Volume 2 Issue 7

Issue 7 Articles

Transverse Colonic Lymphoma: A Rapidly Progressing Disease

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Primary lymphoma of the colon accounts for only 0.2-1.2% of all malignant colonic tumours. The gastrointestinal tract is affected in 30-40% of all primary extra-nodal lymphomas [1, 2]. Early diagnosis may preclude severe complications, such as perforation, haemorrhage or intestinal obstruction [3]. However, in most cases, the diagnosis is late, due to the unspecific signs and symptoms. Colonic lymphomas are more common in male adults. In the Caucasian population, almost all primary colorectal lymphomas are...

A Still Uncommon Cause of Superior Vena Cava Syndrome

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Superior vena cava (SVC) syndrome is a medical emergency and itÂ’s commonly associated with thoracic malignancies, either because of direct invasion or extrinsic compression. With the increased use of intravascular devices, the overall incidence of device-related SVC syndrome has risen [1] A 48-year-old male with a history of colon adenocarcinoma under intravenous chemotherapy, presented in the emergency room with sudden chest pain and syncope. On examination, he was hypotensive, with plethoric face, neck and trunk...

Small Bowel Evisceration through the Groin by Penetrating Bull Horn Injury

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A 52-year-old man was admitted to the emergency department for penetratingtrauma in the upper part of his left thigh. This man was a shepherd and the circumstance of the trauma was a horn injury by a bull of his flock. His blood pressure was normal. The examination found an oblique linear wound with a length of approximately 8 cm, nonhemorrhagic at a depth of 12 cm (Figure 1). There was also a small bowel evisceration...

Retropharyngeal Haematoma: A Threaten to the Airway

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A retropharyngeal haematoma may constitute an immediately life threatening emergency due to airway compromise. In 1991, Thomas et al found only 29 cases described in the literature since1966. The most common cause istheblunt cervical trauma (in 38% of the cases) [1]. Other causes are the cervical hyperextension injury, cervical vertebrae fracture, cough, sneeze, strain, blunt head trauma, swallow of a foreign body, retropharyngeal infection, carotid artery aneurism, internal jugular vein puncture, metastatic disease, coagulopathy, anticoagulants,...

The Shoelace Technique after a Forearm Fasciotomy

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Deep burns that reach the subfascial planes of the limbs, increase the pressure in the muscular compartments, and may progress to a Compartment Syndrome. There is no specific cut-off value of pressure forthis diagnosis; consequently, the final decision to proceed with a fasciotomy relies on the clinical experience. Surgical debridement and fasciotomy may result in large wounds, sometimes difficult to close. Graftsand flaps result in another wounds and carry a risk of pain, infection, scar...