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Wind Joshua J - - 2008
Encephaloceles are pathological herniations of brain parenchyma through congenital or acquired osseus-dural defects of the skull base or cranial vault. Although encephaloceles are known as rare conditions, several surgical reports and clinical series focusing on spontaneous encephaloceles of the temporal lobe may be found in the otological, maxillofacial, radiological, and ...
Froberg M Kent - - 2008
Babesia is a malaria-like protozoan parasite spread by Ixodes ticks primarily from the white-footed deer mouse to humans. Typically it causes subclinical disease, but occasionally causes acute febrile disease with hepatosplenomegaly. We report a case of spontaneous splenic rupture of a 56-yr-old man with acute Babesia microti infection.
Aniebue U U - - 2008
BACKGROUND: Rupture of the symphysis pubis and separation of the pubic rami of more than one centimeter in pregnancy and following vaginal delivery or symphyseal diastasis is uncommon. OBJECTIVE: To report the clinical characteristics, management and outcome of cases of symphyseal diastasis treated conservatively. METHODS: Symptomatic symphyseal diastasis follows rupture ...
Bhatia Robin R Department of Neurosurgery, Hurstwood Park Neurological Centre, Haywards Heath, West Sussex, United Kingdom. - - 2008
This report presents a case of a 39-year-old male with a spontaneously ruptured frontotemporal dermoid cyst. Intraoperatively, during surgical resection of the cyst, significant fat spillage occurred associated with a profound anterior circulation vasospasm. The patient underwent serial neuropsychological evaluation over five months, revealing a profile of initial deterioration, followed ...
Pauw R G - - 2007
BACKGROUND: Spontaneous pneumomediastinum has been infrequently reported as a complication of diabetic ketoacidosis. Evidence-based guidelines are currently not available to help in choosing the best diagnostic approach. METHODS: We conducted a systematic review of the literature and looked for diagnostic clues that might indicate the need for a work-up to ...
Bois Aaron J - - 2007
Spontaneous flexor tendon ruptures within the hand are incompletely understood. We report 5 cases of spontaneous tendon rupture involving the flexor digitorum profundus tendon. One case involves an abnormal intertendinous connection between the ring and small finger profundus tendons and another involves a lumbrical muscle variant. To our knowledge, the ...
Parker Hilary - - 2009
Although a few cases of bladder wall rupture have been reported in the literature in association with bladder wall disease, idiopathic rupture of the bladder without injury remains an uncommon phenomenon. We report the case of a patient presenting to the Emergency Department with diffuse abdominal pain from spontaneous bladder ...
Liu Ching-Jung - - 2007
Spontaneous rupture of the liver is a rare condition with serious consequences, if not recognized and treated in time. It has been reported as a complication of several disorders, including benign or malignant liver tumors, connective tissue disease, infiltrating liver disease, preeclampsia, and post anticoagulant therapy. We report a case ...
Stephenson Jacob T - - 2007
Spontaneous rupture of the spleen is a rare complication of infectious mononucleosis with no clear consensus on appropriate management. Although management of traumatic splenic rupture has largely moved to nonoperative treatment, splenectomy is still frequently used in dealing with rupture of the diseased spleen. Here we report the case of ...
Sakai Toshinori - - 2007
Chronic contained rupture of an abdominal aortic aneurysm (AAA) is a rare event, making its diagnosis difficult. A delayed diagnosis and delayed surgical repair compromise the outcome. In this paper the authors report the case of a chronic contained rupture of an AAA causing spinal destruction, in which diagnosis was ...
Wilkinson Eric P - - 2007
Spontaneous otogenic pneumocephalus caused by barotrauma is extremely rare. We surveyed the literature and describe a case report of otogenic pneumocephalus from barotrauma managed with a middle fossa craniotomy. The neurotologic literature review revealed three similar cases. We conclude that anatomic defects in the floor of the middle cranial fossa ...
Bello C - - 2007
BACKGROUND: Staphylococcus lugdunensis has been reported to cause several localized and blood stream infections, but not endometritis. OBJECTIVE: To desribe a case of Staphylococcus lugdunensis endometritis associated with premature rupture of membranes. CASE REPORT.A 39-year old woman presented with premature rupture of membrane (PROM) and underwent an emergency caesarean section ...
