188,052 results match your criteria Obstruction Small Bowel

Cloacal Anomalies in Monoamniotic, Monochorionic Twins with Complete Urinary Tract Obstruction.

Urol Int 2018 Dec 12:1-3. Epub 2018 Dec 12.

Norton Children's Urology, Norton Healthcare, Louisville, Kentucky,

Cloacal anomalies (persistent cloaca) represent the most severe form of anorectal malformations in girls where the rectum, urethra, and vagina remain fused together inside the pelvis and drain into a single common perineal orifice. Infants with cloacal anomalies often succumb to poor lung development due to oligohydramnios. Cloacal anomaly in discordant monozygotic twins has rarely been reported in the literature. Read More

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December 2018

Endoscopic medialization middle turbinoplasty in endoscopic sinus surgery.

Ear Nose Throat J 2018 Dec;97(12):404-410

Department of Otolaryngology-Head and Neck Surgery, Tufts University School of Medicine, Tufts Medical Center, 800 Washington St., Box 850, Boston, MA 02111, USA. Email:

Recurrence of sinonasal disease can be caused by many factors, including lateralization of the middle turbinate as a complication of endoscopic sinus surgery (ESS). Different ESS procedures have been tried to prevent this complication. We conducted a prospective study to determine if medialization is an effective means of lateralizing the middle turbinate. Read More

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December 2018

[Neoendocrine carcinoma of the esophagus: report of a case].

Rev Gastroenterol Peru 2018 Jul-Sep;38(3):293-296

Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú; Departamento de Medicina Interna, Hospital Nacional Hipólito Unanue. Lima, Perú.

Neuroendocrine carcinoma of esophagus represents less than 2% of cases of cancer of the esophagus. This presentation is extremely unusual, as this type of carcinoma typically presents with greater frequency in bronchopulmonary regions. The symptoms are usually associated with esophageal obstruction and include odynophagia, dysphagia and weight loss and are not usually associated with Carcinoid syndrome. Read More

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December 2018

Interventional Approach to Left Main Coronary Artery Dissection.

Cureus 2018 Oct 4;10(10):e3410. Epub 2018 Oct 4.

Cardiology, Staten Island University Hospital / Northwell Health, Staten Island, USA.

A left main coronary artery (LMCA) iatrogenic dissection is a rare but potentially life-threatening complication of coronary angioplasty. It can range from a simple tear in the artery wall to a severe dissection, causing complete blood flow obstruction. We report the case of a 63-year-old male patient who was presented to our catheterization laboratory following a positive stress test. Read More

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October 2018

Could Music Minimize Discomfort and Pain During Office-Based ENT Surgery?

Int J Otolaryngol 2018 14;2018:6480346. Epub 2018 Nov 14.

Full Professor Unit of Otolaryngology, Campus Bio-Medico University, Rome, Italy.

Background: Video-assisted endoscopic radiofrequency inferior turbinate volume reduction (RFVTR) is one of the most common surgical therapies for inferior turbinate hypertrophy (ITH). Despite all the technical and surgical advancement, it is advisable to reduce as low as possible the intraoperative discomfort. The aim of this study is to evaluate the role of music in reducing patient discomfort during RFVTR. Read More

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November 2018

Current and Emerging Therapeutic Options for Gastroparesis.

Gastroenterol Hepatol (N Y) 2018 Nov;14(11):639-645

Dr Myint, Dr Rieders, and Dr Tashkandi are gastroenterology fellows in the Division of Gastroenterology and Liver Diseases at George Washington University Medical Center and are affiliated with Medical Faculty Associates, both in Washington, DC. Dr Borum is a professor of medicine at George Washington University School of Medicine in Washington, DC; director of the Division of Gastroenterology and Liver Diseases at George Washington University Medical Center; and is affiliated with Medical Faculty Associates. Dr Koh and Dr Stephen are in private practice in Silver Spring, Maryland. Dr Doman is a clinical professor of medicine at George Washington University School of Medicine and is in private practice in Silver Spring, Maryland.

