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    1 OF 1157

    Extracorporeal membrane oxygenation in pheochromocytoma-induced cardiogenic shock.
    Asian Cardiovasc Thorac Ann 2017 Jan 1:218492317727995. Epub 2017 Jan 1.
    2 Department of Surgery, Montreal Heart Institute, 25465 Université de Montréal, Montreal, Canada.
    Extracorporeal membrane oxygenation has been extensively used for cardiopulmonary support in cardiogenic shock. However, its clinical value in the management of pheochromocytoma crisis remains unclear. We report a rare case of life-threatening cardiogenic shock managed with peripheral venoarterial extracorporeal membrane oxygenation combined with endovascular left ventricular venting, in a 40-year-old female patient, in the setting of unknown adrenal pheochromocytoma. Read More

    Predictors of quality of life and survival following Gamma Knife surgery for lung cancer brain metastases: a prospective study.
    J Neurosurg 2017 Aug 18:1-13. Epub 2017 Aug 18.
    Departments of 1 Neurosurgery.
    OBJECTIVE Lung cancer (LC) patients who develop brain metastases (BMs) have a poor prognosis. Estimations of survival and risk of treatment-related deterioration in quality of life (QOL) are important when deciding on treatment. Although we know of several prognostic factors for LC patients with BMs, the role of QOL has not been established. Read More

    Effects of childhood trauma exposure and cortisol levels on cognitive functioning among breast cancer survivors.
    Child Abuse Negl 2017 Aug 14;72:163-171. Epub 2017 Aug 14.
    Department of Psychiatry and Behavioral Sciences, Stanford University,401 Quarry Road, Stanford, CA 94305, USA.
    Cognitive functioning difficultiesin breast cancer patients receiving chemotherapy are common, but not all women experience these impairments. Exposure to childhood trauma may impair cognitive functioning following chemotherapy, and these impairments may be mediated by dysregulation of hypothalamic-pituitary-adrenal (HPA) axis function and cortisol slope. This study evaluated the association between childhood trauma exposure, cortisol, and cognition in a sample of breast cancer survivors. Read More

    Metastatic colorectal cancer responsive to regorafenib for 2 years: a case report.
    J Med Case Rep 2017 Aug 18;11(1):227. Epub 2017 Aug 18.
    Department of Surgery, Kyoto Katsura Hospital, 17, Yamada Hirao-cho, Nishikyo-ku, Kyoto-city, Kyoto, 615-8256, Japan.
    Background: Regorafenib is an oral multikinase inhibitor that has been demonstrated as clinically effective in patients with metastatic colorectal cancer in phase III studies. Although disease control was achieved in 40% of the pretreated patients with metastatic colorectal cancer in the pivotal studies, radiological response has rarely been reported. Severe adverse events associated with regorafenib are known to occur during the first and second courses of treatment. Read More

    [Surgery treatment of ectopic adrenocorticotrophic hormone syndrome].
    Beijing Da Xue Xue Bao 2017 Aug;49(4):652-656
    Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
    Objective: To investigation the diagnosis and treatment of ectopic adrenocorticotrophic hormone (ACTH) syndrome.

    Methods: The clinical characters of 57 cases of ecotopic ACTH syndrome from Jan. 1996 to Dec. Read More

    Retroperitoneal gastric duplication mimicking a prenatal adrenal cyst.
    Congenit Anom (Kyoto) 2017 Aug 16. Epub 2017 Aug 16.
    Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Spain.
    Duplications of the gastric tract are made up of a wide variety of masses throughout the gastrointestinal tract. They may have tubular or cystic morphology. Some duplications are associated with malformations, especially those located in the thorax, which can be associated with intestinal atresia, and malformations of the urinary tract or vetebras (Lund. Read More

