Minoxidil is a powerful direct acting vasodilator that was used clinically as an oral antihypertensive drug in combination with beta blockers and diuretics in cases of hypertension refractory to other antihypertensives. A 58-year-old male presented to the Emergency Department with an alleged history of accidental consumption of around 10 mL of 5% topical minoxidil solution. He had developed tachycardia, severe hypotension, and characteristic Electrocardiogram (ECG) changes with no obvious chest pain. He was treated with continuous intravenous (i.v.) crystalloids, dual inotropes and other supportive measures. The patient also developed acute pulmonary oedema and acute kidney injury. He responded to treatment and gradually improved haemodynamically with resolution of ECG changes and acute kidney injury. He was discharged seven days after admission. The patient showed resolution of characteristic ECG changes and improvement in haemodynamic condition of patient with supportive management in hospital.
Introduction: Several cases of long bone giant cell tumor have been reported in the literature. We report the case of a patient with a giant cell tumor in the distal ulna. This is very unusual, with a reported incidence of 0.45 to 6%. Case presentation: A 25-year-old female presented with a painful swelling of the right wrist. After performing a detailed clinical examination and investigations, a diagnosis of distal ulna giant cell tumor was made. The tumor was treated with an En bloc Resection, biopsy and stabilization of wrist using tri cortical bone graft. Conclusions: This tumor may have a good prognosis if it is diagnosed early and radically treated. It is important to be aware of atypical cancer localizations in order to perform a proper diagnosis.
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