Gastroparesis is a complex, debilitating dysmotility disorder with challenging symptom management. A diagnosis of gastroparesis is based on objectively delayed gastric emptying in the absence of mechanical obstruction. Given the limited efficacy of treatment options and serious side effects, significant research continues for therapeutic options for gastroparesis. Read More

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November 2018

Evaluating the impact of morning symptoms in COPD using the Capacity of Daily Living during the Morning (CDLM) questionnaire.

Int J Chron Obstruct Pulmon Dis 2018 26;13:3837-3844. Epub 2018 Nov 26.

Pneumology Department, Hospital Universitari Vall d'Hebron/Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain,

Purpose: The aim of this study was to evaluate the impact of morning symptoms in COPD using the Capacity of Daily Living during the Morning (CDLM) questionnaire and to determine the clinical variables that are related to CDLM scores.

Methods: This was an observational, cross-sectional, and multicenter study conducted in stable COPD patients. CDLM scores ranged from 0 to 5 and were transformed into a qualitative variable according to tertile values to compare patient characteristics. Read More

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November 2018

A COPD Case-Finding Program in a Large Cohort of HIV-Infected Persons.

Respir Care 2018 Dec 11. Epub 2018 Dec 11.

Department of Infectious and Tropical Diseases, University of Brescia and Spedali Civili General Hospital, Brescia, Italy.

Background: COPD screening guidelines in patients with HIV are lacking, and data about its under-diagnosis are still limited. This study aimed to determinate the feasibility of a case-finding program and the prevalence of COPD under-diagnosis in a large cohort of HIV-infected subjects.

Methods: All out-patients attending their routine visit for HIV monitoring at Spedali Civili General Hospital in Brescia, Italy, from February 2015 to January 2016, were enrolled. Read More

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December 2018

Iliac artery fibromuscular dysplasia successfully treated by balloon angioplasty guided by intravascular ultrasound and pressure wire measurements: A case report.

J Cardiol Cases 2014 May 28;9(5):203-207. Epub 2014 Feb 28.

Department of Cardiology, Kishiwada Tokushukai Hospital, Osaka, Japan.

A 71-year-old woman was admitted with a 6-month history of lower limb intermittent claudication. She had well-controlled hypertension and no other risk factor of atherosclerosis. Angiographic findings revealed the "string of beads" pattern in bilateral renal arteries and external iliac arteries. Read More

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Left ventricular outflow tract obstruction with abnormal papillary muscles.

J Cardiol Cases 2015 Feb 25;11(2):69-72. Epub 2014 Nov 25.

Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.

A 65-year-old man with a history of hypertension was admitted to our hospital with fainting and syncope. He had experienced recurrent syncope since 20 years of age. On admission, systolic heart murmur was audible at the apex of the heart. Read More

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February 2015

Cardiac capillary hemangioma in a patient with atypical chest pain and normal ECG.

J Cardiol Cases 2014 Jul 17;10(1):16-18. Epub 2014 May 17.

Shahid Beheshti University of Medical Sciences, Iran.

Cardiac hemangiomas account for less than 2% of primary cardiac tumors. They can present with palpitation, arrhythmia, right ventricular outflow tract obstruction, pseudoangina, and in more extreme cases sudden death. Our case report presents a 41-year-old man with atypical chest pain, who had a normal heart examination, electrocardiogram, and an unremarkable family and medical history. Read More

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Severe pulmonary hypertension secondary to giant chronic dissecting aortic aneurysm presenting as chronic right heart failure.

J Cardiol Cases 2013 Feb 5;7(2):e57-e59. Epub 2012 Dec 5.

Department of Cardiology, Acibadem University, Istanbul, Turkey.

We report on an 81-year-old woman who presented to hospital with effort dyspnea and leg edema. Transthoracic echocardiography revealed normal left ventricular function but marked dilated ascending aorta with an intimal flap in the proximal ascending aorta, severe tricuspid regurgitation, and severe pulmonary hypertension. Contrast enhanced multi-slice computerized tomography of the chest was performed for detailed evaluation of aortic dissection and this also showed the intimal flap of the ascending aortic dissection (DeBakey type II) and giant ascending aorta (10. Read More

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February 2013

The case of 17-year-old male with LEOPARD syndrome.

