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Close Call After a Fall: Understanding Traumatic and Atraumatic Splenic Rupture and Its Life-Threatening Consequences.
Cureus
September 2023
Emergency Medicine, Tampa General Hospital, Tampa, USA.
Splenic rupture, a critical surgical emergency involving the tearing of the spleen's capsule and the ensuing internal bleeding, primarily results from abdominal trauma or underlying medical conditions affecting the spleen. A 71-year-old male with hypertension and hyperlipidemia suffered a mechanical fall, leading to his presentation in the emergency department. Despite a stable initial condition and discharge, he returned the following day with dizziness and severe anemia.
View Article and Find Full Text PDFFatigue Acetabular Fracture after Lumbopelvic Instrumented Fusion in Elderly.
Case Rep Orthop
September 2021
Open University of Patras, 65-67 Haralabistr, 26224 Patras, Greece.
Purpose: Only several cases of acetabular "fatigue"/insufficiency fractures have been reported in elderly patients with osteoporosis. However, fatigue acetabular fracture below lumbopelvic fixation has not been published. This review reports on the frequency and mechanisms of acetabular fatigue fractures in elderly individuals, including postmenopausal osteoporosis, and presents a case of an acetabular "fatigue" fracture in association with lumbopelvic fusion.
View Article and Find Full Text PDFSecuring of airway is one of the most important issues during cardiopulmonary resuscitation, and oro- tracheal intubation has been a gold standard proce- dure. We experienced a case in which the esophageal intubation was overlooked for 2 hours after the intuba- tion at the bedside of general ward and in the inten- sive care unit A 71-year-old male patient without marked medical history was transferred to our hospital with severe symptom of lower gastrointestinal ileus. After admitting to the ward, transrectal drainage tube was placed.
View Article and Find Full Text PDF[Overactive muscles: it can be more serious than common myalgia or cramp].
Ned Tijdschr Geneeskd
November 2017
Radboud Universitair Medisch Centrum, afd. Neurologie, Nijmegen.
Positive muscle phenomena are due to muscle overactivity. Examples are cramp, myalgia, and stiffness. These manifestations have mostly acquired causes, e.
View Article and Find Full Text PDFMultiple endovascular aortic aneurysm repair graft failures and re-interventions over 15 years.
SAGE Open Med Case Rep
August 2016
Division of Vascular Surgery, St. Michael's Hospital, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.
Re-intervention on abdominal aortic aneurysm treated by endovascular aortic aneurysm repair for complications such as endoleak, graft migration, and graft failure is relatively common. However, re-do endovascular aortic aneurysm repair can be complex, as the failed graft still resides within the vessel. In addition, some re-do endovascular aortic aneurysm repairs call for an advanced custom graft, which can further increase the complexity and technical skill required.
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