Pub Date : 2022-05-24DOI: 10.31487/j.jscr.2022.01.01
I. Zeroual, A. Zahraoui, R. Hachimi Alaoui, M. Miloudi, H. Abid, M. El Idrissi, A. El Ibrahimi, A. El Mrini
Simultaneous ipsilateral femoral neck and trochanteric fracture is a rare injury. it occurs most commonly in elderly patients with low energy trauma. Its management present a significant challenge to the orthopaedic surgeons. We report the case of 77 years old male, who sustained simultaneous transcervical femoral neck and intertrochanteric fractures caused by an olive tree fall. The patient was treated with a standard gamma nail, with a satisfactory functional result at 3 months follow-up.
{"title":"Ipsilateral Femoral Neck and Trochanter Fracture: A Case Report and Literature Review","authors":"I. Zeroual, A. Zahraoui, R. Hachimi Alaoui, M. Miloudi, H. Abid, M. El Idrissi, A. El Ibrahimi, A. El Mrini","doi":"10.31487/j.jscr.2022.01.01","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.01.01","url":null,"abstract":"Simultaneous ipsilateral femoral neck and trochanteric fracture is a rare injury. it occurs most commonly in elderly patients with low energy trauma. Its management present a significant challenge to the orthopaedic surgeons. We report the case of 77 years old male, who sustained simultaneous transcervical femoral neck and intertrochanteric fractures caused by an olive tree fall. The patient was treated with a standard gamma nail, with a satisfactory functional result at 3 months follow-up.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74856486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-15DOI: 10.31487/j.jscr.2021.02.03
L. Xanicia, Ng Kok Kit
Renal lymphangiectasia (RLM) is a rare condition characterized by dilatation of perirenal, parapelvic or intrarenal lymphatics. We report an unusual case of bilateral RLM in a 20-year-old Malay male who presented with 1 month duration of bilateral flank pain. Bedside ultrasound showed bilateral perinephric collections, which were further confirmed on computer tomography intravenous pyelogram (CT IVP). Other causes of perinephric collections were ruled out based on laboratory and radiological findings, and he was managed conservatively as for RLM with surveillance ultrasound kidneys at 3 to 6 monthly intervals.
{"title":"Renal Lymphangiectasia as an Unusual Cause of Perirenal Collections: A Case Report and Literature Review","authors":"L. Xanicia, Ng Kok Kit","doi":"10.31487/j.jscr.2021.02.03","DOIUrl":"https://doi.org/10.31487/j.jscr.2021.02.03","url":null,"abstract":"Renal lymphangiectasia (RLM) is a rare condition characterized by dilatation of perirenal, parapelvic or intrarenal lymphatics. We report an unusual case of bilateral RLM in a 20-year-old Malay male who presented with 1 month duration of bilateral flank pain. Bedside ultrasound showed bilateral perinephric collections, which were further confirmed on computer tomography intravenous pyelogram (CT IVP). Other causes of perinephric collections were ruled out based on laboratory and radiological findings, and he was managed conservatively as for RLM with surveillance ultrasound kidneys at 3 to 6 monthly intervals.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90692940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.31487/j.jscr.2021.02.02
J. Petrie, Arvind D. Manisundaram, Irene Yu, S. Schwaitzberg
Introduction: A 46-year-old female with a past medical history of Graves’ disease refractory to medical management, thus requiring total thyroidectomy presented to clinic for recurrence of her hyperthyroidism and an increasing midline neck mass two years after her index operation. Case Description: CT imaging of the neck mass revealed a locally extensive enhancing abnormality immediately anterior to the hyoid bone within the infrahyoid muscles measuring 1.4x.1.9x4.0 cm. This was consistent with an exceedingly rare proliferation of a thyroglossal duct remnant secondary to recurrence of the patient’s Graves’ disease. The patient was treated with surgical resection of the neck mass shown to be ectopic Graves’ activated thyroid tissue by pathology. The patient was restarted on thyroid hormone replacement therapy and has remained euthyroid to date following surgical resection. Conclusion: The incidence of this event is estimated to be approximately one per a million persons and thus is a rare occurrence in endocrinology. This case highlights the potential shortcomings of surgical management of Graves’ disease. Following surgical resection, the autoimmune status of the patient remains unchanged. Ectopic thyroid tissue can be found anywhere along the embryologic descent of the thyroid gland and as low as the mediastinum. Thus, patients treated with total thyroidectomy should still be monitored regularly for recurrence of Graves’ disease secondary to ectopic thyroid tissue.
