AIM To delay surgery until the patient is in a better condition, and thus to decrease postoperative morbidity. METHODS Using this algorithm we treated three patients aged 55, 75 and 80 years. In all three patients the clinical presentation was fever without a clear source of infection; all had nonspecific symptoms such as general malaise, dyspnea, and abdominal discomfort in the previous 15 d...

Abstract Background The Lombardy region has been one of the Italian regions most affected by COVID-19 pandemic in 2020, with 22.7% total cases and 33.9% deaths. emergency healthcare system was under deep stress throughout period consideration due to admission patients Emergency Department (ED) had be thoroughly reorganized. Methods We performed a retrospective descriptive analysis admitted into...

OBJECTIVES To compare the contributions of patients, emergency physicians, and surgeons in the delay of diagnosis and treatment of appendicitis, and the effects of delay on disease stage and complication rate. DESIGN Retrospective study. SETTING Accident and emergency department of a district public hospital, Hong Kong. PATIENTS All patients undergoing emergency appendectomy between Augus...

At the emergency room, advanced ages with chest pain and ST-T changes in the electrocardiogram (ECG) could be easily considered as acute coronary syndrome (ACS) and transferred to catheterization laboratory for urgent coronary angiogram (CAG). In our case, these patients were finally diagnosed as apical hypertrophic cardiomyopathy (AHCM) after urgent CAG subsequent to echocardiogram. AHCM is co...

Unicondylar knee replacement is a relatively common elective orthopedic procedure but is not often seen in the Emergency Department setting. Familiarity with normal clinical and radiological appearances is difficult to gain. Dislocation of the mobile bearing component "spacer" is a known complication of unicondylar knee replacements, and these patients will initially present to the accident and...

Mondor's disease is a rare condition characterized by a superficial thrombophlebitis that can occur in the thoracoabdominal and genital areas. Findings with ultrasound in penile Mondor's disease are readily measurable: a noncompressible penile vein without flow and absence of tears of the corpus cavernosum or tunica albuginea, hematoma, or evidence of fracture of the penis. We present a case of...

Small bowel obstruction is a common cause of an emergency admission in the surgical wards. Acute appendicitis presenting with small bowel obstruction due to appendiceal knotting is a very rare and unsuspected condition in an emergency scenario. We report a case of acute small bowel obstruction in a 26-year-old male who, on exploration was found to have small bowel strangulation due to appendice...

Acute mediastinitis, which is characterized by inflammation of thoracic tissues, is a life-threatening infection and a surgical emergency. The mortality rate for this ailment is reported between 14-42%, which makes it important to diagnose and treat as soon as possible. We presented and discussed a case of a 38-year-old male patient with blunt trauma to the chest and back from falling who repor...

Mitral valve stenosis (MS) associated with rheumatic disease no longer represents a major heart problem during the perinatal period in Japan. Here we present a case of acute heart failure due to MS after emergency cesarean section (CS). The patient was transferred due to the development of fetal distress at 36 weeks gestation and underwent an emergency CS under general anesthesia. She developed...