Present Case Research Articles

Understanding Effect of Ayurvedic Treatment in Prameha (Diabetes Mellitus) and its Upadrava (Complications)

Prameha is a syndrome described in the ancient Ayurvedic texts that includes clinical conditions involving metabolic syndrome and is said to be a Santarapanajanya Vyadhi. Prameha literary means anomalies of urinary secretions. On the basis of clinical features of Prameha, it correlates with diabetes mellitus. Diabetes mellitus is a metabolic cum vascular syndrome of multiple etiologies characterised by chronic hyperglycemia. The disease Prameha can be understood as having three stages based on the severity of Dhatudusti. With the Dushti of all Dhatus, Upadrava of Prameha are manifested. Case: Present case study deals with a female patient 49 years old suffering from increased frequency of micturition during night and Parshvashool with coughing from 3 years. On taking a detailed history it was found that, it was Upadrava of Prameha. Treatment protocol: Patient was given Pradhamana Nasyam with Pippali Churna after proper intervention of Snehana and Nadi Swedan on chest, supraclvicular region, and Kati Pradesh on empty stomach in the early morning. After that a freshly prepared Kwatha about 50ml of Kalmegh Churna, Punarnavamool, Giloy and Shunthi was given at BD dose. And the same drugs were used for Lepan on Kati Pradesh. Results: Parshvashool and coughing was completely cured, BSF and PPBS came to its normal range, creatinine level decreased and there was a significant reduction in fatty liver. Conclusion: With proper therapy, drug intervention, diet control and exercise Prameha and its Upadrava can be managed successfully.

Quantization of length in spaces with position-dependent noncommutativity

In this paper, we present a novel approach to quantizing the length in noncommutative spaces with positional-dependent noncommutativity. The method involves constructing ladder operators that change the length not only along a plane but also along the third direction due to a noncommutative parameter that is a combination of canonical/Weyl–Moyal-type and Lie algebraic-type. The primary quantization of length in canonical-type noncommutative space takes place only on a plane, while in the present case, it happens in all three directions. We establish an operator algebra that allows for the raising or lowering of eigenvalues of the operator corresponding to the square of the length. We also attempt to determine how the obtained ladder operators act on different states and work out the eigenvalues of the square of the length operator in terms of eigenvalues corresponding to the ladder operators. We conclude by discussing the results obtained.

A Successful Endotracheal Intubation of a Patient with Ankylosing Spondylitis: A Case Report

Background: Ankylosing spondylitis (AS) is a chronic inflammatory disorder that primarily affects the spine and eventually causes its malformation. Surgery is a common treatment for AS patients. Patients with severe AS usually have difficulty with ventilation or intubation. Therefore, airway management should be carefully evaluated, especially in patients with severe cervical deformities. Anesthesiologists must fully and carefully evaluate the airway in these patients. Case Presentation: A 49-year-old woman with AS suffered from a severe spinal deformity that required surgical treatment under general anesthesia. The patient was monitored for vital signs and adequately oxygenated. Lidocaine was used for cricothyroid puncture and throat anesthesia. The feasibility of tracheal intubation was assessed using a visual laryngoscope to expose the glottis under full surface anesthesia. Finally, a #7 enhanced tracheal catheter was successfully inserted after conventional sequential induction. The surgery was successfully completed, and the patient was discharged 10 days after surgery. Conclusions: Anesthesiologists should fully and carefully assess the presence of a difficult airway in patients with AS, whether it is difficult to ventilate or intubate. Adequate preparation plans are essential.

A Case Report of Bardet Biedl Syndrome in a Patient from Pakistan who Presented with Osmotic Symptoms associated with Diabetes Mellitus

Background: The primary features of Bardet Biedl syndrome (BBS) are characterized by retinal degeneration, central obesity, post-axial polydactyly, intellectual impairment, hypogonadism, and renal anomalies. The secondary clinical features are syndactyly, delay in the achievement of developmental milestones, diabetes insipidus, diabetes mellitus, congenital heart disease and liver involvement. It is diagnosed when a patient has either four primary or three primary and two secondary clinical features and the management depends upon those predominant features. Case presentation: A 12-year-old boy presented with polyuria, polydipsia and polyphagia. His developmental milestones were delayed and had syndromic features on physical exmination. Ultrasound of the abdomen and pelvis showed mild right-side hydronephrosis. His BMI was 28 and HbA1c was 18.3%, and values of LH and FSH were decreased. As a result, he was diagnosed with a case of BBS. He was commenced on insulin therapy with Insulin Regular (Human Insulin)and Insulin NPH (Human Insulin). Conclusion: Patients presenting with polyuria, polydipsia, polyphagia along with the presence of syndromic features, should be assessed for BBS as osmotic symptoms associated with diabetes mellitus can be initial clinical presentation of BBS. Its management depends upon the signs and symptoms of the patient. Various options including weight loss, exercise, oral hypoglycemic drugs, and insulin are available to treat diabetes mellitus in BBS. Some cases can have very high levels of HbA1c on initial presentation, which may require insulin without trying oral hypoglycemic drugs to treat diabetes mellitus in BBS.