{"title":"Recurrent Graves’ Disease in Thyroglossal Duct Following Total Thyroidectomy","authors":"J. Petrie, Arvind D. Manisundaram, Irene Yu, S. Schwaitzberg","doi":"10.31487/j.jscr.2021.02.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2021.02.02","url":null,"abstract":"Introduction: A 46-year-old female with a past medical history of Graves’ disease refractory to medical management, thus requiring total thyroidectomy presented to clinic for recurrence of her hyperthyroidism and an increasing midline neck mass two years after her index operation. \u0000Case Description: CT imaging of the neck mass revealed a locally extensive enhancing abnormality immediately anterior to the hyoid bone within the infrahyoid muscles measuring 1.4x.1.9x4.0 cm. This was consistent with an exceedingly rare proliferation of a thyroglossal duct remnant secondary to recurrence of the patient’s Graves’ disease. The patient was treated with surgical resection of the neck mass shown to be ectopic Graves’ activated thyroid tissue by pathology. The patient was restarted on thyroid hormone replacement therapy and has remained euthyroid to date following surgical resection. \u0000Conclusion: The incidence of this event is estimated to be approximately one per a million persons and thus is a rare occurrence in endocrinology. This case highlights the potential shortcomings of surgical management of Graves’ disease. Following surgical resection, the autoimmune status of the patient remains unchanged. Ectopic thyroid tissue can be found anywhere along the embryologic descent of the thyroid gland and as low as the mediastinum. Thus, patients treated with total thyroidectomy should still be monitored regularly for recurrence of Graves’ disease secondary to ectopic thyroid tissue.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83672958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-03DOI: 10.31487/j.jscr.2021.02.01
Brittany N Robles, Nicolle M Arroyo Lluberas, Jessica Audet, D. Faustin, R. Ruggiero
Ectopic pregnancy is a quite common and life-threatening pregnancy. The most common site of ectopic implantation of a fertilized embryo is the fallopian tube. In extremely rare situations, the embryo can implant in other locations, which makes the diagnosis and management even more complex. Although close observation of a new pregnancy is key in the diagnosis and treatment of an ectopic pregnancy, there is still a major risk of life-threatening outcomes. This is a case report of a 31-year-old patient with a history of multiple pregnancies who presented to a community hospital in the spring of 2021 with an ectopic caesarean scar pregnancy. A diagnosis of ectopic pregnancy was on a timely basis, and surgical management was advised. Upon refusal of treatment and admission, pharmacological management was initiated, but patient compliance challenged the success of the therapy. Patient non-compliance to close follow-up resulted in a ruptured uterus. Emergency laparotomy with supracervical hysterectomy was performed as a life-saving procedure.
{"title":"The Challenge of the Non-Compliant Patient: A Case of Caesarean Section Scar Ectopic Pregnancy","authors":"Brittany N Robles, Nicolle M Arroyo Lluberas, Jessica Audet, D. Faustin, R. Ruggiero","doi":"10.31487/j.jscr.2021.02.01","DOIUrl":"https://doi.org/10.31487/j.jscr.2021.02.01","url":null,"abstract":"Ectopic pregnancy is a quite common and life-threatening pregnancy. The most common site of ectopic implantation of a fertilized embryo is the fallopian tube. In extremely rare situations, the embryo can implant in other locations, which makes the diagnosis and management even more complex. Although close observation of a new pregnancy is key in the diagnosis and treatment of an ectopic pregnancy, there is still a major risk of life-threatening outcomes. This is a case report of a 31-year-old patient with a history of multiple pregnancies who presented to a community hospital in the spring of 2021 with an ectopic caesarean scar pregnancy. A diagnosis of ectopic pregnancy was on a timely basis, and surgical management was advised. Upon refusal of treatment and admission, pharmacological management was initiated, but patient compliance challenged the success of the therapy. Patient non-compliance to close follow-up resulted in a ruptured uterus. Emergency laparotomy with supracervical hysterectomy was performed as a life-saving procedure.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78654763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-30DOI: 10.31487/j.jscr.2021.01.03
Zandri Pienaar, S. Čačala, G. Oosthuizen
Surgical oesophageal transection for uncontrolled variceal bleeding is a last resort measure that is rarely needed due to modern endoscopic advancements. Since it is infrequently required, most of the younger General Surgeons have not been exposed to this procedure. However, it remains a valuable consideration when endoscopic measures and balloon tamponade fail to control bleeding oesophageal varices and should remain in the armamentarium of the General Surgeon. Here we present a case of such a patient who underwent oesophageal transection as a life-saving procedure with satisfactory outcome, together with a brief literature review on this topic.
