BMJ case reports
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A 77-year-old female presented with high blood pressure noted at home. She was having abdominal pain and distension for several years but attributed it to old age and ignored the symptoms. ⋯ The cyst was subsequently excised via laparoscopic unroofing. The patient did well post op and her symptoms were alleviated.
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Appendicitis and helminth infections are both common conditions in children. However, helminths (pinworms) infestation causing appendiceal luminal obstruction and presenting as appendicitis is uncommon.
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Eagle's syndrome (ES) sometimes called styloid or stylohyoid syndrome is defined as the symptomatic elongation of the styloid process or mineralisation of the stylohyoid ligament. The symptoms related to this condition can be confused with those attributed to a wide variety of facial neuralgias. ⋯ An intraoral transtonsillar shortening of the styloid process was done. We discuss the clinical presentation, diagnosis and treatment of ES as well as a review of the literature.
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Review Case Reports
A delayed diagnosis of a retained guidewire during central venous catheterisation: a case report and review of the literature.
Central venous catheterisation allows delivery of medications, intravenous fluids, parenteral nutrition, haemodialysis and monitoring of haemodynamic variables. Various complications may occur during and after the procedure. However, the complete guidewire retention has rarely been reported. ⋯ Echocardiography showed a wire-shaped foreign body within the right part of the heart, and a fluoroscopic examination showed a guidewire reaching from the superior vena cava to the right external iliac vein. In retrospect, the wire was already visible on the postoperative chest x-rays and CT taken while the patient was still in intensive care unit, but its presence was overlooked at that time. The guidewire was retrieved completely during a surgery.