Search Results
Results 301 - 350 of 598
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De Luca Daniele - - 2008
An exceptional case of tracheal agenesis with no communication with the esophagus is described. This malformation needs surgical airway approach and is hardly classifiable. We analyzed the literature and our institutional data: this resulted to be the first case of such anatomical variant. Genetic and pathological issues are reviewed: recent ...
Redelmeier Donald A - - 2008
One strategy for the prevention of motor vehicle crashes is physician reporting of medically unfit drivers to vehicle licensing authorities, as mandated by law in Ontario, Canada. We studied drivers involved in life-threatening crashes who required hospital admission to determine how many had previously been seen and reported by a ...
Manjila Sunil - - 2008
The history of modern psychosurgery has been written in several ways, weaving around many pioneers in the field during the 19th century. Often neglected in this history is Gottlieb Burckhardt (1836-1907), who performed the first psychosurgical procedures as early as 1888, several decades before the work of Egas Moniz (1874-1955). ...
Seetharam Prasad - - 2008
Sphincter of Oddi though mostly heard about in 'anatomy textbooks' is making its way into surgical practice due to various disease states affecting it and its dysfunction seems to be an important condition to be observed while treating patients with abdominal pain. In this review, we have attempted to discuss ...
Bagul Nitin B - - 2008
There has been a recent increase in the use of endovascular prostheses resulting in complex surgical and interventional complications not previously recognised. We report a case of Superior vena cava stenosis treated with a wallstent which migrated to the right atrium, necessitating a combined radiological and surgical approach to retrieve ...
Riaz Nazia - - 2007
The spillage of gallstones during laparoscopic cholecystectomy is a fairly common event, though, not documented and reported. These lost stones may have clinically important implications inclusive of added surgical procedures for their retrieval. We hereby address this issue and report 3 cases, with delayed consequences of these spilled gallstones.
Fox A - - 2007
Subcutaneous emphysema of the hand can result from benign causes. Differentiating this from emphysema caused by gas-forming organisms is essential in the acute stages of presentation as the management differs considerably. We present two cases of benign surgical emphysema and highlight the importance of distinguishing between this and gas gangrene. ...
Hassan Freih Odeh Abu - - 2008
A case of non-tropical pyomyositis in a healthy, adolescent, 13-year-old boy, affecting the paraspinal muscles is presented. Computerised axial tomography scan (CT scan) of the spine provided valuable information on the nature, extent of the disease and helped to plan successful surgical management. None of the reported cases of such ...
Mogorovich Andrea - - 2007
A 78-year-old man presenting with synchronous, multifocal and bilateral renal oncocytomas underwent a staged nephron-sparing surgery with removal of six lesions. At 14-month follow-up the renal function was preserved and no recurrent disease was evident. A literature review demonstrated 17 similar cases, treated either with watchful waiting or with complete ...
Hewitt Catherine - - 2007
BACKGROUND: Bisphosphonate-related osteonecrosis of the jaws (BRONJ) presents the clinician with significant management dilemmas. The purpose of this study was to distil information related to this disorder by comprehensively reviewing the literature. METHODS: The structure and function of bisphosphonates, and their role in the development of BRONJ will be discussed, ...
Chiarella G - - 2007
The post-traumatic origin of benign paroxysmal positional vertigo remains the most likely, from a patho-physiologic point of view. Benign paroxysmal positional vertigo due to surgical "traumas" has been described in the medical literature. According to personal experience, these iatrogenic cases represent a rare possibility and may be the consequence of ...
Mockford Katherine - - 2007
Priapism is rare in the paediatric population and hence there is little consensus as to appropriate management strategies. This is a report of a case of high-flow priapism in a 9-year-old boy managed expectantly. A review of the literature found 52 previously published cases. This report highlights the diagnostic problems ...
Ferlito Alfio - - 2007
The history of the surgical treatment of cervical lymph node metastases began in the 19th century, and, unfortunately, the initial attempts at surgical treatment of neck metastases were disastrous. Although some European surgeons reported few cases of radical en bloc dissection, the first successful surgical procedure was performed and described ...
