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Coppola Sara - - 2013
Colorectal liver metastases with intrabiliary growth are uncommon and difficult to characterize by radiology alone. We present the case of a 61-year-old woman previously operated on for a left colon cancer who developed a metacronous lesion at liver segment II-III. Radiologic workup was indicative for cholangiocarcinoma. Thus, the patient underwent ...
Guerrero Waldo R - - 2013
BACKGROUND: Heat stress results in multiorgan failure and CNS injury. There a few case reports in the literature on the neurological consequences of heat stress. CASE PRESENTATION: We describe a patient with heat stress presenting with encephalopathy and bilateral cerebral, cerebellar, and thalamic lesions and intraventricular hemorrhage on MRI. CONCLUSION: ...
Knox Jeffrey B - - 2013
BACKGROUND CONTEXT: Lateral distraction injuries represent a very rare pattern of injury with only five cases reported in the literature. Such injuries are a result of high-energy trauma and have a high association with severe concomitant injuries. All previous reports of this injury are in skeletally mature individuals, and this ...
Lhuaire Martin - - 2013
Accessory spleen is defined as one, two, or three nodules of additional ectopic splenic parenchyma hung by a vascular pedicle generally near the spleen. Despite a relatively high frequency (from 10 to 30 % of the population based on autopsy studies), most accessory spleens are asymptomatic. Although cases of accessory ...
Nagarajan Sudhan - - 2013
Inflammatory pseudotumors (IPT), now more aptly termed inflammatory myofibroblastic tumors (IMT) are uncommon benign neoplasms which have been reported in most organs and tissues in the body. Originally described and commonly found in the lung, they are also found in the liver in children and adults. We review the literature ...
Beer-Furlan André - - 2013
INTRODUCTION: Cerebral venous sinus thrombosis (CVST) following a blunt head trauma is a rare condition, described in the literature along with the lack of consensus regarding diagnosis and management. We present a case of a pediatric patient with a blunt head injury and epidural hematoma, who developed dural sinus and ...
Douros Antonios - - 2013
BACKGROUND: Ramipril, an inhibitor of the angiotensin-converting enzyme (ACEI), is a drug commonly used in the therapy of hypertension. ACEI-induced hepatotoxicity is rare, and most of the reported cases are associated with captopril. Here, we present the first case of ramipril-induced liver injury proven by positive rechallenge and a review ...
Xu Jian J Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, - - 2013
This case report describes a foreign body retained in the liver long after perihepatic gauze packing. A 64-year-old female patient had suffered a rib fracture and liver rupture during a traffic accident in 1973. She discovered a mass in her right hypochondrium. Her hepatic ultrasonography showed a round mass (20.3 ...
Komatsu Michiharu - - 2013
A 33-year-old man visited a hospital after vomiting blood. Emergent esophagogastroduodenoscopy revealed the presence of varices in the lower esophagus. The patient did not have a past history of alcohol consumption and was negative for hepatitis B and C viruses. He was referred to our hospital for closer examination. Portal ...
Huchcroft S A - - 2013
To conduct a systematic literature review of injury related to certain consumer products. Forty-six empirical research reports along with 32 surveillance reports from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) were examined to determine the approximate number of injuries associated with a given product per year and any ...
West F Bernadette - - 2013
Transfusion-related acute lung injury (TRALI) is the most common cause of serious morbidity and mortality due to hemotherapy. The pathogenesis is the result of two events: the first related to the recipient's clinical condition, predisposing to acute lung injury (ALI) through neutrophil or polymorphonuclear leukocyte sequestration, and the second being ...
Dembowski Scott C - - 2013
Hamstring strain injuries are among the most common injuries seen in sports. Management is made difficult by the high recurrence rates. Typical time to return to sport varies but can be prolonged with recurrence. Eccentric strength deficits remain post-injury, contributing to reinjury. Eccentric training has shown to be an effective ...
Nagem Rachid G - - 2013
Common bile duct disruption from blunt trauma is very rare. Management, diagnosis and therapy by a non-specialist surgeon can be difficult. We describe a bile duct injury after a motor vehicle crash in a young male, treated with cholecystojejunostomy at his third laparotomy. We also briefly review some diagnostic aspects ...
