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Jiang Xing Yue XY From the Department of Radiology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, PR - - 2014
A healthy spleen has density stable on computed tomographic (CT) scan; in some patients, spleen infarction can be associated with acute pancreatitis. Here, we report 2 patients with acute pancreatitis associated with transient reduction of spleen density that were confirmed in our hospital. The clinical data of the 2 patients ...
Borgonovo L L Allergy and Clinical Immunology Unit, H. "L. Sacco" Milano, Italy. - - 2014
We described the first case reported in literature of anaphylactic shock after administration of pollen extract vaccine chemically modified (allergoid) adsorbed onto L-Tyrosine depot adjuvanted with monophosphoryl lipid A (Pollinex® Quattro MPL-4).
Ozturan Orhan - - 2013
Aeration of the concha is called concha bullosa regardless of the amount and location of the aeration. Middle concha pneumatization is very frequent, and its incidence rate according to the literature is between 14% and 53.6%. Various types of middle concha such as pneumatized, paradoxical, bifurcate, trifurcate, secondary, and accessory ...
Chalakkal P - - 2013
This article discusses a case of an 8-year-old female child who presented with severe lower anterior crowding and congenitally missing lower second premolars. A conventional serial extraction procedure could not be performed due to the congenital absence of teeth. Instead, planned extraction of a few primary teeth was done to ...
Policha Aleksandra - - 2013
Coral reef aorta (CRA) is a rare form of atherosclerosis that affects the paravisceral and pararenal aorta and its branches. Patients typically present with arterial insufficiency of the bowels, kidneys and lower extremities. The current mainstay of treatment is operative, typically involving transaortic endarterectomy. Herein, we describe a 54-year-old woman ...
Ali F R - - 2013
We read with interest the recent paper in this journal which sheds further light upon the reduced mortality observed amongst individuals suffering from dermatitis herpetiformis.(1) Whilst Hervonen and collegues corroborate previous findings of reduced smoking and lower rates of hyperlipidemia amongst patients with dermatitis herpetiformis, they do not account for ...
Yoon Jun Sik - - 2013
Xanthogranulomatous inflammation (XGI) is a rare benign inflammatory disease characterized by aggregation of lipid-laden foamy macrophages. This disease entity has been described in various organs but most commonly in the kidney and gallbladder. The occurrence of this disease in the lower gastrointestinal tract is extremely rare. Its clinical importance is ...
Collar Ryan M - - 2013
The debate continues around transconjunctival versus transcutaneous approaches. Despite the perceived safety of the former, many experienced surgeons continue to advocate the latter. This review aims to present a balanced view of each approach. It will first address the anatomic basis of lower lid aging and then organize recent literature ...
Zahavi Alon - - 2013
We report the case of a 12-week-old boy presenting with increased cholesterol and triglyceride levels. Examination revealed lipemia retinalis. Genetic evaluation demonstrated lipoprotein lipase deficiency. The patient was treated with dietary restrictions, which resulted in rapid clinical improvement.
Hechtman Jaclyn Frances - - 2013
Pancreatic neuroendocrine tumors of the main pancreatic duct are rare and usually small due to symptoms of pancreatic duct obstruction. We present a case of a large (3 cm), well-differentiated (G1) lipid-rich polypoid neuroendocrine tumor of the pancreas completely occluding the main pancreatic duct with non-neoplastic-entrapped ductules and CK19 positivity. Clinical, ...
Attash Saad Muwafaq - - 2013
We report our experience of four cases of long-standing unilateral, secondary lymphoedema of the lower limb, for which conservative treatment has failed, that were treated in our centre using pedicled omental flap. The four patients were followed for a period of 1 year after the procedures and frequent measurements of ...
Adamson Van W - - 2013
Effusive constrictive cholesterol pericarditis is exceedingly rare. Most cases have an unclear etiology but can be associated with rheumatoid arthritis, tuberculosis infection, and hypothyroidism. The hallmark of the effusion is the distinctively high levels of cholesterol. We present the case of a 68-year-old male with prolonged symptoms of dyspnea with ...
Subramaniam Somasundaram - - 2013
Everolimus is an mTOR inhibitor commonly used to treat metastatic pancreatic neuroendocrine tumors (pNETs) and renal cell carcinoma, and for posttransplant immunosuppression. This report presents a case of a 36-year-old man being treated with everolimus for a metastatic pNET who developed severe hypertriglyceridemia and acute pancreatitis. The incidence of hypertriglyceridemia ...
