Volume 1 | 1 October 2010 | Pages 61-122
Original Articles
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 Original Article: Gas GangreneOverview Infection with Clostridium septicum is only found in 1% of these cases and is typically related to trauma or cancer. While the presence of diffuse subcutaneous gas is an important clinical sign, air within the femoral vessels correlates with extensive soft tissue destruction. This process must be treated with wide excision of necrotic tissue and intravenous antibiotics. This article reviews the course of a patient without significant co-morbidities who developed C. septicum infection one week after stepping on a ... Michael J Feldman, MD | Sunday, July 18, 2010 Read more |
 Original Article: Bile Leak After Laparoscopic Redo FundoplicationOverview Laparoscopic antireflux surgery is the gold standard treatment for gastro-esophageal reflux disease (GERD). The most commonly reported severe complications include pneumothorax, gastro-esophageal perforation, and splenic injury. Rare complications such as aortic injury, major liver injury, mesenteric artery thrombosis, ventricular laceration, and pancreatitis have also been reported. We describe the first reported case of a bile leak after redo laparoscopic Nissen fundoplication presenting as symptomatic right-sided bilious hydrothorax. This injury was most likely a result of dissecting the undersurface of ... Prateek K Gupta, MD | Sunday, July 11, 2010 Read more |
 Original Article: Jejuno-Uterine Fistula After Endovascular Embolization For Uterine BleedingOverview Jejuno-uterine fistula is a very rare occurrence. The case presented described the development of a jejuno-uterine fistula following uterine artery embolization (UAE), which we believe is the first reported ... Simon D. Eiref, MD | Thursday, July 1, 2010 Read more |
 Original Article: Pylephlebitis With SMV Thrombosis After Perforated AppendicitisOverview Pylephlebitis or septic thrombophlebitis of the portal vein is an extremely rare and potentially fatal complication of appendicitis, which occurs secondary to infection drained by the portal venous system. We describe a case of pylephlebitis resulting from perforated appendicitis complicated by septic thrombosis. Diagnosis and progression was confirmed by computed tomography. The patient had a favorable outcome with medical and surgical therapy, prompting us to evaluate treatment of pylephlebitis.... Andre Teixeira, MD | Wednesday, June 30, 2010 Read more |
 Original Article: Delayed Splenic RuptureIntroduction Computed tomography (CT) scans are very sensitive for detecting splenic injuries after trauma. Our objective was to present a case of the rare entity called ‘Delayed Splenic Rupture,’ which is the delayed manifestation of splenic injury following a trauma in which the initial CT scan showed a normal spleen. We also review the previous 13 cases and offer our recommendations.Case Report We present a case of a 42 year old male with a motorcycle crash who presented with a ... Prateek K Gupta, MD | Sunday, June 27, 2010 Read more |
 Original Article: The Use of Radioactive Seed Localization for Non-Palpable Non-Breast LesionsIntroduction There is an increasing use of advanced radiologic imaging for staging and surveillance of solid malignancies resulting in the identification of subclinical non-palpable metastases. Radioactive seed localization (RSL) is a safe and accurate method of localization of non-palpable breast cancers. The aim of this study was to evaluate the expansion of RSL to non-breast lesions. Methods We conducted a retrospective review of a prospective database of all RSL procedures performed at our institution from January 2007 to April 2010. ... Travis Grotz, MD | Sunday, June 20, 2010 Read more |
Original Article: Infrared Thermal Imaging (Thermography) of the Abdomen in Extremely Low Birthweigh
Introduction Infrared thermal imaging (thermography) is a non-invasive
Editorial: July 2010
Graphically thrilling, medically, scientifically and technologically
Original Article: Extrathoracic Lung Herniation from Blunt Trauma: A Review
Introduction The Organ Injury Scale for chest wall trauma, last
Column: Why MDs Dread EMRs
How do we know doctors hate EMRs (electronic medical records)?
Original Article: Nonoperative Management of an Esophageal Perforation Following Combitube Placement
Introduction The Esophageal-Tracheal Combitube (ETC) is widely
Original Article: Massive Thromboembolism Captured By Real-Time Echocardiography
Thromboembolism is a potentially serious complication following
Original Article: Molecular Breast Imaging in Pseudoangiomatous Stromal Hyperplasia
Molecular breast imaging (MBI) is a novel nuclear medicine imaging
