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 […]
Read MoreA 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 […]
Read MoreIn 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. […]
Read MoreFigure 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 […]
Read MoreA 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 […]
Read MoreIgor 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 […]
Read MoreAn 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, […]
Read MoreA 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 […]
Read MoreOn 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 […]
Read MoreA 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. […]
Read MoreCase 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 […]
Read MoreA 56 years old female presented with history of road traffic accident with resultant avulsion of her left side of face. There was degloving and avulsion of the left hemi-face including the upper lip nose, forehead skin and eyebrow, upper and lower eyelids and the entire left cheek. The zygomatic bone was also avulsed and […]
Read MoreA 26-year-old female presented to our emergency department (ED) with the chief complaint of “sores on arms.” The patient was resting comfortably on the stretcher in a long sleeve jacket. She was a pleasant young woman who explained that she was an intravenous (IV) heroin drug user and that earlier that day, she had tried […]
Read MoreA 13-year-old boy presented to our hospital because of snakebite on his left hand that had occurred six hours before. He was hunting bush rats, and when he put put his hand in a hole, he was bitten. On arrival he presented clinical hemorrhagic syndrome with gingival bleeding and an edema extending to his back […]
Read MoreCase presentation A 65-year-old man was lying under the cargo bed of a lorry, inspecting the undercarriage. Unaware of this, the lorry driver started his journey and the rear wheel rolled over the patient’s lower abdomen and pelvis. Bystanders who witnessed the accident transported him to the nearest hospital within 30 min of sustaining injury. Apart […]
Read MoreToday we have a case of a work accident in a 35 year old male.The right hand got amputated, breaking the metacarpal bones and pulling the finger flexor and extensor tendons with it. The injury was so severe that replantation of the amputated part was not an option. The wound was debrided and then a […]
Read MoreIn this case we have a 51-year-old female with recurrent giant cell tumor at left proximal femur with lung metastasis. She was previously diagnosed with giant cell tumor at left sacrum and ilium once, then underwent internal hemipelvectomy in 2009, but the disease recurred. She came to the hospital with progressive peritonitis. The MRI in […]
Read MoreA 19-year-old woman presented with amputation of her left ear by a pit bull (Panels A and B). The patient’s tetanus vaccination and the dog’s rabies vaccination were up to date. The ear was débrided and replanted by microvascular anastomosis of a 0.3-mm branch of the posterior auricular artery. Since no suitable veins were found, […]
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