The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
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Review Case Reports
Spontaneous cervical spinal epidural hematoma in a 12-year-old girl: case report and review of the literature.
Spontaneous spinal epidural hematomas of the cervical spine are rare in the pediatric population. Common presentation includes neck pain and rapidly progressive quadriparesis. ⋯ Emergent surgical decompression led to complete resolution of symptoms. Spontaneous spinal epidural hematomas should be considered in the differential diagnosis of myelopathy, and, when confirmed by magnetic resonance imaging, surgical decompression should be performed on an emergent basis.
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A 19-year-old man presented to the emergency department with a chief complaint of generalized body rash for two weeks. The rash began shortly after he initiated penicillin therapy for a sore throat diagnosed one week previously. He also complained of having dark urine and abdominal discomfort. ⋯ While in the hospital, he had an episode of hemoptysis. A renal biopsy was performed and revealed IgA deposition. In light of his systemic symptoms including rash and abdominal pain, he was diagnosed with Henoch-Schonlein purpura (HSP).
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Bezoars are the uncommon result of the ingestion of indigestible or poorly digested substances, which form a solid mass within the gastrointestinal tract. They are classified based on their content and include phytobezoars (plant fibers), trichobezoars (hair), and lactobezoars (milk curds). They may occur in combinations like trichophytobezoars, and can result from virtually anything capable of forming concretions within the gastrointestinal tract, including medications. ⋯ Bezoars are uncommon in children. We report the rare case of a sunflower-seed bezoar impacted at the anal verge in a 6-year-old boy who presented initially with acute gastroenteritis. He required removal of the impaction under sedation.