stent ◽

Optical Coherence ◽

Percutaneous Coronary Angioplasty ◽

Subsequent Fracture ◽

Percutaneous Coronary ◽

The Individual

Guidewire entrapment is a rare complication of coronary intervention, and management depends on the individual circumstances. This is a case of an urgent percutaneous coronary angioplasty in which a guidewire became entrapped behind a bare metal stent with subsequent fracture of the core filament, which could not be retrieved. Using optical coherence tomography, our case demonstrates extensive tissue coverage of the retained guidewire at twelve months. Five-year follow-up suggests that retained guidewires can be managed without long-term anticoagulation, even when there is substantial intra-aortic material.

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Grisel's syndrome: a rare complication of tonsillectomy

The Journal of Laryngology & Otology ◽

10.1017/s0022215112000175 ◽

2012 ◽

Vol 126 (5) ◽

pp. 529-531 ◽

Cited By ~ 9

Author(s):

K J Sia ◽

I P Tang ◽

C K L Kong ◽

A Nasriah

Keyword(s):

Computed Tomography ◽

Treatment Outcome ◽

Case Report ◽

Rare Complication ◽

Radiological Findings ◽

The Third ◽

Grisel’S Syndrome ◽

Computed Tomography Scans ◽

Cervical Traction

AbstractObjectives:To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning.Case report:We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with no neurological deficit. Rotatory atlanto-axial subluxation was clearly shown in computed tomography scans of the neck. Cervical traction for one week successfully reduced the subluxation, with no long-term sequelae.Conclusion:Pre-existing cervical ligamentous laxity and post-operative infection are believed to be the main causes of Grisel's syndrome. Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. Initial conservative measures are advised before more invasive cervical traction is adopted.

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Fractured Tracheostomy Tube - An Unusual Foreign Body in Tracheobronchial Tree

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2017.v25i2.141 ◽

2017 ◽

Vol 25 (2) ◽

pp. 107-110

Author(s):

Sanu P Moideen ◽

G Arun ◽

M Mohan ◽

Khizer Hussain Afroze

Keyword(s):

Tracheostomy Tube ◽

Best Practice ◽

Rare Complication ◽

Tracheobronchial Tree ◽

Term Care ◽

Unusual Foreign Body ◽

Care Givers ◽

Novel Method

Introduction Approximately 20% of patients with tracheostomy are discharged from hospital with the tracheostomy tube in situ. Proper long term care and management of such tracheostomy patients remains as a challenge to care givers. Fracture of metallic tracheostomy tube (TT) with aspiration of the fragment into tracheobronchial airway is a rare complication of tracheostomy. Case Report Here we are presenting a case of a 42-year-old male patient, presented to the emergency department with complaint of mild respiratory distress following aspiration of fractured metallic TT and a novel method in removing the dislodged fragment. Discussion A detailed review of literature has been included to discuss different aspects of aspiration of fractured fragment of tracheostomy tube and best practice recommendations for proper tracheostomy care. Conclusion Educating the care-giver about care of the tracheostomized patient in general and care of the tracheostomy tube in particular, may help reduce accidental complications.

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CASE OF SUCCESSFUL TREATMENT OF BILATERAL SALMONELLA COXITIS

Innovative medicine of Kuban ◽

10.35401/2500-0268-2020-18-2-64-68 ◽

2020 ◽

pp. 64-68

Author(s):

A. V. Nesterenko ◽

A. V. Shevchenko ◽

I. V. Kuzmin ◽

K. S. Polyushkin ◽

M. V. Levenko ◽

...

Keyword(s):

Antibiotic Therapy ◽

Total Hip Replacement ◽

Successful Treatment ◽

Hip Replacement ◽

Clinical Case ◽

Medical Literature ◽

Rare Complication ◽

Total Hip

This report presents a clinical case of treatment of Salmonella coxitis, developed as a result of bacteremia, which is a fairly rare complication. We performed head resection of both femurs and, after long-term antibiotic therapy, total hip replacement within six months from the onset of the disease. Given the lack of publications on the tactics of treating patients with this pathology in the accessible medical literature, we believe that our experience will be useful to specialists engaged in the treatment of patients with diseases of large joints.

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