scholarly journals Surgical Management of Bicornual Uterine Prolapse in a Siamese Cat: A Case Report

2020 ◽  
pp. 320-323
Keyword(s):  
Surgical Management ◽  
Uterine Prolapse ◽  
Past History ◽  
Rare Condition ◽  
Operative Management ◽  
Visual Examination ◽  
Siamese Cat ◽  
History Of ◽  
One Year ◽  
Veterinary Hospital

Uterine prolapse is a rare condition in cats that can be managed by performing either an external hysterectomy or manual reduction followed by ovariohysterectomy. This article describes surgical management of bilateral uterine prolapse in a queen. A one year old female, pluriparous Siamese cat (Felis catus) with no past history of dystocia and weighing 2.8 kg was presented to Andys Veterinary hospital, Nairobi, Kenya with a protruding mass through the vulval. The queen had a history of recent queening and had delivered three kittens a week earlier. The owner noticed the protruding mass about 24 hours after the delivery of the last neonate. A few days later, the cat was not suckling the kittens well and was in appetent. As a sequel to this, two kittens died. After a week, the protruding mass had a pungent smell and the client presented the cat to the hospital. Complete bilateral uterine prolapse was diagnosed after a visual examination and palpation of the mass. The uterus was swollen, had necrotic areas and debris. Accordingly, a two staged ovariohysterectomy was opted for to manage the case. An internal ovariectomy was first done via a ventral midline celiotomy followed by an external hysterectomy. Post-operative management included pain medication and antibiotic therapy and the patient recovered well and was discharged after 2 days. The skin sutures were removed 10 days postoperatively. The cat recovered uneventfully with no further complications reported by the owner. In conclusion, this article shows that when the prolapsed uterus is swollen, damaged and necrotic, a two staged ovariohysterectomy should be the method of treatment and the outcome is good despite the duration of the condition.

scholarly journals Transvaginal uterine evisceration during labor in a Bengal queen

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691987230
Author(s):  
Mila Freire ◽  
Mouhamadou Diaw
Keyword(s):  
Physical Examination ◽  
Surgical Intervention ◽  
Patient Survival ◽  
Uterine Prolapse ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Rapid Identification ◽  
Urethral Catheterization ◽  
Case Summary ◽  
History Of

Case summary A 2.5-year-old Bengal queen was admitted with a 12-h history of a mass protruding from the vulva during labor. At that time, three healthy kittens had already been delivered. Physical examination identified the mass as a portion of the uterus that was eviscerated without eversion of the mucosa. Exploratory laparotomy revealed a vaginal vault rupture with a large portion of the uterus herniated through the tear and eviscerated through the vulva. Ovariohysterectomy was performed, and a dead fetus was removed with the uterus. Reconstruction of the vaginal rupture required careful dissection and urethral catheterization. The queen recovered without complications. Relevance and novel information Uterine evisceration through a vaginal tear is a very rare condition that sometimes is erroneously referred to as ‘prolapse’. Uterine prolapse and uterine evisceration may have similar presenting signs; however, proper identification and surgical correction is key when the uterus is eviscerated. This case highlights the importance of differentiating these two conditions and of rapid identification and surgical intervention for successful patient survival.

scholarly journals Hydatid disease with Aspergilloma: A unique case report

2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Sandeep Sharma ◽  
Parikshit Thakare ◽  
Ketaki Utpat ◽  
Unnati Desai
Keyword(s):  
Case Report ◽  
Hydatid Disease ◽  
Past History ◽  
Case Reports ◽  
Unique Case ◽  
Rare Finding ◽  
History Of ◽  
One Year

The coexisting presence of hydatid disease with aspergillus colonization is a rare finding. The 20-year-old presented with symptoms of hemoptysis with past history of tuberculosis. On further evaluation, the patient was diagnosed as a case of aspergilloma and managed conservatively. After one year of presenting with similar complaints, the patient was turned out to be hydatid disease with aspergillus colonization on the basis of clinic-radiological and bronchoscopic evaluation. Till now only a few case reports have been reported. We report a unique case report of a similar presentation.

