Agricultural Machine Accident

A 19-year-old man from Kosovo was working on a farm when an agricultural machine ran over his leg causing severe injuries. The patient underwent a complicated operation comprising of debridement of devitalised tissue, soft tissue reconstruction and external fixation of broken bone segments. After a period of several months he managed to walk again. Case […]

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Skull Repair after Major Crush Injury

H. Sudhoff, 1 ,* H. J. Hoff, 2 and M. Lehmann 1 Case Report A 48-year-old German safety officer suffered compression injury to his cranial vault whilst examining a pressing machine (Figure 1(a)). The accidental onset of the machine resulted in severe compression of his skull. This led to compound comminuted skull and facial fractures (parietal, sphenoid, frontal, orbital rim, ethmoid, […]

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RECONSTRUCTION OF THE MAXILLA AND SKULL BASE

ERIC G. HALVORSON, DUC T. BUI, AND PETER G. CORDEIRO Following vertical rectus abdominis myocutaneous flap coverage of a type IIIB defect, this patient had too much bulk in the orbit preventing placement of an ocular prosthesis. Direct excision combined with liposuction improved flap contour and provided an appropriate platform for prosthetic fitting. A staged “nasolabial” […]

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Coronary Artery Aneurysms and Thrombosis in Kawasaki Disease

A 7-month-old male infant was brought to the hospital after being found by his foster parents to be inconsolable and crying. He was up-to-date on his immunizations and met all his developmental milestones. Significant birth history included intrauterine exposure to methamphetamine, with a positive methamphetamine drug screen at birth, and subsequent removal from his mother […]

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Giant Lipoma of Posterior Neck with Bleeding Decubitus Ulcer: A Rare Entity

Satyajeet Verma, Manish Varma, Sanjay Kala, and RK Singh CASE REPORT A 68-year-old male presented to our surgical outpatient department with a huge lump at the back of his neck for the last 11 years. There was an ulcer at the top of the lump for the last 9 months. Episodic bleeding was also reported from the ulcer for […]

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Anticoagulant-induced priapism progressing to penile gangrene: a devastating complication!

Case presentation A 35-year-old man, non-diabetic, non-hypertensive, married, having two children with normal erectile function, presented 4 h after sustaining gunshot injury to the left side of chest and left upper limb (figure 1). There were no injuries to the external genitalia. On evaluation, he had left pneumo-haemothorax which was relieved with insertion of intercostal chest […]

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The Big Bang: Facial Trauma Caused by Recreational Fireworks

Authors: Josher Molendijk, BSc, MSc,1 Bob Vervloet, BSc, MSc,1 Eppo B. Wolvius, DDS, MD, PhD,1 and Maarten J. Koudstaal, MD, DDS, PhD1 Case 1 A 29-year-old man was hit directly in the face by a rocket in the night of January 1, 2011. The patient was seen at the emergency department of our institution according to the Advanced Trauma […]

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Giant ovarian cyst masquerading as a massive ascites: a case report

Eugene Vernyuy Yeika, Derrick Tembi Efie, Paul Nkemtendong Tolefac, and Joseph Nkeangu Fomengia Case presentation Herein, we present the case of a 65-year-old black African woman, who was referred to their centre for the management of a massive ascites. She presented with a 5-year history of progressive abdominal distension. She had no abdominal pain, nausea, vomiting or […]

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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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