The Role of NT-proBNP in the Diagnosis of Peripartum Cardiomyopathy with Multiple Left Ventricular Thrombus: A Case Report

Background: Peripartum cardiomyopathy (PPCM) is a rare but serious condition characterized by left ventricular dysfunction in late pregnancy or early postpartum. Early diagnosis is essential to prevent complications such as thromboembolism. N-terminal pro-B-type natriuretic peptide (NT-proBNP) is a promising biomarker for the diagnosis of PPCM. Case presentation: An 18-year-old female presented with progressive shortness of breath and generalized edema. Physical examination and echocardiography revealed acute heart failure with multiple left ventricular thrombus. Very high levels of NT-proBNP (1,796 pg/mL) supported the diagnosis of PPCM. The patient was successfully treated with standard heart failure therapy and anticoagulants. Conclusion: This case report highlights the importance of NT-proBNP in the early diagnosis of PPCM and detecting of thromboembolic complications. Significant increases in NT-proBNP levels, even without obvious symptoms, should be promptly evaluated for PPCM, especially in high-risk populations.

Gingival Overgrowth in Cheilitis Glandularis: A Case Report

Originally called gingival hyperplasia, gingival enlargement is a typical feature of many disorders, including inflammation, drug-induced conditions, systemic ailments, pregnancy, diseases like leukemia, and treatment-induced situations like gingival enlargement caused by orthodontic therapy. Of them, the primary cause of inflammatory-induced gingival expansion is the deposition of etiological substances, specifically calculus and plaque. Present case report is on a 24 years old male patient who has a history of cheilitis glandularis, and reported to the Department of Periodontology for gingival enlargement.

Modified roll envelope technique combined with apically repositioned flap (MRARF) for peri-implant soft tissue augmentation---A case series.

In the present case series, we performed implant surgery using a modified roll envelope technique and an apically repositioned flap (MRARF). To improve patients' peri-implant soft tissue phenotypes, they underwent dental implantation following the buccal contour concavities, inadequate keratinized tissue width, and soft tissue thickness simultaneously. This case series includes four patients treated between July 2021 and February 2022 who received dental implants and GBR treatment six months earlier and were to be taken up for second-stage surgery. They were eligible for the MRARF technique if each implant site showed a labial and buccal deficiency and a reduced keratinized mucosa width than the adjacent teeth. Sutures were removed two weeks after surgery, and a provisional restoration was delivered. A final impression was taken at six weeks to produce the definitive implant-supported restoration. All surgery sites healed uneventfully, and no postoperative pain or excessive swelling was reported. The modified flap design allowed for increasing the width and thickness of keratinized mucosa with a minimally invasive technique. A harmonious color, texture, and mucogingival junction position that matched the surrounding tissue and adjacent teeth was achieved, and all patients were satisfied with the final results. MRARF at second-stage implant surgery could obtain satisfactory results regarding vertical and horizontal aesthetic gingival contours and an adequate width and thickness of keratinized mucosa around the implants.

The first reported rare case of carbamazepine induced malignant hypertension from Nepal: a case report