{"title":"Oesophageal Transection for Bleeding Varices: Case Report and Literature Review","authors":"Zandri Pienaar, S. Čačala, G. Oosthuizen","doi":"10.31487/j.jscr.2021.01.03","DOIUrl":"https://doi.org/10.31487/j.jscr.2021.01.03","url":null,"abstract":"Surgical oesophageal transection for uncontrolled variceal bleeding is a last resort measure that is rarely \u0000needed due to modern endoscopic advancements. Since it is infrequently required, most of the younger \u0000General Surgeons have not been exposed to this procedure. However, it remains a valuable consideration \u0000when endoscopic measures and balloon tamponade fail to control bleeding oesophageal varices and should \u0000remain in the armamentarium of the General Surgeon. Here we present a case of such a patient who \u0000underwent oesophageal transection as a life-saving procedure with satisfactory outcome, together with a \u0000brief literature review on this topic.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89748998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-30DOI: 10.31487/j.jscr.2021.01.02
J. Torres, G. Botella, Antonio Selfa Rodríguez, La Larrazabal, Julia Casado Ruiz, Miguel Ángel Arráez Sánchez
Multiple gliomas are rare glial tumors with a histology that is typically consistent with high-grade gliomas. A distinction is made between multifocal and multicentric gliomas according to criteria of anatomical continuity, as well as between synchronous and metachronous gliomas according to chronological time of onset. We present the case of a professional saxophonist with a left temporoinsular lesion who underwent awake craniotomy with monitoring of verbal and musical ability as well as primary sensory and motor cortices. Histopathological study revealed an isocitrate dehydrogenase 1 (IDH)-mutant diffuse astrocytoma. After 4 years of complete oncological remission, the patient developed impaired proprioception in all four extremities. An intramedullary lesion was detected at the level of C4 consistent with an IDH wild-type diffuse astrocytoma. We highlight the singularity of this case as it involved two low-grade glial lesions, separated in time (metachronous) and location (multicentric), as well as genetic differences between both lesions (IDH mutant and wild type).
{"title":"A Case of Diffuse Multicentric Metachronous Astrocytoma of Temporoinsular and Intramedullary Location","authors":"J. Torres, G. Botella, Antonio Selfa Rodríguez, La Larrazabal, Julia Casado Ruiz, Miguel Ángel Arráez Sánchez","doi":"10.31487/j.jscr.2021.01.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2021.01.02","url":null,"abstract":"Multiple gliomas are rare glial tumors with a histology that is typically consistent with high-grade gliomas. A distinction is made between multifocal and multicentric gliomas according to criteria of anatomical continuity, as well as between synchronous and metachronous gliomas according to chronological time of onset. We present the case of a professional saxophonist with a left temporoinsular lesion who underwent awake craniotomy with monitoring of verbal and musical ability as well as primary sensory and motor cortices. Histopathological study revealed an isocitrate dehydrogenase 1 (IDH)-mutant diffuse astrocytoma. After 4 years of complete oncological remission, the patient developed impaired proprioception in all four extremities. An intramedullary lesion was detected at the level of C4 consistent with an IDH wild-type diffuse astrocytoma. We highlight the singularity of this case as it involved two low-grade glial lesions, separated in time (metachronous) and location (multicentric), as well as genetic differences between both lesions (IDH mutant and wild type).","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86920534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-26DOI: 10.31487/J.JSCR.2021.01.01
A. Barré, C. Schammel, H. Fenton, A. Devane, S. Trocha
Gastric adenomyoma is a rare, benign neoplasm, often mistaken as a gastrointestinal stromal tumor and not properly identified until after surgical excision. The importance of defining the diagnosis in this entity is highlighted by the fact that these tumors do not require surgical excision. General knowledge of this neoplasm is lacking among physicians. In case reports, this tumor was either incidentally discovered and removed or found during workup for nonspecific GI symptoms and removed because of suspicion for gastrointestinal stromal tumor (GIST). Multiple papers state that surgical excision is necessary for diagnostic clarity. We present an updated review of the modern literature and a case of gastric adenomyoma, as well as define an algorithm using histology and immunohistochemical (IHC) stains (desmin, CKIT, DOG1, PDGF and CK7) for the diagnosis of gastric adenomyoma in a noninvasive manner in order to potentially avoid unnecessary surgery.
