scholarly journals Surdity in the OR: An Unusual Case of Brainstem Anesthesia

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Howard D. Palte ◽  
Don P. Hoa ◽  
Aldo Pavon Canseco
Keyword(s):  
Case Report ◽  
Respiratory Depression ◽  
Patient Monitoring ◽  
Unusual Case ◽  
Supportive Therapy ◽  
Loss Of Consciousness ◽  
Presenting Symptoms ◽  
Key Points ◽  
Life Threatening ◽  
Life Threatening Complication

Brainstem anesthesia is a potentially life-threatening complication of regional ophthalmic anesthesia. This case report chronicles an unusual presentation of brainstem anesthesia following an eye block. The unique features of this case were the presenting symptoms of deafness and slurred speech in the absence of loss of consciousness, respiratory depression, or contralateral ophthalmoplegia. This report underscores two key points: first, the importance of ongoing patient monitoring after performance of an eye block; second, the exigency of supportive therapy in suspected cases of brainstem anesthesia.

scholarly journals Conservative management of bronchopulmonary artery perforation without associated haemothorax occurring at thoracentesis: a case report

2010 ◽  
Vol 92 (5) ◽  
pp. e69-e72
Author(s):  
Yao-Tsung Chuang ◽  
Teng-Fu Tsao ◽  
Chun-Hung Su ◽  
Ming-Cheng Lin
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Surgical Management ◽  
Conservative Management ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Arterial Embolisation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Pulmonary Artery Perforation

Puncture or laceration of the pulmonary, intercostal, or peripheral vessels is an uncommon, but potentially life-threatening, complication of thoracentesis, which has been reported to result in severe haemothorax in 75% of patients. Damage to these vessels typically requires surgical intervention or intra-arterial embolisation. We report the successful non-surgical management of an unusual case of pulmonary artery perforation without concomitant haemothorax in an 82-year-old man who underwent thoracentesis.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

scholarly journals Case Report: Poor oral hygiene leading to an emergency condition: A case report of Ludwig’s angina

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1219
Author(s):  
Prashant Pant ◽  
Oshan Shrestha ◽  
Pawan Budhathoki ◽  
Nebula Devkota ◽  
Prabin Kumar Giri ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Common Source ◽  
Poor Oral Hygiene ◽  
Presenting Symptoms ◽  
Dental Procedures ◽  
Life Threatening ◽  
History Of ◽  
Ludwig’S Angina ◽  
Ludwig's Angina

Ludwig’s angina (LA) is a rapidly spreading and potentially life-threatening infection having an odontogenic infection as the most common source. It involves the floor of the mouth and neck. Modernization in medical care has made this entity rare and of low mortality at the present but it is still feared as a lethal entity due to rapidly progressive airway obstruction that follows. Here we report a case of a 15-year-old male who suffered from LA. Presenting symptoms and findings of the examination helped in the clinical diagnosis. Immediate intubation, use of broad-spectrum antibiotics, and treatment of complications aided the patient’s recovery. LA should be considered for differential diagnosis in the case of neck swelling especially in those having a history of poor oral hygiene and recent dental procedures. Management of LA and its complications should always involve doctors from multiple disciplines.

Identification of Persistent Aortocaval Fistula Using Ultrasonography in the Outpatient Setting: A Case Report

2020 ◽  
Vol 44 (3) ◽  
pp. 150-153
Author(s):  
Richard A. Meena ◽  
Melissa N. Warren ◽  
Thomas E. Reeve ◽  
Olamide Alabi
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Surgical Repair ◽  
Outpatient Setting ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication

Aortocaval fistula (ACF) is a rare and life-threatening complication associated with rupture of an abdominal aortic aneurysm (rAAA). Early detection and management of ACF’s during surgical repair of rAAAs is recommended to reduce the risk of future aneurysm-related complications, including mortality. There is a paucity of current literature on the natural history of ACFs postendovascular exclusion. We present a case study describing the detection of a persistent ACF by duplex ultrasonography (DU) postendovascular aortic repair (EVAR).

scholarly journals Jejunogastric Intussusception: An Unusual Cause of Hematemesis

2005 ◽  
Vol 19 (12) ◽  
pp. 735-736 ◽  
Author(s):  
Inian Samarasam ◽  
Sudhakar Chandran ◽  
Uday Shankar ◽  
Biju George ◽  
Ashok Chacko ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
English Literature ◽  
Rare Complication ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
Life Threatening Complication