Introduction and Importance: Malignant hypertension is the most severe form of hypertension that may cause life threatening manifestations. Carbamazepine is an antiepileptic drug primarily used for seizure disorders and trigeminal neuralgia. One of the rarely triggered adverse side effects of carbamazepine is drug induced malignant hypertension. Here, we intend to present the first case report of carbamazepine induced malignant hypertension from Nepal. Presentation of Case: Here, we aim to present a case report of a 26-year-old female with a history of generalized tonic-clonic seizure who had developed de-novo hypertension after initiation of carbamazepine with no decrease in blood pressure (BP) to normal level despite several anti-hypertensive administrations which eventually resolved on the discontinuation of drug carbamazepine. The patient was subsequently managed at our institution where levetiracetam was used as an alternative. The patient was in close follow up monitoring BP charting. Clinical Discussion: Although rare, a variety of cardiovascular side effects including hypertension led by the drug carbamazepine have been reported. Carbamazepine acts by inducing cytochrome P450 that facilitates an early metabolism and clearance of several anti-hypertensive medications causing a decrease in their role in hypertension. The exact etiology is still debatable. However, removal of the drug carbamazepine may result in a remission of hypertension as illustrated in several literatures. Conclusion: Malignant hypertension is caused in the rare due to the use of the drug carbamazepine. The hypertension can undergo remission by subsequent discontinuation of the carbamazepine therapy. Regular blood pressure monitoring and charting are crucial in such case.

Modeling the impact of coincidence loss on count rate statistics and noise performance in counting detectors for imaging applications

Coincidence loss can have detrimental effects on the image quality provided by pixelated counting detectors, especially in dose-sensitive applications like cryoEM where the information extracted from the recorded signal needs to be maximized. In this work, we investigate the impact of coincidence loss phenomena on the recorded statistics in counting detectors producing sparse binary images. First, we derive exact analytical expressions for the mean and the variance of the recorded counts as a function of the incoming event rate. Second, we address the problem of the mean and variance of the recorded events (i.e., pixel clusters identified as individual incoming events), which also acts as a function of the incoming event rate. In this frame, we review previous studies from different disciplines on approximated two-dimensional models, and we critically reinterpret them in our context and evaluate the suitability of their adoption in the present case. The knowledge of the first two momenta of the recorded statistics allows inferring about the signal-to-noise ratio (SNR) and the detective quantum efficiency at zero frequency (DQE0). Analytical results are validated through comparison with numerical data obtained with a custom-made Monte Carlo code. We chose a realistic case study for cryoEM application consisting of a 25-µm-thick MAPS detector featuring a pixel size of 10 µm and illuminated with electrons of 300 keV energy over a wide range of incoming rate.

A rare case report of osteochondroma of the left medial cuneiform

Introduction and importance: Osteochondroma is a benign skeletal neoplasm presenting with the proliferation of bony tissue. Osteochondroma of the foot is uncommon and that of the cuneiform is an extremely rare entity. Case presentation: We present the case of a 22-year-old woman with osteochondroma of the left medial cuneiform who was having pain in the first ray of the left foot. Clinical discussion: Most cases of osteochondromas are non-tender and painless mass with a benign asymptomatic course; however, progression to inflammation and neurovascular complications may cause considerable morbidity. The majority of cases are treated conservatively, while some severe cases require surgical management. Conclusion: Operative treatment of osteochondroma with excision of the mass remains a safe and successful alternative to conservative management whenever required.

A case report demonstrating the utilization of computer-aided design technology and intramedullary nails for the management of femoral deformity and fracture.

To effectively address severe deformities at the fracture site in patients, meticulous preoperative preparation is essential. This involves ensuring the restoration of the normal structural force line of the affected area and prevention of any residual deformities. By utilizing E3D technology prior to surgery, creating models based on individual patient image data and performing osteotomy, the required surgical parameters can be measured, thereby reducing surgical risks and enhancing precision. This article documents a case involving a fractured femoral shaft resulting in femoral deformation. In this case, computer-aided design technology was employed for preoperative planning and data measurement to guide the corrective osteotomy and fracture fixation procedures. The E3D software utilizes advanced techniques such as customized osteotomy, virtual reduction and internal fixation insertion technology. This enables the software to accurately pre-select the correction of femoral deformities and determine the appropriate specifications and types of internal implants. As a result, the software can create precise, rational, and personalized repair plans tailored to each patient's needs.

Reconstruction of Chronic Monteggia Fracture with Radial Head Excision: A Case Report

Introduction: Chronic Monteggia fracture is a rare and clinically challenging condition, characterized by a non-union fracture of the proximal ulna with dislocation of the radial head. This case report presents the case of a 42-year-old woman with a chronic Monteggia fracture diagnosed 21 years after the initial injury, highlighting the importance of a careful patient history and radiographic investigation. Case presentation: A 42-year-old woman presented with left elbow pain and a history of significant trauma 21 years previously. Physical examination revealed limited range of motion and radiographic examination revealed a nonfused fracture of the proximal ulna with dislocation of the radial head. The patient underwent open reduction and internal fixation (ORIF) reconstruction of the ulna and excision of the radial head. Conclusion: Successful surgical reconstruction of chronic Monteggia fractures results in significant improvements in the patient's function and quality of life. This case report emphasizes the importance of early diagnosis and timely surgical intervention to prevent long-term complications and achieve optimal functional outcomes.