{"title":"Gastric Adenomyoma: A Case Report and Comprehensive Review of the Modern Literature","authors":"A. Barré, C. Schammel, H. Fenton, A. Devane, S. Trocha","doi":"10.31487/J.JSCR.2021.01.01","DOIUrl":"https://doi.org/10.31487/J.JSCR.2021.01.01","url":null,"abstract":"Gastric adenomyoma is a rare, benign neoplasm, often mistaken as a gastrointestinal stromal tumor and not properly identified until after surgical excision. The importance of defining the diagnosis in this entity is highlighted by the fact that these tumors do not require surgical excision. General knowledge of this neoplasm is lacking among physicians. In case reports, this tumor was either incidentally discovered and removed or found during workup for nonspecific GI symptoms and removed because of suspicion for gastrointestinal stromal tumor (GIST). Multiple papers state that surgical excision is necessary for diagnostic clarity. We present an updated review of the modern literature and a case of gastric adenomyoma, as well as define an algorithm using histology and immunohistochemical (IHC) stains (desmin, CKIT, DOG1, PDGF and CK7) for the diagnosis of gastric adenomyoma in a noninvasive manner in order to potentially avoid unnecessary surgery.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75543570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31487/j.jscr.2020.04.10
Sophie Hogan, J. Farag, Claire Wilton, Felicity Ritorni, V. Chan, Simon Lai, A. Rangan, M. Solomon, S. Carey
Background: Sarcopenia is associated with poor postoperative outcomes in oncology patients. Computed tomography (CT) scans can be used to identify muscle wasting and sarcopenia. This study aimed to investigate if pelvic exenteration surgery leads to muscle wastage and thus, induction or exacerbation of sarcopenia. Methods: This is a retrospective review involving the analysis of CT scans before and after pelvic exenteration surgery to determine skeletal muscle index and diagnose sarcopenia. Other clinical and nutritional factors were collected. Results: A total of 34 patients met the inclusion criteria. Postoperative skeletal muscle index was significantly lower compared to preoperative skeletal muscle index (p=0.008). The incidence of sarcopenia was 62% preoperatively and rose to 74% postoperatively (p=0.073). Postoperative sarcopenia was not significantly associated with complications or mortality. Conclusion: The skeletal muscle index significantly decreased postoperatively, indicating that pelvic exenteration surgery leads to muscle wastage. The use of CT scans to recognise sarcopenia would allow focusing of resources for those at risk.
