A. Bulut, Nurullah Bilen, Alper Aytekin, Latif Yılmaz, Mert Kaan Özgül, M. Gümüş, Fahrettin Yıldız, S. Çoban
Objective: Hydatid cyst is endemic in South America, the Middle and Far East and around the Mediterranean. The disease is frequently located in liver (65-70%) and lungs (25%). Hydatid disease is usually asymptomatic when located in the extrahepatic regions. Sometimes, diagnosis can be established in the patients, who were taken to operation with non-specific findings, by observing germinative membrane, rockwater, or daughter vesicles during the operation. The aim of the present study is to present the hydatid cyst cases detected in the anterior of the left abdominal acetabulum, head of the pancreas, in the perianal region, and on the right adrenal gland. Case 1: A 41-year-old female patient applied to our clinic with the complaint of intermittent left inguinal pain. echinococcus Indirect Hemagglutination (IHA) test was positive. In the ultrasonographic examination, a hypoechoic area was observed in the posteromedial of the left femoral head. Cystic lesion was observed in computed tomography (CT) and magnetic resonance imaging (MRI). Pathology result of the patient was assessed as “compatible with hydatid cyst”. Case 2: A 56-year-old female patient, applied with the complaints of intermittent nausea, vomiting, and epigastric pain. She had a history of surgery for liver hydatid cyst 15 years ago and for lung hydatid cyst 10 years ago. IHA test of the patient was positive. The lesion involving septation and accompanied by calcifications around the cyst was reported as a hydatid cyst at dynamic CT for pancreas and upper abdominal MRI. Case3: A 22-year-old female patient applied with perianal pain complaint. Drainage was planned for the patient who had a pre-diagnosis of perianal abscess. Tissues similar to the hydatid cyst membrane were excised together with purulent fluid. The patient was diagnosed with hydatid cyst after the pathology result was reported “as compatible with hydatid cyst”. Case4: A 32-year-old female patient had a non-metabolic adrenal subcapsular cyst (hydatid cyst?) in the right adrenal gland on ultrasonography performed for abdominal pain. In abdominal tomography, a “cystic mass compatible with hydatid cyst located in the adrenal gland in the upper pole of the right kidney” was reported. IHA test of the patient was negative. Surgical intervention was not considered for the patient, who was thought to be diagnosed with adrenal hydatid cyst with a calcified membrane, and follow-up decision was taken. DISCUSSION AND CONCLUSION Echinococcus eggs infect people with direct contact with water, food, and dogs. Echinococcus eggs infect people with direct contact with water, food, and dogs. From the intestines, the larvae reach the liver through the veins. Sometimes they cause the disease by passing through the liver or reaching the lungs via lymphatics. Then, they can reach other places in the body, less frequently through the blood. It is known that Turkey is in an endemic region in terms of hydatid cyst. Hydatid cysts located in t
{"title":"ATYPICALLY LOCATED HYDATID CYST CASES: 4 UNUSUAL CASE REPORTS","authors":"A. Bulut, Nurullah Bilen, Alper Aytekin, Latif Yılmaz, Mert Kaan Özgül, M. Gümüş, Fahrettin Yıldız, S. Çoban","doi":"10.33706/jemcr.1200792","DOIUrl":"https://doi.org/10.33706/jemcr.1200792","url":null,"abstract":"Objective: Hydatid cyst is endemic in South America, the Middle and Far East and around the Mediterranean. The disease is frequently located in liver (65-70%) and lungs (25%). Hydatid disease is usually asymptomatic when located in the extrahepatic regions. Sometimes, diagnosis can be established in the patients, who were taken to operation with non-specific findings, by observing germinative membrane, rockwater, or daughter vesicles during the operation. The aim of the present study is to present the hydatid cyst cases detected in the anterior of the left abdominal acetabulum, head of the pancreas, in the perianal region, and on the right adrenal gland. \u0000Case 1: A 41-year-old female patient applied to our clinic with the complaint of intermittent left inguinal pain. echinococcus Indirect Hemagglutination (IHA) test was positive. In the ultrasonographic examination, a hypoechoic area was observed in the posteromedial of the left femoral head. Cystic lesion was observed in computed tomography (CT) and magnetic resonance imaging (MRI). Pathology result of the patient