case 38 a complication of transesophageal echocardiography

... showed a CM extravasation at the level of the lower thoracic esophagus just above the esophagogastric junction and a small mediastinal emphysema Boerhaave syndrome was diagnosed and the woman was ... (CA) revealed only a thin CA line between the lumen of the esophagus and the mediastinal paraesophageal abscess/CA depot (es, esophagus; ao, aorta) abscess formation was necessary Other than ... of a hiatus hernia and/or a localized loss of elasticity of the esophagus wall due to chronic esophageal alterations such as scarring transformations induced, for example, by gastric reflux, Barrett’s...

Ngày tải lên: 10/08/2014, 22:20

... pathological fracture in a series of 18 patients [5] One case of a pathological odontoid fracture and another case of an osteoporotic odontoid fracture were Hartel et al Journal of Medical Case Reports ... publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Author details Department of Trauma-, Hand-, and ... al.: Partial tetraplegic syndrome as a complication of a mobilizing/manipulating procedure of the cervical spine in a man with Forestier’s disease: a case report Journal of Medical Case Reports 2011...

Ngày tải lên: 10/08/2014, 23:20

... onset abdominal pain with associated nausea and vomiting She had a past medical history of a myocardial infarction, chronic obstructive pulmonary disease (COPD), transitional cell carcinoma of the ... the case and they were managed appropriately The current literature on the management of malignant small bowel strictures is limited and thus management is complicated Cases where malignant strictures ... suggestive of ischaemia (Figure 2) A pre-operative echocardiogram confirmed a moderately sized apical ventricular aneurysm containing a small mobile thrombus At laparotomy, a 25 cm segment of strictured...

Ngày tải lên: 11/08/2014, 14:20

... ruptured macro-aneurism of the retina and shaken baby syndrome Other rare causes include thrombocytopenia secondary to bone marrow aplasia, leukemia, autoimmune hemolytic anemia, aplastic anemia secondary ... Holland GN: Ocular toxoplasmosis: a global reassessment Part II: disease manifestations and management Am J Ophthalmol 2004, 137:1-17 Oner A, Ozkiris A, Dogan H, Erkilic K, Karakukcu M: Bilateral ... surgery (LASIK) Bilateral macular hemorrhages are even more uncommon, with a few reports associated with cases of head trauma, hemolytic anemia and thrombocytopenia [3] In our report, the patient...

Ngày tải lên: 11/08/2014, 19:21

... 2004, 38: 175-184 Husain AK, Khandeparkar JM, Tendolkar AG, Magotra RA, Parulkar GB: Temporary intravascular shunts for peripheral vascular trauma J Postgrad Med 1992, 38( 2):68-69 Sriussadaporn ... behalf of the East of Scotland Vascular Network References Yagubyan M, Panneton JM: Axillary artery injury from humeral neck fracture: A rare but disabling traumatic event Vasc Endovascular Surgery ... idea behind the case report, was senior editor of the manuscript (critical revisions) and gave final approval 12 13 14 15 Stahnke M, Duddy MJ: Endovascular repair of a traumatic axillary artery...

Ngày tải lên: 11/08/2014, 21:22

... and T-wave abnormalities A radiograph of the chest showed clear lungs and slight cardiac enlargement A cardiac ultrasonographic examination showed no vegetations, intracardiac Page of (page number ... creatinine kinase, lactate dehydrogenase, amylase and alkaline phosphatase were normal An electrocardiogram (ECG) revealed atrial fibrillation at a rate of 110, with nonspecific ST-segment and ... complication such as conservative management, angiographic evaluation, percutaneous embolization or surgical intervention Case presentation A 57-year-old Caucasian male was admitted to our hospital...

Ngày tải lên: 11/08/2014, 23:21

... resistance in RA In addition, Elkan and colleagues’ finding of lower levels of potentially protective antibodies against cardiovascular disease offers an intriguing hypothesis as to the mechanism of ... inflammatory activity, physical disability, and low bioavailable insulin-like growth factor Scand J Rheumatol 2008, 37:321328 Roubenoff R, Kehayias J: The meaning and measurement of lean body mass ... understanding of rheumatoid cachexia First, by demonstrating that dietary fat intake was not an independent risk factor for this complication, they added support to the notion that cachexia cannot...

