Case Study In 2011, a 6 year old boy with orbital trauma in the form of a foreign object having penetrated his right eye attended the Ophthalmology Department of Imam Khomeini Hospital in Kermanshah. According to his parents, he suddenly fell when playing and a pencil went directly into the upper part of his right […]
Read MoreAbstract Encountering a foreign object in the rectum is rare; however, the incidence has greatly increased in recent years. Treatment of these patients requires a multidisciplinary approach because this condition may have serious complications. Presently described is management of 2 cases of rectal foreign body treated in the clinic. Keywords: Complication, foreign body, perforation, rectum Case Report A 40 […]
Read MoreCase Report: A 27-year-old African-Ugandan woman of Nilotic ethnicity presented to the Accident and Emergency Department of a tertiary hospital, following a GSI to her face. The injury was the result of a ‘stray’ bullet, shot from an AK-47 submachine gun at a distance of about 70m. Resuscitation and a surgical wound toilet were done […]
Read MoreAuthors: Sunil Munakomi, Binod Bhattarai, and Iype Cherian A 38-year-old female presented with the complaint of slowly progressive swelling over scalp since last 20 years. There was no history of trauma, loss of consciousness, headache vomiting, altered sensorium or weakness of body parts. Surgical intervention was tried twice but abandoned due to heavy bleeding on both the occasions. […]
Read MoreCase Report A 52 year old male patient contacted emergency services with abdominal and anal pain that had gradually increased over nearly 6 hours. Detailed medical history of patient revealed that he had inserted a foreign object into rectum and that he had occasionally done so to achieve sexual satisfaction over period of nearly 2 […]
Read MoreCase report: A 35-year-old Caucasian man with a history of chronic intravenous drug use presented to the emergency department with right upper limb pain and swelling lasting 24 hours. His initial vital signs were notable for temperature of 39°C, respiratory rate of 25 breaths per minute, heart rate of 120 beat per minute and blood […]
Read MoreAbstract Desmoid tumors, also known as aggressive fibromatosis, are extremely rare, accounting for less than 3% of soft-tissue sarcomas and less than 0,03% of all neoplasms. The diagnosis is usually delayed because of the lack of specific symptoms, and can sometimes lead to serious and, even fatal complications. Case presentation The case report was prepared […]
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 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 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 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 MoreTanweer Karim and Margaret Topno Case Report A case of a 4 year old male child who presented in the casualty with the history of a fall into a gutter while walking on the road; when he fell, an iron rod penetrated into his head [Figure 1]. There was no history of loss of consciousness or convulsions. […]
Read MoreA 54-year-old woman presented with a 2-day history of a painful, enlarging rash over her face (Panel A), ears (Panel B), breasts, and extremities. Laboratory studies revealed neutropenia (neutrophil count, 1070 per cubic millimeter) and lymphopenia (lymphocyte count, 680 per cubic millimeter); the detection of antineutrophil cytoplasmic antibodies (ANCA) by immunofluorescence testing showed the perinuclear […]
Read MoreA 24-year-old male defence personnel reported to the casualty department of our institution around 2:45 a.m. after a suicidal attempt by his service rifle during his night duty hours. The appearance was very horrific with total disfigured anatomy of the left half of his face [Figure 1]. His general medical condition was poor with vitals recorded […]
Read MoreA 60-year-old game-keeper with a medical history of mild depression presented to his local primary care centre with a high-velocity GSW to his face, following an attempted suicide with a shotgun. The practice immediately called for an ambulance and the air ambulance and ground team were mobilised. The first responder was at the scene 7 min […]
Read MoreA four year old girl was brought to her pediatrician by her parents because of intermittent bilious emesis, which had started two weeks earlier. There were no other changes in her bowel or bladder habits, and she had not lost weight. Her parents reported that she occasionally pulled at and ate her hair, but they […]
Read MoreA 33 year old woman, para 2, presented to the emergency department with a report of vaginal bleeding and abdominal pain of several days’ duration. She had no history of pelvic inflammatory disease. Right adnexal tenderness was noted on physical examination. On screening, the serum β human chorionic gonadotropin level was 47,281 IU per liter, […]
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