{"title":"Pre and Postoperative Muscle Wastage and Sarcopenia Using CT Scans in Patients Undergoing Pelvic Exenteration Surgery","authors":"Sophie Hogan, J. Farag, Claire Wilton, Felicity Ritorni, V. Chan, Simon Lai, A. Rangan, M. Solomon, S. Carey","doi":"10.31487/j.jscr.2020.04.10","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.04.10","url":null,"abstract":"Background: Sarcopenia is associated with poor postoperative outcomes in oncology patients. Computed\u0000tomography (CT) scans can be used to identify muscle wasting and sarcopenia. This study aimed to\u0000investigate if pelvic exenteration surgery leads to muscle wastage and thus, induction or exacerbation of\u0000sarcopenia.\u0000Methods: This is a retrospective review involving the analysis of CT scans before and after pelvic\u0000exenteration surgery to determine skeletal muscle index and diagnose sarcopenia. Other clinical and\u0000nutritional factors were collected.\u0000Results: A total of 34 patients met the inclusion criteria. Postoperative skeletal muscle index was\u0000significantly lower compared to preoperative skeletal muscle index (p=0.008). The incidence of sarcopenia\u0000was 62% preoperatively and rose to 74% postoperatively (p=0.073). Postoperative sarcopenia was not\u0000significantly associated with complications or mortality.\u0000Conclusion: The skeletal muscle index significantly decreased postoperatively, indicating that pelvic\u0000exenteration surgery leads to muscle wastage. The use of CT scans to recognise sarcopenia would allow\u0000focusing of resources for those at risk.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82100956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31487/j.jscr.2020.04.11
Damaskos Christos, D. Mantas, Spartalis Eleftherios
Background/Aim: The practice of surgery may lead to unexpected results and most such results come due to risk in the practice of medicine. Our aim is to identify the difference between malpractice and adverse event. Case Presentation: A young male patient who experienced a cascade of adverse events after a laparoscopic cholecystectomy and even though he had the ultimate treatment an unknown and extensive atherosclerotic coronary arteries disease had led to a fatal left ventricular corruption due to an extensive myocardial infarction. Results: The relatives of the patient filed a lawsuit against the surgeon due to the perception that death was caused by malpractice. Conclusion: Evidence-based medicine should not become defensive, since not every unpleasant event is due to malpractice or negligence.
{"title":"The Difference Between Malpractice and Adverse Event: Report of a Case and Review of the Literature","authors":"Damaskos Christos, D. Mantas, Spartalis Eleftherios","doi":"10.31487/j.jscr.2020.04.11","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.04.11","url":null,"abstract":"Background/Aim: The practice of surgery may lead to unexpected results and most such results come due\u0000to risk in the practice of medicine. Our aim is to identify the difference between malpractice and adverse\u0000event.\u0000Case Presentation: A young male patient who experienced a cascade of adverse events after a laparoscopic\u0000cholecystectomy and even though he had the ultimate treatment an unknown and extensive atherosclerotic\u0000coronary arteries disease had led to a fatal left ventricular corruption due to an extensive myocardial\u0000infarction.\u0000Results: The relatives of the patient filed a lawsuit against the surgeon due to the perception that death was\u0000caused by malpractice.\u0000Conclusion: Evidence-based medicine should not become defensive, since not every unpleasant event is\u0000due to malpractice or negligence.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79226463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-02DOI: 10.31487/j.jscr.2020.04.02
I. Mohammed, S. Sanadi
Organophosphate compounds are mainly used in the agriculture and domestic pesticides. The widespread availability of these pesticides results in the inadvertent usage leading to the main agent used in suicide attempts in the developing countries. The severity of the poisoning greatly depends on the type of exposure, quantity and the product. They can cause life threatening complications mainly by the respiratory depression leading to coma and death. Early identification and appropriate management enable to reduce the morbidity and mortality. Atropine, oximes, intravenous fluids are administered for the successful management. A detailed medline search of the associated complications, although rare, necrosis of tongue is reported in only one case associated with organophosphate poisoning. The etiological factors were not mentioned in the found literature. In this case report, we discuss the sequela of complications associated with the acute poisoning cases and the role of maxillofacial surgeons in the management.
{"title":"Necrosis of Tongue: A Sequela of Complications in Organophosphate Poisoning","authors":"I. Mohammed, S. Sanadi","doi":"10.31487/j.jscr.2020.04.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.04.02","url":null,"abstract":"Organophosphate compounds are mainly used in the agriculture and domestic pesticides. The widespread\u0000availability of these pesticides results in the inadvertent usage leading to the main agent used in suicide\u0000attempts in the developing countries. The severity of the poisoning greatly depends on the type of exposure,\u0000quantity and the product. They can cause life threatening complications mainly by the respiratory depression\u0000leading to coma and death. Early identification and appropriate management enable to reduce the morbidity\u0000and mortality. Atropine, oximes, intravenous fluids are administered for the successful management. A\u0000detailed medline search of the associated complications, although rare, necrosis of tongue is reported in only\u0000one case associated with organophosphate poisoning. The etiological factors were not mentioned in the\u0000found literature. In this case report, we discuss the sequela of complications associated with the acute\u0000poisoning cases and the role of maxillofacial surgeons in the management.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82394379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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