scholarly journals Stenosis of the right major bronchus from blunt trauma

2006 ◽  
Vol 63 (5) ◽  
pp. 501-503
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Savo Durkovic ◽  
Vlado Cvijanovic ◽  
Aleksandar Ristanovic ◽  
...  
Keyword(s):  
Case Report ◽  
Blunt Trauma ◽  
Respiratory Insufficiency ◽  
Traffic Accident ◽  
Clinical Signs ◽  
Tracheobronchial Tree ◽  
Blunt Injury ◽  
Radiographic Image ◽  
Right Thoracotomy ◽  
The Right

Background. A severe blunt injury to the chest might cause rupture of the tracheobronchial tree. A certain time following the management of the injury, stenosis of the bronchi may develop at the site of the rupture. Case report. We reported a patient injured in a traffic accident. The injury was followed by the signs of pneumothorax, bleeding, and respiratory insufficiency. After the management of the injury using thoracal drainage, the condition of the injured was stabilized. Two weeks later, however, difficulties in breathing and fatigue occurred. Circular stenosis of the right major bronchus was clinically, radiographically and bronchoscopically confirmed. Right thoracotomy and circular resection of the major bronchus with termino-terminal anastomosis were performed. Conclusion. In severe blunt injuries to the chest, it is very important to suspect the injury of the tracheobronchial tree in order to correctly understand the clinical signs of an injury and to interprete a radiographic image of it, so as to decide upon the optimal treatment on time.

scholarly journals Clinical and pathophysiological features of traumatic stenosis of the right main bronchus: Case report

2007 ◽  
Vol 135 (11-12) ◽  
pp. 666-668
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Gordana Djordjevic ◽  
Savo Durkovic ◽  
Davor Stamenovic ◽  
...  
Keyword(s):  
Case Report ◽  
Oxygen Saturation ◽  
Traffic Accident ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Rapid Diagnosis ◽  
Blunt Injury ◽  
Bronchial Stenosis ◽  
Low Oxygen ◽  
The Right

Introduction Severe blunt injury of the chest can cause rupture of the tracheobronchial tree. After completed management of the injury, stenosis of the bronchi may develop at the site of the rupture. Such condition is associated with pathophysiolocical disorders, which then indicates to the possible presence of the bronchial stenosis. Case report We report a patient with stenosis of the right main bronchus due to blunt injury sustained in a traffic accident. We present all pathophysiological signs detected during examination. The patient had dyspnea, cianosis, tachycardia, low oxygen saturation and low pO2. We performed right thoracothomy and resection of the main bronchus with TT anastomosis. Conclusion It is very useful to understand the described pathophysiological signs so as to ensure rapid diagnosis of stenosis, but also better and timely solving of problems that can occur during thoracothomy.

scholarly journals Pseudophacocele following a Bicycle Handle Injury: A Case Report

2018 ◽  
Vol 10 (1) ◽  
pp. 94-97
Author(s):  
Sahil Thakur ◽  
Parul Ichhpujani ◽  
Suresh Kumar
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Blunt Trauma ◽  
Surgical Management ◽  
Clinical Course ◽  
Rare Complication ◽  
Vitreous Haemorrhage ◽  
Visual Outcomes ◽  
Subconjunctival Space ◽  
The Right

Background: Pseudophacocele is a rare complication of blunt trauma in pseudophakic eyes.Case: We present a case of 60-year-old male who presented with pseudophacocele after injury from a bicycle handle. On presentation, visual acuity in the right eye was perception of light (PL) in 2 quadrants (superior and temporal) and left eye was 20/20. A PCIOL was seen superonasally in the right subconjunctival space with total hyphaema. Ultrasound demonstrated vitreous haemorrhage with membranes in right eye. We describe the surgical management and further clinical course of the patient.Conclusion: It is imperative to surgically manage these challenging cases. Despite optimum care visual outcomes are guarded in patients with severe blunt trauma.

