Monteggia fracture-dislocation with intercondylar fracture of the ipsilateral humerus: a new type III Monteggia equivalent

2016-10-08T18-09-54Z
Source: The Southeast Asian Journal of Case Report and Review
Dr.Aakash Mugalur, Dr.Binoti A Sheth.
Monteggia fracture dislocations are rare but complex injuries usually involving a fracture of the ulna and dislocation of the radial head. Monteggia Fracture dislocations are associated with other concomitant injuries in the ipsilateral upper limb. However, ipsilateral distal intercondylar fracture of the humerus and Monteggia fracture dislocation in adults are very rare with only 4 cases described in literature till date. We presented an exceptionally rare case of type III Monteggia fracture dislocation with intercondylar distal humerus fracture with posterior interosseous nerve palsy. The patient was treated with open reduction and internal fixation with post operative physiotherapy. The posterior interosseous nerve palsy recovered without any operative intervention. The patient had good functional outcome with no disability. We consider it to be a type III Monteggia equivalent adding to the expanding list of equivalent lesions.


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Monteggia fracture-dislocation with intercondylar fracture of the ipsilateral humerus: a new type III Monteggia equivalent

2016-10-08T18-09-54Z
Source: The Southeast Asian Journal of Case Report and Review
Dr.Aakash Mugalur, Dr.Binoti A Sheth.
Monteggia fracture dislocations are rare but complex injuries usually involving a fracture of the ulna and dislocation of the radial head. Monteggia Fracture dislocations are associated with other concomitant injuries in the ipsilateral upper limb. However, ipsilateral distal intercondylar fracture of the humerus and Monteggia fracture dislocation in adults are very rare with only 4 cases described in literature till date. We presented an exceptionally rare case of type III Monteggia fracture dislocation with intercondylar distal humerus fracture with posterior interosseous nerve palsy. The patient was treated with open reduction and internal fixation with post operative physiotherapy. The posterior interosseous nerve palsy recovered without any operative intervention. The patient had good functional outcome with no disability. We consider it to be a type III Monteggia equivalent adding to the expanding list of equivalent lesions.


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Unintentional household poisoning due to rodenticide in a child

2016-10-08T18-09-54Z
Source: The Southeast Asian Journal of Case Report and Review
Nisreen A Rahman, Vinod A Chaudhari, Bhawana A Badhe, Kusa K Shaha.
Introduction: The household poisoning is a major problem in India, and the awareness of these poisons among the people is meager and sometimes they ignorant and careless regarding these poisons. The various types of rat killer or rodenticides used in household, and their improper usage and safety may pose serious health issues. The rat killer poisoning with phosphide, warfarin, and superwarfarin are increasing day by day. Case report: A three years old boy unintentionally consumed rat killer paste, when his mother was out of the house. He had complaints of nausea and vomiting, and he admitted in a primary health care center. Then he was referred to tertiary care center and during the treatment he developed the features of acute renal failure and hepatotoxicity due to the rat killer poison and succumbed on a second day of admission. The features of rat killer poison that is zinc phosphide were evident on thorough autopsy examination, clinical findings, and ancillary examinations. Discussion: There is a need for proper preventive and treatment strategies to reduce the number of exposures, morbidity and mortality due to household poisons including rat killer poisons. In medical practice identifying the rat killer poisoning cases, their proper management, and its medicolegal aspects are very important.


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Subcutaneous zygomycosis presenting as soft-tissue ‘tumour’ over scapula – case report and review of literature

2016-10-08T18-09-54Z
Source: The Southeast Asian Journal of Case Report and Review
Tarun Bali and Malhar N Kumar.
Subcutaneous zygomycosis due to Basidiobolus ranarum is endemic in India, especially in Southern India. This is a case report of animmunocompetent manual labourer who presented with a painless swelling overlying the left scapula. Preoperative imaging studies suggested the possibility of cavernous haemangioma. Excision biopsy was performed and gross as well as histopathological assessment showed it to be a fungal lesion (entomophthoromycosis). Culture of the affected tissue yielded B. ranarum. The patient was treated with potassium iodide and itraconazole and the lesion healed completely in 2 months.


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Adenomyoepithelioma of breast : report of a rare case

2016-10-08T18-09-54Z
Source: The Southeast Asian Journal of Case Report and Review
Dr Reena kouli.
Benign adenomyoepithelioma of the breast is a rare tumor characterized by biphasic proliferation of both an inner layer of epithelial cells and a prominent peripheral layer of myoepithelial cells. This entity may rarely progresses to a more malignant state or gives rise to metastasis. Accurate diagnosis and close follow up is essential for proper treatment of these tumors. We report a 15 year old girl who presented with large lump in the breast which was clinically mistaken for a giant fibroadenoma of breast. No nodes were palpable. On gross examination, a large lump 11x11x8 cm was noted which was well circumscribed, solid on cut section. On histopathologic examination the diagnosis of adenomyoepithelioma was made which was further supported by immunohistochemistry findings.


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Spontaneous neonatal rectal perforation: A case for primary closure.

2016-10-08T18-09-54Z
Source: The Southeast Asian Journal of Case Report and Review
Anjali Verma.
Spontaneous perforation of the gastrointestinal tract in the neonate is rare. When it occurs it usually involves the stomach or the ileocaecal region. Perforation of the rectum in the neonate is usually caused by instruments being passed into it. We are hereby reporting a rare case of idiopathic rectal perforation and was successfully managed by primary closure.


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