Journal articles: 'Iatrogenic lesion'

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Bektas, Hüseyin, Moritz Kleine, Azad Tamac, Jürgen Klempnauer, and Harald Schrem. "Clinical Application of the Hanover Classification for Iatrogenic Bile Duct Lesions." HPB Surgery 2011 (January 5, 2011): 1–10. http://dx.doi.org/10.1155/2011/612384.

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Background. There is only limited evidence available to justify generalized clinical classification and treatment recommendations for iatrogenic bile duct lesions. Methods. Data of 93 patients with iatrogenic bile duct lesions was evaluated retrospectively to analyse the variety of encountered lesions with the Hanover classification and its impact on surgical treatment and outcomes. Results. Bile duct lesions combined with vascular lesions were observed in 20 patients (21.5%). 18 of these patients were treated with additional partial hepatectomy while the majority were treated by hepaticojejunostomy alone (). Concomitant injury to the right hepatic artery resulted in additional right anatomical hemihepatectomy in 10 of 18 cases. 8 of 12 cases with type A lesions were treated with drainage alone or direct suture of the bile leak while 2 patients with a C2 lesion required a Whipple’s procedure. Observed congruence between originally proposed lesion-type-specific treatment and actually performed treatment was 66–100% dependent on the category of lesion type. Hospital mortality was 3.2% (). Conclusions. The Hannover classification may be helpful to standardize the systematic description of iatrogenic bile duct lesions in order to establish evidence-based and lesion-type-specific treatment recommendations.

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Alfawaz, Yasser. "Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration." World Journal of Dentistry 8, no. 3 (2017): 239–46. http://dx.doi.org/10.5005/jp-journals-10015-1444.

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ABSTRACT Aim This clinical case report demonstrates the successful management of a complex endodontic-periodontal iatrogenic lesion following a critical evaluation and decision-making process with interdisciplinary treatment strategies. Background Defective dental restorations can affect the periodontal and endodontic health of the teeth. Case Report An endodontic-periodontal lesion that resulted from a faulty restoration in a 30-year-old male patient is reported. The management of the case is done through periodontal and endodontic treatment. The detailed method of managing of this type of cases is discussed. Conclusion In conclusion, the use of a systematic diagnosis process will help in the identification and treatment of iatrogenic endodontic-periodontal lesions. Clinical significance The correct management of endodonticperiodontal lesions can impede the loss of the involved teeth. How to cite this article Alfawaz Y. Management of an Endodontic- periodontal Lesion caused by Iatrogenic Restoration. World J Dent 2017;8(3):239-246.

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Alfawaz, Yasser. "Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration." World Journal of Dentistry 8, no. 3 (2017): 239–46. http://dx.doi.org/10.5005/jp-journals-10015.

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ABSTRACT Aim This clinical case report demonstrates the successful management of a complex endodontic-periodontal iatrogenic lesion following a critical evaluation and decision-making process with interdisciplinary treatment strategies. Background Defective dental restorations can affect the periodontal and endodontic health of the teeth. Case report An endodontic-periodontal lesion that resulted from a faulty restoration in a 30-year-old male patient is reported. The management of the case is done through periodontal and endodontic treatment. The detailed method of managing of this type of cases is discussed. Conclusion In conclusion, the use of a systematic diagnosis process will help in the identification and treatment of iatrogenic endodontic-periodontal lesions. Clinical significance The correct management of endodontic-periodontal lesions can impede the loss of the involved teeth. How to cite this article Alfawaz Y. Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration. World J Dent 2017;8(3):239-246.

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Alfawaz, Yasser. "Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration." World Journal of Dentistry 8, no. 3 (2017): 239–46. http://dx.doi.org/10.5005/jp-journals-10015.

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ABSTRACT Aim This clinical case report demonstrates the successful management of a complex endodontic-periodontal iatrogenic lesion following a critical evaluation and decision-making process with interdisciplinary treatment strategies. Background Defective dental restorations can affect the periodontal and endodontic health of the teeth. Case report An endodontic-periodontal lesion that resulted from a faulty restoration in a 30-year-old male patient is reported. The management of the case is done through periodontal and endodontic treatment. The detailed method of managing of this type of cases is discussed. Conclusion In conclusion, the use of a systematic diagnosis process will help in the identification and treatment of iatrogenic endodontic-periodontal lesions. Clinical significance The correct management of endodontic-periodontal lesions can impede the loss of the involved teeth. How to cite this article Alfawaz Y. Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration. World J Dent 2017;8(3):239-246.

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Kowsika, Sree, Martin Tobi, and Murthy Madhira. "Dieulafoyʼs Lesion-like Bleeding of the Ileum - Iatrogenic or Traditional Lesion?" American Journal of Gastroenterology 107 (October 2012): S354. http://dx.doi.org/10.14309/00000434-201210001-00862.

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Alquthami, Hind, Abdulaziz M. Almalik, Faisal F. Alzahrani, and Lana Badawi. "Successful Management of Teeth with Different Types of Endodontic-Periodontal Lesions." Case Reports in Dentistry 2018 (May 29, 2018): 1–7. http://dx.doi.org/10.1155/2018/7084245.

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Endodontic-periodontal diseases often present great challenges to the clinician in their diagnosis, management, and prognosis. Understanding the disease process through cause-and-effect relationships between the pulp and supporting periodontal tissues with the aid of rational classifications leads to successful treatment outcomes. In this report, we present several treatment modalities in patients with different endodontic-periodontal lesions. A modification to the new endodontic-periodontic classification, Al-Fouzan’s classification, was also added. The first case was classified as retrograde periodontal disease (i.e., primary endodontic lesion with drainage through the periodontal ligament). The second case was diagnosed as an iatrogenic periodontal lesion caused by root perforation. The third case was diagnosed as an iatrogenic periodontal lesion caused by tooth trauma due to orthodontic treatment. The first two cases were managed with a nonsurgical approach, whereas the third case was managed with nonsurgical and surgical approaches. All patients showed complete healing of soft and hard tissue lesions. A thorough understanding of the disease history and the patient’s signs and symptoms, complete examination with full investigation, and the use of a systematic step-by-step approach in the management of such challenging endodontic-periodontal lesions with regular recall visits were very useful and successful.

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Verweij, Jop P., Kira S. van Hof, Martijn J. A. Malessy, and Richard van Merkesteyn. "Neuropathic Pain Due to Iatrogenic Lingual Nerve Lesion." Journal of Craniofacial Surgery 28, no. 2 (March 2017): 496–500. http://dx.doi.org/10.1097/scs.0000000000003354.

