Amputations of the thumb occur commonly following industrial accidents, road trafc accidents, after assault and less
frequently in house-hold injuries.The ideal method of reconstruction of thumb has remained elusive to plastic surgeons.
With various options attempted, explored and performed, thumb reconstruction is still an art to be perfected. In this case report we present the
functional and aesthetic outcome of single stage reconstruction of thumb treated with double neurovascular island aps, which can be used in
specic situations. We report a case of single stage reconstruction of thumb by a new technique of using double neurovascular island aps.The
reconstructed thumb had adequate length, sensation, good functional outcome and reasonable aesthetic appearance. The donor site settled well
with no functional decit, excepting contour deformity. This procedure offers an another alternative safe option for thumb reconstruction.
Baclofen is a gamma- aminobutyric acid B (GABA B) agonist used for the management of spasticity associated with spinal cord injury. Oral baclofen might cause constipation, but intestinal pseudo-obstruction is very rare. We report a 50-year-old male with spasticity following cervical discectomy (C3-4) on oral baclofen for 6 months with intestinal pseudo-obstruction. He had undergone open suprapubic cystostomy for traumatic urethral injury, 45 days prior to the presentation and adhesive intestinal obstruction was also considered a possibility. However, there were no air fluid levels on abdominal radiographs and ultrasound abdomen was non-contributory. Withdrawal of baclofen was therapeutic in this patient. This case is being reported to highlight the rare possibility of oral baclofen induced intestinal pseudo-obstruction.
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