Kazantsev Sergey V SV Insect Centre, Donetskaya 13-326, Moscow 109651, Russia; Email: - - 2013
A new fossil genus of net-winged beetles, Protolopheros gen. n., and a new species, Protolopheros hoffeinsorum sp. n., are described from the Baltic amber. The new taxon is placed in Erotini, next to Lopheros Leconte, 1881. The extant Pseudaplatopterus (Eropterus) Green, 1951, comb. n. is lowered in rank and placed as a ...
Nulty Dorothy - - 2013
The purpose of this case study is to raise awareness about an uncommon cause of knee pain. Review of literature was done using PubMed, CINAHL, and Medline. There was no limitation placed on the publication year. Only articles written in English were included. Knee pain is a common diagnosis that ...
Deutsch Gary B GB Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New - - 2012
Meckel diverticula are remnants of the omphalomesenteric duct. They have 2% incidence in the general population, are usually asymptomatic, and tend to be diagnosed incidentally. The generally held principle had been that asymptomatic cases do not require resection, as exemplified by a 2008 systematic review of over 200 studies. However, ...
Morgan Trent L - - 2012
BACKGROUND: Overwhelming post-splenectomy infection (OPSI) is a serious disease that can progress from a mild flu-like illness to fulminant sepsis in a short time period. Although relatively rare, it has a high mortality rate with delayed or inadequate treatment, and therefore, it is important for Emergency Physicians to be familiar ...
Tan Yvonne - - 2012
INTRODUCTION: The presentation of pulmonary embolism to the emergency department (ED) can prove challenging because of the myriad of potential disease processes that mimic its signs and symptoms. The incidence of pulmonary embolism and indeed the mortality associated with it is relatively high. Early diagnosis and treatment is crucial in ...
Paolo Feltracco - - 2012
  The growth in popularity of flying ultralight aircraft and paragliding has been associated with an increased involvement of Emergency Medical Services because of various types of trauma suffered from both inexperienced and skilled individuals. This case presentation reports on a paraglider pilot, who was seen spinning "unusually" rapidly toward ...
Duman Mustafa - - 2012
Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tis- sue with unknown etiology. The small bowel mesentery is affected mostly. This process rarely involves the large intestine mesentery. Mesenteric panniculitis includes symptoms as abdominal pain, nausea and vomiting, diarrhea, constipation, and ...
Stephen Daphne Dewi - - 2012
Acute lower gastrointestinal haemorrhage secondary to small bowel ascariasis is extremely rare. A high level of suspicion should be maintained when dealing with acute gastrointestinal haemorrhage in migrants and travellers. Small bowel examination is warranted when carefully repeated upper and lower endoscopies have failed to elicit the source of bleeding. ...
Abogunrin Funso A - - 2012
Combined penoscrotal incarceration is rarely reported in the literature. It is a urological emergency. Depending on the nature of the constricting object, duration of constriction, and with no defined treatment methods, inventiveness is usually required in removing difficult objects. This is a report of a penoscrotal incarceration by four closed ...
Masuda Jun - - 2013
Cholesterol crystal embolism (CCE) is a serious complication associated with invasive vascular procedures. The prognosis of the renal involvement type of CCE is very poor, and there is currently no established treatment, other than supportive therapy. We herein report four cases of CCE with severe atherosclerosis wherein the renal function ...
Baxi Rupen P RP Department of Emergency Medicine, University of Cincinnati College of Medicine, - - 2012
Accurate electrocardiographic (ECG) differentiation of ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy (SVT-A) on ECG is key to therapeutic decision-making in the emergency department (ED) setting. The goal of this study was to test the accuracy and agreement of emergency medicine residents to differentiate VT from SVT-A using the ...
Grover Casey A - - 2012
Anorexia nervosa is a disease with high prevalence in adolescents and carries the highest mortality of any psychiatric disorder. We present a case of a 17-year-old female presenting to the emergency department with bradycardia that was subsequently diagnosed with anorexia nervosa. We also review the clinical features, diagnosis, complications, and ...
