Case Report While working, a previously healthy 16-yr-old, 65-kg boy fell into a 3-m deep transport wagon being filled with whole wheat grain and was immediately submersed. Efforts to rescue him required approximately 5–7 min. He was unresponsive, cyanotic, and making spontaneous respiratory efforts on removal. During transfer by ambulance to a peripheral hospital, ventilation […]
Read MoreAbstract Adult dentoalveolar trauma most often occurs in the context of sports activities and traffic accidents. Coronal fractures are the most common type of lesion, followed by tooth luxation. We present the case of a 25-year-old woman who suffered alveolar bone damage and coronal fractures of the upper incisors, with extrusive luxation of the right […]
Read MoreWe report the case of a 65-year-old man with a medical history of prostate carcinoma, for which he underwent radical prostatectomy with adjuvant radiotherapy. The patient also had type 2 diabetes, hypertension, hypercholesterolaemia and epilepsy of unknown origin during his childhood. Home medications included acetylsalicylic acid, olmesartan medoxomil, rosuvastatin, lixisenatide, metformin and gliclazide. The patient […]
Read MoreA 27 year old man presented to the otorhinolaryngology outpatient clinic with a 3-month history of progressive obstruction and bleeding from the right naris. Physical examination showed a red, granular, pedunculated, nonpulsatile mass that obstructed the right nasal cavity and bled on touch (Panel A). The patient reported bathing frequently in the local pond. The […]
Read MoreAbstract Giant (>10 cm) ovarian cyst is a rare finding. In the literature, a few cases of giant ovarian cysts have been mentioned sporadically, especially in elderly patients. We report a 57-year-old postmenopausal woman with a giant left ovarian cyst measuring 43 × 15 × 9 cm. She was referred to us from the local health center […]
Read MoreAbstract The current report presents the case of a 43-year-old male suffering from a penile cutaneous horn. A surgical excision of the lesion was performed and histopathology demonstrated hyperkeratosis, dyskeratosis and epithelial hyperplasia. The cutaneous horn progressed to squamous cell carcinoma <1.5 months following surgery and a partial penectomy was conducted. The International Index of […]
Read MoreNatraj Katta, * Sandeep Gautam, and Richard Webel Abstract Embolization of the Amplatzer Septal Occluder (ASO) device (St. Jude Medical, Minnesota) after percutaneous closure of atrial septal defect (ASD) is a rare and potentially catastrophic complication. Percutaneous retrieval of the embolized device is gaining ground as an acceptable method, although these patients are usually subsequently referred for open surgical […]
Read MoreCASE PRESENTATION A 35-year-old healthy man was referred to our emergency room by his physician because of painful skin necrosis over the left buttock approximately 5 × 4 cm and painful skin necrosis with purulent discharge on the right approximately 6.5 × 4 cm (Fig.1). The patient stated that he is a recreational “body builder” and uses illicit substances to rapidly […]
Read MoreCASE REPORT A 65-year-old woman with a history of bilateral silicone breast augmentation in 1987 and hypertension presented to clinic with swelling and discomfort of her inferior left breast (Fig. 1). She stated that the symptoms began after a motor vehicle collision 3 years prior. Since that time, the left breast implant had slowly developed significant […]
Read MoreKey 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 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 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 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 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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