Ngày tải lên: 09/08/2014, 14:20

... Case study “Participation was by far the biggest measure, but we also looked at the type of participation”, says Mr Bhandary, who explains that the system design recognises the unique needs of ... on a “big bang” global launch based on the principle that to achieve critical mass, the platform would need to demonstrate enterprise-wide reach Initial uptake was faster among some demographic ... raising awareness of the cloud-based tools, these leaders would offer training and support and celebrate success stories The time for a roll-out approached After initial pilot testing, the team...

Ngày tải lên: 02/12/2015, 14:16

... constitute 30-50% of all peripheral vascular injuries, more than 80% of which are from penetrating trauma Radial and ulnar arterial injuries make up 5-30% of all peripheral vascular injuries [2] ... such as Duplex and CTA, now allow accurate diagnosis by noninvasive methods [15,16] Nevertheless, our case shows that in a perforating trauma of the arm a careful neurological examination must always ... Tomographic Angiography for the Diagnosis of Traumatic Arterial Injuries of the Extremities The Journal of Trauma: Injury, Infection, and Critical Care 2004:625-628 Peng PD, Spain DA, Tataria M,...

Ngày tải lên: 20/06/2014, 04:20

... etiology, main clinical features, appropriate investigations, and operative management associated with this variant The etiology of axial torsion of MD remains unclear On the basis of the available ... Fibroma in Meckel’s diverticulum: a case associated with axial and ileal volvulus Am J Gastroenterol 1982, 77:477-480 Karadeniz Cakmak G, Emre AU, Tascilar O, Bektaş S, Ucan BH, Irkorucu O, Karakaya ... Cite this article as: Seth and Seth: Axial torsion as a rare and unusual complication of a Meckel’s diverticulum: a case report and review of the literature Journal of Medical Case Reports 2011...

Ngày tải lên: 11/08/2014, 00:23

... post manipulation radiograph, the CT findings of impaction of the humeral head and most importantly our peroperative findings of a long spiral fracture suggestive of a rotational force as the ... suspicion and employing additional radiological investigations in doubtful cases to define the accurate glenohumeral relationship The additional radiological imaging could be in the form of axillary/apical ... states 'the arm, bent at the elbow is pressed against the body The arm is externally rotated until resistance is experienced The externally rotated arm is raised in the sagittal plane as far as...

Ngày tải lên: 11/08/2014, 10:22

... KAO involved in case summary MDA contributed in clinical management of patient and gave approval for final write up IOO contributed in clinical management of patient and gave approval for final ... A, Kapoor R, Kumar A: Can the Need for Palliative Transurethral Prostatic Resection in Patients with Advanced Carcinoma of the Prostate Be Predicted? J Endourol 2005, 19(5):546-9 Gnanapragasam ... Complications of transurethral resection of prostate Int J urol and neph 1997, 9(1):33-40 Uchida T, Adachi K, Ao T, Fujino A, Omata T, Yoshizawa K, Kurokawa J, Kadowaki K, Shoji K, Yokoyama E: Pre-operative,...

Ngày tải lên: 11/08/2014, 10:23

... of all databases using the search terms ‘epidermal inclusion cysts complicating male circumcision’, ‘epidermal inclusion cysts as a complication of neonatal circumcision’, ‘complications of male ... Muula AS, Prozesky HW, Mataya RH, Ikechebelu JI: Prevalence of complications of male circumcision in Anglophone Africa: a systematic review BMC Urol 2007, 7:4 Becker KA, Thomas I: Epidermal inclusion ... complication of neonatal male circumcision Consent Written informed consent was obtained from the patient’s next -of- kin for publication of this case report and any accompanying images A copy of the written...

