A Giant Pleomorphic Adenoma of the Submandibular Salivary Gland: A Case Report

A 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 […]

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Small bowel obstruction complicating an Ascaris lumbricoides infestation in a 4-year-old male: a case report

Background 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 […]

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Giant inguinal hernia: Report of a case and reviews of surgical techniques

Presentation 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 […]

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Shark attack: the emergency presentation and management

A 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 […]

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Successful Hand Replantation in a Case of Total Avulsion without Vein Graft

CASE 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 […]

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Fire in the Operating Room: A Case Report and Laboratory Study

Case 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 […]

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pulsatile mass lesion of the scalp after blunt head injury

An 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 […]

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A 53-year-old patient suffered an impalement injury with a metallic drill, which had penetrated his neurocranium.

A 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 […]

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Jaguar Attack on a Child: Case Report

Case 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 […]

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Successful removement of Interparietal Encephalocele: A Case Report

A 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 […]

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Successful treatment of a patient with an extraordinarily large deep burn

The 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 […]

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Venous gangrene in a patient with metastatic cancer of the colon after chemotherapy

A 65-year-old male with colorectal cancer cT3N2M0 received concurrent chemoradiotherapy, and surgery and post-operative chemoradiotherapy for colorectal cancer ypT3N2M0 at the end of treatment in 2003. During follow-up visits at open-patient department in 2004, cystorectal fistula was suspected based on the complaints of terminal dribbling and gas passage from the urethra. Abdominal computed tomography (CT) scan revealed pericecal soft tissue infiltration […]

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Maxillofacial Injuries due to Bear Mauling

Case Report 1 A 40-year-old male patient was presented with severe maxillofacial injuries caused by bear attack. Patient had multiple skin lacerations resulting in exposure of underlying structures (parotid gland with duct, buccinators muscle, buccal pad of fat etc.) (Fig. 1) and was bleeding profusely from nose, and oral cavity. There were degloving injuries in upper […]

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