Bladder calculus following an unusual vesical foreign body

Sunday, 22 May 2011 10:07
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Abstract

Bladder calculus following vesical foreign bodies is uncommon. The usual presentation is presence of lower urinary symptoms. Most of these foreign bodies are either left inadvertently after open bladder operations or migrate from adjacent structures. This is a case report of an unusual self inserted foreign body in a female presenting with bladder calculus and diverticulum. Self inserted foreign body, particularly in females, is one of the important causes of bladder stones. Foreign body in the bladder should be suspected in a female patient with chronic lower urinary tract symptoms even in the absence of trauma or intervention.

Last Updated ( Sunday, 22 May 2011 10:19 )
 

Double rupture of interventricular septum and free wall of the left ventricle

Sunday, 22 May 2011 05:38
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Cardiac ruptures following acute myocardial infarction include rupture of the left ventricle free-wall, ventricular septal defects, and papillary muscle rupture. Double myocardial rupture is a rare complication of acute myocardial infarction (0.3 %) and the report of such cases is exclusively limited to a small series of autopsy studies.

Case presentation
In this report we present the unusual case of a 70-year-old woman with acute anteroseptal myocardial infarction, which was complicated by a combined rupture of the interventricular septum near the apex, and the free wall of the left ventricle with concomitant formation of a pseudoaneurysm. The double myocardial rupture was accidentally discovered 10 days later with echocardiography, when the patient, complaining only of mild exertional dyspnea, was hospitalized for a scheduled coronary angiography. The patient underwent successful surgical correction of the double myocardial rupture along with by-pass grafting.

Last Updated ( Sunday, 22 May 2011 05:51 )
 

Nephrogenic systemic fibrosis

Thursday, 28 April 2011 07:38
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Background: A 61-year-old female with end-stage renal disease who was undergoing hemodialysis presented with an 8-week history of upper and lower extremity weakness associated with skin tightness and contractures.

Investigations: Physical examination, blood analysis, electromyogram and skin biopsy.

Diagnosis: Nephrogenic fibrosing dermopathy/nephrogenic systemic fibrosis.

Management: Methylprednisolone, thalidomide and physical therapy.

 

Last Updated ( Thursday, 28 April 2011 08:19 )
 

spontaneous rupture of the spleen due to dengue fever

Thursday, 28 April 2011 06:38
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Spontaneous rupture of the spleen has been described in cases of hematologic, neoplasic and infectious diseases, or resulting from pancreatitis. We report a rare case of spontaneous splenic rupture, and favorable evolution after splenectomy, in a patient with dengue fever, which occurred during the last outbreak of dengue fever in Brazil.

 

Dengue fever has become a public health concern in Brazil since 1976, when Aedes aegypti, the arthropod vector of the causative virus, was again found in the country. The first epidemic was registered in Roraima, a state in the Amazon, in 1981 and 1982. Rio de Janeiro, which has the second largest Brazilian urban area, suffered its first outbreak in 1986 [1]. A patient infected by a second serotype may present dengue hemorrhagic fever, which can be lethal. Last summer there was a huge outbreak in Rio de Janeiro, with hundreds of patients presenting the hemorrhagic form and about 40 confirmed deaths. We report a case of dengue fever with splenic rupture, which occurred during the last dengue fever outbreak in Brazil.

Last Updated ( Thursday, 28 April 2011 07:03 )
 


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