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    Tension pneumomediastnum: A rare cause of acute intraoperative circulatory collapse in the setting of unremarkable TEE findings.
    J Clin Anesth 2017 Feb 12;37:136-138. Epub 2017 Jan 12.
    Department of Anesthesiology, Division of Critical Care, Vanderbilt University Medical Center, Nashville, TN, United States. Electronic address:
    Design: Case report.

    Setting: Operating room.

    Patient: 25YF, ASA IV E who underwent an emergent decompressive craniectomy for refractory intracranial hypertension secondary to acute intracranial hemorhage. Read More

    Delayed hemorrhage effect of local anesthesia with epinephrine in the loop electrosurgical excisional procedure.
    Obstet Gynecol Sci 2017 Jan 19;60(1):87-91. Epub 2017 Jan 19.
    Institute of Women's Life Medical Science, Women's Cancer Clinic, Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
    Objective: The aim of this study was to investigate factors preventing delayed hemorrhage after the loop electrosurgical excisional procedure (LEEP).

    Methods: Medical records of patients who underwent LEEP at one university affiliated hospital from October 2013 to January 2015 were reviewed. Patients with or without delayed hemorrhage were classified. Read More

    Imaging of unilateral adrenal hemorrhages in patients after blunt abdominal trauma: Report of two cases.
    Chin J Traumatol 2017 Jan 19. Epub 2017 Jan 19.
    Department of Radiology, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.
    Adrenal hemorrhage following blunt abdominal trauma is extremely rare. Most of the lesions are unilateral and right sided. Although often asymptomatic, life-threatening adrenal insufficiency may develop in the bilateral adrenal gland hemorrhage. Read More

    Spontaneous Unilateral Adrenal Hemorrhage in Pregnancy.
    Cureus 2017 Jan 13;9(1):e977. Epub 2017 Jan 13.
    Endocrinology, University of Kansas School of Medicine-Wichita.
    Spontaneous adrenal hemorrhage (SAH) is a serious medical condition associated with variable clinical presentation depending on the extent of the hemorrhage. Pregnancy-induced adrenal hemorrhage is poorly understood. A low cortisol level in the peripartum period with radiological findings is sufficient to establish the diagnosis. Read More

    Stroke disclosing primary aldosteronism: Report on three cases and review of the literature.
    Ann Endocrinol (Paris) 2017 Feb 4;78(1):9-13. Epub 2017 Feb 4.
    Department of Neurology, Military Hospital, 1008, Montfleury, 1089 Tunis, Tunisia.
    Objectives: There is a growing evidence of increased risk of cerebrovascular events in primary aldosteronism (PA). Nevertheless, acute neurologic ailment as presenting feature of PA is uncommon. Our aim is to highlight the diagnosis challenges in stroke unmasking PA and to discuss the underlying physiopathology and management dilemmas. Read More

    Practical Approach to Adrenal Imaging.
    Radiol Clin North Am 2017 Mar 12;55(2):279-301. Epub 2016 Dec 12.
    Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street Unit 1473, Houston, TX 77030, USA.
    Various pathologies can affect the adrenal gland. Noninvasive cross-sectional imaging is used for evaluating adrenal masses. Accurate diagnosis of adrenal lesions is critical, especially in cancer patients; the presence of adrenal metastasis changes prognosis and treatment. Read More

    Sheehan syndrome.
    Nat Rev Dis Primers 2016 12 22;2:16092. Epub 2016 Dec 22.
    Department of Endocrinology, Erciyes University Medical School, 38039, Kayseri, Turkey.
    Sheehan syndrome or postpartum hypopituitarism is a condition characterized by hypopituitarism due to necrosis of the pituitary gland. The initial insult is caused by massive postpartum haemorrhage (PPH), leading to impaired blood supply to the pituitary gland, which has become enlarged during pregnancy. Small sella turcica size, vasospasms (caused by PPH) and/or thrombosis (associated with pregnancy or coagulation disorders) are predisposing factors; autoimmunity might be involved in the progressive worsening of pituitary functions. Read More

