scholarly journals AB231. SOH21AS233. Total oesophagectomy and gastric pull-up as definitive management for a tracheo-oesophageal fistula following secondary puncture in an irradiated laryngectomee: a case report

2021 ◽  
Vol 5 ◽  
pp. AB231-AB231
Author(s):  
Anna McCollum ◽  
Michael Walsh ◽  
John Kinsella
Keyword(s):  
Case Report ◽  
Definitive Management ◽  
Gastric Pull Up

Ectopic spleen presenting as a slowly enlarging lung nodule in the right lower lobe following gastric pull up operation

2021 ◽  
Vol 14 (2) ◽  
pp. e237912
Author(s):  
Anas Alfahad ◽  
Rima Hussain ◽  
Mamatha Devaraj ◽  
Alexandr Svec
Keyword(s):  
Case Report ◽  
Oesophageal Cancer ◽  
Lung Nodule ◽  
Lower Lobe ◽  
Ct Guided ◽  
Ectopic Spleen ◽  
Guided Biopsy ◽  
Ct Guided Biopsy ◽  
The Right ◽  
Gastric Pull Up

This is a case report of an elderly man who was investigated at our respiratory clinic for slowly enlarging right lower lobe lung nodule on the background of oesophageal cancer diagnosed more than 11 years ago with gastric pull up. CT guided biopsy confirms the diagnosis of intrathoracic ectopic spleen.

scholarly journals Restoration of Microtia by Prosthetic Method: A Case Report

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Mandeep Kaur ◽  
Sakshi Malhotra Kaura ◽  
Amit Sharma ◽  
Rukhsar Showkat
Keyword(s):  
Case Report ◽  
Social Acceptance ◽  
Facial Nerve Palsy ◽  
Treatment Plan ◽  
Well Being ◽  
External Ear ◽  
Facial Deformity ◽  
Financial Condition ◽  
Motor Neuron Facial Nerve ◽  
Definitive Management

Background: Microtia is one of the forms of ear loss and deformity. It is a congenital anomaly of the external ear. Social and psychological rehabilitation of such patients requires a prosthesis that is esthetic as well as has enough strength and texture to represent the natural ear. Because of financial constraints, some patients cannot afford the surgical procedure of grafting. Case report: This is a case of 17 year old female with congenital missing right ear along with facial deformity due to Lower Motor Neuron facial nerve palsy. Treatment plan: Prosthetic replacement of the missing ear was planned to improve the esthetic and social well being of the patient in an economical way. Conclusion: a definitive management of the missing ear can be done using dental implants and bar attachment if the financial condition and social acceptance with interim prosthesis is satisfactory.

scholarly journals Wedge Osteotomy with Tens Nailing in Monostotic Fibrous Dysplasia of Tibia – A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Mangal Parihar ◽  
Eknath Pawar ◽  
Eknath Pawar ◽  
Eknath Pawar ◽  
Eknath Pawar ◽  
...  
Keyword(s):  
Case Report ◽  
Fibrous Dysplasia ◽  
Male Patient ◽  
Deformity Correction ◽  
Wedge Osteotomy ◽  
Radiological Findings ◽  
Titanium Elastic Nailing ◽  
Operative Planning ◽  
The Right ◽  
Definitive Management

Introduction: Titanium elastic nailing (TENS) with wedge osteotomy for the management of monostotic fibrous dysplasia (FD) of tibia is done in a 6-year-old male patient. Case Report: This is a case describing monostotic FD of right tibia in a 6-year-old male patient. The patient’s parents noticed a diffuse swelling in the right leg a few days after birth. It was managed conservatively till 3 years of age when the patient started complaining of pain in his right leg and difficulty in walking and running. The patient developed gradual and progressive anterior bowing in the right leg in the next 3 years. The patient was diagnosed with monostotic FD of the right tibia based on clinical and radiological findings. Wedge osteotomies were done in the tibia and fibula with TENS nailing as a definitive procedure for this patient. Discussion: Management of monostotic FD of the right tibia with TENS nailing and wedge osteotomy can be a possible modality of definitive management with complete pain relief and deformity correction. Conclusion: Correction of deformities secondary to FD requires meticulous pre-operative planning and execution. But with proper planning, even major deformities as in our case, procedures as simple as wedge osteotomy and TENS nailing can give excellent outcomes. Keywords: Fibrous dysplasia, monostotic, titanium elastic nailing.

