Journal of surgical case reports
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We report an interesting case of ileal diverticulitis which posed a diagnostic challenge. A 75-year-old female presented to the emergency department with severe right lower quadrant pain for 3 days. The clinical history, examination and imaging suggested a diagnosis of acute appendicitis. ⋯ It can often mimic other processes such as acute appendicitis. Once ileal diverticulitis is diagnosed, it should be treated with the same principles as for sigmoid diverticulitis. Though rare, ileal diverticulitis should be considered in the differential diagnosis of a patient who presents with right lower quadrant pain, and a computed tomography scan that shows an inflammatory process in the right lower quadrant, in the setting of a normal appendix.
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Compartment syndrome caused by Streptococcus pyogenes (Group A streptococcus) has rarely been described. We report a case of a healthy 44-year-old male who presented with compartment syndrome of the right forearm and subsequent acute respiratory distress syndrome. ⋯ The patient recovered with no loss of power, sensation or range of movement. High index of suspicion, early intervention and excellent post-operative management were essential in recovery.
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Dysphagia can arise from a multitude of underlying pathologies affecting any of the three stages of swallowing; oral, pharyngeal and or oesophageal; and can be further classified as intraluminal, intramural or extramural. We discuss an unusual case of acute dysphagia secondary to haematoma formation within one of a number of potential neck spaces. We report on a novel precipitant; routine electrical cardioversion. A review of relevant anatomical boundaries, symptoms, precipitants and treatment options will be discussed.