Breast Cancer Treatment in a Patient with Decubitus Ulcer Infection Secondary to Spina Bifida: Surgical Resection versus Neoadjuvant Chemotherapy

Cerebrospinal Fluid Leak Masquerading as a Decubitus Ulcer in a Patient With Spina Bifida

Figure 1. Sacral wound after debridement and prior to flap coverage, 15 × 12 cm 2 in size that tunneled superiorly. Potential right and left rotational flaps were designed on the basis of the gluteal arteries that were identified by Doppler ultrasonography. The dotted line marks the scar from the original MMC repair used for exploration of the pseu-domeningocele. MMC indicates myelomeningocele.

Occurrence of Secondary Acute Myeloid Leukemia in a Patient with Breast Cancer after Chemotherapy

Pneumorrhachis Secondary to a Sacral Decubitus Ulcer

An elderly woman with a chronic decubitus sacral ulcer presented to the emergency department with sepsis. A computed tomography of her abdomen showed diffuse gas extending throughout the thoracolumbar spinal canal. Pneumorrhachis is a rare radiographic finding defined as gas within the spinal canal. There are many causes of pneumorrhachis ranging from trauma to infection. In this case the pneum...

A vesicocutaneous fistula secondary to bladder calculi in a patient with spina bifida

We present a rare case of a vesicocutaneous fistula secondary to two large bladder calculi in a patient with spina bifida. A 62 year old lady presented with swelling of her right thigh and a calcified mass protruding through the subcutaneous tissues of her right groin. Urine was seen to be draining from around the area and plain radiographs and a computed topography (CT) scan confirmed the pres...

The Surgical Treatment of Hydrocephalus Associated with Spina Bifida *

The problem of treatment of the hydrocephalus associated with spina bifida has always been a most discouraging one and any improvement in the results, even though slight, is welcome. The treatment heretofore has been indirect with attention directed to preservation of the sac with mobilization of the cord or to restriction of fluid formation by ablation of the choroid plexuses. Both have been r...