    [Rupture of Adrenal Artery Aneurysm : A Case Report].
    Hinyokika Kiyo 2016 Oct;62(10):515-519
    The Department of Radiology, Himeji Medical Center.
    A 45-year-old man with severe left flank pain was brought by ambulance to our hospital early in the morning. On arrival, his circulation dynamics were stable. His urinalysis results were normal, and ultrasonography showed no hydronephrosis. Read More

    Influence of factor VIII level and its inhibitor titer on the therapeutic response to corticosteroids alone in the management of acquired hemophilia: A retrospective single-center study.
    Medicine (Baltimore) 2016 Nov;95(48):e5232
    aDepartment of Internal Medicine bDepartment of Biostatistics and Clinical Research cHaematology Laboratory and Haemophilia Reference Centre dDepartment of Clinical Haematology, Centre Hospitalier Universitaire de Caen, Caen, France.
    The treatment of acquired hemophilia (AH) involves discussing whether corticosteroids should be administered alone or combined with immunosuppressant drugs, which increase the risk of infection especially in elderly patients and/or those with autoimmunity or neoplastic diseases, who represent the target population of the disease. Prognostic factors highlighting adequate responses to corticosteroids alone must be identified for satisfactory clinical response and lower infectious risk.We aimed to evaluating the efficacy of corticosteroids alone in the management of AH depending on factor VIII (FVIII, ≥ or <1 IU/dL) levels and/or inhibitor (INH, ≤ or >20 Bethesda units per milliliter [BU/mL]) titer. Read More

    The protective and hemodynamic effects of dexmedetomidine on hypertensive cerebral hemorrhage patients in the perioperative period.
    Exp Ther Med 2016 Nov 16;12(5):2903-2908. Epub 2016 Sep 16.
    Department of Neurosurgery, Weifang People's Hospital, Weifang, Shandong 261041, P.R. China.
    The aim of the present study was to analyze the protective and hemodynamic effects of dexmedetomidine in hypertensive cerebral hemorrhage (HCH) patients during perioperative period. In total, 50 HCH patients were selected and randomly divided into two groups, one group was administered with dexmedetomidine and the other groups with midazolam. The mean arterial pressure (MAP), heart rate (HR) and blood oxygen saturation (SpO2) were monitored in the two groups of patients before and during the operation. Read More

    Imaging findings of adrenal primitive neuroectodermal tumors: a series of seven cases.
    Clin Transl Oncol 2016 Nov 23. Epub 2016 Nov 23.
    Departments of General Surgery, Xiangya Hospital, Central South University, Hunan, People's Republic of China.
    Objective: To explore the imaging features of adrenal primitive neuroectodermal tumors (PNETs).

    Materials And Methods: This retrospective study included seven patients with surgically and pathologically confirmed adrenal PNETs. Among them, six underwent computed tomography (CT) scans, and one underwent magnetic resonance imaging. Read More

    Adrenal crisis secondary to bilateral adrenal haemorrhage after hemicolectomy.
    Endocrinol Diabetes Metab Case Rep 2016 25;2016. Epub 2016 Oct 25.
    Department of Surgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia; The University of Sydney, Sydney, Australia.
    Adrenal haemorrhage is a rare cause of adrenal crisis, which requires rapid diagnosis, prompt initiation of parenteral hydrocortisone and haemodynamic monitoring to avoid hypotensive crises. We herein describe a case of bilateral adrenal haemorrhage after hemicolectomy in a 93-year-old female with high-grade colonic adenocarcinoma. This patient's post-operative recovery was complicated by an acute hypotensive episode, hypoglycaemia and syncope, and subsequent computed tomography (CT) scan of the abdomen revealed bilateral adrenal haemorrhage. Read More

    Hemodynamic Effects of Topical Adrenaline During Septoplasty.
    Indian J Otolaryngol Head Neck Surg 2016 Dec 8;68(4):391-395. Epub 2014 Aug 8.
    Department of Otorhinolaryngology-Head and Neck Surgery, Adnan Menderes University Medical Faculty, Aydın, Turkey.
    Vasoconstrictors agents is used in septal surgery, in attempt to improve haemostasis and thereby improve the surgical field. We aimed to compare the effect of lignocaine with adrenaline injection and alone lignocaine injection with topical adrenalin on perioperative hemodynamic effect, hemorrhage and postoperative pain. Patients undergoing surgery were randomised into two groups: group I in whom infiltration was performed with lignocaine (2 %) with adrenaline (1:100,000), group II in whom infiltration was performed with lignocaine (2 %) injection with topical adrenalin application (1:10,000). Read More

    Plasma Exchange in the Management of Catastrophic Antiphospholipid Syndrome.
    Case Rep Crit Care 2016 19;2016:5375080. Epub 2016 Oct 19.
    Nephrology, Dialysis and Transplantation Department, Amiens University Medical Center, Amiens, France.
    Objective. Report of a case of catastrophic antiphospholipid syndrome (CAPS) with multiple organ involvement leading to a life-threatening condition despite early combination corticosteroid and heparin therapy. Initiation of plasma exchange led to rapid improvement of the patient's general condition. Read More

    Pheochromocytoma Multisystem Crisis Triggered by Glucocorticoid Administration and Aggravated by Citrate Dialysis.
    A A Case Rep 2017 Feb;8(3):58-60
    From the Departments of *Anaesthesiology and †Hepato-Pancreato-Biliary and Transplant Surgery, Singapore General Hospital, Singapore.
    Pheochromocytoma multisystem crisis is the most severe presentation of pheochromocytoma. We report on a 68-year-old survivor of pheochromocytoma multisystem crisis, whose clinical course was triggered inadvertently by a short innocuous course of oral dexamethasone to suppress inflammation and swelling after a left orbital floor fracture repair. He presented first with severe epigastric pain and headache, and subsequently experienced insults to neurological, cardiac, respiratory, hepatobiliary, renal, and immune system in his prolonged intensive care unit stay. Read More

    Extracorporeal Membrane Oxygenation for Treatment of Acute Inverted Takotsubo-Like Cardiomyopathy From Hemorrhagic Pheochromocytoma in Late Pregnancy.
    A A Case Rep 2016 Nov;7(9):196-199
    From the *Institute for Anesthesiology & Intensive Care Medicine, Triemli Hospital, Zürich, Switzerland; and †Clinic for Cardiac Surgery, Triemli Hospital, Zürich, Switzerland.
    We describe the first case of a pregnant woman presenting with an acute inverted takotsubo-like cardiomyopathy caused by a postpartum diagnosed hemorrhagic pheochromocytoma, successfully treated with percutaneous venoarterial extracorporeal membrane oxygenation (va-ECMO). During admission, an emergency cesarean delivery had to be performed. The fetus needed resuscitation for 5 minutes. Read More

    Hemostatic Agents in Periapical Surgery: A Randomized Study of Gauze Impregnated in Epinephrine versus Aluminum Chloride.
    J Endod 2016 Nov 14;42(11):1583-1587. Epub 2016 Sep 14.
    Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain. Electronic address:
    Introduction: Adequate bleeding control is essential for the success of periapical surgery. The aim of this study was to evaluate the effects of 2 hemostatic agents on the outcome of periapical surgery and their relationship with patient and teeth parameters.

    Methods: A prospective study was designed with 2 randomized parallel groups, depending on the hemostatic agent used: gauze impregnated in epinephrine (epinephrine group) and aluminum chloride (aluminum chloride group). Read More

    [Clinicopathologic analysis of anastomosing hemangioma of the kidney and adrenal gland].
    Zhonghua Bing Li Xue Za Zhi 2016 Oct;45(10):698-702
    *Department of Pathology, Zhejiang Provincial People's Hospital, Hangzhou 310014, China.
    Objective: To investigate the clinical and histopathologic characteristics, diagnosis, differential diagnosis and prognostic features of anastomosing hemangioma. Methods: Five cases of anastomosing hemangioma of the kidney and adrenal gland were collected, the clinical and radiologic features, histomorphology, immunophenotype and prognosis were analyzed with review of literature. Results: Three patients were male and two were female with ages ranging from 47 to 77 years; three were located in adrenal gland and 2 originated from the kidney. Read More

    Combined variants in factor VIII and prostaglandin synthase-1 amplify hemorrhage severity across three generations of descendants.
    J Thromb Haemost 2016 Nov 20;14(11):2230-2240. Epub 2016 Oct 20.
    Molecular Medicine Program, University of Utah, Salt Lake City, UT, USA.
    Essentials Co-existent damaging variants are likely to cause more severe bleeding and may go undiagnosed. We determined pathogenic variants in a three-generational pedigree with excessive bleeding. Bleeding occurred with concurrent variants in prostaglandin synthase-1 (PTGS-1) and factor VIII. Read More