    Local Efficacy of Periarticular Morphine Injection in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective, Randomized, Double-Blind Trial.
    J Arthroplasty 2017 Jul 21. Epub 2017 Jul 21.
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
    Background: The periarticular multimodal cocktail injection including morphine is currently commonly used to reduce postoperative pain following total knee arthroplasty (TKA). Despite its analgesic effect, it frequently causes nausea, which is an adverse effect of opioids. It is inconclusive whether the intraoperative injection of periarticular morphine is effective peripherally. Read More

    Intratracheal administration of isosorbide dinitrate improves pulmonary artery pressure and ventricular remodeling in a rat model of heart failure following myocardial infarction.
    Exp Ther Med 2017 Aug 28;14(2):1399-1408. Epub 2017 Jun 28.
    Department of Cardiology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, P.R. China.
    Pulmonary hypertension due to left heart disease is associated with poor outcomes. This study investigated the beneficial effects of isosorbide dinitrate (ISDN) inhalation on pulmonary pressure and ventricular remodeling in a rat model of heart failure (HF) following myocardial infarction (MI). To assess the effect of ISDN on pulmonary pressure, 20 male Sprague-Dawley (SD) rats were randomized to four groups: Normal saline (NS) 1 ml/kg, ISDN 1 mg/kg, NS 3 ml/kg or ISDN 3 mg/kg following coronary ligation. Read More

    Retroperitoneal paraganglioma-Is pre operative embolization useful?
    Int J Surg Case Rep 2017 Aug 5;39:64-68. Epub 2017 Aug 5.
    Department of Radiology, Hospital Universitario Infanta Elena, Valdemoro, Madrid, Spain.
    Introduction: Paragangliomas (PG) are rare tumors derived from chromaffin cells that are located outside the adrenal gland and are capable of producing catecholamines. The treatment is based on a surgical resection, and there is controversy regarding the usefulness of previously carrying out an embolization and what is the most adequate surgical approach.

    Clinical Case: We will present a 17-year-old woman with a retroperitoneal tumour in contact with the aorta and the inferior vena cava, treated with embolization prior to the surgical resection via laparotomy. Read More

    Transient Amaurosis and Diplopia After Inferior Alveolar Nerve Block.
    J Craniofac Surg 2017 Aug 10. Epub 2017 Aug 10.
    *Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara †Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Harran University, Şanliurfa, Turkey; Private Practice.
    A 40-year-old female patient was admitted to the authors' oral and maxillofacial clinic for removal of her lower left second molar under local anesthesia. The patient's medical history revealed that she had cardiac arhythmia and hypertension. Inferior alveolar nerve block was achieved using 2 mL of sefacaine (%3 mepivacaine HCL, without epinephrine). Read More

    Effects of buprenorphine in the adrenal, thyroid, and cytokine intra-operative responses in a rat model (Rattus norvegicus): a preliminary study.
    Iran J Basic Med Sci 2017 Apr;20(4):368-379
    Centro de Investigação Interdisciplinar em Sanidade Animal (CIISA) Faculdade de Medicina Veterinária, University of Lisbon (ULisboa), Lisboa, Portugal.
    Objectives: Buprenorphine is a common analgesic in experimental research, due to effectiveness and having few side-effects, including a limited influence in the immune and endocrine systems. However, how buprenorphine affects cytokine levels and the adrenal and thyroid response during general anesthesia and surgery is incompletely understood. This study aimed to assess whether buprenorphine modulated significantly those responses in rats submitted to general anesthesia, mechanical ventilation, and surgical insertion of intravascular catheters. Read More

    Feminizing Adrenocortical Carcinoma Without Gynecomastia.
    Oman Med J 2017 Jul;32(4):349-351
    Department of Pathology, Benimessous Teaching Hospital, Algiers, Algeria.
    Malignant feminizing adrenocortical tumors are exceedingly rare. Their main presentation is gynecomastia. In these estrogen secreting tumors (with or without other adrenocortical hormones) lack of gynecomastia is exceptional as in our case. Read More

