Severe acute drug-induced dystonia in the post-operative period requiring tracheal re-intubation.

Ondansetron is a highly selective 5-hydroxytryptamine receptor antagonist and the most commonly used anti-emetic for the prevention of postoperative nausea and vomiting. Ondansetron has a low affinity for dopamine receptors and so extrapyramidal side effects are rare. Here, we present the case of a 14-year-old girl who developed a severe post-operative acute dystonic reaction which included oculogyric crisis.

Lack of Iliac Engagement Correlates With Iliac Limb Complications Following Standard EVAR.

Objective: An adequate distal sealing zone is a prerequisite for successful endovascular aneurysm repair (EVAR). Poor engagement of iliac limbs within the common iliac artery potentially increases the risk of limb-related complications. The aim of this study was to investigate the proportion of common iliac artery used for distal sealing as a predictor of iliac limb complications following standard EVAR.

The impact of endovascular aneurysm repair on aortoiliac tortuosity and its use as a predictor of iliac limb complications.

Objective: Aortoiliac tortuosity is often cited subjectively as a causative factor in iliac limb complications after endovascular aneurysm repair (EVAR); however, evidence on this subject is poor. The aim of this study was to investigate the impact of stent grafting on aortoiliac tortuosity and to explore the role of the tortuosity index (TI) as a predictor of iliac limb complications after EVAR.

Methods: A retrospective case-control study was performed comparing an iliac limb complication group with a control group.

Ovarian hyperstimulation syndrome in a patient treated with tamoxifen for breast cancer.

Objective: To report the management of a rare case of ovarian hyperstimulation syndrome (OHSS) induced by tamoxifen therapy for breast cancer in a 50-year-old woman.

Design: Case report.

Setting: Gynecology outpatient department of a university hospital.