    ISH AHA-2 A CASE OF CHRONIC INDOLENT PHEOCHROMOCYTOMA WHICH CAUSED MEDICALLY-CONTROLLED HYPERTENSION BUT TREATMENT-RESISTANT DIABETES MELLITUS.
    J Hypertens 2016 Sep;34 Suppl 1 - ISH 2016 Abstract Book:e35
    1Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital 2Division of Cardiology, Department of Internal Medicine, Severance Hospital, Korea, republic of.
    A 47-year-old woman was admitted via emergency department due to dyspnea NYHA Fc II-III aggravated for 2 months after upper respiratory infection. Her height and body weight were 161 cm / 67 kg. Initial vital signs were 110/70 mmHg - 112 BPM - 24/min - 36. Read More

    Novel Therapeutic Strategies in the Management of Non-Variceal Upper Gastrointestinal Bleeding.
    Clin Endosc 2016 Sep 30;49(5):421-424. Epub 2016 Sep 30.
    Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH, USA.
    Non-variceal upper gastrointestinal bleeding, the most common etiology of which is peptic ulcer disease, remains a persistent challenge despite a reduction in both its incidence and mortality. Both pharmacologic and endoscopic techniques have been developed to achieve hemostasis, with varying degrees of success. Among the pharmacologic therapies, proton pump inhibitors remain the mainstay of treatment, as they reduce the risk of rebleeding and requirement for recurrent endoscopic evaluation. Read More

    Histopathological analysis of spontaneous large necrosis of adrenal pheochromocytoma manifested as acute attacks of alternating hypertension and hypotension: a case report.
    J Med Case Rep 2016 Oct 12;10(1):279. Epub 2016 Oct 12.
    Department of Internal Medicine, Ojiya General Hospital, Niigata, Japan.
    Background: Pheochromocytomas are rare catecholamine-producing neuroendocrine tumors. Hypertension secondary to pheochromocytoma is often paroxysmal, and patients occasionally present with sudden attacks of alternating hypertension and hypotension. Spontaneous, extensive necrosis within the tumor that is associated with catecholamine crisis is an infrequent complication of adrenal pheochromocytoma, but its pathogenesis remains unclear. Read More

    Aetiology, imaging features, and evolution of spontaneous perirenal haemorrhage.
    Clin Radiol 2017 Feb 6;72(2):175.e19-175.e26. Epub 2016 Oct 6.
    Division of Abdominal Imaging, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Boston, MA 02114, USA.
    Aim: To evaluate the aetiology, imaging features, and the evolution of spontaneous perirenal haemorrhage detected by imaging.

    Materials And Methods: In this retrospective study, the hospital database was searched for all cases of spontaneous perinephric haemorrhage detected by imaging between January 2000 and December 2012. Imaging examinations were reviewed and the following parameters were recorded: the location, extension, and total volume of the haematoma, presence of active extravasation, the haematocrit effect, and highest density. Read More

    Rescue therapy of a refractory rectal variceal bleeding in a cirrhotic patient by Linton-Nachlas tube and TIPS implantation in combination with variceal embolization.
    Z Gastroenterol 2017 Jan 5;55(1):50-55. Epub 2016 Oct 5.
    Department of Gastroenterology and Hepatology, University Hospital Essen, Germany.
    Background Transjugular intrahepatic portosystemic shunt (TIPS) is considered the gold standard for treatment of gastrointestinal variceal bleeding refractory to endoscopic therapy in patients with portal hypertension. Clinically relevant hemorrhage from rectal varices is less frequent than from other sources, and the therapeutic role of TIPS is still ambiguous. Case report A 57-year-old female patient was referred to us in December 2015 with severe signs of decompensated alcohol-induced liver cirrhosis. Read More

    Idiopathic adrenal hematoma mimicking neoplasia: A case report.
    Int J Surg Case Rep 2016 7;28:15-17. Epub 2016 Apr 7.
    Department of General Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
    Introduction: Adrenal haemorrhage is a relatively rare condition. If there is not a specific ethology describing adrenal hematoma, then, this is termed as 'idiopathic adrenal hematoma'.