scholarly journals Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report

2021 ◽  
Vol 34 (3) ◽  
pp. 183-186
Author(s):  
Donsub Noh ◽  
Sung Wook Chang ◽  
Dae Sung Ma
Keyword(s):  
Case Report ◽  
Cardiac Tamponade ◽  
Blunt Trauma ◽  
Traffic Accident ◽  
Internal Thoracic Artery ◽  
Pericardial Tamponade ◽  
Sternal Fracture ◽  
Mediastinal Hematoma ◽  
Threatening Condition ◽  
Life Threatening

Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture.

scholarly journals First Autochthonous Infection of a Cat with Dirofilaria immitis in Austria

Pathogens ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1104 ◽  
Author(s):  
Lisa-Maria Kulmer ◽  
Maria Sophia Unterköfler ◽  
Hans-Peter Fuehrer ◽  
Varvara Janovska ◽  
Matus Pagac ◽  
...  
Keyword(s):  
Case Report ◽  
Dirofilaria Immitis ◽  
Complete Blood Count ◽  
Clinical Signs ◽  
Surgical Removal ◽  
Negative Results ◽  
Heartworm Disease ◽  
History Of ◽  
One Year ◽  
The Right

This case report is about a seven-year-old male neutered European Shorthair cat infected by Dirofilaria immitis as the first reported autochthonous Dirofilaria immitis infection in Austria. There was no history of periods abroad. Echocardiography showed suspected D. immitis in the right cardiac chamber with increased pulmonary pressure and ascites. Surgical removal of the heartworms was performed. Twenty adult heartworms were removed by transvenous jugular approach under general anesthesia and stored in 4% formalin. Five out of 20 specimens were examined via light and stereomicroscopy and feline heartworm infection was confirmed. Amplification of a 203 bp or 724 bp fragment of the cytochrome c oxidase subunit I gene was unsuccessful. After surgery the cat developed acute renal failure but recovered quickly. One year later, the cat underwent a control examination including echocardiography and blood work. There were no more D. immitis detectable at echocardiography. Lung pressure was mildly increased. Complete blood count and creatinine were unremarkable. The Knott’s test and Dirofilaria-Antigen-test produced negative results. The cat did not show any clinical signs during the follow-up period. The aim of this case report is to highlight the growing risk of acquiring infection with D. immitis not only for Austrian dogs, but also for cats. This case report represents the first report of autochthonous D. immitis infection in Austria. Moreover, even if the prognosis in cats with caval syndrome due to feline heartworm disease is guarded to poor, surgical removal of the filariae can be a successful treatment option.

scholarly journals Parry Romberg Syndrome: a case report

2020 ◽  
Vol 10 (2) ◽  
pp. 75-77
Author(s):  
Admad Liaquat ◽  
Nabeela Riaz ◽  
Arun Kumar Shah
Keyword(s):  
Case Report ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Subcutaneous Fat ◽  
Fracture Site ◽  
Engineering Student ◽  
Parry Romberg Syndrome ◽  
Systemic Manifestations ◽  
The Right

Parry Romberg syndrome (PRS) is a rare disorder, characterized by unilateral facial atrophy of the skin, subcutaneous fat, muscles, cartilages, and even bone. Various systemic manifestations re­ported with this syndrome are neurologic, maxillofacial, and ophthalmologic. The etiology is still unknown. Herein we present a case report of 23 years young engineering student who had PRS and got a fracture of the right angle of his mandible after a road traffic accident. The treatment was challenging as he had nonunion at the fracture site.

scholarly journals Terrible triad elbow with tricep avulsion: diagnostic challenge and treatment dilemma: case report

2021 ◽  
Vol 7 (3) ◽  
pp. 671
Author(s):  
Jeetendra Prakash Katariya ◽  
Anup Milind Khatri ◽  
Ashish Kumar
Keyword(s):  
Case Report ◽  
Traffic Accident ◽  
Locking Plate ◽  
Suture Anchor ◽  
Road Traffic ◽  
Terrible Triad ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
The Right ◽  
Time Of Presentation

