1/6. life-threatening hemorrhage of an unanticipated superficial circumflex iliac artery origin imaged with Tc-99m-labeled erythrocytes.The authors report, for the first time, the nuclear medicine diagnosis of extraperitoneal bleeding that originated from the superficial circumflex iliac artery and review the critical role of dynamic nuclear imaging techniques in the localization of sites of nonenteric hemorrhage. Dynamic imaging techniques using Tc-99m-labeled erythrocytes played a critical role in the localization of an extraperitoneal bleeding site near the entrance site of a Jackson-Pratt drain. Localization of the site remained undiagnosed before nuclear imaging despite two exploratory laparotomies and diagnostic angiography.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
2/6. anesthesia following overfilling of a root canal sealer into the mandibular canal: a case report.The surgical treatment of a case of anesthesia that occurred with the extrusion of Endomethasone root canal sealer into the mandibular canal is presented. Endomethasone is a neurotoxic root canal sealer containing paraformaldehyde and eugenol. The literature indicates immediate surgical decompression on the extrusion of Endomethasone into the mandibular canal. In our case, the decompression surgery was done 3 weeks after the endodontic mishap. The nearly complete resolution of anesthesia 4 months following the decompression surgery suggests that the neurotoxic effects of Endomethasone are still reversible after 3 weeks.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
3/6. life-threatening intraperitoneal bleeding: demonstration with CT.The authors report a case in which computed tomography (CT) demonstrated life-threatening peritoneal hemorrhage from severe trauma. CT scans through the upper abdomen showed focal collection of extravasated contrast material; scans through the lower abdomen revealed a large hemoperitoneum with highest attenuation values near the site of contrast material extravasation. Upon recognition of this sign, the trauma radiologist can speed the patient to appropriate emergency surgery.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
4/6. Peroperative anisocoria after extravasal loss of i.v. fluids in the neck.A case is presented of a patient who developed unequal pupils peroperatively after extravasal loss of IV fluids in the neck. The reason for this loss was a malpositioned catheter near the internal jugular vein. Causes of peroperative anisocoria are discussed, and a new explanation is proposed for this particular case.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
5/6. Soft tissue injury associated with intravenous phenytoin in a neonate.A term baby with neonatal convulsions secondary to birth asphyxia was given i.v. phenytoin via a cannula in the dorsum of the hand at 17 h of age. She developed a blue discolouration in the tissues surrounding the i.v. site. The infusion was aborted but the discolouration gradually spread to the rest of the hand. Twenty hours later, improvement could be detected although a blister appeared near the i.v. site. A further attempt two days later to administer phenytoin via an i.v. cannula sited in the left foot was aborted after the appearance of a similar reaction.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
6/6. Intraosseous extravasation complication reports.We report two cases of severe complications from intraosseous infusions. One child was a sudden infant death syndrome patient who developed severe tissue necrosis after intraosseous placement. The second child was a near drowning who developed a compartment syndrome requiring fasciotomy. Extravasation is a potentially major complication that resulted in these limb-threatening events. Intraosseous infusion remains an important resuscitation modality, but great care must be taken to avoid these results. Strategies for avoiding extravasation are discussed.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |