scholarly journals Posterior Mediastinal Hematoma after a Fall from Standing Height: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
J. M. Josse ◽  
A. Ameer ◽  
S. Alzaid ◽  
A. Arrowaili ◽  
M. Ben-Ely ◽  
...  
Keyword(s):  
Ct Scanning ◽  
Initial Assessment ◽  
Montreal General Hospital ◽  
Review Of The Literature ◽  
Careful Monitoring ◽  
Respiratory Compromise ◽  
Mediastinal Hematoma ◽  
Standing Height ◽  
Posterior Mediastinal ◽  
Complicated Patient

Posterior Mediastinal Hematomas (PMHs) secondary to a fall from standing height are uncommon, with only one previous case reported in the literature. We describe a case of a 78-year-old male with multiple medical comorbidities, who was transferred to Montreal General Hospital (MGH) with a posterior mediastinal hematoma (PMH) after sustaining a fall from standing height. On initial assessment, the patient was hemodynamically stable and complained of mild chest pain, dyspnea, fatigue, and diaphoresis. The patient's airway was secured via endotracheal intubation fearing impending respiratory compromise secondary to an enlarging PMH. The patient was admitted to ICU where over the next 3 days he was managed conservatively via careful monitoring of his hemodynamic and hematologic indices. Repeat CT scanning indicated reduction in size of the PMH. The patient was discharged on hospital day eight. This case describes the assessment, evaluation, and conservative management of PMH in a complicated patient receiving prior anticoagulation. A review of the literature regarding the epidemiology of PMH and the management of both unstable and stable PMHs is also presented.

Progressive neurological deficits with benign intracerebral cysts

1986 ◽  
Vol 65 (5) ◽  
pp. 706-709 ◽  
Author(s):  
Yoko Nakasu ◽  
Jyoji Handa ◽  
Kazuyoshi Watanabe
Keyword(s):  
Histological Examination ◽  
Computerized Tomography ◽  
Cyst Wall ◽  
Benign Lesion ◽  
Ct Scanning ◽  
Neurological Deficits ◽  
Review Of The Literature ◽  
Content Type ◽  
Ct Findings ◽  
Fine Print

✓ Two patients with benign intracerebral cysts are reported and a brief review of the literature is given. Although computerized tomography (CT) scanning is useful in detecting a variety of intracerebral cysts, the CT findings are not specific for any lesion. An exploratory operation with establishment of an adequate route of drainage and a histological examination of the cyst wall are mandatory in the management of patients with a progressive but benign lesion.

scholarly journals Spontaneous Esophageal Perforation with a Posterior Mediastinal Hematoma

2014 ◽  
Vol 53 (16) ◽  
pp. 1889-1890
Author(s):  
Kazuhiro Ota ◽  
Toshihisa Takeuchi ◽  
Masahiko Aoki ◽  
Kazuhide Higuchi
Keyword(s):  
Esophageal Perforation ◽  
Mediastinal Hematoma ◽  
Posterior Mediastinal

Mycotic aneurysm of the superior gluteal artery in a patient with bacterial endocarditis: case report and review of the literature

Vascular ◽  
2011 ◽  
Vol 19 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Naoki Fujimura ◽  
Hideaki Obara ◽  
Kenji Matsumoto ◽  
Yuko Kitagawa
Keyword(s):  
Mycotic Aneurysm ◽  
Preoperative Evaluation ◽  
Ct Scanning ◽  
Bacterial Endocarditis ◽  
Review Of The Literature ◽  
Safe Alternative ◽  
Selective Embolization ◽  
Superior Gluteal Artery ◽  
Mitral Valve Plasty ◽  
Mycotic Aneurysms