    C-myc expression in adrenocortical tumours.
    J Clin Pathol 2017 Aug 11. Epub 2017 Aug 11.
    Department of Surgery, Helsinki University Hospital, and University of Helsinki, Helsinki, Finland.
    Aims: Widespread use of high-resolution imaging techniques and thus increased prevalence of adrenal lesions has made diagnostics of adrenocortical tumours an increasingly important clinical issue. In non-metastatic tumours, diagnosis is based on histology. New or enhanced information for clinicopathological diagnosis, revealing the malignant potential of the tumour, could emerge by means of biomarkers. Read More

    Paraganglioma of the renal pelvis: a case report and review of literature.
    Tumori 2017 Aug 7. Epub 2017 Aug 7.
     Department of Urology, The First People's Hospital of Yichang, China Three Gorges University, Yichang, Hubei - China.
    Purpose: Paraganglioma, a kind of pheochromocytoma originating from embryonic neural crest, is a rare neuroendocrine neoplasm commonly located at extra-adrenal areas such as head, neck, and abdomen. There are a few reports on renal paragangliomas; fewer than 5 reported cases are renal pelvic paragangliomas, including our case.

    Methods: Our patient, who had not experienced headache, hypertension, or palpitation, was founded to have a fixed mass in the left renal pelvis incidentally. Read More

    The incidence and characteristics of 3-month mortality after intraoperative cardiac arrest in adults.
    Acta Anaesthesiol Scand 2017 Aug 11. Epub 2017 Aug 11.
    Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
    Background: There is little information about clinical outcomes after intraoperative cardiac arrest (IOCA). We determined the incidence and characteristics of 3-month mortality after IOCA.

    Methods: The electronic medical records of 238,648 adult surgical patients from January 2005 to December 2014 were reviewed retrospectively. Read More

    Hepatocellular Carcinoma Peritoneal Metastasis: Role of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC).
    Gulf J Oncolog 2017 May;1(24):20-23
    1st Department of Surgical Oncology, Metaxa Cancer Hospital, Greece.
    Introduction: Peritoneal dissemination of hepatocellular carcinoma (HCC) is a rare presentation with an incidence of 2-6%. The most common cause of peritoneal deposits is a ruptured HCC that results in tumor spillage into the peritoneal cavity. The overall incidence of spontaneous ruptures of HCC ranges from 5 to 15% and carries a high mortality rate of up to 50%. Read More

    Giant pancreatic solid cystic desmoid tumor with two ectopic adrenal tissues.
    Turk J Gastroenterol 2017 Aug 9. Epub 2017 Aug 9.
    Department of Pathology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
    A 19-year-old woman presented with painless swelling of the abdomen. During surgery, a giant mass measuring 37 cm×26 cm×12 cm within the distal pancreas invading the spleen was noted. The clinical diagnosis of a solid cystic pseudopapillary tumor of the pancreas was suspected. Read More

    Comparing epidural surgical anesthesia and spinal anesthesia following epidural labor analgesia for intrapartum cesarean section: a prospective randomized controlled trial.
    Korean J Anesthesiol 2017 Aug 6;70(4):412-419. Epub 2017 Apr 6.
    Department of Anesthesiology and Pain Medicine, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea.
    Background: The conversion of epidural labor analgesia (ELA) to epidural surgical anesthesia (ESA) for intrapartum cesarean section (CS) often fails, resulting in intraoperative pain. Spinal anesthesia (SA) can provide a denser sensory block than ESA. The purpose of this prospective, non-blinded, parallel-arm, randomized trial was to compare the rate of pain-free surgery between ESA and SA following ELA for intrapartum CS. Read More

    Discordance between Imaging and Immunohistochemistry in Unilateral Primary Aldosteronism.
    Clin Endocrinol (Oxf) 2017 Aug 8. Epub 2017 Aug 8.
    Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor.
    Objective: Correct subtyping of primary aldosteronism (PA) is essential for good surgical outcomes. Adrenal vein sampling (AVS) and/or computed tomography (CT) are used for PA sub-classification. Clinical and/or biochemical improvement after surgery, however, is not always achieved in patients with presumed unilateral PA. Read More

