scholarly journals Adolescent Male with Severe Groin Pain Due to Traumatic Injury

2021 ◽  
Vol 2 (5) ◽  
pp. 251-252
Author(s):  
Hirofumi Ohno ◽  
Shinsuke Takeda ◽  
So Mitsuya ◽  
Ken-ichi Yamauchi
Keyword(s):  
Groin Pain ◽  
Traumatic Injury ◽  
Femoral Nerve ◽  
Adolescent Male ◽  
Resonance Imaging ◽  
Short Term ◽  
Case Presentation ◽  
The Right ◽  
A Minor ◽  
Iliacus Muscle

Case Presentation: A 14-year-old boy presented to the emergency department complaining of severe groin pain on the right side following a minor fall. Computed tomography and magnetic resonance imaging revealed a hematoma in his right iliacus muscle. He was diagnosed with a traumatic iliacus hematoma, and he recovered spontaneously with short-term oral analgesics. Discussion: Traumatic iliacus hematomas are rare entities and subside with conservative management in most cases. However, this condition may be associated with femoral nerve palsy, and surgery is indicated in severe cases. Traumatic iliacus hematoma should be considered in the differential diagnosis of severe groin pain.

Congenital talonavicular synostosis. A review of the literature and a case report

1989 ◽  
Vol 79 (4) ◽  
pp. 186-189 ◽  
Author(s):  
JH Bonk ◽  
MA Tozzi
Keyword(s):  
Case Report ◽  
Traumatic Event ◽  
Radiographic Finding ◽  
Acute Onset ◽  
Adolescent Male ◽  
Treatment Modalities ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Male Athlete ◽  
A Minor

The diagnosis of a congenital talonavicular coalition is one that often may be little more than an incidental radiographic finding. However, the acute onset of vague midfoot symptomatology secondary to a minor traumatic event may reveal this rarely reported condition on further clinical examination. The authors present a description of the characteristic historical and clinical features of talonavicular coalitions, current diagnostic and treatment modalities available, and a case presentation of an acute painful talonavicular synostosis in an adolescent male athlete.

scholarly journals Effectiveness of a Short-Term Treatment of Oxygen-Ozone Therapy into Healing in a Posttraumatic Wound

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Irene Degli Agosti ◽  
Elena Ginelli ◽  
Bruno Mazzacane ◽  
Gabriella Peroni ◽  
Sandra Bianco ◽  
...  
Keyword(s):  
Oxygen Free Radicals ◽  
Antibacterial Properties ◽  
Term Treatment ◽  
Ozone Therapy ◽  
Short Term ◽  
Short Term Treatment ◽  
Case Presentation ◽  
Appropriate Treatment ◽  
The Right ◽  
Free Radicals Scavenging

Introduction. A number of studies suggest that oxygen-ozone therapy may have a role in the treatment of chronic, nonhealing, or ischemic wounds for its disinfectant and antibacterial properties. Nonhealing wounds are a significant cause of morbidity. Here we present a case of subcutaneous oxygen-ozone therapy used to treat a nonhealing postoperative wound in a young man during a period of 5 weeks.Case Presentation. A 46-year-old man had a motorcycle accident and underwent amputation of the right tibia and fibula. At the discharge he came to our attention to start rehabilitation treatment. At that time the wound was ulcerated but it was afebrile with no signs of inflammation and negativity to blood tests. At 2 months from the trauma despite appropriate treatment and dressing, the wound was slowly improving and the patient complained of pain. For this reason in addition to standard dressing he underwent oxygen-ozone therapy. After 5 weeks of treatment the wound had healed.Conclusion. In patients with nonhealing wounds, oxygen-ozone therapy could be helpful in speeding the healing and reducing the pain thanks to its disinfectant property and by the increase of endogenous oxygen free radicals’ scavenging properties. Compared to standard dressing and other treatments reported in the literature it showed a shorter time of action.

scholarly journals Rapidly Evolving Deep Dissecting Hematoma With Sudden Onset, Developed One Month After A Minimal Trauma.