Arkader Alexandre - - 2007
Osteochondromas are the most common benign bone tumor; nonetheless, the natural history is poorly understood as a result of the low threshold for resection and the fact that many of these lesions are asymptomatic and therefore never diagnosed. We report a case of spontaneous regression of a solitary osteochondroma and ...
Safapor Faizollah - - 2007
Atraumatic rupture of the spleen is an uncommon but important clinical entity. The diagnosis is often missed due to the absence of any history of trauma. Various aspects of atraumatic rupture of the spleen including those of pathologic and spontaneous rupture have been reviewed. Primary angiosarcoma of the spleen is ...
Musa J - - 2007
BACKGROUND: Spontaneous rupture of the uterus in primigravida is a rare event reported in the literature. Rupture of the uterus usually presents as an acute life-threatening condition with symptoms and signs that makes diagnosis relatively easy particularly when there is history of obstructed labour and other risk factors. A case ...
Ferrara Dean - - 2007
Female sexual dysfunction can be founded by disorders of sexual desire, arousal, orgasm, and sexual pain. Physiologic sexual dysfunction can, in many cases, be the result of impaired neurovascular tone to the clitoris and vagina. The vagina and clitoris both contain erectile tissue and phosphodiesterase type 5 (PDE5). Accordingly, the ...
Muzi F - - 2007
Fluoroquinolones are an important class of synthetic antibiotics and their use recently expanded with a new activity against Gram positive and anaerobics. In the literature many side effects were documented and, among them, tendinitis and subsequent tendon rupture are important causes of morbidity. The incidence is 0.14% to 0.4% but, ...
van de Warrenburg Bart P C BP Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, London, United - - 2007
Symptomatic hyperekplexia is a relatively rare entity, but has been documented in various, mostly brainstem diseases. We report the clinical and neurophysiologic vignette of a patient with a self-limiting, possibly inflammatory brainstem encephalopathy. Trismus was the presenting feature, but she later developed hyperekplexia. Although most brainstem features resolved spontaneously, the ...
Craver Pryor Elizabeth - - 2007
This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine ...
Walsh Colin A - - 2007
Uterine rupture is a catastrophic obstetric complication, associated with high rates of perinatal morbidity and mortality. The most common risk factor is previous uterine surgery, and most cases of uterine rupture occur in women with a previous cesarean delivery. Traditionally, the primigravid uterus has been considered almost immune to spontaneous ...
Akali A U - - 2008
Fluoroquinolone antibiotics are increasingly being recognized as a cause of Achilles tendinitis and rupture. We report the case of a 62-year old man who developed bilateral Achilles tendon rupture six days following commencement of ciprofloxacin. Tendon exploration and repair was accomplished with the use of a prosthetic substitute (Leeds-Keio ligament) ...
Malone Robin E - - 2007
Spontaneous intracranial hypotension (SIH) is a well-defined clinical entity that is frequently misdiagnosed because little information regarding this type of headache exists in the Emergency Medicine literature. This report presents a case and relevant review of the literature on SIH. An understanding of the characteristic symptomatology, appropriate evaluation, treatment options, ...
Maillard Nicolas - - 2007
INTRODUCTION: Spontaneous splenic rupture is a rare occurrence in primary cytomegalovirus infection. CASES: We report two cases of spontaneous rupture of the spleen associated with primary cytomegalovirus infection in young immunocompetent adults. One patient had iron deficiency anemia, and the other a pyruvate kinase deficiency. Nonoperative management was successful in ...
Giombini A - - 2007
The aim of this study was to describe a case of a 27-year-old male elite waterpolo goalkeeper, who had a partial rupture of the distal biceps tendon of his dominant arm while he was trying to save a strong outside shot. Pain on the antecubital fossa was the chief complaint. ...
Sauvageau Anny - - 2007
Rupture of a varicose vein is a rare cause of sudden death. It occurs when the failure of venous valves causes an increase in venous pressure great enough to provoke rupture of the blood vessel. When it does happen, the victim is often found surrounded by a pool of blood, ...
van Veelen Ina - - 2008
Spontaneous pneumomediastinum is uncommon in paediatric practice. We describe two cases of spontaneous pneumomediastinum in a child and an adolescent with anorexia nervosa. Thorough investigation failed to reveal any underlying cause for secondary pneumomediastinum. Pneumomediastinum in anorexia nervosa can be caused by not only elevated intrathoracic pressures, but also by ...
