Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO
Smith Giscard Olagui,
Dimitri Mbethe,
Christelle Mézene,
Adrien Mougougou,
Gloire Allogho Mbouye,
Mariette Nsa Bidzo,
Fatou SY-Moutsinga,
Jean Placide Owono Mbouengou,
Eric Jacob Benizri
Issue:
Volume 1, Issue 4, December 2022
Pages:
36-39
Received:
10 September 2022
Accepted:
12 October 2022
Published:
23 November 2022
DOI:
10.11648/j.ijmcr.20220104.11
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Abstract: Introduction: Ureterocele is a rare congenital malformation characterized by pseudo-cystic dilation of the lower extremity of the ureter. It is often discovered in neonates on antenatal ultrasonography which explains its rarity in adults and few publications concerning adult ureterocele. Its treatment is not unequivocal; it is indicated in the case of complicated or symptomatic ureterocele. Early decompressive treatment is advocated to reduce the risk of related renal and urinary tract damage. Endoscopic techniques of incision have been offered utilizing diathermic electrode. Observation: We report the clinical case of a 39-year-old man suffering from chronic low back pain not relieved by medical treatment. The ultrasound performed shows signs of ureteral obstruction of bladder origin. The cystoscopy made it possible to make the diagnosis of a voluminous right ureterocele, which will be treated by transurethral incision at the diathermic loop. The post-operative follow-up was simple. At 3 months, there was no vesico-ureteral reflux, no infection, no recurrence of the ureterocele. Discussion: It is a congenital malformation that affects several births. The etiology remains unknown, and the obstructive malformation theory is the most evoked. Its clinical symptomatology is non-specific. Its diagnosis is endoscopic, and the treatment is most often surgical depending on the type and its clinical presentation. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.
Abstract: Introduction: Ureterocele is a rare congenital malformation characterized by pseudo-cystic dilation of the lower extremity of the ureter. It is often discovered in neonates on antenatal ultrasonography which explains its rarity in adults and few publications concerning adult ureterocele. Its treatment is not unequivocal; it is indicated in the case...
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Evidence Based Physiotherapy Management for the Patient with Diabetic Neuropathy: A Review Study
Md Majidur Rahman,
Md Waliul Islam
Issue:
Volume 1, Issue 4, December 2022
Pages:
40-44
Received:
4 October 2022
Accepted:
24 October 2022
Published:
23 November 2022
DOI:
10.11648/j.ijmcr.20220104.12
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Abstract: Background: Diabetic neuropathy is a state of the peripheral nervous system in people with diabetes mellitus. It’s grouped in two different ways like one is symmetrical and another is asymmetrical. DN is additionally called peripheral neuropathy which has a frequent and crippling microvascular complication of both type 1 and types 2 diabetes Objectives: The purpose of this review study was to evaluate the evidence-based physiotherapy management for the patient with diabetic neuropathy. Methodology: A computerized electronic search was performed using PEDro, Google Scholar, Pub Med. The accompanying watchwords including physiotherapy treatment, diabetic neuropathy, and diabetic polyneuropathy, proof-based treatment for diabetic neuropathy. 3 randomized control preliminaries were chosen from the Physiotherapy Evidence Database (PEDro) and their score was 7 or more. The members were both type 1 and type 2 diabetes mellitus, which were analyzed as diabetic neuropathy. Results: Numerous RCT study was founding on diabetic neuropathy among them three RCTs were chosen for this examination. This investigation found that extending and fortifying activity of foot muscles, weight-bearing activity, Lower limit exercise and strolling intercession program, virtual obstacle crossing task practice and so forth, are powerful for diabetic neuropathy. Conclusion: A few examinations have been directed so far to discover the evidence-based physiotherapy the executives for the diabetic neuropathy condition. The after-effects of this examination propose that activity conventions are sustainable for the patient with diabetic neuropathy.
Abstract: Background: Diabetic neuropathy is a state of the peripheral nervous system in people with diabetes mellitus. It’s grouped in two different ways like one is symmetrical and another is asymmetrical. DN is additionally called peripheral neuropathy which has a frequent and crippling microvascular complication of both type 1 and types 2 diabetes Object...
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Suspected Malignant Hyperthermia in a Child with Post-Facial Burn Hypertrophic Scars and Ectropion: A Case Report at Kenyatta National Hospital
Belinda Namisi,
Betty Owure
Issue:
Volume 1, Issue 4, December 2022
Pages:
45-49
Received:
13 November 2022
Accepted:
7 December 2022
Published:
27 December 2022
DOI:
10.11648/j.ijmcr.20220104.13
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Abstract: Malignant hyperthermia is a rare pharmacogenetic disorder of skeletal muscles. It occurs after subjection to potent volatile anaesthetics, succinylcholine and environmental agents like heat and strenuous exercise. Symptoms of malignant hyperthermia are variable based on age and the common symptoms being hyperthermia, tachycardia and hypercarbia. Dantrolene is the universal treatment of choice. The main aim of this case presentation was to highlight the successful management of malignant hyperthermia without the use of dantrolene. This was a case report of a one year and eleven months old baby who presented thirteen months post facial burn with hypertrophic scars, ectropion and contractures of the mouth. The patient was scheduled for contracture release of the mouth and ectropion repair. Intraoperatively, she had symptoms of suspected malignant hyperthermia such as hyperthermia (38.9°C), hypercarbia (PETCO2> 55) and tachycardia (heart rate 202bpm). Dantrolene the drug of choice was available but had expired. Supportive care was initiated and patient managed successfully. The patient was extubated on the table uneventfully, taken to recovery and transferred to the wards afterwards. She recovered fully without any sequale of hyper metabolic crisis post operatively and was discharged home after two weeks. This case report illustrates that early recognition of malignant hyperthermia is the key to improved patient survival. Aggressive supportive care can lead to good outcomes even in the absence of the drug dantrolene.
Abstract: Malignant hyperthermia is a rare pharmacogenetic disorder of skeletal muscles. It occurs after subjection to potent volatile anaesthetics, succinylcholine and environmental agents like heat and strenuous exercise. Symptoms of malignant hyperthermia are variable based on age and the common symptoms being hyperthermia, tachycardia and hypercarbia. Da...
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