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JBJS Case Connect 2022 04 8;12(2). Epub 2022 Jun 8.

Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

Case: A 44-year-old man developed urinary retention due to a spontaneous spinal epidural hematoma (SSEH) at the cervicothoracic junction, without paraplegia. Symptoms improved with surgical treatment.

Conclusion: SSEH is rare and causes acute neck or back pain and progressive paralysis. Read More

Int J Surg Case Rep 2022 Jun 4;95:107150. Epub 2022 May 4.

Department of Surgery, St. Joseph's University Medical Center, Paterson, NJ, United States of America.

Introduction And Importance: Traumatic bladder rupture is a rare occurrence. It is more likely to occur following blunt injury and is associated with pelvic fractures in patients presenting with hematuria. We present a unique case of an extraperitoneal bladder rupture in a female after sustaining a minor fall in the absence of a pelvic fracture. Read More

Cureus 2022 Mar 31;14(3):e23675. Epub 2022 Mar 31.

Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, USA.

Arachnoiditis is a relatively rare condition and can result in long-term chronic and debilitating complications if not diagnosed early and treated properly. However, diagnosis of arachnoiditis is rare and knowledge of potential causes of this condition is still sparse. Current known causes of arachnoiditis include infections, trauma, spinal tumors, and iatrogenic causes induced via neurological interventions. Read More

Medicine (Baltimore) 2022 Apr 22;101(16):e29188. Epub 2022 Apr 22.

Princess Alexandra Hospital, Woolloongabba Queensland, Australia.

Rationale: Surfer's myelopathy is a rare atraumatic spinal cord injury most frequently experienced by novice surfers. Patients often experience back pain, followed by motor, sensory, bowel, and bladder involvement. Here, we report a case of surfer's myelopathy. Read More

J Spine Surg 2022 Mar;8(1):62-69

Department of Pathology, University of Toledo Medical Center, Toledo, Ohio, USA.

Background: Spondylodiscitis secondary to () is a rare primary infection of the spine, with a few case reports highlighted. Treatment of this infection is not well established but here we discuss a case where a patient recovered well following early aggressive surgical intervention and antibiotic treatment.

Case Description: A 32-year-old male presented with a 3-month history of worsening low back pain, Horner's syndrome, dysphagia, lower extremity weakness, and a 5-day history of bowel and bladder incontinence. Read More

Can J Urol 2022 04;29(2):11101-11110

Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Introduction: Utilizing a physician-reported survey, we assessed general surgeons (GS) comfort level in the management of bladder trauma, from a GS and urologist's perspective.

Materials And Methods: Online questionnaires were distributed electronically to physicians of the American College of Surgeons and American Urological Association. This survey queried demographic data, clinical factors that may influence urology consultations, and bladder injury scenarios of varying severities. Read More

BMJ Case Rep 2022 Apr 6;15(4). Epub 2022 Apr 6.

Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

A 36-year-old woman presented with problems of lower urinary tract symptoms for 2 years duration. Patient was being managed as a case of urethral stricture with routine calibration. Micturating cystourethrogram showed failure of bladder neck to open. Read More

Mil Med 2022 Mar 12. Epub 2022 Mar 12.

Doctor of Physical Therapy Program, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Introduction: Spine pain is one of the largest and costliest burdens to our healthcare systems. While evidence-based guidelines for spine pain have been established, and continue to evolve, the actual management of this condition continues to burden the healthcare system. This has led to increased costs due to inefficient entry to healthcare, utilization of treatments unsupported by clinical guidelines, and patient navigation through our healthcare systems. Read More

Asian J Surg 2022 05 10;45(5):1180-1181. Epub 2022 Mar 10.

Department of Urology, Anhui Provincial Children's Hospital and Children's Hospital of Anhui Medical University, Hefei, Anhui, PR China. Electronic address:

JRSM Open 2022 Mar 9;13(3):20542704221077556. Epub 2022 Mar 9.

