Cavernous hemangiomas are benign hamartomatous proliferation of endothelial tissues. They can arise virtually anywhere in the body and do not contain tissues native to the organ or structure in which they are located. Contrary to what is seen in capillary hemangiomas and the cavernous cutaneous variety, intramuscular hemangiomas almost always never regress. We report a case of intramuscular cavernous hemangioma in an 18-year-old male Nigerian with swelling in the left forearm of 9 years duration. The swelling progressively increased in size and nearly involved the entire forearm with occasional pain and no preceding history of trauma. Pre-operative plain radiographs showed an ill-defined soft tissue swelling with multiple calcifications or phleboliths. Surgical excision with ligation of feeding vessels was done and histology confirmed the diagnosis with free margin of excision. Post-operative clinical improvement was marked.
Fractures of the shaft of the tibia and fibula are common. Complications are minimal following careful application of principles during treatment by the Orthopaedic Surgeon. However, in our environment, not all patients present to the Orthopaedic Surgeon as they opt for some form of unconventional treatment, usually with the traditional bone setters. Such treatments sometimes lead to clinically unacceptable outcomes. This is a case report of a 42-year old female Nigerian with a 4-year history of post traumatic anterior angulation of the distal right tibia with severely contracted Achilles tendon following traditional bone setter’s treatment for open fractures of the distal tibia and fibula. There was 7 cm of right lower limb shortening and 45 degrees anterior angulation of a tibial malunion. She had a two- stage operation to correct the deformities. Patient achieved a plantigrade foot and fracture union without limb length discrepancy. DOI: http://dx.doi.org/10.3126/ajms.v6i1.10198 Asian Journal of Medical Sciences Vol.6(1) 2015 108-111
Obtaining rapid access in emergency situations for infusion of IV fluids, blood and blood products or medications is vital in using various methods. These include venopuncture, intraosseous infusion, percutanous central venous access and peripheral venous cut-down. We report a case of a 30-year-old woman who developed severe obstetric hemorrhage and had peripheral venous cut-down that was complicated by bilateral femoral osteomyelitis. This is a rare occurrence and this case report shows the need for strict adherence to safety precautions to prevent complications such as that from the procedure.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.