El-Bakary Amal A - - 2013
Studies dealing with analyzing cases of violence are very important, as these can be prevented to a high percentage. The aim of this study was to analyze the pattern of homicidal injuries compared to other causes of traumatic injuries in the population of Dakahlia province-Egypt during January and February, 2011 ...
Chen Chang-Hua CH Section of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, - - 2013
Two cases of gastroendoscopy-associated Acinetobacter baumannii (A. baumannii) bacteremia were discovered at the study hospital. The first case was a 66-year-old woman who underwent endoscopic retrograde cholangiopancreatography and endoscopic retrograde papillotomy, and then A. baumannii bacteremia occurred. The second case was a 70-year-old female who underwent endoscopic retrograde biliary drainage ...
Beggan C - - 2013
We present a case of apoplexia uteri, a rarely described condition of haemorrhagic necrosis in an atrophic endometrium and myometrium associated with terminal stress. This entity is well recognised in older literature but few recent publications have addressed this condition. It is thought to occur in association with hypoperfusion with ...
Maguire Brian J - - 2013
Introduction Emergency medical services personnel treat 22 million patients a year, yet little is known of their risk of injury and fatality. Problem Work-related injury and fatality rates among US paramedics and emergency medical technicians (EMTs) are higher than the national average for all occupations. METHODS: Data collected by the ...
Dang Lucy J - - 2013
We describe a case of previously unreported autoimmune hepatitis and lupus-like syndrome induced by infliximab treatment for chronic plaque psoriasis. The condition resolved after withdrawal of infliximab, with the liver injury having been reversed and minimal periportal fibrosis. In a two-part discussion we review the current literature on the pharmacology ...
Ballestero Roberto - - 2013
OBJECTIVE: To report a clinical case of testicular rupture and review of the literature published. METHOD: A 15 years old male with a testicular rupture after a sports injury was diagnosed by Doppler ultrasound. RESULTS: Surgical exploration was performed and the tear was repaired. He had a benign postoperative course. ...
Rosado Elsa - - 2013
We report a case of a mesenchymal hamartoma of the liver in a two-year-old boy. He presented to the emergency room with abdominal distention and vomiting. Abdominal ultrasound and computed tomography were performed and revealed a large, intra-peritoneal lesion, with thick wall, multiple cysts of variable size and solid septa. ...
D'Agnolo H M A - - 2013
Toxic hepatitis is a rare but serious complication of high-dose prednisolone treatment. We report a case of high-dose prednisolone-induced acute hepatitis in a 48-year-old woman suffering from multiple sclerosis that recurred after repeated administration. Timely recognition is paramount to avoid this complication. This report includes a brief review of the ...
Banerji John Samuel - - 2013
Extramedullary haematopoiesis (EMH) is common in the spleen, liver and lymph nodes, or in para osseus sites. EMH in the adrenal is rare, with fewer than 10 cases reported. We report the case of a 40-year-old male who underwent laparoscopic adrenalectomy for an incidentally detected adrenal mass. The histology showed ...
Premkumar Jeyanthi J Department of Oral and Maxillofacial Pathology, College of Dental Sciences and Hospital, Indore, Madhya Pradesh, - - 2013
Adenoid cystic carcinoma (ACC) is a clinically deceptive and histologically specific malignancy of salivary gland origin. It is the most common minor salivary gland malignancy. Small cell carcinoma (SCC) is a type of undifferentiated malignant neuroendocrine tumor reported rarely in the liver. Though there are many reported cases of SCC ...
Kashimura Makoto - - 2013
Primary hepatic and hepatosplenic diffuse large B-cell lymphomas (DLBCLs) are rare cancers and form nodules in most instances. However, very rare cases can diffusely infiltrate the whole liver without nodules. The general clinicopathological features of these lymphomas have not been reported to date. In our current study, we attempted to ...
Sasaki Kazunari - - 2013
BACKGROUND: Hepatectomy for hepatocellular carcinoma (HCC) in patients with primary biliary cirrhosis (PBC) has seldom been reported, and the clinical significance of this procedure remains unclear, although HCC has often been observed in end-stage PBC patients. METHODS: To understand the characteristics of hepatectomy on HCC in PBC patients, we examined ...
