This is an RSS newsfeed from BioMed Central It is intended to be used with an RSS reader. For more information about RSS newsfeeds from BioMed Central, visit http://www.biomedcentral.com/info/about/rss/ http://www.casesjournal.com The latest articles from Cases Journal (ISSN 1757-1626) published by BioMed Central Pleomorphic Adenoma or benign mixed tumour is the most common tumour of the parotid gland. They are also known to occur in the submandibular, sublingual & minor salivary glands. We report a case of a pleomorphic adenoma arising from the 'tail' of the parotid gland which appears extra parotid in location. We also discuss the value of preoperative multiplanar imaging in the accurate localisation of parotid 'tail' lesions. http://www.casesjournal.com/content/1/1/23 Ram Vaidhyanath, Sreemathi Harieaswar, Charles Kendall and Peter Conboy Cases Journal 2008, 1:23 2008-07-03 doi:10.1186/1757-1626-1-23 Cases Journal 1757-1626 1 23 2008-07-03 This study reports five cases of crush-avulsion injury to the thumb at different levels presented at our plastic and hand surgery unit between 2005 and 2007. All of the patients were male labors with machine injuries to the thumb with non-replantable amputations. Distal phalanx or proximal phalanx, or both, were used as a free cortical bone graft. The amputated part was skeletonized keeping the periosteum attached to the cortical bone of the phalanx fixing it to the stump and covering it by either local flap like dorsal metacarpal flap or regional flaps like the distally based pedicled radial forearm flap and neurovascular island sensate flap or groin flap. The results were functionally and cosmetically good and follow up X rays showed no osteoporotic resorption after one year. http://www.casesjournal.com/content/1/1/22 Mohammad M Salah and Khalid N Khalid Cases Journal 2008, 1:22 2008-07-02 doi:10.1186/1757-1626-1-22 Cases Journal 1757-1626 1 22 2008-07-02 Fibroepithelioma of Pinkus (FEP) is a rare indolent variety of basal cell carcinoma that is typically polypoid and located on the trunk of adult males aged 40-60 years. Basal cell carcinoma (including FEP) is very rare in the pediatric population. We are reporting such a case occurring in a 9-year-old boy. http://www.casesjournal.com/content/1/1/21 Zenggang Pan, Nhi Huynh and Deba P Sarma Cases Journal 2008, 1:21 2008-06-27 doi:10.1186/1757-1626-1-21 Cases Journal 1757-1626 1 21 2008-06-27 IntroductionTorsion of the vermiform appendix is a rare disorder, which causes abdominal symptoms indistinguishable from acute appendicitis and is found by chance during the laparotomy.Case presentationWe report a case (a 76-year-old male) suffering of torsion of the vermiform appendix with fecalith. It was twisted 540 degrees in an anti-clockwise direction. Appendectomy was done. Conclusion: Appendiceal torsion may be assocated with the presence of fecalith. This case is the oldest one among the patients with appendiceal torsion reported to literature. http://www.casesjournal.com/content/1/1/20 Imtiaz Wani, Maki Kitagawa, Mudasir Rather, Jang Singh, Gulam Bhat and Mir Nazir Cases Journal 2008, 1:20 2008-06-23 doi:10.1186/1757-1626-1-20 Cases Journal 1757-1626 1 20 2008-06-23 IntroductionPatients with deep neck infections present challenging airways for an anesthesiologist. Patients with Ludwig's angina may die as a result of the inability to effectively manage the airway.Case presentationHere we discuss the anesthetic management with fiberoptic intubation of a 45-year-old man with Ludwig's angina scheduled for emergency drainage. Conclusion: Awake fiberoptic intubation under topical anesthesia may be the ideal method to secure the airway in advanced cases of Ludwig's angina. When fiberoptic bronchoscopy is not feasible, not available or has failed, an awake tracheostomy may be the preferred option. http://www.casesjournal.com/content/1/1/19 Anand H Kulkarni, Swarupa D Pai, Basant Bhattarai, Sumesh T Rao and M Ambareesha Cases Journal 2008, 1:19 2008-06-20 doi:10.1186/1757-1626-1-19 Cases Journal 1757-1626 1 19 2008-06-20 We report the case of a 3-yr-old boy who presented an acute right