1/70. gangrene of the hand: a complication of radial artery cannulation.radial artery cannulation for constant monitoring of arterial pressure and blood gases has become commonplace in the care of the seriously ill. The radial artery is readily accessible and is often regarded as carrying a negligible complication risk, because there is extensive collateral arterial flow in the hand. To the rarely reported cases of gangrene of the hand secondary to cannulation of the radial artery, this publication adds two, both survivors. One, a 46-year-old female with a clinical picture suggestive of mild Raynaud's disease, was treated by closed mitral commissurotomy; the second, a 44-year-old female, was treated for drug overdose complicated by cardiac arrest and renal shutdown.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
2/70. A diabetic patient with a black penile tip.This is a report of a patient with diabetes mellitus type II who presented with the rare complication of penile gangrene. The gangrene was unilateral and was associated with ipsilateral partial stenosis of the common iliac artery. An angioplasty followed by insertion of a stent, rehydration, and improved diabetic control did not improve the penile lesion, and penile amputation was carried out. In the postoperative period, the patient developed a bilateral basal pneumonia with a significant growth of saprophyte mycobacterium gordonae from the bronchial aspirate. This is the first reported case of unilateral penile gangrene and also that of mycobacterium gordonae infection in a patient with diabetes mellitus.- - - - - - - - - - ranking = 0.14285714285714keywords = artery (Clic here for more details about this article) |
3/70. Hypothenar hammer syndrome: management of distal embolization by intra-arterial fibrinolytics.We report a case of hypothenar hammer syndrome. The ulnar artery aneurysm was resected and a complete thrombectomy of the superficial palmar arch, the common digital and the proximal part of the collateral digital arteries was carried out. The arterial defect of the ulnar artery was repaired by a vein graft. Post-operatively, no clinical improvement was observed on the vascularisation of the second and third fingers. The arteriogram confirmed the presence of arterial obstruction on the distal part of the digital collateral arteries of this two fingers. The finger pulp started to show areas of skin gangrene and in view of the risk of finger necrosis, we decided to use fibrinolytics. This embolic events was dissolved by continuous fibrinolytic and anticoagulant intra-arterial infusion. The treatment was maintained for ten days restoring a normal digital vascularisation.- - - - - - - - - - ranking = 0.28571428571429keywords = artery (Clic here for more details about this article) |
4/70. Peripheral gangrene complicating idiopathic and recessive hemolytic uremic syndromes.Three patients with hemolytic uremic syndrome (HUS) developed peripheral gangrene. Bilateral carotid artery thromboses occurred in one of these patients after recovery from HUS. One patient had a long history of juvenile rheumatoid arthritis. In the second patient, a flu-like illness preceded the onset of HUS. The third was one of two sisters, with the HUS appearing more than 1 year apart. None had evidence of disseminated intravascular coagulation or infection with streptococcus pneumoniae. The patient with rheumatoid arthritis had renal cortical necrosis but recovered moderate renal function after treatment with dialysis and plasmapheresis for 6 months. The child with a genetic form of HUS died of renal failure and had massive cortical necrosis and vascular thrombosis at autopsy. This is the first report of peripheral gangrene in children with idiopathic HUS and autosomal recessive HUS.- - - - - - - - - - ranking = 0.14285714285714keywords = artery (Clic here for more details about this article) |
5/70. Severe Kawasaki disease in infants: two fatal cases.Kawasaki disease is a systemic vasculitis that manifests itself in many ways. Infants may present as atypical cases and commonly experience severe inflammatory changes. The two cases that are presented here highlight unusual severity and pathology. Patient 1 was a three-month-old infant with atypical Kawasaki disease who developed gangrenous lesions, and coronary and extracoronary artery aneurysms. Multiorgan failure ensued with diffuse cardiac and extracardiac aneurysms and thromboses at autopsy. Patient 2 was a five-month-old infant with Kawasaki disease, cholangitis and peripheral gangrene. Severe coronary artery aneurysms developed and he died following a myocardial infarction, despite multiple doses of intravenous immunoglobulin, acetylsalicylic acid (ASA) and corticosteroids. There is a higher occurrence of atypical disease and more severe vasculitis in infants with Kawasaki disease. Pathological changes are described, including coronary and extracardiac lesions. Patient 1 shows extensive peripheral gangrene and widespread aneurysms, and patient 2 illustrates severe cardiac complications with diffuse organ inflammation. Therapies including intravenous immunoglobulin, ASA, corticosteroids and antithrombotics are reviewed.- - - - - - - - - - ranking = 0.28571428571429keywords = artery (Clic here for more details about this article) |
