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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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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Patient with penetrated Wooden Stick

Case Report A 15-year-old boy reported to emergency department with history of fall from a tree onto a wooden fence and sustained a penetrating injury from a wooden piece [Fig-1]. There was no evidence of facial nerve injury. CT scan revealed that the foreign body was superficial to the investing layer of deep cervical fascia […]

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Pencil into the orbit

Case Study In 2011, a 6 year old boy with orbital trauma in the form of a foreign object having penetrated his right eye attended the Ophthalmology Department of Imam Khomeini Hospital in Kermanshah. According to his parents, he suddenly fell when playing and a pencil went directly into the upper part of his right […]

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Fournier’s Gangrene and Intravenous Drug Abuse

Abstract Fournier’s gangrene is a potentially fatal emergency condition characterized by necrotizing fasciitis and supported by an infection of the external genital, perineal and perianal region, with a rapid and progressive spread from subcutaneous fat tissue to fascial planes. Keywords: Fournier’s gangrene, Necrotizing Fasciitis, Surgery, Infection Case report A 52 year old man with a history […]

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