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Warning: graphic content may not be suitable for the naked eye. Educational showing sensitive footage. Injury/death imagery may be included. Thoughts & questions via emojis. Enjoy and keep the community civil
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Postlar arxiv
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Too Reckless To Live In China - no gore but I lost count of how many times her head was run over...😭😭
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A 34-year-old, G2P0102 at 29 weeks gestational age with singleton pregnancy was referred for the finding of a left orbital mass on ultrasound examination. The initial targeted ultrasound at 20–6/7 weeks had revealed normal appearing orbits and eyes, but was deemed an incomplete scan, prompting the patient to return for a follow-up ultrasound. The repeat ultrasound at 29 weeks confirmed the presence of a fetal left orbital mass, measuring 4.3 × 3.8 × 4.2 cm, with mixed echogenicity and minimal vascularity. The bony orbit was enlarged but appeared intact, and the mass was noted to protrude anteriorly, displacing the left eye to the surface. The globe and lens appeared normal, and the intracranial anatomy was also normal, with no other anatomic abnormalities detected.
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The neonate subsequently underwent an MRI scan, which showed that the orbital mass was heterogeneous in signal intensity with well-defined margins, without invasion or encasement of surrounding structures. Based on these findings, a diagnosis of a probable benign teratoma of the left orbit was made. The patient was then counseled by a multidisciplinary team, including maternal-fetal medicine, neonatology, neurosurgery, and pediatric ophthalmology.
It was recommended that the patient deliver at Albany Medical Center, where a coordinated subspecialty care plan could be implemented. A cesarean section was planned to minimize potential damage to the protruding left eye during the delivery process, with the hope of preserving eyesight in the affected eye.
At 36–4/7 weeks' gestation, the patient presented with preterm premature rupture of membranes. As previously planned, a cesarean section was performed without any complications, and the infant was delivered with care taken to avoid any pressure on the left orbital mass and the eye.
Further imaging, including CT and MRI, confirmed the diagnosis of an orbital teratoma, with areas of fat attenuation and fully formed long bones. There was no evidence of intracranial extension or dehiscence of the left orbital roof. The globe of the eye was displaced ventrally, and the left optic nerve was noted to be hypoplastic compared to the right.
On day of life 1, the neonate underwent surgical resection of the mass. Keratopathy and severe proptosis of the left eye were observed, and a complete resection of the left anterior orbital tumor was performed, with subsequent tarsorrhaphy to allow the globe to retract into the orbit. Pathological examination of the mass revealed an orderly arrangement of ectodermal and mesodermal elements, without any endodermal component or evidence of immature elements or malignancy.
Follow-up correspondence with the patient revealed that the infant's periorbital swelling had decreased significantly, and while pediatric ophthalmology did not expect preservation of vision in the affected eye, a prosthetic eye would not be required.
This case highlights the importance of a multidisciplinary approach in the management of fetal orbital masses, with careful prenatal evaluation, counseling, and coordinated delivery and postnatal care to optimize outcomes for the affected neonate.
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+3
Congenital orbital teratoma.
Pic 3 is the day after they resected it; pic 4 is two or three months later.
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Source ⬇️
An 8-year-old boy was rushed to the emergency room after falling from the first floor of his house, resulting in a severe head injury. A roof tile had penetrated his face and skull, damaging his left eye, surrounding structures, optic nerve, and putting pressure on vital structures in his right eye and brain.
The medical team quickly stabilized the child and performed an emergency CT scan, which revealed extensive damage to his facial bones and skull. The foreign object had fractured several bones, including the ethmoids, nasal bones, and orbital walls. There was also evidence of pneumocephalus (air inside the skull) and displacement of both eyeballs.
Due to the complexity of the injury, a multidisciplinary team approach was taken for the surgery. A lumbar drain was inserted to relieve pressure on the brain, and the neurosurgery team performed a bicoronal approach (incision across the top of the head) to access the damaged area. The roof tile was carefully detached and removed, and any necrotic tissue was debrided. The ophthalmology team eviscerated the damaged left eye, while the right eye was decompressed and secured.
The plastic surgery team then reconstructed the child's left eyelids using local tissue flaps, ensuring proper blood supply. All lacerations were sutured, and the surgical area was dressed. The child was placed on broad-spectrum antibiotics and monitored closely.
The lumbar drain was removed five days after surgery, and the child made a remarkable recovery. He continues to receive regular follow-up care from the plastic surgery, ophthalmology, and neurology teams.
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Fell from roof and got stabbed in the face with a roof tile 😭☠️
Pictures coming in few minutes
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News Article:
More than 550 die in searing Saudi heat on Mecca pilgrimage
Pilgrims on the hajj trip from countries including Egypt, Iran and Senegal among the dead after desert temperatures top 50C
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Hundreds have died in chaotic scenes at the hajj pilgrimage to Mecca, as temperatures in the Saudi Arabian desert soared above 50C.
More than 550 people have now been confirmed dead after this year’s pilgrimage – a religious duty for many Muslims – took place under a blistering Gulf summer sun.
Among the casualties were 232 Egyptian pilgrims, over 60 Jordanians and scores of Tunisians, diplomats have said. Deaths have also been reported among pilgrims from Iran and Senegal.
All the Egyptians who died on the trip suffered from heat stroke, one Arab diplomat told AFP.
Saudi authorities said they have made efforts to reduce the impact of the heat by setting up air conditioned tents and painting the streets between sites white to reflect more sunlight, cutting heat-related deaths by 50 per cent over the past four decades.
However, the strength of this year’s sun was too overwhelming for many. Witnesses in the city of Mecca this year described seeing motionless bodies lying on the roadside and local emergency services overwhelmed by the number of people in distress.
On Sunday, Saudi authorities reported treating more than 2,000 pilgrims suffering from heat stress. The figure has not been updated since and they have also not provided information on fatalities.
The hajj, which ran from Friday to Wednesday, fell during one of the hottest weeks of the year, with local authorities reporting unusually high temperatures.
Studies show that climate change has pushed temperatures in the Gulf desert by up to 0.4C per decade.
The situation appears to have been exacerbated by the arrival of huge numbers of unregistered visitors, who arrived at the holy site despite with no official hajj visa. This precluded them from accessing the rest stations.
The Egyptian death toll was “absolutely” boosted by a large number of unregistered Egyptian pilgrims, one diplomat said.
“Irregular pilgrims caused great chaos in the Egyptian pilgrims’ camps, causing the collapse of services,” said an Egyptian official supervising the country’s hajj mission.
“The pilgrims went without food, water, or air conditioning for a long time” and died “because they had no place” to take shelter, he said.
Saudi officials advised pilgrims to drink plenty of water, use umbrellas, and avoid exposure to the sun during the hottest hours of the day.
But many of the rituals, including prayers on Mount Arafat which took place on Saturday, involve being outdoors for hours at a time during the hottest part of the day.
Around 1.8 million pilgrims took part in the hajj this year, 1.6 million of them coming from abroad, according to Saudi authorities.
The pilgrimage to Mecca has been the occasion of repeated mass casualty incidents over the years. These have been caused by stampedes, extreme weather, construction failures and disease.
In 2015, more than 2,000 people died in a stampede near a bridge at the holy site in what is believed to be one of the deadliest hajj events. In the same year a crane collapsed into the Masjid al-Haram mosque, killing more than one hundred.
In 2023, the pilgrimage also took place in high summer temperatures. At least 240 pilgrims were reported dead by various countries, with the majority being Indonesians, many suffering dehydration and heart failure.
The final days of the annual hajj coincide with Muslims around the world celebrating the Eid al-Adha holiday.
