Self-amputation of the Upper Extremity

Erik 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 […]

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Skin Discoloration in A Cocaine Abusing Patient

A 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 […]

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Suicide attemp attempt with gun – Successful Recovery

A 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 […]

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Facial gunshot wound – Successful recovery

A 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 […]

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Hairball (trichobezoar) in a four year old girl

A 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 […]

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Ruptured Ectopic Pregnancy

A 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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Transfer of a Toe to the Hand after scuba diving accident

Figure 1 A 38-year-old woman’s left thumb was amputated by a boat propeller while she was scuba diving, and it was not retrieved. Panel A shows her left hand three weeks after the accident. Four months after the accident skin from the groin was attached to the thumb stump and web area, and three months later […]

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Obstructive Ileal Ascariasis

A 10 year old Kenyan girl presented with abdominal pain that had grown progressively worse over a period of 3 days. Nonprojectile, nonbloody vomiting and abdominal distention had also developed. On examination, she was cachectic, with a distended abdomen and a soft, tender mass at the right iliac fossa that was associated with guarding and […]

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Successful replantation of an amputated penis

In December 2012, a 35-year-old Berber man, without any past medical history, presented to our Emergency Department with incomplete amputation of his penis after being assaulted by an unknown actor who cut off his penis using a shaving blade 3cm distal from the mons pubis. A physical examination did not show any other remarkable finding. […]

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End-Stage Autosomal Dominant Polycystic Kidney Disease

Figure 1 A 45-year-old man with autosomal dominant polycystic kidney disease presented to the urology clinic for consideration of bilateral nephrectomy as treatment for severe abdominal pain and distention. Magnetic resonance imaging of the abdomen (Panel A) demonstrated profound enlargement and complete replacement of the liver (top arrow) and kidneys (lower arrows) by cysts. A bilateral […]

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After eating raw seafood

A 71-year-old man presented to the emergency department with a 2-day history of fever and excruciating pain in his left hand that had developed 12 hours after eating raw seafood. He had a history of type 2 diabetes mellitus and hypertension and was undergoing hemodialysis for end-stage renal disease. At the time of presentation, hemorrhagic […]

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Hydrodynamic rupture of liver in combat patient: a case of successful application of “damage control” tactic in area of the hybrid war in East Ukraine

Igor Khomenko,1Vitalii Shapovalov,2Ievgen Tsema,1,3Georgii Makarov,1Roman Palytsia,1Ievgen Zavodovskyi,3Ivan Ishchenko,1Andrii Dinets,3 and Vladimir Mishalov3 The patient was a 22-year-old male soldier who received severe injury in the battlefield area next to the village of Krasnohorivka in the Donetsk oblast of Ukraine. On December 16, 2016, the patient received multifragmental combined with thoraco-abdominal injuries as a result of shelling from […]

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Phlegmasia Cerulea Dolens (painful blue edema)

An 81-year-old man with hypertension presented to the emergency department with pain and swelling of the left thigh and lower leg that had developed during the previous several hours. He had no history of recent surgery or trauma and no known personal or family history of clotting disorders. The left lower leg was tender, cold, […]

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Injury from E-Cigarette Explosion

A 17-year-old boy presented to the emergency department with pain and swelling in his jaw 2 hours after an e-cigarette exploded during use. The patient was in a hemodynamically stable condition and had no respiratory distress. He had a circular puncture to the chin, extensive lacerations in his mouth, multiple disrupted lower incisors, and bony […]

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Above-the-knee replantation in a child: a case report with a 24-year follow-up

On April 23, 1986, a 3-year-old girl was brought to our institution after a 1.5-ton truck ran over her left lower limb. She suffered a floating knee injury with fractures at the supracondylar level of the femur and middle third of the tibia. An above the knee and near-total amputation was sustained at the supracondylar […]

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Fallopian Tube Torsion

A 19-year-old woman (gravida 0, para 0) presented to the emergency department with severe abdominal pain that had started 9 hours earlier. On examination, the abdomen was soft and nondistended without guarding, but rebound tenderness was present in the suprapubic and left iliac fossa regions. A urine test for beta human chorionic gonadotropin was negative. […]

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Thoracic Stab Wound: A Curious Case Report

Case Presentation A 38-year-old male, a chronic alcoholic who committed an attempt of suicide, was presented to the emergency department of the University Hospital “St. George”- Plovdiv. On initial presentation, the patient was in a prone position, awake, oriented, and hemodynamically stable (blood pressure 140/90 mmHg and heart rate 92 bpm). The external examination revealed […]

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