ABSTRACT
A 91-year-old woman presented with symptoms of acute bowel obstruction supported by clinical findings. A CT of the abdomen was performed which demonstrated jejunal diverticulosis with a single inflamed, wide necked diverticulum. A large enterolith was found to be impacted in the jejunum just distal to the area of inflammation resulting in small bowel obstruction. The patient underwent emergency laparotomy, which confirmed the CT findings. Small bowel resection was performed. The patient had an uneventful postoperative recovery.
Subject(s)
Diverticulitis/diagnosis , Intestinal Obstruction/diagnosis , Jejunal Diseases/diagnosis , Aged, 80 and over , Calculi/pathology , Diagnosis, Differential , Diverticulitis/complications , Diverticulitis/diagnostic imaging , Diverticulitis/surgery , Female , Humans , Intestinal Obstruction/complications , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/surgery , Jejunal Diseases/complications , Jejunal Diseases/diagnostic imaging , Jejunal Diseases/surgery , Tomography, X-Ray ComputedABSTRACT
Parry-Romberg syndrome (PRS) is a rare condition characterised by progressive hemi-facial atrophy. Here we present a PRS case with alien-hand syndrome, which has not previously been described in adult onset disease. On the basis of the presumed auto-immune pathology of PRS we justify the treatment strategy we successfully used in this patient. A review of the literature was extensively done for understanding the history of alien hand sign over the years.
Subject(s)
Alien Limb Phenomenon/complications , Facial Hemiatrophy/complications , Adult , Alien Limb Phenomenon/pathology , Facial Hemiatrophy/pathology , Female , Glasgow Coma Scale , Humans , Magnetic Resonance ImagingABSTRACT
A 29-year-man presented with an injury to his left upper lid, having stumbled onto the tip of a pool cue. He presented with minimal signs and symptoms, initially thought as a minor lid laceration and was managed with lid suturing. Two months later, he presented with vertical diplopia on upward gaze and showed a picture consistent with traumatic Brown's syndrome. Subsequent imaging revealed the extent of orbital injury and confirmed a retained foreign body embedded in the frontal lobe of the brain. This was surgically removed and found to represent the tip of the pool cue. Postoperatively, the patient made a good recovery, although he still has a slight residual diplopia on upward gaze.
