Conservative management of advanced mandibular osteoradionecrosis with mild clinical presentation after 17 years of oncological treatment: A case report

OBJECTIVEFew studies describe long-term functional outcomes of pediatric patients who have undergone lumbar microdiscectomy (LMD) because of the rarity of pediatric disc herniation and the short follow-up periods. The authors analyzed risk factors, clinical presentation, complications, and functional outcomes of a single-institution series of LMD patients over a 19-year period.METHODSA retrospective case series was conducted of pediatric LMD patients at a large pediatric academic hospital from 1998 to 2017. The authors examined premorbid risk factors, clinical presentation, physical examination findings, type and duration of conservative management, indications for surgical intervention, complications, and postoperative outcomes.RESULTSOver the 19-year study period, 199 patients underwent LMD at the authors’ institution. The mean age at presentation was 16.0 years (range 12–18 years), and 55.8% were female. Of these patients, 70.9% participated in competitive sports, and among those who did not play sports, 65.0% had a body mass index greater than 25 kg/m2. Prior to surgery, conservative management had failed in 98.0% of the patients. Only 3 patients (1.5%) presented with cauda equina syndrome requiring emergent microdiscectomy. Complications included 4 cases of postoperative CSF leak (2.0%), 1 case of a noted intraoperative CSF leak, and 3 cases of wound infection (1.5%). At the first postoperative follow-up appointment, minimal or no pain was reported by 93.3% of patients. The mean time to return to sports was 9.8 weeks. During a mean follow-up duration of 8.2 years, 72.9% of patients did not present again after routine postoperative appointments. The total risk of reoperation was a rate of 7.5% (3.5% of patients underwent reoperation for the same level; 4.5% underwent adjacent-level decompression, and one patient [0.5%] ultimately underwent a fusion).CONCLUSIONSMicrodiscectomy is a safe and effective treatment for long-term relief of pain and return to daily activities among pediatric patients with symptomatic lumbar disc disease in whom conservative management has failed.

Download Full-text

Bi-microbial Healthcare-Associate Endocarditis caused by Enterococcus faecalis and Burkholderia cepacia: A Case Report and literature review

New Emirates Medical Journal ◽

10.2174/025068xx02666200227171615 ◽

2020 ◽

Vol 02 ◽

Author(s):

Masood Ghori ◽

Nadya O. Al Matrooshi ◽

Samir Al Jabbari ◽

Ahmed Bafadel ◽

Gopal Bhatnagar

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Literature Review ◽

Enterococcus Faecalis ◽

Surgical Management ◽

Burkholderia Cepacia ◽

Clinical Presentation ◽

Complicated Course ◽

Healthcare Associated ◽

Echocardiographic Findings

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

Download Full-text

Surgical management of choke through oesophagotomy in a buffalo: A case report

THE INDIAN JOURNAL OF VETERINARY SCIENCES AND BIOTECHNOLOGY ◽

10.21887/ijvsbt.v12i3.7098 ◽

2017 ◽

Vol 12 (3) ◽

Author(s):

Devasee Borakhatariya ◽

A. B. Gadara

Keyword(s):

Case Report ◽

Surgical Management ◽

Clinical Presentation ◽

Clinical Signs ◽

Thoracic Inlet ◽

Cervical Oesophagus ◽

Foreign Objects ◽

History Of ◽

Oesophageal Obstruction ◽

Large Animals

Oesophageal disorders are relatively uncommon in large animals. Oesophageal obstruction is the most frequently encountered clinical presentation in bovine and it may be intraluminal or extra luminal (Haven, 1990). Intraluminal obstruction or “choke” is the most common abnormality that usually occurs when foreign objects, large feedstuff, medicated boluses, trichobezoars, or oesophageal granuloma lodge in the lumen of the oesophagus. Oesophageal obstructions in bovine commonly occur at the pharynx, the cranial aspect of the cervical oesophagus, the thoracic inlet, or the base of the heart (Choudhary et al., 2010). Diagnosis of such problem depends on the history of eating particular foodstuff and clinical signs as bloat, tenesmus, retching, and salivation

Download Full-text

Conservative Management of Anterior Cutaneous Nerve Entrapment Syndrome: A Case Report

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2020.12.012 ◽

2020 ◽

Author(s):