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Nordin, A., H. Mäkisalo, H. Isoniemi, L. Halme, L. Lindgren, and K. Höckerstedt. "Iatrogenic lesion at cholecystectomy resulting in liver transplantation." Transplantation Proceedings 33, no. 4 (June 2001): 2499–500. http://dx.doi.org/10.1016/s0041-1345(01)02077-2.

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Leanza, F., G. Bianca, G. Cinquerrui, and S. Caschetto. "Lesions of the urinary organs during abdominal and vaginal hysterectomy." Urogynaecologia 15, no. 2 (July 1, 2010): 19. http://dx.doi.org/10.4081/uij.2000.19.

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the lesions of the urinary organs of a iatrogenic origin correlated to hysterectomy surgery almost exclusively concern the ureter and the bladder. Lesions of the urinary organs caused during abdominal and vaginal hysterectomy for benign pathology were studied at the 1st Clinic of Obstetrics and Gynaecology of the University of Catania between 1st January 1989 and 31st December 2000. During this period 3,138 hysterectomies were performed, of which 2,765 (88.11%) abdominally and 373 (11.89%) vaginally. Altogether there were 11 (0.35%) iatrogenic lesions of the urinary excretory organs and these included 5 (0.15%) ureteral lesions and 6 (0.19%) bladder lesions. There were no lesions of the urethra. In 2,765 abdominal hysterectomies 4 (0.14%) ureteral lesions and 4 (0.14%) bladder lesions occurred, and in 373 vaginal hysterectomies one (0.27%) ureteral lesion and 2 (0.54%) bladder lesions occurred. In all cases, after adequate treatment the urinary organs healed completely.

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Medel, Ricky, R. Webster Crowley, D. Kojo Hamilton, and Aaron S. Dumont. "Endovascular obliteration of an intracranial pseudoaneurysm: the utility of Onyx." Journal of Neurosurgery: Pediatrics 4, no. 5 (November 2009): 445–48. http://dx.doi.org/10.3171/2009.6.peds09104.

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Pseudoaneurysms are rare lesions with a multitude of causes, including infectious, traumatic, and iatrogenic origins. In addition, there are a number of potential treatment options, all of which require consideration to determine the most appropriate management. Historically, surgical intervention has been the method of choice, but because the histopathological features of these lesions make them largely unsuitable for clipping, trapping or excision is often required. More recently endovascular methods have been used, including coil embolization, stent reconstruction, or parent artery occlusion. Although these methods are often successful, situations arise in which they are not technically feasible. The authors describe such a case in a pediatric patient with an iatrogenic pseudoaneurysm. Onyx was used to embolize the lesion and the results were excellent.

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Tu, Albert, Kerry Creedon, and Ramesh Sahjpaul. "Iatrogenic cerebrospinal fluid leak and intracranial hypotension after gynecological surgery." Journal of Neurosurgery: Spine 21, no. 3 (September 2014): 450–53. http://dx.doi.org/10.3171/2014.5.spine13746.

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Perineural cysts are common lesions of the sacral spine. They have rarely been reported in a presacral location, leading to their misdiagnosis as a gynecological lesion. The authors report the second such case, in a patient undergoing fenestration of what was presumed to be a benign pelvic cyst, and the resultant high-flow CSF leak that occurred. They describe the clinical presentation and manifestations of intracranial hypotension, as well as the pertinent investigations. They also review the literature for the best management options for this condition. Although they are uncommon, large perineural cysts should be included in the differential diagnosis when examining patients with a pelvic lesion. Appropriate imaging investigations should be performed to rule out a perineural cyst. The CSF leak that occurs from iatrogenic cyst fenestration may not respond to traditional first-line treatments for intracranial hypotension and may require early surgical intervention. The authors would recommend neurosurgical involvement prior to definitive treatment.

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Martínez-Lage, Juan F., Francisco López, Claudio Piqueras, and Máximo Poza. "Iatrogenic intradiploic meningoencephalocele." Journal of Neurosurgery 87, no. 3 (September 1997): 468–71. http://dx.doi.org/10.3171/jns.1997.87.3.0468.

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✓ The authors present the case of a 6-year-old girl who developed a right frontal intradiploic meningoencephalocele following an accidental dural tear produced during surgery for craniosynostosis. Although rare, growing skull fractures have been described in at least eight cases following the accidental laceration of the dura mater in the course of craniosynostosis repair. These cases closely resemble those produced by accidental trauma to the growing skull. However, the intradiploic location of a meningoencephalocele following surgery for craniosynostosis has not been documented previously. This patient presented with headache and a frontal tumor of bonelike consistency. Radiographs and computerized tomography scans of the skull revealed an intraosseous cyst, whereas magnetic resonance imaging demonstrated cerebral tissue herniation within the intradiploic tumor. Surgical treatment consisted of duraplasty and cranioplasty, which achieved good functional and cosmetic results. The pathogenesis of this unusual lesion is discussed and compared with the hypotheses advanced for explaining posttraumatic intradiploic cysts.

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D’Hooghe, Pieter, Kevin Deschamps, and Giovanni Matricali. "Iatrogenic Osteochondral Kissing Lesion After Transmalleolar Drilling of the Talar Dome." Journal of the American Podiatric Medical Association 99, no. 1 (January 1, 2009): 54–57. http://dx.doi.org/10.7547/0980054.

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Ankle injuries can lead to early osteoarthrosis when diagnosis is delayed. The clinical presentation of an osteochondral lesion of the talar dome is often difficult to diagnose in the initial setup of an ankle sprain or fracture. Once the lesion is adequately imaged and staged, open or arthroscopic treatment can be initiated. We discuss the arthroscopic treatment of a posteromedial talar dome lesion in this case report. Transmalleolar drilling was performed to treat an osteochondral lesion of the talar dome in a 24-year-old female. Her ankle evolved toward a severe clinical and radiologic condition in which a combined talar and tibial (kissing) lesion was seen during her follow-up. Therefore, we recommend the use of retrograde drilling or arthroscopic microfracture with minimal iatrogenic risk, instead of transmalleolar drilling, as the treatment of choice in these specific osteochondral lesion of the talar dome cases. (J Am Podiatr Med Assoc 99(1): 54–57, 2009)

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Vecchio, Michele, Andrea Santamato, Fortunato Geneovese, Giulia Malaguarnera, Vito Emanuele Catania, and Saverio Latteri. "Iatrogenic nerve lesion following laparoscopic surgery. A case report." Annals of Medicine and Surgery 28 (April 2018): 34–37. http://dx.doi.org/10.1016/j.amsu.2018.02.002.

