Giant ovarian cyst masquerading as a massive ascites: a case report

Eugene Vernyuy Yeika, Derrick Tembi Efie, Paul Nkemtendong Tolefac, and Joseph Nkeangu Fomengia Case presentation Herein, we present the case of a 65-year-old black African woman, who was referred to their centre for the management of a massive ascites. She presented with a 5-year history of progressive abdominal distension. She had no abdominal pain, nausea, vomiting or […]

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Reverse Peroneal Artery Flap for Large Heel and Sole Defects: A Reliable Coverage

Yogesh C. Bhatt, Sumer Singh,* Piyush Doshi, and Sanjay G. Vaghani The flap was planned in reverse with pivot point 5 cm above the lateral malleolus with a narrow base between lateral malleolus and tendoachilles. To avoid injury to the important communicating vessels, an area of 5 cm above the lateral malleolus is kept undisturbed. The flapcan be […]

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Vicious Animal Attack

The patient is a 30-year-old female, who presented to the ED in extreme pain after walking in the woods and being attacked by an unknown animal. There were significant wounds to her left leg, forearm, shoulder, back, ear, and face with substantial skin, subcutaneous tissue, and muscle damage. She received a tetanus booster, antibiotics, rabies […]

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Severe ocular trauma caused by an ostrich

Authors: L M Levitz, T R Carmichael, and M Nissenbaum The ostrich is a strange and harmless looking bird; however, in Africa attacks by ostriches on humans are not uncommon and sometimes result in death. We recently treated such a patient with an eye injury. Case report A 35 year old male patient presented with an injury sustained […]

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11 week old fetus

An 11-week-old human fetus that has died in the womb has gone through ‘Diaphonization’: Cleaned & given chemical compounds to bring out the color of the soft tissue, especially the original transparent skin. Scientists do it to examine the diseases that cause miscarriages. What is a miscarriage? Miscarriage is when an embryo or fetus dies before the 20th week […]

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Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes

Release pericardial tamponade and control cardiac hemorrhageThe highest survival rate following EDT is in patients with penetrating cardiac wounds, especially when associated with pericardial tamponade [7,17]. Early recognition of cardiac tamponade, prompt pericardial decompression, and control of cardiac hemorrhage are the key components to successful EDT and patient survival following penetrating wounds to the heart […]

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Maxillofacial Injuries after a Bear Attack

Case report A 55 year old male farmer from Daporijo, Arunachal Pradesh, was referred to our hospital in September 28, 2015, with history of bear mauling. He went to the forest to hunt and tame wild bovines (Bos frontalis). He unexpectedly came across a bear (Ursus thibetanus). The bear attacked his upper body as he […]

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Jaguar Attack on a Child

Case Report A three year old Amerindian girl presented without warning to emergency department (ED) in the country’s only tertiary care hospital, after being attacked by a jaguar in the remote Isseneru Village, Cuyuni-Mazaruni (Region 7), Guyana. Her mother says that she turned away from the child to tend to the clothes when she heard […]

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Neurofibromatosis type I (von Recklinghausen’s disease): A family case report and literature review

Authors: Parichehr Ghalayani,1 Zahra Saberi,2 and Farimah Sardari2 CASE REPORTS Five members of a family, a mother and her four offsprings, referred to the Department of Oral and Maxillofacial Medicine to be diagnosed and received oral and dental treatments. During clinical examination, we found clinical manifestations of neurofibromatosis in all of them. We have described all of them […]

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Dilated cardiomyopathy

Idiopathic dilated cardiomyopathy. Views of the heart in a 61-year-old woman who had had evidence of chronic heart failure since age 51 years. She did reasonably well on medical therapy until age 59 years, when the heart failure worsened considerably and an implantable cardiac defibrillator was inserted. During the 2 years before transplant, the heart […]

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