    Presentation Of Case: We presented a case of idiopathic adrenal hematoma in this study. Read More

    Laparoscopic Adrenalectomy for Removal of Unilateral Noninvasive Pheochromocytomas in 10 Dogs.
    Vet Surg 2016 Nov 23;45(S1):O70-O76. Epub 2016 Sep 23.
    Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, California.
    Objective: To report the surgical technique and outcome of dogs undergoing laparoscopic adrenalectomy for removal of unilateral noninvasive pheochromocytoma.

    Study Design: Retrospective case series.

    Animals: Dogs with unilateral noninvasive adrenal tumors (n=10). Read More

    Primary aldosteronism in patients with acute stroke: prevalence and diagnosis during initial hospitalization.
    BMC Neurol 2016 Sep 17;16:177. Epub 2016 Sep 17.
    Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
    Background: Hypertension is the prime risk factor for stroke, and primary aldosteronism (PA) is the most common cause of secondary hypertension. The prevalence of PA in stroke patients has never been reported. The aim of this study was to elucidate the prevalence of PA. Read More

    Role of MDCT in the detection of early abdominal complications after orthotopic liver transplantation.
    Clin Imaging 2016 Nov - Dec;40(6):1200-1206. Epub 2016 Aug 26.
    Department of Diagnostic Radiology, Vascular and Interventional Radiology, and Nuclear Medicine, Pisa University Hospital, Via Paradisa 2, 56124, Pisa, Italy.
    Purpose: This study aims to assess the role of multidetector computed tomography (MDCT) for detecting early abdominal complications after orthotopic liver transplantation.

    Materials And Methods: We retrospectively enrolled 170 subjects with clinical laboratory and/or echo-color Doppler abnormalities who underwent MDCT within the first 90 days after transplantation. All images were reviewed by two radiologists in conference and imaging results were correlated with digital subtraction angiography, conventional cholangiography, surgery, clinical laboratory, and/or imaging follow-up. Read More

    Bilateral adrenal hemorrhage in polycythemia vera.
    J Community Hosp Intern Med Perspect 2016 7;6(4):32416. Epub 2016 Sep 7.
    Department of Endocrinology, Sinai Hospital of Baltimore, Baltimore, MD, USA;
    Bilateral adrenal hemorrhage (BAH) is a rare complication typically seen in critically ill patients, which can lead to acute adrenal insufficiency and death unless it is recognized promptly and treated appropriately. We describe the case of a 64-year-old man with polycythemia vera found to be unresponsive with fever, hypotension, tachycardia, and hypoglycemia. Electrocardiogram showed ST-elevation with elevated troponin, hemoglobin, prothrombin time, and partial thromboplastin time. Read More

    Endocrine dysfunction following traumatic brain injury: a 5-year follow-up nationwide-based study.
    Sci Rep 2016 Sep 9;6:32987. Epub 2016 Sep 9.
    Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, Taipei, Taiwan.
    Post-traumatic endocrine dysfunction is a complication of traumatic brain injury (TBI). However, there is lack of long-term follow-up and large sample size studies. This study included patients suffering from TBI registered in the Health Insurance Database. Read More

    Maternal variables associated with physiologic stress and perinatal complications in preterm infants.
    J Neonatal Perinatal Med 2016 Sep;9(3):271-7
    College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA.
    Objective: Complications of prematurity may be related to dysregulation of the hypothalamic-pituitary-adrenal axis in preterm infants. Increased intrauterine exposure to cortisol may be responsible for adverse prenatal programming and subsequent dysfunction of the infant's hypothalamic-pituitary-adrenal axis. The aim of the study was to describe maternal social variables and their association with infant cortisol levels and complications of prematurity. Read More

    Fatal purpura fulminans and Waterhouse-Friderichsen syndrome from fulminant Streptococcus pneumoniae sepsis in an asplenic young adult.
    IDCases 2016 16;6:1-4. Epub 2016 Aug 16.
    Division of Infectious Disease, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA; Department of Medicine, Alameda Health System, 1411 E 31st St, Oakland, CA 94602, USA.
    Asplenic patients are at increased risk for sepsis and fulminant infection. Sepsis in these patients is typically secondary to encapsulated bacteria, with Streptococcus pneumoniae being the most frequent pathogen. Rare complications of severe sepsis include purpura fulminans and bilateral adrenal hemorrhage (Waterhouse-Friderichsen syndrome). Read More

