Case Reports in Emergency Medicine最新文献_第2页

A Case of Transvaginal Small Bowel Evisceration following Hysterectomy with Discussion of Emergency Department Diagnosis and Management. 子宫切除术后经阴道小肠切除1例及急诊诊断与处理探讨。

Case Reports in Emergency Medicine Pub Date : 2022-02-02 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1334302

Matthew Apicella, Maximiliano Mayrink, Chetan D Rajadhyaksha, David A Farcy

{"title":"A Case of Transvaginal Small Bowel Evisceration following Hysterectomy with Discussion of Emergency Department Diagnosis and Management.","authors":"Matthew Apicella, Maximiliano Mayrink, Chetan D Rajadhyaksha, David A Farcy","doi":"10.1155/2022/1334302","DOIUrl":"https://doi.org/10.1155/2022/1334302","url":null,"abstract":"Transvaginal small bowel evisceration is a rare surgical emergency that requires urgent surgery to prevent bowel necrosis, sepsis, and death. It was first reported in 1864 by Hyernaux with less than 100 cases reported since the original publication. The overall mortality rate is reported as 5.6 percent. We present the case of a 49-year-old woman who presented to the emergency department with a chief complaint of moderate abdominal pain and vaginal bleeding for 1 hour. The patient reported that she underwent a robotic-assisted laparoscopic hysterectomy 11 weeks prior for uterine fibroids. Visual examination revealed a loop of the small bowel coming from the superior aspect of her vagina. Literature reviews have noted a higher incidence of dehiscence following robotic-assisted total laparoscopic hysterectomy. It is important for the emergency physician to make the diagnosis, initiate prompt consultation with departments of obstetrics and gynecology and general surgery, and treat for potential infection.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39915404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Intimo-Intimal Intussusception due to Stanford Type A Acute Aortic Dissection Presenting as Cerebral Infarction. Stanford A型急性主动脉夹层引起的肠内肠套叠表现为脑梗死。

Case Reports in Emergency Medicine Pub Date : 2022-02-01 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6258504

Takanori Kono, Takahiro Shojima, Tomoyuki Anegawa, Hiroyuki Otsuka, Eiki Tayama

{"title":"Intimo-Intimal Intussusception due to Stanford Type A Acute Aortic Dissection Presenting as Cerebral Infarction.","authors":"Takanori Kono, Takahiro Shojima, Tomoyuki Anegawa, Hiroyuki Otsuka, Eiki Tayama","doi":"10.1155/2022/6258504","DOIUrl":"https://doi.org/10.1155/2022/6258504","url":null,"abstract":"Complete circumferential dissection is a rare clinical presentation of aortic dissection, wherein the dissected flap has the potential to cause intimo-intimal intussusception, which can lead to several catastrophic complications. We report a case of Stanford type A acute aortic dissection with intimo-intimal intussusception causing unstable cerebral ischemic symptoms. An 82-year-old man was taken to another hospital with severe intermittent dizziness. Head magnetic resonance imaging revealed multiple right-hemispheric cerebral infarctions. Computed tomography also showed a \"missing flap,\" indicating that the intimal flap was observed in the aortic root and arch but not in the ascending aorta. The patient was referred to our hospital for emergent surgery. Intraoperatively, the intimal tear was found to be circumferential, and the transected intima was folded and superimposed from the origin of the brachiocephalic artery to the aortic arch. Ascending aortic replacement and aortic valve replacement were performed; the postoperative course was good.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39915406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hampton's Hump: A Notable Radiographic Finding in a Patient with Infectious Endocarditis. 汉普顿驼峰:感染性心内膜炎患者的重要影像学表现。

Case Reports in Emergency Medicine Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9918420

Matthew Earle, James Bailey, Ross P Berkeley

引用次数: 1

Use of Extracorporeal Membrane Oxygenation in Patients with Refractory Cardiac Arrest due to Severe Persistent Hypothermia: About 2 Case Reports and a Review of the Literature. 应用体外膜氧合治疗严重持续性低温所致难治性心脏骤停:约2例报告及文献回顾

Case Reports in Emergency Medicine Pub Date : 2021-11-05 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5538904

Rachid Attou, Sébastien Redant, Thierry Preseau, Kevin Mottart, Louis Chebli, Patrick M Honore, David De Bels, Andrea Gallerani

引用次数: 2

Perihepatic Abscess due to a Liver Suture with Pledgets Used to Treat a Penetrating Liver Injury. 用于治疗穿透性肝损伤的肝缝线引起的肝周脓肿。

Case Reports in Emergency Medicine Pub Date : 2021-10-06 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6817617

