Urothorax Associated with Uroperitoneum in a Dog Without Diaphragmatic Disruption

2015 ◽  
Vol 51 (4) ◽  
pp. 256-259 ◽  
Author(s):  
Paraskevi P. Tsompanidou ◽  
Tilemahos L. Anagnostou ◽  
George M. Kazakos ◽  
Lysimachos G. Papazoglou ◽  
Eugenia S. Flouraki ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Care Management ◽  
Biochemical Analysis ◽  
Road Traffic ◽  
Pathological Condition ◽  
Abdominal Cavity ◽  
Good Health ◽  
Fluid Accumulation ◽  
Mixed Breed

Accumulation of urine in the pleural space secondary to uroperitoneum with no disruption of the diaphragm appears to be a rare pathological condition. A 2 yr old male mixed-breed dog was referred with dyspnea and abdominal pain after a road traffic accident. Plain radiographs demonstrated pleural effusion and reduced serosal detail in the abdominal cavity that was compatible with fluid accumulation. Retrograde urethrography revealed a pelvic urethra rupture. Biochemical analysis of the pleural and abdominal fluid confirmed the diagnosis of urothorax and uroperitoneum. The dog underwent a prepubic urethrostomy and intensive care management. The dog was reported to be in good health after a follow up time of 10 mo. To the authors' knowledge, this is the first reported case of urothorax associated with uroperitoneum with no detectable defects of the diaphragm in a dog.

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

2017 ◽  
Vol 2 (1) ◽  
pp. 47-50
Author(s):  
A Dokania ◽  
Y Rizvi ◽  
Surabhi Sinha
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Surgical Mesh ◽  
Road Traffic ◽  
Muscle Attachment ◽  
Artificial Eye ◽  
Polyglactin 910 ◽  
Orbital Implant ◽  
Ocular Discomfort

ABSTRACT Orbital implants replace the volume lost by enucleated eye, impart motility to the prosthesis, and maintain cosmetic symmetry with the fellow eye. They include nonintegrated, synthetic semi-integrated, integrated, bio-integrated, and biogenic varieties. The much favored hydroxyapatite (bio-integrated) implant, due to its rough surface, needs to be wrapped in donor sclera or other wrapping materials (like polyglactin-910 mesh, polytetrafluoroethylene sheet, etc.) to which the muscles could be directly sutured. Cost factor of such wrappings is often prohibitive that add to the expense of such implants. Purpose To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye. Materials and methods Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up. Conclusion Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost. How to cite this article Sinha S, Rizvi Y, Dokania A. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017;2(1):47-50.

scholarly journals Outcome of traumatic Extradural Hematoma (EDH) using Glasgow Outcome Scale (GOS)

2018 ◽  
Vol 5 (10) ◽  
pp. 3327
Author(s):  
Dixit V. Prajapati ◽  
Nimish J. Shah
Keyword(s):  
Traffic Accident ◽  
Surgical Intervention ◽  
Road Traffic ◽  
Extradural Hematoma ◽  
Factors Affecting ◽  
Poor Outcome ◽  
Ct Head ◽  
Lost To Follow Up ◽  
Time Of Intervention

Background: Outcome in patient with EDH depends on various factors like GCS at presentation, Volume of hematoma, time of intervention, age, location of hematoma, etc. This study was carried out to find out correlation (if any) between outcome and various factors affecting it. Aim and objectives of this study were to study outcome of patients with traumatic EDH in terms of poor outcome (GOS score 1,2,3), Good outcome (GOS Score 4,5)Methods: This study was carried out in 91 patients having positive CT Head for EDH. Follow up was done every monthly up to 3 months. GOS was recorded at each follow up. Results: Road traffic accident was the most common mode of trauma. 16 patients were operated. Four patients died immediately after diagnosis of traumatic EDH, before doing any intervention. One patient died on 1st post-operative day. After one month, two patients were lost to follow up, 80 patients had GOS 5, four patients had GOS 4. At 2nd and 3rd month, 83 patients had GOS 5, one patient had GOS 4. 17 patients had GCS 3-8, among them, 11 patients had GOS 5, one patient had GOS 4 and five patients died (GOS 1). 15 patients had GCS 9-12, among them, 15 patients had GOS 5. 57 patients had GCS 13-15, among them, 54 patients had GOS 5. 69 patients had EDH volume <30 ml and all patients had GOS 5. 20 patients had EDH volume ≥30 ml, among them, 14 patients had GOS 5, one patient had GOS 4 and five patients died. Conclusions: GOS in EDH patient is affected by GCS and EDH volume at presentation. Lower GCS and larger EDH volume have poor outcome. Surgical intervention in larger EDH volume improves outcome.