scholarly journals Limb threatening thigh hematoma diagnosis accelerated by emergency physician bedside ultrasound

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984858
Author(s):  
John J Eicken ◽  
Dustin Morrow
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Delayed Diagnosis ◽  
Signs And Symptoms ◽  
Physical Exam ◽  
Bedside Ultrasound ◽  
First Case ◽  
Pathologic Processes ◽  
Definitive Management ◽  
Guide Care

Introduction: Compartment syndrome is a serious condition that requires prompt diagnosis, specialty consultation, and definitive management to prevent significant morbidity. Traditionally, compartment syndrome is identified by physical exam findings including the presence of pain, pallor, paresthesia, pulselessness, and paralysis involving the affected limb. Identifying the presence of compartment syndrome prior to the onset of signs that portend a poor outcome (i.e. pallor, pulselessness, and paralysis) can be challenging since many other less serious traumatic conditions can lead to paresthesia and pain in a limb. Bedside ultrasound is increasingly being utilized by emergency providers to expedite identification of various emergent diagnoses and guide care for patients who present to emergency departments. Bedside ultrasound allows emergency providers to visualize pathologic processes occurring that may be difficult to identify through traditional physical exam findings. This case report highlights the use of bedside ultrasound to promptly identify the presence of a traumatic thigh hematoma, which led to expedited advanced imaging and specialty consultation for compartment syndrome prior to the onset of physical exam findings consistent with compartment syndrome. Conclusion: The identification of compartment syndrome in the early stages is challenging given the overlap of signs and symptoms with other less emergent conditions. Early diagnosis of compartment syndrome is important to decrease morbidity, which can result from a delayed diagnosis of compartment syndrome. To our knowledge, this is the first case report to describe the use of bedside ultrasound to aid in the diagnosis of compartment syndrome and accelerate the care for a patient who presented with a traumatic thigh hematoma, which rapidly progressed to compartment syndrome and required emergent operative intervention.

scholarly journals Interim Prosthesis for Repositioning of Mandible in a Hemimandibulectomy Patient: A Case Report

2021 ◽  
Vol 3 (2) ◽  
pp. 42-45
Author(s):  
Mandeep Kaur ◽  
Sakshi M. Kaura ◽  
Amit Sharma ◽  
Simarpreet Kaur
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Treatment Plan ◽  
Surgical Excision ◽  
Mandibular Bone ◽  
Middle Asia ◽  
Definitive Management ◽  
Tobacco Chewing

Background: Squamous cell carcinoma is prevalent in middle asia due to prevalence of tobacco chewing. Management includes removal of mandibular bone along with adjacent muscles and nerves. Mandible is attached to cranium with the support of muscles. Removal of muscles results in deviation of mandible and loss of occlusion, which is necessary for functions such as chewing, swallowing and to some extent in speech. Prosthetic appliances help in restoration of position of mandible and thus restoring the function. Case Report: This is a case of 58 year old male with hemimandibulectomy due to moderately differentiated squamous cell carcinoma. Treatment Plan: Interim guiding prosthesis was planned for mandibular repositioning as the patient did not report before the surgical excision. Conclusion: a definitive management would be undertaken by using cast partial dentures after mandibular repositioning with interim prosthesis is done.

scholarly journals Intracranial Intradural Vascular Injury during Endoscopic Endonasal Transsphenoidal Surgery: A Case Report and Literature Review

