Use of a Bipedicled Pericranial Flap and a Split Thickness Skin Graft for Reconstruction of a Traumatic Scalp Injury: A Case Report.

Reconstruction of a scalp defect should ensure the skull's protection, soft-tissue bulk, and contour maintenance. When calvaria is exposed, each reconstruction option has its own advantages and disadvantages. We report a 2-year-old Saudi boy, a road traffic accident (RTA) victim, otherwise medically stable who sustained partial to full-thickness defects of the scalp involving the left temporoparietal region, measuring 20 × 10 cm2 in size. After optimal debridement of the wound, a bipedicled pericranial flap with a split-thickness skin graft (STSG) was done. This case reports the satisfactory outcomes of using a bipedicled pericranial flap with STSG in traumatic scalp injuries, specifically in the pediatric age population without creating any secondary scalp skin defect and its associated morbidities. Being bipedicled the vascularity of the flap is more reliable and robust.

Index Digit Necrosis as a Complication of Radial Artery Cannulation.

Arterial access is therapeutically and diagnostically useful. Its clinical utility is vast, and associated complications are infrequent. However, some unfortunate patients progress to disastrous outcomes. Luckily, ischemic hand complications are rare. Hand ischemia threatens independence and quality of life, thus warranting vigilance. We present a case of index digit necrosis as a complication of arterial cannulation in a 30-year-old patient with end-stage renal disease admitted to an intensive care unit.

Multilocular Lipoma in the Middle and Index Fingers: A Case Report.

Lipomas are the most common type of soft tissue tumor, and 95% of them are benign. While lipomas can present anywhere on the body, 1% of them are found in the fingers. The ultimate goal of management is surgical excision of the mass with preservation of the neurovascular surroundings. Here, we present the case of a 24-year-old, morbidly obese Saudi female patient complaining of large non-tender lumps in the index and middle fingers involving the palmar and dorsal surfaces of the left non-dominant hand. The lumps were associated with paresthesia and tingling sensations. The article aims to report and highlight the satisfactory outcomes after total excision of such lipomas and restoring the function as well as the cosmetic results of the hand.