Cutaneous Manifestations of Lightning Injury: A Case Report

M. E. Asuquo, MBBS, FWACS, FICS, I. A. Ikpeme, MBBS, FWACS, FICS, and I. Abang, MBBCH CASE REPORT A 22-year-old woman with a history of inability to use both upper limbs since 2 months presented in the accident and emergency unit. This followed a lightning strike in a village while she was asleep in the […]

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A Rare Syndrome of Five Finger Hands and Polydactyly of the Feet: A Case Report

Ahmadreza Afshar Case report A 22-year old man was referred from the Welfare Organization for evaluation of his hands and feet abnormalities. The family history was negative for any congenital abnormalities. The parents were non-consanguineous. It seemed that the hands and feet deformities were symmetric. The right and the left thumbs were absent (Figs. 1 […]

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Gross Hydrocephalus

Case Report A 9-month-old second born child by normal delivery and cried immediately after birth with no perinatal complications presented with history of increasing size of head sine 4 months. On examination vitals were stable and drowsy with no cry Sun setting sign present, occipitofrontal circumference 65 cm, and (normal 32–35 cm conclusion hydrocephalus), weight 10 […]

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Kerion and tinea capitis

Hidenori Nakagawa,a,⁎ Masato Nishihara,a and Takashi Nakamurab A 9-year-old boy (Patient 1) with no past medical history presented to the pediatric emergency department with a 1-month history of tender erythematous lesions on his scalp. The lesions had gradually enlarged despite the use of topical antibacterials and corticosteroids. His temperature upon presentation was 38.0℃, and physical examination showed multiple […]

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Intraocular eyelashes and iris cyst in anterior chamber following penetrating eye injury: a case report

Sabin Sahu,1 Lila Raj Puri,1 and Sanjay Kumar Singh2 Case report A 24-year-old Nepalese male presented with decreased vision in the left eye noticed for last 2 weeks. His visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with −2.5 DC × 140° correction. The intraocular pressure was 12 mmHg […]

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Surgical Excision of Madelung Disease Using Bilateral Cervical Lymphnode Dissection Technique—Its Effect and the Influence of Previous Injection Lipolysis

Erika Andou, MD,* Masakazu Komoto, MD,* Toshio Hasegawa, MD,† Hiroshi Mizuno, MD,* and Ayato Hayashi, MD CASE REPORT A 51-year-old man was presented to our facility with large subcutaneous tumors affecting the entire neck. Eight years earlier, he was diagnosed with Madelung disease based on the characteristic presentation of symmetrical subcutaneous tender masses throughout the […]

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Forequarter Replantation

An 18-year-old man presented with a workplace-related injury, wherein his left shirt sleeve was caught in a cloth rolling machine and consequently his left upper limb was avulsed and amputated at his shoulder. He presented to our center 3 hours after the incident, with the amputated part brought without cooling. Initial examination showed pallor but […]

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Multiple-level Replantation in Elderly Patient

CASE REPORT A 62-year-old, right-handed woman suffered a complete double-level amputation transversely across the left distal forearm and the wrist and a severe crush injury of the midhand in a tree-shredder ​(Fig.1). Cold ischemia time was less than 2 hours. The proximal amputation occurred at the forearm 3 cm proximal to the radiocarpal joint, the distal obliquely […]

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Massive ossifying fibroma of the mandible in a child

Minu Bajpai, P. Goel, O. Bhutia,1 Anand Gupta,1 A. Seth,2 A. K. Gupta,2 and D. K. Pawar3 CASE REPORT A 10-year-old boy with a known sickle-cell trait, had a four-years history of a painless, slowly enlarging tumor of the lower jaw [Figure 1] was referred from the department of dental surgery where incision biopsy and digital subtraction angiography (DSA) was done. The […]

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Reconstructive surgery of the nasal pyramid

Abstract The authors present their personal experience regarding the reconstruction of the nasal pyramid on 150 cases, encompassing both children and adults during the period 2000-2011. Reconstruction of the nasal pyramid, regardless of age, was performed in cases of dysmorphias due to congenital malformations, accidents and surgical treatments with great loss of substance (benign or […]

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Management of High-energy Avulsive Ballistic Facial Injury

Elbert E. Vaca, MD,*Justin L. Bellamy, MD,†Sammy Sinno, MD,‡ and Eduardo D. Rodriguez, MD, DDS† Case 1 Delayed Reconstruction A 36-year-old male was referred for consideration for facial transplant 7 months after a self-inflicted ballistic injury resulting in composite tissue defects of the midface and lower face (Fig. ​6A). Note the contracted soft-tissue envelope with midface widening and […]

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Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma

Zhuoxia Wu, MD,a Yunlong Xing, MD,a Xin Liu, PhD,b Wanying Chen, MD,a Jiao Kong, MD,a Ronghui Wu, MD,a and Lianbo Zhang, PhDa,∗ 2. Case report A 44-year-old female patient presented to our department in November 2013 with a chief complaint of a giant swelling on the right side of her face that had gradually increased in […]

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Carbamzepine-induced toxic epidermal necrolysis

Nithyananda K. Chowta, Mukta N. Chowta,1 John Ramapuram, Pramod Kumar,2 and Abul Fazil Case Report A 38-year-old Asian Indian male patient presented with a rapidly progressive generalized eruption with fever. Patient was diagnosed as having secondarily generalized complex partial seizures 3 weeks prior to the current illness and was prescribed carbamazepine at the dose of […]

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Auricular Necrotizing Wound From Brown Recluse Spider Bite

A 5-year-old white boy presented with soft-tissue cellulitis involving the soft tissue of the lower ear auricle and adjacent neck (Figs ​1a and ​1b) as a result of a brown recluse spider bite. Wound cultures gave negative results upon initial debridement. The involved area progressed from cellulitis to necrosis of the skin of the lateral neck and lower […]

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Extraordinary Large Giant Congenital Melanocytic Nevus Treated with Integra Dermal Regeneration Template

Kim A. Tønseth, MD, PhD,*†‡Charles Filip, MD, PhD,*†Robert Hermann, MD,*Harald Vindenes, MD,* and Hans Erik Høgevold, MD, PhD*† CASE REPORT The patient was born abroad after a normal pregnancy. Immediately after delivery, a very large voluminous GCMN of the back covering about 16% of the total body surface area and additional multiple smaller nevi on the body […]

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Motor vehicle accident

Case presentation A 29-year-old man was brought to our level one trauma hospital after a motor vehicle accident, during which he was ejected from the vehicle during the crash. He lost consciousness on impact but was alert and oriented on arrival at the hospital, and was able to move all four extremities during the initial […]

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An Alternative Approach for Treating Severe Injured Temporomandibular Joints by Gunshot Wounds

Abstract Temporomandibular joint (TMJ) reconstruction is a challenging clinical problem that has been revolutionized due to the development of total alloplastic TMJ replacement (TMJ-TJR); however, the costs are still very high. We used an alternative approach to treat comminuted mandibular condyle fracture with an unviable condyle head caused by gunshot wounds. Our surgical technique consisted […]

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Ballistic Trauma

Combat and domestic improvised explosive devices (IEDs) deserve special consideration and mention as they result in additional trauma to the soft and hard tissues that extend far beyond that of typical ballistic patterns of permanent and temporary cavitation effects seen with handguns, shotguns, or even high-powered rifles. In addition to direct tissue damage from blast […]

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