Here is an interesting case of an intraoral presence of hair!
A 61-year-old male came to the department complaining of discomfort in his mouth which has been present for six months. History revealed that the patient had a history of diagnosed and treated cancer of the buccal mucosa. He had been treated with radiation therapy and local resection was done along with surgical reconstruction with radial forearm flaps. Intraoral examination showed various hair fibers growing from the surface of the left buccal mucosa into the oral cavity and extending into the palate. Patient was advised to have laser excision of these hairs but he refused the procedure. His refusal was related to his previous surgical experiences.
Hairy intraoral flaps are one of rarest adverse effects of surgical reconstruction after treatment of oral malignancies. This may be due to the presence of hair follicles in the donor sites used as a flap. An intraoral hairy flap may result in constant discomfort affecting the quality of life.
(Credit: Gaurav Sharma, Archna Nagpal, Department of Oral Medicine and Radiology, S.R. Dental College, Faridabad, Haryana)
Girl viciously attacked by her ex boyfriend!
A South Carolina woman can finally smile again following surgery to fix her lower lip, which was bitten off by her ex-boyfriend after she refused to get back together with him.
Seth Fleury was Hayes' first serious boyfriend, she said. At the time, she was 17. He was 21.
But Fleury quickly became too controlling, Hayes said. She tried to break up with him repeatedly, but each time he would shower her with cards begging for forgiveness and she'd cave.
Finally, after 11 months of dating, Hayes broke up with him for good. When Fleury asked to meet one last time to return some personal items, she agreed. She said she was in her car when he suddenly leaned forward to kiss her. When she pulled away, he bit down on her bottom lip with such force that it was ripped off.
He was arrested in the brutal attack and ultimately pleaded guilty to assault and battery, sentenced for 12 years.
Hayes was left disfigured, attracting attention each time she stepped out in public, she said. "I felt like a monster". Hayes underwent emergency plastic surgery, but doctors were unable to reattach her lip and she was left with permanent scarring and a limited range of motion with her mouth. But with the help of reconstructive surgeon Dr. Brian Boland, she has her smile again.
For her part, she created a Facebook page called "Rise Above" to raise awareness about domestic violence and to helps others spot the signs of abuse - says she will 'rise above this' and 'wear my scars as wings.' 'No longer a victim, but a survivor,' she adds.
Kidney cross section showing renal papillary necrosis!
The pale white areas involving some or all of many renal papillae are areas of ischemic papillary necrosis.
This is an uncommon but severe complication of acute pyelonephritis, particularly in persons with diabetes mellitus. Papillary necrosis may also accompany analgesic nephropathy, sickle cell disease, and renal transplant rejection.
The condition can lead to secondary infection of desquamated necrotic foci, deposition of calculi, and/or separation and eventual sloughing of papillae, with impending acute urinary tract obstruction.
Multiple sloughed papillae can obstruct their respective calyces or can congregate and embolize to more distal sites such as the ureteropelvic junction, ureter, and ureterovesical junction.
There is no definitive treatment. Underlying cause should be identified and the offending agent stopped.
163 382102 days ago
Lights up like a Christmas tree!
Time-resolved contrast enhanced-MR angiography!! This is a truly unique test that views our body's remarkable complexity in such a simplistic way.
It is similar to contrast-enhanced CT angiography, except a gadolinium-based agent (instead of an iodine compound) is injected. Just as iodine produces x-ray attenuation allowing visualization of vessels on CTA, gadolinium shortens the T1 of blood rendering vessels bright on contrast enhanced MRA.
The vascular signal intensity is determined principally by the concentration of gadolinium within the vessel.
The MRA uses magnetic field, radio waves and a computer to evaluate blood vessels and help identify abnormalities or detect aneurysms, dissections, ruptured and atherosclerotic disease of the aorta and all its branches.
Unlike traditional angiography that involves placing a tube (catheter) into the body, MRA is noninvasive and requires contrast in order to visualize the blood vessels.
Notice the heart along with the aorta, aortic arch, and its 3 main branches (brachiocephalic trunk, left common carotid artery, and left subclavian artery), the lung vasculature and carotid arteries!
114 208172 days ago
Longest colon removed!!
This is an extreme case of chronic constipation.
This patient presented to the office with a history of one bowel movement every three weeks. This is been going on for several years. He has failed conservative therapy including enemas, suppositories, and laxatives. Due to his chronic abdominal pain the patient presents to the office to discuss surgical therapy. He subsequently underwent a laparoscopic total colectomy with an ileorectal anastomosis. He did not have a colostomy. The normal colon and rectum is usually 6 feet long. His colon alone is almost 7 feet in length.
This video is of the removal of the specimen after the laparoscopic colectomy. Initially after the surgery the patient was having 3 bowel movements a day. Several weeks after his surgery he is now having one bowel movement every day. His abdominal pain has resolved.
Credit to @surgerymd
2103 499373 days ago
Any Deadliest Catch fans out there?
If you watched any of the episodes then you probably know how dangerous this profession is.
Here we have a case of a lobster fisherman from Grand manan, Canada ( @jordan_ingersoll ) who had a very tough day hauling pots.
He fell and his thumb accidentally went in the trap hauler causing a complete amputation of his right thumb. Because this happened somewhere out on the sea, he needed two and a half hours to get back to the shore and into the hospital.
