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A Case Report of Extra-pericardial Tamponade From a Low-Level Fall.
Cureus
November 2024
Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, IRL.
Article Synopsis
- A 61-year-old man with a history of COPD, ongoing anticoagulant therapy, and pneumonia was admitted to the emergency department in critical condition due to chest pain and shortness of breath.
- A chest X-ray and CT scan revealed a large mediastinal hematoma, rib fractures, and significant blood loss requiring urgent reversal of his anticoagulant medication before surgery.
- After an emergency sternotomy to evacuate the hematoma, the patient made a full recovery, highlighting the importance of imaging in older patients with fall-related injuries and the need for careful management of anticoagulants.
A case of recurrent subdural hematoma after unilateral MMA embolization that resolved after contralateral MMA embolization.
Interv Neuroradiol
December 2024
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
Middle meningeal artery embolization (MMAe) is rapidly emerging as a valuable intervention to decrease the risk of recurrent subdural hematoma (SDH) after surgical evacuation. The role of upfront bilateral MMAe for unilateral SDH and the value of contralateral MMAe after SDH recurrence post evacuation and ipsilateral MMAe are still unknown. Here, we report the case of an elderly patient that presented with a large acute on chronic SDH and underwent surgical drainage and ipsilateral MMAe (with Contour PVA particles, 150-250 µm).
View Article and Find Full Text PDFBilateral Subdural Hematomas Without Midline Shift: A Case Report.
Cureus
October 2024
Emergency Medicine, St. Barnabas Hospital Health System, New York City, USA.
Article Synopsis
- Subdural hematomas are potentially serious blood collections in the brain that can lead to emergencies, especially in older adults and those with alcohol issues.
- Treatment usually involves surgical procedures like craniotomy or burr hole trephination to relieve pressure and remove accumulated blood.
- A case of a 93-year-old man with acute-on-chronic bilateral subdural hematomas was successfully treated with minimal complications, highlighting a possible management approach for similar cases without severe symptoms.
Can a breast hematoma lead to hemorrhagic shock in elderly trauma patients with multiple comorbidities and reduced physiological reserve? Examining the risks and management strategies.
Radiol Case Rep
January 2025
Northeast Georgia Medical Center, Trauma and Acute Care Surgery Department, Gainesville, GA 30501, USA.
Breast trauma in elderly patients with multiple comorbidities can result in severe complications such as hemorrhagic shock due to the highly vascular nature of breast tissue. This case involves a 65-year-old female with a history of rheumatoid arthritis and prior breast cancer who developed a significant breast hematoma following a motor vehicle accident. Initially stable, she rapidly deteriorated with hypotension and altered mental status after imaging revealed a large hematoma with active hemorrhage.
View Article and Find Full Text PDFClipping of a ruptured cerebral aneurysm in a toddler: a case report and review of aneurysmal treatment in children.
Transl Pediatr
October 2024
Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, NY, USA.
Background: Pediatric intracranial aneurysms account for 5% of all aneurysms and less than 10% of all aneurysms cause non-traumatic intracranial hemorrhage in children. They are most commonly secondary to trauma, infection, or genetic etiologies; however, case reports have described iatrogenic intracranial aneurysms. We describe a case of a ruptured aneurysm with an associated intracranial hematoma that was treated by surgical clipping and clot evacuation.
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