ABSTRACT
Drug-induced priapism is well known and papaverine is the most common drug known to cause priapism. Drotaverine, an analog of papaverine, is used extensively to treat Colicky pain. We report the first case of drotaverine.induced priapism.
ABSTRACT
Management of massive liver trauma (grades IV-VI) is associated with high morbidity and mortality. It can pose serious challenges to treating physician and requires multimodality interventions. For a successful outcome, timing of intervention is crucial. We report a case of grade V hepatic injury treated successfully with angioembolization, laparoscopic lavage, and endoscopic stenting during a time period from admission to discharge on the 24th day. Angioembolization was performed at admission after resuscitation as CT scan showed active extravasation in the arterial phase. Laparoscopic lavage and drainage was performed on the fifth day as abdominal inflammatory response failed to respond to medical management. There was biliary component of abdominal fluid noticed during laparoscopy, which manifested by postoperative localized biliary fistula; hence endoscopic stenting of the bile duct was performed on the seventh day. The patient recovered well with timely minimal invasive approach and was fine at 1 year follow-up.
ABSTRACT
Abdominal cocoon is a rare cause of small intestinal obstruction observed in young females in tropical regions. It manifests by forming a membrane that typically encases the small bowel loops, leading to mechanical obstruction. Preoperative diagnosis is difficult and is usually established during laparotomy. We report a case of abdominal cocoon in a young woman diagnosed on abdominal sonography.
Subject(s)
Intestinal Obstruction/etiology , Intestine, Small/pathology , Peritonitis/complications , Adult , Female , Fibrosis , Follow-Up Studies , Humans , Intestinal Obstruction/diagnostic imaging , Laparotomy , Peritonitis/diagnostic imaging , Sclerosis , Tissue Adhesions , UltrasonographyABSTRACT
Scimitar syndrome, a rare anomaly of partial pulmonary venous drainage into the hepatic portion of the inferior vena cava, detected in a ten-day-old neonate who presented clinically with respiratory distress and diagnosed on ultrasound of the thorax is being reported here.