Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.001
T. Majeed, M. N. Chauhan, C. Magee
Peritoneal loose bodies (PLBs) are rare findings that were reported extensively in the early nineteenth and twentieth century in theform of case series by Littre, Riedel and Macintosh. In the recent past, focus has shifted more towards symptomatic free peritonealbodies. Although a proper intrabdominal examination and histopathology can help to clear the diagnosis, there is still no consensusin the surgical circle as to how to deal with them. Here, we report a case series of 4 cases of finding loose peritoneal bodies duringintra-abdominal procedures, three of them were found during laparoscopic procedures (laparoscopic appendectomy, Robotic meshrectopexy and laparoscopic bowel resection) while one was an open surgery (open inguinal hernia repair). This paper is unique asfor the first time in the history it brings two surgical rarities together i.e. ‘hernia en pantaloon’ and free peritoneal body along withrecommendations based on the literature, review to diagnose and treat loose peritoneal bodies.
{"title":"TWO RARITIES TOGETHER: A FREE PERITONEAL BODY IN A HERNIA EN PANTALOON SAC AND CASE SERIES OF OUR EXPERIENCE OF FINDING LOOSE PERITONEAL BODIES","authors":"T. Majeed, M. N. Chauhan, C. Magee","doi":"10.32677/IJCR.2019.V05.I02.001","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.001","url":null,"abstract":"Peritoneal loose bodies (PLBs) are rare findings that were reported extensively in the early nineteenth and twentieth century in theform of case series by Littre, Riedel and Macintosh. In the recent past, focus has shifted more towards symptomatic free peritonealbodies. Although a proper intrabdominal examination and histopathology can help to clear the diagnosis, there is still no consensusin the surgical circle as to how to deal with them. Here, we report a case series of 4 cases of finding loose peritoneal bodies duringintra-abdominal procedures, three of them were found during laparoscopic procedures (laparoscopic appendectomy, Robotic meshrectopexy and laparoscopic bowel resection) while one was an open surgery (open inguinal hernia repair). This paper is unique asfor the first time in the history it brings two surgical rarities together i.e. ‘hernia en pantaloon’ and free peritoneal body along withrecommendations based on the literature, review to diagnose and treat loose peritoneal bodies.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123410434","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 : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.015
N. Tulara, Nilesh Chaudhary
Infection can cause cerebral vasculitis not only by direct invasion of the vessel wall, but by immune complex deposition, or throughsecondary cryoglobulinemia. Here, we report the case of tuberculous meningitis (TBM) in a middle-aged woman who presented withdiabetic ketoacidosis, hyponatremia and accelerated hypertension and after 24 hours had right-sided hemiplegia. Her imaging MRIbrain without contrast was suggestive of acute stroke. Hence, she was thrombolysed but she did not show any improvement. RepeatMRI brain with contrast showed tuberculomas and after starting Anti-Tubercular Treatment (ATT), she became alright within 3 days.There was no hemiplegia after 3 days of ATT. So TBM can also present as vasculitis with stroke and it should be kept in mind becauserecognition of TBM will change the line of treatment and patient can recover within a few days.
{"title":"TUBERCULOUS MENINGITIS PRESENTING AS ACUTE ISCHEMIC STROKE","authors":"N. Tulara, Nilesh Chaudhary","doi":"10.32677/IJCR.2019.V05.I02.015","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.015","url":null,"abstract":"Infection can cause cerebral vasculitis not only by direct invasion of the vessel wall, but by immune complex deposition, or throughsecondary cryoglobulinemia. Here, we report the case of tuberculous meningitis (TBM) in a middle-aged woman who presented withdiabetic ketoacidosis, hyponatremia and accelerated hypertension and after 24 hours had right-sided hemiplegia. Her imaging MRIbrain without contrast was suggestive of acute stroke. Hence, she was thrombolysed but she did not show any improvement. RepeatMRI brain with contrast showed tuberculomas and after starting Anti-Tubercular Treatment (ATT), she became alright within 3 days.There was no hemiplegia after 3 days of ATT. So TBM can also present as vasculitis with stroke and it should be kept in mind becauserecognition of TBM will change the line of treatment and patient can recover within a few days.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121504203","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}
Pradeep Balineni, G. Muthukumaran, S. Zareena, Ruban Kumar, T. Hussain, Keerthana Shivaji
Pseudoaneurysm is deficit of all the 3 layers of the blood vessel. Superficial temporal artery due to its course is more prone for traumaand 95% of the pseudoaneurysm of the superficial artery is due to trauma. Here, we report the case of a traumatic pseudoaneurysm ofthe superficial temporal artery in a 19-year-old patient. The patient came with the complaints of swelling in the left side of the foreheadfor 3days and a history of trauma 3 days back by a cricket ball. A duplex scan showed a pseudoaneurysm of the superficial temporalartery. Surgical excision of the aneurysm was done after ligating proximal and distal pedicles. Digital subtraction angiography is thegold standard investigation, but duplex would be enough in most of the cases for diagnosingand surgical excision after ligating theproximal and distal pedicles is the treatment of choice.
{"title":"TRAUMATIC PSEUDOANEURYSM OF THE SUPERFICIAL TEMPORAL ARTERY","authors":"Pradeep Balineni, G. Muthukumaran, S. Zareena, Ruban Kumar, T. Hussain, Keerthana Shivaji","doi":"10.14735/AMCSNN2019225","DOIUrl":"https://doi.org/10.14735/AMCSNN2019225","url":null,"abstract":"Pseudoaneurysm is deficit of all the 3 layers of the blood vessel. Superficial temporal artery due to its course is more prone for traumaand 95% of the pseudoaneurysm of the superficial artery is due to trauma. Here, we report the case of a traumatic pseudoaneurysm ofthe superficial temporal artery in a 19-year-old patient. The patient came with the complaints of swelling in the left side of the foreheadfor 3days and a history of trauma 3 days back by a cricket ball. A duplex scan showed a pseudoaneurysm of the superficial temporalartery. Surgical excision of the aneurysm was done after ligating proximal and distal pedicles. Digital subtraction angiography is thegold standard investigation, but duplex would be enough in most of the cases for diagnosingand surgical excision after ligating theproximal and distal pedicles is the treatment of choice.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117131783","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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