OBJECTIVE: to present our experience with scheduled reoperations in 15 patients with intra-abdominal sepsis. METHODS: we have applied a more effective technique consisting of temporary abdominal closure with a nylon mesh sheet containing a zipper. We performed reoperations in the operating room under general anesthesia at an average interval of 84 hours. The revision consisted […]
Read More1. Background Coccidioidomycosis was first discovered in Argentina in 1892 by a medical student with the observation of several patients developing dermatologic lesions throughout the body. Works developed by clinicians and scientists at Stanford University Medical Center were the main source of knowledge of this condition. Coccidioidomycosis can be acquired by inhalation of the organism […]
Read MoreAbstract Giant (>10 cm) ovarian cyst is a rare finding. In the literature, a few cases of giant ovarian cysts have been mentioned sporadically, especially in elderly patients. We report a 57-year-old postmenopausal woman with a giant left ovarian cyst measuring 43 × 15 × 9 cm. She was referred to us from the local health center […]
Read MoreAbstract The current report presents the case of a 43-year-old male suffering from a penile cutaneous horn. A surgical excision of the lesion was performed and histopathology demonstrated hyperkeratosis, dyskeratosis and epithelial hyperplasia. The cutaneous horn progressed to squamous cell carcinoma <1.5 months following surgery and a partial penectomy was conducted. The International Index of […]
Read MoreAbstract Glans penis is an unusual site for horn. Only few cases are reported worldwide in English literature. Pseudoepitheliomatous, keratotic, and micaceous balanitis (PKMB) is a pyodermatitis with pseudoepitheliomatous response to chronic inflammation or infection. Rarely it can develop a horn. There is one case report of PKMB presenting as penile horn and one case […]
Read MoreNatraj Katta, * Sandeep Gautam, and Richard Webel Abstract Embolization of the Amplatzer Septal Occluder (ASO) device (St. Jude Medical, Minnesota) after percutaneous closure of atrial septal defect (ASD) is a rare and potentially catastrophic complication. Percutaneous retrieval of the embolized device is gaining ground as an acceptable method, although these patients are usually subsequently referred for open surgical […]
Read MoreCASE PRESENTATION A 35-year-old healthy man was referred to our emergency room by his physician because of painful skin necrosis over the left buttock approximately 5 × 4 cm and painful skin necrosis with purulent discharge on the right approximately 6.5 × 4 cm (Fig.1). The patient stated that he is a recreational “body builder” and uses illicit substances to rapidly […]
Read MoreCASE REPORT A 65-year-old woman with a history of bilateral silicone breast augmentation in 1987 and hypertension presented to clinic with swelling and discomfort of her inferior left breast (Fig. 1). She stated that the symptoms began after a motor vehicle collision 3 years prior. Since that time, the left breast implant had slowly developed significant […]
Read MoreKey Clinical Message For the treatment of skin necrosis with exposed tendons in rheumatoid arthritis (RA) foot, we should perform microvascular free flap surgery at an early stage without conservative treatment considering the increased risk of infection and the decreased physical activity. Keywords: dorsum of the foot, foot necrosis, friable skin, microvascular flap, treatment failure 1. INTRODUCTION […]
Read More1. Background Van Nes Rotationplasty (VNPR) is a surgical procedure consisting of limb-saving shortening of the leg with a rotation of 180o of the lower leg which is adapted to the remaining femur, changing the ankle function into a new knee joint [1]. The functional outcome of such a technique is that the knee flexion corresponds […]
Read MoreCASE REPORT A 60-year-old man was admitted to our medical ward due to aspiration pneumonia. He had a medical history of diabetes mellitus, end-stage renal disease; a tuberculosis bacilli-related thoracic spine infection with paraplegia, and a previous coronary artery bypass graft. During his third day at the hospital, he obtained a ballpoint pen and inserted […]
Read MoreIntroduction Radiation recall dermatitis is a well known but still poorly understood inflammatory reaction that can develop in previously irradiated sites, and can be triggered by a variety of different drugs, including cytostatic agents such as gemcitabine, taxanes or anthracyclines. Two case reports of radiation recall dermatitis after administration of pemetrexed have been published, but […]
Read MoreCase Report A 12-year-old Muslim male complained of low-grade fever and gradually progressive sore throat, along with dysphagia and gradually increasing swelling in the neck, leading to “bull-neck” formation for the last 10 days. He had an incomplete vaccination status, as he did not receive a DT booster at 5 years. On clinical examination, he had […]
Read MoreAbstract A 57-year-old woman was referred to our regional sarcoma unit following a 2-year history of a progressively enlarging mass on her right forearm. At 14×7×12 cm, this mass turned out to be one of the largest upper limb cutaneous malignant melanomas ever described, and, to the best of our knowledge, the first documented in the […]
Read MoreA 54-year-old American man summited Everest in May 2016. During descent, he realized that his hands and feet, particularly the right hand and right foot, were frozen. During the summit push, he used only his right hand to hold onto the ropes. He rewarmed his right hand and right foot at camp 4 (8000 m). […]
Read More1. Presenting History A 30-year-old female native of Sokoto, Western Nigeria, coming to the United States with fiancée for the first time presented to us one day after arrival at the hospital emergency room with a painful ulcerated lesion on her right ankle. 2. History Review According to the patient, she noticed this lesion over […]
Read MorePrimary and secondary surveys did not reveal additional injuries. Physical exam was significant for a large knife protruding from the left cranium approximately 10 cm. Medical history was obtained from the next of kin, which was only remarkable for illicit drug use. Laboratory investigations were remarkable for a leukocytosis of 13 K/µL and a lactate of […]
Read MoreHISTORY AND PRESENTATION A 21-year-old woman presented to our emergency room (ER) in transfer, following a love triangle dispute that resulted in a steak knife being inserted into the patient’s left eye (Fig. 2A and 2B). The patient was initially unresponsive with emesis and questionable seizure activity. She was intubated and treated with antibiotics and […]
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