scholarly journals Scalp Intravenous Catheter Infiltration Leading to Subdural and Intraparenchymal Fluid Collection and Severe Neurologic Sequelae: A Case Report

2019 ◽  
Author(s):  
William Loudon
Keyword(s):  
Case Report ◽  
Fluid Collection ◽  
Intravenous Catheter ◽  
Neurologic Sequelae

scholarly journals Hydrops fetalis with isolated massive ascites in a preterm neonate with rhesus disease

2021 ◽  
Author(s):  
Nasenien Nourkami-Tutdibi ◽  
Martina Geipel ◽  
Gabriele Meyberg-Solomayer ◽  
Zoltan Takacs ◽  
Sascha Meyer
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Neonatal Intensive Care ◽  
Preterm Neonate ◽  
Fluid Collection ◽  
Hemolytic Disease ◽  
Massive Ascites ◽  
Rhesus Incompatibility ◽  
Trained Staff ◽  
Clinical Stabilization

SummarySignificant progress in prenatal care has decreased the incidence of rhesus incompatibility, which may result in hemolytic disease of the fetus and newborn (HDFN). This case report describes an unusual presentation of HDFN in a preterm infant delivered by caesarean section with isolated massive abdominal fluid collection as the leading clinical sign in addition to severe anemia. The immediate drainage of ascites provided transient clinical stabilization with improved pulmonary function in the delivery suite. After admission to the neonatal intensive care unit (NICU), HDFN treatment was initiated. This case report shows the importance of adequately trained staff including neonatologists, pediatricians and NICU nurses in the delivery suite to provide neonatal intensive care for HDFN.

scholarly journals Flushing of an intravenous catheter

2019 ◽  
Vol 29 (3) ◽  
pp. 614-618
Author(s):  
Rutger C.C. Hengeveld ◽  
Bianca E. Olofsen ◽  
Edmée C. van Dongen-Lases ◽  
Peter A. Leenhouts ◽  
Victor F.H.A. Hakkenberg van Gaasbeek ◽  
...  
Keyword(s):  
Emergency Department ◽  
Renal Function ◽  
Case Report ◽  
Sodium Chloride ◽  
Continuous Infusion ◽  
Intravenous Catheter ◽  
Blood Samples ◽  
Close Proximity ◽  
Laboratory Results ◽  
Life Threatening

Introduction: Phlebotomy is an error-prone process in which mistakes are difficult to reveal. This case report describes the effect on laboratory results originating from a blood sample collected in close proximity to an intravenous catheter. Materials and methods: A 69-year-old male patient was referred to the Emergency department where pneumonia was suspected. Phlebotomy was performed to collect blood samples to assess electrolytes, renal function, liver function, infection and haematological parameters. Results: The laboratory analysis showed reduced potassium and calcium concentrations. To prevent life-threatening cardiac failure the clinician decided to correct those electrolytes. Remarkably, the electrocardiogram showed no abnormalities corresponding to hypokalaemia and hypocalcaemia. This observation, in combination with an overall increase in laboratory parameters with the exception of sodium and chloride, led to the suspicion of a preanalytical error. Retrospectively, an intravenous catheter was inserted in close proximity of the puncture place but no continuous infusion was started prior to phlebotomy. However, the intravenous catheter was flushed with sodium chloride. Since potential other causes were excluded, the flushing of the intravenous catheter with sodium chloride prior to phlebotomy was the most probable cause for the deviating laboratory results and subsequently for the unnecessary potassium and calcium suppletion. Conclusion: This case underlines the importance of caution in the interpretation of laboratory results obtained from specimens that are collected in the proximity of an intravenous catheter, even in the absence of continuous infusion.

scholarly journals Role of Ayurved in the Management of Wound Dehiscence - A Case Report

2021 ◽  
Vol 12 (2) ◽  
pp. 395-397
Author(s):  
Kiran Pundlikrao Mendhekar ◽  
Sanjay Babar ◽  
Ashwin Shete
Keyword(s):  
Case Report ◽  
Hospital Stay ◽  
Surgical Procedure ◽  
Fluid Collection ◽  
Fatal Outcome ◽  
Wound Dehiscence ◽  
Wound Management ◽  
Invasive Technique ◽  
Team Approach ◽  
Obese People

