Retraction: Abdominal Aortic Aneurysm: An Overlooked Etiology of Low Back Pain.

[This retracts the article DOI: 10.7759/cureus.18587.].

Pneumothorax with liposuction, awareness of rare complication: a case report.

BACKGROUND: Liposuction is the most commonly performed procedure in aesthetic plastic surgery worldwide, the complications and morbidity are under evaluated. Pneumothorax is thought to be a rare complication after liposuction but the exact rate still unknown. CASE PRESENTATION: We presented to you a 45-year-old Arabian female with history of hypertension underwent lipoabdominoplasty, back liposuction and gluteal lipofilling. On the first postoperative day, the patient was complaining of chest pain accompanied with tachypnea and tachycardia, oxygen saturation was maintained on room air. Upon chest auscultation, diminished air entry was markedly noted on her left side, immediate chest x-ray and electrocardiogram (ECG) was done, which showed unremarkable x-ray and ECG shows sinus tachycardia. Computed tomography (CT) carried out and showed left side pneumothorax. An urgent thoracic surgery consultation was done and chest tube was inserted. The patient reported immediate improvement of her symptoms and the vital signs retain to normal range. On day 3, air leak stopped, chest tube was clipped by thoracic surgery, and the chest tube was removed 24 h later. The patient had a relatively smooth recovery with no other complications. CONCLUSION: Pneumothorax have possibility to happen with liposuction, awareness of possible risk factors should detect by plastic surgeon, to manage earlier as soon as possible.

Pyogenic granuloma of the thumb mimicking squamous cell carcinoma of the nail subunit: case report and review of the literature.

Pyogenic granuloma (PG) is a benign vascular lesion that usually occurs in the skin or mucous membranes. Multiple theories have been implicated in its aetiology. It can mimic variable malignancies in which histopathological examination plays a vital role. We report a case of PG of the left thumb nail subunit in a 40-year-old gentleman, who presented with left thumb mass after a trauma by a wooden splinter. Incisional biopsy of the lesion could not rule out squamous cell carcinoma. Therefore, full radiological studies were carried out as part of this highly suspicious lesion's work-up. Excisional biopsy was performed and a full thickness skin graft was harvested from the left distal forearm and applied to cover the defect. Final histopathological examination revealed the diagnosis of PG. The wound subsequently healed well with good functional and aesthetic outcome.

Perceptions of Neurosurgery among Medical Students and Interns: A National Cross-Sectional Study.

Background: Neurosurgery is considered one of the most admired surgical specializations. Still, as evidenced by observations over the years, it is not amongst the top choices of medical students in Saudi Arabia. This study will help in understanding the perception and attitudes of medical students and interns toward the neurosurgery specialization, which will aid in developing strategies to increase the interest of undergraduates in neurosurgery specialization and bridge the human resource gap in this vital specialty. Objectives: This study aimed to assess perceptions, attitudes, and gender differences of medical students and interns toward neurosurgery. The influence of demographic factors on perceptions of neurosurgery of interns and senior medical students in Saudi Arabia was also investigated. Methodology: We conducted a cross-sectional study on a convenience sample of medical students (clinical years) and interns studying in different colleges of medicine in Saudi Arabia. A total of 1014 responses were included in this study (518 males and 496 females). The questionnaire comprised of two parts: the first part carried general descriptive questions, while the second part had 24-item Likert scale-based questions. Results: Around 40% of medical students and 26% of interns agreed or strongly agreed to the statement 'I would consider a career in neurosurgery. Around 70% of both interns and students agreed or strongly agreed with the statement 'Huge prestige is attached to neurosurgery'. The responses to the statement 'Neurosurgery is a male specialty' was significantly different between genders, as 36.5% of the male respondents agreed or strongly agreed with the statement while just 12.5% of the females responded likewise (p = 0.000). Only 23% of participants reported having completed a rotation in neurosurgery. About 44.7% of respondents were interested in taking an elective rotation in neurosurgery, while the remaining respondents (55.3%) responded with a negative answer. Only 23% of participants had completed an undergraduate rotation in neurosurgery. More males (65.3%) agreed or strongly agreed with the statement 'Work as a neurosurgery specialist can impede family life as compared to females (57.5%), which was highly significant (p = 0.000). More medical students (45.1%) responded in the agreement or strong agreement in response to the statement' Neurosurgery should be a compulsory rotation during internship' as compared to interns (25.8%). Around 65% of the respondents agreed or strongly agreed that teachers/seniors have a great influence on students' specialization choices. Around 67% of the respondents foresaw a purely clinical role for themselves after graduation, while 17% were interested in a clinical-academician role. Conclusions: The study reflected a generally positive attitude towards neurosurgery amongst medical students and interns. Interest in neurosurgery as a specialization can be strengthened by enhancing the exposure of students and interns to the specialty. Teachers and seniors can be useful influencers to motivate students to consider neurosurgery specialization.

Abdominal Aortic Aneurysm: An Overlooked Etiology of Low Back Pain.

Low back pain is very common and the vast majority of cases are related to non-specific etiologies. Low back pain due to serious pathologies is very rare. We present the case of a 66-year-old man with progressively worsening low back pain. His past medical history was remarkable for poorly controlled hypertension, diabetes mellitus, and dyslipidemia. He had several visits to the outpatient clinics and was diagnosed as having low back pain due to musculoskeletal etiology. He was prescribed multiple oral non-steroidal anti-inflammatory drugs and underwent multiple sessions of physiotherapy. However, his condition progressed, and did not show any clinical improvement. He underwent a plain radiograph of the lumbosacral spine which revealed decreased intervertebral disc spaces with multiple osteophytes. However, aneurysmal dilatation of the abdominal aorta was noted with atheromatous calcification. Computed tomography angiography confirmed the diagnosis of abdominal aortic aneurysm. The patient underwent endovascular repair of the aneurysm. The patient had complete resolution of his low back pain and remained symptom-free after six months of follow-up. The present case highlighted that those common presentations such as low back pain can be indicative of serious underlying pathology. Early diagnosis and management of abdominal aortic aneurysms can improve the prognosis and survival.