Boettcher Michael - - 2013
Impalement injuries are uncommon, especially in the pediatric population. Because of the rarity of these injuries, physicians may have difficulty recognizing and treating impalement injuries appropriately. Clinical findings are sometimes innocuous, but can be life threatening. Therefore, evaluation of suspected impalement injury should involve careful history and thorough physical examination, ...
Blecher Gideon A - - 2013
Hepatoportal arteriovenous fistulae are a rare cause of portal hypertension, which can have significant clinical manifestations. They have multiple etiologies, one of which includes hepatic trauma. We present a case of hepatoportal fistula presenting with bleeding esophageal varices in an 83-year-old man. The exact cause of fistula in this case ...
Jimenez-Rivera Carolina - - 2013
International trends in incidence and outcomes of biliary atresia (BA) are controversial and a wide range of estimates have been reported worldwide. We reviewed the population-based literature to assess international variation of BA incidence and outcomes, and to assess the evidence for seasonal variation in incidence, centralization of Kasai hepatoportoenterostomy, ...
Patel Ketan - - 2013
Leiomyosarcomas are rare smooth muscle tumors that can occur anywhere in the body. These tumors rarely occur in the head and neck owing to the limited amount of smooth muscle in the region. The clinical diagnosis of leiomyosarcoma is challenging because of the nonspecific presentation of the disease. The most ...
Mota Vitor Gomes - - 2013
BACKGROUND: Doppler echocardiography (Echo) is a non-invasive method of excellent accuracy to screen portopulmonary hypertension (PPH) and to assess intrapulmonary shunts (IPS) in chronic liver disease (CLD). In the past decade, Echo proved to play a fundamental role in the diagnosis of cirrhotic cardiomyopathy (CCM). OBJECTIVE: To perform a systematic ...
Tibor Lisa M - - 2013
BACKGROUND: The most common location of labral tears and chondral damage in the hip is the anterosuperior region of the acetabulum, which is associated with pain in flexion and rotation. We describe a case series of patients with labral tears, ganglion formation, and chondromalacia isolated to the anteroinferior acetabulum. Clinically, ...
Sabzi Feridoun - - 2013
This case study concerns a patient with disruption of both tricuspid and aortic valves: a previously healthy, adult man, who sustained a 5-meter fall from a building under construction. The mechanism of the injury was acceleration and deceleration, acting in two different phases of the cardiac cycle, i.e. systole and ...
Ward William H - - 2013
The insertion of inferior vena cava filters (IVCF) is a well-known therapy used in the prevention of pulmonary embolism (PE). The incidence of IVCF-related complications is low and complete caval penetration of a filter with adjacent organ injury has a reported incidence of 0-1%. We report the case of an ...
Prats Michael - - 2013
BACKGROUND: Fishhook injuries are common among people who fish for recreation, but can be encountered in anyone who has handled a fishhook. They represent a unique challenge for Emergency Physicians who seek to remove them without causing further tissue damage from the barbed nature of the hook. OBJECTIVE: Our aim ...
Reisner Andrew D - - 2013
Aim: This article provides and reviews hypotheses to help explain the poorly understood phenomenon of delayed neurological injury following lightning or electrical injury. Method: A review of extant literature provides a starting point to integrate what is already known in an attempt to provide new hypotheses for this phenomenon, as ...
Teschke Rolf - - 2013
Herbal hepatotoxicity represents a poorly understood, neglected and multifaceted disease with numerous confounding variables and missing established causality in the majority of cases. This review discusses overt shortcomings in its clinical and causality assessment and suggests improvements. A selective literature search of PubMed using the terms herbal hepatotoxicity, herb-induced liver ...
Marion Yoann - - 2013
Background & aims. Hemorrhagic rupture is an extremely rare complication of hepatic cyst. Its incidence, gravity and treatment modalities are inadequately covered in the literature. Material and methods. Based on a case report concerning a 37 year-old, 13-weeks pregnant woman, presenting with hemorrhagic shock subsequent to hemorrhagic rupture of a ...
Okubo Satoshi - - 2013
A 70-year-old woman, who had hepatitis-C related liver cirrhosis died suddenly. Autopsy showed a massive retroperitoneal hematoma and ruptured splenic vein, as well as densely bloody ascites. This suggested that chronic and unnoticed retroperitoneal leak from the ruptured vein preceded the acute and fatal outcome of the intra-abdominal bleeding. Spontaneous ...
