This case report describes the rare complication of psoas muscle haematoma following posterior lumbar spine fixation and routine anti-thrombotic prophylaxis.
(p 35-37, Neurosurgery: March 2004)
We report the case of a woman from sub-Saharan Africa who presented with pyrexia, pulmonary lesions and a urinary tract infection (UTI). She was found to have multiple infections, i.e. Salmonella bovis bacteraemia, Escherichia coli UTI, and pulmonary nocardiosis. In the presence of lymphopaenia, a Human Immunodeficiency Virus (HIV) antibody test was performed and was...
(p 31-34, Infection and Immunity; Respiratory Medicine: February 2004)
A case is described presenting with aortic dissection who was found to have a significant infrarenal aortic aneurysm. Various treatment options were considered for both conditions including open operation, conservative management and stent repair. The paieint was managed conservatively for six months whilst the dissection ‘matured’ when the infrarenal aneurysm was...
(p 19-22, Vascular Disease: February 2004)
Foster Kennedy syndrome (FKS) is rare. It is characterised by the presence of ipsilateral optic atrophy, contralateral papilloedema and ipsilateral anosmia. Since its first description in 1911, it has never been reported in oligodendroglioma. Here we discuss the first case of a patient with oligodendroglioma presenting with FKS.
(p 27-30, Neurosurgery and oncology: January 2004)
The authors present an unusual case of penetrating chest trauma. This serves to remind clinicians that all possibilities should be considered when managing trauma victims and that seemingly serious injuries are increasingly treated in a conservative manner with a successful outcome.
(p 23-26, Trauma: January 2004)
A useful method of handling orthognathic treatment models is described that utilises magnetic attachment of study models to an articulator, allowing rapid and reliable manipulation between pre- and post-operative positions of the maxilla and/or mandible. Both the orthodontic and surgical staff can easily study planned surgical movements.
(p 16-18, Maxillofacial surgery: September 2003)
We describe an uncommon case of bladder calculus arising from a translocated intrauterine contraceptive devise (IUCD) in a 36-year-old female patient with a 5-year-old IUCD who consulted for recurrent episodes of cystitis. Her evaluation established a bladder calculus that warranted surgery. She underwent a cystolithotomy, which dislodged a calculus (8×6×4 cm) that was...
(p 13-15, Gynaecology: September 2003)
Centripetal enhancement of liver lesions on MRI scanning is an almost specific finding in the diagnosis of benign hemangiomata. The ability of MRI to produce higher temporal resolution of dynamic measurements shows that malignant liver lesions can also demonstrate centripetal enhancement. We report here a case of a malignant gastrointestinal stromal tumor (GIST) with a...
(p 8-12, Oncology and Radiology: June 2003)
A young woman presented with severe acute abdominal pain, superimposed on a past history of similar attacks. Ultrasonography revealed a small bowel intussusception. This was confirmed on laparotomy, and the lead lesion, an ileal polyp, was excised. Histology showed this to be a Peutz-Jeghers hamartoma. The possibility of intussusception should be kept in mind in adults...
(p 6-7, General surgery: June 2003)
Central venous cannulation via the internal jugular vein caused an unusual complication in a patient with a coaugulopathy. The formation of a non-clinically detectable haematoma, with secondary venous compression, resulted in the formation of glottic oedema, which caused significant upper airway obstruction.
(p 3-5, Anaesthesia and critical care: January 2003)
Inadvertent femoral nerve palsy has been previously described following ilioinguinal nerve block. At a time when increasing numbers of inguinal hernia repairs are being performed as day case procedures, it is important to raise the awareness of this potential complication. We present one such case, which required admission.
(p 1-2, General surgery and anaesthesia: January 2003)