    Computed Tomography Appearance of Surgically Resected Adrenal Hematomas.
    J Comput Assist Tomogr 2016 Nov/Dec;40(6):892-895
    From the *The Russell H. Morgan Department of Radiology and Radiological Science, Departments of †Surgery and ‡Pathology, and §Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, The Johns Hopkins Hospital, Baltimore, MD.
    Objective: Adrenal hemorrhages arise as a result of a number of conditions and may exhibit a variety of appearances on computed tomography (CT). On occasion, patients will undergo adrenalectomy for treatment of a presumptive adrenal neoplasm that on surgical pathology is identified as an adrenal hemorrhage. We evaluated the CT appearance of surgically resected adrenal masses from our institution over a period of 15 years that ultimately proved to be adrenal hematomas. Read More

    Bilateral adrenalectomy: a review of 10 years' experience.
    Ann R Coll Surg Engl 2017 Feb 23;99(2):119-122. Epub 2016 Aug 23.
    Department of Endocrine Surgery, Oxford University Hospitals NHS Foundation Trust , Oxford , UK.
    INTRODUCTION The 2012 British Association of Endocrine and Thyroid Surgeons audit report showed that only 86 of 1359 patients who underwent adrenalectomy had a bilateral operation; thus the experience with this procedure remains limited. METHODS Retrospective review of patients undergoing bilateral adrenalectomy in a tertiary referral centre. RESULTS Between November 2005 and January 2016, bilateral adrenalectomy was performed in 23 patients (6 male, 17 female, age 43 ± 4 years) diagnosed with Cushing's disease (n = 13), hereditary phaeochromocytomas (n = 6), adrenocortical cancer (n = 2), colorectal metastatic disease (n = 1) and adrenocortical adenomas (n = 1). Read More

    Histologic and Immunohistochemical Characterization of Pheochromocytomas in 20 Clouded Leopards ( Neofelis nebulosa).
    Vet Pathol 2017 Mar 20;54(2):269-276. Epub 2016 Aug 20.
    1 Zoological Pathology Program, College of Veterinary Medicine, University of Illinois, Brookfield, IL, USA.
    Clouded leopards in North American zoological institutions have a high frequency of pheochromocytomas and were identified in 32 of 70 (45%) animals necropsied. Archival sections of adrenal gland from 20 adult clouded leopards with unilateral or bilateral pheochromocytomas collected between 1984 and 2011 were examined by light microscopy and immunohistochemistry, and case demographics were reviewed. Affected leopards were older than 10 years of age (mean, 16 years; range, 11-19 years), and males were overrepresented (12 males, 8 females). Read More

    Acute thrombosis of a transplanted renal artery after gastric ulcer bleeding in a patient with a long-term well-functioning renal allograft: A case report and literature review.
    Medicine (Baltimore) 2016 Jul;95(30):e4301
    aDivision of Nephrology, Department of Internal Medicine, Shin-Kong Wu Ho-Su Memorial Hospital bInstitute of Clinical Medicine, National Yang-Ming University, Taipei cSchoolof Medicine, Fu-Jen Catholic University, New Taipei City dDivision of Cardiology, Department of Internal Medicine, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
    Background: Acute thrombosis of a transplanted renal artery is a serious vascular complication following renal allograft transplantation, which usually occurs within the first month after transplantation and often results in graft loss. It rarely occurs beyond the first month, except in a rejected kidney or in a kidney with high-grade transplant renal artery stenosis.

