Browsing all posts in Medical Images.

Hands transplantation

A 47 years old woman had both hands amputated 28 years ago. Now she is the first patient in Spain to receive a transplant of both forearms and hands.
This operation was done in La Fe Hospital in Valencia, Spain by the team of hand surgery of the Pedro Cavadas’ Foundation.
This is the 7th similar surgical [...]

Corpus Delicti a nice play

Corpus Delicti refers to crime’s body, not just to the corpse itself but to the related body of evidence.
I would love to see this play wich is a free play that uses real-life ballistig gel cadaver to explore art & science of anatom as practiced in Holland during the Age of Enlightenment, and immortalized in [...]

Ectopia cordis

This is a clinical image of a baby with ectopia cordis (it means that his heart is outside his chest) treated with surgery and had a great outcome.

You can find the complete story, right here.
Thanks to Kevin, M.D.

Fallot’s Tetralogy in a 8 y.o. girl

While on his community service, my friend Dr. Víctor Hugo Roa-Castro, just diagnosed a girl with Fallot’s Tetralogy (a congenital heart disease), wich consists in the combination of a ventricular septal defect (VSD) with Pulmonary Stenosis, with the Aorta “Overriding” (sitting “astride”) the VSD and with right ventricle hypertrophy (RVH).
It’s about 10% of all types [...]

Volkmanns ischemic contracture

The brachial artery is the major artery that transverses the antecubital fossa; injury to the brachial artery will cause radiating pain, decreased skin temperature, decreased pulses, and pallor of the distal arm and may result in Volkmann contracture.
The Volmann’s ischemic contracture is a contracture of the flexor muscles and median and ulnar nerve palsies. a [...]

Leprosy (Hansen’s disease)

Introduction
Leprosy has a rich history dating to biblical times.
“Leper” is an ancient term used to identify patients with leprosy who were severely stigmatized by the deformity that resulted from Mycobacterium leprae infection.
In the clinical context, the term Hansen’s disease should be used instead of leprosy. Gerhard Henrick Armauer Hansen, a Norwegian physician, discovered the microbe [...]

Limb to crotch (updated)

Israel Sarrío arrived at the Rehabilitation Center of Levante from Hospital Peset in Valencia (Spain) on January 31st of 2004 with an amputation of the left arm 2 inches above the elbow.

Click on images for large size
At 14:00hrs, the microsurgery implant began. The first maneuver consisted in lavage and sterilization of the amputated arm and [...]

Quiz: Hair-on-End Skull

I always enjoy the Image Challenge Contest at The New England Journal of Medicine, time ago there was a similar picture of this:

Best viewed in large size

U P D A T E: A nice comment and correct answer by Drmikeunoe

We can see generalized osteopenia, widening of the diploetic space, and thinning of the outer table.
This [...]

Bilateral Coral Shaped Urolithiasis

Staghorn Calculi

First surgery with no gravity

Click on images for large size
A french surgical team leaded by Dominique Martin has performed the first surgery in a zero-gravity flight. The patient a 46 years old male, was a volunteer and he just needed local anesthesia in the forearm.
The procedure was successful, and the chief surgeon said: [...]

Which is your favorite surgery/procedure?

Everyone have a predilection of a rare surgical procedure.
My favorite surgical procedure is the left thoracoabdominal esophagogastrectomy (proximal esophagogastrectomy with esophagogastrostomy), it is a difficult and plaintiff procedure and not too common, because of its high morbidity and mortality rates.
I have been assisting on once recently and it was nice to be there. Here is [...]

Incipient Vitiligo and Wood’s Lamp

Two patients with alopecia areata and tiny hypochromic skin lesions. They both were inspected under Wood’s Lamp examination and confirm the diagnosis of vitiligo.

Click on images to see them on large size

FAQ - Necrotizing Enterocolitis

What is this?
Necrotizing Enterocolitis (NEC) is a syndrome wich consists in intestinal infarction.
What part of the intestine is affected?
Terminal ileum and colon, although the entire GI tract is affected in severe cases.
Why is NEC important?
Because NEC is the most common gastrointestinal emergency in the newborn infant and NEC accounts for substantial long-term morbidity in survivors [...]

Active Variceal Hemorrhage

Active bleeding of esophageal varices can be difficult to treat, it really represents a life-threatening condition when not treated, because just 50% of patients with acute variceal hemorrhage stop bleeding spontaneously.
Endoscopic therapy is currently the definitive treatment of choice for active variceal hemorrhage and it can be performed at the same time as diagnostic [...]

Gallstone Ileus

Gallstone Ileus is an infrequent cause of mechanical bowel obstruction. It is caused by an impaction of a gallstone in the terminal ileum by passing through a billiary-enteric fistula (often from duodenum). It occurs more frequently in women with average age of 70 years.
Clinical picture: Episodic subacute obstruction in an elderly female. Abdominal pain and [...]