J Cardiol Cases 2013 Feb 4;7(2):e37-e41. Epub 2012 Dec 4.

Department of Myocardial Dysfunction and Heart Failure, B.V. Petrovsky Russian Research Centre of Surgery RAMS, 119991, Abrikosovky per, 6, Moscow, Russia.

LEOPARD syndrome is a phenotypic expression of mutations in several genes: PTPN11, RAF1, and BRAF. All these genes are responsible for Ras/MARK signaling pathway, which are important for cell cycle regulation, differentiation, growth, and aging. Mutations result in anomalies of skin, skeletal, and cardiovascular systems. Read More

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February 2013
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Unusual cause of heart failure: Mitral stenosis and pulmonary venous obstructions caused by the direct invasion of primary cardiac sarcoma.

J Cardiol Cases 2012 Nov 14;6(5):e150-e153. Epub 2012 Aug 14.

Department of Cardiology, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 501-757, South Korea.

Cardiac tumor can produce a variety of symptoms and clinical findings depending on the location, size, and histologic type. It may cause heart failure usually by interfering with intracardiac blood flows associated with the mass effects. Here, we report an extremely rare case of heart failure caused by primary cardiac sarcoma with a review of the literature. Read More

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November 2012

Intra-aortic balloon pump induced dynamic left ventricular outflow tract obstruction and cardiogenic shock after very late stent thrombosis in the left anterior descending coronary artery.

J Cardiol Cases 2012 Nov 9;6(5):e137-e140. Epub 2012 Aug 9.

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Japan.

An 81-year-old woman had undergone percutaneus coronary intervention to mid left anterior descending coronary artery with a drug-eluting stent for effort angina pectoris. Although she had remained asymptomatic for 3 years, she developed cardiogenic shock following acute myocardial infarction due to stent thrombosis. Her condition deteriorated despite successful revascularization and an initiation of intra-aortic balloon pump (IABP). Read More

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November 2012

The importance of multimodality cardiac imaging: Echocardiography and cardiovascular magnetic resonance imaging contributions to the diagnosis and management of a right ventricular mass.

J Cardiol Cases 2012 Oct 4;6(4):e109-e111. Epub 2012 Jul 4.

Hospital Santo António, Centro Hospitalar do Porto, Porto 4099-001, Portugal.

Cardiac metastases from testicular tumors are rare. We report a case of a 42-year-old man with a cardiac mass incidentally found in a computed tomography-scan included in the workup for lumbago and a suspicious neoformation in the right testicle. Transthoracic echocardiography showed a large multilobular ill-defined mass infiltrating the right ventricle free wall, protruding to, and partially obstructing the right ventricular outflow tract resulting in considerable outflow obstruction. Read More

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October 2012

Novel use of a guiding catheter to relieve left main stem occlusion complicating Stamford type A aortic dissection.

J Cardiol Cases 2012 Jul 21;6(1):e23-e25. Epub 2012 Apr 21.

Department of Cardiology, John Radcliffe Hospital, Headington, Oxford, UK.

Acute ST elevation myocardial infarction occurring as a result of acute aortic dissection is a relatively rare complication with an incidence of 1-2%. However, despite this the outcome is frequently fatal. This report documents novel use of a percutaneous guiding catheter to relieve left main stem occlusion complicating Stamford type A aortic dissection, as a bridge to successful surgical treatment. Read More

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Simultaneous stent obstruction of triple vessels with very late stent thrombosis after implantation of sirolimus-eluting stents.

J Cardiol Cases 2012 Apr 16;5(2):e87-e91. Epub 2012 Mar 16.

Department of Cardiology, Nagoya Medical Center, 4-1-1 San-no-maru, Naka-ku, Nagoya 460-0001, Japan.

A 70-year-old man presented to the emergency department at our hospital with chest pain, 24 months after sirolimus-eluting stents (SESs) were implanted in the proximal left anterior descending coronary artery (LAD), middle right coronary artery (RCA), and middle left circumflex artery (LCX), respectively. Electrocardiogram showed complete right bundle branch block and ST-segment elevation in leads II, III, and aVF. He suddenly went to ventricular tachycardia, followed by ventricular fibrillation. Read More

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Acute pulmonary embolism induced by renal obstruction with benign prostatic hyperplasia: Case report.

