Retraction: Ruptured Isolated Common Iliac Artery Aneurysm Masquerading as Renal Colic.

[This retracts the article DOI: 10.7759/cureus.19752.].

Ruptured Isolated Common Iliac Artery Aneurysm Masquerading as Renal Colic.

Urinary stone disease is a common problem globally. Ureteric colic typically presents with flank pain and hematuria. However, several conditions may give a similar clinical picture. Hence, imaging studies are essential to make the diagnosis of urinary stone disease and evaluate for possible complications. We present the case of a 64-year-old man who presented with severe left flank pain radiating to the groin for two days. In his first visit to the emergency department, he was prescribed conservative treatment, but it failed to give any clinical improvement. The patient does not have a previous history of urinary stone disease. He had a long-standing history of hypertension, diabetes mellitus, dyslipidemia, and coronary artery disease. Further, he had a 30 pack-years history of smoking. Upon examination, the abdomen was soft and lax with generalized tenderness. Subsequently, a non-contrast computed tomography scan for the kidneys, ureters, and bladder was performed, which demonstrated a large high attenuation fluid seen in the left side of the retroperitoneum. The scan was then repeated after the administration of intravenous contrast and showed an aneurysmal dilatation of the left common iliac artery with surrounding hematoma. The patient was taken for an emergency laparotomy for evacuation of the hematoma and graft repair of the aneurysm. The patient tolerated the operation without complications. The present case highlights the importance of considering the wide differential diagnoses of flank pain in emergency settings. Physicians should keep a high index of suspicion for aneurysmal disease when they encounter patients with risk factors for arterial wall degeneration.

Cochlear Implant Complications in Children and Adults: Retrospective Analysis of 148 Cases.

Objective This study aimed to establish and discuss the intraoperative and postoperative complications affecting patients who underwent cochlear implant (CI) surgery from the Cochlear Implant Program of King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. Methods A retrospective study was conducted by reviewing the medical records of 148 patients who underwent cochlear implantation at KAUH between 1999 and 2019. Postoperative complications were classified into minor and major complications. Minor complications resolved with minimal or no treatment. Major complications required additional surgery or hospitalization. Results Complications occurred in 28 (18.9%) patients. Minor complications occurred in 17 (11.5%) patients, which included otitis media (2%), facial palsy (1.4%), wound infection (1.4%), vertigo (1.4%), intraoperative cerebrospinal fluid (CSF) gusher (1.4%), tinnitus (1.4%), facial stimulation (1.4%), hematoma (0.7%), and chorda tympani nerve injury (0.7%). Major complications occurred in 11 (7.4%) patients. These included flap dehiscence/infection (2%), device failure (1.4%), device migration (1.4%), mastoiditis (1.4%), electrode damage during insertion (0.7%), and misplaced electrodes (0.7%). Conclusion This study reported a low rate of surgical complications associated with CI, and most have been managed successfully without further complications. Our results prove that CI is a safe and reliable procedure, with a low complications rate when performed by experienced surgeons.