Fetal chylous ascites may redevelop only after birth

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Ivan Peychl ◽  
Karel Harvanek ◽  
Petra Krasnicanova
Keyword(s):  
Abdominal Cavity ◽  
Chylous Ascites ◽  
Rare Condition ◽  
Good Health ◽  
Minimal Amount ◽  
Medium Chain Triglycerides ◽  
Hernia Sac ◽  
Clinically Significant ◽  
Long Chain

AbstractCongenital chylous ascites is a rare condition. We describe a case in which fetal ascites was found on a routine antenatal ultrasound, with all abnormalities resolving by 36 weeks’ gestation. No investigations or treatment for the ascites was undertaken after the baby´s birth. At the age of 3 months, when the baby underwent surgery for bilateral inguinal hernias and hydrocele, milky fluid was drained from the hernia sac. Laboratory and ultrasound investigations confirmed the presence of a significant amount of chyle in the peritoneal cavity. Congenital chylous ascites was treated by means of a diet based on medium chain triglycerides. By the age of 6 months, the fluid in the abdomen had resolved. However, it partly reappeared once a normal mixed diet was allowed. A minimal amount of fluid in the lower abdominal cavity was consistently found up to the age of 22 months. The fluid had finally disappeared by the age of 30 months when the child was generally in good health and developing normally. We conclude that congenital chylous ascites may be diagnosed prior to birth but may become more clinically significant only after birth, when its severity is enhanced by feedings of milk containing long chain fats. We recommend a thorough postnatal evaluation and follow-up in all infants diagnosed with fetal ascites, so that appropriate and timely management decisions can be made, if the chylous origin of the ascites is confirmed.

scholarly journals Gossypiboma: a ghastly find

2018 ◽  
pp. bcr-2017-221537
Author(s):  
Aitor de Gea Rico ◽  
Priya Krishna ◽  
Hannah Louise Devlin ◽  
Ashish Rohatgi
Keyword(s):  
Traffic Accident ◽  
Road Traffic ◽  
Epigastric Pain ◽  
Abdominal Ultrasound ◽  
Cystic Mass ◽  
Emergency Laparotomy ◽  
Complete Excision ◽  
Left Hypochondrium ◽  
Surgical History

A gossypiboma is a mass within a patient’s body comprising a cotton matrix surrounded by a foreign body granuloma. We describe an unusual presentation of a gossypiboma presenting in a 32-year-old man with acute epigastric pain and haematemesis. His surgical history revealed an emergency laparotomy following a road traffic accident 16 years ago. Initial gastroscopy showed extrinsic stomach compression. An abdominal ultrasound scan followed by a CT scan evidenced a large, well-defined, predominantly cystic mass with some solid areas occupying the left hypochondrium. Conservative management with insertion of a percutaneous drain proved to be inefficient. A laparotomy was performed; intraoperatively, the cyst was found to be ruptured and within it, a large surgical gauze was found. This was removed but required a distal pancreatectomy and gastrectomy for complete excision. He was discharged on day 74 of admission with outpatient follow-up.

scholarly journals Extruded talus treated with reimplantation and primary tibiotalocalcaneal arthrodesis

2017 ◽  
Vol 99 (4) ◽  
pp. e125-e127 ◽  
Author(s):  
HR Mohammad ◽  
J A’Court ◽  
A Pillai
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Weight Bearing ◽  
Transverse Process ◽  
High Energy ◽  
Tibiotalocalcaneal Arthrodesis ◽  
Cortical Screw ◽  
Neck Fracture

Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calcaneus, talus and tibia. Follow-up at two years showed solid tibiotalocalcaneal fusion, with no evidence of avascular development, and the patient was fully weight bearing without pain. We believe this is the first published case of successful primary tibiotalocalcaneal fusion for extruded talus injuries.