was assessed as “compatible with hydatid cyst”. \u0000Case 2: A 56-year-old female patient, applied with the complaints of intermittent nausea, vomiting, and epigastric pain. She had a history of surgery for liver hydatid cyst 15 years ago and for lung hydatid cyst 10 years ago. IHA test of the patient was positive. The lesion involving septation and accompanied by calcifications around the cyst was reported as a hydatid cyst at dynamic CT for pancreas and upper abdominal MRI. \u0000Case3: A 22-year-old female patient applied with perianal pain complaint. Drainage was planned for the patient who had a pre-diagnosis of perianal abscess. Tissues similar to the hydatid cyst membrane were excised together with purulent fluid. The patient was diagnosed with hydatid cyst after the pathology result was reported “as compatible with hydatid cyst”. \u0000Case4: A 32-year-old female patient had a non-metabolic adrenal subcapsular cyst (hydatid cyst?) in the right adrenal gland on ultrasonography performed for abdominal pain. In abdominal tomography, a “cystic mass compatible with hydatid cyst located in the adrenal gland in the upper pole of the right kidney” was reported. IHA test of the patient was negative. Surgical intervention was not considered for the patient, who was thought to be diagnosed with adrenal hydatid cyst with a calcified membrane, and follow-up decision was taken. \u0000DISCUSSION AND CONCLUSION \u0000Echinococcus eggs infect people with direct contact with water, food, and dogs. Echinococcus eggs infect people with direct contact with water, food, and dogs. From the intestines, the larvae reach the liver through the veins. Sometimes they cause the disease by passing through the liver or reaching the lungs via lymphatics. Then, they can reach other places in the body, less frequently through the blood. It is known that Turkey is in an endemic region in terms of hydatid cyst. Hydatid cysts located in t","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44884539","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}
Sultan Tuna Akgol Gur, Aslı Leyla Tahi̇roğlu, A. Koçak
In this report, we inform you that a patient with CFD, known as a benign disease, died due to massive lower GI bleeding. Although KFD is a benign disease, we have seen in this case that it can result in death. A 28-year-old Turkish male patient was brought to the hospital with complaints of high fever, fatigue, sweating and difficulty breathing. A cervical examination revealed that the patient had lymphadenopathy. The patient did not have any cutaneous lesions. Genital examination revealed melena. A normal cranial and abdomen, thorax CT was obtained. The patient was intubated because of respiratory failure and unstable hemodynamics. The patient developed pancytopenia as a result of blood tests. The patient died due to massive lower gastrointestinal bleeding.
{"title":"Mortal Complication of Kikuchi–Fujimoto Disease; Lower Gastrointestinal Bleeding, Case Presantation and literature review","authors":"Sultan Tuna Akgol Gur, Aslı Leyla Tahi̇roğlu, A. Koçak","doi":"10.33706/jemcr.1200525","DOIUrl":"https://doi.org/10.33706/jemcr.1200525","url":null,"abstract":"In this report, we inform you that a patient with CFD, known as a benign disease, died due to massive lower GI bleeding. Although KFD is a benign disease, we have seen in this case that it can result in death. A 28-year-old Turkish male patient was brought to the hospital with complaints of high fever, fatigue, sweating and difficulty breathing. A cervical examination revealed that the patient had lymphadenopathy. The patient did not have any cutaneous lesions. Genital examination revealed melena. A normal cranial and abdomen, thorax CT was obtained. The patient was intubated because of respiratory failure and unstable hemodynamics. The patient developed pancytopenia as a result of blood tests. The patient died due to massive lower gastrointestinal bleeding.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47037890","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}
Mehmet Erat, Damla Yalçınkaya Öner, M. Yarlıoglues, S. N. Murat
Cardiac perforation by pacemaker (PM) lead is a rare but potentially life-threatening complication. The clinical presentation is highly variable. Patients may be asymptomatic or present with chest pain, dyspnea or tamponade. In this case, we report a patient with pacemaker implantation who developed a stubborn cough secondary to lead perforation.