Department of Urology, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Farnborough Common, Orpington BR6 8ND, UK.

Spontaneous ureteric rupture is a rare phenomenon which can be traumatic or non-traumatic that may arise from ureteric obstruction, trauma, mucosal inflammation from urolithiasis, connective tissue disease or retroperitoneal fibrosis. High pressure chronic retention is characterised by noctural enuresis, a tense palpable bladder, hypertension, progressive renal impairment, bilateral hydronephrosis and hydroureter on imaging. Obstructive urological symptoms are typically absent in uncomplicated cases. Read More

Case Rep Womens Health 2022 Apr 19;34:e00402. Epub 2022 Feb 19.

University of Arizona, College of Medicine Department of Emergency Medicine, 1501 N. Campbell Ave, Tucson, AZ 857244, United States of America.

Introduction: This report presents an unusual case of severe post-coital abdominal pain and signs of hemorrhagic shock requiring admission to a surgical intensive care unit (SICU) and emergent laparoscopy. This case was unique given the timing and progression of the patient's symptoms, as well as her age, surgical history, and symptomatic progression. Here we document the notable characteristics and treatment of this patient. Read More

J Vet Emerg Crit Care (San Antonio) 2022 May 24;32(3):334-340. Epub 2022 Feb 24.

Department of Emergency and Critical Care, The Animal Medical Center, New York, New York, USA.

Objective: To compare the diagnostic utility of traditional diagnostic tests (ie, radiographs and focused assessment using sonography for trauma [FAST] scans) to whole-body computed tomography (WBCT) for characterizing injuries in polytrauma patients. A secondary objective was to compare costs of traditional diagnostic tests to WBCT.

Design: Prospective, observational study. Read More

Spinal Cord 2022 05 23;60(5):408-413. Epub 2022 Feb 23.

University of British Columbia, Vancouver, BC, Canada.

Study Design: Retrospective anonymized cohort study.

Objectives: To study X-ray images of video urodynamics (VUD) in patients with spinal cord injury (SCI).

Setting: Single-center study. Read More

Cureus 2022 Jan 11;14(1):e21121. Epub 2022 Jan 11.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Inguinal hernia is a prevalent surgical condition worldwide. The hernia sac typically contains the omentum and small intestine. However, it has been reported that some other organs might be seen, including the ovary, fallopian tube, bladder, and colon. Read More

BMJ Case Rep 2022 Feb 9;15(2). Epub 2022 Feb 9.

Surgery, Ziekenhuis Gelderse Vallei, Ede, The Netherlands

The urinary bladder is less susceptible to traumatic injury than other abdominal organs, due to its anatomical location behind the pubic bone. As a result, intraperitoneal urinary bladder ruptures are a rare consequence of blunt abdominal trauma and most often occur in the context of high energy and multitraumas. However, a distended bladder is more vulnerable to burst rupture even from a minor trauma, and in case of an isolated bladder injury, presentation can be delayed. Read More

Einstein (Sao Paulo) 2022 7;20:eRC5743. Epub 2022 Feb 7.

Centro Universitário FMABC, Santo André, SP, Brazil.

Migration of foreign bodies into the urinary tract is a rare event. In certain instances, to unravel the way that objects arrived in the urinary tract is not easy. We report the case of an accidentally swallowed wooden toothpick that migrated and was found in the left ureterovesical junction, protruding into the bladder. Read More

Cureus 2021 Dec 24;13(12):e20671. Epub 2021 Dec 24.

Department of Orthopaedic Surgery and Rehabilitation, University of New Mexico School of Medicine, Albuquerque, USA.

