We report a 28-year-old HIV-negative Ugandan woman with no known chronic illness. She presented to the eye clinic at Mulago National Referral Hospital (Kampala, Uganda) with a 2-week history of sudden onset blurring of vision in both eyes, especially in the mornings. This was preceded by a 1-week history of low-grade intermittent fevers, sore throat, […]
Read MoreCase presentation A 65-year-old man was lying under the cargo bed of a lorry, inspecting the undercarriage. Unaware of this, the lorry driver started his journey and the rear wheel rolled over the patient’s lower abdomen and pelvis. Bystanders who witnessed the accident transported him to the nearest hospital within 30 min of sustaining injury. Apart […]
Read MoreToday we have a case of a work accident in a 35 year old male.The right hand got amputated, breaking the metacarpal bones and pulling the finger flexor and extensor tendons with it. The injury was so severe that replantation of the amputated part was not an option. The wound was debrided and then a […]
Read MoreIn this case we have a 51-year-old female with recurrent giant cell tumor at left proximal femur with lung metastasis. She was previously diagnosed with giant cell tumor at left sacrum and ilium once, then underwent internal hemipelvectomy in 2009, but the disease recurred. She came to the hospital with progressive peritonitis. The MRI in […]
Read MoreA 19-year-old woman presented with amputation of her left ear by a pit bull (Panels A and B). The patient’s tetanus vaccination and the dog’s rabies vaccination were up to date. The ear was débrided and replanted by microvascular anastomosis of a 0.3-mm branch of the posterior auricular artery. Since no suitable veins were found, […]
Read MoreA 20-year-old black woman of cross-border nationality, presented to our maxillofacial and oral surgery department seeking medical attention for a large swelling on the left side of her jaw (Figs. 1A and and1B). The swelling was painless with a history of having increased in size over an 8-year period. She noticed the swelling for the first time […]
Read MoreBackground Ascariasis is the leading helminthic infection worldwide, with its peak prevalence noted in children aged 2–10 years. Although mainly asymptomatic, chronic and heavy infestation could lead to severe complications such as malnutrition, poor physical and cognitive development, as well as intestinal obstruction. We report the case of a 4-year-old boy with intestinal obstruction due to Ascaris […]
Read MorePresentation of case A 67-year-old healthy male has been affected by long-standing, gradually enlarging of right-side inguinal hernia for the past 30 years. His symptom of abdominal discomfort after meal has worsened over time and he had lost 30 kg of weight in the past year. Physical examination revealed cachexia and large irreducible right-side inguinal hernia […]
Read MoreA 50-year-old healthy man presented with a lump on the temporal side of his head. Six weeks before, he fell off his mountain bike, hitting the ground with the left side of his head while wearing a helmet. Initially, there were no signs of injury, but after a few weeks a progressive painless lump has […]
Read MoreA previously healthy 32-year-old man, a body-boarder, was transported to hospital by primary retrieval helicopter, within 2 h of a shark attack injuring both legs. Tourniquets were applied bilaterally to decrease haemorrhage. En route to hospital he was intubated with an endotracheal tube due to severe agitation from acute blood loss (figures 1 and 2). On arrival, the […]
Read MoreCASE REPORT A 36-year-old, right-handed male presented to our emergency department after accidentally crushing and severing his hand at the level of the wrist with an industrial roller-type press. The patient applied a bandage to the proximal forearm. The amputated right hand remained in the machine for 2 hours. The patient was taken to the […]
Read MoreA woman of 65, obese (BMI = 44.06), with no history of diabetes and allergies but with a mild form of myasthenia gravis (treated only with pyridostigmine po 60 mg every 6 hours), was bitten the evening before hospitalization while cleaning the home cellar by a spider, which, from the description and place where the bite […]
Read MoreCase Report A 73-yr-old Caucasian man was scheduled for bilateral parietal burr-holes to evacuate a subdural hematoma at the University Medical Center in Tucson, AZ—the primary teaching hospital of the University of Arizona College of Medicine. The patient had severe Parkinson’s disease treated with Sinemet® (combination of levodopa and carbidopa) (DuPont Pharma, Wilmington, DE), and […]
Read MoreAn 87-year-old woman presented to hospital with a progressive, painless pulsating lump in her right forehead. She had fallen and hit her right forehead 1 month prior. She had no neurological deficits. Physical examination revealed a 5 × 5 cm round mass of the right forehead (Fig. 1A). Ultrasonography showed a blood supply into the mass. Magnetic resonance imaging […]
Read MoreA 53-year-old patient suffered an impalement injury with a metallic drill, which had penetrated his neurocranium. The patient had tried to commit suicide, injuring himself in the thorax and head (Fig.6a, b). MDCT imaging displayed the position of the impacted drill, which had entered the skull at the front temporal cortex, and there was also […]
Read MoreCase Report A three-year-old Amerindian girl presented without warning to our 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. This village is located near the large Mazaruni River, amid dense jungle about 40 air miles from the Venezuelan […]
Read MoreA neonate,18-day-old female baby presented with congenital scalp swelling and was evaluated by the neurosurgical team. Her mother belonged to a remote area where no prenatal ultrasonography was available; baby was delivered at a district hospital through LSCS. Scalp swelling progressively increased since birth. Complete physical examination of the baby revealed a congenital scalp swelling […]
Read MoreThe patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively […]
Read More