1/109. Inappropriate implantable defibrillator discharge caused by a retained pacemaker lead fragment.INTRODUCTION: Inappropriate discharge is still a major issue of implantable cardioverter defibrillator therapy. The diagnostic options of modern devices facilitate classification of the underlying abnormality. methods AND RESULTS: A 65-year-old woman with depressed left ventricular performance received spurious shocks from an ICD, implanted for ventricular tachycardia. A lead fragment of an explanted VVI pacemaker system could be identified as cause of erroneous ventricular fibrillation detection by the ICD. The electrical noise caused by interaction between the lead remnant and the ICD lead was detectable even on the surface ECG. CONCLUSION: Based on our findings, removal of fragmented lead material should be considered prior to ICD implantation, to avoid potentially adverse and harmful interactions with ICD systems.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
2/109. Intrathoracic gossypiboma: magnetic resonance features.Gossypiboma, a term used to describe a mass within the body composed of a cotton matrix which usually refers to a retained surgical sponge, is a rare complication of cardiac surgery. We report one case revealed by the recurrence of the anginal symptoms after successful myocardial revascularisation surgery. The preoperative diagnosis was suspected by a combination of imaging techniques and subsequently confirmed by surgical removal. We review the literature to summarise the diagnostic and therapeutic features of gossypibomas.- - - - - - - - - - ranking = 13.172271695193keywords = cotton (Clic here for more details about this article) |
3/109. argyria caused by an earring.The staining of skin by silver is termed argyria and is grey-blue in colour. This may be caused by a number of mechanisms such as ingestion and direct implantation. We report an unusual case, caused by an impacted earring, where the skin discoloration was not entirely typical of argyria. This may have been due to copper impurities present in the earring. The literature on the subject is also reviewed.- - - - - - - - - - ranking = 0.125keywords = plant (Clic here for more details about this article) |
4/109. Pitfalls associated with fixation of osteochondritis dissecans fragments using bioabsorbable screws.The purpose of this study was to evaluate 2 cases in which bioabsorbable screw fixation for an osteochondritis dissecans lesion of the femoral condyle resulted in complications necessitating the need for secondary surgery. We reviewed the case history of these patients and described the circumstances under which the bioabsorbable screws were used, the events leading to the need for secondary surgery, and the ultimate outcome. In the 2 cases presented, these implants were found to retain their mechanical stiffness for many months. This resulted in articular damage in 1 case after the treated lesion failed to heal. In the second case, screw breakage 8 months after implantation resulted in it becoming a loose body, which required removal during a second arthroscopic procedure. We conclude that these implants retain their mechanical properties for many months and cannot be relied on to degrade quickly. If a treated lesion fails to heal, these implants can cause mechanical problems due to their retained structural properties.- - - - - - - - - - ranking = 0.5keywords = plant (Clic here for more details about this article) |
5/109. Gossypiboma--"a surgeon's legacy": report of a case and review of the literature.Gossypiboma (from Latin gossipium cotton and Kiswahili boma place of concealment) or retained surgical sponge is a ubiquitous medical error that is avoidable. It can cause serious morbidity and possibly even mortality. Because it is not anticipated, it is frequently misdiagnosed, and often-unnecessary radical surgical procedures are performed. It should be considered in the differential diagnosis of any postoperative case with unresolved or unusual problems.- - - - - - - - - - ranking = 13.172271695193keywords = cotton (Clic here for more details about this article) |
6/109. Accidental ingestion of cotton bud stick during alcohol intoxication: an unusual cause of caecal perforation.A first reported case of caecal perforation by an ingested blunt foreign body is described. This 31-year-old female did not relate a history of accidental swallowing of a cotton bud stick on admission. The cause of her right iliac fossa pain (i.e. caecal perforation by a cotton bud stick) became only apparent when she underwent operation for suspected appendicitis. A simple closure of this caecal perforation was undertaken. The patient made a complete recovery from this ordeal. Caecal perforation by an ingested blunt foreign body can occur after it has safely negotiated the ileocaecal valve.- - - - - - - - - - ranking = 79.033630171156keywords = cotton (Clic here for more details about this article) |
7/109. airway management of a patient with facial trauma.airway management in patients with facial trauma is usually challenging. In this case, we report the airway management of a patient who had multiple midface fractures and a two-inch tree limb implanted into his face.- - - - - - - - - - ranking = 0.125keywords = plant (Clic here for more details about this article) |
8/109. Accidental implantation of a bur tip in the elbow of a dentist. A possible pathway for inoculation with deadly infectious agent.The most common source of occupational injury to dentists is percutaneous puncture of the hands from "sharps". We report a percutaneous injury involving a dentist where the tip of a dental bur became implanted in his elbow. The dentist had been vaccinated against hepatitis b and both the patient and dentist were hiv and hepatitis b seronegative immediately after the incident. Surgical exploration of the dentist's elbow the following day was unsuccessful in locating the bur tip. The dentist remains healthy and is not incapacitated as a result of the injury, despite retention of the bur tip. This accident has implications for modifying the design of present and future dental units. We are not aware of a previous report of this type of injury.- - - - - - - - - - ranking = 0.625keywords = plant (Clic here for more details about this article) |
9/109. Foreign-body-induced otitis media: a case report.Unilateral ear discharge is one of the usual complaints of the patients who visited the otolaryngology clinics, especially those patients who suffered from external or middle ear disease. We present a 33-year-old female patient who suffered from persistent ear discharge of the left ear. The local findings showed a yellowish to greenish discharge and fetid odor from her left ear canal, occupied by a large amount of granulation tissue. Wide removal of the diseased granulation tissue and tympanoplasty were performed in the patient. Four pieces of cotton were found in the external auditory canal and middle ear cavity during the operation. For more than 2 years of follow-up at our clinic, the patient has had a dry ear and her hearing ability also improved. Foreign-body-induced otitis media in adults is very rare. Therefore, we present this rare case and review the reported literature so that the clinical symptoms and signs, imaging findings, clinical treatment, prognosis, and hearing change in foreign-body-induced otitis media may be recognized and understood.- - - - - - - - - - ranking = 13.172271695193keywords = cotton (Clic here for more details about this article) |
10/109. An unusual mode of injury-implantation of a broken toothbrush medial to ramus: report of a case.Impalement injury and implantation of a foreign body in the oral cavity is common in young children. Typically the child falls with the foreign body in the mouth resulting in implantation of the object at various sites in the oral cavity. It is quite unusual to have the head of a toothbrush with bristles implanted fully in the soft tissue medial to the ramus, in the region of pterygomandibular space, following an injury with a cricket ball without a history of fall. A case of an unusual foreign body implanted at an unusual site by an unusual injury is being presented.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
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