J Cardiol Cases 2012 Feb 21;5(1):e39-e43. Epub 2011 Nov 21.

Division of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.

Background: We report a rare case of acute pulmonary embolism (PE) induced by urinary retention and bladder distention with benign prostatic hyperplasia (BPH).

Case Report: A 76-year-old male with BPH presented to the hospital with anuria of 24 h duration and abdominal distention. Physical examination revealed tenderness and distention of the lower abdomen and a swollen right leg. Read More

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February 2012

Mid-ventricular obstruction occurred in hypertrophic left ventricle of heterozygous Fabry's disease-Favorable effects of cibenzoline: A case report.

J Cardiol Cases 2011 Dec 7;4(3):e133-e137. Epub 2011 Sep 7.

Department of Internal Medicine, Division of Cardiology, Tanabe Central Hospital, Kyoto, Japan.

A 54-year-old woman visited our hospital because of palpitation and dizziness. Systolic ejection murmur, Levine IV/VI, was heard at the left sternal border and atrial gallop was auscultated at apex. Echocardiogram demonstrated diffuse hypertrophy of the left ventricular walls extending to the apex. Read More

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December 2011

Superior vena cava obstruction caused by ascending aortic pseudoaneurysm as assessed by multi-detector row computed tomography.

J Cardiol Cases 2011 Apr 4;3(2):e98-e102. Epub 2011 Feb 4.

Department of Cardiology, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.

We describe a case of a 64-year-old man with superior vena cava (SVC) obstruction caused by a huge pseudoaneurysm of the ascending aorta. Pseudoaneurysm of the ascending aorta is an uncommon cause of SVC obstruction. Multi-detector row computed tomography (MDCT) simultaneously clarified the SVC obstruction and coronary artery stenosis. Read More

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Initial results from the off-label use of the SAPIEN S3 valve for percutaneous transcatheter pulmonary valve replacement: A multi-institutional experience.

Catheter Cardiovasc Interv 2018 Dec 7. Epub 2018 Dec 7.

Department of Pediatrics, Division of Cardiology, UCLA Mattel Children's Hospital, Los Angeles, California.

Objectives: To describe a multi-center experience of percutaneous transcatheter pulmonary valve replacement (TPVR) using the Edwards Sapien S3 Valve.

Background: Off-label use of the Sapien S3 valve can allow for TPVR in patients with congenital heart disease (CHD) and large diameter dysfunctional right ventricular outflow tract (RVOT). The initial experience at five centers with the SAPIEN S3 valve for TPVR is presented with a focus on procedural techniques, success, complications, and efficacy. Read More

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December 2018

Gastroduodenal Intussusception of a Gastric Carcinoma.

Dig Endosc 2018 Dec 7. Epub 2018 Dec 7.

Saiseikai Kanazawa Hospital, Kanazawa, Japan.

An 81-year-old woman presented with occasional mild abdominal pain and diarrhea. Computed tomography revealed a large tumor in the stomach and duodenum (Figure 1). Upper gastrointestinal endoscopy showed a gastric volvulus (Figure 2) and invagination of the head of the tumor into the duodenum (Figure 2). Read More

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December 2018

Highly sensitive spectrofluorimetric method for rapid determination of orciprenaline in biological fluids and pharmaceuticals.

Luminescence 2018 Dec 11. Epub 2018 Dec 11.

Faculty of Pharmacy, Pharmaceutical Analytical Chemistry Department, Mansoura University, Mansoura, Egypt.

Orciprenaline sulphate (ORP) is a direct-acting sympathomimetic with mainly beta-adrenoceptor stimulant activity. It is used as a bronchodilator in the management of reversible airway obstruction. For the first time, a rapid highly sensitive spectrofluorimetric method is described that is relied on measuring the fluorescence spectra of ORP at acidic pH and without addition of any chemical reagents. Read More

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December 2018

Pneumatic dilation improves esophageal emptying and symptoms in patients with idiopathic esophago-gastric junction outflow obstruction.