He then underwent surgery, but they were not able to save the thumb. The second photo shows the wound after one month.
Credit to @medicalpedia
365 277663 days ago
This is oddly satisfying!
A network of spider veins (telangiectasias) being completely faded!
Sclerotherapy effectively treats varicose and spider veins and is considered the treatment of choice for small varicose veins
It involves injecting a chemical solution, the sclerosant, directly into the vein to entirely collapse, scar, and obliterate it, forcing blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.
It is commonly mixed with air to make a foam like substance that tend to stay in the vessel more firmly. The sclerosant damages the innermost lining of the vessel, resulting in a clot that blocks the blood circulation in the vein.
To prevent back-flow, most veins have valves that only allow blood only to flow in the direction of the heart. When these valves become incompetent, veins become enlarged and bulging (varicose). Smaller veins that feed these varicose veins can also become enlarged and appear as red or blue spider veins in the skin.
Spider veins (or telangiectasias) are clusters of tiny blood vessels that develop close to the surface of the skin and can twist and turn. They can be red, blue, or purple, and have the appearance of a spiderweb.
Varicose veins are bigger and found deeper. They can lead to a chronic swelling condition of the leg called venous insufficiency, which predisposes a person to blood clots (thrombosis) and skin ulceration. The destruction of these types of veins can be desirable both medically and cosmetically, but also used to improve symptoms such as aching, swelling, burning, and night cramps.
Video by @veintreatmentcenter
2143 900563 days ago
A lithopedion baby, or stone baby!!!
This is a calcifies fetus that had retained in the maternal peritoneal cavity for 30 years!!
Lithopedion is a rare obstetrical outcome of an undiagnosed and untreated advanced abdominal (ectopic) pregnancy where the fetus develops outside of the mother’s womb, mostly found incidentally.
In the case of stone babies, the deceased fetus has no way to leave the body and is too large for the body to reabsorb. Instead of allowing the fetus to rot inside the abdomen and expose the mother to potential infection, her body works to calcify it — or mummify it in calcium. Calcification is essentially an accumulation of salts the human body uses as a barrier against potential infection.
Once calcified, the fetus is left inside the mother, where it usually does not cause any complications.
Pregnant women often complain of feeling as though they are carrying a bowling ball or a bag of bricks in their stomach instead of a baby. Most women who are pregnant can still remember the feeling. What most of us did not know is that stone babies are a real thing, called lithopedion.
There have been cases worldwide that have occurred, and in many of these cases, there are women who have had uncomplicated pregnancies while still carrying the lithopedion.
There are only around 300 documented cases in the world. It is incredibly, extremely rare, but it does happen. The masses, when dissected, usually have a partially to fully formed skeleton.
Lithopedions may occur from 14 weeks’ gestation to full term. It is not unusual for a stone baby to remain undiagnosed for decades and found incidentally when taking plain films for various reasons.
1291 622304 days ago
Doctors found a calcified fetus of 30 years old in the uterus of a woman aged 73 years old!!
If interest is shown, the fetus will be shown next.
These 3D CT scans belong to an Algerian women with a fetus that was inside her for over 30 years!
This extremely rare phenomenon is called Lithopedion, which means "stone baby". It occurs most commonly when the fetus dies during an abdominal pregnancy, and has been retained by the mother.
That fetus was too big to be reabsorbed by the body, and subsequently calcified on the outside as part of a maternal foreign body reaction, shielding the mother's body from the dead tissue of the fetus and preventing infection.
It is not unusual for a stone baby to remain undiagnosed for decades.
5598 1586056 days ago
This doesn’t belong in there.
But what is it??
This looks like a build up dead skin tissue and excess sebum (oil) on the dorsum of her foot. Usually, it has to be cleaned out every every few months.
Another possibility is that she either stepped on a porcupine quill or was attack and missed that one when removing the others. It probably migrated deeper into her foot until the body’s inflammatory response began to reject it. Therefore, exposing part of it and/or causing pain or itching in area.
Contact with a porcupine’s tail leaves quills embedded in, and even piercing through, a boot, shoe or even a heavy vinyl glove.
Removing a well-rooted quill can take more than ten pounds of force.
977 300263:24 PM Dec 8, 2018
Is this enough to make you wear one as well?
It definitely feels cool to ride with the wind in your hair and nothing but the sun on your head. But ask anyone who has wrecked on their bike and they'll tell you- helmets are way cooler than death or brain damage.
Besides preventing a cracked skull a helmet also protects your head and face from a seriously painful case of road rash.
So strap that helmet on before you go riding so you can live to bike another day!
Photo by @medicalpedia
1397 6935412:25 PM Dec 7, 2018
A very complicated puzzle! Tag a friend!
Reattaching the parts of a severed hand using external fixation with pins, screws and multiple intramedullary nailing for the proximal phalangeal fractures!
This poor worker had his hand caught in a machine at his job and the result left all his fingers and forearm sliced completely through in several places. It took doctors 16 hours to reattach all the parts back to their place and a very long rehabilitation process to gain back some of the function that was lost.
The deep cut in the upper forearm is a fasciotomy to prevent compartment syndrome.
This condition is most common after revascularization of an acutely ischemic limb, and is suspected in any patient who has an ischemic or traumatic injury to a muscle group that causes acute muscular edema.