Warren Sharon A - - 2013
A systematic review/meta-analysis of literature addressing a possible association between traumatic injury and onset of multiple sclerosis was conducted. Medline, Embase, Cochrane DSR, Ovid HealthStar, CINAHL, ISI Web of Science and Scopus were searched for analytical studies from 1950 to 2011. Two investigators independently reviewed articles for inclusion, assessing their ...
McKaigney Conor - - 2013
Hepatic abscess is an uncommon occurrence in North America, but can be a diagnostic challenge for emergency department physicians. The clinical signs and symptoms may vary, leading to delays in diagnosis and higher morbidity. We present a case of a 35-year old male with a hepatic abscess initially misdiagnosed as ...
Steinhauser Toon - - 2013
We present the first case reported in the literature describing spontaneous liver haemorrhage due to diffuse arterioportal fistulae. A 48-year old Caucasian woman was admitted to the hospital complaining of acute epigastric pain eradiating to the right shoulder. Patient never had any penetrating or blunt abdominal trauma in the past ...
Khan Sadia - - 2013
A 49-year-old male with underlying liver disease presented with fever and signs of sepsis. Non- O1/non- O139 V. cholera was isolated from his blood culture which was positive for hly A and tox R genes. We report this fatal case of Non O1, O139 V.cholera sepsis and review the literature ...
Giunchi Francesca - - 2013
Primary liver sarcomatous carcinomas (PLSCs) are very aggressive tumors. They are characterized by a fast clinical course, and therefore need a prompt histological diagnosis. Here, we report two cases of PLSC. One arises in a non-cirrhotic liver and the other in cirrhosis, with differences in onset and histological features. Special ...
Sokollik Christiane - - 2013
OBJECTIVES:: Congenital portosystemic shunts (CPSS) are rare but increasingly recognized as a cause of important multi-system morbidity. We present new cases and a systematic literature review and propose an algorithm for the identification and care of affected patients. METHODS:: We reviewed the charts of consecutive patients seen in our pediatric ...
Taneja Atul Kumar - - 2013
We report a case of stress injury of the acromion related to golf practicing in a 40-year-old male. Fractures of the scapula are unusual, with stress injury of the acromion being even rarer. The probable mechanism would be a strong contraction of posterior fibers of the deltoid during golf swing. ...
Kreiss Kathleen - - 2013
PURPOSE OF REVIEW: New literature from 2009 to 2012 regarding occupational constrictive bronchiolitis challenges textbook descriptions of this disease, formerly thought to be limited to fixed airflow limitation arising in the wake of accidental overexposure to noxious chemicals. Indolent evolution of dyspnea without a recognized hazardous exposure is a more ...
Sadaka Farid F Trauma and Neuro ICU, Mercy Hospital St. Louis/St. Louis University Hospital , St. Louis, - - 2013
Hanging, strangulation, and suffocation constitute the second most common cause of death by suicide in the United States after firearms. Near hanging is defined as an unsuccessful attempt at hanging. Victims of near hanging suffer from strangulation with cerebral ischemia and resultant reperfusion injury, irrespective of whether they had cardiac ...
Zhang Bingnan - - 2013
OBJECTIVE:: LIPA gene mutations result in deficiency of lysosomal acid lipase (LAL) and present phenotypically as Wolman's disease or Cholesteryl Ester Storage Disease (CESD) depending on the level of deficiency. Patients with CESD may often be misdiagnosed as symptoms may be non-specific. Symptoms may present in infancy if there is ...
Moore R R Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin, - - 2013
Klebsiella pneumoniae has emerged as a predominant cause of community-acquired mono-microbial pyogenic liver abscess. This was first described in Taiwan and has been widely reported in Asia. This infectious entity has been described in Europe, with single case reports predominating. We present three cases in one year from our institution ...
Hong Steven S - - 2013
ObjectiveTo better understand the causes and outcomes of lawsuits involving salivary gland surgery by analyzing malpractice litigation trends to prevent future litigation and improve physician education.Study DesignAnalysis of a national database.SettingAll US civil trials.Subjects and MethodsThe WESTLAW database was reviewed from January 1987 to March 2011. Data were compiled on ...
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