Case presentation: a severe case of cobalamin c deficiency presenting with nephrotic syndrome, malignant hypertension and hemolytic anemia

BackgroundThe etiology of nephrotic syndrome can vary, with underlying metabolic diseases being a potential factor. Cobalamin C (cblC) defect is an autosomal recessive inborn error of metabolism caused by mutations in the MMACHC gene, resulting in impaired vitamin B12 processing. While cblC defect typically manifests with hematological and neurological symptoms, renal involvement is increasingly recognized but remains rare.Case PresentationWe describe a 7-month-old male patient presenting with fatigue and edema. His first laboratory findings showed anemia, thrombocytopenia, hypoalbuminemia and proteinuria and further examinations reveals hemolysis in peripheric blood smear. During his follow up respiratory distress due to pleural effusion in the right hemithorax was noticed. And fluid leakage to the third spaces supported nephrotic syndrome diagnosis. The patient’s condition deteriorated, leading to intensive care admission due to, hypertensive crisis, and respiratory distress. High total plasma homocysteine and low methionine levels raised suspicion of cobalamin metabolism disorders. Genetic testing confirmed biallelic MMACHC gene mutations, establishing the diagnosis of cblC defect. Treatment with hydroxycobalamin, folic acid, and betaine led to remarkable clinical improvement.Discussion/ConclusionThis case underscores the significance of recognizing metabolic disorders like cblC defect in atypical presentations of nephrotic syndrome. Early diagnosis and comprehensive management are vital to prevent irreversible renal damage. While cblC defects are more commonly associated with atypical hemolytic uremic syndrome, this case highlights the importance of considering cobalamin defects in the differential diagnosis of nephrotic syndrome, especially when associated with accompanying findings such as hemolysis. Our case, which has one of the highest homocysteine levels reported in the literature, emphasizes this situation again.

Challenges of Anesthetic Management in Pediatric Patients with Hernia Inguinalis Lateralis Dextra Reponibilis: A Case Report

Introduction: Hernia inguinalis lateralis dextra reponibilis (HILD repr.) is a common condition in infants and children, but anesthetic management in these pediatric patients requires special attention. Children's unique physiological and pharmacological characteristics, potential comorbidities, and risk of postoperative pain demand a careful and integrated approach. Case presentation: This case report presents comprehensive anesthetic management of a 6-month-old male infant who underwent elective herniorrhaphy for HILD repr. The anesthesia procedure involved induction with sevoflurane and fentanyl, maintenance of anesthesia with sevoflurane, and multimodal pain management with paracetamol and bupivacaine. The surgery was successful without complications, and the patient recovered well. Conclusion: This case highlights the importance of implementing modern anesthetic practices in pediatric patients with HILD repr., including selection of appropriate anesthetic agents, close monitoring, and multimodal pain management. Specific challenges such as unique airway anatomy, variability in drug pharmacokinetics, and risk of perioperative complications are also highlighted. The successful anesthetic management of this case highlights the importance of an individualized approach and close monitoring to optimize clinical outcomes and minimize complications in pediatric patients with HILD repr.

Obinutuzumab in Difficult to Treat Phospholipase A2 Receptor Positive Membranous Nephropathy: Our Experience at a Tertiary Care Center in North India

Obinutuzumab is a glycoengineered type II anti-CD20 monoclonal antibody with superior B cell cytotoxicity compared to rituximab. Various case reports suggest that in refractory phospholipase A2 receptor (PLA2R) positive membranous nephropathy (MN) patients, Obinutuzumab led to immunologic remission and improvement in proteinuria. In the present case series, we present six cases of difficult-to-treat PLA2R-associated MN refractory to prednisolone, calcineurin inhibitor (CNI), cyclophosphamide, and rituximab but subsequently responded to Obinutuzumab. Five out of six cases showed partial /complete clinical remission and immunological remission (IR) with normalization of serum albumin and stable renal function. Though this drug’s long-term efficacy and impact remain unclear, it is being increasingly considered for PLA2R-associated MN resistant to standard therapy.