Spontaneous Remission of Retroperitoneal Fibrosis in a Patient with Inherited Thrombophilia

2018 ◽  
Vol 69 (4) ◽  
pp. 910-914
Author(s):  
Dragos Puia ◽  
Daniela Radulescu ◽  
Stefan Gheorghinca ◽  
Flavia Liliana Turcu ◽  
Ileana Adela Vacaroiu ◽  
...  
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Immunosuppressive Agents ◽  
Rare Condition ◽  
Spontaneous Remission ◽  
Spontaneous Resolution ◽  
Malignant Diseases ◽  
Inherited Thrombophilia ◽  
History Of ◽  
One Year ◽  
Fibroblastic Proliferation

Retroperitoneal fibrosis (RPF) is a rare condition characterized by a diffuse or localized fibroblastic proliferation associated with chronic inflammation. RPF is generally idiopathic, but can also be secondary to the use of certain drugs, malignant diseases, infections, and surgery. Treatment of RPF aims to relieve ureteral obstruction and to induce disease regression, and includes the use of steroids combined or not with other immunosuppressive agents. We present the case of a 35-years old female with a medical history of transient ischemic stroke, myocardial infarction, miscarriage and inherited thrombophilia, who was diagnosed in our Department with idiopathic RPF. Due to the mentioned associated comorbidities, no immuno-active treatment could be initiated. After one year, MRI exam showed significant spontaneous decrease of RPF mass. Although an uncommon event, the spontaneous resolution of idiopathic RPF could encourage in some selected cases a conservative management. By our knowledge, no previously cases of spontaneously remitted RPF in patients with inherited thrombophilia have been reported.

Surgical Management of Extensor Digitorum Brevis Manus Anomaly with a Dorsal Ganglion Cyst

2021 ◽  
Author(s):  
Feargal J. Geraghty ◽  
Lisa Anderson ◽  
Haaris Mir ◽  
Lily Daniali ◽  
Joseph E. Imbriglia ◽  
...  
Keyword(s):  
Surgical Management ◽  
Ganglion Cyst ◽  
Surgical Excision ◽  
Operative Management ◽  
Extensor Digitorum ◽  
History Of ◽  
Dorsal Ganglion ◽  
Dorsal Wrist Ganglion ◽  
Extensor Digitorum Brevis

Abstract Background The most common soft tissue tumor of the hand is the dorsal ganglion cyst and often is an indication for surgical excision. The differential diagnoses for dorsal hand masses include but are not limited to tenosynovitis, epidermoid cyst, abscess, lipoma, xanthoma, rheumatoid nodule, tophus, carpal boss, myositis ossificans, foreign body granuloma, neoplasm, and anomalous muscles. Case Description Our case report reflects the latter, a 33-year-old female who presented with a 3-year history of a symptomatic dorsal ganglion cyst of her left wrist. She is a female in her 30s, with progressive, worsening pain on wrist extension. Intraoperatively, it was determined that an anomalous extensor digitorum brevis manus (EDBM) was present and may have contributed to her pain and was excised. Literature Review The literature is sparse with the surgical management of EDBM. This case study aims to explore algorithms for managing simultaneous EDBM with a dorsal wrist ganglion, which is clinically relevant for any hand surgeon, when faced with a similar intra-operative management situation.

Efficacy of bupropion for smoking cessation in smokers with a former history of major depression or alcoholism∗

1999 ◽  
Vol 174 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Kara E. Hayford ◽  
Christi A. Patten ◽  
Teresa A. Rummans ◽  
Darrell R. Schroeder ◽  
Kenneth P. Offord ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Past History ◽  
Initial Period ◽  
Smoking Abstinence ◽  
End Of Treatment ◽  
History Of ◽  
One Year ◽  
Dose Response Effect

