Journal of Emergency Medicine Case Reports最新文献

{"title":"Increasing Cases of Retroperitoneal Fibrosis After Covid-19: Case Report, Did She Die Retroperitoneal Fibrosis or Cancer?","authors":"Gulnihal Deniz, Mürteza Çakir, Serpil BILGIN AKYAGCI","doi":"10.33706/jemcr.1419408","DOIUrl":"https://doi.org/10.33706/jemcr.1419408","url":null,"abstract":"This case report details the unfortunate journey of a 59-year-old breast cancer survivor who developed secondary Retroperitoneal Fibrosis (RPF) in 2022. Despite diligent treatment efforts, her condition took a devastating turn when, in June 2023, she was diagnosed not only with persistent RPF but also with advanced liver, omental, and duodenal cancer. Tragically, her condition deteriorated rapidly, leading to her passing on day 41 following her presentation. This case underscores the challenges of diagnosing and treating RPF. It highlights the importance of considering cancer development in advanced RPF cases that do not respond to treatment, often leaving limited options for effective intervention.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140505968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Top of Basilar syndrome","authors":"Bilgehan Demi̇r","doi":"10.33706/jemcr.1400820","DOIUrl":"https://doi.org/10.33706/jemcr.1400820","url":null,"abstract":"Top of Basilar syndrome(BTS) is defined as ischemia of the areas fed by the distal basilar artery (brainstem, thalamus, cerebellum, temporal and occipital region). It shows many different symptoms. Usually visual and oculomotor disorders, changes of mind, speech disorders, seizures and hallucinations are observed. Beginning symptoms include epileptic seizures, decreased speech and inappropriate laughter, and hallucinations. This our article is that prensentation of neurological analysis in the management of cases with sudden behavioral disorders. A patient diagnosed with BTS with rare symptoms is presented. Clinicians need to be careful about BTS, which has symptoms such as sudden mood swings, personality changes and behavioral disorders","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140506318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic Left Tension Pneumothorax with Concomitant Congenital Diaphragmatic Hernia","authors":"Chun Chau Tan, Nursyazana NAZEE MUDEEN, Munirah Osman","doi":"10.33706/jemcr.1326209","DOIUrl":"https://doi.org/10.33706/jemcr.1326209","url":null,"abstract":"Blunt thoracic trauma carries a high risk of morbidity and mortality and may be life-threatening. Clinical identification of a tension pneumothorax necessitates immediate decompression. Diagnosing a diaphragmatic hernia in a trauma context is challenging and rather uncommon. Should both pathologies coexist, there is potential bowel perforation due to thoracocentesis. A traumatic chest injury can complicate patients with a congenital diaphragmatic hernia who are asymptomatic. Early identification with clinical assessment and bedside ultrasound is essential, and surgical repair is the definitive management. We report a case of traumatic left tension pneumothorax, prompting an immediate left thoracostomy and an incidental finding of an uncomplicated congenital diaphragmatic hernia.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superior Vena Cava Thrombosis in A Young Hemodialysis Patient After 1 year of Central Venous Catheter Removal: A Case Report","authors":"Osman Beydüz, Abdul Samet Şahi̇n, Ragıp Kadi, Muhammet Fatih Beşer","doi":"10.33706/jemcr.1389895","DOIUrl":"https://doi.org/10.33706/jemcr.1389895","url":null,"abstract":"Introduction: \u0000Superior vena cava (SVC) syndrome is a rare but serious condition resulting from obstruction of the superior vena cava or its tributaries. Although often associated with malignancy, it can also occur due to central venous catheterization(1). Acute SVC syndrome following catheter removal is uncommon. \u0000Case Report: \u0000We present a 35-year-old hemodialysis patient with a history of central venous catheterization for hemodialysis one year prior. During a routine hemodialysis session, the patient developed symptoms of shortness of breath, neck swelling, and cyanosis of the lips. Physical examination revealed neck edema and prominent superficial vascular bifurcations. Without imaging studies, it was confused with cellulitis, but CT angiography later confirmed SVC thrombosis. The patient was started on anticoagulation and transferred to a tertiary hospital for further management. \u0000Conclusion: \u0000Emergency physicians should be aware of SVC syndrome, especially in hemodialysis patients with a history of central venous catheterization. Although it is often associated with malignancy, this case highlights the importance of considering SVC thrombosis even after catheter removal. Prompt diagnosis and appropriate management are essential to prevent life-threatening complications. Therefore, recognition and inclusion of SVC syndrome in the differential diagnosis is essential for timely intervention and improved patient outcomes.