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Rana, Surinder Singh, Ujjwal Gorsi, Pankaj Gupta, Ravi Sharma, Rajender Basher, Lovneet Dhalaria, and Rajesh Gupta. "Pancreatic Cancer Masked by Acute Pancreatitis as well as an Unusual Iatrogenic Complication." Journal of Digestive Endoscopy 09, no. 02 (April 2018): 088–91. http://dx.doi.org/10.4103/jde.jde_95_17.

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ABSTRACT A 62‑year‑old female presented with abdominal pain and was diagnosed as acute on chronic pancreatitis based on elevated serum amylase and imaging findings. The pancreatic duct was dilated with abrupt cutoff at neck of pancreas, but no mass was visualized. Positron emission tomography‑computed tomography (PET‑CT) revealed a fluorodeoxyglucose (FDG) avid lesion in the neck of the pancreas but ultrasound (USG)‑guided fine‑needle aspiration (FNA) from the lesion revealed only inflammatory cells. Endoscopic ultrasound, done 2 days after USG‑guided FNA, revealed pseudoaneurysm (PA) in the neck of pancreas that was confirmed on CT angiography. The PA was occluded by USG‑guided percutaneous cyanoacrylate injection. As pain persisted, repeat PET CT was done which revealed FDG avidity around the cyanoacrylate cast as well in multiple small hypodense lesions in the right lobe of the liver. USG‑guided FNA from both the liver lesion as well as the periphery of the glue cast revealed features of adenocarcinoma. We herein report a case of pancreatic adenocarcinoma that presented as acute pancreatitis and got masked because of formation of PA consequent to USG‑guided FNA.

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Schwaiger, Karl, Selim Abed, Elisabeth Russe, Fabian Koeninger, Julia Wimbauer, Hassan Kholosy, Wolfgang Hitzl, and Gottfried Wechselberger. "Management of Radial Nerve Lesions after Trauma or Iatrogenic Nerve Injury: Autologous Grafts and Neurolysis." Journal of Clinical Medicine 9, no. 12 (November 26, 2020): 3823. http://dx.doi.org/10.3390/jcm9123823.

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Background: Proximal radial nerve lesions located between the brachial plexus and its division into the superficial and deep branches are rare but severe injuries. The majority of these lesions occur in association with humerus fractures, directly during trauma or later during osteosynthesis for fracture treatment. Diagnostics and surgical interventions are often delayed. The best type of surgical treatment and the outcome to be expected often is uncertain. Methods: Twelve patients with proximal radial nerve lesions due to trauma or prior surgery were included in this study and underwent neurolysis (n = 6) and sural nerve graft interposition (n = 6). Retrospective analysis of the collected patient data was performed and the postoperative course was systematically evaluated. The Disabilities of the Arm, Shoulder, and Hand (DASH) and the LSUHS (Louisiana State University Health Sciences) scores were used to determine regeneration after surgery. Comparison between the patients’ and calculated normative DASH scores was performed. Results: All patients had a traumatically or iatrogenically induced proximal radial nerve lesion and underwent secondary treatments. The average time from radial nerve lesion occurrence to surgical intervention was approximately four months (1.5–10 months). Eight patients (66.67%) had a humeral fracture. During follow up, no statistically significant difference between the calculated normative and the patients’ DASH scores was observed. The LSUHS scores were at least satisfactory. Conclusions: Neurolysis or sural nerve graft interposition performed within a specific period of time are the primary treatment options for radial nerve lesions. They should be performed depending on the lesion type. Regeneration to a satisfactory degree was observed in all patients, and the majority achieved full recovery of sensory and motor functions. This was the first study to highlight the efficiency of neurolysis and sural nerve graft interposition as secondary treatment interventions, especially for radial nerve lesions.

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FORTUNATO, André Augusto, João Kleber de Almeida GENTILE, Diogo Peral CAETANO, Marcus Aurélio Zaia GOMES, and Marco Antônio BASSI. "Comparative analysis of iatrogenic injury of biliary tract in laparotomic and laparoscopic cholecystectomy." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 27, no. 4 (December 2014): 272–74. http://dx.doi.org/10.1590/s0102-67202014000400010.

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BACKGROUND: Iatrogenic injury to the bile ducts is the most feared complication of cholecystectomy and several are the possibilities to occur. AIM: To compare the cases of iatrogenic lesions of the biliary tract occurring in conventional and laparoscopic cholecystectomy, assessing the likely causal factors, complications and postoperative follow-up. METHODS: Retrospective cohort study with analysis of records of patients undergoing conventional and laparoscopic cholecystectomy. All the patients were analyzed in two years. The only criterion for inclusion was to be operative bile duct injury, regardless of location or time of diagnosis. There were no exclusion criteria. Epidemiological data of patients, time of diagnosis of the lesion and its location were analyzed. RESULTS: Total of 515 patients with gallstones was operated, 320 (62.1 %) by laparotomy cholecystectomy and 195 by laparoscopic approach. The age of patients with bile duct injury ranged from 29-70 years. Among those who underwent laparotomy cholecystectomy, four cases were diagnosed (1.25 %) with lesions, corresponding to 0.77 % of the total patients. No patient had iatrogenic interventions with laparoscopic surgery. CONCLUSION: Laparoscopic cholecystectomy compared to laparotomy, had a lower rate of bile duct injury.

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Ouédraogo, Muriel Sidnoma, akougou Moϊ-Bohm Biatougo, Nomtondo Amina Ouédraogo, Angèle Ouangré/Ouédraogo, Gilbert Patrice Marie Louis Tapsoba, Adama Traoré, Fatimata Cissé, et al. "Muriel Sidnoma Ouédraogo, Nakougou Moϊ-Bohm Biatougou, Nomtondo Amina Ouédraogo, Angèle Ouangré/Ouédraogo, Gilbert Patrice Marie Louis Tapsoba, Adama Traoré, Fatimata Cissé, Nina Korsaga/Somé, Pascal Niamba, Jacques Simporé, Adama Traoré." Our Dermatology Online 14, no. 1 (January 2, 2023): 73–76. http://dx.doi.org/10.7241/ourd.20231.15.

