Oren Lapid

Transdermal Scopolamine Use for Postrhytidectomtomy Sialocele

BackgroundPostrhydectomy sialocele is a rare complication. The usual treatment uses prolonged drainage. The use of antisialogogues has been described previously, but has potential side effects. Transdermal scopolamine SCOPODERM TTS is indicated for the prevention of motion sickness and also has antisialogugue action.MethodsAn interventional case report is presented.ResultsThe application of transdermal scopolamine SCOPODERM TTS resulted in resolution of a postrhydectomy sialocele within 6 days.ConclusionTransdermal scopolamine delivery should be considered as an option for the treatment of postrhidectomy parotid fistulas.

Airway obstruction by Ascaris, roundworm in a burned child.

Ascaris lumbricoides, roundworm, is a Nematode parasite infecting about 1 billion people worldwide. We report the case of a ten-year-old Bedouin girl hospitalized with burns to 45% of her body surface area, including the face. The patient was intubated upon admission and mechanically ventilated. Four days later she was extubated but required reintubation 15 min later for severe hypoxemia. Laryngoscopy disclosed an unidentified tube which obstructed the opening of the larynx. The tube was removed by Magill forceps. The object was identified as a 35 cm long Ascaris roundworm. Once the worm was removed the patients respiratory condition dramatically improved. We review the main features of Ascaris infection and some similar cases of airway obstruction caused by this worm.

Eyelid crutches for ptosis: a forgotten solution.

sectioned. In my institution, both facial reconstructive and aesthetic procedures are routinely performed; consequently, we are very familiar with forehead anatomy and complications are minimal. On the other hand, in the past we performed many forehead flaps with subcutaneous pedicle (and in the past decade, forehead flaps with muscle pedicle), and we found more secure blood circulation on the latter; therefore, we prefer forehead musculocutaneous flaps. José Guerrerosantos, M.D. Garibaldi #1793 Guadalajara, Jalisco, 44680 México Guerrerosantos@attglobal.net

Perianal and gluteal burns as a complication of hot water bottle treatment for anal fissure

Contact with hot objects and surfaces often causes burns. We present a case of burns to the buttock and perineum caused by use of a hot water bottle to relieve the pain caused by an anal fissure.

Sigmoid colon carcinoma metastatic to the myometrium

Metastases to the uterus from extragenital cancers are significantly rarer than metastases to the ovaries. Of the approximately 200 cases of metastases to the uterus from extragenital cancers that have been reported in the literature, more than half are cases of metastases from breast carcinoma and only 16 are cases of metastases from colorectal carcinoma. A case of isolated metastases restricted to the myometrium of the right uterine comu from sigmoid colon carcinoma, without involvement of the ovaries, is described. The patient who six months previously had surgery for sigmoid colon carcinoma presented with right lower abdominal pain and a palpable mass in the region of the right uterine cornu. The diagnosis of isolated metastases restricted to the myometrium of the right uterine cornu was confirmed by total abdominal hysterectomy and bilateral salpingo-oophorectomy. This case illustrates that a growing uterine mass in a patient with a history of primary extragenital cancer, regardless of whether abnormal uterine bleeding is present or absent, should alert the physician to consider the possibility of uterine metastases.

Blast injury caused by a booby-trapped cellular phone

Terrorists are recently using cellular phones to remotely detonate bombs. A patient was injured while assembling a bomb connected to a cellular phone. The patient sustained combined injury to the head and to the dominant hand which held the phone. Amputation of the hand was required, the facial injuries were reconstructed. The characteristics of this unusual type of injury are described and compared to injuries caused by other bombs and explosive devices.