Spontaneous detumescence and full restoration of erection in a patient with high-flow priapism with persistent arterial-lacunar fistula after repeated selective embolisation-A case report

Andrologia ◽  
2018 ◽  
Vol 50 (6) ◽  
pp. e13019 ◽  
Author(s):  
M. Čechová ◽  
R. Pádr ◽  
P. Hanek ◽  
M. Chocholatý
Keyword(s):  
Case Report ◽  
High Flow ◽  
Selective Embolisation

scholarly journals Primary free fibula reconstruction in life-threatening haemorrhage from high flow arteriovenous malformation of mandible

2018 ◽  
Vol 51 (02) ◽  
pp. 222-230
Author(s):  
Parvathi Ravula ◽  
Srikanth Rangachari ◽  
Rammurti Susarla ◽  
Laxman Sambari ◽  
Srinivas Saraswathi Jammula
Keyword(s):  
Arteriovenous Malformation ◽  
Curative Resection ◽  
High Flow ◽  
External Carotid ◽  
Primary Reconstruction ◽  
Free Fibula Flap ◽  
Definitive Therapy ◽  
Free Fibula ◽  
Life Threatening ◽  
Selective Embolisation

ABSTRACT Background: High flow arteriovenous malformation (AVM) of the mandible is rare, but it can present as a life-threatening emergency with severe intraoral bleeding for the first time. The gold standard of treatment for an AVM of the mandible is selective embolisation combined with resection and subsequent reconstructions. With the advent of advanced multidisciplinary techniques aimed at definitive therapy, surgical resection and primary reconstruction can provide an ideal anatomical and functional cure. There are no previous reports on primary resection and reconstruction for life-threatening haemorrhage from high flow AVM of the mandible. Aim: We discuss our approach aimed at definitive therapy in life-threatening intraoral bleeding from large high flow AVM of the mandible. Subjects and Methods: Four patients were managed for life-threatening intraoral bleeding during 2015–2017. Compression was applied over the bleeding point before the airway could be secured by endotracheal tube. Under general anaesthesia, the external carotid artery (ECA) was temporarily occluded using an umbilical tape loop ligature to control the bleeding. Emergency selective embolisation was done, followed by curative resection and primary mandible reconstruction using free fibula flap. Outcome assessed. Results: Temporary occlusion of the ECA successfully controlled the bleeding immediately and facilitated selective embolisation and definitive therapy. All the four cases were successfully reconstructed with a good outcome. There was no recurrence during the follow-up period. Conclusion: In life-threatening intraoral bleeding from large high flow AVM of the mandible, emergency selective embolisation followed by curative resection and primary reconstruction is safe in achieving an ideal cure.

scholarly journals Can't intubate anaplastic thyroid carcinoma - A case report

2020 ◽  
Vol 4 (1) ◽  
pp. 29-32
Author(s):  
B. Sigdel ◽  
T. Dubey ◽  
Neeraj KC ◽  
R. Nepali ◽  
R. Maharjan ◽  
...  
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Carotid Bifurcation ◽  
Anaplastic Thyroid Carcinoma ◽  
Anaplastic Carcinoma ◽  
Sternocleidomastoid Muscle ◽  
High Flow ◽  
Shortness Of Breath ◽  
Superior Mediastinum ◽  
Right Lobe

Female, 66 years old with a chief complain of shortness of breath and lump over her neck since 6 month. Neck USG showed enlarged right lobe of thyroid gland with hyperechoic nodules. FNAC confirmed anaplastic carcinoma of thyroid. patient underwent chemotherapy using doxorubicin as agent of choice. She had difficulty in breathing and she kept on high flow of oxygen, even after she had stridor and planned for tracheostomy. MRI revealed heterogeneously enhancing mass (9.6*6.5*10.5 cm) replacing right lobe of thyroid, and extending superiorly till the level carotid bifurcation and inferiorly superior mediastinum. Lesion is partially encasing trachea and laryngeal airway, posteriorly extending into prevertebral space and anteriorly invading strap muscles and sternocleidomastoid muscle. Now it become very difficult stage. She transfers to ICU. intubation tried but failed. As mass was just anterior to trachea and difficult to do tracheostomy without intubation. all hope failed and she put continue to high flow of oxygen.  

scholarly journals Case Report: Conversion of a Low-Flow to High-Flow Priapism

2014 ◽  
Vol 8 (2) ◽  
pp. 101-103 ◽  
Author(s):  
David Cahn ◽  
Elliot Courter ◽  
Gregory Diorio ◽  
Michael Metro ◽  
Phillip Ginsberg
Keyword(s):  
Case Report ◽  
High Flow ◽  
Low Flow

Posttraumatic high-flow priapism: treatment with selective embolisation

2000 ◽  
Vol 16 (5-6) ◽  
pp. 454-456 ◽  
Author(s):  
K. R. Shankar ◽  
S. Babar ◽  
P. Rowlands ◽  
M. O. Jones
Keyword(s):  
High Flow ◽  
Selective Embolisation

scholarly journals Vein of Galen malformation treated with the Micro Vascular Plug system: case report

2017 ◽  
Vol 19 (6) ◽  
pp. 729-733 ◽  
Author(s):  
Woojin Joo ◽  
Philippe Mercier ◽  
Shiva Kheradmand ◽  
Peyman Shirani ◽  
Ahmed Sarhan ◽  
...  
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
High Flow ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Vascular Plug ◽  
Valuable Addition

This case report describes the use of the Micro Vascular Plug (MVP) system in a mural-type vein of Galen aneurysmal malformation, resulting in successful occlusion of the cerebrovascular fistula. This result was confirmed with immediate cessation in blood flow and 6-month follow-up angiography. The unique characteristics of the MVP provide potential advantages over current embolic techniques for occlusion of high-flow, fistulous, intracranial vessels such as those seen in the vein of Galen aneurysmal malformation, and may represent a valuable addition to the currently available options.

Case report: High flow priapism diagnosed by colour Doppler flow mapping

1995 ◽  
Vol 50 (9) ◽  
pp. 651-652 ◽  
Author(s):  
J.J. Jarosz ◽  
M. Joyce ◽  
A.J.S. Saunders
Keyword(s):  
Case Report ◽  
High Flow ◽  
Colour Doppler ◽  
Flow Mapping ◽  
Doppler Flow
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