Stew Bt - - 2012
Sudden onset sensorineural hearing loss is a medical emergency that continues to be poorly understood despite being recognized in the literature since 1944 (De Kleyn, 1944). A commonly used criterion to qualify for this diagnosis is a sensorineural hearing loss over three contiguous pure-tone frequencies of 30 dB or more ...
González Raya Arturo - - 2012
The presence of cholesterol crystals in the pericardial fluid is a very rare finding of unknown pathogenesis with no more than 100 reported cases in literature. Patients with cholesterol pericarditis usually have large volume spills of slow development that are well tolerated, rarely causing cardiac tamponade or constrictive pericarditis. We ...
Prakash Advait - - 2012
A congenital teratoid tumor arising and protruding through the mouth is classified as epignathus or fetus in fetu. On review of literature, we found various reports of midline mandibular and lower lip cleft associated with flexion contracture of neck, midline cervical cord, but there is only one report of association ...
Duman Berna Bozkurt - - 2012
Capecitabine has shown significant antitumor activity against anthracycline/taxane refractory breast cancer and advanced colorectal carcinoma. The main drug-related adverse effects are palmar-plantar erythrodysesthesia (hand-foot syndrome), diarrhea and stomatitis. Dyslipidemia is a rare but important side effect of this drug. The mechanism of capecitabine-induced hypertriglyceridemia (CI-HTG) is unclear. It may be ...
Cipullo Lucio M A LM Department of Obstetrics and Gynaecology, Slotervaart Medisch Centrum, Louwesweg 6, 1066 EC Amsterdam, The - - 2012
A 29-year-old Para 2 was admitted to the emergency department with increasing lower abdominal pain. The patient had undergone an uncomplicated elective repeat caesarean section 7 days before being admitted to the emergency department. An emergency laparotomy revealed a uterus didelphys with a torsion of one of the uteri.
Manousaki Maria - - 2011
ABSTRACT: Sudden and unexpected deaths due to asymptomatic 5 primary brain tumors are extremely rare, with an incidence that ranges from 0.16 to 3.2%. Usually, such tumors are glioblastomas or, less commonly, astrocytomas. Asymptomatic oligodendrogliomas causing sudden death are hardly ever reported among medico-legal investigated cases.We report a rare case ...
Huston Butch - - 2011
We report the case of a 51-year-old woman who had a medical history of diabetes, depression with past suicide attempts, and suicidal ideation. She was found unresponsive in a motel with multiple bottles of medicines (melatonin, carisoprodol, ativan, and clonazepam) and an unopened bottle of wine. She was transported to ...
Sethi Somika - - 2011
Clear cell carcinoma is an uncommon but distinct variant of urinary bladder carcinoma histologically resembling the neoplasm in the female genital tract. The histogenesis of this neoplasm is uncertain. The clinicopathologic and histologic features are suggestive of a mullerian origin in some tumors, while some believe it to be glandular ...
Raheem Omer A - - 2011
We report a case of primary transitional cell carcinoma (TCC) of a bladder diverticum along with a literature review. A 55-year-old male presented with painless gross hematuria. A histological diagnosis of TCC within a bladder diverticulum was made following cystoscopical examination. Initially transurethral resection of bladder tumour with subsequent intravesical ...
Mahfouz Wally - - 2011
The first application of botulinum toxin type A (BoNT-A) in urology was its injection into the urinary sphincter to treat neurogenic detrusor-sphincter dyssynergia (DSD) in quadriplegic men. Since that first report by Dyskatra et al in 1988, the results of focal BTA injections into the sphincter, the bladder wall and ...
Akoluk Arda - - 2011
Primary osteosarcomas of the bladder account for about 0.04% of bladder neoplasms. Most of the patients in the literature expired within 6 months and, in almost all of the cases in the literature, radical cystectomy with postoperative chemotherapy was the treatment choice. A 79-year-old gentleman presented with gross hematuria. Cystoscopy ...
Bradley Catherine S CS Comprehensive Access and Delivery Research and Evaluation Center, Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA. - - 2011
This study aims to measure self-report urinary incontinence questions' reproducibility and agreement with bladder diary. Data were analyzed from the Reproductive Risk of Incontinence Study at Kaiser. Participating women reporting at least weekly incontinence completed self-report incontinence questions and a 7-day bladder diary. Self-report question reproducibility was assessed and agreement ...
