1/5. CT angiography before embolization for hemorrhage in head and neck cancer.We present a patient with advanced head and neck carcinoma and a bleeding pseudoaneurysm diagnosed by means of CT angiography; this was not apparent on conventional digital subtraction angiograms. The information provided by CT angiography facilitated rapid identification of the pseudoaneurysm and treatment with embolization. CT angiography may be helpful before embolization in cases of hemorrhage in head and neck cancer.- - - - - - - - - - ranking = 1keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
2/5. Disseminated intravascular coagulopathy: manifestations after a routine dental extraction.Clinical signs and symptoms of acute disseminated intravascular coagulopathy (DIC) include bleeding from body orifices, such as the nose, mouth, or ear, bleeding from an intravenous (IV) site, areas of ecchymosis, or blood in the urine or stool. The underlying disease triggering DIC usually determines the clinical presentation. However, patients with chronic DIC (compensated DIC) may possess subclinical signs and symptoms, and the bleeding disorder may only be identified through laboratory findings. In this compensated form, the triggering factor is exposed slowly and in small amounts (seen in malignancies and vasculitis), allowing replenishing of the augmented factors by the liver, adequate reticuloendothelial clearance of fibrin degradation products, and increased production of platelets, which prevent secondary fibrinolysis and the signs of bleeding. 1,4 We report a case of an 82-year-old male who presented to the emergency room 24 hours after a routine dental extraction with bleeding from the tooth socket, severe hypotension, and presence of ecchymosis on his chest. Clinical and radiographic exam revealed multiple thoracic and abdominal aortic aneurysms, as well as infrarenal and iliac aneurysms, continuous oral hemorrhage, and a unique presentation rarely documented in the literature: a bleeding tooth socket as the initial clinical sign and presentation of DIC.- - - - - - - - - - ranking = 0.021210105649701keywords = aneurysm (Clic here for more details about this article) |
3/5. Postmentoplasty hemorrhage from pseudoaneurysm of the inferior labial artery.A 29-year-old woman underwent rhinoplasty and augmentation mentoplasty. She subsequently developed a pseudoaneurysm of the inferior labial artery. This was responsible for three episodes of delayed, major postoperative bleeding before the lesion was identified and the aneurysm ligated. She has had no further episodes of bleeding.- - - - - - - - - - ranking = 2.5106050528249keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/5. Disseminated intravascular coagulopathy presenting as a bleeding tooth socket.Disseminated intravascular coagulopathy (DIC) was diagnosed during haematological investigation of a patient with a persistent bleeding tooth socket. On further clinical examination an abdominal aortic aneurysm was found. No other cause for the DIC was detected. The DIC was treated and the socket healed. The patient refused to have definitive surgery for the aneurysm.- - - - - - - - - - ranking = 0.021210105649701keywords = aneurysm (Clic here for more details about this article) |
5/5. The anaesthetic management of a case of Kawasaki's disease (mucocutaneous lymph node syndrome) and Beckwith-Weidemann syndrome presenting with a bleeding tongue.An unusual case of a 13-month-old child with Kawasaki's disease and the Beckwith-Weidemann syndrome is presented. The child, while anticoagulated with warfarin and aspirin to prevent extension of a coronary artery thrombus, fell and lacerated the tongue resulting in haemorrhage and significant swelling. The ongoing haemorrhage, combined with difficulty in securing venous access resulted in the child becoming shocked. Surgical intervention was required to stem the haemorrhage. The anaesthetic management of a shocked child with a coronary artery aneurysm and thrombosis, a potentially difficult airway and a full stomach is described.- - - - - - - - - - ranking = 0.010605052824851keywords = aneurysm (Clic here for more details about this article) |