Oh Chang-Keun - - 2007
Cranial fasciitis is a rare variant of nodular fasciitis of childhood, a benign condition cured by surgical excision. Recently, spontaneous involution has been reported and a ''watch and wait'' approach was recommended. We report an instance of a congenital cranial fasciitis that grew rapidly during a 10-month follow-up after fine ...
Hommel Séverine - - 2007
Phlegmonous gastritis is an extremely rare and life-threatening condition. We report the case of a 32-week pregnant women presenting a peritonitis owing to phlegmonous gastritis caused by a group A streptococcus and successfully managed by conservative surgical treatment and antibiotics. Multiple endoscopies with biopsies illustrate progressive and complete gastric recovery.
Leong C L S - - 2007
A laryngocoele is an abnormal dilatation of the laryngeal saccule. Symptomatic laryngocoeles can present as rapidly developing airway obstruction. In this case report of a 37-year-old man with a laryngocoele, we discuss the management dilemma presented by his repeated flight from the hospital prior to definitive treatment. This resulted in ...
Winterton Jill V - - 2007
This is a review of the current literature describing the different reported methods of managing a retrobulbar hemorrhage. The pathophysiology of the condition, together with its differing clinical presentations are described in length. Both the surgical and medical management are discussed. The importance of prompt recognition and treatment of the ...
Cady Rebecca F - - 2007
Although the reported incidence of surgical fires indicates they are rare occurrences, any Certified Registered Nurse Anesthetist (CRNA) who is involved in one will most likely end up in court defending a malpractice suit. This column discusses one such case with an emphasis on the CRNA's deposition testimony and its ...
Davido Helen T - - 2007
Disseminated aspergillar infection involving the genitourinary system is quite rare and often fatal. Only one previous case of aspergillosis of the scrotum has been reported. In the previous report, the patient died despite aggressive surgical debridement. We report a case of aspergillosis involving the scrotum in which the patient did ...
Dalle S - - 2007
BACKGROUND: Subungual squamous cell carcinoma (SCC) is rare. Its diagnosis is often missed or delayed because the clinical presentation is often atypical and can mimic other conditions such as verruca vulgaris, onychomycosis, trauma-induced nail dystrophy or exostosis. OBJECTIVES: To define the different clinical presentations and the main pathological features and ...
Levitt B - - 2007
Dysphagia lusoria is a rare vascular anomaly identified in a small number of patients being evaluated for dysphagia. The purpose of this paper is to present an illustrative case and provide a comprehensive review of the underlying anatomy, diagnosis, and management of dysphagia lusoria based on a review of the ...
Jones Jeanine L - - 2007
A single case of a tibial sesamoid fracture in a softball player is reported here. A review of the literature confirms that this is an unusual and difficult problem to treat in the athletic population given the significant loads placed on the sesamoids during athletic activity. In the case presented, ...
Cheng Ansgar C - - 2006
Prosthetic rehabilitation of partial mandibulectomy defects without bony reconstruction is rarely presented. An in-depth understanding of the surgical and conventional prosthodontic principles is essential for prosthetic rehabilitation in this unique group of patients. Often, the application of modified prosthodontic principles is needed and success is not always possible. A clinical ...
Punpale Ajay - - 2006
Liposarcomas are extremely rare in the mediastinum. They may achieve considerable size before causing any symptoms. Mediastinal liposarcomas may invade surrounding structures like the pericardium or the superior vena cava. Complete surgical excision is the optimal treatment in resectable cases. Excision of adjacent structures like the pericardium may be needed ...
Kang Lana - - 2006
The incidental finding of an aberrant wrist flexor is reported. This anomalous muscle was identified during surgical reconstruction for a distal radius fracture malunion. Distal and proximal dissection showed an independent, well-formed muscle belly with no interconnections to adjacent structures. A review of the literature yielded a report of these ...
