“Endo-Oral Contrast-Puffing CT” in Pneumoparotitis: A Case Report | Abstract
Asploro Journal of Biomedical and Clinical Case Reports ISSN: 2582-0370 Article Type: Case Report DOI:…
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Author(s): Danilo CaudoiD*, Alessandro Santalco, Simona CammarotoiD, Carmelo AnfusoiD, Ylenia ZulloiD, Daniele Cacopardi, Vincenzo Lo Monte, Caterina Benedetto, Annalisa MilitiiD, Chiara SmortoiD, Fabio Italiano, Ugo BarbaroiD, Ignazio Salamone
Abstract
This case report aims to introduce pneumoparotitis and the correct execution of CT examination to ensure a proper diagnosis. A 45-year-old male presented several times to the ER with Oedema of the left parotid region and neck, along with crackles on palpation. This symptomatology raised suspicion of an inflammatory pathology complicated with abscesses of the parotid gland or a pneumomediastinum due to a traumatic lesion of the airways or oesophagus. Several imaging examinations, such as ultrasound and neck-chest CT, were performed for this suspicion without a correct diagnosis. The use of endo-oral contrast with “puffing” was useful in diagnosing pneumo-parotitis. Therefore, we believe that this procedure could be helpful in the future.
Pneumoparotitis is a pathology caused by incontinence of the Stenone duct which determines the reflux of saliva and air into the gland predisposing to the onset of recurrent infections. This pathology is characterized by swelling and subcutaneous emphysema of the parotid region.
Adequate knowledge of pneumoparotitis and the correct execution of the CT examination is essential to demonstrate the incontinence of the Stenone duct to be able to exclude emergencies such as abscesses, air-gas infections, and traumatic lesions of the airways and oesophagus.
Author(s): Yan Zeng, Yan Xu*
Abstract
The incidence of moderate to severe pain after total knee arthroplasty (TKA) ranges from 30-60% [1]. In the context of enhanced recovery after surgery, multimodal analgesia with peripheral nerve block as the core has become the main method of postoperative analgesia after TKA, and good analgesia is conducive to the early recovery of patients. Genicular nerve block (GNB) provides good analgesia anterior to the knee, while infiltration between the popliteal artery and capsule of the knee (iPACK) block provides good analgesia posterior to the knee [2]. We report a case of genicular nerve block combined with iPACK block for postoperative analgesia after total knee arthroplasty..
Author(s): Kenji Hayashi, Hiroshi BandoiD*, Kazuya Miki, Misaki Hamai, Tatsuo Yasuoka
Abstract
Background: Among oral hypoglycemic agents (OHAs), imeglimin (Twymeeg) would be in focus.
Case Presentation: The patient in this case is a 58-year-old female with a history of obesity and previous operations for posterior longitudinal ligament ossification. In early September 2022, she developed dizziness and a general feeling of unwellness, leading to a diagnosis of Type 2 Diabetes (T2D) with an HbA1c level of 11.1%.
Result: The patient was treated with a low carbohydrate diet (LCD) and Twymeeg, resulting in a significant decrease in HbA1c levels from 11.1% to 9.0%, 6.7%, and 5.9% over the course of three months. Pre-prandial and post-prandial blood glucose levels were measured with great accuracy.
Discussion and Conclusion: The administration of Twymeeg was found to be effective in reducing the patient’s HbA1c levels, and the relationship between HbA1c and glucose variability could be further investigated based on these results.
Author(s): Mariell Rodríguez-Salazar, Javier Sánchez-Ham, Malery Torres-Martínez, María José Magallanes-Jiménez, Marian Serna-Murga, Ana Loreto San-Vicente-Iglesias, Javier Lizardi-Montaño, Andrea Ibarra-Moreno, Alejandro Bautista-Pérez-Gavilán, Carlos Alberto Villa-Ramírez, Santiago Saenz-Ancira, Sofía Molina-Castillo, Erick Alexanderson-RosasiD*
Abstract
Ventricular septal rupture is an uncommon but serious complication of acute myocardial infarction that requires prompt and appropriate management. In this case, we present a typical example of a patient diagnosed with a ventricular septal rupture.
Author(s): Alejandro Bautista-Pérez-Gavilán, Denya Sánchez-Quintero, Ana Gilabert-García, José Emiliano Ríos-Méndez, Santiago Saenz-Ancira, Carlos Alberto Villa-Ramirez, Andrea Ibarra-Moreno, Mariell Rodríguez-Salazar, Sofía Molina Castillo, Jorge Luis Bermudez-Gonzalez, Nilda Espinola-Zavaleta, Leonardo Proaño Bernal, Erick Alexanderson-RosasiD*
Abstract
Kommerell diverticulums are an uncommon congenital vascular disease involving an aberrant origin of the right or left subclavian artery and a dilation of its root. Here, we present the case of a 44-year-old woman with a relapse of a surgically repaired aberrant subclavian artery with a Kommerell diverticulum.