2021 ◽  
Author(s):  
Rémy Hamdan ◽  
Narcisse Zwetyenga ◽  
Yvan Macheboeuf ◽  
Patrick Ray
Keyword(s):  
Ultrasound Examination ◽  
Sudden Onset ◽  
Blood Collection ◽  
Case Presentation ◽  
Minimal Trauma ◽  
Muscle Fascia ◽  
History Of ◽  
Operative Report ◽  
The Right ◽  
A Minor

Abstract Background: Deep dissecting hematoma is a rapidly extending blood collection that splits the hypodermis from muscle fascia, constituting a medical surgical emergency. The natural history of this condition includes trauma (even minor physical injury) shortly before onset of the lesion, occurring in a patient with advanced dermatoporosis. Case presentation: We report the admission of a 70-year-old woman to the emergency department of our hospital for the onset of a deep dissecting hematoma one month after a negligible trauma in the right leg, complicating secondary iatrogenic dermatoporosis. Bedside ultrasound examination was used to eliminate differential or additional diagnoses and to assess the main features of the hematoma (dimensions, existence of blood supply). Surgical debridement and hematoma drainage were performed due to rapid horizontal extension of the hematoma and unresolved pain, with the operative report confirming the diagnosis. Conclusion: This observation emphasises that in patients with severe dermatoporosis, several weeks can elapse between a minor impact and the sudden development of a limb-threatening deep dissecting hematoma.

Femoral nerve entrapment in a dog with diffuse idiopathic skeletal hyperostosis

2015 ◽  
Vol 28 (02) ◽  
pp. 151-154 ◽  
Author(s):  
J. Culvenor ◽  
C. Bailey ◽  
S. Davies ◽  
A. Lai
Keyword(s):  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Femoral Nerve ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Nerve Entrapment ◽  
Resonance Imaging ◽  
Neurological Abnormality ◽  
Femoral Neuropathy ◽  
Muscle Groups ◽  
The Right

SummaryObjective: To report femoral neuropathy caused by nerve entrapment associated with diffuse idiopathic skeletal hyperostosis (DISH).Study Design: Case report.Animal: Seven-year-old female spayed Boxer dog.Results: Entrapment of the right femoral nerve due to DISH caused a femoral nerve deficit and atrophy of muscle groups associated with the affected nerve. A combination of computed tomography and magnetic resonance imaging was performed to provide a diagnosis. Amputation of the right transverse process of the sixth lumbar vertebra at the level of nerve entrapment relieved the neurological abnormality.Conclusions: Nerve entrapment leading to neurapraxia may occur concurrently with DISH and surgery in this case was successful in restoring function.Clinical relevance: Peripheral neuropathy from nerve entrapment should be considered in patients with DISH. Surgical amputation of impinging osseous structures may be indicated for relief of femoral neuropathy.

scholarly journals Benign mesenteric lipomatous tumor in a child: a case report and literature review

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Naoki Hashizume ◽  
Takato Aiko ◽  
Suguru Fukahori ◽  
Shinji Ishii ◽  
Nobuyuki Saikusa ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Soft Tissue Tumors ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Lipomatous Tumor ◽  
Longitudinal Length ◽  
The Right ◽  
Left Abdomen ◽  
Lipomatous Tumors

Abstract Background Lipomatous tumors are the most common type of soft-tissue tumors. Benign lipomatous tumors are lipomas and lipoblastoma. We herein report a case of benign mesenteric lipomatous tumor and the largest collection of known benign mesenteric lipomatous tumors in children in the literature. Case presentation A 3-year-old girl presented with repeated dull abdominal pain and left abdominal mass swelling. On a physical examination, the child had a soft, moderately distended left abdomen that was not tender when palpated. Computed tomography and magnetic resonance imaging demonstrated a large fatty mass within the mesentery, measuring approximately 8 × 6 cm. The mass extended from the right upper quadrant to the lower pole of the kidneys. Laparotomy with resection of the mesenteric tumor was performed under general anesthesia. A well-capsuled tumor was a soft, yellow mass and found loosely attached to the mesenterium of the ileum. A histopathological examination demonstrated the lobular proliferation of mature adipocytes. Atypical lipoblasts were not seen. These features are compatible with benign lipomatous tumor, such as lipoma or lipoblastoma with maturation. Conclusion In conclusion, benign mesenteric lipomatous tumors tend to be large in size over 10 cm in longitudinal length. However, resection is well tolerated in the vast majority of cases with benign post-operative courses.