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Kaposi’s sarcoma is a multifocal angiogenic tumor disease whose principal causal agent is human herpes virus 8 (HHV-8). Herein, we report a rare case of iatrogenic Kaposi’s sarcoma developing during oral corticotherapy. A 76-year-old, HIV-negative male presented with papulous, angiomatous lesions on the trunk and limbs, which appeared three months after the beginning of oral corticotherapy for bullous pemphigoid. We suspected iatrogenic Kaposi’s sarcoma given the time to lesion onset in relation to the immunosuppressive treatment, together with histological and virological confirmation of HHV-8. The lesions began to subside when corticosteroids were tapered down to 10 mg/day. This was the first case reported in our setting and it emphasized the need for the rigorous monitoring of patients receiving immunosuppressants to avoid overlooking the side effects or rare complications of these treatments. Key words: Kaposi’s sarcoma; Oral corticotherapy; HHV-8; Bullous pemphigoid

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Ajao, Susanne O., Hamid Shaaban, and Rajasingam Jayasingam. "687. Iatrogenic Kaposi’s Sarcoma Following Treatment with Vedolizumab." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S397. http://dx.doi.org/10.1093/ofid/ofaa439.879.

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Abstract Background Kaposi’s sarcoma (KS) is a vascular tumor caused by human herpes virus-8 infection (HHV-8) commonly involving the skin. We report a case of a patient with controlled HIV who developed Kaposi’s sarcoma on vedolizumab. Darkened hyperkeratotic plaque on his left medial foot Methods A 39-year-old homosexual male with a history of Ulcerative Colitis (UC), Hodgkin’s lymphoma in remission and HIV presented with complaints of abdominal pain and bloody diarrhea. He had new tender lesions on his left foot which was absent at his previous admission a month ago. The lesions started as macules and later progressed to tender lesions. Mesalamine and oral corticosteroids were previously prescribed without symptomatic relief and he was started on vedolizumab 2 months ago. On physical exam he had abdominal tenderness, tender cervical and inguinal lymph nodes, and dark macules on his feet. Digital rectal exam revealed bloody mucoid stool. Laboratory showed white blood cell count of 12,600/mm3, ESR of 132 mm/hr and CRP of 4.6 mg/dL. His CD4 T-cell count was 873 cells/mm3 and viral load was 50 copies per milliliter. Cervical lymph node biopsy showed polymorphous population of lymphocytes but was negative for malignant cells. Biopsy of the foot plaques showed atypical intradermal vascular and spindle cell proliferation positive for HHV-8 and for vascular marker CD34. The results were consistent with the diagnosis of KS. Serology was also positive for HHV-8 with high viral titers of 74 copies/mL. Colonoscopy showed severe proctitis with deep ulcerations in a continuous pattern in the rectum with a normal sigmoid colon. Follow up colonoscopy showed improved proctitis and he was started on doxorubicin to treat KS with improvement of the foot lesion a month later following treatment. Dark macules on the sole of both feet Figure 3a: Spindle cells with irregular small vessel proliferation and red blood cell extravasation between tumor cells Figure 3b: Immunohistochemical stain showing HHV-8 expression of spindle cells Improvement of the foot lesion Results Vedolizumab is a monoclonal antibody that prevents the recruitment of lymphocytes to the inflamed tissue. It is approved for the treatment of IBD and has shown efficacy and safety. The iatrogenic form of Kaposi’s sarcoma occurs in patients on immunosuppressive therapy, as this patient. Conclusion Patients with IBD on immunosuppressive drugs should be followed up closely and screened for latent viral infections prior to initiating therapy. As in the patient, HHV-8 should be recognized as a likely underlying opportunistic infection in immunocompromised patients with IBD. Disclosures All Authors: No reported disclosures

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Ammar, Ameni, Oussama Abcha, and Mohamed Samir Daghfous. "Iatrogenic injuries of the popliteus tendon during total knee arthroplasty." Orthopaedic Journal of Sports Medicine 9, no. 6_suppl2 (June 1, 2021): 2325967121S0018. http://dx.doi.org/10.1177/2325967121s00189.

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Introduction: The popliteus tendon is known to play a key role in the stability of the posterolateral corner of the knee. Its role in the stability of the replaced knee remains contentious. Objectives: The aim of this study was to determine the impact of an iatrogenic lesion of the popliteus tendon during total knee arthroplasty surgery on the stability and function of the knee Methods: We searched in the operating report registers, patients with complete iatrogenic injury of the popliteus tendon during total knee arthroplasty on genu-varum. We evaluated postoperative varus, mobility and stability and we calculated their International Knee Society scores Results: Among the 423 reports of total knee arthroplasties consulted in the operating report registers, we found seven patients with a complete iatrogenic injury of the popliteus tendon. All patients had preoperative extension deficit. All operated knees were stiff, tight and small. At postoperative follow-up, all the knees had good stability and function. All the patients were satisfied. Conclusion: we concluded that the isolated section of the popliteus tendon does not seem to modify the static stability of the knee. However, it can cause a decrease in long-term functional scores. More work is needed to increase understanding of the impact of this iatrogenic lesion on long-term function.

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Mazzotti, Antonio, Simone Ottavio Zielli, Elena Artioli, Giancarlo Facchini, Marco Miceli, and Cesare Faldini. "Iatrogenic Lesion of the Lateral Plantar Artery following Plantar Fasciotomy for Cavus Foot Correction – A Case Report." Journal of Orthopaedic Case Reports 12, no. 10 (2022): 10–13. http://dx.doi.org/10.13107/jocr.2022.v12.i10.3344.

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Introduction: The aim of this study was to report a patient with a iatrogenic lesion of the lateral plantar artery following plantar fasciotomy (PF) for cavus foot correction, an extremely rare complication. Case Report: A 13-year-old male patient with bilateral cavus foot was surgically treated at the right foot. At 36 days follow-up, after plaster cast removal, a massive soft plantar bulge was located on the medial aspect of the foot. Once suture stiches removal was performed, a huge blood collection was evacuated, and active bleeding observed. Contrast-enhanced angio-CT revealed a lesion of the lateral plantar artery. A vascular suture was performed. At 5 months follow-up, the patient was pain-free in his foot. Conclusion: Despite a iatrogenic lesion of the plantar vascular structures following PF is extremely rare, it is a potential complication to consider. Meticulous attention to surgical technique and careful inspection of the foot the day after surgery, before patient discharge, are recommended. Keywords: Plantar fasciotomy, cavus foot, complication, vascular lesion, lateral plantar artery

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Ontell, Sheryl J., and Michael W. L. Gauderer. "Iatrogenic Arteriovenous Fistula After Multiple Arterial Punctures." Pediatrics 76, no. 1 (July 1, 1985): 97–98. http://dx.doi.org/10.1542/peds.76.1.97.

