Journal of surgical case reports
-
Trans-mesenteric hernia is a form of internal hernia which is an extremely rare cause of intestinal obstruction in adults compared with the pediatric population. It often presents with complications such as acute intestinal obstruction and peritonitis requiring immediate surgical intervention. We report a case of a 21-year-old woman who presented to us with an acute abdomen and peritonitis that required an immediate exploratory laparotomy. ⋯ Gangrenous portion of the ileum was resected and the congenital defect was closed. The patient made an uneventful recovery. The occurrence of trans-mesenteric hernia in adults is rare and difficult to be diagnosed clinically; thus, the patient's clinical features may lead to early surgical intervention in order to reduce morbidity and mortality.
-
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.
-
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.