BackgroundA past history of major depression or alcoholism has been associated with poorer smoking treatment outcomes.AimTo evaluate the efficacy of bupropion for smoking cessation in smokers with a former history of major depression or alcoholism, and changes in depressive symptoms during smoking abstinence.MethodData were drawn from a multicentre trial of bupropion for smoking cessation. Smokers (n=615) received placebo or bupropion sustained-release at 100, 150, or 300 mg/day for six weeks after target quit date (TQD). The primary outcome was the point prevalence smoking abstinence at the end of treatment and at one year. The Beck Depression Inventory (BDI) was used to assess depressive symptoms.ResultsA significant dose – response effect of bupropion for smoking cessation was found. This was independent of history of major depression or alcoholism. Among those continuously abstinent from smoking for two weeks following TQD, an increase in BDI score was associated with a return to smoking at end of treatment.ConclusionsBupropion is efficacious for smoking cessation independently of a former history of major depression or alcoholism. Increases in depressive symptoms during an initial period of abstinence are associated with a return to smoking.

scholarly journals A Rare Case of Pregnancy Complicated by Bladder Exstrophy and Uterine Prolapse

2021 ◽  
Author(s):  
Leila Pourali ◽  
Hamidreza Ghorbani ◽  
Atiyeh Vatanchi ◽  
Sedigheh Ayati ◽  
Ghazal Ghasemi ◽  
...  
Keyword(s):  
Rare Case ◽  
Uterine Prolapse ◽  
Bladder Exstrophy ◽  
Perinatal Outcomes ◽  
Rare Condition ◽  
Labor Pain ◽  
Uterine Contractions ◽  
History Of ◽  
Emergent Cesarean Section

Uterine prolapse and bladder exstrophy (BE) during pregnancy is a rare condition. The aim of this study was to present a rare case of pregnancy complicated by both bladder exstrophy and uterine prolapse. A 39-year-old pregnant woman (gravida 2, para 1) presented to the maternity department at 39 weeks of gestation with labor pain. Physical examination showed regular uterine contractions; the cervix was completely out of the vaginal opening with dilatation of 3 cm and effacement of 30%. She had a history of multiple surgeries for correction of bladder exstrophy and also suffered from uterine prolapse. In active labor, abnormal fetal heart rate tracing happened, so an emergent cesarean section was planned, and a healthy neonate with the normal Apgar score was born. At regular follow-up until four months after delivery, there was no sign or symptom of uterine proplase. Multidisciplinary management of patients with BE and uterine prolapse may result in optimal perinatal outcomes. Uterine prolapse may disappear after delivery, even in the complicated case of bladder exstrophy.

scholarly journals Pheochromocytoma of the urinary bladder - a case report

2016 ◽  
Vol 73 (6) ◽  
pp. 584-587 ◽  
Author(s):  
Predrag Maric ◽  
Novak Milovic ◽  
Vladimir Bancevic ◽  
Branko Kosevic ◽  
Predrag Aleksic ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Bladder Wall ◽  
Rare Condition ◽  
Excessive Sweating ◽  
Efficient Treatment ◽  
The Face ◽  
131I Mibg ◽  
History Of ◽  
One Year

Introduction. Pheochromocytoma of the urinary bladder is a rare tumor and presents less than 0.06% of all urinary bladder tumors. Case report. We presented a 49-year-old female patient with a history of daily paroxysmal hypertension accompanied with flushing of the face and upper chest, palpitations and excessive sweating prior to micturition. Ultrasonography reported a 3 cm bladder wall tumor. The 131I-metaiodobenzylguanidine (131I-MIBG) scan showed a pathological isotope accumulation in the projection of the bladder. The patient underwent a partial cystectomy. One year following the operation the patient was normotensive and without recurrence. Conclusion. The most efficient treatment option for bladder pheochromocytoma is surgical resection. The most important fact in the diagnostics is suspicion on this rare condition.

scholarly journals Human penile ossification: case report

2007 ◽  
Vol 125 (2) ◽  
pp. 124-125 ◽  
Author(s):  
Homero Oliveira de Arruda ◽  
Hudson de Lima ◽  
Valdemar Ortiz
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Penile Shaft ◽  
Palpable Mass ◽  
Slight Pain ◽  
History Of ◽  
One Year ◽  
Histological Confirmation ◽  
Metaplastic Bone ◽  
Firm Mass