Arciaga Peregrina L PL Dept. of Anesthesiology, UCLA-Drew University of Medicine and Science, Los Angeles, CA., - - 2007
The incidence of esophageal perforation may be increasing as endoscopic procedures are becoming a standard diagnostic technique. Other situations such as vomiting, infection, malignancies may also be associated with esophageal rupture. Presenting symptoms may be non specific but delay in accurate diagnosis carries a high morbidity and mortality. Anesthetic management ...
Patil J J - - 2007
Anabolic androgenic steroids are commonly used at high doses by bodybuilders and athletes to enhance physique and improve performance levels. We report a case of spontaneous hepatic rupture with life-threatening haemorrhage associated with a past history of anabolic steroid use.
Senda Hiroya - - 2007
A 59-year-old man suffered from subcutaneous rupture of the flexor tendon of the little finger associated with fracture of the hook of hamate. He could not flex his little finger completely at the distal interphalangeal joint, but incomplete flexion of the proximal interphalangeal joint was possible. Surgical exploration revealed anomaly ...
Fortina Mattia - - 2007
We present the case of a 78 year-old man who developed a spontaneous rupture of the lumbar artery leading to a retroperitoneal hematoma while receiving fondaparinux therapy after a total hip replacement. A selective angiographic embolization stopped the bleeding. Fondaparinux was discontinuated and the patient presented a complete resolution of ...
Forshaw Matthew J - - 2007
Spontaneous pneumomediastinum is an uncommon, self-limiting condition resulting from alveolar rupture in young adults. Because of the ambiguous presentation and the general lack of awareness of this condition, its diagnosis is often delayed, missed, or confused with spontaneous esophageal perforation. We report our experience of treating six patients who were ...
Alper Bilal - - 2007
Rupture of the diaphragm following blunt trauma is rare in children. A late presentation of a left diaphragmatic rupture with gastric volvulus is also highly exceptional. The authors report the case of a 5-year-old boy with a left diaphragmatic rupture, who presented with acute respiratory distress and volvulus of the ...
Koutelidakis Ioannis M - - 2007
A case of a 79-year-old female with rupture of the spleen due to primary angiosarcoma is presented. Symptoms were non-specific. Diagnosis was based on histology postoperatively. Primary angiosarcoma of the spleen is a very rare and aggressive neoplasm with a high metastatic rate and almost uniformly fatal. Due to small ...
Rajachandran Manu - - 2007
We present a case of delayed rupture of a femoro-popliteal saphenous vein bypass graft after stent-supported angioplasty, resulting in a large, severely symptomatic pseudoaneurysm of the thigh. This was successfully treated with deployment of a covered stent graft. The possible mechanisms of pseudoaneurysm formation in this case are discussed, and ...
Ariyoshi Dai - - 2007
Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease is a well-recognized inflammatory joint disorder. Extensor tendon rupture associated with CPPD deposition has rarely been described. We report herein the case of a 58-year-old woman who underwent reconstruction for subcutaneous extensor tendon ruptures of the extensor tendons for the ring and little ...
Wiemer P - - 2007
A case of a complete rupture of the biceps brachii tendon in a lame-free three-year-old Labrador Retriever is described. The dog had a history of chronic lameness following a trauma, but had become lame-free shortly before presentation. Clinical examination, biceps tendon test and shoulder instability tests under general anaesthesia were ...
Jurisic D - - 2007
Idiopathic rupture of the urinary bladder is an uncommon condition and represents less than 1% of all bladder rupture cases. In most of the cases the main etiological factor was heavy alcohol ingestion. A combined injury of the spleen and bladder is a very rare condition that is almost often ...
Kim Eun-A - - 2007
We report here on an uncommon case of peliosis hepatis with hemorrhagic necrosis that was complicated by massive intrahepatic bleeding and rupture, and treated by emergent right lobectomy. We demonstrate the imaging findings, with emphasis on the triphasic, contrast-enhanced multidetector CT findings, as well as reporting the clinical outcome in ...