Implementation Of Optical Diagnostics For Study Of A Non-Canonical Hypersonic Geometry

The study of shock/boundary-layer interactions on a non-canonical hypersonic geometry involves physical complexities not found on the canonical investigations that dominate the literature. The present case examines a cone-slice-ramp, which combines an upstream asymmetric flow expansion with a downstream three-dimensional compression ramp. Optical diagnostics of the off-body flowfield are a necessary complement to surface instrumentation including high-frequency pressure sensors and Temperature Sensitive Paint (TSP). Focused Laser Differential Interferometry (FLDI) measured the flowfield distribution of second-mode instability waves responsible for transition. Filtered Rayleigh Scattering (FRS) was used for flow visualization of the separation region and unsteady shear layer. Velocimetry through the separation shear layer was provided by Femtosecond Laser Electronic Excitation Tagging (FLEET) whereas Coherent Anti-Stokes Raman Scattering (CARS) measured the thermal profiles through multiple flow features generated by the interaction. These flowfield diagnostics detail the alterations in the shock/boundary-layer interaction as the flow state moves from laminar to transitional to turbulent conditions, revealing behaviors absent from canonical flows.

Velocity And Concentration Measurements Of Supersonic Underexpanded Jets

The release of high-speed gas jets due to a tank leakage can pose a substantial safety hazard, as it can give rise to flammable, explosive, or toxic mixtures. Hence, understanding jet dispersion in real-world conditions is crucial for designing effective safety measures. Existing targeted or traceable studies provide velocity field data, but limitations in source-driven-pressures, nozzle geometries, or cross-flow conditions restrict their representativeness under real conditions. Indeed, an exhaustive experimental dataset for supersonic underexpanded gas jet dispersion under the influence of an Atmospheric Boundary Layer (ABL) is currently lacking. As part of a collaboration with the CEA, the von Karman Institute is continuing research efforts towards the development of high quality nonintrusive, optical measurement techniques for the characterization of the velocity and the concentration of a supersonic underexpanded jet submitted to different cross-flow conditions. The research explicitly targets measurements far from the release point within the self-similar region. Such measurements have already been tried on a supersonic jet without cross-flow and with a uniform velocity low-speed cross-flow [2], but never under the influence of an ABL. By filling this gap, the objective of the present work is to further improve the dispersion characterization by combining different techniques, such as Laser Mie Scattering and Light Extinction Spectroscopy (LES). To evaluate the dispersion within the self-similar region up to x/D ≈ 100, a significant FOV 1 is required. Therefore, Large-Scale Particle Image Velocimetry (LS-PIV) has been adapted and successfully applied to measure the velocity field. Prominent results have been obtained and comparable to standard PIV measurements. The pronounced variation in velocity magnitude observed while transitioning from the potential core to the self-similar region requires collecting multiple datasets to cover the broad spectrum of velocities comprehensively. A Mie scattering theory-based technique has been used to retrieve a relative concentration field. It is a non-intrusive technique that operates on the same experimental images produced by the LS-PIV campaign, assuming that light scattered by particles within a specific volume is proportional to the number of particles within this volume. The algorithm for concentration retrieval was adapted from and consequently improved for the present case. Discrepancies in the scaled concentration evolution among different nozzle diameters highlighted the necessity for refining the technique. This emphasizes accurately determining the reference concentration in a region free from intricate phenomena such as multiple scattering. The absolute and independent concentration measurement is done via Light Extinction Spectroscopy (LES). The LES technique measures the transmittance spectrum T of a collimated light beam passing through the particle-laden flow. This method has successfully been applied to several types of flows with similar seeding particles and concentration quantities (e.g. PSD 2 ). The extrapolation of absolute concentration parameters relies on the regularized solution of an ill-conditioned inverse problem. This solution is derived using the transmittance recorded during the test as the primary input parameter. The system to solve exhibits high sensitivity to small perturbations, making it challenging to employ numerical techniques confidently. Due to the substantial impact of minor perturbations in initial conditions on the system solution, a meticulous adaptation of the technique to the demands of compressible flows is necessary and still ongoing. The setup consists of a Deuterium-Tungsten Halogen UV-NIR light source emitting a divergent beam of light towards a 90◦ off-axis parabolic mirror, which collimates and deviates it into a beam to the jet. After passing through the jet, the resulting attenuated light beam goes into a collector mirror, redirecting it into a composite grating spectrometer UV-NIR with a 200 − 1100 nm wavelength range with 0.5 nm optical resolution. The results will examine the dispersion pattern and feature in terms of velocity and concentration of a supersonic underexpanded jet produced by an upstream tank with total pressure ranging from 5 to 9 bar without cross-flows. The latter will provide a foundation for successive studies on supersonic underexpanded jets subjected to an ABL.

