scholarly journals Primary closure of superior partial sternal cleft in a 2-month-old girl: case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Halil Ibrahim Tanriverdi ◽  
Fulya Doğaneroğlu ◽  
Abdülkadir Genç ◽  
Ömer Yılmaz
Keyword(s):  
Case Report ◽  
Primary Repair ◽  
Three Dimensional ◽  
Early Period ◽  
Ventilator Support ◽  
Case Presentation ◽  
Sternal Cleft ◽  
Cardiac Compression ◽  
Rare Malformation ◽  
Respiratory Movements

Abstract Background Sternal cleft is a quite rare malformation. It is seen 1 out of 100,000 live births and makes up less than 1% of all chest wall deformities, seen more often among females. The deformity can be partial or complete. Partial deformities can be superior or inferior. It is generally diagnosed at birth when paradoxical respiratory movements are seen. Patients are often asymptomatic when they are born and generally other abnormalities accompany. As sternal clefts can be repaired primarily at early ages, they are repaired using autologous or synthetic grafts in the following years. We present a 2-month-old girl with superior partial sternal cleft repaired primary and accompanying hemangiomas in this case report. Case presentation A girl who was born in another center and had a sternal cleft, who did not have any problems in the early period, was admitted to our hospital with respiratory distress at the age of 43 days. The patient was monitored with mechanical ventilator support, and there were hemangiomas around his left ear and lips. There were paradoxical respiratory movements in front of the heart, in the upper midline of the chest. Three-dimensional computed tomography showed that the upper part of the sternum did not develop, and there were hypoplasic sternal bars on both sides. It was evaluated as superior partial sternal cleft, and surgery was planned. In the operation, the sternal bars were released from the pericardium and pleura. The periosteum in the medial of both sternal bars was then released and connected in the midline, in front of the pericardium. Conclusion Although neonates with a sternal cleft are asymptomatic at birth, respiratory symptoms may develop in later periods. In addition, because the structures are more flexible in the neonatal period, the primary repair of the cleft is easier and the risk of cardiac compression is lower. In our case, sternal bars could be approached primary, and no chondral grafts, patches, or steel wires were required.

scholarly journals Primary Closure of a Subtotal Sternal Cleft in a 7-Day-Old Neonate

2021 ◽  
pp. 60-63
Author(s):  
R. Sekelyk ◽  
D. Kozhokar ◽  
I. Yusifli ◽  
R. Tammo ◽  
I. Yemets
Keyword(s):  
Primary Repair ◽  
Incomplete Fusion ◽  
Direct Closure ◽  
Wall Defect ◽  
Sternal Cleft ◽  
Cardiac Compression ◽  
Rare Congenital Abnormality ◽  
Chest X Ray ◽  
Male Neonate ◽  
Significant Distance

Sternal cleft is a rare congenital abnormality that results from incomplete fusion of the two lateral mesodermal sternal bars. It is generally accepted that primary repair in the neonatal period is the best treatment option. However, significant distance between the sternal bars can be challenging because of cardiac compression. The aim. We report a case of a 7-day-old neonate with a subtotal sternal cleft successfully managed by direct closure. Material and methods. A full-term male neonate weighing 3 kg was referred to our clinic for evaluation of a chest wall defect. The chest X-ray and computed tomography were performed to evaluate the malformation. Results. Surgery was performed at the age of 7 days. Postoperative period was uneventful. The patient was discharged on the postoperative day 21. The first postoperative checkup after 3 months showed satisfactory cosmetic results and normal respiratory movements. Conclusion. Despite the significant diastasis between sternal bars, primary direct closure of the sternal cleft can be safely performed in neonates.

scholarly journals VATS right upper posterior segmentectomy with anomalous bronchiand pulmonary vessels: a case report and literature review

2020 ◽  
Author(s):  
Jianbin Zhang ◽  
Yilv Zhu ◽  
Hongwei Li ◽  
Caihua Yu ◽  
Weiwei Min
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Case ◽  
Anatomic Variation ◽  
Three Dimensional ◽  
Posterior Segment ◽  
Detailed Model ◽  
Case Presentation ◽  
Pulmonary Vessels ◽  
The Right

Abstract BackgroundAnatomic variation may increase the difficulty and risk for anatomic segmentectomy. The preoperative three-dimensional computed tomography bronchography and angiography(3D-CTBA) can provide a detailed model of the segmental structure, and contribute to precise and safe segmentectomy.Case presentationWe report a case with anomalous bronchi and pulmonary vessels in the right upper posterior segment (RS2), under the guidance of 3D-CTBA, anatomic RS2segmentoctomywas performed accurately and safely, the postoperative condition was uneventful.ConclusionsThis rare case highlights the importance of 3D-CTBA to guild accurate segmentectomy with anatomic variation.