Neurogastroenterol Motil 2018 Dec 10:e13522. Epub 2018 Dec 10.

Department of Internal Medicine, Division of Digestive Diseases and Nutrition, Joy McCann Culverhouse Center for Swallowing Disorders, University of South Florida, Tampa, Florida.

Background And Aims: Idiopathic Esophago-gastric outflow obstruction (EGJOO) is a new clinical entity resulting in delayed esophageal emptying secondary to a poorly relaxing lower esophageal sphincter. Little is known about treatment outcomes of idiopathic EGJOO patients. The aim of this study was to investigate the clinical response of pneumatic dilation (PD) in idiopathic EGJOO patients with a standing barium column and/or with pill arrest on timed barium esophagram (TBE) before and after undergoing PD. Read More

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December 2018

The effect of inhaled heliox on peak flow rates in normal and brachycephalic dogs.

J Vet Intern Med 2018 Dec 11. Epub 2018 Dec 11.

Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, Massachusetts.

Background: Heliox, a mixture of helium and oxygen, alleviates airway obstruction in people and improves air flow, and its use has been proposed in dogs. Brachycephalic dogs have naturally occurring airway obstruction where heliox might be a useful therapeutic option.

Objective: The purposes of this study were to (1) determine the impact of breathing heliox on peak inspiratory and expiratory flows (PIF/PEF) in healthy dogs and (2) determine if brachycephalic dogs and mesocephalic dogs have similar responses to inhaled heliox. Read More

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December 2018

HGF alleviates renal interstitial fibrosis via inhibiting the TGF-β1/SMAD pathway.

Eur Rev Med Pharmacol Sci 2018 Nov;22(22):7621-7627

Department of Nephrology, Yancheng TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Yancheng, China.

Objective: To study the role of HGF (stem cell growth factor) in renal interstitial fibrosis and to explore its underlying mechanism.

Materials And Methods: A unilateral ureteral obstruction (UUO) mouse model was first constructed, and kidney samples of mice were then collected. Fibrosis-related indicators in UUO mice kidney were detected by Western blot. Read More

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November 2018

The miRNA-184 drives renal fibrosis by targeting HIF1AN in vitro and in vivo.

Bin Chen

Int Urol Nephrol 2018 Dec 10. Epub 2018 Dec 10.

Kidney Department, Zhenhai People's Hospital of Ningbo City (Ningbo No.7 Hospital), 718 Nanerxi Road, Luotuo Subdistrict, Zhenhai, Ningbo, People's Republic of China.

Progressive renal fibrosis is the last phase of chronic kidney disease and results in renal failure. Micro-RNA has been demonstrated as important agent to drive organ fibrosis. However, the precise mechanisms are not fully understood. Read More

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December 2018

Treprostinil reduces endothelial damage in murine sinusoidal obstruction syndrome.

J Mol Med (Berl) 2018 Dec 7. Epub 2018 Dec 7.

Institute of Pharmacology and the Gaston H. Glock Research Laboratories for Exploratory Drug Development, Centre of Physiology and Pharmacology, Medical University of Vienna, Vienna, Austria.

Sinusoidal obstruction syndrome (SOS) is a major complication after hematopoietic stem cell transplantation and belongs to a group of diseases increasingly identified as transplant-related systemic endothelial disease. Administration of defibrotide affords some protection against SOS, but the effect is modest. Hence, there is unmet medical need justifying the preclinical search for alternative approaches. Read More

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December 2018

Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India.

Indian J Gastroenterol 2018 Dec 7. Epub 2018 Dec 7.

Department of Gastroenterology, Patna Medical College and Hospital, Ashok Rajpath Road, Patna University Campus, Patna, 800 001, India.

Background: Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults.

Methods: Data were collected from records of 79 patients with IM. Read More

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December 2018
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[Gastric intramural pseudocyst in a heterotopic pancreas causing gastric outlet obstruction. Report of one case].

Rev Med Chil 2018 Aug;146(8):933-937

Servicio de Cirugía, Clínica Alemana, Santiago, Chile.