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A RARE ENTITY IN EMERGENCY DEPARTMENT: TRAPDOOR FRACTURE","authors":"Baycan Kuş, Necmi Baykan, Ömer Salt, Serhat Koyuncu, A. Akan","doi":"10.33706/jemcr.1383140","DOIUrl":"https://doi.org/10.33706/jemcr.1383140","url":null,"abstract":"Abstract \u0000Introduction: Trapdoor fracture also known as, ‘White-eyed blowout fracture’’ is generally seen among pediatric patients with orbital floor blowout fracture. \u0000Case Report: It is presented as ‘’open door fracture’’ in adults because of the mineralized, fragile orbital bones. An 11-year-old boy was admitted to the emergency department (ED) because of falling and hitting his on the occipital region. His main complaint was diplopia. He did not have nausea or pain. No visible lesion detected on his head. When the orbital CT scan was examined carefully, a fracture of the right orbital floor and herniation of orbital soft tissue was noticed. The patient was transferred to the plastic surgery department for surgical intervention. \u0000Conclusion: Even though there is no direct trauma, or visible pathology around orbital region, emergency physiscians should keep in mind trapdoor fracture, especially in pediatric patients with head trauma.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138984270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LUNG PARENCHYMAL DAMAGE DUE TO HIGH VOLTAGE ELECTRIC SHOCK","authors":"Mustafa Alpaslan, Mehmet Oktay, Ercan Kiliç","doi":"10.33706/jemcr.1370569","DOIUrl":"https://doi.org/10.33706/jemcr.1370569","url":null,"abstract":"INTRODUCTION \u0000In electric shocks, lung tissue is a poor conductor and has low resistance. Therefore, they are not very sensitive to the development of tissue damage due to electric current. In this study, we wanted to present a rare case of lung parenchymal burn as a result of electric shock. \u0000CASE REPORT \u0000A 21-year-old male patient was brought to the emergency department by ambulance after being electrocuted with a current of 15,000 volts after contact with a high voltage line while working with a construction machine. The general condition of the patient was good and vital signs were stable. However, his pulse oxygen value was 74 and his breathing was slightly tachypneic. There were no lesions in the chest and abdomen due to electrical burns. Radiologic imaging showed bilateral diffuse tissue damage in the lung tissue. The patient was referred to a tertiary care institution with an intensive care burn unit. \u0000CONCLUSION \u0000In traumas caused by high-voltage electric shock, burns on the body surface may be insufficient to determine the severity of the trauma. A multidisciplinary approach must be provided to these patients","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138984529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of Sternum Fracture with POCUS Despite Normal Computed Tomography Findings: A Case Report","authors":"Songül Tomar Güneysu, Mehmet ali Aslaner, Okşan DERİNÖZ-GÜLERYÜZ","doi":"10.33706/jemcr.1311287","DOIUrl":"https://doi.org/10.33706/jemcr.1311287","url":null,"abstract":"Sternal fractures are extremely rare in children. It often develops after high-energy chest trauma. Many methods other than ultrasonography are used in the diagnosis of sternal fractures. However, Point-of-care ultrasound (POCUS) can outperform other methods due to its ease of use, less radiation and fast results. A thirteen-year-old male patient was brought due to chest pain that started after blunt chest trauma after falling from a height. In her initial evaluation in the trauma room, the patient's respiratory and cardiovascular examinations were found to be normal. On palpation, there was local tenderness in the middle 1/3 of the sternum. No pathology was detected in E-FAST. The portable chest radiograph was normal. POCUS was performed after the patient did not respond to analgesic treatment and had local sensitivity on the sternum. A sternal fracture was detected. Suspicious cortical irregularity was detected in repeated chest X-ray and thorax CT was reported as normal. When CT was re-evaluated, a wet tree fracture was observed in the sternum body. The patient was discharged without any complications. In this article, the importance of diagnosing a sternal fracture case whose computed tomography was reported as normal with POCUS and integrating rapid, noninvasive and radiation-free ultrasonography into the physical examination will be discussed in the management of these patients.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139247290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HYPOKALEMIC PARALYSIS DUE TO DISTAL RENAL TUBULAR ACIDOSIS, CASE REPORT","authors":"Fatma Nur KARAARSLAN","doi":"10.33706/jemcr.1310866","DOIUrl":"https://doi.org/10.33706/jemcr.1310866","url":null,"abstract":"Abstract:
 Introduction: Distal renal tubular acidosis (dRTA) is a metabolic disease characterized by hypokalemia, hyperchloremic metabolic acidosis and urine pH above 5.5. These findings may be accompanied by hypercalciuria, nephrocalcinosis, nephrolithiasis, jaundice, osteomalacia or rickets in children. Although hypokalemia is frequently seen as a laboratory finding in dRTA, weakness, which is the clinical finding of this deficiency, is rare. 
