49,200 results match your criteria rare complication


Diamond-shaped flap anoplasty for severe anal stenosis: a video vignette.

Colorectal Dis 2021 Apr 13. Epub 2021 Apr 13.

Memorial Ankara Hospital, Department of General Surgery.

Anal stenosis is a rare but severe complication of hemorrhoidectomy and a surgical approach may be necessary to correct the deformity. Here we demonstrate the technique of diamond-shaped flap anoplasty in a patient with severe, post-hemorrhoidectomy, anal stenosis. Read More

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Serious bronchospasm induced by cisatracurium besylate: A case report.

Medicine (Baltimore) 2021 Apr;100(15):e25516

Department of Anesthesiology, China-Japan Union Hospital of Jilin University, Changchun, China.

Rationale: Cis-atracurium as an intermediate-acting non-depolarizing neuromuscular blocker is widely used clinically with less causing cyclic fluctuations and less histamine release. As the use rate increases, allergic reactions and anaphylactoid reactions caused by cis-atracurium increase.

Patient Concerns: A 23-year-old woman underwent laparoscopic bariatric surgery. Read More

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[Transcatheter closure of ventricular septal defect: how and when?]

G Ital Cardiol (Rome) 2021 Mar;22(3):43-45

U.O.C. Cardiologia, Dipartimento Cardiovascolare - AUSL Romagna, Ospedale Santa Maria delle Croci, Ravenna.

Ventricular septal defect (VSD) is a rare but clinically severe complication of acute myocardial infarction. Although cardiac surgery is the gold standard to correct post-infarction VSD, transcatheter closure represents an effective therapeutic alternative in selected cases. However, the correct timing for VSD correction is a matter of debate. Read More

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Aortic floating thrombi with lower limb ischemia and renal infarct in COVID-19: A remote thromboembolic complication.

Turk Kardiyol Dern Ars 2021 Apr;49(3):233-236

Department of Vascular Surgery, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, İstanbul, Turkey.

Summary- As the COVID-19 pandemic continues, its novel complications are being increasingly recognized, and new mechanisms of the disease are being unraveled. Aortic free-floating thrombus is exceptionally rare, and prompt diagnosis is vital to alleviate its detrimental end organ effects. We present a patient who was previously discharged owing to COVID-19 pneumonia, admitted with acute onset of lower limb pain, and was diagnosed with aortic free-floating thrombus ended up with embolic events. Read More

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Rare bile leak from left triangular ligament.

BMJ Case Rep 2021 Apr 12;14(4). Epub 2021 Apr 12.

Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Variations of the biliary system present challenges to abdominal operations and can affect postoperative outcomes. Bile leak is an uncommon complication of total gastrectomy. However, any procedure that involves mobilisation of the left lobes of the liver should be executed with additional caution. Read More

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Splenic Artery Embolization for Treatment of Iatrogenic Kasabach-Merritt Phenomenon Following Failed Endovascular Splenic Artery Aneurysm Repair.

Vasc Endovascular Surg 2021 Apr 13:15385744211003470. Epub 2021 Apr 13.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Minnesota, MN, USA.

Stent grafts are utilized to treat and exclude visceral arterial aneurysms while preserving flow through the vessel. Stent-associated thrombocytopenia is a rare complication not typically seen with modern stents. The following case describes the clinical presentation of stent kinking and consumptive coagulopathy. Read More

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Arterial vascular access complication in osteogenesis imperfecta.

J Vasc Access 2021 Apr 12:11297298211009989. Epub 2021 Apr 12.

Department of Cardiology, Bedford Hospital, Bedford, UK.

We present a case of the catastrophic bleeding from the femoral access site after an uncomplicated puncture in a patient with Type 1 osteogenesis imperfecta (OI) undergoing coronary angiogram via the femoral route. This had to be treated with a covered stent at the puncture site. This is an extremely rare complication in OI. Read More

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Is vitamin K a treatment choice for atypical femoral fractures in patients with secondary osteoporosis?

J Int Med Res 2021 Apr;49(4):3000605211001643

Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China.

An atypical femoral fracture (AFF) is a rare complication associated with excessive inhibition of osteoclast expression during treatment of osteoporosis. We herein describe a patient who had been treated with alendronate for more than 10 years and subsequently developed an AFF that healed after treatment with vitamin K (VK2). We also discuss the potential beneficial effects of VK2 on the healing of AFFs. Read More

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Numbness of the lower lip following urological surgery under general anesthesia - A case report.

Anesth Pain Med (Seoul) 2021 Apr 8. Epub 2021 Apr 8.

Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.

Background: Peripheral nerve injury is a complication that can occur after general anesthesia. It significantly impairs the patient's quality of life and may lead to permanent disability. Nerves in several areas can be damaged during the perioperative period, but it is very rare that numbness of the lower lip is caused after general anesthesia. Read More

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Hypoglycemia after bariatric surgery: importance of exhaustive hormonal study.

Endocrinol Diabetes Metab Case Rep 2021 Mar 20;2021. Epub 2021 Mar 20.

Endocrinology and Nutrition, Hospital Universitari Germans Trias I Pujol, Badalona, Spain.

Summary: Hypoglycemia is an uncommon clinical problem in non-diabetic patients or patients not being treated for diabetes mellitus. It is a rare, but well-established complication of bariatric surgery and, in some cases, it can be the only symptom of another medical problem. A 50-year-old woman with a history of partially recovered hypopituitarism after transsphenoidal surgery for a non-functioning pituitary macroadenoma complained about symptomatic hypoglycemia after sleeve gastrectomy surgery. Read More

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Successful Treatment of Protein-Losing Enteropathy After Superior Mesenteric Artery Occlusion without Surgery.