A 58-year-old male who underwent left total hip arthroplasty in 1988 for post-traumatic arthritis after an operatively-treated acetabular fracture presented with progressive left hip pain, lower extremity swelling, urinary urgency, constipation, and tenesmus (the feeling of needing to pass stool despite having an empty colon). Imaging demonstrated massive pseudotumor causing iliac vein compression and significant displacement of the rectum and bladder requiring decompression in combination with general surgery followed by revision hip arthroplasty four months later. This case highlights a unique constellation of symptoms due to pseudotumor after total hip arthroplasty, as well as the severity to which pseudotumor can progress, requiring staged decompression with general surgery before revision. Read More

Int Orthop 2022 04 7;46(4):897-909. Epub 2022 Jan 7.

Orthopaedic Department, Assiut University Hospital, Assiut, Egypt.

Purpose: This study aimed to report the early experience (radiographic, functional, and complications outcomes) from an Egyptian (North African) level one trauma centre after utilizing the modified Stoppa and the pararectus approaches to manage anterior-associated types of acetabular fractures.

Patients And Methods: Between January 2014 and April 2018, 63 patients (40 males and 23 females) with a mean age of 33 ± 11.5 were included, 45 patients were treated through the modified Stoppa (group A), and 18 through the pararectus approach (group B). Read More

Radiother Oncol 2022 02 28;167:127-132. Epub 2021 Dec 28.

University Medical Center Utrecht, Radiation Oncology, The Netherlands; Radboud University Medical Center, Radiation Oncology, Nijmegen, The Netherlands. Electronic address:

Purpose Or Objectives: The FLAME trial (NCT01168479) showed that by adding a focal boost to conventional fractionated EBRT in the treatment of localized prostate cancer, the five-year biochemical disease-free survival increased, without significantly increasing toxicity. The aim of the present study was to investigate the association between radiation dose to the bladder and urethra and genitourinary (GU) toxicity grade ≥2 in the entire cohort.

Material And Methods: The dose-effect relations of the urethra and bladder dose, separately, and GU toxicity grade ≥2 (CTCAE 3. Read More

Case Rep Oncol 2021 Sep-Dec;14(3):1586-1590. Epub 2021 Nov 8.

Trauma and Orthopaedic Department, Nottingham University Hospitals, Nottingham, United Kingdom.

One of the most common cancers amongst women is breast cancer. The most common metastatic sites are the lymph nodes, lungs, liver, and bone. Metastatic spread to the urinary bladder is rare, and this case, as far as we are aware, is the first reported in the Caribbean. Read More

Appl Radiat Isot 2022 Feb 13;180:110065. Epub 2021 Dec 13.

Faculty of Physics, University of Science and Technology Houari Boumediene, USTHB, BP 32 EL ALIA, BAB EZZOUAR, Algiers, Algeria.

The present study aimed to evaluate organ doses and related risk for cancer from scattered neutrons involving 3D Conformational Radiotherapy (3D-CRT) for patients with prostate cancer in Algeria based on Monte Carlo technique and to estimate the secondary cancer risks. To this purpose, a detailed geometric Monte Carlo (MC) modeling of the LINAC Varian 2100C combined with a computational whole-body phantom was carried out. The neutron equivalent doses were calculated in-field and out-of field of patient's organs using the phase-space method. Read More

Ann R Coll Surg Engl 2022 Feb 20;104(2):e35-e36. Epub 2021 Dec 20.

PGIMER, Chandigarh, India.

Extraperitoneal bladder rupture is the most common type of bladder injury following pelvic trauma and is seen in 80-90% of cases. Generally, the contrast extravasation seen on computed tomography (CT) cystography is confined to the perivesical space, giving a characteristic flame-shaped appearance. Occasionally contrast extravasation can extend to the scrotum, thigh or anterior abdominal wall, depending on the extent of injury. Read More

G Ital Nefrol 2021 Dec 16;38(6). Epub 2021 Dec 16.

Nephrology and Dialysis Unit - Ospedale "M. Bufalini", Cesena, Italy.