Jejunogastric intussusception is an uncommon but potentially life-threatening complication of a previous gastrojejunal anastamosis. Although jejunogastric intussusception was first described in 1914, fewer than 200 cases have been reported in the English literature thus far. Awareness of this rare complication would help in early diagnosis and appropriate management. Described here is a case report of a patient who presented with hematemesis due to an acute jejunogastric intussusception associated with gangrene of the intussuscepted jejunum.

scholarly journals Gastro-tracheal fistula - unusual and life threatening complication after esophagectomy for cancer: a case report

2009 ◽  
Vol 4 (1) ◽  
Author(s):  
Jane E Nardella ◽  
Dirk Van Raemdonck ◽  
Hubert Piessevaux ◽  
Pierre Deprez ◽  
Raphaël Droissart ◽  
...  
Keyword(s):  
Case Report ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Esophagectomy For Cancer

A Case Report of Prophylactic Hemin Treatments in the Management of Patients with Life-Threatening Attacks of Acute Intermittent Porphyria.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3757-3757
Author(s):  
Richard E. Mills
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Motor Function ◽  
Mental Status ◽  
Acute Intermittent Porphyria ◽  
Acute Attack ◽  
Precipitating Factors ◽  
Presenting Symptoms ◽  
Life Threatening ◽  
Acute Attacks

Abstract Background The acute porphyrias are a group of 4 genetic disorders resulting from a deficiency in a specific enzyme of the heme biosynthetic pathway (1). Without prompt treatment, these disorders can cause acute life-threatening attacks of neurovisceral symptoms, the most common being abdominal pain, nausea, vomiting, mental symptoms, paresis, and tachycardia (1). Frequent, non cyclic attacks can sometimes be prevented with weekly or bi-weekly infusions of hemin (2). Case Report A 25-year-old female was initially diagnosed with acute intermittent porphyria (AIP) at 16 years of age. Her initial presenting symptoms included acute abdominal pain, nausea, vomiting, and a seizure. The patient was subsequently diagnosed by the evidence of elevated urinary porphobilinogen levels. She was initially treated with fluids (D5W) and then with hemin (313mg) for 3 days. The patient is a smoker and occasionally drinks alcohol. At 22 years of age, she was hospitalized for her fifth acute attack of AIP and received treatment with fluids and a course of hemin (313mg) for three days. Her condition improved and she was discharged. Two days later, her condition deteriorated and she was readmitted. She developed pneumonia, hyponatremia, seizures, and mental-status changes. The patient became tetraplegic and developed progressive respiratory failure requiring ventilatory support. She remained comatose for a period of 48 hours. Diagnostic studies included a noncontrast CT scan of the abdomen/pelvis which was unremarkable and EMG nerve conduction studies demonstrating polyneuropathies. Treatment included D5W, then increased to D10W. Following placement of a PICC line, hemin (313mg) was administered daily. Hemin therapy was continued daily for a period of three weeks and then stepped down to twice/week (313mg) every week in a prophylactic fashion. Her hospital course was prolonged as a result of the following: MRSA, VRE, superventricular tachycardia, arrhythmias, fungal infection, pulmonary infection and a clot in her right subclavian vein. She also experienced intermittent mental status changes. She was discharged to a rehabilitation center following her 11 month hospital stay. Upon discharge, her paresis had resolved, although a loss of motor function persisted. The patient was discharged with hemin therapy for prophylaxis twice/week (313mg with albumin 25%) via a portacath. She has experienced one acute attack of AIP during her course of prophylaxis during a three year period. The patient’s current medical status is that she is alert and oriented with the ability to work from home utilizing a telephone and computer. She remains wheel chair bound with loss of motor function. Discussion: Delay of treatment, and the delay in treating the pathophysiology of the disease itself can cause life-threatening attacks. Acute intermittent Porphyria is a disease that is challenging to manage in this particular patient. It is important for patients to recognize the triggers that exacerbate an attack. This particular patient still has 2 precipitating factors for acute attacks, smoking and alcohol. The prophylactic dosing regimen for this patient has been effective despite the presence of these precipitating factors. This case report is an example of the effectiveness of hemin therapy in the prevention of acute attacks of AIP.

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