hydrocele. A rapid scrotal swelling under tension developed the first hours and the child complained for discomfort especially during palpation of the scrotum. Three days later, surgical exploration revealed an incomplete torsion of a communicated and pedunculated peritoneal sac arising from the tunica vaginalis testis.The present case report represents the eleventh report of torsion of processus vaginalis saccular protrusion in the literature, being unique due to painless hematocele. http://www.casesjournal.com/content/1/1/18 Efstratios Christianakis, Nikolaos Paschalidis, Georgios Filippou, Maria Chorti, Nikolaos Andromanakos, Michael Pitiakoudis, Spiros Rizos and Dimitrios Filippou Cases Journal 2008, 1:18 2008-06-16 doi:10.1186/1757-1626-1-18 Cases Journal 1757-1626 1 18 2008-06-16 Background: Perthes Syndrome (Traumatic asphyxia) is rare, which is caused by sudden compressive chest trauma and characterized by subconjunctival hemorrhage, facial edema, craniocervical cyanosis, and petechiae on the upper chest and face.Case presentationWe present the case of a 4-year-old Caucasian girl who developed traumatic asphyxia associated with intramedullary spinal cord hemorrhage following thoracic compression. Conclusion: We have not found the association of Perthes syndrome with intramedullary spinal cord hemorrhage described in the medical literature. To our knowledge, the current case is the first report of Perthes Syndrome associated with intramedullary spinal cord hemorrhage. http://www.casesjournal.com/content/1/1/17 Mehmet Senoglu, Nimet Senoglu, Hafize Oksuz and Gokhan Ispir Cases Journal 2008, 1:17 2008-06-13 doi:10.1186/1757-1626-1-17 Cases Journal 1757-1626 1 17 2008-06-13 A 6 year old girl woke up with pain and increasing swelling over the left hand and difficulty in breathing. On examination, she had swelling of the left forearm and hand, flaccid quadriparesis and was in respiratory failure requiring mechanical ventilation. Two clean puncture wounds were identified on the left thumb. A provisional diagnosis of snake bite with severe envenomation was made and she was given anti snake venom therapy. Over a period of about 4 hours her weakness progressed. She became areflexic, developed internal and external ophthalmoplegia and loss of other brain stem reflexes mimicking brain death. Mechanical ventilation was continued despite features suggestive of brain stem dysfunction. About 36 hours after ventilation she showed a flicker of movement of her fingers and gradually the power improved. She was weaned off the ventilator and extubated after 5 days. External ophthalmoplegia is an established association with cobra envenomation, but, this combination of internal and external ophthalmoplegia can mimic brain death and pose a dilemma to the caregivers regarding continuation of therapy. http://www.casesjournal.com/content/1/1/16 Joseph John, Bahubali D Gane, Nishad Plakkal, Rajeswari Aghoram and Sowmya Sampath Cases Journal 2008, 1:16 2008-06-12 doi:10.1186/1757-1626-1-16 Cases Journal 1757-1626 1 16 2008-06-12 IntroductionBurkitt's lymphoma is a form of non-Hodgkin's B-cell lymphoma with more than one identifiable variant. The sporadic form most commonly presents with abdominal lymph node involvement.Case reportsWe herein report on three patients from our experience that presented with either endobronchial or colonic Burkitt's lymphoma. Their clinical presentation mimicked that of other syndromes. After confirmatory pathological diagnosis, the patients had complete remission through the use of an optimal treatment protocol. Conclusion: Our review of the cases and comparable reports warrants careful workup of such presentations to ensure early diagnosis and therapeutic planning of this highly aggressive disease. http://www.casesjournal.com/content/1/1/15 Khaled M Musallam, Ali T Taher and Ali I Shamseddine Cases Journal 2008, 1:15 2008-06-05 doi:10.1186/1757-1626-1-15 Cases Journal 1757-1626 1 15 2008-06-05 n/a http://www.casesjournal.com/content/1/1/14 K M Venkat Narayan Cases Journal 2008, 1:14 2008-06-04 doi:10.1186/1757-1626-1-14 Cases Journal 1757-1626 1 14 2008-06-04