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Multiple arterial punctures in the neonate can result in iatrogenic arteriovenous fistula formation. In one case, a 3-month-old infant who had been born prematurely was noted to have physical findings consistent with arteriovenous malformation following approximately 90 arterial blood gas determinations over a 13-week period. The area was explored and the lesion was treated surgically with good results.

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Oliveira, Germano da Paz, Ana Terezinha Guillaumon, Iran Batista de Brito, Joana Mayra Teixeira Lima, Sérgio Clementino Benvindo, and Lina Gomes dos Santos. "Idiopathic popliteal artery pseudoaneurysm: emergency diagnosis and treatment." Jornal Vascular Brasileiro 13, no. 3 (September 2014): 244–48. http://dx.doi.org/10.1590/jvb.2014.032.

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Pseudoaneurysms or false aneurysms of the popliteal artery are uncommon arterial disorders. These disorders most commonly result from trauma and iatrogenic lesions following orthopedic procedures. The authors report a rare case of popliteal artery pseudoaneurysm in which etiology was unknown. The authors also demonstrate that Doppler ultrasonography may be sufficient for planning vascular surgical procedures and that the open surgical approach is the treatment of choice for cases in which the symptomatic lesion causes local compression.

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Garg, Uma. "Earring Lesion Of The Parotid Tail." UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY VOLUME 10, ISSUE II (December 30, 2022): 56–59. http://dx.doi.org/10.36611/10.36611/upjohns/volume10/issue2/9.

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Masses in the Parotid tail can be source of consternation to radiologist and clinicians and therefore need attention. Inaccurate localization may lead to significant iatrogenic complications. Anatomically localization lesions of Parotid tails is of relevance as it often creates radiological confusion, as was in this case also. Imaging features of Parotid tail involvement need to be reviewed for, proper understanding and discussed with radiologist for complication free management. A Clinico-radiological correlation reviewing 111 such cases was found which described pleomorphic adenoma(15) , Warthins tumor (14) , infective pathologies, Sjogren disease and also malignant lesions in 27 cases. The notable radiological findings in the cases where enhancement, multiplicity of lesions, on CT and diffusion weighted (varied) signal intensity of MR changes. Relationship of parotid tail/ lesions with surrounding structures like facial nerve or its branches , sternocleidomastoid muscle and posterior belly of digastric muscle, proximity close to the level II LN and posterior part of submandibular salivary gland all need to clearly examined and analyzed. Such a lesion has been referred to as Earring lesions in literature. Earring lesion is best appreciated and less confusing in coronal images and equally challenging in palpation. Though rare, localizing anatomical features of parotid tail lesions are reviewed in this paper along with a case report of parotid tail tumor.

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Jo, Jae Min, KyoungHee Han, Chang Lim Hyun, Young-Sill Kim, Young-Hee Maeng, Min Seok Cheon, Jae-Wang Kim, Ji Young Rhee, Jung Mi Kwon, and Sang Hoon Han. "A Rare Case of Trauma-induced Kaposi's Sarcoma of Skin." Journal of Medicine and Life Science 14, no. 1 (June 1, 2017): 39–42. http://dx.doi.org/10.22730/jmls.2017.14.1.39.

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Kaposi's sarcoma is malignant lesion usually caused by infection with human herpesvirus 8 in immunocompromised patients.Although many cases of this disease have been described in the literature, only a few cases have been related to Koebner'sphenomenon following trauma. In our case, 50-year-old male visited hospital with skin lesion of his right thumb pricked bymetal drill bit. A diagnosis of iatrogenic Kaposi's sarcoma was made. One year after surgical removal and radiation therapy thetumor was recurred with small nodules. Then medication of pentoxyphylline was started after excision biopsy. The lesions are instable disease with decreased size. The authors present an unusual case of trauma-induced Kaposi's sarcoma of skin in nonimmunocompromisedpatient.

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Rossi, U. G., P. Rigamonti, and M. Cariati. "Endobiliary radiofrequency for iatrogenic bile duct lesion and hilar cholangiocarcinoma." Revista de Gastroenterología de México (English Edition) 81, no. 3 (July 2016): 172–73. http://dx.doi.org/10.1016/j.rgmxen.2016.06.015.

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Katyayini, R., and A. N. Patnaik. "Iatrogenic Circumflex Coronary Lesion in Mitral Valve Surgery- Case Report." Indian Heart Journal 71 (November 2019): S58. http://dx.doi.org/10.1016/j.ihj.2019.11.131.

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Peixoto, Paulo V., Krishna D. Oliveira, Ticiana N. França, David Driemeier, Marcos D. Duarte, Pedro S. Bezerra Jr, Valíria D. Cerqueira, and Aníbal G. Armién. "Experimental and iatrogenic poisoning by sodium selenite in pigs." Pesquisa Veterinária Brasileira 37, no. 6 (June 2017): 561–69. http://dx.doi.org/10.1590/s0100-736x2017000600005.

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ABSTRACT: Following a case of iatrogenic selenium poisoning in a young pig, an experimental study was carry out. Sodium selenite was orally and parenterally administered to 13 pigs that were subdivided into three groups (G1, G2 and G3). The animals in groups G1 and G3 received sodium selenite intramuscularly (IM), G1 received a comercial formula, and G3 received sodium selenite mixed with distilled water at different dosages, and those in group G2 were fed commercial sodium selenite. Acute and subacute poisoning was observed in both groups, although the onset of clinical signs was slower in group G2. Only one pig (in group G1) that had received the highest dose showed a peracute course. Apathy, anorexia, dyspnea, vomiting, muscular tremors, proprioceptive deficit, ataxia and paresis of the hind limbs progressing to the front limbs evolving to tetraplegia were observed. Postmortem findings differed whether the animals received the injected (G1 and G3) or oral (G2) sodium selenite. The liver was moderately atrophic in some animals of G2. Some of the animals in groups G1 and G3 presented with lung edema. One pig in G3 had yellowish-brown areas in the ventral horns of the cervical intumescences of the spinal cord. The most important histological changes were present in the ventral horns of the cervical and lumbar intumescences of the spinal cord. In one animal, changes were present in the brainstem and mesencephalon. The initial lesion was a perivascular and astrocyte edema that progressing to lysis and death of astrocytes and neurons. In the chronic stage of the lesions, there were extensive areas of liquefaction necrosis with perivascular lymphocytic and histiocytic infiltration and occasional eosinophils. It seems that disruption of the blood-brain barrier due to astrocyte edema is the most likely mechanism of CNS lesion.