Heterotopic pancreas is a silent gastrointestinal malformation that may become clinically evident when complicated by inflammation and pseudocyst formation. We report a 26 year-old male presenting with vomiting, pain and abdominal distention. An abdominal CT scan showed an important gastric distention secondary to a 4-cm cystic lesion located in the antrum wall. Read More

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[A model of ophthalmological network care including primary care centers and a tertiary care hospital].

Rev Med Chil 2018 Aug;146(8):890-893

Servicio de Oftalmología, Hospital del Salvador, Santiago, Chile.

Background: Primary care units of ophtalmology (UAPO) were incorporated in 2003 into the healthcare system of the Ministry of Health, in response to the high demand for hospital care. Three of these primary care units were incorporated to provide a network care with the ophthalmology service of a tertiary care hospital.

Aim: To report the public health impact of networking. Read More

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The acute abdomen in pregnancy and postpartum of a teenager woman. Case report.

Rom J Morphol Embryol 2018 ;59(3):939-943

Department of Pediatric Surgery, University of Medicine and Pharmacy of Craiova, Romania; Department of General Surgery, University of Medicine and Pharmacy of Craiova, Romania;

The acute abdomen with its many clinical aspects is not a condition that eludes pregnancy; acute appendicitis being the most frequently incriminated, but when it comes to its complication - peritonitis and the pregnant is a teenager, the cases cited in the literature are quite rare. We present the case of a 15-year-old teenager pregnant within 24 weeks admitted from the emergency department with the diagnosis of acute abdomen and operated for generalized peritonitis due to a perforated appendicitis. The microscopic analysis of the specimen indicated the presence of ulceration and extensive and deep and necrosis of the appendicle wall, the residual structures being dissected by a predominantly polymorphonuclear leukocytes inflammatory infiltrate associated with eosinophilic fibrinous deposits. Read More

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January 2018

Traumatic rupture of hydronephrosis secondary to UPJ obstruction in a child: A case report.

Urol Case Rep 2019 Mar 28;23:27-28. Epub 2018 Nov 28.

Department of Biotechnology and Microbiology, Karnatak University, Dharwad, Karnataka, India.

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March 2019
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Functional Temporomandibular Joint Reconstruction in Costochondral Grafting of Micrognathia.

Plast Reconstr Surg Glob Open 2018 Oct 2;6(10):e1925. Epub 2018 Oct 2.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, Takatsuki, Japan.

Rib bone and costochondral complex grafting has been used to treat micrognathia classified as Pruzansky type III. To acquire more physiological joint movement, we reconstructed a temporomandibular joint with the glenoid fossa in addition to the mandibular ramus. The patient underwent a tracheostomy to correct her airway obstruction at 2 months of age. Read More

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October 2018
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The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain.

Arab J Urol 2018 Dec 27;16(4):435-440. Epub 2018 Jun 27.

Department of Surgery, Division of Urology, Baylor Scott and White Health, Temple, TX, USA.

Abstract Objectives: To examine the safety and effectiveness of the use of a stent with a string attached after ureteroscopy (URS) for self-removal of the stent by the patient.

Patients And Methods: After Institutional Review Board approval, a retrospective chart review was performed concerning patients who underwent URS and received an indwelling stent with or without a string attached to the stent (94 vs 349, respectively). Amongst the string group patients received a single- or a double-arm-stringed stent (31 vs 63, respectively). Read More

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December 2018

Thulium laser enucleation of the prostate (ThuLEP): Results, complications, and risk factors in 139 consecutive cases.

Arab J Urol 2018 Dec 5;16(4):411-416. Epub 2018 Jul 5.

Department of Urology and Men's Health, Al Garhoud Private Hospital, Dubai, United Arab Emirates.

Objectives: To report our experience with the emerging technique of thulium laser enucleation of the prostate (ThuLEP) for the treatment for prostate hyperplasia.

