A 35 year old male patient reported to emergency OPD with history of bear attack when he had gone to the jungle to graze his cattle. There was history of loss of consciousness for half an hour but no history of vomiting and ENT bleeding. On examination the patient was stable, neurological and cervical spine examinations […]
Read MoreA 17 year old male presented to the emergency room 2 hours after sustaining an amputation of his nose and upper lip as he was ejected through the windshield in a motor vehicle accident. The amputated nose and upper lip had been wrapped in gauze and placed on ice at the scene of the accident. […]
Read MoreA 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 […]
Read MoreH. 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, […]
Read MoreERIC 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” […]
Read MoreCase 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 […]
Read MoreAuthors: 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 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 Life […]
Read MoreEugene 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 […]
Read MoreCase Report A 54 year old man with a past medical history significant only for hypertension presented to the clinic with a large soft tissue growth onhislower back which had been present for the past 20 years. The patient had an unremarkable physical exam except for the large soft tissue mass over the lower back, […]
Read MoreCASE REPORT We present a case for a 38 years old male, who tripped on the platform besides the running train. Immediate investigation and CT scan revealed a large degloving injury of his left hand up to metacarpophalangeal joint and forearm up to the level proximal of the elbow. The distal phalanx of the left […]
Read MoreYogesh 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 […]
Read MoreThe 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 […]
Read MoreRelease 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 […]
Read MoreCase 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 […]
Read MoreCase 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 […]
Read MoreCase Report A 46 year old right handed male patient sustained an injury when his dominant hand was caught in a block cutting machine he was working on. He was conscious, oriented, appeared pale and had a BP of 90/60 mm Hg. His right forearm stump showed evidence of crush injury, (Fig 1). The amputated […]
Read MoreCase Report We describe the case of a 90 year old patient with a giant gluteal lipoma having evolved over more than 20 years. The patient was well aware of this slow-growing painless mass on his right hip but refused any treatment. He was addressed to the surgical consultation by his family doctor for lameness […]
Read MoreCase Report A 15-year-old boy reported to emergency department with history of fall from a tree onto a wooden fence and sustained a penetrating injury from a wooden piece [Fig-1]. There was no evidence of facial nerve injury. CT scan revealed that the foreign body was superficial to the investing layer of deep cervical fascia […]
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