Esophageal Varices

Marcelle Meseeha; Maximos Attia. Author Information Introduction Esophageal varices are dilated submucosal distal esophageal veins connecting the portal and systemic circulations. This happens due to portal hypertension (most commonly a result of cirrhosis), resistance to portal blood flow, and increased portal venous blood inflow. The most common fatal complication of cirrhosis is variceal rupture; the severity of liver […]

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Anal Fissures

Brian Jahnny; John V. Ashurst. Author Information Introduction An anal fissure is a superficial tear in the skin distal to the dentate line and is a cause of frequent emergency department visits. In most cases, anal fissures are a result of hard stools or constipation, or injury. Anal fissures are common in both adults and children, and […]

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Case report of a baby with Retinoblastoma

This baby had advanced retinoblastoma. They did an orbital exoneration. The baby did well but will need chemo and/or radiation. The prognosis is not good however. The baby went home in about 4 days. What is Retinoblastoma?Retinoblastoma is an eye cancer that begins in the retina — the sensitive lining on the inside of your […]

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IMPALEMENT HEAD INJURY WITH A SPEAR

J West Afr Coll Surg. 2016 Apr-Jun; 6(2): 113–124.PMCID: PMC5342836PMID: 28344950BI Akhiwu,AS Adoga, OP Binitie, CC Ani, M Iweagwu, O Adetutu,1T Ureme,1DD George,1PD Didamson,1E Oseni-Momodu,1 and BT UgwuAuthor information Copyright and License informationDisclaimer Case Reports History T.B was a 26-year old unemployed man who presented with a history of a spear thrown at him 6 hours prior to presentation. He had gone at night […]

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Grinder Injury of the Hand: A Rare but Devastating Occupational Hazard

Tushar Patial, MBBS, MS,1 Rajinder K. Mittal, MBBS, MS, MCh,1 Ramneesh Garg, MBBS, MS, MCh,1 Sheerin Shah, MBBS, MS, MCh,1 and Amandeep Kaur, MBBS, MS, MCh1Surg J (N Y). 2021 Oct; 7(4): e297–e300.Published online 2021 Oct 22. doi: 10.1055/s-0041-1735902PMCID: PMC8536650PMID: 34703888 Case Report Case 1 A 22-year-old male patient presented to the emergency with his left hand caught in a commercial meat grinder. After partly […]

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Successful abdominal wall closure following collagen-based artificial dermis induced epithelialization for giant omphalocele: A case report

Masaki Horiike,a,⁎ Tomohiro Kitada,b Kenji Santo,c Takuro Hashimoto,c and Onishi Satoshid 2. Presentation of case A Japanese female neonate was born at an estimated gestational age of 38 weeks with a birthweight of 3.047 kg. She had an intact GO with a fascial defect measuring 0.06 × 0.06 m (Fig. 1). No other associated abnormalities were found on screening including postnatal […]

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Cemento-osseous dysplasia

This is a case of cemento-osseous dysplasia. This tumor was causing her great distress and was a relatively complex removal. The surgery was performed years prior and she came to clinic for follow up. They discussed further surgery for cosmetic purposes, but she stated she was happy to have the tumor removed and did not […]

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Rhabdomyosarcoma – a rare tumor of the eye

This young boy presented with a tumor of the eye. Initially they thought it would be a retinoblastoma but it turned out to be embryonal rhabdomyosarcoma. They did an orbital exenteration with a temporalis muscle flap. The boy did very well and will soon be getting chemotherapy. The cut on the side of his head […]

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Ocular Thelaziasis

A 34-year-old man presented to the ophthalmology clinic and reported having the sensation of a foreign body and itching in his right eye. He had no known medical history, and he lived on a farm with his dog. Examination with slit-lamp microscopy showed two live worms beneath the upper eyelid. A topical anesthetic was administered, […]

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Orbital myiasis

Yan-Ling Huang, MD,a Lu Liu, MD,c Hao Liang, MD,a Jian He, MD,a Jun Chen, MD,a Qiao-Wen Liang, MD,a Zhi-Yuan Jiang, MD,b Jian-Feng He, MD,a,∗ Min-Li Huang, MD,a,∗ and Yi Du, MDa,∗Article notes  Copyright and License information  Disclaimer 1. Introduction Maggots are larvae of Diptera flies, most of which are mainly found in human and animal feces, garbage, decaying plants and animal carcasses and feed on feces […]

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Lung Protrusion: Tragic Consequence of a Knife Assault

Lung Protrusion refers to the exposure of lung parenchyma from a defect in the chest wall. This is a case of knife assault which caused lung evisceration. A 20-year-old presented to the Emergency Department with bilateral stab wounds in the thorax, causing lung protrusion. He also had exposed lung parenchyma on the left side. He […]

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Reconstruction of massive full‐thickness abdominal wall defect: successful treatment with nonabsorbable mesh, negative pressure wound therapy, and split‐skin grafting

Dogu Aydin, 1 Ida Felbo Paulsen, 1 Vibeke Egerup Bentzen, 1 Sami Asadzadeh, 2 and Lisbet Rosenkrantz Hölmich Case Report In May 2014, a 51‐year‐old morbidly obese woman (BMI 48), suffering from non‐insulin‐dependent diabetes, presented at the emergency department with a 20‐year‐old incisional hernia that had become incarcerated. At admittance, the abdomen was described with horizontal and vertical scars from former surgery and a […]

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Scalp avulsion injury

Patient reportedly fell and hit her head on on a sharp rock, lacerating her scalp. The wound was thouroughly irrigated and debrided. Later the wound was closed with sutures and two drains were placed to minimize the chance of haematoma formation. Broad spectrum antibiotics were also given. Scalp lacerations are a common injury. Clinical evaluation […]

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Complications of thyroidectomy for large goiter

Toufik Berri1,& and Rachida Houari2 Patient and observation A 50-years-old woman, hypertensive, hospitalized for a large cervical mass appeared 30 years ago. In the family history, her mother, sisters and cousins underwent a surgery for MNG. Despite of the large volume of the mass, the patient never described signs of cervical compression whatsoever respiratory, digestive, laryngeal, vascular […]

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Orbital Floor Reconstruction with Free Flaps after Maxillectomy

Leela Mohan C. S. R. Sampathirao, MS, MCh,1 Krishnakumar Thankappan, MS, DNB, MCh,1 Sriprakash Duraisamy, MS, MCh,1 Naveen Hedne, MS, MCh,1 Mohit Sharma, MS, MCh,1 Jimmy Mathew, MS, MCh,1 and Subramania Iyer, MS, MCh, FRCS1 Results One hundred twenty-six patients underwent maxillectomy during the study period. Combined modality treatment with surgery followed by radiotherapy with or with or out chemotherapy was performed. […]

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