    Aggressive differentiated thyroid cancer with multiple metastases and NRAS and TERT promoter mutations: A case report.
    Oncol Lett 2017 Aug 16;14(2):2186-2190. Epub 2017 Jun 16.
    Endocrinology Unit, Department of Medical Sciences 'M. Aresu', University of Cagliari and University Hospital of Cagliari, I-09042 Cagliari, Italy.
    Sorafenib, a tyrosine kinase inhibitor, is approved for the treatment of advanced differentiated thyroid carcinoma (DTC). Resistance to sorafenib may appear under treatment and may be associated with increased aggressiveness of the neoplasia. The present study reports the case of a 65-year-old male who underwent total thyroidectomy for a follicular thyroid carcinoma, Hürthle cell variant, in February 2005. Read More

    Relationship between the phenylephrine test and eyelid droop after aponeurotic repair with the use of an epinephrine-containing local anaesthetic.
    Eye (Lond) 2017 Aug 4. Epub 2017 Aug 4.
    Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan.
    PurposeTo analyse the relationship between the results of the phenylephrine test and postoperative eyelid droop in transcutaneous aponeurotic repair using epinephrine-containing local anaesthetic for aponeurotic blepharoptosis.Patients and methodsWe retrospectively reviewed the medical records of 66 eyelids from 40 patients who underwent transcutaneous aponeurotic repair. A positive phenylephrine test result was defined as an increase in margin reflex distance-1 (MRD-1) ≥0. Read More

    Non-Surgical Management of Bilateral Adrenal Abscess in Neonates: Report of Two Cases.
    J Neonatal Surg 2017 Apr-Jun;6(2):31. Epub 2017 Apr 15.
    Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
    Adrenal hemorrhage is not uncommon in neonates but the development of an adrenal abscess is extremely rare. Bilateral adrenal abscess is even rarer with less than ten cases documented in the medical literature. It may have a fatal outcome if inadequately treated. Read More

    Pancreatic gangliocytic paraganglioma harboring lymph node metastasis: a case report and literature review.
    Diagn Pathol 2017 Aug 2;12(1):57. Epub 2017 Aug 2.
    Department of Pathology, Tokyo Metropolitan Geriatric Hospital, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.
    Background: Gangliocytic paraganglioma (GP) is a rare neuroendocrine neoplasm, which occurs mostly in the periampullary portion of the duodenum; the majority of the reported cases of duodenal GP has been of benign nature with a low incidence of regional lymph node metastasis. GP arising from the pancreas is extremely rare. To date, only three cases have been reported and its clinical characteristics are largely unknown. Read More

    Ultrasound-Guided Motor-Sparing Knee Blocks for Postoperative Analgesia Following Total Knee Arthroplasty: A Randomized Blinded Study.
    J Bone Joint Surg Am 2017 Aug;99(15):1274-1281
    1University of Western Ontario, London, Ontario, Canada 2Northern Ontario School of Medicine, Sudbury, Ontario, Canada 3Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada 4Division of Orthopaedic Surgery (D.B., E.M.V., S.M., B.L., and J.L.H.) and Department of Anesthesiology and Perioperative Medicine (D.F.J. and S.G.), University Hospital-London Health Sciences Centre, London, Ontario, Canada.
    Background: Pain following total knee arthroplasty (TKA) is often severe and can inhibit rehabilitation. Motor-sparing analgesic techniques such as periarticular infiltrations and adductor canal blocks have been popularized for knee analgesia since they preserve motor strength and permit early mobilization. Our primary objective was to compare the duration of analgesia from motor-sparing blocks with that of a standard periarticular infiltration. Read More

    Pheochromocytoma with Synchronous Ipsilateral Adrenal Cortical Adenoma.
    World J Surg 2017 Jul 31. Epub 2017 Jul 31.
    Division of Subspecialty General Surgery, Mayo Clinic College of Medicine, 200 1st Street SW, Rochester, MN, 55901, USA.
    Background: Pheochromocytoma with synchronous ipsilateral adrenal cortical adenoma (PSCA) may present with mixed clinical, biochemical, and radiological features characteristic to each neoplasm subtype.

