An Unusual Case of Pre-Auricular Myiasis-SCSOAJ: lupine publishers

An Unusual Case of Pre-Auricular Myiasis-SCSOAJ by Abhinaya shivakumar in surgery and case studies open access journals in lupine publishers.

68 year old lady, presented to the ER with complaints of fatiguability, prostration for a period of 1 month and a wound over the left side of the face for 1 year, wound appeared spontaneously, it progressed to an ulcer and was increasing to the current size. There was no h/o trauma, fever. No significant family, past history or travel history. On examination, patient was conscious oriented,vitals were stable. Local examination revealed on the right temporal and cheek region, an ulcer of 7x3cm over the preauricular region, solitary, margin was spreading which was inflamed and edematous with beaded edges, sero-sanguinous discharge, with active maggotfly infestation surrounding area is inflamed. On palpation, the ulcer was nontender, indurated edges, ulcer was resting on the zygomatico-temporal bone and depth been around 1cm, maggots larvae was present, ulcer was bleeding on touch 

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Intestinal Obstruction by Blind Vove Iess Riobamba Hospital 2014:SCSOAJ-lupine publishers

Intestinal Obstruction by Blind Vove Iess Riobamba Hospital 2014 by Diego Fabricio Erazo Mogrovejo in surgery and case studies open access journals in lupine publishers

Intestinal volvulus is produced by the twisting of a mobile segment of the colon around its mesenteric axis. The location, in order of frequency, is: 80% in sigma, 15% in blind and 5% in transverse colon [1]. The volvulus of the right colon is rarer. They do not present a defined geographical distribution, as in the sigmoid volvulus, which would indicate that the external factors that produce intestinal diseases do not have a higher incidence [2- 3]. The colon, from the embryological, anatomical, functional and surgical point of view, is divided into a right sector (right colon) and another left (left colon) whose limit is a line that passes over the transverse colon to the left of the artery medium colic [4-5]. The volvules located in the right sector are mainly due to a congenital malformation. Those located in the left colon, always correspond to the sigmoid and recognize as an etiological cause an abnormally mobile loop added to diseases that dilate and lengthen the sigma (dolicomegasigma) 

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