Management of the Burn Patient

Case Presentation A 58-year-old female patient was activated as a Level 1 trauma alert after being involved in a house explosion with resultant fire. She was awake and alert with no loss of consciousness at the scene but sustained significant thermal injuries per EMS report. She was intubated pre-hospital for “airway protection” out of concern […]

Read More

STEMI Associated with Overuse of Energy Drinks

2. Case Presentation The patient was a 26-year-old male who began having left-sided chest pain approximately 9 hours prior to presentation to the emergency department following drinking his usual quantity (~4L) of “Monster,” “Rock Star,” and other similar brands of energy drinks. The patient stated that he drank any kind of energy drink he could […]

Read More

Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries

Case Report 31-year-old Caucasian man was referred for treatment at our institution for surgical treatment of the cicatricial ectropion of both lower eyelids and exposure keratopathy due to severe deep dermal burns that affected minimally 60% of the TBSA (Fig. 1). Eight months prior to this presentation, patient sustained thermal burn injuries. Mechanism of the […]

Read More

A case of a young woman with a Necrotic Sarcoma of the back

Sarcoma is a type of cancer that develops in bones and soft tissues, such as fat, muscles blood vessels, etc. Tissue becomes necrotic when substantial areas of tissue lack a blood supply, which then causes gangrene, or death of the tissue, in the area. This particular case was very vascular, so there was no way […]

Read More

Thoracic impalement injury: A survivor with large metallic object in-situ

Case report A 25-year-old male send to emergency department (ED) due to thoracic impalement injury caused by a metallic bar. He crashed into a lorry from behind in high speed when he was driving a motor car. As a result, his car wind screen was broken, a blunt iron bar from the lorry pierced through […]

Read More

MAJOR CRUSH INJURY LEFT UPPER LIMB

49 year old male met with a road traffic accident. Patient was driving a two wheeler which was overrun by a tipper  on 29.12.2010 at around 2.30 p.m. between Miryalguda and Damargidda Chevella mandal , Ranga Reddy distt. Andhra pradesh, India. Patient sustained extensive degloving injury to the left upper limb extending from the left mid […]

Read More

Impalement head injury with serrated meat knife.

Abstract  An unsuspecting motorcycle passenger was ambushed and impaled on the right side of the head with a 30cm serrated meat carving knife during a sectarian crisis in the city of Jos, Plateau State, Nigeria. The patient escaped running with the knife in his head and was rescued to a military hospital from where he […]

Read More

Recurrent Vitreomacular Traction in a Patient Treated with Ocriplasmin: A Case Report

Abstract Introduction To describe a case of recurrent vitreomacular traction and macular edema that appeared both before and after the intravitreal injection of ocriplasmin. Case Report An 82-year-old monocular man presented with metamorphopsia and reduced vision of 1-week duration. The patient’s general medical history was unremarkable. His ophthalmic history was significant for severe ocular trauma […]

Read More

A woman working on a farm got her hair caught in a thresher machine and it ripped it right off her scalp.

Replantation is the treatment of choice in scalping injuries and should always be considered, even in case of a badly damaged scalp. Specific procedures regarding pre-, intra- and postoperative care are crucial to success in replantation. These include: haemodynamic stabilization of the patient without causing damage to possible donor vessels; cooling, cleaning and further proper […]

Read More

The Youngest Patient in United States to Receive Face Transplant

Katie Stubblefield’s wit shows through when she describes her face transplant surgery. “Longest nap of my entire life,” she says. Those unfamiliar with Katie’s still-developing speech pattern may not easily make out those words, but her parents are usually there to interpret. Robb and Alesia Stubblefield have been by her side – helping her “take […]

Read More

Primary Cardiac Undifferentiated High-Grade Intimal Pleomorphic Sarcoma

Introduction Primary cardiac sarcomas (PCSs) are extremely rare with only a few cases reported in the literature. About 25% of primary cardiac tumors are malignant, and of those 75% are sarcomas [1]. Radiologic similarities to benign myxomas/thrombus make PCSs a diagnostic challenge. Clinical presentations of PCSs include cerebrovascular accident, pulmonary embolism (PE), valvular dysfunctions, arrhythmias, […]

Read More

Erdheim-Chester Disease With Extensive Pericardial Involvement: A Case Report and Systematic Review

Abstract Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis characterized by systemic xanthogranulomatous infiltration. We described the case of a female adult presenting with pericardial effusion. Pericardial infiltration is the most frequent cardiac manifestation of ECD and is the one discussed in this article. We found that the majority of patients with pericardial infiltration […]

Read More

Early Structural Deterioration of a Sutureless Bioprosthetic Aortic Valve

Abstract Sutureless bioprosthetic valves such as the Sorin Perceval S valve (SPV) have been used in patients with aortic stenosis that require surgical aortic valve replacement (SAVR). These prostheses have been marketed on the basis of their rapid implantation techniques with avoidance of sutures and reduced aortic cross-clamp times. We report a case of an […]

Read More

Microsurgical breast reconstruction after severe burns

Abstract Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- […]

Read More

Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient

Case Rep Pulmonol. 2020; 2020: 5026759. Published online 2020 Jan 23. doi: 10.1155/2020/5026759 PMCID: PMC7003253 PMID: 32047694 Abstract Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with signs of hypovolemic shock without apparent cause. […]

Read More

Umbilical Cord Knot

A 36-year-old woman (gravida 2, para 1) with a monochorionic, monoamniotic twin pregnancy was admitted to the hospital at 32 weeks of gestation for a planned cesarean section. The antenatal course had been unremarkable. Routine cardiotocography before the procedure showed severe variable decelerations of the fetal heart rate in one of the twins; the tracing […]

Read More