{"title":"Stubborn cough; a rare symptom due to pacemaker lead perforation","authors":"Mehmet Erat, Damla Yalçınkaya Öner, M. Yarlıoglues, S. N. Murat","doi":"10.33706/jemcr.1186646","DOIUrl":"https://doi.org/10.33706/jemcr.1186646","url":null,"abstract":"Cardiac perforation by pacemaker (PM) lead is a rare but potentially life-threatening complication. The clinical presentation is highly variable. Patients may be asymptomatic or present with chest pain, dyspnea or tamponade. In this case, we report a patient with pacemaker implantation who developed a stubborn cough secondary to lead perforation.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42083702","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}
Introduction: We aimed to present the patient who applied to the emergency department, who did not want to be tested due to fear of giving blood sample, but was discharged after blood sample was taken comfortably with hypnosis application. Case Report: A forty six-year-old female patient was admitted to the emergency department with complaints of headache and fatigue. It was learned that the patient avoided going to the hospital because of the fear of giving blood samples for years. Blood tests were requested from the patient, but the patient stated that she did not want to give blood sample. The patient accepted our offer to take blood under hypnosis and stated that he would try to give blood with this method. Thereupon, the patient was taken to a suitable environment and stretcher in the emergency room. During this hypnosis session, which lasts about 15 minutes, the patient; she gave samples for blood tests very comfortably and happily. The patient, who stated her happiness after the procedure, continued her next procedures in a relaxed way. Conclusion: Hypnosis application is a method that can be used by emergency doctors according to the needs of patients who are fear of giving blood samples. References: 1. Colón Y, Avnet MS. Medical hypnotherapy for pain management. J Pain Palliat Care Pharmacother 2014;28(2):174-6. 2. Hammond DC. Review of the efficacy of clinical hypnosis with headaches and migraines. Int J Clin Exp Hypn 2007;55(2):207-19. 3. Iserson KV. An hypnotic suggestion: review of hypnosis for clinical emergency care. J Emerg Med 2014;46(4):588-96. 4. Willemsen R. Hypnosis technics used to diminish anxiety and fear: review of the literatüre. Rev Belge Med Dent (1984) 2003;58(2):99-104.
{"title":"THE ROLE OF HYPNOSIS IN A PATIENT WHO DOES NOT WANT TO GIVE BLOOD SAMPLES IN THE EMERGENCY","authors":"M. G. Turtay, Sinan Güzel, Okyanus Rengin Güzel","doi":"10.33706/jemcr.1212349","DOIUrl":"https://doi.org/10.33706/jemcr.1212349","url":null,"abstract":"Introduction: We aimed to present the patient who applied to the emergency department, who did not want to be tested due to fear of giving blood sample, but was discharged after blood sample was taken comfortably with hypnosis application. \u0000Case Report: A forty six-year-old female patient was admitted to the emergency department with complaints of headache and fatigue. It was learned that the patient avoided going to the hospital because of the fear of giving blood samples for years. Blood tests were requested from the patient, but the patient stated that she did not want to give blood sample. The patient accepted our offer to take blood under hypnosis and stated that he would try to give blood with this method. Thereupon, the patient was taken to a suitable environment and stretcher in the emergency room. During this hypnosis session, which lasts about 15 minutes, the patient; she gave samples for blood tests very comfortably and happily. The patient, who stated her happiness after the procedure, continued her next procedures in a relaxed way. \u0000Conclusion: Hypnosis application is a method that can be used by emergency doctors according to the needs of patients who are fear of giving blood samples. \u0000References: \u00001. Colón Y, Avnet MS. Medical hypnotherapy for pain management. J Pain Palliat Care Pharmacother 2014;28(2):174-6. \u00002. Hammond DC. Review of the efficacy of clinical hypnosis with headaches and migraines. Int J Clin Exp Hypn 2007;55(2):207-19. \u00003. Iserson KV. An hypnotic suggestion: review of hypnosis for clinical emergency care. J Emerg Med 2014;46(4):588-96. \u00004. Willemsen R. Hypnosis technics used to diminish anxiety and fear: review of the literatüre. Rev Belge Med Dent (1984) 2003;58(2):99-104.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41934192","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}
The elbow is the second most frequently dislocated major joint in adults. Elbow dislocation is a common traumatic injury, occurring in approximately 20% of all joint dislocations. Falling onto an outstretched hand is the most prevalent cause of elbow dislocation. Simultaneous bilateral elbow dislocation is a rare presentation, and reports of similar injuries are very limited. A 21-year-old male patient was brought to the emergency department after landing on both hands with flexed elbows from a height of one meter while doing home decoration work. The posterolateral dislocations was detected in both elbows without a fracture on the plain radiographs. The patient's elbows were reduced under procedural sedation analgesia in the emergency department. The patient's splints were removed in the orthopedics outpatient clinic after a 2-week follow-up, and he had no complications. It should be noted that serious bilateral dislocations can occur even in minor traumas like this. Procedural sedation not only prevents the delay of the procedure and the occurrence of complications, especially during the treatment of such multiple dislocations, but also increases patient comfort.
