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At least 37 records · Page 2Linked to original sources

Case report: scrotal ecchymosis after shockwave lithotripsy.

Shockwave lithotripsy (SWL) is the treatment of choice for most renal calculi because it is highly effective and relatively noninvasive. Although complications of SWL are relatively few, one that occurs more frequently is perirenal hematoma, usually diagnosed by radiologic procedures. We present an interesting case of scrotal ecchymosis as an unusual presentation of perirenal hematoma causing ipsilateral spermatic-vein thrombosis after SWL for a left renal stone. To our knowledge, this condition has not been reported previously.

Aged↗

Plantar ecchymosis sign: a clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries.

Diagnosis of subtle Lisfranc injuries can be difficult for the examining clinician. Radiographs do not always reveal the full extent of tarsometatarsal injuries. We describe a clinical sign found in significant Lisfranc injuries that consists of a mid-foot ecchymotic area on the plantar aspect. This implies the potential for significant injury to the plantar tarsometatarsal ligaments. We call this the plantar ecchymosis sign. Patients with this injury and sign should be aggressively evaluated, with early consideration for stress radiographs and ORIF if indicated, as the prognosis of the undertreated Lisfranc injury is poor.

Adult↗

Periorbital ecchymosis as a sign of perforating injury of the globe.

The distinction between penetrating eye injury with retained intraocular foreign body and perforating globe injuries is not always easy clinically. The case is presented of a 25-year-old man who sustained a perforating eye injury that was through a clear self-sealing corneal entry site and had no conjunctival or periorbital injury. He had periorbital ecchymosis on presentation suggesting that the globe had been perforated with resulting retro-orbital blood tracking to the periorbital region. This sign would not be expected had the foreign body remained intraocular. The management options of these cases are discussed.

Adult↗

Lateral elbow ecchymosis as a clinical sign of lateral humeral condylar fractures.

Given the appropriate clinical history and mechanism of injury, the presence of localized lateral elbow ecchymosis in a young child is usually the sign of lateral condyle fracture of the humerus. Recognition of this clinical sign helps in directing the diagnostic studies and empiric treatment toward a lateral condyle fracture of the humerus not apparent on initial radiographs.

Bone Resorption↗

[Analgesic anti-inflammatory effects of moschus bone-setting liquor in local traumatic ecchymosis].

Moschus Bone-setting liquor, ip, 1 ml/kg significantly decreases the rate and frequency of body twisting reaction induced by ip acetic acid, and markedly increases the pain threshold of thermal stimulation in mice. The liquor also reduces apparently the inflammation of mice ear induced by the oil of Fructus Crotonis, and rapidly relieves the traumatic ecchymosis in guinea pigs. Dose response relationship was obtained in the experiment. These results provide evidences for the clinical application of Moschus Bone-setting liquor in the treatment of many traumatic diseases.

Animals↗

The incidence and prognosis of body wall ecchymosis in acute pancreatitis.

The incidence and significance of ecchymosis in 770 patients with acute pancreatitis is reported. The over-all incidence of 3 per cent is greater than generally appreciated. The development of this sign predicts the development of severe complications during the course of the disease and, in particular, there is an association with pseudocyst formation. However, the mortality of this group of patients is only 37 per cent which is in contrast to the views of many who believe that the development of Grey-Turner's sign or Cullen's sign, or both, predicts impending death.

Abdominal Muscles↗

[Spontaneous ecchymosis disclosing acquired factor VIII inhibitor].

An 81-year old woman suddenly developed extensive ecchymosis. A factor VIII:c inhibitor was detected. She received porcine factor VIII, corticosteroids, intravenous immunoglobulins and cyclophosphamide. Normalization of factor VIII level was achieved in 1 month. The patient died, 3 months later, of congestive heart failure. Spontaneous development of factor VIII inhibitors is an extremely rare event which usually occurs in dramatic bleeding. Many associated diseases have been reported. Patients with serious bleeding should be given porcine factor VIII. Immunosuppressive therapy consists of corticosteroids, cyclophosphamide and intravenous immunoglobulins.

Aged↗

Ecchymosis of the lower leg. A sign of hemarthrosis with synovial rupture.

Four patients with hemarthrosis of the knee, synovial rupture, and ecchymoses are reported. The patients presented with calf pain and swelling and large ecchymoses, which eventually extended to the ankle as a crescent about one or both malleoli. Appreciation of this physical sign, which appears to be characteristic for the hemorrhagic subset of synovial rupture, should alert the physician to the correct diagnosis and steer him away from contraindicated anticoagulant therapy.

Adult↗