scholarly journals PARTIAL CONGENITAL BOWEL OBSTRUCTION BY DUODENAL ATRESIA WINDSOCKS TYPE: CASE REPORT

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
M. Molinaro ◽  
F. Mariscoli ◽  
M. Sica ◽  
E. Bindi ◽  
R. Angotti ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Surgical Treatment ◽  
Bowel Obstruction ◽  
Fetal Mri ◽  
Rare Condition ◽  
Duodenal Atresia ◽  
Prenatal Ultrasound ◽  
Double Bubble ◽  
Degree Of Certainty

<strong>Introduction</strong> Duodenal atresia Windsocks type is a rare condition of congenital bowel obstruction. Thanks to recent technological advancements of prenatal diagnosis it is possible to make a diagnosis of duodenal atresia with high degree of certainty through the radiological sign of “double bubble”, but up to date it is not yet possible to identify the type of duodenal atresia. We report the case of a patient with prenatal diagnosis of “double bubble”. The patient had no other concomitant malformations. <br /><strong>Case Report</strong> The patient came to our attention after prenatal ultrasound that showed a picture of double bubble. At the 27th week of gestation we performed fetal MRI that confirmed the US pattern of double bubble but it did not identify with certainty the type of duodenal atresia. At birth the patient underwent GI rx examination that showed a picture of partial duodenal obstruction compatible with the Windsocks type. On the following day, we performed endoscopy which showed the presence of duodenal membrane, so the patient underwent surgical treatment with a longitudinal duodenal incision in order to treat the wind-sock membrane. After one month a further Upper-GI rx examination showed a regular transit of the contrast. Four months after the first operation the patient underwent new surgical treatment for bowel obstruction by adhesions. The operation was successful and the patient had a complete recover.<br /><strong>Conclusions</strong> Patients with prenatal diagnosis of “double bubble” require a multidisciplinary approach for proper clinical management. Unfortunately it is not currently possible to identify with certainty by prenatal ultrasound the type of duodenal atresia, but in case of incomplete bowel occlusion , the possibility of an atresia Windsocks type should always be considered, especially for setting the right surgical approach.

scholarly journals Secondary venous aneurysm following intravenous drug abuse: A case report

2016 ◽  
Vol 73 (5) ◽  
pp. 500-503 ◽  
Author(s):  
Miroslav Markovic ◽  
Marko Dragas ◽  
Igor Koncar ◽  
Igor Banzic ◽  
Sinisa Pejkic ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Drug Application ◽  
Rare Condition ◽  
Intravenous Drug ◽  
Venous Aneurysm ◽  
General Surgeon ◽  
Venous Flow

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.

Prenatal ultrasound and fetal MRI: The comparative value of each modality in prenatal diagnosis

2008 ◽  
Vol 68 (2) ◽  
pp. 214-226 ◽  
Author(s):  
Denise Pugash ◽  
Peter C. Brugger ◽  
Dieter Bettelheim ◽  
Daniela Prayer
Keyword(s):  
Prenatal Diagnosis ◽  
Fetal Mri ◽  
Prenatal Ultrasound

scholarly journals Surgical Treatment of Concomitant Scapular Spine Pseudoarthrosis and Rotator Cuff Impingement: A Case Report

2021 ◽  
Author(s):  
Hamid Rabie ◽  
Mohammad Reza Guity ◽  
Leila Oryadi Zanjani
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Rotator Cuff ◽  
Bone Grafting ◽  
Case Reports ◽  
Rare Condition ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Aggressive Approach ◽  
Scapular Spine

Background: Nonunion and pseudoarthrosis formation following scapular spine fracture is a rare condition and is limited only to case reports. Some authors reported its association with rotator cuff impingement. Standard treatment is not defined well as the condition is rare. Case Report: Our patient was a 61-year-old man with painful nonunion in addition to cuff impingement. Surgical treatment by open reduction, internal fixation with reconstruction plate and tension band wiring, along with bone grafting led to fracture union, as well as complete resolution of the rotator cuff tendinopathy. Conclusion: Surgical fixation seems to be the best choice in treating scapular spine pseudoarthrosis. The first attempt should be the best, so we took an aggressive approach by the use of plating, tension band wiring, and bone grafting altogether.

scholarly journals Prenatal diagnosis of zellweger syndrome by fetal MRI: a case report