{"title":"Bilateral Elbow Dislocation Without Fracture After Minor Trauma in a Healthy Adult Man","authors":"Nafis Vural, Murat Duyan","doi":"10.33706/jemcr.1139501","DOIUrl":"https://doi.org/10.33706/jemcr.1139501","url":null,"abstract":"The elbow is the second most frequently dislocated major joint in adults. Elbow dislocation is a common traumatic injury, occurring in approximately 20% of all joint dislocations. Falling onto an outstretched hand is the most prevalent cause of elbow dislocation. Simultaneous bilateral elbow dislocation is a rare presentation, and reports of similar injuries are very limited. A 21-year-old male patient was brought to the emergency department after landing on both hands with flexed elbows from a height of one meter while doing home decoration work. The posterolateral dislocations was detected in both elbows without a fracture on the plain radiographs. The patient's elbows were reduced under procedural sedation analgesia in the emergency department. The patient's splints were removed in the orthopedics outpatient clinic after a 2-week follow-up, and he had no complications. It should be noted that serious bilateral dislocations can occur even in minor traumas like this. Procedural sedation not only prevents the delay of the procedure and the occurrence of complications, especially during the treatment of such multiple dislocations, but also increases patient comfort.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42856633","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}
Fluid attenuated inversion recovery (FLAIR) is one of the most effective magnetic resonance imaging (MRI) sequences in the diagnosis of subarachnoid hemorrhage (SAH). However, sometimes false positive or false negative results can occur. One of the reasons that can lead to erroneous interpretation is artifacts. Especially when metallic artifact occurs, hyperintensity may be observed in the subarachnoid space, similar to SAH. Although FLAIR hyperintensities in the sulci can be detected in many serious diseases, they are not always pathological. Artifact related hyperintensities, especially in cases with severe headache, may be mistakenly evaluated as SAH by a clinician or radiologist who is not well-experienced in MRI. However, it is extremely important to recognise these artifact related hyperintensities, to make a correct diagnosis and to prevent unnecessary interventions. In order to achieve this, the evaluation of all radiological images, especially SWI and GRE, is critical. Both radiologists and clinicians evaluating neuroradiological examinations should be knowledgeable about this subject and show maximum attention. In this report, we present the radiological images of 4 cases of pseudosubarachnoid hemorrhage, one of which was caused by conductive EEG gel and the other three due to braces artifacts, who were admitted to the hospital with headache.
{"title":"Pseudosubarachnoid Hemorrhage on MRI: A potential pitfall","authors":"O. Karatağ, A. Kılınç, Bilge Gültaç, Î. Öztoprak","doi":"10.33706/jemcr.1160208","DOIUrl":"https://doi.org/10.33706/jemcr.1160208","url":null,"abstract":"Fluid attenuated inversion recovery (FLAIR) is one of the most effective magnetic resonance imaging (MRI) sequences in the diagnosis of subarachnoid hemorrhage (SAH). However, sometimes false positive or false negative results can occur. One of the reasons that can lead to erroneous interpretation is artifacts. Especially when metallic artifact occurs, hyperintensity may be observed in the subarachnoid space, similar to SAH. Although FLAIR hyperintensities in the sulci can be detected in many serious diseases, they are not always pathological. Artifact related hyperintensities, especially in cases with severe headache, may be mistakenly evaluated as SAH by a clinician or radiologist who is not well-experienced in MRI. However, it is extremely important to recognise these artifact related hyperintensities, to make a correct diagnosis and to prevent unnecessary interventions. In order to achieve this, the evaluation of all radiological images, especially SWI and GRE, is critical. Both radiologists and clinicians evaluating neuroradiological examinations should be knowledgeable about this subject and show maximum attention. \u0000In this report, we present the radiological images of 4 cases of pseudosubarachnoid hemorrhage, one of which was caused by conductive EEG gel and the other three due to braces artifacts, who were admitted to the hospital with headache.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41759815","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}
This case report is unique for the occurrence of a quickly recurring Kounis Syndrome (KS) due to re-exposure to the same agent. A 40-year-old male was brought to our ED with a diagnosis of non-ST-segment elevation myocardial infarction. He stated that he had taken one dose of amoxicillin-clavulanate 1,000 mg at 03.00 AM. After taking the drug, chest pain and vomiting began. ECG which was taken at the the rural hospital, revealed a normal sinus rhythm with no ischemic changes. The value of cardiac troponin I 0.34 ng/ml in the rural hospital. The patient was consultated to the cardiology clinic with a pre-diagnosis of KS. Percutaneous coronary intervention showed that coronary arteries were normal and no plaque formation was found. The patient, who was diagnosed with type I KS, left the hospital at his own request at 14:12 PM. The patient presented to our ED again at 22:30 PM with chest pain and shortness of breath after accidentally using the same allergenic drug ~eight hours after leaving our hospital. ECG showed > 0.5 cm ST-segment elevation in leads DII, DIII, and aVF. Quickly recurring KS was due to accidental reuse of the same agent may be more severe than the first occurrence.