Patients And Methods: Our inclusion criteria were an International Prostate Symptom Score (IPSS) of >15 and a quality-of-life (QoL) score of >3 in patients with confirmed bladder outflow obstruction, no longer responsive to medical therapy, with a significant post-void residual urine volume (PVR; >100 mL), with or without recurrent urinary tract infection and/or acute urinary retention. Patients with neurogenic bladder, urethral strictures, bladder stones, and previously failed transurethral prostate surgery were excluded. Read More

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December 2018

Characterizing post-extubation negative pressure pulmonary edema in the operating room-a retrospective matched case-control study.

Perioper Med (Lond) 2018 6;7:28. Epub 2018 Dec 6.

1Department of Anesthesiology, E-Da Hospital/E-Da Cancer Hospital, I-Shou University, No 1, Yida Road. Yanchao Dist., Kaohsiung city, 824 Taiwan.

Background: Post-extubation negative pressure pulmonary edema (NPPE) is an uncommon but important anesthesia-related emergency presenting with acute respiratory distress and hypoxemia after removal of airway devices. This study investigated the incidence and associated risk factors for post-extubation NPPE during emergence.

Methods: This retrospective, matched case-control study was conducted by reviewing the post-anesthesia records in Tzu Chi General Hospital, Taiwan. Read More

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December 2018

Non-redundant Functions of IL-6 Produced by Macrophages and Dendritic Cells in Allergic Airway Inflammation.

Front Immunol 2018 26;9:2718. Epub 2018 Nov 26.

Engelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, Russia.

Asthma is a common inflammatory disease of the airway caused by a combination of genetic and environmental factors and characterized by airflow obstruction, wheezing, eosinophilia, and neutrophilia of lungs and sputum. Similar to other proinflammatory cytokines, IL-6 is elevated in asthma and plays an active role in this disease. However, the exact molecular mechanism of IL-6 involvement in the pathogenesis of asthma remains largely unknown and the major cellular source of pathogenic IL-6 has not been defined. Read More

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November 2018

Microvasculature-on-a-chip for the long-term study of endothelial barrier dysfunction and microvascular obstruction in disease.

Nat Biomed Eng 2018 23;2:453-463. Epub 2018 Apr 23.

Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.

Alterations in the mechanical properties of erythrocytes occurring in inflammatory and hematologic disorders such as sickle cell disease (SCD) and malaria often lead to increased endothelial permeability, haemolysis, and microvascular obstruction. However, the associations among these pathological phenomena remain unknown. Here, we report a perfusable, endothelialized microvasculature-on-a-chip featuring an interpenetrating-polymer-network hydrogel that recapitulates the stiffness of blood-vessel intima, basement membrane self-deposition and self-healing endothelial barrier function for longer than 1 month. Read More

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April 2018
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Trapped vessel of abdominal pain with hepatomegaly: A case report.

World J Hepatol 2018 Nov;10(11):887-891

Scripps Center for Organ Transplant, Scripps Green Hospital, La Jolla, CA 92037, United States.

Abdominal pain with elevated transaminases from inferior vena cava (IVC) obstruction is a relatively common reason for referral and further workup by a hepatologist. The differential for the cause of IVC obstruction is extensive, and the most common etiologies include clotting disorders or recent trauma. In some situations the common etiologies have been ruled out, and the underlying process for the patient's symptoms is still not explained. Read More

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November 2018

Ureteral obstruction by sloughed tumor complicating cryoablation of a renal oncocytoma.

Radiol Case Rep 2018 Dec 14;13(6):1195-1198. Epub 2018 Sep 14.

Department of Radiology, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, Japan 700-8558.

Percutaneous cryoablation for renal tumors may be associated with rare complications such as injury to the ureter. A 65-year-old woman underwent percutaneous cryoablation after a transcatheter arterial embolization using lipiodol and ethanol for left renal oncocytoma. Two months after the percutaneous cryoablation, computed tomography images showed left hydronephrosis caused by high-density debris, which was assumed to be sloughed tumor with lipiodol accumulation in the left ureter. Read More

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December 2018

Impact of postcolectomy adhesion-related complications on healthcare utilization.

Clinicoecon Outcomes Res 2018 14;10:761-771. Epub 2018 Nov 14.

Medical Devices-Epidemiology, Johnson and Johnson, New Brunswick, NJ 08901, USA,

Objective: The objective of this study was to explore adhesion-related complications (ARCs) within 1 year after colectomy.

