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Management of a large traumatic hemipelvectomy defect following a truck crush injury: a case report.
Ulus Travma Acil Cerrahi Derg
May 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Marmara University Faculty of Medicine, İstanbul-Türkiye.
This case report explores the management of a traumatic hemipelvectomy-a rare and devastating injury characterized by a high mortality rate. The patient, a 12-year-old male, suffered right lower extremity amputation and right hemipelvectomy due to a deglov-ing injury from a non-vehicle-related accident at another institution. Initially, an urgent reconstruction of the right pelvic region and suprapubic tissue defects was performed using a posterior-based fasciocutaneous flap.
View Article and Find Full Text PDFSurgical management of isolated caecal varices presenting with massive lower gastrointestinal haemorrhage: a case report and review of the literature.
J Surg Case Rep
August 2023
Acute Surgical Unit, Fiona Stanley Hospital, Murdoch, WA 6150, Australia.
Caecal varices are extremely rare with poorly defined management due to paucity of data. A 52-year-old man was diagnosed with a 3-day history of melena with a background of chronic liver disease and non-steroidal anti-inflammatory use. Investigations revealed anaemia with haemoglobin of 62 g/L, liver function derangement (Gamma-glutamyl transferase 251 U/L, alanine transaminase 40 U/L, bilirubin 84 umol/L, alkaline phosphatase 85 U/L), coagulopathy (International Normalized Ratio 1.
View Article and Find Full Text PDFA case of burn evisceration with full-thickness injury to abdominal wall, bowel, bladder, and three extremities.
Surg Case Rep
September 2021
Department of Surgery, Virginia Tech Carilion School of Medicine, 3 Riverside Circle, Roanoke, VA, 24016, USA.
Article Synopsis
- Severe electrical burns are rare but can lead to critical injuries, such as full-thickness damage to the abdominal wall, bowel, and bladder, requiring immediate medical intervention.
- A 22-year-old male patient experienced extensive burns and evisceration after an electrical injury, leading to an emergency laparotomy and various surgical procedures to address the life-threatening injuries.
- The case highlights the importance of rapid assessment and treatment protocols, as these severe injuries have high mortality rates, necessitating quick transfer to specialized burn centers for optimal care.
Congenital diaphragmatic hernia repair analysis in relation to postoperative abdominal compartment syndrome and delayed abdominal closure.
Updates Surg
December 2021
Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Imperial College London, London, UK.
Aim: Limited abdominal space in congenital diaphragmatic hernia (CDH) might result in abdominal compartment syndrome (ACS) and require delayed abdominal closure (DAC). This study reviewed outcomes in pediatric ACS/DAC after CDH repair.
Methods: Medline/PubMed, Scopus, Web of Science, Ovid and Lilacs databases were reviewed.
Fournier's Gangrene and Diabetic Ketoacidosis Associated with Sodium Glucose Co-Transporter 2 (SGLT2) Inhibitors: Life-Threatening Complications.
Am J Case Rep
June 2020
Department of Medicine, Yale New Haven Health, Bridgeport Hospital, Bridgeport, CT, USA.
BACKGROUND Sodium glucose co-transporter 2 (SGLT2) inhibitors have become an appealing treatment for diabetes due to their favorable cardiac and renal outcomes. However, reports continue to emerge describing potentially life-threatening adverse events such as Fournier's gangrene and diabetic ketoacidosis associated with their use. Herein, we present a case of simultaneous Fournier's gangrene and diabetic ketoacidosis after initiation of treatment with canagliflozin.
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