Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report.

Herpesvirus reactivates from a latent infection in older adults and critically ill and immunocompromised individuals. Herpes zoster ophthalmicus (HZO) is a latent infection that affects the fifth cranial nerve. It is an infrequent cause of increased intraocular pressure. We present the case of a 50-year-old man with a reactivation of latent varicella-zoster virus infection involving the ophthalmic branch of the fifth cranial nerve. The patient was initially managed as an outpatient with an antiviral, but his clinical evolution worsened and required urgent surgical decompression. Lateral canthotomy was performed with cantholysis of the inferior crus of the lateral canthal tendon. Only partial decompression was achieved, so cantholysis of the upper crus was performed with significant tissue tension release. The patient evolved well and was discharged after 6 days without symptoms for outpatient management.

False-Positive Nodes With Axillary Silicone Lymphadenopathy in an Oncologic Patient With a Rare Breast Cancer and Implant Rupture.

In this case, a 43-year-old woman with a rare breast tumor and a history of augmentation mammoplasty is presented. The patient arrived at the clinic reporting a palpable lump in the right mammary gland and two ipsilateral axillary nodes with pain on palpation. Mammography and ultrasound confirmed the presence of a 4 cm tumor and 2 metastatic lymph nodes of 2 cm each, histopathological diagnosis was an encapsulated papillary cancer and two siliconomas, respectively. Interestingly, these nodes were able to take up technetium 99 and methylene blue contrast media. Due to these findings, adequate patient management was carried out with a skin-sparing mastectomy and hormonal treatment with tamoxifen. This report is relevant as it shows that axillary lymphadenopathy caused by silicone must be considered in the evaluation of a patient with a cancer diagnosis and history of augmentation mammoplasty, especially breast cancer as the node siliconomas present a high risk of being considered a false positive metastasis.

Hematoma subagudo tras mamoplastia de aumento relacionado con bulimia. Caso clínico / Subacute hematoma after augmentation mammoplasty related to bulimia nervosa. A case report

La mamoplastia de aumento con implantes es una cirugía muy común en nuestro medio, con complicaciones bien descritas en la literatura. El hematoma agudo posterior a mamoplastia de aumento tiene una incidencia del 2-10%, sin embargo los hematomas subagudos y tardíos son más raros, siendo la complicación tardía más común la contractura capsular. Presentamos el caso de una paciente de 22 años de edad a la cual se realizó mamoplastia de aumento y presentó hematoma a los 19 días de postoperatorio, tras inducirse el vómito después de ingerir alimentos con la finalidad de conservar su peso, sin conocerse previamente sus antecedentes de bulimia (AU)

Augmentation mammoplasty is a very common surgery in our medium, with very well described complications. The acute hematoma after augmentation mammoplasty has a global incidence of 2-10%, however the subacute and late hematoma are rare, being the most common late complication the capsular contracture. We present a case of a 22 years old patient submitted to augmentation mammoplasty and who 19 days after surgery presented a hematoma following the auto induction of vomiting to maintain her weight, without previous clinical background of bulimic (AU)