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Sarathchandran, Pournamy, Ayman Alboudi, Reem AlSuwaidi, and Abubaker AbdulRahman Almadani. "Iatrogenic transverse myelitis in a patient with rheumatoid arthritis." BMJ Case Reports 12, no. 3 (March 2019): e227584. http://dx.doi.org/10.1136/bcr-2018-227584.

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We report the case of a 59-year-old Arab woman who was presented with acute onset of neck pain followed by quadriparesis, paraesthesias of lower limbs and incontinence of urine. Examination revealed asymmetric sensorimotor quadriparesis with sensory level at T1, establishing a clinical diagnosis of transverse myelitis. Cervical and thoracic spinal MRI showed enhancing T2/fluid attenuated inversion recovery (FLAIR) hyperintense lesion extending from C4 to C7 level in addition to long-segment lesion extending the whole of the spinal cord. She was known to have rheumatoid arthritis for the past 20 years and has been on etanercept for the past 8 years and methotrexate since past 3 years. Etanercept was stopped and she was treated with methylprednisolone followed by oral steroids and physiotherapy with which she had near complete recovery.

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Ricci, Carmelo, Marco Cini, Claudio Ceccherini, Francesco Vigni, Sara Leonini, and Gabriele Barbanti. "Combined Radiologic-Urologic Procedure for the Placement of Ureteral Stent in a Case of Bilateral Iatrogenic Ureteral Lesion." Urologia Journal 79, no. 1 (January 2012): 36–43. http://dx.doi.org/10.5301/ru.2012.9008.

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Introduction Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions. Materials and Methods A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure. Results The patient improved clinically and the renal function returned within normal limits. Conclusions The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.

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Lenthall, R. K., G. Cinalli, G. Rodesch, and P. L. Lasjaunias. "Endovascular Management of a Traumatic Basilar Tip Aneurysm following Endoscopic Ventriculostomy in a Child." Interventional Neuroradiology 5, no. 1 (March 1999): 57–60. http://dx.doi.org/10.1177/159101999900500110.

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We report the case of four year nine month old girl that presented a basilar tip iatrogenic arterial aneurysm following ventriculostomy. Despite being a false aneurysm the lesion was successfully coiled two years later.

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Long, Jason, Jordan Liles, Oke Anakwenze, and Christopher Klifto. "Iatrogenic Injury to the Suprascapular Nerve Following Reverse Shoulder Arthroplasty: A Case Report." Journal of Shoulder and Elbow Arthroplasty 6 (January 2022): 247154922211035. http://dx.doi.org/10.1177/24715492221103518.

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The location and course of the suprascapular nerve (SSN) to the glenohumeral joint places this nerve at risk when operating around the shoulder. Iatrogenic injury to the suprascapular nerve has been described in several different procedures including, rotator cuff repairs, posterior capsulorraphy, Bankart repairs, SLAP lesion repairs, Latarjet procedures, and shoulder arthroplasty. We present a case of iatrogenic suprascapular nerve injury due to superior glenoid baseplate screw placement following primary reverse shoulder arthroplasty (RSA), a novel approach to diagnosis of nerve injury, and treatment.

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Munich, Stephan A., Marshall C. Cress, Leonardo Rangel-Castilla, Chandan Krishna, Adnan H. Siddiqui, and Kenneth V. Snyder. "Republished: Importance of repeat angiography in the diagnosis of iatrogenic anterior cerebral artery territory pseudoaneurysm following endoscopic sinus surgery." Journal of NeuroInterventional Surgery 8, no. 5 (May 20, 2015): e20-e20. http://dx.doi.org/10.1136/neurintsurg-2015-011693.rep.

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Iatrogenic intracranial pseudoaneurysm formation and rupture are rare complications following endoscopic sinus surgery. Given the propensity for devastating neurologic injury after a relatively routine procedure, swift diagnosis and treatment is essential. The authors present a patient who experienced bifrontal intracranial hemorrhage and subarachnoid hemorrhage due to a ruptured iatrogenic frontopolar artery pseudoaneurysm caused during routine endoscopic sinus surgery. The pseudoaneurysm was not present on initial angiograms but became apparent radiographically 19 days after the endoscopic procedure. Endovascular treatment consisted of coil and Onyx embolization for sacrifice of the parent vessel proximal to the lesion. Early recognition of iatrogenic intracranial vascular injury is important to allow for rapid treatment. Initial radiographic studies may be unreliable in excluding the presence of a pseudoaneurysm so delayed repeat angiographic assessment is necessary, particularly in the presence of a high index of clinical suspicion. Endovascular techniques may provide an effective and safe option for the treatment of iatrogenic anterior cerebral artery distribution pseudoaneurysms.

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Ribeiro, Bruno Jucá, Aldo Maurici Araújo Alves, Rafael Santiago de Oliveira, Fernanda Velloni, and Giuseppe D’Ippolito. "The role of gadoxetic acid-enhanced magnetic resonance cholangiography in the evaluation of postoperative bile duct injury: pictorial essay." Radiologia Brasileira 52, no. 6 (December 2019): 403–7. http://dx.doi.org/10.1590/0100-3984.2018.0089.

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Abstract Iatrogenic lesion of the bile ducts is a relatively common occurrence during liver surgery, increasing morbidity and mortality rates. T2-weighted magnetic resonance cholangiography and gadoxetic acid-enhanced functional magnetic resonance cholangiography (fMRC) with administration of hepatobiliary-specific contrast medium (gadoxetic acid) are fundamental to the diagnostic imaging approach in patients with such lesions. Here, we present a review of the literature and suggest an imaging approach to biliary tract injury, focusing on clinical cases in which fMRC had an impact on the decision-making process for the management of the affected patients.

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Hernandez, Jose Javier Cuellar, Miracle Anokwute, Silvia Judith Hernandez Martinez, and Jose Ramon Olivas. "Intradural iatrogenic epidermoid cyst at cauda equina: A case report." Surgical Neurology International 11 (September 18, 2020): 299. http://dx.doi.org/10.25259/sni_417_2020.

