MyMedR

Fulltext Successful treatment of tracheal stenosis by rigid bronchoscopy and topical mitomycin C: a case report

Wong JL, Tie ST, Samril B, Lum CL, Rahman MR, Rahman JA

Cases J, 2010;3:2.

PMID: 20150982 DOI: 10.1186/1757-1626-3-2

Tracheal stenosis is a known complication of prolonged intubation. It is difficult to treat and traditional surgical approach is associated with significant risk and complications. Recurrent stenosis due to granulation tissue necessitates repeated procedures. We describe a case of short web-like tracheal stenosis (concentric membranous stenosis less than 1 cm in length without associated cartilage damage) managed by a minimally invasive thoracic endoscopic approach. Topical application of Mitomycin C, a potent fibroblast inhibitor reduces granulation tissue formation and prevents recurrence.

Fulltext Massive lower gastrointestinal bleeding attributable to heavy whipworm infection and Salmonella typhi co-infection: a case report

Nimir AR, Aziz MS, Tan GC, Shaker AR

Cases J, 2009;2:8285.

PMID: 19918413 DOI: 10.4076/1757-1626-2-8285

Massive lower gastrointestinal bleeding due to trichuriasis and/or typhoid fever is rarely reported. We reported a case of a 29-year-old male presented with per rectal bleeding, diarrhea, generalized abdominal pain and fever for two weeks. After diagnosis suspicion, emergency exploratory laparotomy was performed, where resection of the ulcerated part of the caecum and terminal ileum was performed. Microscopically analysis, diagnosed heavy infestation with Trichuris trichiura. It was complicated with Salmonella typhi infection confirmed later from the blood culture result.

Fulltext Large lipoma of the spermatic cord presenting as post-operative recurrent hernia in a middle aged gentleman: a case report

Vashu R, Subramaniam M

Cases J, 2009;2:8500.

PMID: 19918377 DOI: 10.4076/1757-1626-2-8500

A gentleman who presented with a left inguinal hernia was operated and treated by hernioplasty. After a few years he presented with a clinical scenario of recurrent hernia. During surgery the lump was found to be a large lipoma that was not documented and found during the first operation.

Fulltext Anomalous superficial peroneal nerve and variant cutaneous innervation of the sural nerve on the dorsum of the foot: a case report

Nagabhooshana S, Vollala VR, Rodrigues V, Rao M

Cases J, 2009;2:197.

PMID: 19946444 DOI: 10.1186/1757-1626-2-197

The superficial peroneal nerve is a branch of common peroneal nerve. There are reports about the variant course and distribution of this nerve. The sural nerve arises from the tibial nerve in the popliteal fossa. The variations of the above nerves described here are unique and provide significant information to surgeons dissecting lower limb.

Fulltext Abnormal muscle in the anterior compartment of the forearm: a case report

Rodrigues V, Nayak SB, Rao MK, Vollala V, Somayaji N, Rao AS

Cases J, 2009;2:9125.

PMID: 20062702 DOI: 10.1186/1757-1626-2-9125

During routine dissection for the undergraduate medical students, we encountered an unusual, additional muscle in the anterior compartment of the forearm. This muscle took origin from the anterior surface of the radius in common with the flexor digitorum superficialis muscle. It had a tendon of origin and a tendon of insertion. Its fleshy radial belly and the tendon of insertion, crossed superficial to the median nerve. The muscle was inserted partly to the flexor retinaculum and partly to the undersurface of palmar aponeurosis. The observations made by us in the present case will supplement our knowledge of variations of the muscles in this region which could be useful for hand surgeons as it could possibly compress the median nerve because of its close relationship to it.

Fulltext Unorthodox superficial palmar arch observed in a South Indian cadaver: a case report

Vollala VR, Nagabhooshana S, Rao M, Potu BK, Pamidi N, Bolla SR

Cases J, 2009;2:6362.

PMID: 19829795 DOI: 10.4076/1757-1626-2-6362

Variations in formation of the superficial palmar arch are common. A classic superficial palmar arch is defined as direct continuity between the superficial branch of the ulnar artery and superficial palmar branch of the radial artery. During routine dissection classes to undergraduate medical students we have observed formation of superficial palmar arch solely by superficial branch of ulnar artery without any contribution from the radial artery or median artery. Knowledge of the anatomical variations of the arterial pattern of the hand is crucial for safe and successful hand surgery.

Fulltext Metastatic follicular thyroid carcinoma to the mandible: a case report

Ismail SB, Abraham MT, Zaini ZB, Yaacob HB, Zain RB

Cases J, 2009;2:6533.

PMID: 19829820 DOI: 10.1186/1757-1626-2-6533

Metastatic lesions to the oro-facial region may be the first evidence of dissemination of an unknown tumour from its primary site.

Fulltext Chronic dislocation of proximal interphalangeal joint with mallet finger: A case report

Hussin P, Mahendran S, Ng ES

Cases J, 2008;1(1):201.

PMID: 18831739 DOI: 10.1186/1757-1626-1-201

We report a case of chronic dislocation of proximal interphalangeal joint with mallet finger.

Fulltext Bilateral variant testicular arteries with double renal arteries

Sylvia S, Kakarlapudi SV, Vollala VR, Potu BK, Jetti R, Bolla SR, et al.

Cases J, 2009 Feb 02;2(1):114.

PMID: 19187540 DOI: 10.1186/1757-1626-2-114

BACKGROUND: The testicular arteries normally arise from the abdominal aorta. There are reports about the variant origin of these arteries. Accessory renal arteries are also a common finding but their providing origin to testicular arteries is an important observation. The variations described here are unique and provide significant information to surgeons dissecting the abdominal cavity.

CASE PRESENTATION: During routine dissection classes of abdominal region of a 60-year-old male cadaver, we observed bilateral variant testicular arteries and double renal arteries.

CONCLUSION: Awareness of variations of the testicular arteries such as those presented here becomes important during surgical procedures like varicocele and undescended testes.

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