scholarly journals Needle Decompression of Tension Pneumoperitoneum: A Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 511-514
Author(s):  
Joseph Ray ◽  
Nadin Exantus
Keyword(s):  
Case Report ◽  
Gastric Wall ◽  
The Body ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Disastrous Consequence ◽  
Distended Abdomen ◽  
Tension Pneumoperitoneum ◽  
Emergency Stabilization ◽  
Needle Decompression

Introduction: Tension pneumoperitoneum is rarely encountered in the emergency department but can have disastrous effects on the body when it is. However, an emergency physician has skills that can be readily applied to needle decompress the abdomen for rapid stabilization. Case Report: A 42-year-old male arrived via ambulance after a likely overdose with mental status improvement following naloxone administration. He was found to be in respiratory distress due to a rigid, distended abdomen that required intubation for stabilization. Computed tomography imaging showed significant pneumoperitoneum with tension physiology. Surgery consultation was unable to intervene immediately, and needle decompression with an angiocatheter was performed at the bedside with immediate ventilatory improvement. Conclusion: Tension pneumoperitoneum is a rare but potentially disastrous consequence of overdose secondary to emesis and rupture of the gastric wall. Needle decompression is a skillset already in the emergency physician’s toolbox and can be applied for emergency stabilization of a tension pneumoperitoneum with proper forethought and technique.

scholarly journals A changing understanding in the presentation of patients with hepatoportal venous gas: a case report

2010 ◽  
Vol 92 (6) ◽  
pp. e9-e10 ◽  
Author(s):  
Jonathan Evans ◽  
Chris Craig
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Imaging Techniques ◽  
Abdominal Sepsis ◽  
Patient Assessment ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Prognostic Sign ◽  
Radiological Evidence

Often believed to be a poor prognostic sign, hepatoportal venous gas (HPVG) has been associated with massive intra-abdominal sepsis. It is more frequently detected as computed tomography imaging techniques improve. A patient presenting with radiological evidence of HPVG is discussed and the literature reviewed. This study aims to highlight the increasing understanding that HPVG may sometimes follow a more indolent course than previously believed. Patient assessment is the key in selecting those who need urgent laparotomy.

scholarly journals Three-dimensional Computed Tomography Imaging of a Frontal Skull Base Fracture —Case Report—

1997 ◽  
Vol 37 (11) ◽  
pp. 838-840 ◽  
Author(s):  
Koh YANG ◽  
Tatsuya KURODA ◽  
Yusuke TANABE ◽  
Akira TAKAO ◽  
Noboru SAKAI
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Skull Base ◽  
Three Dimensional ◽  
Computed Tomography Imaging ◽  
Skull Base Fracture ◽  
Tomography Imaging ◽  
Frontal Skull Base

scholarly journals Detection of child abuse on computed tomography imaging due to presence of severe caries: A case report

2021 ◽  
Author(s):  
hiroyuki tokue ◽  
Azusa Tokue ◽  
Yoshito Tsushima
Keyword(s):  
Computed Tomography ◽  
Child Abuse ◽  
Case Report ◽  
Dental Caries ◽  
Whole Body ◽  
Imaging Findings ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Whole Body Computed Tomography

Abstract Background: Child abuse can result from physical, verbal, or sexual harm. While child abuse often involves an action that harms the child, inaction, such as neglect, can also cause harm.Case presentation: We present a case in which child abuse was detected through computed tomography imaging findings of severe dental caries. This case was a 5-year-old girl who fell down the stairs and hit her head. The computed tomography of her head showed no abnormalities; however, severe dental caries was detected. The mother’s incomplete history and inadequate explanation of injuries further made us suspect abuse. A whole-body computed tomography was conducted for child abuse screening, which showed an unnatural fracture in the left arm. Through these imaging findings, we were able to identify and help a victim of child abuse.Conclusions: Physicians should be aware that severe dental caries may be a sign of child abuse.

Chemotherapy-induced pneumonitis associated with transient CA 15-3 elevation

2020 ◽  
Vol 26 (7) ◽  
pp. 1750-1753
Author(s):  
Savas Comlek
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Combination Chemotherapy ◽  
Hypersensitivity Pneumonitis ◽  
Steroid Treatment ◽  
Computed Tomography Imaging ◽  
Drug Induced ◽  
Tomography Imaging ◽  
Transient Elevation ◽  
Paclitaxel Treatment

Introduction Development of hypersensitivity pneumonitis has been reported in association with combination chemotherapy consisting of gemcitabine and paclitaxel. However, diagnosis of this condition is based on computed tomography imaging and correlative bronchoalveolar findings on bronchoscopy. Although transient elevation of the tumor marker CA 15-3 has been reported in patients with interstitial pneumonitis associated with collagen disease, elevation of this marker during drug-induced hypersensitivity pneumonitis has not been reported yet. Case report In this report, we describe a 74-year-old metastatic schwannoma patient with drug-induced pneumonitis secondary to combined gemcitabine and paclitaxel treatment associated with transient elevation of CA 15-3. Management and outcome: The patient responded to steroid treatment with clinical and radiological improvement, and CA 15-3 levels returned to normal within four weeks. Discussion These findings suggest that blood CA 15-3 level has the potential to be used as a marker to monitor drug-induced pneumonitis.

Potential airway compromise secondary to impacted Wharton's duct calculus: a noteworthy phenomenon

2015 ◽  
Vol 129 (7) ◽  
pp. 721-724
Author(s):  
M Van ◽  
R Gohil ◽  
Q Gardiner
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Voice Quality ◽  
Disease Process ◽  
Airway Compromise ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Life Threatening ◽  
Gland Duct ◽  
Wharton’S Duct

AbstractObjectives:This case report describes a patient who suffered an acute, severe complication of unilateral submandibular sialolithiasis, the disease process and management of these patients.Case report:A 70-year-old woman was under investigation for a recurrent, painful right submandibular swelling and subsequently presented with an acute exacerbation. She exhibited symptoms of acute submandibular sialadenitis, and also reported breathing difficulty and a change in voice quality. Computed tomography imaging showed that this was caused by a submandibular gland duct sialolith, with inflammation extending to the ipsilateral supraglottis. She was treated medically and the stone was removed when the inflammation had stabilised.Conclusion:This case highlights the need to thoroughly assess patients with neck swellings, especially when symptoms are atypical, to avoid life-threatening complications.

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