{"title":"Kounis Syndrome That Recurs in A Short Time Period: A Case Report","authors":"I. Akbas, A. Koçak, S. Doğruyol","doi":"10.33706/jemcr.1126723","DOIUrl":"https://doi.org/10.33706/jemcr.1126723","url":null,"abstract":"This case report is unique for the occurrence of a quickly recurring Kounis Syndrome (KS) due to re-exposure to the same agent. A 40-year-old male was brought to our ED with a diagnosis of non-ST-segment elevation myocardial infarction. He stated that he had taken one dose of amoxicillin-clavulanate 1,000 mg at 03.00 AM. After taking the drug, chest pain and vomiting began. ECG which was taken at the the rural hospital, revealed a normal sinus rhythm with no ischemic changes. The value of cardiac troponin I 0.34 ng/ml in the rural hospital. The patient was consultated to the cardiology clinic with a pre-diagnosis of KS. Percutaneous coronary intervention showed that coronary arteries were normal and no plaque formation was found. The patient, who was diagnosed with type I KS, left the hospital at his own request at 14:12 PM. The patient presented to our ED again at 22:30 PM with chest pain and shortness of breath after accidentally using the same allergenic drug ~eight hours after leaving our hospital. ECG showed > 0.5 cm ST-segment elevation in leads DII, DIII, and aVF. Quickly recurring KS was due to accidental reuse of the same agent may be more severe than the first occurrence.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42252508","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}
O. Çınaroğlu, M. G. Efgan, Ozan Altintas, U. Payza
Background Trauma-related hyoid fractures are rare entities. These fractures represent only 0.002% of head and neck region fractures. Victims of hanging and strangling constitute the great majority of cases. Fractures associated with trauma are extremely rare. These fractures are difficult to diagnose and can easily be overlooked during physical examination. However, they are also important traumas since airway safety is endangered in these rare cases. Case Report We describe a case of a young male presenting with isolated neck injury associated with hitting an electric cable while riding a motorbike. Tenderness was present in the anterior neck region at physical examination, but movement was not restricted and no respiratory difficulty was determined. Isolated hyoid fracture was detected at tomography of the neck performed in the emergency department. Conclusion Hyoid bone fractures should not be forgotten in patients with pain and tenderness in the anterior neck region following blunt trauma to the neck.