    Methods: All patients with a pathological diagnosis of pheochromocytoma were evaluated for an ipsilateral cortical adenoma from 1994 through 2015. Retrospectively extracted data included indications for adrenalectomy, diagnostic workup (biochemical and radiographic), operative characteristics, pathological findings, and postoperative complications. Read More

    Bilateral pheochromocytoma with ganglioneuroma component associated with multiple neuroendocrine neoplasia type 2A: a case report.
    J Med Case Rep 2017 Aug 1;11(1):208. Epub 2017 Aug 1.
    Department of Pathology, Hassan II University Hospital, Fès, Morocco.
    Background: Composite pheochromocytoma/paragangliomas are very rare tumors composed of ordinary pheochromocytoma paragangliomas associated with neurogenic tumors. Several hereditary susceptibility disorders are known to be associated with pheochromocytoma/paragangliomas such as multiple endocrine neoplasia type 2 (2A or B). To the best of our knowledge, only four cases of composite pheochromocytoma/paragangliomas associated with multiple endocrine neoplasia type 2 have been reported. Read More

    Bilateral extramedullary adrenal plasmacytoma: case report and review of the literature.
    Int J Endocr Oncol 2017 May 3;4(2):67-73. Epub 2017 May 3.
    University of Sydney Endocrine Surgery Unit, Royal North Shore Hospital, Sydney, Australia.
    Extramedullary plasmacytoma (EMP) accounts for only 3% of plasma cell malignancies; others include multiple myeloma, plasma cell leukemia and solitary plasmacytoma of bone. The majority of EMPs are found in the upper respiratory tract. Other sites include the GI tract, bladder, CNS, thyroid, breast, testes, parotid gland, lymph nodes and skin. Read More

    Considerations in minimally invasive adrenal surgery; the front- or the backdoor?
    Minerva Chir 2017 Jul 28. Epub 2017 Jul 28.
    Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands -
    In the last decades, in minimally invasive adrenal surgery, the retroperitoneoscopic adrenalectomy (PRA) has shown favorable results when compared to the laparoscopic transperitoneal adrenalectomy (LTA). However, for many endocrine surgeons it is unclear if, when, and how to transition from LTA to PRA. Although the length of the learning curve for both approaches is comparable, the LTA is a technically more challenging procedure whilst PRA demands an orientation in a new environment in a patient that is positioned upside down. Read More

    Spleen contributes to restraint stress induced changes in blood leukocytes distribution.
    Sci Rep 2017 Jul 26;7(1):6501. Epub 2017 Jul 26.
    National & Local Joint Engineering Research Center of Biodiagnosis and Biotherapy, The second affiliated hospital of Xi' an Jiaotong University, Xi'an, China.
    Psychological stress has great impacts on the immune system, particularly the leukocytes distribution. Although the impacts of acute stress on blood leukocytes distribution are well studied, however, it remains unclear how chronic stress affects leukocytes distribution in peripheral circulation. Furthermore, there is no report about the role of spleen in the blood leukocytes distribution induced by stress. Read More

    A Case Report of Cystic Pheochromocytoma.
    Am J Case Rep 2017 Jul 25;18:826-829. Epub 2017 Jul 25.
    Department of Endocrinology, Queens Hospital Center, Icahn School of Medicine at Mount Sinai, Jamaica, NY, USA.
    BACKGROUND Pheochromocytoma is a rare catecholamine-producing tumor with an estimated incidence of less than 0.1% in the global population. We present a case of cystic pheochromocytoma that was diagnosed as an incidental finding. Read More

    Discrepancy in Programmed Cell Death-Ligand 1 Between Primary and Metastatic Non-small Cell Lung Cancer.
    Anticancer Res 2017 Aug;37(8):4223-4228
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
    Aim: To investigate the discordance in the programmed cell death-ligand 1 (PD-L1) expression between primary and metastatic tumors and analyze the association between the discordance and the clinical factors in non-small cell lung cancer (NSCLC) patients.