Hazuki Koguchi, Kimihiko Kusashio, Akihiro Fujita, Nao Yamamoto

{"title":"Perihepatic Abscess due to a Liver Suture with Pledgets Used to Treat a Penetrating Liver Injury.","authors":"Hazuki Koguchi, Kimihiko Kusashio, Akihiro Fujita, Nao Yamamoto","doi":"10.1155/2021/6817617","DOIUrl":"https://doi.org/10.1155/2021/6817617","url":null,"abstract":"Background: Selective nonoperative management has become the standard for liver injuries. Accordingly, we cannot perform surgery for liver injuries as frequently as in the past. This report is aimed at sharing a valuable experience of postoperative complications after surgery for a liver injury. Case Presentation. A 40-year-old man was stabbed in his abdomen and underwent an emergency laparotomy for a severe liver injury. Five months after the operation, he developed fever, and purulent discharge was observed from an abdominal fistula. He was diagnosed with a perihepatic abscess and duodenal perforation due to the pledgets used for the operation. He underwent a second surgery to remove the pledgets and the abscess cavity for infection control and was discharged in good condition.Conclusion: The intra-abdominal environment should be considered contaminated due to bile leakage in surgeries following liver injury. Furthermore, nonabsorbable agents should not be used in these contaminated areas.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39526325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Abdominal Self-Stabbing: An Uncommon Type of Sharp Abdominal Trauma. 腹部自我刺伤:一种不常见的腹部尖锐创伤。

Case Reports in Emergency Medicine Pub Date : 2021-07-21 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9917040

Andrija Karačić, Borna Vojvodić

引用次数: 0

Management of Airways through Rapid Tracheostomy in a Severely Burnt Patient Attended to via Helicopter. 直升机救护严重烧伤患者快速气管切开术对气道的处理。

Case Reports in Emergency Medicine Pub Date : 2021-07-01 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5590275

Orazio Stefano Giovanni Filippelli, Anna Maria Giglio, Simona Paola Tiburzi, Maria Teresa Archinà, Ercole Barozzi, Pietro Maglio, Stefano Candido, Roberta Viotti, Umberto Riccelli, Mario Pezzi, Carmelo Romano, Anna Maria Scozzafava, Maria Laura Guzzo

引用次数: 0

A Recent Advance in the Closure of Skin Wounds on Fragile Skin. 封闭脆弱皮肤伤口的最新进展。

Case Reports in Emergency Medicine Pub Date : 2021-06-26 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6687961

John Ko, Jeffrey S Freed

引用次数: 0

Unrecognized Orbital Images Cause Diagnostic Confusion: Silicone Oil and Implanted Silicone Encircling Bands. 无法识别的眼眶图像导致诊断混乱:硅油和植入的硅胶环带。

Case Reports in Emergency Medicine Pub Date : 2021-06-21 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9940395

Tsuyoshi Nojima, Takafumi Obara, Kohei Tsukahara, Atsunori Nakao, Hiromichi Naito

{"title":"Unrecognized Orbital Images Cause Diagnostic Confusion: Silicone Oil and Implanted Silicone Encircling Bands.","authors":"Tsuyoshi Nojima, Takafumi Obara, Kohei Tsukahara, Atsunori Nakao, Hiromichi Naito","doi":"10.1155/2021/9940395","DOIUrl":"https://doi.org/10.1155/2021/9940395","url":null,"abstract":"Introduction: Most physicians are not familiar with postoperative changes to the orbit, so radiologists and clinicians may sometimes find it challenging to conduct a proper radiological assessment of the globe of the eye and orbital abnormalities. We present a patient with head trauma who had surgery for retinal detachment with implantation of silicone encircling bands. This case report may help clinicians recognize imaging characteristics after ophthalmic surgery to prevent misdiagnosis and unnecessary workup. Case Report. An 18-year-old man with severe head trauma was admitted to our hospital. Initial computed tomography (CT) revealed a high attenuation of intraocular silicone that could be mistaken for a hemorrhage. Ophthalmological examination and detailed ophthalmic history confirmed silicone oil in his eye for treatment of retinal detachment. Knowledge of the anatomical changes and radiological appearance of postsurgical findings following retinal detachment, including the surgical materials of silicone oil or bands, can prevent unnecessary alarm.Conclusion: Implanted ophthalmic devices, for example, silicone oil, appear similar to hemorrhages on CT and magnetic resonance imaging and cause diagnostic confusion. When in doubt, it is useful to assess the clinical presentation and obtain an accurate medical history.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39166302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Severe Respiratory and Hemodynamic Failures following Successful Spontaneous Pneumothorax Drainage. 自发性气胸引流成功后的严重呼吸和血流动力学衰竭。

Case Reports in Emergency Medicine Pub Date : 2021-05-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6677656

Nicolas Mayeur, Samuel Groyer, Sylvie Vimeux, Jérôme Roustan

引用次数: 2