2020 ◽  
Vol 81 (03) ◽  
pp. e52-e58
Author(s):  
Mohammed Babgi ◽  
Saad Alsaleh ◽  
Yaser Babgi ◽  
Saleh Baeesa ◽  
Abdulrazag Ajlan
Keyword(s):  
Case Report ◽  
Transsphenoidal Surgery ◽  
Standard Of Care ◽  
Arterial Injury ◽  
Anterior Communicating Artery ◽  
Endoscopic Endonasal ◽  
Intraoperative Bleeding ◽  
Endoscopic Endonasal Transsphenoidal Surgery ◽  
Definitive Management ◽  
Typical Picture

Abstract Background Transsphenoidal surgery (TSS) is a procedure for sellar or midline masses in the skull base. Among the reported complications are iatrogenic vascular injuries; that are rare, yet they carry devastating outcomes, with an incidence of injury between 0.34 and 2.6%. The cavernous internal carotid artery is the most commonly injured. However, intradural arterial injuries are much less reported with challenging management. We report a rare incident of intradural arterial injury during TSS, and we compared our management to the summarized few cases reported in the literature Case Report We report a 43-year-old female who had a recurrent planum sphenoidal meningioma. She underwent trans-nasal transsphenoidal endoscopic resection that was complicated with intraoperative bleeding due to an injury to the anterior communicating artery that was challenging to control, resulted in a bilateral loss of flow in A1 segments of anterior cerebral artery and required endovascular management. The patient had a good recovery postoperatively without the typical picture of ACA syndrome. Conclusion Intradural arterial injury is exceedingly rare in TSS, with no clear standard of care for the management. Collateral blood supply allows definitive management with minimal morbidity. Identifying the risk factors beforehand, as well as performing such cases in a well-resourced center, are crucial elements of safety.

scholarly journals Metachronous Gastric Tube Cancer After Esophagectomy with Gastric Pull-Up – Case Report

2020 ◽  
pp. 1-3
Author(s):  
M. Glanemann ◽  
Cristina Jorge ◽  
Susan Müller ◽  
S. Gafarli ◽  
D. Igna ◽  
...  
Keyword(s):  
Case Report ◽  
Cancer Survivor ◽  
Gastric Tube ◽  
Gastric Conduit ◽  
Prolonged Survival ◽  
Primary Adenocarcinoma ◽  
Second Primary ◽  
Gastric Tube Cancer ◽  
Secondary Tumors ◽  
Gastric Pull Up

The progresses in the therapy and methods of diagnosis of malignancies led to a prolonged survival and, consequently, to an increase in secondary tumors in cancer survivor patients [1-7]. We report the case of a 64-year-old patient who was diagnosed with a second primary adenocarcinoma in the gastric conduit, more than two years after the esophagectomy with gastric pull-up. We performed a resection of the gastric conduit and reconstructed with an ileocolon interposition.

scholarly journals Stridor in Epiglottic Cyst: A Rare Presentation

2013 ◽  
Vol 4 (2) ◽  
pp. 110-111 ◽  
Author(s):  
Nikhil S Bhardwaj ◽  
Kouser Mohammadi ◽  
Lakshmi Menon
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Male Patient ◽  
Cystic Mass ◽  
Indirect Laryngoscopy ◽  
Rare Presentation ◽  
The Past ◽  
Base Of Tongue ◽  
Definitive Management ◽  
Head Neck

ABSTRACT Objective To emphasize that epiglottic cyst should be considered in the differential diagnosis of all adults presenting with stridor. Case report A 55-year-old male patient presented with stridor of 2 days duration. He also had complaints of gradually progressive difficulty in swallowing for solids and had muffled voice for the past 3 months. Oropharyngeal examination revealed a large cystic mass behind the base of tongue. An indirect laryngoscopy and 70° telescopic laryngoscopy showed a large cystic mass filling both vallecular regions obscuring rest of the larynx. He underwent tracheostomy for airway distress followed by excision of the cyst. Conclusion This case highlights the possibility of a rare presentation of epiglottic cyst in an adult presenting with stridor requiring an early definitive management. How to cite this article Chandrakala S, Bhardwaj NS, Mohammadi K, Menon L. Stridor in Epiglottic Cyst: A Rare Presentation. Int J Head Neck Surg 2013;4(2):110-111.

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