Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsRight Retrocolic Intrasaccular Duodenum and Intramesenteric Duodenojejunal Junction: Is It a Novel Variant of Isolated Duodenal Non-rotation?
Midgut malrotation with volvulus is one of the true surgical emergencies of childhood. Almost all of the studies on anomalies of the midgut rotation and fixation in the literature and related sections in textbooks were designed according to Dott's classification. ⋯ Herein, we report a case of an unusual variant of isolated pure duodenal non-rotation which presented with signs of midgut volvulus that was successfully treated. Key Words: Newborn, Malrotation, Non-rotation, Isolated duodenal non-rotation, Midgut volvulus.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsIntraoperative Monitoring and Preservation of Anatomic Integrity of Palsied Recurrent Laryngeal Nerve is Extremely Meaningful During Redo Thyroid Surgery.
Redo thyroid surgery on patients with unilateral recurrent laryngeal nerve (RLN) palsy certainly poses a great surgical challenge. We present a case of a patient with unilateral vocal cord (VC) palsy who underwent redo thyroid surgery under intraoperative neuromonitoring. The patient's normal speaking voice was maintained after the primary surgery, even though preoperative laryngoscopy showed an immobile right VC with a normal structure. ⋯ A positive signal delineates at least partial neural transmission despite VC palsy. The preservation of anatomical integrity of palsied RLN for eventual partial conductivity may be vital in preserving the normal structure of VC and maintaining the patient's voice despite its immobility. Key Words: Surgery, Redo thyroidectomy, Recurrent laryngeal nerve injury, Vocal cord palsy.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsTreatment Approach of Acute Coronary Thrombosis without Dissection in a Bleeding Patient with Multiple Trauma.
Trauma is one of the causes of acute myocardial infarction (AMI). In the literature, coronary dissection or vasospasm is thought to play a role in the aetiology of AMI, but the presence of coronary thrombosis without coronary dissection is uncommon. If bleeding pathologies occur in addition to traumatic coronary thrombosis, this may make the situation more complicated. ⋯ Electrocardiography should be performed in patients with chest trauma. Thrombosis-bleeding balance should be carefully evaluated during treatment and treatment should be determined by taking this situation into consideration. Key Words: Coronary thrombosis, Multiple trauma, Bleeding, Angioplasty, Antiplatelet therapy.