scholarly journals Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Pei-Yi Wang ◽  
Yi-En Chang ◽  
Yu-Chieh Lee ◽  
Chii Ruey Tzeng
Keyword(s):  
Septic Shock ◽  
Surgical Treatment ◽  
Rare Case ◽  
Clinical Course ◽  
Oocyte Retrieval ◽  
Chemical Irritation ◽  
Chemical Peritonitis ◽  
Purulent Fluid ◽  
Exploratory Laparoscopy ◽  
Transvaginal Oocyte Retrieval

Objective. To obtain a better understanding of the clinical course and the subsequent complications of teratoma rupture. Case. We report a rare case of chemical peritonitis and pleuritis caused by teratoma rupture during ultrasonographically guided transvaginal oocyte retrieval (TVOR). The patient initially presented with nonspecific and digestive symptoms after TVOR, but the condition deteriorated rapidly after three weeks with peritonitis and septic shock. Thus, exploratory laparoscopy was performed with the findings of a ruptured teratoma at left adnexa, severe adhesions, and purulent fluid in her peritoneal cavity. Bilateral pleuritis was also noted after the operation, which was suspected to be caused by chemical irritation of the spilled contents of the teratoma. The patient’s condition improved after surgical treatment and was discharged 28 days after admission. Conclusion. Our case showed that the timing of peritoneal irritation caused by teratoma rupture converting to severe chemical peritonitis was approximately 3 weeks. Physicians should avoid cyst puncture during TVOR and closely observe or even perform surgical treatment when iatrogenic teratoma ruptures are suspected.

scholarly journals Purulent Pericarditis and Pneumopericardium by Streptococcus Anginosus

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Septic Shock ◽  
Rare Case ◽  
Clinical Course ◽  
Cerebrovascular Event ◽  
Purulent Pericarditis ◽  
Streptococcus Anginosus ◽  
First Case ◽  
Serious Infection ◽  
Traumatic History ◽  
History Of

We report a case of Purulent pericarditis and pneumopericardium by Streptococcus angiosus in 35-year-old man detained in prison, history of ischemic cerebrovascular event due to cocaine, with no recent surgical or traumatic history who had subacute clinical course of chest pain and signs of systemic inflammatory response. He was empirically treated with vancomycin and cefepime with subsequent pericardiotomy and drainage. The patient has a poor clinical evolution after the procedure, presents septic shock and dies. This is a rare case, a serious infection, the second reported in world, however in comparison to the first case the clinical course was different.

scholarly journals Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Munire Erman Akar ◽  
Tayfun Toptas ◽  
Havva Sutcu ◽  
Haney Durmus ◽  
Murat Ozekinci ◽  
...  
Keyword(s):  
Septic Shock ◽  
Spontaneous Abortion ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Multiorgan Failure ◽  
Tuberculous Peritonitis ◽  
Laboratory Findings ◽  
Antituberculous Treatment

We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera. Histopathology showed chronic caseating granulomas, and the tissue culture grew Mycobacterium tuberculosis. At fifth day of the antituberculous treatment multiorgan failure occurred in terms of pulmonary, hepatic, and renal insufficiency. She developed refractory metabolic acidosis with coagulopathy and pancytopenia, and she died of acute respiratory distress syndrome and septic shock on her twelfth day of hospitalization.

Primary prostatic lymphoma: A rare case report

1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 94-96 ◽  
Author(s):  
P. Tognoni ◽  
R. Banchero ◽  
U. Repetto ◽  
C. Caviglia ◽  
M. Cussotto ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Clinical Course ◽  
Rare Case Report

— We present a rare case report of a non-Hodgkin primary prostatic lymphoma. In the article we focus on the increasing number of primary urologic lymphomas, the usual indolent clinical course of such a neoplasm and the combination of surgery and chemotherapy that we performed in this case.

scholarly journals A rare case of Tetralogy of Fallot with right atrial thrombus presenting with hemiplegia complicating the clinical course

2021 ◽  
Author(s):  
Parag Sharma ◽  
Satyajit Samal ◽  
Debmalya Saha ◽  
Sayyed E. H. Naqvi ◽  
Saket Aggarwal ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Rare Case ◽  
Clinical Course ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

