Asunto(s)
Cianosis/diagnóstico , Metahemoglobinemia/diagnóstico , Mucosa Bucal , Adulto , Butanos/envenenamiento , Cianosis/tratamiento farmacológico , Electrocardiografía , Inhibidores Enzimáticos/uso terapéutico , Femenino , Escala de Coma de Glasgow , Humanos , Metahemoglobinemia/tratamiento farmacológico , Azul de Metileno/uso terapéutico , Nitratos/envenenamientoRESUMEN
Peri-implant fractures of the wrist are uncommon, and usually present as stress fractures distal to the site of the implant. We report an unusual case where the radius has fractured beneath a plate, causing bending and deformity of the implant. This prevented reduction of the fracture under sedation, so urgent intervention became necessary due to neurovascular compromise.
Asunto(s)
Luxaciones Articulares/etiología , Carrera , Zapatos , Articulación del Dedo del Pie/lesiones , Dedos del Pie/lesiones , Adulto , Pie , Humanos , MasculinoRESUMEN
UNLABELLED: A 51-year-old male with known osteogenesis imperfecta (OI) (type 1) presented with symptoms and signs of infective endocarditis. Transthoracic echocardiography showed chordal rupture and free mitral regurgitation, resulting in an emergency mitral valve repair. The surgical procedure was largely uneventful but subsequent clinical course on the intensive care unit was complicated by bowel perforation requiring two laparatomies for a colonic resection and loop ileostomy formation. Histology of the excised tissue demonstrated absent musculature with no evidence of ischemia. Spontaneous non-ischemic bowel perforation as a complication of osteogenesis imperfecta is to date unreported. Our case highlights the need for a high index of suspicion of non-ischemic bowel perforation in patients with connective tissue disorders. KEYWORDS: Osteogenesis imperfecta; Bowel perforation; Collagen; Non-ischemic; Connective tissue disorders; Pathogenesis; Collagen vascular disorder; Acute abdomen.