    Patients And Methods: Twenty-one NSCLC patients who underwent surgery or biopsy for paired primary and metastatic lesions at our Institution from 2005 to 2016 were analyzed. Lesions with the PD-L1 expression being ≥5% were considered PD-L1-positive. Read More

    Effect of laparotomy on the pituitary-adrenal axis in dogs.
    Am J Vet Res 2017 Aug;78(8):919-925
    OBJECTIVE To assess effects of major abdominal surgery on serum cortisol and aldosterone and plasma canine ACTH (cACTH) concentrations. ANIMALS 39 healthy dogs undergoing laparotomy during veterinary student surgical laboratories. PROCEDURES Blood samples were obtained before and at completion of surgery. Read More

    Identifying Risk for Acute Kidney Injury in Infants and Children Following Cardiac Arrest.
    Pediatr Crit Care Med 2017 Jul 21. Epub 2017 Jul 21.
    1Division of Critical Care Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO. 2Division of Nephrology, Hypertension, and Pheresis, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO. 3Department of Surgery, Washington University School of Medicine, St. Louis, MO. 4Department of Political Science, Washington University School of Medicine, St. Louis, MO. 5Department of Biostatistics, Washington University School of Medicine, St. Louis, MO. 6Division of Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. 7Department of Neurology, Washington University School of Medicine, St. Louis, MO. 8Department of Pediatrics, University of Utah, Salt Lake City, UT. 9Division of Critical Care Medicine, Department of Pediatrics, CS Mott Children's Hospital, University of Michigan, Ann Arbor, MI. 10Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO.
    Objectives: Our goal was to identify risk factors for acute kidney injury in children surviving cardiac arrest.

    Design: Retrospective analysis of a public access dataset.

    Setting: Fifteen children's hospitals associated with the Pediatric Emergency Care Applied Research Network. Read More

    Late onset asymptomatic pancreatic neuroendocrine tumor - A case report on the phenotypic expansion for MEN1.
    Hered Cancer Clin Pract 2017 21;15:10. Epub 2017 Jul 21.
    Department of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224 USA.
    Background: Multiple endocrine neoplasia type 1 (MEN1) is a hereditary cancer syndrome associated with several endocrine as well as non-endocrine tumors and is caused by mutations in the MEN1 gene. Primary hyperparathyroidism affects the majority of MEN1 individuals by age 50 years. Additionally, MEN1 mutations trigger familial isolated hyperparathyroidism. Read More

    Verner-Morrison syndrome. Literature review.
    Rom J Morphol Embryol 2017 ;58(2):371-376
    Department of Pediatric Surgery, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania; Department of Neonatology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania;
    Chronic diarrhea in infants is a common condition for addressability to pediatric gastroenterologists. The causes are multiple and the delay in reaching the final diagnosis can lead to complications in the general condition of the child. The purpose of this review is to present the bio-clinical and histogenetic particularities of a rare clinical entity, characterized by tumoral causes of chronic diarrhea. Read More

    Perioperative Hypertension Management during Facelift under Local Anesthesia with Intravenous Hypnotics.
    Arch Plast Surg 2017 Jul 15;44(4):276-282. Epub 2017 Jul 15.
    IDEA Plastic Surgery Clinic, Seoul, Korea.
    Perioperative hypertension is a phenomenon in which a surgical patient's blood pressure temporarily increases throughout the preoperative and postoperative periods and remains high until the patient's condition stabilizes. This phenomenon requires immediate treatment not only because it is observed in a majority of patients who are not diagnosed with high blood pressure, but also because occurs in patients with underlying essential hypertension who show a sharp increase in their blood pressure. The most common complication following facelift surgery is hematoma, and the most critical risk factor that causes hematoma is elevated systolic blood pressure. Read More