2021 ◽  
Vol 16 (12) ◽  
pp. 3950-3954
Author(s):  
Joana Diaz ◽  
Larry Matsumoto ◽  
Jennifer Kucera Neville
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Zellweger Syndrome ◽  
Fetal Mri

scholarly journals Sirenomelia with Potter syndrome: a case report and review of literature

2019 ◽  
Vol 9 (1) ◽  
pp. 400
Author(s):  
Amrita Singh ◽  
Anupma Kumari
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Prenatal Diagnosis ◽  
Lower Extremities ◽  
Rare Condition ◽  
Variable Degree ◽  
Review Of Literature ◽  
Rare Congenital Anomaly ◽  
Mermaid Syndrome ◽  
Vascular Steal

Sirenomelia or mermaid syndrome is a rare congenital anomaly characterized by variable degree of fusion of lower extremities. Awareness to this rare condition is important for prenatal diagnosis and prognosticating the fetus. The exact etiopathogenesis is still an area of research. Two pathogenic hypotheses are the vascular steal hypothesis and the defective blastogenesis hypothesis with exceptions reported in literature.

scholarly journals A Case of Cornelia de Lange Syndrome: Difficulty in Prenatal Diagnosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Tadatsugu Kinjo ◽  
Keiko Mekaru ◽  
Miyuki Nakada ◽  
Hayase Nitta ◽  
Hitoshi Masamoto ◽  
...  
Keyword(s):  
Body Weight ◽  
Prenatal Diagnosis ◽  
Ultrasound Examination ◽  
Fetal Mri ◽  
Rare Condition ◽  
Japanese Woman ◽  
Cornelia De Lange Syndrome ◽  
Intrauterine Fetal Death ◽  
Old Japanese ◽  
Cornelia De Lange

We report a case of Cornelia de Lange syndrome (CdLS) where prenatal diagnosis was not made even with major anomaly. A 33-year-old Japanese woman was referred to our institution at 23 weeks of gestation because of fetal forearm defect. Ultrasound examination revealed short forearms and short humeri and femurs (–2.1 SD). The fetal estimated body weight was 450 g (–1.3 SD). Fetal MRI at 26 weeks of gestation revealed short forearms and hypoplasty of hand fingers. Fetal growth restriction became evident thereafter, leading to intrauterine fetal death occurring at 29 weeks of gestation. A stillbirth baby was of 798 g in body weight and 33.0 cm in length. External examination showed a low hairline, synophrys, low-set ear, hypertrichosis, and smooth long philtrum with thin lips. The neck appeared short and broad. Finally, CdLS was diagnosed. The prenatal diagnosis might be possible as the arm findings were totally characteristic in a small fetus, regardless of whether an overhanging upper lip was identified. Because CdLS is a rare condition, it is important to consider its possibility as a part of differential diagnosis.

Impaired Extension of the Digits due to Bilateral Idiopathic Intrinsic Contracture: A Case Report

2019 ◽  
Vol 24 (03) ◽  
pp. 383-385
Author(s):  
Yuki Kawasaki ◽  
Soichi Ejiri ◽  
Michiyuki Hakozaki ◽  
Shinichi Konno
Keyword(s):  
Eating Disorder ◽  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Medical History ◽  
Rare Condition ◽  
Tendon Sheath ◽  
Past Medical History ◽  
Thenar Muscle ◽  
History Of

Idiopathic intrinsic contracture (IIC) with no history of trauma, ischemia, or spasticity is extremely rare. We report herein a case of impaired extension of the digits due to bilateral IICs occurred in a 30-year-old woman with a past medical history of eating disorder and amenorrhea. Although no previous case has been reported in the literature, eight similar cases of IIC have been presented at Japanese domestic conferences. In these eight cases and the present case, resection of the thenar muscle cords and unilateral resection of the lateral band were effective. Since IIC in patients with an eating disorder is a rare condition, it would be treated conservatively at first as tendon sheath inflammation or locking. However, this condition may be resistant to conservative treatment, and surgical treatment should be considered in such cases.

Prenatal diagnosis of hypochondrogenesis using fetal MRI: a case report

2002 ◽  
Vol 32 (5) ◽  
pp. 373-375 ◽  
Author(s):  
Hiroshi Suzumura ◽  
Tatsuo Kohno ◽  
Gen Nishimura ◽  
Hiroshi Watanabe ◽  
Osamu Arisaka
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Fetal Mri
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