Gregory Cofano ◽

Shawn LaCourt ◽

Son Nguyen

Keyword(s):

Case Report ◽

Conservative Management ◽

Nerve Entrapment ◽

Cutaneous Nerve ◽

Entrapment Syndrome ◽

Nerve Entrapment Syndrome

Download Full-text

Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature

Case Reports in Dermatology ◽

10.1159/000511370 ◽

2020 ◽

Vol 12 (3) ◽

pp. 231-235

Author(s):

Carl Maximilian Thielmann ◽

Wiebke Sondermann

Keyword(s):

Case Report ◽

Family History ◽

Clinical Presentation ◽

Rare Condition ◽

Unknown Etiology ◽

Review Of The Literature ◽

Caucasian Male

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.

Download Full-text

A Challenging Case of a Physeal Bar Endoscopic-Assisted Resection in a Short Stature Child: Case Report and Literature Review

Case Reports in Orthopedic Research ◽

10.1159/000516769 ◽

2021 ◽

pp. 115-120

Author(s):

Melanie Ribau ◽

Mário Baptista ◽

Nuno Oliveira ◽

Bruno Direito Santos ◽

Pedro Varanda ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Short Stature ◽

Clinical Presentation ◽

Normal Growth ◽

Limb Length Discrepancy ◽

Complete Excision ◽

Physeal Bar ◽

Surgical Options ◽

The Ideal

Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options, some technically challenging, that must be weighted according to each case’s particularities. We reviewed the current literature on physeal bars while reporting the challenging case of a short stature child submitted to a femoral physeal bar endoscopic-assisted resection with successful growth resumption. This case dares surgeons to consider all options when treating limb length discrepancy, such as the endoscopic-assisted resection which might offer successful results.

Download Full-text

Conservative management of delayed presentation of intraperitoneal bladder rupture following caesarean delivery: A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2019.04.050 ◽

2019 ◽

Vol 59 ◽

pp. 31-34 ◽

Cited By ~ 1

Author(s):

Ismaeel Aghaways ◽

Rawa Bapir ◽

Tahir A. Hawrami ◽

Nishtman M. Thahir ◽

Mohammed Abed Al Kadum Hassan ◽

...

Keyword(s):

Case Report ◽

Conservative Management ◽

Caesarean Delivery ◽

Bladder Rupture ◽

Delayed Presentation ◽

Intraperitoneal Bladder Rupture

Download Full-text

Conservative management of a near-term cervico-isthmic pregnancy, followed by a successful subsequent pregnancy: a case report

Fertility and Sterility ◽

10.1016/j.fertnstert.2007.06.007 ◽

2008 ◽

Vol 89 (6) ◽

pp. 1826.e13-1826.e15 ◽

Cited By ~ 5

Author(s):

Gilles Kayem ◽

Stéphanie Deis ◽

Sonia Estrade ◽

Bassam Haddad

Keyword(s):

Case Report ◽

Conservative Management ◽

Subsequent Pregnancy ◽

Near Term

Download Full-text

Temporal gliosarcoma: case report and review of literature

Romanian Neurosurgery ◽

10.1515/romneu-2015-0014 ◽

2015 ◽

Vol 22 (1) ◽

pp. 112-116

Author(s):

Amit Agrawal ◽

Vissa Shanthi ◽

Baddukonda Appala Ramakrishna ◽

Kuppili Venkata Murali Mohan

Keyword(s):

Case Report ◽

Median Survival ◽

Glial Cells ◽

Primary Tumor ◽

Clinical Presentation ◽

Spindle Cell ◽

Review Of Literature ◽

Future Studies ◽

Aggressive Tumor ◽

The Brain

Abstract First characterized by Stroebe, the gliosarcomas are highly malignant and rare primary tumor of the brain composed of neoplastic glial cells in association with spindle cell sarcomatous elements (biphasic tissue patterns). In spite of being recognized as two different pathologies studies have not shown any significant differences between gliosarcoma and glioblastoma with regard to age, sex, size, clinical presentation, and median survival. In summary, gliosarcoma is an aggressive tumor with a propensity to recur and re-grow with poor outcome. Future studies are needed to understand the true pathology of these biphasic tumors.

Download Full-text