scholarly journals Management of giant osteoma in the mandible associated with minor trauma: a case report

2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Isabela Wolf-Grotto ◽  
Lucas M. Nogueira ◽  
Basilio Milani ◽  
Erica C. Marchiori
Keyword(s):  
Tooth Extraction ◽  
Present Report ◽  
Tumor Development ◽  
Minor Trauma ◽  
Case Presentation ◽  
Tumor Lesion ◽  
The Right ◽  
A Minor ◽  
Possible Cause

Abstract Background Osteoma is a benign tumor of the bones, which can be classified as central or peripheral. The occurrence in the jawbones is uncommon, but when it occurs, there is a greater prevalence of the mandible. The etiology is still unknown, and the hypothesis of its development is debated. Case presentation A 35-year-old Caucasian man presenting a tumor lesion in the right jawbone that had been growing for 8 years sought medical service complaining of speaking impairment. According to the patient, the tumor appeared shortly after a minor trauma caused by tooth extraction. The diagnosis of the lesion was made through clinical, radiographic, and histological methods, and the surgical treatment was successful and satisfactory for the patient as well as the surgical team, despite a short follow-up. Conclusion Etiopathogenesis of osteoma is not determined in the majority of cases. In the present report, it was possible to hypothesize the association between a minor trauma and the development of the tumor, reinforcing the reactive theory of tumor development. The uncommon location of the osteoma, as well the possibility of identifying the possible cause of the lesion, makes this case particularly interesting.

scholarly journals A surgical case of mediastinal hematoma caused by a minor traffic injury

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Katsuyuki Suzuki ◽  
Satoshi Shiono ◽  
Kazuki Hayasaka ◽  
Makoto Endoh
Keyword(s):  
Inferior Thyroid Artery ◽  
Case Presentation ◽  
Mediastinal Hematoma ◽  
Traffic Injury ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
The Right ◽  
A Minor

Abstract Background Mediastinal hematoma rarely occurs after a minor traffic injury. Case presentation A woman in her forties was transferred to the emergency room by ambulance due to a traffic accident. Computed tomography (CT) revealed no abnormal findings, and she went home. Two days after the accident, the contrast-enhanced CT was repeated, which revealed cervical and mediastinal hematomas. Because it was possible that there was active bleeding from the right inferior thyroid artery, embolization of the right inferior thyroid artery was performed; however, her condition further deteriorated, so we performed emergency surgery to achieve hemostasis and remove the hematoma. Because of oozing from the right thyroid lobe, we performed right hemithyroidectomy and drainage of mediastinal space and right thoracic cavity. Since there was no bleeding site in the mediastinum, we thought that the mediastinal hematoma was due to bleeding from the thyroid gland. Her postoperative course was uneventful, and she is doing well at 9 months of follow-up after surgery. Conclusions It is possible that mediastinal hematoma might be caused by a minor traffic injury.

scholarly journals Right-sided strangulating diaphragmatic hernia in an adult without history of trauma: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Konstantinos G. Spiridakis ◽  
Mathaios E. Flamourakis ◽  
Ioannis G. Gkionis ◽  
Eleni I. Kaloeidi ◽  
Anthoula I. Fachouridi ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Clinical Status ◽  
Traumatic Injury ◽  
Postoperative Recovery ◽  
Case Presentation ◽  
Uneventful Postoperative Recovery ◽  
History Of ◽  
Chest X Ray ◽  
The Right ◽  
Diaphragmatic Hernias

