Key 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 MoreAbstract For many years, gutta-percha has been the root canal filling material of choice. Chloroform is one of the most efficient solvents widely used for gutta-percha removal in retreatment cases, despite being toxic and carcinogenic. The present case report discusses a chloroform extrusion through an existing perforation to the surrounding periodontal ligament space and subsequent […]
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 […]
Read MoreElephantiasis as a result of chronic lymphedema is characterized by gross enlargement of the arms, legs or genitalia, and occurs due to a variety of obstructive diseases of the lymphatic system. Genital elephantiasis usually follows common filariasis and lymphogranuloma venereum. It may follow granuloma inguinale, carcinomas, lymph node dissection or irradiation and tuberculosis but this […]
Read MoreA 31-year-old female, working as a waitress in a café, suffered an accident at her workplace. The patient’s left index wedged into an orifice at the base of a refrigerator which she was trying to lift and move. This led to an avulsion of the second left digit and sub-amputation through the proximal interphalangeal joint […]
Read MoreErik Marques,1Eric J Maiorino,1Zachary Tallackson,1 and Hossein Masoomi1 A 28-year-old right-hand dominant male with a history of untreated depression and recent suicidal ideation presented with a complete amputation of the left upper extremity (forearm-level) as the result of an intentional, self-inflicted injury with a circular saw following an argument with his wife (Figure 1). The trauma occurred […]
Read MoreCASE REPORT A 34-year-old man ingested a mobile phone while on temporary release from prison. Five days later he began to develop acute severe periumbilical abdominal pain. This was associated with constipation, although he was passing small amounts of flatus. He vomited multiple times. He alerted prison officers to his ingestion of the phone and […]
Read MoreA 45-year-old man, with history of biliopancreatic diversion for alcoholic chronic pancreatitis, was referred to the emergency unit of Pasteur Hospital in Nice for a 72-h history of tiredness, dysphagia and hematemesis. There was no history of peptic ulcer disease or esophageal reflux and he denied ingestion of any caustic agents.
Read More1. Introduction Lazarus phenomenon or autoresuscitation (AR) is a very rare condition defined as delayed unassisted return of spontaneous circulation (ROSC) after cessation of cardiopulmonary resuscitation (CPR) [1, 2]. After being first reported by Linko et al. in 1982 [3], it was later termed the “Lazarus phenomenon” by Bray Jr. in 1993 [4] after the biblical […]
Read MoreIntroduction: Among malignant melanoma lesions, those occurring on the scalp and neck have a particularly poor prognosis. In this case report, we present the largest melanoma of the head and neck and one of the largest melanomas of any anatomic site reported in the literature to date. A 70 year old gentleman who initially presented for […]
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