Ong SCL, Balasingam V. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223007 Description A 21-year-old male presented to the hospital following a road accident. He was riding a motorcycle when he flung into a roadside drain. On arrival, his Glasgow Coma Scale was 15/15 and vital signs were stable. On examination, there was tenderness and deformity of the left thigh. The diagnosis of closed comminuted ...

fat embolism syndrome is a clinical diagnosis, and diagnostic procedures are not specific. in every trauma patient, fat embolism syndrome has to be considered as a possibility and supportive treatment should begin as soon as possible. the authors reported a rare case of fat embolism syndrome whose only neurological symptom was motor aphasia. a young man sustained comminuted femoral shaft fractu...

background: the use of thrombolytic agents in the treatment of hemodynamically stable patients with acute submassive pulmonary embolism (pte) remains controversial. we, therefore, conducted this study to compare the effect of thrombolytic plus anticoagulation versus anticoagulation alone on early death and adverse outcome following submassive pte. methods: w e conducted a study of patients with...

TOPIC: Cardiothoracic Surgery TYPE: Fellow Case Reports INTRODUCTION: Patent foramen ovale (PFO) has been linked to serious conditions such as cryptogenic stroke.We herein describe a case of multiple PFO-related embolic events arising in single patient secondary venous clot straddling the PFO. CASE PRESENTATION: 65-year-old male with no past medical history presented sudden onset numbness origi...

Veno-Arterial extracorporeal (VA ECMO) provides temporary mechanical support to the patient with cardiac and/or respiratory failure in cases of cardiogenic shock or heart failure [1-3]. VA ECMO essentially decreases cardiac work and reduces oxygen consumption while providing sufficient organ perfusion. ECMO is a bridge to recovery, left ventricular assist device (LVAD) implantation or eventual ...

Cerebral air embolism is an extremely rare complication of endoscopic procedure and often life threatening. We present two cases of cerebral infarction due to air embolization caused by an endoscopic intervention. The first case occurred during esophageal balloon dilatation for the treatment of a stricture of an anastomosis site in a 59-year-old man and the second case occurred during endoscopi...