Safioleas Michael C - - 2006
Fournier's gangrene is an aggressive form of necrotizing fasciitis of the perineal, perianal or genital regions, usually caused by a polymicrobial infection that includes virulent organisms. Over the last decades, we have treated 9 patients suffering from Fournier's gangrene using systemic chemotherapy with broad-spectrum antibiotics, and with extensive, sometimes serial ...
Thavagnanam Surendran - - 2006
Atypical Mycobacteria (ATB) are a miscellaneous collection of Mycobacteriaceae which also includes M. tuberculosis, M. bovis and M. leprae. In the paediatric population, ATB infections present with non-tender unilateral lymphadenopathy in a systemically well child. Initially the disease may be mistaken for a staphylococcal or streptococcal abscess. Inappropriate surgical incision ...
Hanna B C - - 2006
Craniocervical necrotizing fasciitis (CCNF) has a potentially high morbidity and mortality. Late presentation, shock and disseminated intravascular coagulation are associated with a particularly poor prognosis. Early recognition and aggressive treatment is advised. A case report is presented of a late presentation of necrotizing fasciitis of the face, neck and anterior ...
Ridley R W - - 2006
Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success ...
Sanna Mario - - 2006
OBJECTIVE: Jugular paragangliomas with extensive involvement of the internal carotid artery (ICA) represent a true challenge for surgeons, especially in the presence of inadequate collateral circulation through the circle of Willis. The aim of our study is to present a preliminary report of our experience with the surgical removal of ...
Swinney Ryan - - 2006
Inflammatory pseudotumors are rare mass lesions often mistaken for malignancy. Currently, only 2 cases of pseudotumors originating from the porta hepatis have been reported in the pediatric literature, and both cases were those of patients older than 30 years. When located in the porta hepatis, pseudotumors are difficult to treat ...
Singal A K - - 2006
Congenital pouch colon, a variant of anorectal malformation, is a rare anomaly with a high incidence in North India and although the anatomy and diagnostic features have been well described, the surgical treatment continues to be challenging. This report describes the complications following a less preferred but often practised surgical ...
Jebbin J M - - 2006
BACKGROUND: Retention of surgical sponges in body cavities (gossypiboma) is preventable. It is probably under reported, may be for medicolegal reasons. We report 2 cases we have managed, one at a tertiary medical centre, and the other, at a private clinic in Port Harcourt, in order to re-awaken the awareness ...
Sagar Jayesh - - 2006
Idiopathic infected hydrocele in infants is a rare, but well-documented, entity in English literature; however, occurrence of such a condition in a toddler is not yet documented. Here we report the case of an idiopathic infected hydrocele in a toddler for the first time in English literature. We also discuss ...
Marron Conor D - - 2006
BACKGROUND: Necrotising Fasciitis is a life threatening soft tissue infection which requires aggressive, early surgical management. CASE PRESENTATION: We present a rare case of a retroperitoneal perforation of a carcinoma of the caecum presenting as a necrotising fasciitis of the anterior abdominal wall. CONCLUSION: This case highlights the importance of ...
Kaufman Kenneth R - - 2006
Both typical and atypical antipsychotic psychotropics have been reported to cause ischemic priapism presumptively secondary to alpha1-adrenergic blockade. This condition is a urologic emergency for if not evaluated and treated appropriately, long-term sequelae include erectile dysfunction and impotence. This paper addresses the first reported case of priapism requiring surgical intervention ...
Lerner Adam B - - 2005
Orthotopic liver transplantation (OLT) is one of the most demanding surgical procedures performed. Intraoperative bleeding can be substantial and related to both surgical and nonsurgical causes. A less common but previously reported phenomenon is intraoperative cardiopulmonary thromboembolism precipitating major patient morbidity and mortality. In this paper, we present four cases ...