<p class="abstract">Triceps Avulsion with terrible triad of elbow is a rare presentation and often missed at the time of presentation. The aim of this case report is to identify triceps avulsion in patients with terrible triad elbow and help in its management and post-operative mobilization protocol. We report a case of 40-year male, a case of road traffic accident with right elbow terrible triad injury with triceps avulsion. The radial head was fixed with 2.5 mm locking plate and screws and suture anchor was used for triceps avulsion. Elbow mobilization was started at 2 weeks post-operatively. In patients with terrible triad injuries, diagnosis of triceps avulsion is very challenging because of swelling, pain and difficult to examine triceps for extension power. It is important to know this type of presentation of triceps avulsion with terrible triad to address the diagnostic pathway in the right direction and to treat them promptly. Missing triceps avulsion in complex injuries may hamper post-operative elbow range of movements in form of extension lag or triceps weakness.</p>

scholarly journals Sex-related penile fracture with complete urethral rupture: A case report and review of the literature

2015 ◽  
Vol 87 (3) ◽  
pp. 260 ◽  
Author(s):  
Marco Garofalo ◽  
Lorenzo Bianchi ◽  
Giorgio Gentile ◽  
Marco Borghesi ◽  
Valerio Vagnoni ◽  
...  
Keyword(s):  
Case Report ◽  
Emergency Surgery ◽  
Tunica Albuginea ◽  
Blunt Injury ◽  
Penile Shaft ◽  
Penile Fracture ◽  
Voiding Symptoms ◽  
First Choice ◽  
The Right ◽  
Urethral Rupture

Objective: To present the management of a patient with partial disruption of both cavernosal bodies and complete urethral rupture and to propose a non-systematic review of literature about complete urethral rupture. Material and method - Case report: A 46 years old man presented to our emergency department after a blunt injury of the penis during sexual intercourse. On physical examination there was subcutaneous hematoma extending over the proximal penile shaft with a dorsal-left sided deviation of the penis and urethral bleeding. Ultrasound investigation showed an hematoma in the ventral shaft of the penis with a discontinuity of the tunica albuginea of the right cavernosal corporum. The patient underwent immediate emergency surgery consisted on evacuation of the hematoma, reparation the partial defect of both two cavernosal bodies and end to end suture of the urethra that resulted completely disrupted. Results: The urethral catheter was removed at the 12-th postoperative day without voiding symptoms after a retrograde urethrography. 6 months postoperatively the patients was evaluated with uroflowmetry demonstrating a max flow rate of 22 ml/s and optimal functional outcomes evaluated with validated questionnaires. 8 months after surgery the patients was evaluated by dynamic magnetic resonance (MRI) of the penis showing only a little curvature on the left side of the penile shaft. Conclusion: Penile fracture is an extremely uncommon urologic injury with approximately 1331 reported cases in the literature till the years 2001. To best of our knowledge from 2001 up today, 1839 more cases have been reported, only in 159 of them anterior urethral rupture was associated and in only 22 cases a complete urethral rupture was described. In our opinion, in order to prevent long term complications, in case of clinical suspicion of penile fracture, especially if it is associated to urethral disruption, emergency surgery should be the first choice of treatment.