    A Comparison of Robotic Versus Laparoscopic Adrenalectomy in Patients With Primary Hyperaldosteronism.
    Surg Laparosc Endosc Percutan Tech 2017 Jul 19. Epub 2017 Jul 19.
    Department of Endocrine Surgery, Cleveland Clinic, Cleveland, OH.
    Background: Over the last decade, robotic approaches have been described for removing adrenal tumors. Although there are reports comparing robotic and laparoscopic techniques in general, there are limited data on outcomes in patients with primary hyperaldosteronism (PHA). The aim of this study is to compare the safety and efficacy of robotic adrenalectomy (RA) versus laparoscopic adrenalectomy (LA) for PHA. Read More

    Serum Bupivacaine Concentration After Periarticular Injection With a Mixture of Liposomal Bupivacaine and Bupivacaine HCl During Total Knee Arthroplasty.
    Reg Anesth Pain Med 2017 Sep/Oct;42(5):582-587
    From the Departments of *Anesthesiology, and †Orthopedics, University of Utah Hospital, Salt Lake City, UT.
    Background And Objectives: A relatively new technique to reduce postoperative pain for total knee arthroplasty is to inject a mixture of 266 mg of liposomal bupivacaine and 125 mg of 0.25% bupivacaine HCl with epinephrine 1:300,000 around the knee joint at the time of surgery. Currently, no publications report serum bupivacaine concentrations over time after periarticular injection of liposomal mixed with free bupivacaine. Read More

    Minimum Effective Volume of Lidocaine for Ultrasound-Guided Costoclavicular Block.
    Reg Anesth Pain Med 2017 Sep/Oct;42(5):571-574
    From the *Montreal General Hospital, Department of Anesthesia, McGill University, Montreal, Quebec, Canada; †Department of Anesthesia, Pontificia Universidad Católica de Chile, Santiago, Chile; and ‡Maharaj Nakorn Chiang Mai Hospital, Department of Anesthesia, Chiang Mai University, Chiang Mai, Thailand.
    Background And Objectives: This dose-finding study aimed to determine the minimum effective volume in 90% of patients (MEV90) of lidocaine 1.5% with epinephrine 5 μg/mL for ultrasound-guided costoclavicular block.

    Methods: Using an in-plane technique and a lateral-to-medial direction, the block needle was positioned in the middle of the 3 cords of the brachial plexus in the costoclavicular space. Read More

    Two rare manifestations of primary hyperparathyroidism: paralysis and peptic ulcer bleeding.
    Endocrinol Diabetes Metab Case Rep 2017 10;2017. Epub 2017 Jul 10.
    Isfahan University of Medical Sciences Isfahan Endocrine and Metabolism Research Center Ringgold Standard Institution, IsfahanIran.
    Primary hyperparathyroidism revealed by thoracic spine brown tumor and peptic ulcer bleeding is rare. We presented a case of 33-year-old male patient who was admitted with paraplegia. Thoracic spine magnetic resonance imaging (MRI) showed extradural lesion at T4 level. Read More

    Long-term alteration of the hypothalamic-pituitary-adrenal axis in children undergoing cardiac surgery in the first 6 months of life.
    Stress 2017 Jul 18:1-8. Epub 2017 Jul 18.
    b Department of Paediatrics , University of Melbourne , Melbourne , Australia.
    Children with congenital heart disease (CHD) have poorer neurodevelopmental and psychological outcomes. The mechanisms underlying this remain unclear. One mechanism could be that the stressful experience of cardiac surgery early in life influences long-term hypothalamic-pituitary-adrenal (HPA) axis regulation. Read More

