Odgođena epistaksa nakon izolirane traumatske frakture nosnog septuma - prikaz slučaja

Uvod: Epistaksa je jedan od najčešćih razloga dolaska u hitnu otorinolaringološku ambulantu. Većina slučajeva epistakse može se kontrolirati primjenom jednostavnih mjera, no određeni slučajevi zahtijevaju hospitalizaciju radi neuspjeha primarne intervencije i perzistiranja krvarenja. Prikaz slučaja: Predstavljamo slučaj bolesnika 55 godina s izoliranom traumatskom frakturom etmoidnog dijela nosnog septuma, uz anamnezu kranioplastike koja je rezultirala odgođenim epistaksom. Zaključak: U ovom slučaju, cilj nam je prikazati izazove u dijagnostici i upravljanju bolesnika s odgođenom i dugotrajnom epistaksom kao posljedice izolirane frakture nosnog septuma. Analizirati ćemo utjecaj promjene koje su dovele do izolirane frakture nosnog septuma, te moguće komplikacije frakture nosnog septuma. Ističemo potrebu za ranim prepoznavanja traume nosa kao uzroka produljenog krvarenja iz nosa radi pravilnog pristupa u liječenju, te praćenjem

Odgođena epistaksa nakon izolirane traumatske frakture nosnog septuma - prikaz slučaja

Uvod: Epistaksa je jedan od najčešćih razloga dolaska u hitnu otorinolaringološku ambulantu. Većina slučajeva epistakse može se kontrolirati primjenom jednostavnih mjera, no određeni slučajevi zahtijevaju hospitalizaciju radi neuspjeha primarne intervencije i perzistiranja krvarenja. Prikaz slučaja: Predstavljamo slučaj bolesnika 55 godina s izoliranom traumatskom frakturom etmoidnog dijela nosnog septuma, uz anamnezu kranioplastike koja je rezultirala odgođenim epistaksom. Zaključak: U ovom slučaju, cilj nam je prikazati izazove u dijagnostici i upravljanju bolesnika s odgođenom i dugotrajnom epistaksom kao posljedice izolirane frakture nosnog septuma. Analizirati ćemo utjecaj promjene koje su dovele do izolirane frakture nosnog septuma, te moguće komplikacije frakture nosnog septuma. Ističemo potrebu za ranim prepoznavanja traume nosa kao uzroka produljenog krvarenja iz nosa radi pravilnog pristupa u liječenju, te praćenjem

Spontaneous Isolated Dissection of the Abdominal Aorta

Isolated spontaneous dissection of the abdominal aorta is such a rare entity and there are only a few cases reported in literature up to date. A 42-year old male was admitted to the hospital with mild pain in the lower abdomen and back that had began seven days prior to admission together with the sudden onset of the ischemic symptoms of the left leg (ischemic ulcers of the calf, gangrenous toe and pallor foot). Patient denied any trauma, hypertension history was negative, while he was active cigarette smoker. MSCT and digital subtracted angiography have shown a dissection of the abdominal aorta approximately two centimeters below the origin of the inferior mesenteric artery extending in the left common iliac artery, with no sign of the aneurysmatic dilatation of the abdominal aorta. Emergent surgery was performed with aorto- biiliacal bypass graft interposition, amputation of the left toe and necrectomy of the left calf. Postoperative follow up and local vascular condition were satisfied. Even though is rare entity, isolated abdominal aorta dissection accounts for ap proximately 2–4% of all aortic dissection. Nowadays therapeutic regimen includes endovascular, open surgery or conser vative treatment

Celiac disease and fulminant T lymphoma detected too late in a 35-year-old female patient: Case report

Celiac disease is the most common chronic gastroenterological autoimmune disease characterized by gluten intolerance. The diagnosis of celiac disease and enteropathy-associated T cell lymphoma is often made when it is too late. Case report describes a 35-year-old female patient managed for one year under the diagnosis of inflammatory bowel disease and admitted to our hospital for exacerbation of the underlying disease. However, inflammatory bowel disease was ruled out by diagnostic work-up, while the clinical picture and the findings obtained raised suspicion of lymphoma. The patient’s condition was additionally complicated by fulminant course of the disease and ileus. Conclusion:Early diagnosis and appropriate treatment of the disease, and follow up of family members are crucial to prevent intestinal lymphoma development