Mycotic aneurysm of the superior gluteal artery (SGA) is extremely rare. The review of the literature revealed only five cases of mycotic SGA aneurysms reported to date and none had a concomitant superior mesenteric artery (SMA) aneurysm. We describe a 64-year-old man with mycotic aneurysms of both the SGA and the SMA. The patient was referred to our hospital because of SMA embolism caused by bacterial endocarditis following mitral valve plasty. He was treated conservatively, but monitoring using computerized tomography (CT) scanning showed the development and growth of the SGA and the SMA aneurysms. The SMA aneurysm was resected surgically, and the SGA lesion was treated by means of selective embolization. For the treatment of SGA aneurysms, prompt and precise preoperative evaluation is important. When the anatomical feature and size of the aneurysm is suitable, endovascular treatment may be the first-line treatment, providing an efficacious and safe alternative to traditional surgical repair.

scholarly journals Posterior mediastinal hematoma after a simple fall in a patient with normal coagulation

2015 ◽  
Vol 3 (1) ◽  
pp. 43-45
Author(s):  
Thiparpa Aime Thamamongood ◽  
Takuya Onuki ◽  
Masami Kuramochi ◽  
Masaharu Inagaki
Keyword(s):  
Mediastinal Hematoma ◽  
Posterior Mediastinal

scholarly journals Initial assessment in the management of adult epistaxis: systematic review

2017 ◽  
Vol 131 (12) ◽  
pp. 1035-1055 ◽  
Author(s):  
M Khan ◽  
K Conroy ◽  
K Ubayasiri ◽  
J Constable ◽  
M E Smith ◽  
...  
Keyword(s):  
Systematic Review ◽  
Search Strategy ◽  
First Aid ◽  
Initial Assessment ◽  
Review Of The Literature ◽  
Co Morbidity ◽  
Recurrent Epistaxis ◽  
History Of ◽  
Anticoagulant Medication ◽  
Ice Pack

AbstractBackground:The initial assessment of epistaxis patients commonly includes: first aid measures, observations, focused history taking, and clinical examinations and investigations. This systematic review aimed to identify evidence that informs how the initial assessment of these patients should be conducted.Method:A systematic review of the literature was performed using a standardised methodology and search strategy.Results:Seventeen articles were included. Factors identified were: co-morbidity, intrinsic patient factors, coagulation screening and ice pack use. Hypertension and anticoagulant use were demonstrated to adversely affect outcomes. Coagulation screening is useful in patients on anticoagulant medication. Four studies could not be accessed. Retrospective methodology and insufficient statistical analysis limit several studies.Conclusion:Sustained ambulatory hypertension, anticoagulant therapy and posterior bleeding may be associated with recurrent epistaxis, and should be recorded. Oral ice pack use may decrease severity and can be considered as first aid. Coagulation studies are appropriate for patients with a history of anticoagulant use or bleeding diatheses.

scholarly journals A Review of Burn Patients Requiring Extracorporeal Membrane Oxygenation at a Burns Facility

2021 ◽  
Vol 2 (4) ◽  
pp. 293-300
Author(s):  
Stephen Frost ◽  
Liz Davies ◽  
Claire Porter ◽  
Avinash Deodhar ◽  
Reena Agarwal
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Burn Injury ◽  
Burn Injuries ◽  
Burn Patients ◽  
Review Of The Literature ◽  
Respiratory Compromise ◽  
Burn Care ◽  
Membrane Oxygenation ◽  
Regular Time ◽  
Major Burn

Respiratory compromise is a recognised sequelae of major burn injuries, and in rare instances requires extracorporeal membrane oxygenation (ECMO). Over a ten-year period, our hospital trust, an ECMO centre and burns facility, had five major burn patients requiring ECMO, whose burn injuries would normally be managed at trusts with higher levels of burn care. Three patients (60%) survived to hospital discharge, one (20%) died at our trust, and one patient died after repatriation. All patients required regular, time-intensive dressing changes from our specialist nursing team, beyond their regular duties. This review presents these patients, as well as a review of the literature on the use of ECMO in burn injury patients. A formal review of the overlap between the networks that cater to ECMO and burn patients is recommended.

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