The global pandemic caused by the SARS-CoV-2 has resulted in an increased incidence of venous thromboembolism among hospitalized COVID-19-patients, especially those who required intensive care, despite thromboprophylaxis. This has resulted in the use of higher doses of thromboprophylaxis or therapeutic anticoagulation therapy even in the absence of thrombotic events. However, after their hospital discharge, authors and current guidelines are not unanimous about extended anticoagulant therapy in patients with COVID-19. Here, we report two pulmonary embolism cases following hospitalization for COVID-19, despite intermediate doses of thromboprophylaxis. These rare cases suggest that there may be a residual thrombotic risk following hospitalization for COVID-19 and highlight questions about extended prophylactic-anticoagulation therapy after hospital discharge of patients with COVID-19.
Fibromatosis Colli also known as congenital torticollis is a rare cause of benign cervical pseudotumor in neonates, consisting of benign fibrous tissue proliferation within the sternocleidomastoid muscle, resulting in a fusiform enlargement. The cause of fibrosis is unknown; however it could be linked to trauma during pregnancy or at the time of birth, resulting in hemorrhage and, subsequently, fibrosis. Ultrasound plays a necessary role in confirming this diagnosis and follow-up. We Report a case of Fibromatosis colli in a four-week old newborn who was diagnosed using ultrasonography and treated with physiotherapy.
Introduction: Pectoralis major injury is a rare injury. Its incidence increases with sports related activities. Early diagnosis is essential to obtain a satisfactory functional outcome. We present in this paper a case of 39-year-old male patient presenting with missed chronic the right pectoralis major muscle injury treated with anatomic surgical reinsertion of the muscle tendon to the humerus. Case Report: A 39-year-old male bodybuilder patient felt a snap in his right dominant shoulder while performing bench press. Diagnosis was missed by two physicians and right shoulder MRI confirmed the diagnosis of pectoralis major muscle injury. Reinsertion of the PM muscle tendon using suture anchor was done through deltopectoral approach. Shoulder immobilization for 1 month followed by passive and active range of motion exercises results in satisfactory cosmetic and functional outcome. Conclusion: PM muscle rupture affects mainly young male weightlifters. Loss of the anterior axillary fold is pathognomonic for PM injury. Magnetic resonance imaging of the chest wall is the gold standard examination for the diagnosis. Acute surgical repair (<6 weeks) is recommended to obtain good or excellent cosmetic and functional outcomes. Reconstruction showed lower strength and patient satisfaction; however, results were still significantly better than non-operative treatment reserved for patients with partial tears, muscle belly irreparable damage, and elderly patients with medical comorbidities whom operative treatment is not indicated. Keywords: PM, pectoralis major, chronic rupture, young weightlifter, shoulder surgery.
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