    Dipeptidyl Peptidase-4 Regulates Hematopoietic Stem Cell Activation in Response to Chronic Stress.
    J Am Heart Assoc 2017 Jul 14;6(7). Epub 2017 Jul 14.
    Department of Cardiology and ICU, Yanbian University Hospital, Yanji, China
    Background: DPP4 (Dipeptidyl peptidase-4)-GLP-1 (glucagon-like peptide-1) and its receptor (GLP-1R) axis has been involved in several intracellular signaling pathways. The Adrβ3 (β3-adrenergic receptor)/CXCL12 (C-X-C motif chemokine 12) signal was required for the hematopoiesis. We investigated the novel molecular requirements between DPP4-GLP-1/GLP-1 and Adrβ3/CXCL12 signals in bone marrow (BM) hematopoietic stem cell (HSC) activation in response to chronic stress. Read More

    Thermal Ablation in the Management of Adrenal Metastasis Originating from Non-small Cell Lung Cancer: A 5-year Single-center Experience.
    Chin Med J (Engl) 2017 Jul 13. Epub 2017 Jul 13.
    Department of Medical Imaging and Interventional Radiology, Sotiria General Hospital for Chest Diseases, Athens 11527, Greece.
    Background: Treatment of adrenal metastasis from lung carcinoma may prolong survival in the selected patients. However, not all patients can undergo surgery; thus, minimally invasive ablation procedures such as radiofrequency ablation (RFA) and microwave ablation (MWA) have gained acceptance as alternative treatment methods. This study summarized a 5-year single-center experience regarding the evaluation of safety and efficacy of computed tomography (CT)-guided thermal ablation in the management of adrenal metastasis originating from non-small cell lung cancer (NSCLC). Read More

    Adrenal Rest Tumor of the Liver Preoperatively Diagnosed as Hepatocellular Carcinoma.
    Case Rep Surg 2017 19;2017:8231943. Epub 2017 Jun 19.
    Department of Gastrointestinal Medicine, Mishima General Hospital, 2276 Yata, Mishima, Shizuoka 411-0801, Japan.
    Background: Hepatic adrenal rest tumors are rare and show similar findings to hepatocellular carcinoma (HCC). It is difficult to distinguish an adrenal rest tumor from HCC due to radiological similarity. We report a case of an adrenal rest tumor in the liver that mimicked HCC radiologically. Read More

    Quantitative analysis of normal and pathologic adrenal glands with 18F-FDOPA PET/CT: focus on pheochromocytomas.
    Nucl Med Commun 2017 Sep;38(9):771-779
    Departments of aNuclear Medicine bEndocrinology, GHE cEndocrine Surgery, GHS, CHU Lyon dDepartment of Nuclear Medicine eDermatology Unit, CLB Lyon fEA 3637, Lyon 1 University, Lyon, France gDepartment of Nuclear Sciences and Applications, Vienna International Centre, Division of Human Health, Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria.
    Introduction: Many studies have reported the high performance of 6-fluorine-18-fluorodihydroxyphenilalanine (F-FDOPA) PET/CT in the diagnosis of pheochromocytomas but nobody seems to have investigated physiological and pathological adrenal glands from a quantitative point of view. The purpose of the present study was to assess the quantitative F-FDOPA uptake of normal and pathologic adrenal glands and to establish thresholds to characterize pheochromocytomas. We were especially interested in characterizing the remaining adrenal glands captation after an adrenalectomy. Read More

    Marker-Negative Pheochromocytoma Associated with Inferior Vena Cava Thrombosis.
    Case Rep Urol 2017 15;2017:6270436. Epub 2017 Jun 15.
    Department of Urology and Renal Transplant Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
    Pheochromocytoma associated with inferior vena cava (IVC) thrombosis is very rare. A 27-year-old female presented with right flank pain and hypertensive urgency. Contrast-enhanced CT abdomen and gadolinium-contrast MRI abdomen revealed right adrenal mass suspicious of malignancy with invasion and compression to the right IVC wall along with IVC thrombus extending from the level of renal veins to the level of confluence with hepatic veins. Read More

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