Journal of Clinical Case Reports Medical Images and Health Sciences

  A Rare Metachronous Colonic Volvulus by Philip Ade Ekhaiyeme in Journal of Clinical Case Reports MedicaI Images and Health Sciences  Abstract Introduction : Colonic volvulus is a common cause of large bowel obstruction with the sigmoid colon most commonly affected. Volvulus of the transverse colon is an uncommon occurrence. Rarer still is a transverse colon volvulus developing after surgery for a sigmoid colon volvulus. Early diagnosis is critical as delay in detection and intervention is associated with the risk of complications – perforation, peritonitis, and death. We discuss the case of an 86-year-old man presenting with features of large bowel obstruction 14 months following a sigmoid colectomy for a sigmoid colon volvulus. An erect abdominal radiograph showed massively dilated large bowel loops with multiple air-fluid levels, a gasless pelvis, and no free air under the diaphragm. Obstruction did not resolve with initial non-operative measures necessitating surgical in...

  Subclavian Steal Syndrome by JAYESH TRIVEDI in Journal of Clinical Case Reports MedicaI Images and Health Sciences INTRODUCTION The subclavian steal syndrome is characterized by subclavian artery stenosis which is proximal to the origin of the vertebral artery.  The subclavian artery steals reverse-flow blood from the vertebrobasilar artery circulation to supply the arm on exertion, resulting in vertebrobasilar insufficiency.  The vertebrobasilar arterial system supplies both the peripheral and central auditory and vestibular systems, in subclavian steal syndrome, neurological symptoms are expected due to VBI (vertebrobasilar insufficiency). Coronary variant of subclavian-vertebral artery steal syndrome which occur as adverse effect of coronary artery bypass while using the arm on the same side of the internal mammary artery graft used to bypass the narrowed or obstructed coronary vessel. This variant results in symptoms of cardiac ischemia like angina or can also caus...