Posterior orbital cellulitis: case report and literature review

2013 ◽  
Vol 127 (11) ◽  
pp. 1148-1151 ◽  
Author(s):  
K Allan ◽  
H Atkinson ◽  
F Agada
Keyword(s):  
Case Report ◽  
Relevant Literature ◽  
Clinical Signs ◽  
Visual Disturbance ◽  
Orbital Cellulitis ◽  
Sphenoid Sinusitis ◽  
Intravenous Antibiotics ◽  
Permanent Loss ◽  
History Of ◽  
The Right

AbstractIntroduction:It is rare for isolated sphenoid sinusitis to cause orbital cellulitis. We present a rare case of posterior orbital cellulitis, so caused, together with a review of the relevant literature.Case report:A 29-year-old woman presented with a 6-week history of progressive, unilateral, retro-orbital and periorbital right eye pain. On examination, the only finding was reduced visual acuity in the right eye. A computed tomography scan demonstrated right frontal and sphenoid sinus opacification. Sphenoidotomy and frontal sinus trephination were subsequently performed, following failure to respond to intravenous antibiotics. After surgery, the patient's vision returned to normal.Conclusion:Isolated sphenoid sinusitis is rare but can cause significant visual disturbance and permanent loss of vision. Vague symptoms unsupported by clinical signs at presentation are a feature of posterior orbital cellulitis. The presented case highlights the problem, and the need for a high index of clinical suspicion even in the absence of firm clinical signs, in order to prevent permanent visual loss.

scholarly journals Negative Pressure Wound Therapy for Necrotizing Fasciitis and Compartment Syndrome of the Upper Extremity — a case report

2019 ◽  
Vol 6 (1) ◽  
pp. 5-8
Author(s):  
Attila Enyedi ◽  
Gábor Mudriczki ◽  
Tamás Bazsó ◽  
Ferenc Győry ◽  
Zsolt Susán ◽  
...  
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Upper Extremity ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Clinical Signs ◽  
Wound Therapy ◽  
Superficial Skin ◽  
Pectoral Region ◽  
The Right

Aims: Necrotizing fasciitis (NF) is a life threatening infection of the subcutaneous tissues that spreads along the underlying  fascia. Despite the early and aggressive surgical fasciotomy and necrosectomy its mortality rate is still high. In NF the negative pressure wound therapy (NPWT) has good effects on wound healing and on the primary closure of the concomitant extended tissue defects. Case report: A 32 year-old male patient was admitted with four-day history of fever (39.1 C⸰), pain, swelling, erythema of the right elbow and upper arm. On admission extensive erythema and swelling were seen on the right forearm, arm and the pectoral region with superficial skin bullas on it. On the basis of the clinical signs, laboratory tests, immediate surgery was indicated. Extended fasciotomy and necrosectomy were performed on the full extremity and pectoral region. Negative pressure wound therapy was started immediately with -120 mmHg of pressure. Antibiotic therapy was also administered. Results: After five cycles of NPWT the patient recovered without the need of any plastic surgical intervention. The functional and aesthetic results were excellent. Conclusion: In case of extended NF of the upper extremity the aggressive surgery and NPWT are safe and effective.

scholarly journals Posttraumatic disruption of the right main bronchus - a case report

2019 ◽  
Vol 72 (7-8) ◽  
pp. 248-250
Author(s):  
Bojan Koledin ◽  
Milos Koledin ◽  
Ivan Kuhajda ◽  
Sladjana Koledin
Keyword(s):  
Case Report ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Main Bronchus ◽  
Lung Parenchyma ◽  
Suture Technique ◽  
Sternal Fracture ◽  
Interrupted Suture ◽  
Right Thoracotomy ◽  
The Right

Introduction. Tracheobronchial disruption is a rare disorder, usually accompanied by a severe blunt chest trauma that quite rarely appears as an isolated event. Case Report. This is a case report of a right main bronchus disruption, due to an injury to the right hemithorax, caused by a falling tree trunk. The disruption was accompanied by mediastinal emphysema, fractures of the 4th and 5th ribs on the right side and compound sternal fracture. The patient was operated in general anesthesia, through right thoracotomy approach, followed by successful right main bronchus reconstruction by interrupted suture technique, without anatomic resection of the lung parenchyma. Conclusion. Although this injury is rare, with suspicion of bronchial rupture, bronchoscopy confirms the diagnosis and leads to better prognosis.

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