Wound dehiscence is the common problem which is faced by most of the surgeons in case of obese people. As we know, in case of post-operative wound management, avascularity and excessive adipose tissue lysis can lead to fluid collection which leads to gapping of sutured wound. This may also cause Dushta vrana i.e. secondary infection to the wound. Wound dehiscence in surgical field leads to most fatal outcome which can lead to cause local as well as systemic sepsis in the patient. Present case report reveals a treatment modality which involves multidisciplinary team approach such as management of wound as well as obesity by using Ayurvedic perspective. Whereas modern technique of resuturing the gapped wound exposes patient to another surgical procedure which is expensive and increases the hospital stay. The local and oral drugs formulations were proven effective in reducing excessive wound discharge as well as they stimulate the wound healing mechanism when administered in both local and systemic ways. The cost and benefit ratio was found high as there is no re-exposure to the surgical procedure and patient will get benefitted with non-invasive technique along with minimal expenses and hospital stay.

scholarly journals Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report

2021 ◽  
pp. 1-5
Author(s):  
Zahar Alkhadem ◽  
Lubna Lutfi ◽  
Doha Ali ◽  
Asma Anan Mohammed ◽  
Iyad Said Hamadi
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Fluid Collection ◽  
Clinical Signs ◽  
Oral Intake ◽  
Retropharyngeal Abscess ◽  
High Grade Fever ◽  
Neck Stiffness ◽  
Obstructive Sleep

Retropharyngeal abscess is a relatively uncommon midline deep neck space infection that extends from the base of the skull to the posterior mediastinum, situated between the buccopharyngeal and alar fascias. In this case report, we present a 14-month-old previously healthy female patient who had a high-grade fever for 7 days, associated with neck stiffness and restriction of neck movements to the right side. Her parents noticed decreased oral intake associated with dysphagia, muffled quality of voice, and obstructive sleep apnea. However, the patient had no clinical signs of mechanical obstruction on examination. A contrast-enhanced computed tomography scan of the neck showed a large retropharyngeal septated fluid collection measuring 8 × 3 × 6 cm, which was categorized as a large retropharyngeal abscess that was complicated by descending mediastinitis. The patient was taken immediately to the operation theater for incision and drainage under general anesthesia, after which she was started on intravenous antibiotics.

A Case Report of Neurologic Sequelae Following Spinal Anesthesia

1992 ◽  
Vol 25 (6) ◽  
pp. 1238
Author(s):  
Jun Suk Ahn ◽  
Il Ho Kim ◽  
Soon Im Kim ◽  
Sung Yell Kim
Keyword(s):  
Case Report ◽  
Spinal Anesthesia ◽  
Neurologic Sequelae

Accidental arterial catheterisation during a maxillary nerve block using a modified infraorbital approach in a dog

2020 ◽  
Vol 8 (2) ◽  
pp. e001097
Author(s):  
Paul Massimo Giannoni McCarthy ◽  
Arthur Yuk Kong Chau
Keyword(s):  
Case Report ◽  
Nerve Block ◽  
Local Anaesthetic ◽  
Adverse Reactions ◽  
Intravenous Catheter ◽  
Infraorbital Foramen ◽  
Maxillary Nerve ◽  
First Case ◽  
Maxillary Nerve Block ◽  
Oromaxillofacial Surgery

The maxillary nerve block (MNB) is a local anaesthetic technique used in dentistry and oromaxillofacial surgery, with recent popular use for minimising adverse reactions during rhinoscopy. A modified approach via the infraorbital foramen using an intravenous catheter has been recently described in the veterinary literature to minimise potential nerve block associated complications. This case report describes inadvertent arterial catheterisation using the aforementioned technique in a 5.4-kg, 9-year-old male neutered Maltese terrier cross that was presented for diagnostic workup of a chronic cough that had recently worsened. To the authors’ knowledge, this is the first case report of such a complication. It is recommended for veterinary practitioners to be aware of accidental arterial puncture and catheterisation whenever a modified infraorbital approach to the MNB is performed in order to facilitate rapid intervention and management.

scholarly journals Persistent nipple discharge after nipple-sparing mastectomy secondary to unincorporated AlloDerm: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Avra S. Laarakker ◽  
Audrey Rich ◽  
Jeffrey Wu ◽  
Stephanie Fine
Keyword(s):  
Case Report ◽  
Fluid Collection ◽  
Nipple Discharge ◽  
Rare Event ◽  
Silicone Implants ◽  
Complication Rates ◽  
Reconstructive Procedures ◽  
First Case ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing

Abstract Background Rates of nipple-sparing mastectomies have increased over the past decade. In 2017, acellular dermal matrix was used in 56% of breast reconstructive procedures, with complication rates similar to operations without AlloDerm. Although persistent nipple discharge after nipple-sparing mastectomy is a rare event, it has been described in the literature. Other authors have described evaluation and treatment on a case-by-case basis. To the best of our knowledge, this is the first case report to describe a persistent unilateral discharge after multiple operative revisions and to provide an algorithmic approach to workup and treatment. Case presentation We present a case of a 29-year-old Hispanic woman with BRCA1 mutation who underwent a prophylactic bilateral nipple-sparing mastectomy with immediate reconstruction using AlloDerm. The year following her operation, the patient underwent two surgical revisions, one for implant rippling and one for asymmetry. Six months after her second revision, she presented to our hospital with a capsular contracture and unilateral clear nipple discharge. Her breast ultrasound showed dilated subareolar ducts and a suspicious mass. Magnetic resonance imaging identified a benign-appearing, rim-enhancing fluid collection. She underwent a third revision. One year later, she returned to our clinic with bloody nipple discharge, erythematous skin changes, and a palpable breast lump. Her surgical biopsy showed a fold in AlloDerm and chronic inflammatory changes. She continued experiencing discharge and opted for nipple excision. During the operation, a lacrimal probe demonstrated a direct connection between the discharging external duct and a seroma associated with an area of unincorporated AlloDerm. The section of unincorporated AlloDerm was excised, and no evidence of malignancy was identified. Ten months later, the patient remained symptom-free and had progressed to placement of final silicone implants. Conclusions To the best of our knowledge, this is the first case report to describe a nongravid patient with persistent unilateral sanguineous nipple discharge after multiple operative revisions. A visible communication between the draining duct and a seroma associated with unincorporated AlloDerm was ultimately identified. We present a clinical algorithm for patients with nipple discharge after nipple-sparing mastectomy.

scholarly journals Skin signs in acute pancreatitis: a case report

2013 ◽  
pp. 265-268
Author(s):  
Marco Bassi ◽  
Gelorma Belmonte ◽  
Paola Billi ◽  
Angelo Pasquale ◽  
Massimo Reta ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Clinical Laboratory ◽  
Epigastric Pain ◽  
Multiorgan Failure ◽  
Fluid Collection ◽  
Clinical Signs ◽  
Pancreatic Fluid Collection ◽  
Retroperitoneal Hemorrhage ◽  
Skin Signs

Introduction: Subcutaneous manifestations of severe acute pancreatitis (Cullen’s sign, Gray- Turner’s sign, Fox’s sign, and Bryant’s sign) are often discussed in journals and textbooks, but seldom observed. Although historically associated with acute pancreatitis, these clinical signs have been described in various other conditions associated with retroperitoneal hemorrhage. Case report: We describe the case of a 61-year-old male with no history of alcohol intake, who was admitted for epigastric pain, vomiting, and increasing serum amylase and lipase levels. Five days after admission, ecchymotic skin discoloration was noted over both flanks (Gray-Turner’s sign) and the upper third of the thighs (Fox’s sign). Ten days later, he developed multiorgan failure and was transferred to the ICU for 5 days. Computed tomography revealed a large pancreatic fluid collection, which was subjected to EUS-guided drainage. Cholecystectomy was later performed for persistent obstructive jaundice. After more than 4 months of hospitalization, he died as a result of severe gastrointestinal bleeding. Discussion and conclusions: Skin manifestations of retroperitoneal hemorrhage in a patient with acute pancreatitis indicate a stormy disease course and poor prognosis. The severity of acute pancreatitis is currently estimated with validated scoring systems based on clinical, laboratory, and imaging findings. However, skin signs like the ones discussed above can represent a simple and inexpensive parameter for evaluating the severity and prognosis of this disease.

scholarly journals AYURVEDIC MANAGEMENT OF ABNORMAL FLUID COLLECTION IN UTERUS: A CASE REPORT

2018 ◽  
Vol 9 (4) ◽  
pp. 180-181
Author(s):  
Emy S Surendran ◽  
Meghna PPBS ◽  
Akash lal M
Keyword(s):  
Case Report ◽  
Fluid Collection
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