Elzein Chawki - - 2005
Severe truncal valve stenosis, due to dysplastic valve, may be found in a small number of patients with truncus arteriosus. Its presence complicates the surgical management of this anomaly due to lack of optimal therapeutic options and associated ventricular dysfunction. We report a case of truncal root replacement using a ...
Dickerman Rob D - - 2005
Crouzon's disease is a well-known disorder affecting multiple organ systems, specifically a craniofacial disorder with highly variable penetrance and severity of deformity. Crouzon's patients typically have anomalies of the skull base leading to gross distortion of the cranium and in some cases the cervicocranium. We present a 5-year-old girl with ...
Batz Richard - - 2006
Calcific myonecrosis, often reported in the setting of prior trauma or compartment syndrome, has traditionally been treated with surgical debridement; however, these cases are often complicated by poor wound closure and poor healing. Serial percutaneous aspirations, instead, have been proposed as an alternative treatment option. This is the first report, ...
Andrews S N - - 2005
Superior mesenteric artery syndrome or cast syndrome is a recognised and reported complication of Kyphoscoliosis correction in orthopaedic surgery but much less published in the general surgical literature. The purpose of this case report is to review and highlight the occurrence, presentation and management of this unusual cause of the ...
Chung-Park Min - - 2005
Acute onset of surgical menopause rarely complicates a woman's psychological state. Although most women with acute surgical menopause have associated menopausal symptoms, few psychological consequences have been reported. This article presents the case report of a woman who developed immediate postoperative symptoms of severe anxiety that significantly impacted her quality ...
Onan M A - - 2005
Imperforate hymen is a rare disorder that is usually discovered at the onset of menstruation. In the literature, secondary closure of the hymen has been reported in 2 cases, both of which occurred subsequent to surgical procedures that involved the hymen. We report an interesting case of the spontaneous formation ...
Boseley Mark E - - 2006
A case study of a child with Charcot-Marie-Tooth type 1 (CMT1) that presented with bilateral vocal fold paralysis. This is the first case of bilateral vocal fold paralysis in a child with CMT1 and it is the first case to be managed endoscopically. The surgical decision making process is discussed, ...
Sommer Andrea - - 2005
Melorheostosis of the hand is rare. We report a 7-year-old girl who presented with a contracture of the left hand. Diagnosis was made by conventional radiography and bone scintigraphy. MRI proved to be a very useful tool to visualize the soft-tissue changes. This is especially important when surgical repair is ...
Dixon John B - - 2005
BACKGROUND: There is variety in the reporting of weight loss outcomes within the bariatric literature. Our aim is to compare methods of reporting weight loss in surgical and medical studies, and in addition look for a minimal reporting requirement that allows meaningful comparison. METHOD: A review of methods of reporting ...
Etensel Barlas - - 2005
BACKGROUND/PURPOSE: Colonic atresia (CA) is one of the rarest causes of neonatal intestinal obstructions, and no large series can be reported. Therefore, we did perform a retrospective clinical trial to delineate our CA cases and carry out a literature survey. METHODS: We reviewed the charts of CA cases treated in ...
Dragoumis Konstantinos - - 2005
Aggressive angiomyxoma is a rare soft-tissue neoplasm found mainly in the female pelvis. Approximately 130 cases have been reported in the literature to date. In most cases treatment consists of surgical resection, but local recurrence rates remain high (36-72%). Therefore, long-term follow up is necessary and magnetic resonance imaging seems ...
Imran Y - - 2005
Cases of retained surgical guaze are rarely reported because of medico-legal and professional implications. Retained gauze for a period of more than 10 years is even rarer. A case of retained surgical gauze for 11 years, an accidental finding from a plain radiograph of a patient who had sustained proximal ...
Menivale Franck - - 2005
Broncholithiasis is characterized by calcified perihilar and mediastinal lymph nodes eroding into the tracheobronchial tree. We report herein 4 cases of symptomatic broncholithiasis managed by surgical resection in 2 cases and bronchoscopic removal in 2 cases. From our experience and from the literature review, bronchoscopic removal should be considered in ...
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