Kasianandan Amuthanila - - 2011
An 81-year-old woman presented with symptoms of recurrent urinary tract infections, urge incontinence and nocturia. Cystoscopy performed revealed a whitish plaque lesion on the fundus and right lateral wall of the bladder. The histology of the biopsy confirmed the diagnosis of leukoplakia vesicae of the bladder. The plan is to ...
Rafael Neves Tiago - - 2011
OBJECTIVE: Metastases to the urinary bladder are rare, representing less than 2% of bladder tumors. We report two cases of bladder involvement by primary gastric adenocarcinoma and perform a bibliographic review of the literature on this subject. METHODS: A search for published data was performed in the PubMed database using ...
Bueno Bravo Carolina - - 2011
To report a new case of bladder hernia. We reviewed the clinical features, diagnosis and treatment of this disease. Case report of a patient diagnosed with bladder hernia. We expose the clinical picture and the most common form of diagnosis and the more effective treatment. Bladder hernia is rare disorder ...
Liao Joshua M - - 2011
A 61-year-old male presented with long standing urinary frequency and the sensation of incomplete emptying. Computed tomography (CT) revealed a 9.5 cm x 7.9 cm x 6.9 cm pelvic mass behind the bladder and abutting the rectum. The mass was excised using a robotic-assisted laparoscopic approach. Pathologic examination of the ...
Kim Jong Min - - 2011
Midurethral tension-free sling procedure has become one of the most popular techniques for the treatment of stress urinary incontinence. As the time elapsed, however, complications associated with a synthetic tape have been reported to occur. Recently, we experienced a rare case of urethral erosion with perineal cellulitis at anterior wall ...
Singh Geetika - - 2011
Epithelial-myoepithelial carcinoma is a rare tumor of the salivary gland constituting only 1% of all tumors. It is a low-grade malignancy characterized by a classical biphasic morphology and immunophenotype. In the lacrimal gland, it is extremely rare with only 3 cases reported in the English medical literature. We describe the ...
Gallego Vilar Daniel - - 2011
OBJECTIVE: Urinary lithiasis is a very frequent urological disease but bladder lithiasis is very uncommon.Patients usually refer voiding symptoms and hematuria. The diagnosis is made after imaging tests. We report a clinical case describing a giant bladder stone and perform a bibliographic review. METHODS: A 43 year old man with ...
Bhakhri B K - - 2011
A 7-year-old boy presented with adrenal insufficiency. He subsequently developed venous thrombosis in the limbs and was diagnosed with primary antiphospholipid syndrome (PAPS) based on clinical and laboratory parameters. Both adrenals were normal on imaging. He required thrombolysis and anticoagulation. The progressive course of PAPS was controlled with methylprednisolone. There ...
Somashekara K G - - 2011
Objective:We present the first reported case of sebaceous adenoma of the palate, to our knowledge.Method:Case report and review of the English language literature, with a focus on the pathological spectrum of sebaceous glands.Case report:A woman presented with a growth on the hard palate, which was excised and examined. Histopathological analysis ...
Gourcerol G - - 2011
Aim:  Sacral nerve stimulation (SNS) reduces incontinence episodes and improves the quality of life of patients treated for faecal incontinence. However, the exact mechanism of action of this technique remains unclear. The present article reviews the pertinent neuroanatomy and neurophysiology related to SNS and provides explanations for potential mechanisms of ...
Arena S - - 2011
Anterior urethral valves in the fossa navicularis is an exceptionally uncommon causes of lower urinary tract obstruction in newborn. The authors report a case of anterior urethral valves in thefossa navicularis in an 5 days-old boy, that observation of the voided stream revealed a filiform micturition and marked ballooing of ...
Zhang L J - - 2011
Metanephric adenoma (MA) of the kidney is an uncommon benign epithelial tumour that can present at any age. The histology of the lesion is well established, but imaging findings have been described in only a few cases. We report the CT and ultrasound appearance of MA in two females to ...
German-Mena Edgar - - 2011
Objective: To review the association between congenital adrenal hyperplasia and adrenal myelolipomas and report a case of bilateral, giant adrenal myelolipomas in a patient with untreated congenital adrenal hyperplasia due to 21-hydroxylase deficiency.Methods: We present a case report and a review of the relevant English literature concerning patients diagnosed with ...
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