{"title":"Isolated Hyoid Fracture Associated With Blunt Trauma","authors":"O. Çınaroğlu, M. G. Efgan, Ozan Altintas, U. Payza","doi":"10.33706/jemcr.1186753","DOIUrl":"https://doi.org/10.33706/jemcr.1186753","url":null,"abstract":"Background \u0000 \u0000Trauma-related hyoid fractures are rare entities. These fractures represent only 0.002% of head and neck region fractures. Victims of hanging and strangling constitute the great majority of cases. Fractures associated with trauma are extremely rare. These fractures are difficult to diagnose and can easily be overlooked during physical examination. However, they are also important traumas since airway safety is endangered in these rare cases. \u0000 \u0000Case Report \u0000 \u0000We describe a case of a young male presenting with isolated neck injury associated with hitting an electric cable while riding a motorbike. Tenderness was present in the anterior neck region at physical examination, but movement was not restricted and no respiratory difficulty was determined. Isolated hyoid fracture was detected at tomography of the neck performed in the emergency department. \u0000 \u0000Conclusion \u0000 \u0000Hyoid bone fractures should not be forgotten in patients with pain and tenderness in the anterior neck region following blunt trauma to the neck.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45781189","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}
Background: Platypnea-orthodeoxia syndrome (POS) is an extremely rare condition. There are no other cases in the literature where tamsulosin has been reported to prolong POS treatment. Case: A 67-year-old male patient was hospitalized due to COVID-19. He was followed up in the ward after being in the intensive care unit for ten days. There was a significant decrease in saturation (SaO2) when sitting and standing compared to lying. He was diagnosed with POS. However, there was no significant improvement in POS with exercises. After stopping the tamsulosin he was using, there was a dramatic improvement. He was discharged on the 72nd day of his hospitalization. Conclusion: Due to COVID-19, POS is more likely to appear than before. It is a condition that clinicians should recognize. The pathophysiology of POS has not been fully elucidated. The case we present suggests that alpha-blockers may also be related to pathophysiology.
{"title":"Platypnea-Orthodeoxy Syndrome Associated with COVID-19 Pneumonia in which Tamsulosin Use May Prolong Treatment: A Case Report","authors":"M. Kızmaz, Ayşe Turunç Özdemir, Z. Alkan","doi":"10.33706/jemcr.1177998","DOIUrl":"https://doi.org/10.33706/jemcr.1177998","url":null,"abstract":"Background: Platypnea-orthodeoxia syndrome (POS) is an extremely rare condition. There are no other cases in the literature where tamsulosin has been reported to prolong POS treatment. \u0000Case: A 67-year-old male patient was hospitalized due to COVID-19. He was followed up in the ward after being in the intensive care unit for ten days. There was a significant decrease in saturation (SaO2) when sitting and standing compared to lying. He was diagnosed with POS. However, there was no significant improvement in POS with exercises. After stopping the tamsulosin he was using, there was a dramatic improvement. He was discharged on the 72nd day of his hospitalization. \u0000Conclusion: Due to COVID-19, POS is more likely to appear than before. It is a condition that clinicians should recognize. The pathophysiology of POS has not been fully elucidated. The case we present suggests that alpha-blockers may also be related to pathophysiology.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42767848","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}
Exposure to welding is associated with many diseases, especially some of the eye injuries. We present a 49-year-old male patient applied to us with the complaints of double vision and blurred vision for a week. The symptoms started after looking welding machine light for a few minutes without protective glasses. After excluding another causes, the diagnosis of idiopathic abducens paralysis was made. As a result of exposure to metals and ultraviolet radiation, conjunctival disorders, presbyopia, refractive errors, corneal damage, and retinal pathologies can be seen in patients. It is also known that UV is a stress factor that will initiate reactions that lead to apoptosis of neurons. We think that exposure to UV rays may have played a role in the possible etiological process in our case.The patient was followed up with conservative treatment and all symptoms resolve within a month.
{"title":"ACUTELY DEVELOPING ISOLATED ABDUCENS PARALYSIS AFTER EXPOSURE TO ARC WELDING","authors":"Y. Değirmenci, A. Ayaslı","doi":"10.33706/jemcr.1162781","DOIUrl":"https://doi.org/10.33706/jemcr.1162781","url":null,"abstract":"Exposure to welding is associated with many diseases, especially some of the eye injuries. We present a 49-year-old male patient applied to us with the complaints of double vision and blurred vision for a week. The symptoms started after looking welding machine light for a few minutes without protective glasses. After excluding another causes, the diagnosis of idiopathic abducens paralysis was made. As a result of exposure to metals and ultraviolet radiation, conjunctival disorders, presbyopia, refractive errors, corneal damage, and retinal pathologies can be seen in patients. It is also known that UV is a stress factor that will initiate reactions that lead to apoptosis of neurons. We think that exposure to UV rays may have played a role in the possible etiological process in our case.The patient was followed up with conservative treatment and all symptoms resolve within a month.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46515968","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：