1.Spontaneous Uterine Rupture during Late Pregnancy after High-intensity Focused Ultrasound.
Xiao-Wei LI ; Mei-Ying LIANG ; Jian-Liu WANG ; Da-Peng WANG
Chinese Medical Journal 2015;128(10):1419-1419
Adult
;
Female
;
Humans
;
Pregnancy
;
Rupture, Spontaneous
;
etiology
;
Ultrasonography
;
adverse effects
;
Uterine Rupture
;
etiology
2.Psoas Abscess Caused by Spontaneous Rupture of Colon Cancer.
Jun Young YANG ; June Kyu LEE ; Soo Min CHA ; Yong Bum JOO
Clinics in Orthopedic Surgery 2011;3(4):342-344
Spontaneous rupture of colon cancer, combined with psoas abscess formation, is rare. A 44-year-old male visited for back pain and left buttock mass. Abdominal computed tomography and magnetic resonance image revealed a large abscess in the left psoas muscle and in the left lower quadrant area. Ten days after incision and drainage, a skin defect around the left anterior superior iliac spine remained. A local flap was performed using a superficial skin graft. Ten days after the stitches had been removed, fecal discharge was observed around the anterior superior iliac spine at the flap site. An operation was performed by a general surgeon who had diagnosed this as a case of enterocutaneous fistula. Operative findings included a ruptured tumor mass in the descending colon, which was connected to a retroperitoneal abscess. Pathologic report findings determined adenocarcinoma of the resected colon. Herein, we report a case of psoas abscess resulting from perforating colon cancer.
Adult
;
Colonic Neoplasms/*complications
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Humans
;
Male
;
Psoas Abscess/*etiology
;
Rupture, Spontaneous/complications
;
Streptococcal Infections/*etiology
3.Ruptured Anterior Communicating Artery Aneurysm Causing Bilateral Oculomotor Nerve Palsy: A Case Report.
Journal of Korean Medical Science 2007;22(1):173-176
A rare case of bilateral third cranial nerve palsy due to a ruptured anterior communicating artery aneurysm is presented. A 68-yr-old woman was semicomatose with bilaterally fixed dilated pupil, abducted eyes, and ptosis. A computed tomography demonstrated extensive hemorrhage spreading around the both Sylvian and interhemisheric fissure without focal mass effect. Intracranial pressure via extraventricular drainage before surgery was 15-50 mmHg. Three months later, brain MRI showed infarction of left posterior cerebral artery territory and lacuna infarction of the pons. Eleven months after aneurysm repair, nerve palsy improved slowly and recovered partially. The patient communicated well with simple words. The author reviewed and discussed the possible mechanism of this rare neuro-ophthalmological manifestation in view of a false localizing sign.
Rupture, Spontaneous
;
Oculomotor Nerve Diseases/*etiology
;
Magnetic Resonance Imaging
;
Intracranial Aneurysm/*complications/surgery
;
Humans
;
Female
;
Aged
4.Pneumatic colonic rupture accompanied by tension pneumoperitoneum.
Sei Joong KIM ; Seung Ik AHN ; Kee Cheon HONG ; Jun Sig KIM ; Seok Hwan SHIN ; Ze Hong WOO
Yonsei Medical Journal 2000;41(4):533-535
Rupture of the colon caused by high pressure compressed air is a rare, unique and traumatic intra-abdominal injury. As the use of compressed air in industrial work has increased, so has the risk of associated pneumatic injuries from its improper use. Recently we experienced a case of pneumatic rupture of the sigmoid colon accompanied by tension pneumoperitoneum, which caused respiratory distress. The patient's respiration was very rapid with the rate of 44 breaths per minute. On arterial blood gas analysis, pH was 7.40, pO2 68 mmHg, pCO2 44 mmHg, and SaO2 90%. Chest X-ray film showed marked pneumoperitoneum and an elevated diaphragm. The respiratory distress was severe and required immediate relief by emergency decompression peritoneocentesis before surgical intervention consisting of the serosal tear repair, colonic rupture colostomy and abdominal cavity irrigation. A follow up operation 2 months later for colostomy repair completed the patient's recovery.
Adult
;
Case Report
;
Colonic Diseases/etiology*
;
Human
;
Male
;
Pneumoperitoneum/complications*
;
Pressure
;
Rupture, Spontaneous
6.Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis.
Tae Hee LEE ; Yong Sung PARK ; Dong Jin CHUNG ; Ji Hyung KIM ; Sun Moon KIM ; Euyi Hyeog IM ; Kyu Chan HUH
The Korean Journal of Internal Medicine 2008;23(3):152-155
Bleeding in patients with liver cirrhosis is primarily caused by gastroesophageal varix in association with extensive collateral circulation, portal hypertensive gastropathy, a Mallory-Weiss tear and peptic ulcer disease. The spontaneous rupture of an artery, as a result of coagulopathy, is extremely rare in patients with liver cirrhosis; however, we recently observed a case of a spontaneous rupture of the lateral thoracic artery in a 47 year-old male patient with alcoholic liver cirrhosis. The patient expired despite repeated transcatheter arterial embolization of the lateral thoracic artery and best supportive care. This is, to our knowledge, the first documented case of the spontaneous rupture of the lateral thoracic artery in a patient with liver cirrhosis.