Methods: Using Truven MarketScan® Commercial and Medicare databases, the first inpatient colectomies during 2009-2013 (index) were identified: left, right, partial, transverse, or total. One-year continuous enrollment was required pre and postindex. Read More

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November 2018

The Role of Stents as Bridge to Surgery for Acute Left-Sided Obstructive Colorectal Cancer: Meta-Analysis of Randomized Controlled Trials.

Rev Invest Clin 2018 ;70(6):269-278

Department of Gastrointestinal Surgery, Eastern Hospital, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China Affiliated Hospital & Sichuan Provincial People's Hospital. Sichuan Province, China.

Background: The role of self-expanding metallic stents (SEMS) as a bridge to surgery for acute left-sided obstructive colorectal cancer has remained controversial.

Objective: To study the efficacy of this approach, we performed a meta-analysis at the gastrointestinal surgery center of Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital (Eastern Hospital).

Methods: Two PubMed and science-direct electronic databases were searched up to December 30, 2017. Read More

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January 2018

Clinical features and treatment outcomes of patients with tearing after chemotherapy.

Eye (Lond) 2018 Dec 10. Epub 2018 Dec 10.

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.

Purpose: To evaluate the clinical features and treatment outcomes of patients complaining of tearing after receiving chemotherapy.

Methods: The clinical records of patients who complained of tearing between August 2014 and February 2016, and underwent or were undergoing chemotherapy were retrospectively reviewed. Clinical measurements were as follows: LipiView interferometer (lipid layer thickness and meibography), lacrimal drainage examinations (syringing), and outcomes at 6 months after treatment. Read More

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December 2018

[Comparative analysis of side-by-side antegrade stenting and Y-biliary stenting for malignant biliary stricture].

Khirurgiia (Mosk) 2018 (11):20-23

Botkin Municipal Clinical Hospital, Moscow, Russia.

In the time period from 2009 to 2017 in Botkin Hospital (Moscow) bilateral biliary stenting was performed in 43 patients with malignant common hepatic duct stricture. Patients were divided into 2 statistically homogeneous groups: 'side-by-side' stenting in 28 patients and percutaneous 'Y'-biliary stent placement in 15 patients. The causes of malignant obstruction were as follows: in the 1 group 13 (46. Read More

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January 2018
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[Effectiveness of various approaches for acute malignant colonic obstruction].

Khirurgiia (Mosk) 2018 (10):55-60

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia; Petrovsky Russian Research Center for Surgery, Moscow, Russia.

Aim: To determine optimal treatment strategy for acute malignant colonic obstruction.

Material And Methods: 349 patients with acute malignant colonic obstruction were retrospectively analyzed for the period 2005-2017. All patients were divided into two groups depending on surgical approach. Read More

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January 2018
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[Ruptured ascending colonic varices in a patient with alcoholic liver cirrhosis treated using topical skin adhesive:a case study].

Nihon Shokakibyo Gakkai Zasshi 2018 ;115(12):1087-1093

Third Department of Internal Medicine, Nara Medical University.

A 59-year-old man had been admitted to our hospital because of general malaise and abdominal fullness caused by massive ascites. He was diagnosed with alcoholic liver cirrhosis. Following the removal of ascites, he was referred to our department because of hematochezia. Read More

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January 2018

EUS-guided antegrade metal stenting with hepaticoenterostomy using a dedicated plastic stent with a review of the literature (with video).

Endosc Ultrasound 2018 Nov-Dec;7(6):404-412

Third Department of Surgery, Tokyo Medical University, Tokyo, Japan.

Background And Objectives: Recently, a novel EUS-guided biliary drainage (EUS-BD) technique consisting of EUS-guided antegrade stenting and EUS-guided hepaticoenterostomy (EUS-AS+HES) using two conventional metal stents (MS) has been reported to decrease adverse events and maintain longer stent patency for malignant biliary obstruction (MBO). However, only a few limited reports have evaluated this technique. Finally, dedicated plastic stents (PSs) have been developed to perform EUS-HES safely. Read More

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December 2018