    Result: A 65-year-old male with a history of type 2 diabetes mellitus, hypertension, pulmonary tuberculosis, and end-stage renal disease was previously treated with hemodialysis (HD). Read More

    Laparoscopic Adrenalectomy: First Single-Center Experience in the Balkans.
    Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2015 ;36(3):27-33
    Introduction: Laparoscopic adrenalectomy has become the preferred approach for removal of the adrenal gland for the management of benign or malignant functioning or nonfunctioning adrenal masses. We aimed to present our initial experience with this procedure. In addition, we compare the clinical outcomes of laparoscopic (LA) vs. Read More

    Successful treatment of refractory midgut bleeding with ocreotide and corticosteroids in a dialysis patient with suspected sarcoidosis.
    BMJ Case Rep 2016 Jul 14;2016. Epub 2016 Jul 14.
    Royal Infirmary of Edinburgh, Centre of Liver & Digestive Disorders, Edinburgh, UK.
    We present a case of severe and recurrent small-bowel bleeding, due to multiple intestinal angiodysplasias, in a female patient with chronic renal failure due to suspected sarcoidosis. Over the years, she required numerous admissions and >200 units of blood for symptomatic anaemia. However, following a small-bowel capsule endoscopy that revealed several small-bowel angiectasis, she was treated successfully with octreotide and corticosteroids. Read More

    Efficacy of Self-Expandable Metallic Stent Inserted for Refractory Hemorrhage of Duodenal Cancer.
    Case Rep Gastroenterol 2016 Jan-Apr;10(1):151-6. Epub 2016 May 2.
    Department of Surgery, Showa Inan General Hospital, Komagane, Japan.
    Because of advances in the technology of gastrointestinal endoscopy and improvements in the quality of stents, it has become routine to place a stent as palliative therapy for malignant gastrointestinal obstruction. On the other hand, stent placement for malignant gastrointestinal hemorrhage has scarcely been reported, although it may be performed for hemorrhage of the esophageal varicose vein. We recently experienced a patient with refractory hemorrhage from an unresectable duodenal cancer who underwent placement of a self-expandable metallic stent (SEMS) and thereafter had no recurrence of the hemorrhage. Read More

    Perioperative management of pediatric en-bloc combined heart-liver transplants: a case series review.
    Paediatr Anaesth 2016 Oct 12;26(10):976-86. Epub 2016 Jul 12.
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford Children's Hospital, Stanford University Medical Center, Palo Alto, CA, USA.
    Background: Combined heart and liver transplantation (CHLT) in the pediatric population involves a complex group of patients, many of whom have palliated congenital heart disease (CHD) involving single ventricle physiology.

    Objective: The purpose of this study was to describe the perioperative management of pediatric patients undergoing CHLT at a single institution and to identify management strategies that may be used to optimize perioperative care.

    Methods: We did a retrospective database review of all patients receiving CHLT at a children's hospital between 2006 and 2014. Read More

    The Role of ACTH and Corticosteroids for Sepsis and Septic Shock: An Update.
    Front Endocrinol (Lausanne) 2016 20;7:70. Epub 2016 Jun 20.
    General Intensive Care Unit, Raymond Poincaré Hospital (AP-HP), Garches, France; Laboratory of Infection and Inflammation, U1173, University of Versailles Saint-Quentin-en-Yvelines University, INSERM, Garches, France.
    Sepsis is a common disorder associated with high morbidity and mortality. It is now defined as an abnormal host response to infection, resulting in life-threatening dysfunction of organs. There is evidence from in vitro and in vivo experiments in various animal models and in patients that endotoxin or sepsis may directly and indirectly alter the hypothalamic-pituitary-adrenal response to severe infection. Read More

    Antiphospholipid Antibody Syndrome Presenting with Unilateral Adrenal Hemmorhage.
    J Coll Physicians Surg Pak 2016 Jun;26(6):S42-4
    Department of Nephrology, Pakistan Institute of Medical Sciences, Islamabad.
    The antiphospholipid antibody syndrome presents with vascular thrombosis which involve both arterial and venous systems. The clinical presentation of antiphospholipid antibody syndrome includes obstetric complications leading to recurrent abortions, presence of circulating antibodies against phospholipids, and multi-organ thromboembolisms. We report a case of a patient who presented with unilateral adrenal hemorrhage and subsequently found to have antiphospholipid antibody syndrome and lupus nephritis. Read More

    Rituximab as first-line therapy for acquired haemophilia A: a single-centre 10-year experience.
    Haemophilia 2016 Jul 22;22(4):e338-41. Epub 2016 Jun 22.
    Department of Internal Medicine, National Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, Assistance Publique Hôpitaux de Paris, Université Paris Descartes, Paris, France.

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