A rare case of surgical treatment of myxoma of the stomach

2021 ◽  
pp. 138-139
Author(s):  
D.N. Kostromitsky ◽  
A.Yu. Dobrodeev ◽  
S.G. Afanasiev ◽  
E.A. Fesik ◽  
K.Yu. Menshikov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Rare Case

Diverse disease processes of group A Streptococcus infection including severe invasive infections among members of a family

2021 ◽  
Vol 14 (4) ◽  
pp. e241339
Author(s):  
Kaori Amari ◽  
Masaki Tago ◽  
Naoko E Katsuki ◽  
Shu-ichi Yamashita
Keyword(s):  
Septic Shock ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Group A Streptococcus ◽  
Bloody Stool ◽  
Laryngeal Oedema ◽  
Invasive Infections ◽  
Group A ◽  
The Right ◽  
Close Contacts

We herein report three cases of group A Streptococcus (GAS) infection in a family. Patient 1, a 50-year-old woman, was transferred to our hospital in shock with acute respiratory distress syndrome, swelling in the right neck and erythemata on both lower extremities. She required intubation because of laryngeal oedema. At the same time, patient 2, a 48-year-old man, was admitted because of septic shock, pneumonia and a pulmonary abscess. Five days later, patient 3, a 91-year-old woman, visited our clinic with bloody stool. All three patients were cured by antibiotics, and GAS was detected by specimen cultures. During these patients’ clinical course, an 84-year-old woman was found dead at home after having been diagnosed with type A influenza. All four patients lived in the same apartment. The GAS genotypes detected in the first three patients were identical. When treating patients with GAS, appropriate management of close contacts is mandatory.

scholarly journals Leptospirosis presenting as severe cardiogenic shock: A case report

2018 ◽  
Vol 19 (4) ◽  
pp. 351-353
Author(s):  
E Forbat ◽  
MJ Rouhani ◽  
C Pavitt ◽  
S Patel ◽  
R Handslip ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiogenic Shock ◽  
Social History ◽  
Rare Case ◽  
Clinical Course ◽  
Unknown Origin ◽  
Case Presentation ◽  
Pyrexia Of Unknown Origin ◽  
Severe Cardiogenic Shock ◽  
Infectious Illness

Background Leptospirosis is a rare infectious illness caused by the Spirochaete Leptospira. It has a wide-varying spectrum of presentation. We present a rare case of severe cardiogenic shock secondary to leptospirosis, in the absence of its common clinical features. Case presentation A 36-year-old woman presented to our unit with severe cardiogenic shock and subsequent multi-organ failure. Her clinical course was characterised by ongoing pyrexia of unknown origin with concurrent cardiac failure. She was initially managed with broad-spectrum antibiotics and inotropes. Percutaneous cardiac biopsy excluded major causes of myocarditis. On day 21 after presentation, she was found to be IgM-positive for leptospirosis. Conclusions This is a rare case of severe cardiogenic shock secondary to leptospirosis infection. The case also highlights the importance of obtaining a thorough social history when assessing a patient with an unusual presentation, as clues can often be missed.

scholarly journals Car Windshield Wiper in the Brain: Case Report

2016 ◽  
Vol 02 (02) ◽  
pp. e42-e45
Author(s):  
Zhenpeng Liu ◽  
Xianzeng Hou ◽  
Xiaoyong Fan ◽  
Yuanyuan Hu ◽  
Guangcun Liu
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Foreign Body ◽  
Rare Case ◽  
Metal Strip ◽  
Postoperative Treatment ◽  
Metallic Foreign Body ◽  
Windshield Wiper ◽  
Life Threatening ◽  
The Brain

Background Transorbital intracranial penetrating injury is rare. Damage caused by a huge metallic foreign body is very critical and life-threatening. Method We report an extremely rare case of transorbital intracranial penetrating metal strip (a car windshield wiper), which has not previously been reported in the literature. Results Emergency craniotomy was performed; the object was removed successfully, and the patient's life was saved. Conclusion With the life-threatening penetrating brain injury caused by a huge foreign body, prompt surgical treatment and comprehensive postoperative treatment are important to save patients' lives.

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