Aneurysm, Dissecting/*etiology
;
Fatal Outcome
;
Humans
;
Liver Cirrhosis/*complications
;
Male
;
Middle Aged
;
Rupture, Spontaneous/*etiology
;
Thoracic Arteries/*pathology
;
Time Factors
7.Bowel prolapse following spontaneous rupture of a femoral hernia.
Tin Aung SEIN ; Ashok DAMODARAN
Singapore medical journal 2012;53(9):e182-3
This case presents a rare complication of the spontaneous rupture of a femoral hernia in an elderly woman without causing much systemic effect despite the herniated bowel being necrosed and perforated, giving rise to an enterocutaneous fistula. The small bowel had also prolapsed through the fistula opening, making it a very rare and alarming presentation.
Aged
;
Female
;
Hernia, Femoral
;
complications
;
surgery
;
Humans
;
Intestinal Fistula
;
etiology
;
surgery
;
Intestinal Perforation
;
etiology
;
surgery
;
Prolapse
;
Rupture, Spontaneous
8.Intracerebral Hematoma after Surgical Correction of Strabismus.
Won Oak KIM ; Dae Ja UM ; Ryung CHOI ; Soon Kee HONG ; Yong Pyo HAN ; Tai Seung KIM
Yonsei Medical Journal 1985;26(2):150-153
Most patients with strabismus are in good health. However, the incidence of strabismus is high in patients with central nervous system dysfunction and musculoskeletal abnormalities. Authors report one case of intracerebral hematoma due to bleeding from an intracranial arteriovenous malformation after a surgical correction of strabismus under general endotracheal anesthesia. The initial operation and postoperative course of this case were uneventful except for several episodes of nausea and vomiting, continuing hours after the operation. Twenty-four hours after the operation, the patient showed a stuporous mental state and right-sided hemiplegia. A brain C-T scan and carotid angiography revealed an intracerebral hematoma with small-sized vascular abnormalities in the frontoparietal region on the left side. Following an emergency evacuation of the hematoma and removal of the malformed vessels, the patient showed progressive improvement.
Cerebral Hemorrhage/etiology*
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Child
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Female
;
Hematoma/etiology*
;
Human
;
Intracranial Arteriovenous Malformations/complications
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Postoperative Complications*
;
Rupture, Spontaneous
;
Strabismus/surgery*
9.Incidental Detection of Interstitial Pregnancy on CT Imaging.
Byung Seok SHIN ; Mi hyun PARK
Korean Journal of Radiology 2010;11(1):123-125
Ectopic pregnancy is a potentially life-threatening condition. Detection of ectopic pregnancy on CT images is rare. In this case, we describe the CT findings of interstitial pregnancy both before and after rupture. If CT images demonstrate the presence of a strong enhancing ring-like mass in the pelvis, ectopic pregnancy should be considered.
Adult
;
Diagnosis, Differential
;
Female
;
Gallstones/radiography
;
Hemoperitoneum/etiology/radiography
;
Humans
;
Pregnancy
;
Pregnancy, Tubal/*radiography
;
Rupture, Spontaneous
;
*Tomography, X-Ray Computed
10.Rupture of the rectosigmoid colon with evisceration of the small bowel through the anus.
Joon JEONG ; Joon Seong PARK ; Chang Gyoo BYUN ; Dong Sup YOON ; Seung Kook SOHN ; Yoon Ho LEE ; Hoon Sang CHI
Yonsei Medical Journal 2000;41(2):289-292
Spontaneous rupture of the rectosigmoid colon and herniation of the small intestine through the rupture site and eventual evisceration through the anus is a very rare event. In the literature, only 42 cases have been reported. The majority of them occurred in patients with rectal prolapse and one case was reported in association with a third-degree uterine prolapse. We experienced an 81-year-old female patient with rectal prolapse and second-degree uterine prolapse complicated by spontaneous perforation of the rectosigmoid colon and anal evisceration of the small intestine. Segmental resection of the nonviable small intestine, primary repair of the ruptured rectosigmoid colon, and sigmoid loop colostomy were performed, and the patient recovered well. In our patient, both rectal and uterine prolapses cooperatively damaged the anterior wall of the rectosigmoid colon and resulted in perforation. So, rectal and uterine prolapses should be treated before the complication develops. In this patient, uterine prolapse should be treated because of the recurrence of this rare episode.
Aged
;
Aged, 80 and over
;
Case Report
;
Colonic Diseases/etiology*
;
Female
;
Human
;
Rectal Prolapse/complications*
;
Rupture, Spontaneous
;
Uterine Prolapse/complications*