Abstract Background Diaphragmatic hernia involves protrusion of abdominal contents into the thorax through a defect in the diaphragm. This defect can be caused either by developmental failure of the posterolateral foramina to fuse properly, or by traumatic injury of the diaphragm. Left-sided diaphragmatic hernias are more common (80–90%) because the right pleuroperitoneal canal closes earlier and the liver protects the right diaphragm. Diaphragmatic hernias in adults are relatively asymptomatic, but in some cases may lead to incarcerated bowel, intraabdominal organ dysfunction, or severe pulmonary disease. The aim of this report is to enlighten clinical doctors about this rare entity that can have fatal consequences for the patient. Case presentation We present a rare case of a right-sided strangulating diaphragmatic hernia in an adult Caucasian patient without history of trauma. Clinical examination revealed bowel sounds in the right hemithorax, which were confirmed by the presence of loops of small intestine into the right part of the thorax through the right diaphragm, as was shown on chest X-ray and computerized tomography. Deterioration of the clinical status of the patient led to an operation, which revealed strangulated necrotic small bowel. Approximately 1 m of bowel was removed, and laterolateral anastomosis was performed. The patient had an uneventful postoperative recovery and was discharged 8 days later. Conclusions Surgery is required to replace emerged organs into the abdomen and to repair diaphragmatic lesion. A delayed approach can have catastrophic complications for a patient.

scholarly journals A rare case of iliopsoas hematoma in a patient with von Willebrand disease

2020 ◽  
Vol 7 (3) ◽  
pp. 873
Author(s):  
Vikas Kawarat ◽  
Mohamed Javid ◽  
Shanthi Ponnandai Swaminathan ◽  
Kannan Ross
Keyword(s):  
Femoral Nerve ◽  
Von Willebrand Disease ◽  
Muscle Dysfunction ◽  
Resonance Imaging ◽  
Lower Quadrant ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Type 3 ◽  
Von Willebrand ◽  
Right Lower Quadrant

Iliopsoas hematoma is a serious complication that can occur in bleeding disorders, most commonly hemophillia but it can also be seen in von Willebrand disease (vWD) in less frequency. This can cause muscle pain, muscle dysfunction and sometimes even femoral nerve palsy. Iliopsoas hematomas can be diagnosed by the usage of ultrasonography, computed tomography (CT) or magnetic resonance imaging (MRI). Here we report a case of a 20-year-old boy who presented to us with complaints of pain in the right lower quadrant, flank, and inguinal region for a week. He was diagnosed with vWD type 3 when he was 10 years old. The symptoms started after he had tried to kick start his motorbike vigorously. Clinical examination revealed the patient to be in an anti-pain posture and to have tenderness at sites where he complained of pain. A subsequent CT scan showed that there was an iliopsoas hematoma of size 10×6 cm. The patient was managed conservatively with factor replacement and physiotherapy following which there was amelioration in the symptoms and the patient recovered well.

scholarly journals Musculoskeletal actinomycosis in children: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yani Mou ◽  
Qin Jiao ◽  
Yizhong Wang ◽  
Xiaolu Li ◽  
Yongmei Xiao ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Bacterial Culture ◽  
Surgical Debridement ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Oral Amoxicillin ◽  
Amoxicillin Clavulanate ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Abstract Background Actinomycosis is a rare infectious disease caused by Actinomyces, especially in children. Here, we present a case of musculoskeletal actinomycosis in a 5-year-old girl from China. Case presentation A 5-year-old girl presented with recurrent episodes of fever, pain, erythema, swelling, and festering sores on the right lower extremity, and pus was discharged from a sinus in the right foot. Magnetic resonance imaging (MRI) suggested subcutaneous soft tissue infection and osteomyelitis of the right crus. A bacterial culture of pus extracted from a festering sore on the right popliteal fossa detected the growth of Actinomycetes europaeus. The patient was cured with 7 weeks of treatment with intravenous ampicillin-sulbactam, followed by 6 weeks of treatment with oral amoxicillin-clavulanate with surgical debridement and drainage. There were no symptoms of recurrence during the 15-month period of follow-up. Conclusions Pediatric actinomycosis is a rare and challenging infectious disease. Early accurate diagnosis and optimal surgical debridement are important for the management of pediatric actinomycosis.

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