CONTEXT: Ossification in the human penis is such a rare condition that only 34 histologically evident cases have previously been reported. Among several conditions that have been correlated with this problem the most frequent is Peyronie disease. In all these conditions, human penile ossification appears to be a metaplastic bone formation process. CASE REPORT: A 59-year-old white man presented with a one-year history of slight pain upon erection and during intercourse. He also complained of hard plaque near the base of the penis. One year earlier, he had sustained blunt trauma during intercourse. Examination of the penis revealed a fixed firm mass extending over the proximal third of the penile shaft, measuring 3.0 x 3.0 x 2.0 cm and involving the corporal sponge, without surface extension. There was no impotence or other relevant clinical finding. Radiography on the penis revealed irregular calcification in the same position as the palpable mass and in the septum of the proximal inner third of the penis. The importance of this report lies in the extent of the human penile ossification, as demonstrated by the radiological and histological confirmation.

scholarly journals Encapsulating peritoneal sclerosis caused by cell-free and concentrated ascites reinfusion therapy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hideya Itagaki ◽  
Suzuki Katuhiko
Keyword(s):  
Small Intestine ◽  
Intestinal Tract ◽  
Rare Condition ◽  
Emergency Operation ◽  
Fibrous Membrane ◽  
Refractory Ascites ◽  
Old Japanese ◽  
Exact Etiology ◽  
History Of ◽  
One Year

Abstract Background Encapsulating peritoneal sclerosis (EPS) is a rare condition in which the small intestine is covered by an inflammatory fibrocollagenous membrane; the exact etiology of EPS is unclear. Herein, we report the case of our patient who underwent hemodialysis and cell-free and concentrated ascites reinfusion therapy (CART) and was diagnosed with EPS. Case presentation A 64-year-old Japanese man visited our emergency department with a chief complaint of abdominal pain. He had a medical history of cirrhosis due to hepatitis C for 25 years. He had undergone partial resection of the small intestine 2 years earlier for an incarcerated hernia. One year earlier, he experienced renal failure due to hepatorenal syndrome and started hemodialysis three times a week and CART twice a month. Physical examination of the abdominal wall revealed a lack of peristalsis of the intestinal tract and strong tenderness on palpation. Because hernia of the small intestine was found on computed tomography, we suspected strangulation ileus, requiring emergency operation. When the abdomen was opened, the entire small intestine was found to be wrapped in a fibrous membrane and constricted by it. The patient was diagnosed with EPS; hence, during surgery, the fibrous membrane was excised, resulting in decompression of the intestinal tract and subsequent recovery. Conclusions EPS is thought to be related to various elements, but no case of EPS induced by CART has been reported to date. EPS should be considered in the differential diagnosis of small bowel obstruction in patients undergoing CART for refractory ascites.

scholarly journals Multiple Congenital Bilateral Trigger Digits in a 2-Year-Old Child: Case Report

2013 ◽  
Vol 7 (1) ◽  
pp. 75-77 ◽  
Author(s):  
V De Luna ◽  
V Potenza ◽  
L Garro ◽  
P Farsetti ◽  
R Caterini
Keyword(s):  
Bacterial Infections ◽  
Rare Condition ◽  
Trigger Finger ◽  
Left Hand ◽  
Right Hand ◽  
History Of ◽  
One Year ◽  
The One ◽  
The Right

Trigger finger is a rare condition in children. In this paper, we report on a 2-year-old boy with multiple congenital bilateral trigger digits. The patient had no history of perinatal trauma, viral or bacterial infections, or metabolic disorders. The patient was treated with physiotherapy for one year. At the one-year follow-up, the boy presented with six trigger fingers (3 on the right hand, 3 on the left hand). Neither thumb was involved. The six trigger fingers were treated surgically: first, the right-hand trigger fingers and, six months later, those of the left hand. After each operation, a 4-week brace in extension was applied to the operated hand. The symptoms were completely resolved after surgical treatment. Many authors have recommended surgical release for the treatment of trigger finger in children; empirical treatment with physiotherapy may be an option when symptoms present or appear at an older age.

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