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Polymicrobial infection presenting as non-clostridial gas gangrene in a patient with an open pelvic ring fracture accompanied by abdominal evisceration: a case report.
AME Case Rep
November 2024
Department of Orthopaedic Surgery, Sugita Genpaku Memorial Obama Municipal Hospital, Fukui, Japan.
Background: Open pelvic fractures are rare but represent a serious clinical problem with high mortality rates. Acute mortality is often associated with hemorrhage, whereas delayed mortality is most often associated with sepsis and multiple organ failure. We report a case of Wang's classification of type II open pelvic ring fracture with hemorrhagic shock and septic shock from gas gangrene.
View Article and Find Full Text PDFChallenges during cardiac arrest in pregnancy.
Resusc Plus
January 2025
Department of Emergency Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
A 36-year-old woman at 23 weeks and 3 days of gestation experienced a witnessed cardiopulmonary collapse. Bystander cardiopulmonary resuscitation (CPR) was initiated immediately. After advanced life support, she was transferred under mechanical CPR to a hospital for extracorporeal membrane oxygenation (ECMO).
View Article and Find Full Text PDFA Case of Deep Vein Thrombosis Complicated by Right Atrial Clot-in-Transit and Pulmonary Embolism in an Alcoholic Male.
Cureus
November 2024
Internal Medicine, Creighton University School of Health Science, Omaha, USA.
This report presents the case of a 62-year-old male with a history of chronic alcohol abuse who developed deep vein thrombosis (DVT) complicated by extensive bilateral pulmonary embolism (PE) and a right atrial thrombus. The presence of a right atrial thrombus in conjunction with PE and DVT is a rare and serious clinical presentation, often associated with a high thrombotic burden and increased risk of mortality. The patient initially presented with worsening shortness of breath following an occupational injury that resulted in a left heel laceration, subsequently leading to a significant thromboembolic event.
View Article and Find Full Text PDFFeasibility and Safety of the C1 "Zero Angle" Screw: A Novel "In-Out-In" Technique for Atlantoaxial Dislocation.
Orthop Surg
December 2024
The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Objectives: To minimize the risk of V3 segment of vertebral artery (VA) injury in the atlantoaxial dislocation (AAD) patients with C1 pedicle height less than 4.0 mm and provide a strong toggle force in irreducible AAD and revision surgery. We evaluated the feasibility of C1 "Zero Angle" screw (C1ZAS) and safe entry point with "in-out-in" technique as an alternative option for C1 pedicle screw (PS) in cases with AAD.
View Article and Find Full Text PDFPain Following Obstetric Anal Sphincter Injuries: A Prospective Cohort Study.
Urogynecology (Phila)
December 2024
Division of Urogynecology and Pelvic Floor Disorders, Cleveland Clinic Obstetrics and Gynecology and Women's Health Institute, Cleveland, OH.
Importance: Studies characterizing pain and pain management following obstetric anal sphincter injury (OASI) are limited.
Objectives: Our primary objective was to analyze time to pain resolution following OASI. Secondary objectives included analyzing pain severity, location, triggers, and patterns of pain medication use.
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