Acute Kidney Injury (AKI) is described as a rapid decline in Glomerular Filtration Rate (GFR), reflected by an increase in serum creatinine (SCr) and/or contraction of diuresis. The traditional paradigm considers pre-renal, renal and post-renal causes of AKI. However, there are some settings in which an elevated SCr does not reflect a real decline in GFR. Read More

Annu Int Conf IEEE Eng Med Biol Soc 2021 11;2021:1218-1221

Despite extensive research on spinal cord injury (SCI) therapies for the recovery of motor, sensory and autonomic function, currently there are no effective treatments to completely restore tissue structure and function. In this work, a polylactic acid (PLA) fibrillar scaffold coated with pyrrole plasma polymer doped with iodine (pPPy/I), was studied as therapeutic strategy in a SCI transection model. Magnetic resonance imaging (MRI) was used to evaluate tissue response to the implant. Read More

J Int Med Res 2021 Dec;49(12):3000605211063315

Department of Emergency and Critical Care Medicine, 38088Kitasato University School of Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0375, Japan.

Objective: Transcatheter arterial embolization (TAE) of bilateral internal iliac arteries (IIAs) in patients with a hemodynamically unstable pelvic fracture is associated with a low mortality rate. The persistence of unstable hemodynamics after IIA embolization indicates the involvement of other arteries, such as the median sacral artery (MSA). This study aimed to evaluate the efficacy of MSA embolization. Read More

Ann R Coll Surg Engl 2022 Feb 26;104(2):35-36. Epub 2021 Nov 26.

PGIMER, Chandigarh, India.

Extraperitoneal bladder rupture is the most common type of bladder injury following pelvic trauma and is seen in 80-90% of cases. Generally, the contrast extravasation seen on computed tomography (CT) cystography is confined to the perivesical space, giving a characteristic flame-shaped appearance. Occasionally contrast extravasation can extend to the scrotum, thigh or anterior abdominal wall, depending on the extent of injury. Read More

Cureus 2021 Oct 19;13(10):e18913. Epub 2021 Oct 19.

Emergency, Critical Care and Disaster, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama, JPN.

Spontaneous bladder rupture is an uncommon and life-threatening urological emergency, and early diagnosis is often challenging. Herein, we report a case of intraperitoneal bladder rupture in an 81-year-old male with neurogenic bladder-the case of intraperitoneal bladder rupture required late laparotomy for pelvic abscess following initial conservative treatment. An eighty-one-year-old male presented to our emergency department with deterioration of consciousness, fever, and hematuria. Read More

Surg Endosc 2022 02 22;36(2):871-880. Epub 2021 Nov 22.

Department of Liver Transplant and Hepato-Pancreato-Biliary Surgery, Institute of Liver and Biliary Sciences, D-1, Acharya Shree Tulsi Marg, Vasant Kunj, New Delhi, 110070, India.

Objective: To acquaint with the presentation and management of the cystic artery aneurysm by enriching the reviewed literature with our own experience.

Background: Cystic artery pseudoaneurysm is an uncommon entity with varied clinical presentation. Inflammation and trauma are associated with most of the cases. Read More

Childs Nerv Syst 2022 02 22;38(2):361-377. Epub 2021 Nov 22.

Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.

Objective: Cervical kyphosis is rare in the pediatric population. It may be syndromic or acquired secondary to laminectomy, neoplasia, or trauma. Regardless, this should be avoided to prevent progressive spinal deformity and neurological deficit. Read More

J Am Vet Med Assoc 2021 11 10;259(12):1446-1451. Epub 2021 Nov 10.

From the Department of Veterinary Clinical Medicine, Veterinary Teaching Hospital, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61802.

Case Description: A 3-year-old 31.1-kg castrated male mixed-breed dog was evaluated because of a 1- to 2-week history of paraparesis, knuckling of the hind feet, and difficulty posturing to urinate or defecate.

Clinical Findings: The dog was paraparetic but weakly ambulatory with a kyphotic posture, a mildly decreased patellar reflex in the right pelvic limb, increased tone in both pelvic limbs, and marked hyperesthesia on paraspinal palpation of the lumbar region. Read More