ABSTRACT
Adult intussusception is an uncommon cause of abdominal pain and poses diagnostic challenges for emergency physicians due to its varied presenting symptoms and time course. We report a case of chronic colocolic intussusception secondary to a lead point submucosal lipoma. Dedifferentiating intussusception with or without a lead point is important in determining appropriate management.
Subject(s)
Colonic Diseases/etiology , Colonic Neoplasms/complications , Intussusception/etiology , Lipoma/complications , Abdominal Pain/etiology , Adult , Colonic Diseases/diagnosis , Colonic Diseases/diagnostic imaging , Colonic Neoplasms/diagnosis , Colonic Neoplasms/diagnostic imaging , Humans , Intussusception/diagnosis , Intussusception/diagnostic imaging , Lipoma/diagnosis , Lipoma/diagnostic imaging , Male , Tomography, X-Ray ComputedABSTRACT
Synthetic cannabinoids contain many different chemicals and compounds, which pose new health risks to the population using these drugs. In May of 2018 the Center for Disease Control issued a health alert providing information on a multistate outbreak of coagulopathy from exposure to synthetic cannabinoid products containing a Vitamin K-dependent antagonistic agent such as brodifacoum. Recognizing signs, symptoms and imaging findings related to this outbreak is essential for clinicians caring for patients with a history or suspicion of using synthetic cannabinoids. To our knowledge, there are no studies that report the imaging findings demonstrating the coagulopathic complications associated with these synthetic compounds.
Subject(s)
4-Hydroxycoumarins/adverse effects , Blood Coagulation Disorders/chemically induced , Blood Coagulation Disorders/diagnostic imaging , Cannabinoids/adverse effects , Designer Drugs/adverse effects , Hemorrhage/chemically induced , Hemorrhage/diagnostic imaging , Vitamin K/antagonists & inhibitors , Designer Drugs/chemistry , Emergency Service, Hospital , Fatal Outcome , Humans , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Nasotracheal intubation (NTI) is used for maintaining airway access during maxillofacial surgery or in cases of severe oral trauma. We describe a case of middle turbinectomy complication as a result of NTI. The purposes of this paper are to raise awareness of this complication and review associated imaging findings.