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Background: Spinal epidermoid accounts for <1% of all primary spinal cord tumors. They occur due to the invagination of epidermal elements into the neural tube during the embryonic period. Even more infrequent are spinal epidermoid cysts that occur without attendant spinal dysraphism (e.g., as occurs with the iatrogenic inoculation of epithelial cells in the subarachnoid space following a lumbar puncture). Case Description: A 38-year-old female with a history of epidural spinal blocks at L2-3 for two previous pregnancies presented with low back pain, right lower extremity weakness (4/5 level), hyporeflexia, and tingling/ numbness in the right L3-5 distribution. The lumbar MR demonstrated an intradural extramedullary lesion at the L2-L3 level that compressed the cauda equina/nerve roots. MR findings were compatible with an epidermoid cyst, this was histologically confirmed following a microsurgical L2-3 laminectomy for lesion resection. Pathologically, the lesion demonstrated a keratinized stratified squamous epithelium with keratin content without cutaneous attachments, thus confirming the diagnosis of an epidermoid cyst. Postoperatively, her sensory complains improved and her motor strength fully recovered to the 5/5 level. Conclusion: Patients with spinal epidermoid cysts typically present with underlying spinal dysraphism, but only rarely do iatrogenic cases arise. Here, we presented a patient who developed a spinal lumbar epidermoid cyst in a female patient after undergoing spinal epidural anesthesia during pregnancy. Notably, this was successfully treated a with decompressive laminectomy and microsurgical resection.

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Tartaglia, Francesco, Giulia Russo, Paola Manciati, Sara Blasi, and Monica Sgueglia. "Iatrogenic Lesion of the Larynx during Total Thyroidectomy: A Rare Complication." American Surgeon 77, no. 3 (March 2011): 45–46. http://dx.doi.org/10.1177/000313481107700304.

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Kim, Sung-Hun, Yong-Gon Koh, Chang-Hun Sung, Hong-Kyo Moon, and Young-Sik Park. "Iatrogenic Suprascapular Nerve Injury After Repair of Type II SLAP Lesion." Arthroscopy: The Journal of Arthroscopic & Related Surgery 26, no. 7 (July 2010): 1005–8. http://dx.doi.org/10.1016/j.arthro.2010.01.005.

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Abumossalam, Ahmed M., Asem A. Hewidy, and Ahmed M. Abd El-khalek. "Iatrogenic pneumodesis: Gelfoam flux inoculation in focal benign cavitary lung lesion." Egyptian Journal of Chest Diseases and Tuberculosis 65, no. 3 (July 2016): 711–16. http://dx.doi.org/10.1016/j.ejcdt.2016.02.004.

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Cirafisi, C., F. Tezzon, and B. Curró Dossi. "Calf hypertrophy due to a iatrogenic sciatic nerve lesion: case report." Italian Journal of Neurological Sciences 13, no. 3 (April 1992): 251–54. http://dx.doi.org/10.1007/bf02224398.

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Lopez-Marco, Ana, Aidil Syed, Tom Combellack, and Dheeraj Mehta. "Iatrogenic Lesion of an Anomalous Circumflex Coronary Artery During Mitral Surgery." Annals of Thoracic Surgery 102, no. 6 (December 2016): e525-e527. http://dx.doi.org/10.1016/j.athoracsur.2016.05.029.

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Saleem, Sameer, Mubbasher A. Syed, Khalid Changal, Abdulelah Nuqali, and Mujeeb Sheikh. "Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview." Case Reports in Cardiology 2018 (October 29, 2018): 1–6. http://dx.doi.org/10.1155/2018/3420721.

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Iatrogenic coronary artery dissection is a potentially life-threatening complication of cardiovascular interventions. The optimal management of iatrogenic coronary artery dissection is not clear; however, both conservative management and percutaneous or surgical revascularization have been performed depending on the patient’s clinical status and the extent of dissection. We present the first reported case of right coronary artery dissection after Bentall procedure performed for ascending aortic aneurysm. Urgent percutaneous intervention using adjunctive coronary imaging was performed with excellent clinical recovery. In this article, we highlight coronary artery dissection after Bentall procedure as a possible complication, provide an insight into various options in its management, and review published data on iatrogenic coronary artery dissection. We also discuss the challenges in percutaneous treatment of coronary artery dissection with special focus on intracoronary imaging for accurate diagnosis and guidance in the management of this complex lesion.

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Kim, Gi Jun, Sung Min Park, Joon Sung Kim, Jeong Seon Ji, Byung Wook Kim, and Hwang Choi. "Risk Factors for Additional Surgery after Iatrogenic Perforations due to Endoscopic Submucosal Dissection." Gastroenterology Research and Practice 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/6353456.

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Objectives. Endoscopic resection (ER) is commonly performed to treat gastric epithelial neoplasms and subepithelial tumors. The aim of this study was to predict the risk factors for surgery after ER-induced perforation. Methods. We retrospectively reviewed the data on patients who received gastric endoscopic submucosal dissection (ESD) or endoscopic mucosal resection (EMR) between January 2010 and March 2015. Patients who were confirmed to have perforation were classified into surgery and nonsurgery groups. We aimed to determine the risk factors for surgery in patients who developed iatrogenic gastric perforations. Results. A total of 1183 patients underwent ER. Perforation occurred in 69 (5.8%) patients, and 9 patients (0.8%) required surgery to manage the perforation. In univariate analysis, anterior location of the lesion, a subepithelial lesion, two or more postprocedure pain killers within 24 hrs, and increased heart rate within 24 hrs after the procedure were the factors related to surgery. In logistic regression analysis, the location of the lesion at the anterior wall and using two or more postprocedure pain killers within 24 hrs were risk factors for surgery. Conclusion. Most cases of perforations after ER can be managed conservatively. When a patient requires two or more postprocedure pain killers within 24 hrs and the lesion is located on the anterior wall, early surgery should be considered instead of conservative management.

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Abadir, Amir. "Successful Treatment of Severe Spontaneous Periampullary Bleeding with Argon Plasma Coagulation." Clinical Medicine Insights: Gastroenterology 7 (January 2014): CGast.S17667. http://dx.doi.org/10.4137/cgast.s17667.

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Periampullary bleeding is an uncommon cause of upper gastrointestinal (GI) hemorrhage, which is typically iatrogenic in origin occurring as the result of endoscopic intervention of the papilla. Spontaneous, non-iatrogenic periampullary bleeding is extraordinarily rare with only a few cases reported in the literature to date. Vascular malformations, including angiodysplasia and Dieulafoy's lesions, have been implicated in several reports as the etiology but endoscopic intervention is often unsuccessful in achieving durable hemostasis with surgery being required for definitive management in many cases. Herein is reported the case of a 67-year-old male on anticoagulation for atrial fibrillation who presented with severe upper GI bleeding determined to be arising from underneath the hood of the major papilla. No distinct lesion was seen endoscopically but the presumed etiology was an unidentified vascular malformation. Successful treatment was achieved with argon plasma coagulation (APC) applied circumferentially around the papilla. No subsequent endoscopic or surgical intervention was required for durable hemostasis and the patient was able to resume anticoagulation shortly after the procedure. This is the first reported case of spontaneous periampullary bleeding successfully treated with APC.