6/70. intestinal obstruction from a forgotten artery forceps: a case report.68-year-old male patient who had had two previous gall bladder operations presented with an acute abdomen. Upon investigation an Artery Forceps was seen on plain abdominal X-ray, and subsequent laparotomy showed that it entrapped a segment of the small intestine, which was gangrenous. The gangrenous loop was delivered from the forceps followed by resection and end-to-end anastomosis. The patient had an uneventful post-operative period and remained well on follow up twenty four months later.- - - - - - - - - - ranking = 0.57142857142857keywords = artery (Clic here for more details about this article) |
7/70. Clinics in diagnostic imaging (53). Hepatic portal venous gas due to mesenteric infarction.A 43-year-old woman presented with acute abdominal pain and signs of ileus. CT scan of the abdomen showed hepatic portal venous gas. At surgery, a long segment of gangrenous bowel extending from the jejunum to the proximal hemicolon was found. The cause was superior mesenteric artery occlusion. The aetiology, imaging features and clinical significance of hepatic portal venous gas are discussed.- - - - - - - - - - ranking = 0.14285714285714keywords = artery (Clic here for more details about this article) |
8/70. Multiple intestinal stenoses and peripheral gangrene: a combination of two rare surgical complications in a child with Kawasaki disease.Kawasaki disease (KD) often presents with a challenging variety of clinical symptoms. Severe gastrointestinal complications are rare and mainly appear as pseudo-obstruction. However, the authors report the unique case of a 4-month-old girl with KD suffering from a mechanical ileus. The optimal timing of surgery presented a dilemma, because she received lytic treatment for gangrenes of both her hands and feet and additionally had large coronary artery aneurysms. Finally laparotomy had to be performed while the patient was on an anticoagulant medication, and it showed a 30-cm-long jejunal segment with multiple filiforme stenoses, requiring resection and anastomosis. The postoperative course was uneventful regarding the abdominal situation; however, the left hand and left foot remained gangrenous and had to be amputated. In patients with KD, not only pseudo-obstruction, but irreversible intestinal obliteration has to be encountered. This combination of intestinal stenosis and acral gangrene has not been described before. J Pediatr Surg 36:651-653.- - - - - - - - - - ranking = 0.14285714285714keywords = artery (Clic here for more details about this article) |
9/70. gallbladder torsion: case report and review of the literature.Torsion of the gallbladder is a surgical emergency, occurring mainly in the elderly. female is predominant to male with ratio 3 to 1. Despite its unknown etiology, the anatomical variations in the attachment of gallbladder which occur on the mobile mesentery to the inferior margin of the liver are usually found. When the gallbladder twists around the cystic duct and artery, torsion takes place with ensuing occlusion of the flow of bile and blood. Preoperative diagnosis is difficult to make; however, patients who receive prompt surgical treatment with cholecystectomy always get excellent outcomes. mortality rate is low with 3% to 5%. Here, we report on elderly male patient with gallbladder torsion at our hospital and review the existing literature.- - - - - - - - - - ranking = 0.14285714285714keywords = artery (Clic here for more details about this article) |
10/70. Upper extremity venous gangrene following coronary artery bypass. A case report and review of the literature.Acute symptomatic upper extremity deep vein thrombosis (DVT) are estimated to account for only 2-4% of all deep vein thrombosis. Upper extremity DVT leading to phlegmasia cerulea dolens (PCD) occurs in an estimated 2-5% of these cases. Progression of PCD to venous gangrene is extremely rare with only 16 previously reported cases in the literature. Only 7 of the cited cases document significant tissue loss. This report describes a 61-year-old male who developed upper extremity DVT complicated by PCD which led to venous gangrene and limb loss.- - - - - - - - - - ranking = 0.57142857142857keywords = artery (Clic here for more details about this article) |
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