Korem Maya - - 2006
Anticonvulsant hypersensitivity syndrome (AHS) is a rare complication associated with the use of anti-epileptic medications. The syndrome's main symptoms are cutaneous eruptions, fever, hepatitis, and lymphadenopathy. We describe a 23-year-old woman who developed AHS 2 months after starting phenytoin therapy. She presented with fever, orofacial edema, skin rash, and lymphadenopathy. ...
Vieira Santos A - - 2006
INTRODUCTION: The natural history of developmental venous anomalies (DVAs) is said to be relatively benign. CASE REPORT: We herein report the clinical case of a 9-year-old female child with sudden right hemiparesis. An ischaemic infarct secondary to an isolated spontaneous thrombosis of a DVA was diagnosed by brain magnetic resonance ...
Jamambo, S Rolling; ;
Pseudomyxoma peritonei (PMP) is a rare and poorly understood clinical condition characterized by the accumulation of abundant mucinous material with the peritoneal cavity. We report a case of an 18-year-old female that presented initially with signs and symptoms of an acute appendicitis. At the first surgery, a ruptured appendix was ...
Handley Marilyn - - 2006
This article examines the case management needs of a pregnant woman confined to bed after preterm premature rupture of membranes. Through the period when she is confined to bed, interventions and outcomes are determined on the basis of evidence-based guidelines. By examining this case study, it is anticipated that best ...
Lepow Gary M - - 2006
Multiple surgical techniques for repair of neglected Achilles tendon ruptures have been described in the literature. The authors present a case using a freeze-dried Achilles tendon allograft for repair of a neglected rupture of the Achilles tendon with a defect of 10 cm. At 1-year follow-up, the patient achieved pre-injury ...
Chua Soo Yong - - 2006
Unilateral rupture of the quadriceps tendon is not uncommon, but bilateral spontaneous quadriceps tendon rupture is a rare occurrence and is usually associated with some underlying predisposing condition. We describe a case of a previously healthy patient who presents with bilateral spontaneous rupture of both quadriceps tendon. Investigations revealed that ...
Reddymasu Savio - - 2006
Spontaneous pneumomediastinum (SPM) is a rare and benign clinical entity characterized by free air around mediastinal structures. Precipitating factors include violent cough, asthma, inhalational drugs, labor and exercise. We report a case of SPM due to achalasia which to the best of our knowledge, has never been reported. In achalasia, ...
Lane D - - 2006
Vascular type Ehlers-Danlos syndrome is an inherited connective tissue disease, which is typified by tissue fragility, joint hypermobility, a tendency to bleed excessively and rupture of the uterus, the bowel and arteries. Two case reports are presented which describe the anaesthetic management of patients with spontaneous bowel perforations due to ...
Delikoukos Stylianos S Department of Surgery, Larissa University Hospital, Larissa, Greece. - - 2006
A rare case of multiple small bowel ruptures due to ischemic enteritis (ISE) is reported. The patient was admitted to the hospital with acute abdominal pain followed by bloody diarrhoeas. Preoperative colonoscopic findings were similar to those presented in Crohn's disease. Intraoperatively, ischemic lesions and multiple ruptures were localized at ...
Gupta K B - - 2006
Occurrence of pneumothorax in silicosis is rare and when it occurs, pneumothorax is usually unilateral. We report here a patient with accelerated silicosis who presented with bilateral spontaneous pneumothoraces occurring simultaneously. The rarity of its clinical presentation in the form of bilateral simultaneous spontaneous pneumothorax combined with the typical clinical ...
Coulier B - - 2006
Giant splenic aneurysms larger than 8 cm (GSAA) are rare and often asymptomatic but present an increased risk of dramatic rupture, a life-threatening complication. The management of these aneurysms is especially challenging. We probably report the first case of GSAA revealed by clinical mechanical jaundice due to direct compression of ...
Roh Jong-Lyel - - 2006
Tracheal lacerations are rare but potentially life-threatening. They are recognized sequelae of cervical or thoracic injuries or complications of endotracheal intubation. Spontaneous tracheal rupture is extremely uncommon and has not been reported in a pediatric patient. This report is the first pediatric case of a spontaneous longitudinal laceration of the ...
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