Am J Case Rep 2021 Apr 12;22:e931114. Epub 2021 Apr 12.

Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.

BACKGROUND Protein-losing enteropathy as a complication of superior mesenteric artery occlusion is extremely rare and severe, and sometimes requires intestinal resection. However, the ideal treatment strategy has not yet been determined. CASE REPORT A 77-year-old man with underlying hypertension and diabetes was admitted to the Emergency Department with acute abdominal pain after eating. Read More

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Combined approach with negative pressure wound therapy and biological mesh for treatment of enterocutaneous fistula after synthetic mesh repair of incisional hernia. A case report.

Ann Ital Chir 2021 Apr 12;10. Epub 2021 Apr 12.

Aim: Enterocutaneous fistula is a rare but severe complication of prosthetic incisional hernia repair. Management requires re-exploration with intestinal repair/resection and mesh removal. Repair of the parietal defect in this contaminated field is challenging. Read More

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Portal Vein Thrombosis-a Rare Complication of SARS-CoV-2 Infection.

SN Compr Clin Med 2021 Apr 7:1-4. Epub 2021 Apr 7.

Military Hospital Ramgarh, Jharkand, India.

The SARS-CoV-2 is the causative organism for COVID-19 disease. It primarily affects the respiratory system. With time, some new extra-pulmonary manifestations of COVID-19 disease have been identified. Read More

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Axillary mass in a woman with progressive exertional limbs numbness and fatigue: a case report.

Gland Surg 2021 Mar;10(3):1154-1157

Department of General Surgery, China-Japan Friendship Hospital, Beijing, China.

Occult breast cancer (OBC) is a very rare type of breast cancer which accounts for only 0.2% to 0.9% of all breast cancer defined as histologically proven breast cancer found from outside the breast especially axillary with the absence of a primary tumor in the breast. Read More

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Late onset penile abscess after 4 years from hyaluronic acid injection. A rare case report.

Urol Case Rep 2021 Jul 8;37:101632. Epub 2021 Mar 8.

Department Urology-Surgery, King Abdullah International Medical Research Center, King Saud bin AbdulAziz University for Health Sciences, King Abdulaziz National Guard Hospital, Saudi Arabia.

Penile Augmentation is a debatable issue among men community. Even though Self-conviction of penile size affected by many Factors. Many men seek it just to get confident. Read More

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Intraoperative Kirschner Wire Breakage in a Pediatric Supracondylar Humerus Fracture.

Cureus 2021 Mar 10;13(3):e13794. Epub 2021 Mar 10.

Blooming Buds Centre for Pediatric Orthopaedics, Deenanath Mangeshkar Hospital and Research Centre, Pune, IND.

A displaced supracondylar humerus in a child is usually treated with closed reduction and percutaneous Kirschner (K)-wire fixation. The procedure is straightforward and usually yields excellent outcomes. In general, intraoperative complications are uncommon and intraoperative complications related to K-wires are exceedingly rare. Read More

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Surgical management for unruptured sinus of Valsalva aneurysms: a narrative review of the literature.

J Thorac Dis 2021 Mar;13(3):1833-1850

Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.

Unruptured sinus of Valsalva aneurysms (SVAs) are rare cardiac lesions that arise due to congenital or acquired etiologies. They could be asymptomatic or cause various clinical manifestations as a consequence of their mass effect on the coronary arteries, heart valves, and other adjacent structures. While the factors predicting SVA rupture are not fully understood, ruptured SVAs carry a high complication and mortality rate, highlighting the need for early recognition and management of unruptured SVAs. Read More

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Complement C5 inhibition reverses bleomycin-induced thrombotic microangiopathy.

Clin Kidney J 2021 Apr 9;14(4):1275-1276. Epub 2020 Jul 9.

Department of Nephrology and Organ Transplantation, Centre for Rare Renal Diseases, University Hospital of Toulouse, Toulouse, France.

Whether C5 blocking may improve the outcomes of patients developing chemotherapy-induced thrombotic microangiopathy (TMA) remains elusive. Lung fibrosis is a well-known complication of bleomycin, whereas TMAs are very rare (<20 cases described). Here, we report an exceptional case of a male patient that developed acute respiratory distress syndrome and TMA following administration of bleomycin, cisplatin and etoposide . Read More

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Giant deep vein thrombus complicating endovascular cooling therapy after cardiac arrest in a boy with hypertrophic cardiomyopathy.

J Cardiol Cases 2021 Apr 19;23(4):189-191. Epub 2021 Feb 19.

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

Mild hypothermia therapy (33-36 °C) is useful in preventing anoxic brain injury occurring after return of spontaneous circulation among survivors of cardiac arrest. Adverse events generally include bleeding, pneumonia, bradycardia, and deep vein thrombosis (DVT). However, one rare complication is huge DVT. Read More

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Clinical Significance of Retinal Vascular Occlusion in Moyamoya Disease: Case Series and Systematic Review.

Retina 2021 Apr 1. Epub 2021 Apr 1.

Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonseiro, Seodaemun-gu, Seoul, Republic of Korea Department of Neurology, Severance Stroke Center, Yonsei University College of Medicine, 50-1, Yonseiro, Seodaemun-gu, Seoul, Republic of Korea Department of Pediatric Neurosurgery, Severance Children's Hospital, Yonsei University College of Medicine, 50-1, Yonseiro, Seodaemun-gu, Seoul, Republic of Korea.

Purpose: Although moyamoya disease (MMD) primarily affects the carotid artery in the ophthalmic artery bifurcation area, retinal vascular abnormalities in MMD have rarely been reported. The purpose of this report is to describe clinical findings of patients with retinal vascular occlusion in moyamoya patients and present its clinical significance.

Methods: We reviewed and analyzed moyamoya patients with retinal vascular occlusions. Read More

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