This is a unique case report of a 32-year-old man who presented with pneumatic nail gun injury to his right chest at work. He removed the nail and continued to work through the day. With continued chest pain, he presented to the emergency room and an echocardiogram revealed moderate-size pericardial effusion. He was managed conservatively as he was haemodynamically stable. Serial echocardiograms revealed slow resolution of the effusion over 3 days. At his 3-month follow-up appointment, there was complete resolution of his effusion. This case highlights the importance of obtaining imaging studies in penetrating chest wall injuries and utilisation of medications to prevent expected complications.
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http://dx.doi.org/10.1136/bcr-2017-223220 | DOI Listing |
Cureus
February 2025
Orthopaedic Surgery, Rush University Medical Center, Chicago, USA.
Patients with rheumatoid arthritis (RA) present with unique challenges following total knee arthroplasty (TKA). Rarely, these patients may present with sterile inflammatory synovitis with a clinical picture that can mimic prosthetic joint infection (PJI). We report on two patients with RA who underwent primary TKA performed by the senior author who presented with sterile inflammatory synovitis following TKA.
View Article and Find Full Text PDFFront Med (Lausanne)
February 2025
Department of Oncology, Akfa Medline University Hospital, Tashkent, Uzbekistan.
Meigs' syndrome is a rare gynecological condition characterized by a benign ovarian tumor, ascites, and pleural effusion, all of which resolve spontaneously after tumor removal. While mildly elevated serum CA-125 levels are frequently observed, levels exceeding 1,000 IU/mL are extremely rare, and concurrent elevation of other tumor markers, such as HE-4, may further complicate its diagnosis. We report a case of Meigs' syndrome in a 41-year-old premenopausal woman.
View Article and Find Full Text PDFWorld J Clin Pediatr
March 2025
Department of Pediatrics, Institute of Child Health and Hospital for Children, Madras Medical College, Chennai 600003, Tamil Nādu, India.
Background: In multisystem inflammatory syndrome in children (MIS-C) with coronavirus disease 2019, there was paucity of data from low-income and middle-income countries on cardiovascular involvement and its longitudinal outcomes. We planned to estimate the pattern of cardiovascular involvement among children with MIS-C and its mid-term outcomes.
Aim: To determine association between cardiovascular abnormalities and clinical and laboratory parameters.
Front Pediatr
February 2025
Department of Neurosurgery, Henan University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.
Objective: A middle cranial fossa is a well-recognized location for an intracranial arachnoid cyst in children. Giant middle fossa arachnoid cysts (GMFACs) can compress brain tissue, leading to rupture and potentially developing a subdural hygroma or hematoma. With recent advancements in neuroendoscopic technology, neuroendoscopic treatments have increasingly been used for middle fossa cysts.
View Article and Find Full Text PDFEur J Case Rep Intern Med
February 2025
Department of Internal Medicine, Geriatric Unit, San Giovanni-Addolorata Hospital, Rome, Italy.
Background: Chylothorax is an abnormal accumulation of lymphatic fluid in the pleural cavity, and it develops because of chyle leaking from the thoracic duct. The clinical presentation can be varied, while symptoms depend on its size and the rate of accumulation in the pleural space. Diagnosis is based on pleural fluid analysis, supported by various imaging studies to help determine the underlying pathology and locate the site of chyle leak.
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