scholarly journals VATS right posterior segmentectomy with anomalous bronchi and pulmonary vessels: a case report and literature review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jianbin Zhang ◽  
Yilv Zhu ◽  
Hongwei Li ◽  
Caihua Yu ◽  
Weiwei Min
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Case ◽  
Anatomic Variation ◽  
Three Dimensional ◽  
Posterior Segment ◽  
Detailed Model ◽  
Case Presentation ◽  
Pulmonary Vessels ◽  
The Right

Abstract Background Anatomic variation may increase the difficulty and risk of anatomic segmentectomy. The preoperative three-dimensional computed tomography bronchography and angiography (3D-CTBA) can provide a detailed model of the segmental structure, and contribute to precise and safe segmentectomy. Case presentation This is a case of anomalous bronchi and pulmonary vessels in the right upper posterior segment (RS2). Under the guidance of 3D-CTBA, anatomic RS2 segmentectomy was performed accurately and safely. The postoperative condition was uneventful. Conclusions This rare case highlights the importance of 3D-CTBA to guild accurate segmentectomy with anatomic variation.

scholarly journals Mandibular first premolar with five root canals: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ming Zhang ◽  
Jian Xie ◽  
Yan-huang Wang ◽  
Yan Feng
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Three Dimensional ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Posterior Teeth ◽  
Case Presentation ◽  
Root Canals ◽  
First Case ◽  
Mandibular First Premolar

Abstract Background Understanding the anatomical morphology of the root canal is key for successful root canal treatment. The aims of this case presentation are to report a unique case of root canal treatment involving five root canals in the mandibular first premolar and to highlight the importance of variation in root canals of mandibular first premolars in clinical practice. Case presentation A 25-year-old male with intermittent pain in relation to the lower right posterior teeth over 3 weeks was diagnosed with symptomatic pulpitis in tooth #44. Four root canals were found, including mesiobuccal, distobuccal-1, distobuccal-2, and distolingual roots, and the Mtwo rotary system was used for root canal preparation. The four root canals were filled after 2 weeks, when a fifth canal was found, located in the buccal cavity. The fifth canal was confirmed to be the mesiolingual root canal by cone beam computed tomography (CBCT) and was found to be curved. After completion of the root canal filling, CBCT was performed, and a three-dimensional root canal image was reconstructed. After 1 week of observation, the tooth was repaired using composite resin filling. Conclusions This is the first case presentation of a fifth canal of the mandibular first premolar and advances our understanding of variations in the anatomy of the mandibular first premolar. This case report provides a reference for the treatment of mandibular first premolars.

scholarly journals First branchial cleft fistula: a case report and literature review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Razan Bawazir ◽  
Abdullah Bawazir ◽  
Osama Bawazir
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Multidisciplinary Approach ◽  
Treatment Process ◽  
Nerve Monitoring ◽  
Case Presentation ◽  
Rare Malformation ◽  
Branchial Cleft ◽  
Magnetic Resonance Imaging Mri

Abstract Background First branchial cleft fistula is a rare malformation of the neck and head. The purpose of this report is to showcase a method of treating first brachial cleft fistula while preserving the facial nerve. Case presentation This case report presents an 8-year-old female with a type 2 first branchial cleft fistula. The treatment process follows multidisciplinary approach with the aid of health professionals from different departments, pre-op magnetic resonance imaging (MRI) scanning to map the fistula, and the use of nerve monitoring device (NIM). Conclusion The procedure was successfully done while preserving the facial nerve.

scholarly journals VATS right upper posterior segmentectomy with anomalous bronchiand pulmonary vessels: a case report and literature review

2021 ◽  
Author(s):  
Jianbin Zhang ◽  
Yilv Zhu ◽  
Hongwei Li ◽  
Caihua Yu ◽  
Weiwei Min
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Case ◽  
Anatomic Variation ◽  
Three Dimensional ◽  
Posterior Segment ◽  
Detailed Model ◽  
Case Presentation ◽  
Pulmonary Vessels ◽  
The Right

Abstract Background: Anatomic variation may increase the difficulty and risk for anatomic segmentectomy. The preoperative three-dimensional computed tomography bronchography and angiography(3D-CTBA) can provide a detailed model of the segmental structure, and contribute to precise and safe segmentectomy. Case presentation : We report a case with anomalous bronchi and pulmonary vessels in the right upper posterior segment (RS 2 ), under the guidance of 3D-CTBA, anatomic RS 2 segmentoctomywas performed accurately and safely, the postoperative condition was uneventful. Conclusions: This rare case highlights the importance of 3D-CTBA to guild accurate segmentectomy with anatomic variation.