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Figl, Josip, Irena Šnajdar, Dino Papeš, Yvonne Lončarić, Dražen Belina, and Damir Halužan. "Abrupcija na polazištu zajedničke karotidne arterije bez neurološkog deficita." Medicina Fluminensis 57, no. 2 (June 1, 2021): 201–3. http://dx.doi.org/10.21860/medflum2021_371657.

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Objective: In this case, we present a patient who despite iatrogenic common carotid artery disruption had no neurological impairment after vascular reconstruction. Case report: During the neck dissection in a young patient a complete abruption of the common carotid artery occurred. Median sternotomy was done for proximal bleeding control. Vascular reconstruction was done using temporary carotid shunting. The patient had no neurological consequences afterward. Conclusion: The lesion of major neck vessels is one of the most severe complications during the surgery which must be dealt with as soon as possible in best way in order to avoid permanent brain damage. In situations of iatrogenic lesions of major neck arteries heparin admission, which is usually normal therapy during vascular reconstruction, is not an option due to abrupt and uncontrollable bleeding. Thus, establishing surgically proximal and distal vascular control over the bleeding artery by vessel clamping and urgent placing of temporary intraluminal carotid shunting and best medical intraoperative therapy in this critical period of surgery might be the crucial therapeutic moment for brain protection.

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Bele, U., Staric K. Drusany, U. Erzen, S. Hawlina, J. Bizjak, and B. Gubina. "Laparoscopic ureteral repair after iatrogenic lesion during laparoscopic hysterectomy: A case report." European Urology Supplements 15, no. 10 (December 2016): e1305-e1306. http://dx.doi.org/10.1016/s1569-9056(16)30178-6.

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Park, Heeseung, Seong Hwan Bae, Jin You Kim, and Taewoo Kang. "Iatrogenic Arteriovenous Fistula after Ultrasonography-Guided Core Needle Biopsy for Breast Lesion." Journal of Breast Disease 6, no. 1 (June 30, 2018): 29–33. http://dx.doi.org/10.14449/jbd.2018.6.1.29.

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Arend, Carlos Frederico. "The carpal boss: a review of different sonographic findings." Radiologia Brasileira 47, no. 2 (April 2014): 112–14. http://dx.doi.org/10.1590/s0100-39842014000200014.

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Carpal boss is an uncommon condition whose incidence is underestimated and that is frequently confused with other causes of development of tumor-like lesions on the dorsum of the wrist. From the clinical point of view, the main obstacle to its recognition is the nonspecificity of symptoms, frequently attributed to dorsal ganglion cysts, since both conditions share a similar location on the dorsum of the wrist. The assessment by ultrasonography allows for a correct diagnosis and appropriate management, with better chances of resolution of the clinical complaint and lower probability of iatrogenic worsening of the lesion. The present review is aimed at describing the different sonographic findings of carpal boss.

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Kadyrov, Nurdin A., Jonathan A. Friedman, Douglas A. Nichols, Aaron A. Cohen-Gadol, Michael J. Link, and David G. Piepgras. "Endovascular treatment of an internal carotid artery pseudoaneurysm following transsphenoidal surgery." Journal of Neurosurgery 96, no. 3 (March 2002): 624–27. http://dx.doi.org/10.3171/jns.2002.96.3.0624.

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✓ Internal carotid artery (ICA) pseudoaneurysm formation following transsphenoidal surgery is a rare but potentially lethal complication. Direct surgical repair with preservation of the ICA may be difficult. The feasibility of endovascular coil embolization with parent artery preservation for an iatrogenic ICA pseudoaneurysm is undefined. A 40-year-old man was referred to the authors' institution after identification of a pseudoaneurysm of the left ICA following transsphenoidal resection of a pituitary macroadenoma. The pseudoaneurysm was treated via an endovascular approach that included stent-assisted coil embolization of the lesion. Follow-up angiographic studies obtained 1 year later demonstrated complete occlusion of the aneurysm, and the patient remains asymptomatic. Stent-assisted coil embolization of this iatrogenic pseudoaneurysm was successful in achieving complete, angiographically confirmed aneurysm obliteration, with preservation of the ICA and short-term prevention of hemorrhage or carotid—cavernous fistula. The endovascular method provided an effective, relatively low-risk treatment for this difficult lesion, and was an excellent alternative to direct surgical repair. Nonetheless, long-term follow-up review is required before definitive treatment recommendations can be made.

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Carrillo-Martínez, Miguel Ángel, German Alfonso Garza García, and Juan Manuel Leal Jacinto. "Iatrogenic left vertebral artery pseudoaneurysm treated with a covered stent." BJR|case reports 6, no. 2 (June 2020): 20190051. http://dx.doi.org/10.1259/bjrcr.20190051.

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Vertebral artery pseudoaneurysm usually occurs after major trauma, but it can arise spontaneously after trivial injury. Clinical manifestations are often related to alterations in the posterior brain circulation. CT and angiography are usually the diagnostic methods of choice. We present a case of a pseudoaneurysm of the left vertebral artery caused by a lesion during a cervical spine surgery and treated with endovascular approach with a covered stent.

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Lodhia, JV, S. Appiah, P. Tcherveniakov, and P. Krysiak. "Diaphragmatic Hernia Masquerading as a Pulmonary Metastasis." Annals of The Royal College of Surgeons of England 97, no. 2 (March 2015): e27-e29. http://dx.doi.org/10.1308/003588414x14055925060758.

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Iatrogenic injury accounts for the second most common cause of acquired diaphragmatic hernias after penetrating trauma. An increased incidence of these hernias has been observed with the widespread use of laparoscopic surgery. We present the case of a 65-year-old woman who initially underwent sigmoid resection for an adenocarcinoma and a subsequent liver resection for metastasis. She was noted to have a left lower lobe pulmonary nodule on surveillance computed tomography, for which she underwent a mini-thoracotomy for a planned resection. At the time of surgery, the pulmonary nodule was discovered to be a diaphragmatic hernia, most probably of iatrogenic origin. We discuss the difficulty in diagnosis given her history and the location of such a lesion.

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Journal articles on the topic 'Iatrogenic lesion'

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