Epidural Extension Of Actinomycosis- Correct Diagnosis Can Avoid Surgical Intervention: A Case Report

Abstract To perform or interpret an electrodiagnostic study, one should have a thorough knowledge about the normal human anatomy. Along with that, one should keep in mind the possibility of various anastomoses which can occur between different nerves. Richie Cannieu anastomosis is an anomalous ulnar to median communication in the palm between the deep branch of the ulnar nerve and the recurrent branch of the median nerve. Such an anastomosis in a setting of median or ulnar nerve injury can produce confusing clinical and electrodiagnostic findings. Correct diagnosis is important especially before planning any surgical intervention. Here we report a case of Richie Cannieu anastomosis to highlight the importance of knowing about such anastomoses.

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Chilaiditi’s sign, a cause of pseudo-pneumoperitoneum: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x18812213 ◽

2018 ◽

Vol 6 ◽

pp. 2050313X1881221

Author(s):

Benjamin Sachdev Manjit Singh ◽

Muhammad Daniel Azlan Mahadzir ◽

Tiong Chan Lee

Keyword(s):

Case Report ◽

Chest Radiograph ◽

Surgical Intervention ◽

Asymptomatic Patient ◽

Correct Diagnosis ◽

Radiological Finding ◽

Diagnostic Dilemma ◽

Unnecessary Procedures ◽

The Right ◽

Chilaiditi’S Sign

The differentiation between a pseudo-pneumoperitoneum and true pneumoperitoneum on an initial chest radiograph is challenging but essential to clinical practice. The former is managed conservatively whereas the latter may require surgical intervention. Chilaiditi’s sign describes a rare incidental radiological finding of gas filled bowel interpositioned between the right hemi-diaphragm and the liver, which is visible on a plain abdominal or chest radiograph. It is often misdiagnosed as a pneumoperitoneum. Correct diagnosis of Chilaiditi’s sign in an asymptomatic patient can prevent unnecessary procedures. We have reported one incidental chest radiograph with Chilaiditi’s sign in a patient presenting and treated for pneumonia. The report aims to illustrate the diagnostic dilemma experienced by clinicians in distinguishing a true versus pseudo-pneumoperitoneum on a chest radiograph.

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Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

Perspectives in Surgery ◽

10.33699/pis.2019.98.4.167-173 ◽

2019 ◽

Vol 98 (4) ◽

pp. 167-173

Keyword(s):

Case Report ◽

Echinococcus Multilocularis ◽

Alveolar Echinococcosis ◽

Lymphatic System ◽

Surgical Intervention ◽

Clinical Symptoms ◽

Safety Margin ◽

Surgical Removal ◽

Single Centre Experience ◽

Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

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Cleft Lip Surgical Intervention in Resource Constraint Settings: A Case Report

SSRN Electronic Journal ◽

10.2139/ssrn.2755834 ◽

2016 ◽

Author(s):

Anant Kumar ◽

Loree Kathleen Kalliainen

Keyword(s):

Case Report ◽

Cleft Lip ◽

Surgical Intervention ◽

Resource Constraint

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First reported case of penile prosthesis infection from brucellosis: case report

African Journal of Urology ◽

10.1186/s12301-020-00090-1 ◽

2020 ◽

Vol 26 (1) ◽

Author(s):

Nabil Nabil Moohialdin ◽

Ahmad Shamsodini ◽

Steven K. Wilson ◽

Osama Abdeljaleel ◽

Ibrahim Alnadhari ◽

...

Keyword(s):

Case Report ◽

Broad Spectrum ◽

Surgical Intervention ◽

Penile Prosthesis ◽

Raw Milk ◽

Prosthesis Infection ◽

Case Presentation ◽

First Case ◽

Milk Ingestion

Abstract Background Infection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences. After introduction of antibiotic-coated implants, the rate of infection has dramatically decreased, but still we see uncommon organisms causing infection. We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. To our knowledge, this is the first reported case of brucellosis penile prosthesis infection. Case presentation We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. A 75-year-old, diabetic male patient presented with penile prosthesis infection 5 months post-penile exchange surgery due to mechanical malfunctioning of 2-piece penile prosthesis which was inserted 11 years ago. The initial treatment with broad spectrum antibiotics did not subside the infection. After diagnosis of brucellosis, the antibiotic was changed to anti-brucellosis (Rifampicin + Tetracycline). The patient improved dramatically and was discharged home with smooth follow-up course. Conclusion Brucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating surgical intervention and removal of prosthesis.

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Type Va extrahepatic bile duct duplication: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-019-2259-5 ◽

2019 ◽

Vol 13 (1) ◽

Cited By ~ 2

Author(s):

Bharat Mani Banjade ◽

Ashish Rajbhandari ◽

Rabin Koirala ◽

Tuhin Shah ◽

Chitra Lal Bhattachan

Keyword(s):

Case Report ◽

Bile Duct ◽

Extrahepatic Bile Duct ◽

Correct Diagnosis ◽

Diagnostic Techniques ◽

Case Presentation ◽

Double Common Bile Duct ◽

Unusual Variant ◽

Rural Nepal ◽

Calculous Cholecystitis

Abstract Background Extrahepatic bile duct duplication is an extremely rare congenital anomaly in which two common bile ducts exist. There are five different types of this anomaly and we present an unusual variant of duplication of an extrahepatic biliary system of type Va variety. Case presentation This case report describes a 63-year-old women from rural Nepal who presented with type Va of duplicated extrahepatic bile duct, with chronic calculous cholecystitis and choledocholithiasis. She was managed with cholecystectomy with hepatic ductoplasty and hepaticojejunostomy. Conclusion A rare case of double common bile duct (type Va) complicated by choledocholithiasis, cholangitis, and chronic cholecystitis is reported here. Rare cases are sometimes overlooked by modern diagnostic techniques. Correct diagnosis helps appropriate surgical intervention.

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The multifactorial aetiology of gingival overgrowth: a case report illustrating diagnosis and management

Dental Update ◽

10.12968/denu.2019.46.7.662 ◽

2019 ◽

Vol 46 (7) ◽

pp. 662-671

Author(s):

Rachael Y Jablonski ◽

Bethany Rushworth ◽

Kathryn A Durey

Keyword(s):

Case Report ◽

Renal Transplantation ◽

Vitamin C ◽

Oral Hygiene ◽

Patient Engagement ◽

Surgical Intervention ◽

Gingival Overgrowth ◽

Vitamin C Deficiency ◽

Specialist Services ◽

Detailed Assessment

Gingival overgrowth is the enlargement of gingival tissues and has various underlying aetiological factors. This case report highlights the multifactorial aetiology of gingival overgrowth for a patient who was prescribed an immunosuppressive strategy following renal transplantation, had poor levels of oral hygiene and a diet deficient in fruit and vegetables. The report highlights the importance of a detailed assessment to identify all underlying factors and demonstrates how a referral to the specialist services for gingival overgrowth led to a diagnosis of vitamin C deficiency. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution without any surgical intervention. CPD/Clinical Relevance: This case report highlights the importance of a detailed assessment to diagnose all relevant underlying aetiological factors involved in the development of gingival overgrowth. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution of gingival overgrowth without any surgical intervention.

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Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

Case Reports in Surgery ◽

10.1155/2013/421961 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Faruk Karateke ◽

Ebru Menekşe ◽

Koray Das ◽

Sefa Ozyazici ◽

Pelin Demirtürk

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Gastrointestinal Tract ◽

Crohn's Disease ◽

Medical Treatment ◽

Immunosuppressive Therapy ◽

Surgical Management ◽

Surgical Intervention ◽

Surgical Options ◽

Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

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