 Case Report: A 33-year-old female patient was brought to the emergency department (ED) with complaints of weakness, loss of strength in the extremities, and difficulty in breathing. Laboratory analyzes of the patient revealed metabolic acidosis and hypokalemia. Urea and creatinine values were normal. The patient was admitted to the internal medicine department with a preliminary diagnosis of dRTA and hypokalemic paralysis. Initially, parenteral infusion of KCl and NaHCO3 was administered in the treatment. In the follow-up of the patient, it was observed that hypokalemia and metabolic acidosis improved from the 3rd day and clinical findings improved within 36 hours following the replacement therapy.
 Conclusion: dRTA, which is rare in adults, is among the secondary causes of hypokalemic paralysis. dRTA should be considered among the differential diagnoses in the presence of hypokalemia and metabolic acidosis in patients presenting with bilateral weakness.
 References:
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 4-De Silva HJ, Senanayake N. Hypokalemic Periodic Paralysis in Central Sri Lanka. Ceyloh Med J. 1994; 39(3):135-137.
 5-Emektar E. Acute hyperkalemia in adults. Turk J Emerg Med. 2023; 23 (2), 75. Doi: 10.4103/tjem.tjem_288_22.
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 10- Goransson LG, Apeland T, Omdal R: Hypokalem","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136347920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neck Horn Formation After Jugular Vein Catheterization For Haemodialysis: Case Report","authors":"Mohammad ALŞALALDEH","doi":"10.33706/jemcr.1241766","DOIUrl":"https://doi.org/10.33706/jemcr.1241766","url":null,"abstract":"Background: Haemodialysis is an essential life-saving procedure for persons suffering from kidney failure. Haemodialysis is usually aceived by central venous catheterization. Neck hornformation is one of the most serious and seldom complications of the procedure.
 Case Report: A haemodialysis catheter was placed in a 43-year-old man's right internal jugular vein after his arteriovenous fistula failed. After having the catheter removed, a neck horn developed at the puncture site. Horn resection and thrombus evacuation were the surgical treatment methods used.
 Conclusion: Neck horn following an internal jugular catheter insertion might be dangerous if left untreated. The horn and thrombus are best removed surgically and treated with antibiotics.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135935506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Intracranial Hemorrhage Complication : Terson Syndrome","authors":"Muhammet İkbal IŞIK, Ferhat CUCE, Mustafa TAŞAR","doi":"10.33706/jemcr.1312185","DOIUrl":"https://doi.org/10.33706/jemcr.1312185","url":null,"abstract":"Abstract
 Vitreous hemorrhage associated with subarachnoid hemorrhage is known as Terson's Syndrome (TS). However, it is also seen in the literature in cases of traumatic brain injury or intracranial hemorrhage. Management of visual manifestations is necessary in patients with intracranial hemorrhage. 
 A vitreous hemorrhage was found in the evaluation made due to visual symptoms in a patient who presented to the emergency department with intracranial hemorrhage. In addition to clinical findings, imaging techniques have an important place in the diagnosis of TS. Vitreous hemorrhage findings can be detected with imaging studies such as Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). 
 In this case, the diagnostic findings and the importance of diagnosis in CT and MRI examinations in a patient with TS will be discussed. The purpose of this case report is to share the imaging findings of TS.
 
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 8. Czorlich P, Burkhardt T, Knospe V et al. Ocular ultrasound as an easy applicable tool for detection of Terson’s syndrome after aneurysmal subarachnoid hemorrhage. PLoS ONE 2014; 9:e114907.
 9. Kapoor S. Terson syndrome: an often overlooked complication of subarachnoid hemorrhage. World Neurosurgery 2014; 81:e4.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136114225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}