Full Digital Workflow for Aesthetic Rehabilitation of the Upper Teeth: A Case Report

The present case report presents a digital workflow for designing an aesthetic rehabilitation of the upper anterior teeth in an adult male. The patient suffered from a gummy smile resulting from an unfavorable ratio between upper lip length and gingiva/tooth display. In addition, the tooth shapes, color, and position were not accepted by the patient. The treatment planning included gingivectomy based on a digitally designed PMMA guide performed using a soft tissue SOGA laser (Shenzhen Soga Technology Co., Ltd., Shenzhen, China). The preparation was guided by the plastic guides for preparation control created digitally in Exocad software (Rijeka 3.1. Darmstadt, Germany) and printed in three-dimensional plastic. Next, both arches and maximum intercuspation were scanned. The milled lithium disilicate veneers were manufactured using CAD-computer-aided manufacturing (CAM) equipment. The restorations were cemented using a translucent light-cure resin cement (RelyX Universal, 3M ESPE, St. Paul, MN, USA). Next, occlusion adjustment and polishing were executed. Based on the present case report, it can be assumed that the application of digital techniques allows us to achieve an aesthetic and functional result with reduced work time and errors. Emphasizing the clinical impact, these methods enhance patient satisfaction and treatment accuracy in intricate aesthetic rehabilitations.

Clinical approach to a rare case of hydrallantois in bitch

AbstractThe present case describes the clinical, sonographic and histopathological findings of hydrallantois in bitch. After 55 days of the first mating, nulliparous Golden Retriever bitch was presented with a primary complaint of perceptible abdominal distension and dyspnoea for the last 3‒4 days. Ultrasonography revealed marked uterine distension with well appreciable anechoic to hypoechoic allantoic regions along with fetal stress. During caesarean section, a cumulative 2.75 L of placental fluid was recovered from allantoic portion with an altered electrolyte profile in comparison to maternal plasma. The histopathology examination of one fetal kidney corroborated tubular degeneration, suggesting nephrosis to be the concomitant aetiology. In conclusion, the clinical examination and ultrasonography provided provisional diagnosis of the condition; caesarean section proved to be an ideal option in order to prevent the dystocia or any other complication during whelping in a bitch even if none of the puppies survived. This approach, with supportive therapy ensures comprehensive care post‐treatment.

The Scrotal Displacement of the Catheter After Femoral Venous Cutdown: A Neonatal Case Report from Iran

Introduction: One of the most preferred cutdown access sites in neonates is the femoral vein; however, the medical staff should be aware of the associated complications. In this study, we present a case where the displacement of the catheter tip after femoral vein cutdown resulted in a scrotal hematoma. Case Presentation: A neonate with a gestational age of 39 weeks and a birth weight of 3740 grams was born in an academic hospital in Tehran, Iran, in 2022. The newborn gradually showed symptoms of respiratory distress and was immediately transferred to the neonatal intensive care unit (NICU). Within the first minutes of NICU admission, the newborn developed acute respiratory distress, and a chest X-ray revealed congenital pneumonia. The patient was promptly intubated, and endotracheal surfactant was administered. Simultaneously, peripheral vascular access was established. On day 3, the vascular access failed, and multiple attempts at percutaneous venipuncture were unsuccessful. A consultation with an expert pediatric surgeon led to the decision to perform a surgical venous cutdown. A 22-gauge catheter was inserted into the external iliac vein through the right femoral access to initiate intravenous fluid and antibiotics. Within the next four hours, the neonate developed right scrotal edema, discoloration, localized erythema, and clear fluid leakage from the right scrotum. Intravenous infusion was urgently clamped. The pediatric surgeon recommended catheter removal, suspecting displacement of the catheter. A sonography examination revealed a hypoechoic 11 × 10 × 4 mm region, indicating a hematoma at the inferior pole of the right testis. The neonate was placed under serial follow-up to monitor vital signs and local manifestations. The patient was managed with conservative treatment and discharged in good condition on the 10th day of NICU admission. Conclusions: The presented case demonstrated scrotal damage following femoral cutdown catheterization. This unexpected complication was effectively managed by the immediate removal of the catheter, close monitoring, conservative therapy, and serial follow-ups, which prevented the progression of local signs. NICU staff should be aware of the potential for testicular injuries in such cases.