HighlightsOur case the difficulty of differentiating severe quadriceps contusion from thigh compartment syndrome.We ed the response of thigh musculature to blunt trauma.Clinicians should be aware of vascular injury as a cause of thigh compartment syndrome in sports trauma. Vascular examination is warranted in all cases of quadriceps injury.MRI findings of deep thigh muscle swelling and “blow-out” tear of the vastus lateralis are strongly suggestive of severe quadriceps injury, and may be a harbinger of delayed thigh compartment syndrome.
Introduction:superior mesenteric artery syndrome is a rare condition of obstruction to the third part of duodenum. Identification of this syndrome is challenging and is frequently made by a process of exclusion. case report: We report the first case of superior mesenteric artery syndrome in a severely cachectic schizophrenic patient with paranoid delusions who presented with features of proximal gastrointestinal obstruction. the diagnosis was not straightforward and was supported by radiologic evidence of obstruction. the patient was treated conservatively with nasogastric tube decompression, fluid and electrolyte correction and enteral nutrition via nasojejunal tube. However, the patient was not cooperative with treatment and subsequently demised. conclusion: this report aims to strengthen the awareness of this condition to prevent delay in diagnosis and treatment of this life-threatening condition.
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