Emergency typhlectomy for caecal strangulation caused by chronic diaphragmatic hernia in a dog

2020 ◽  
Vol 8 (2) ◽  
pp. e001047
Author(s):  
Luis Correa ◽  
Francisco Silveira ◽  
Jackie Demetriou
Keyword(s):  
Diaphragmatic Hernia ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Exploratory Laparotomy ◽  
Good Health ◽  
Respiratory Effort ◽  
Thoracic Ultrasound ◽  
History Of ◽  
Small Intestines

A two-year-old female entire Catahoula leopard dog was referred for investigation and management of suspected chronic diaphragmatic hernia, 11 months post road traffic accident. The dog had a two-month history of progressive lethargy and one-week history of vomiting and anorexia. Physical examination revealed a slight increase in respiratory effort with normal respiratory rate. Cardiac and pulmonary sounds were muffled on thoracic auscultation and intestinal loops were not immediately palpable in the abdomen. Thoracic radiographs acquired before referral were suggestive of a diaphragmatic hernia, which was later confirmed on abdominal and thoracic ultrasound. Cardiorespiratory deterioration was evident eight hours post presentation and an emergency exploratory laparotomy was performed. The small intestines, caecum, and the ascending and transverse colon were found to have herniated into the thorax. Marked caecal necrosis was found intraoperatively. A typhlectomy and repair of the diaphragmatic defect were performed. The patient recovered uneventfully and was in good health nine months postoperatively.

scholarly journals Delayed deterioration following the evacuation of posterior fossa extradural hematoma

2015 ◽  
Vol 22 (1) ◽  
pp. 121-124
Author(s):  
Amit Agrawal ◽  
S. Satish Kumar ◽  
Umamaheswara Reddy V.
Keyword(s):  
Cerebral Edema ◽  
Traffic Accident ◽  
Road Traffic ◽  
Neuronal Damage ◽  
Mass Effect ◽  
Extradural Hematoma ◽  
Secondary Brain Damage ◽  
The Road ◽  
The Right

Abstract A missed or delayed detection of intracranial injuries can lead to progressive neuronal damage and secondary brain damage. We present a case of 45 year female presented 8 after the road traffic accident and had a large posterior extradural hematoma on left side with mass effect. In addition there was a small speck of right frontal contusion with localized cerebral edema. The patient initially improved after evacuation of the hematoma. However on 3rd post-operative day she was complaining of headache and became progressively drowsy. A follow up CT scan showed increase in peri-lesional edema around the right frontal contusion with squashing of the lateral ventricles suggestive of diffuse cerebral edema. The patient was shifted back to intensive care unit and responded well to further conservative management. In our patient the events could be collaborated well with existing evidence (presence of contrecoup contusion and on clinical deterioration at day 3).

scholarly journals CONSERVATIVE MANAGEMENT OF SIGNIFICANT EXTRA-DURAL HAEMATOMA : CASES AND LITERATURE REVIEW

2019 ◽  
pp. 1-3
Author(s):  
Dilraj Kadlas ◽  
Meghna Kinjalk
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Ct Scan ◽  
Conservative Management ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
History Of

OBJECTIVE: Study of natural history of significant extra dural haematoma resolution. BACKGROUND: Traumatic brain injury is one of the leading causes of death. There are various modes of injury like road traffic accident, assault, fall and others.The traumatic brain injury can range from scalp laceration to intracranial haemorrhage.The line of management is decided upon considering several factors like age, co morbidities, Glasgow coma scale neurodeficiency,CT scan findings,other associated injury. CASE REPORT: A 24-year-old gentleman sustained head injury following road traffic accident. CT scan (head) was suggestive of extradural haematoma.Patient was subjected to decompressive craniotomy and evacuation of extra dural haematoma. On 2nd post-operative day, CT Scan (head) was done which was suggestive of right frontal and right posterior parietal extra dural haematoma. The relatives did not give consent for surgery .Conservative management was done. Patient improved and haematoma resolved. A 42 year old male presented to the emergency with history of head injury . CT Scan was suggestive of extra dural haematoma. Conservative management was done as surgery was refused by the relatives.Patient was monitored.Patient was asymptomatic after discharge and during follow up period. CONCLUSION:We report two unusual cases of extradural haematoma with a good outcome and uneventful follow up period.

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