scholarly journals Intellectual Decline in a Patient with Migraine and APT1A2 Mutation: A Case Report

2021 ◽  
Author(s):  
Pian Wang ◽  
Yan-Rong Yang ◽  
Hong-Bo Zhang ◽  
Jiang-Hong Wang ◽  
Yan Wang
Keyword(s):  
Case Report ◽  
Intellectual Disabilities ◽  
Intelligence Quotient ◽  
Three Dimensional ◽  
Clinical Manifestations ◽  
Specific Area ◽  
Hemiplegic Migraine ◽  
Rare Type ◽  
Case Presentation ◽  
The Impact

Abstract Background: Hemiplegic migraine (HM) is a rare type of migraine with aura. Some reports have described the clinical manifestations in HM patients with the ATP1A2 mutation. But the impact of the ATP1A2 mutation on intelligence in HM patients has not been evaluated in detail. Here we report a patient with intellectual decline in specific area.Case presentation: A 15-year-old boy with an aura that included disturbances in consciousness, associated with fever, vomiting, hemiplegia, and aphasia. He was diagnosed HM with the ATP1A2 mutation before. He had trouble in mathematics and depicting three-dimensional things.Conclusions: The HM with ATP1A2 patient could develop permanent intellectual disabilities. Therefore, the intelligence quotient should be carefully and comprehensively evaluated.

scholarly journals VATS right posterior segmentectomy with anomalous bronchi and pulmonary vessels: a case report and literature review

2021 ◽  
Author(s):  
Jianbin Zhang ◽  
Yilv Zhu ◽  
Hongwei Li ◽  
Caihua Yu ◽  
Weiwei Min
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Case ◽  
Anatomic Variation ◽  
Three Dimensional ◽  
Posterior Segment ◽  
Detailed Model ◽  
Case Presentation ◽  
Pulmonary Vessels ◽  
The Right

Abstract Background: Anatomic variation may increase the difficulty and risk of anatomic segmentectomy. The preoperative three-dimensional computed tomography bronchography and angiography (3D-CTBA) can provide a detailed model of the segmental structure, and contribute to precise and safe segmentectomy. Case presentation: This is a case of anomalous bronchi and pulmonary vessels in the right upper posterior segment (RS2). Under the guidance of 3D-CTBA, anatomic RS2 segmentectomy was performed accurately and safely. The postoperative condition was uneventful. Conclusions: This rare case highlights the importance of 3D-CTBA to guild accurate segmentectomy with anatomic variation.

An Obscure Colon Dilatation and its Underlying Cause: Case Report and Literature Review

2020 ◽  
pp. 1-5
Author(s):  
Anton Stift ◽  
Kerstin Wimmer ◽  
Felix Harpain ◽  
Katharina Wöran ◽  
Thomas Mang ◽  
...  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Immunohistochemical Staining ◽  
Late Onset ◽  
Hirschsprung Disease ◽  
Endoscopic Examination ◽  
Case Presentation ◽  
Idiopathic Megacolon ◽  
History Of ◽  
Cells Of Cajal

Introduction: Congenital as well as acquired diseases may be responsible for the development of a megacolon. In adult patients, Clostridium difficile associated infection as well as late-onset of Morbus Hirschsprung disease are known to cause a megacolon. In addition, malignant as well as benign colorectal strictures may lead to intestinal dilatation. In case of an idiopathic megacolon, the underlying cause remains unclear. Case Presentation: We describe the case of a 44-year-old male patient suffering from a long history of chronic constipation. He presented himself with an obscurely dilated large intestine with bowel loops up to 17 centimeters in diameter. Radiological as well as endoscopic examination gave evidence of a spastic process in the sigmoid colon. The patient was treated with a subtotal colectomy and the intraoperative findings revealed a stenotic stricture in the sigmoid colon. Since the histological examination did not find a conclusive reason for the functional stenosis, an immunohistochemical staining was advised. This showed a decrease in interstitial cells of Cajal (ICC) in the stenotic part of the sigmoid colon. Discussion: This case report describes a patient with an idiopathic megacolon, where the underlying cause remained unclear until an immunohistochemical staining of the stenotic colon showed a substantial decrease of ICCs. Various pathologies leading to a megacolon are reviewed and discussed.

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