Ngày tải lên: 11/08/2014, 17:21

... cystoprostatectomy years earlier and had also had an endovascular stent-graft repair of an infrarenal abdominal aortic aneurysm The patient complained of abdominal pain in his right flank A physical ... examination revealed general poor health but pulmonary and cardiac examinations were unremarkable and the patient was afebrile Laboratory investigations were normal with the exception of anemia, ... presentation An 83-year-old Caucasian man was hospitalized with a 2-month history of back pain, anorexia, generalized weakness and a 47-pound weight loss The patient had previously undergone two transurethral...

Ngày tải lên: 11/08/2014, 17:21

... antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease ... grafts should therefore be avoided Autologous vein graft can be used to bypass an excised aneurysm although infection related graft failure remains a significant complication Extra-anatomical ... Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery J Vasc Surg...

Ngày tải lên: 11/08/2014, 19:21

... hospital with malaise, vague abdominal pain, anorexia, poor general condition and slightly elevated temperature (37.2– 37.5°C) Physical examination of the abdomen was normal, and the laboratory ... a small abdominal abscess was found at the area of the sigmoid colon caused by ruptured diverticula The abscess was drained and Hartmann excision of the bowel was performed The patient was admitted ... with a dimension of 12 cm (Fig 1) After starting antibiotics (ticarcillin-clavulanic acid, amicacin and metronidazole), the patient was operated on two days later for peritonitis At laparotomy, a...

Ngày tải lên: 11/08/2014, 23:21

... concomitant FWR) [12] Tanaka et al studied a series of ten patients with DMR and concluded that advanced age (mean age 69 years), absence of history of coronary artery disease (90%), anterior AMI ... only at the time of operation for the correction of VSD [3] Tanaka et al reported that the majority of patients had an apical AMI and VSD near the junction between IVS and LV apical free wall and ... Deiraniya AK, Lawson RA, Ward C, Bray CL: Surgical repair of acquired ventricular septal defect Determinants of early and late outcome J Thorac Cardiovasc Surg 1987, 93:680-686 Costache V, Chavanon...

Ngày tải lên: 11/08/2014, 23:21

... generously with a 0.9% saline and Betadine mixture Microbiological analysis of the pus revealed Escherichia coli and anaerobes but not Chlamydia or Candida spp A postoperative Gastrografin enema did not ... [13,14] Tubal function may also be assessed by salpingography and/or salpingoscopy A "cobblestone" appearance of the tubal mucosa is suggestive of patchy loss and damage to ciliated mucosal cells ... reveal an occult fistula (Figure 2) The patient was treated postoperatively with intravenous Co-Amoxiclav and Metronidazole for a week and made an Figure bal fistula Postoperative Gastrografin...

Ngày tải lên: 11/08/2014, 23:21

... 19 Aarhus M, Helland CA, Lund-Johansen M, et al Microarray-based gene expression profiling and DNA copy number variation analysis of temporal fossa arachnoid cysts Cerebrospinal Fluid Research ... cerebral hemispheres AC result from accumulation of CSF surrounded by an arachnoid membrane Vernooij et al 15 found that AC has a prevalence of approximately 1% in the normal population There are ... cysts associated with oculopharyngeal muscular dystrophy Clin Neurosci 2003; 10: 125-7 22 Orlacchio A, Gaudiello F, Totaro A, et al A new SPG4 mutation in a variant form of spastic paraplegia with...

Ngày tải lên: 25/10/2012, 11:00

... as an ion-pairing reagent for analysis of the quaternary amino muscle relaxants [6] e) For solid-phase extraction of the drugs, weak cation-exchanger cartridges are used In this case, the packing ... Japanese with an English abstract) 7) Nagata R (1958) Pharmacological study on muscle relaxants, Part The mechanisms of effects of various muscle relaxants J Tokyo Med Univ 16:295–311 (in Japanese ... Miyazaki T, Iwasaki Y et al (1992) A case of suicide by an intravenous injection of pancuronium Jpn J Legal Med 46:282–285 (in Japanese with an English abstract) 12) Uemura K, Fujimiya T, Komura...

Ngày tải lên: 24/12/2013, 18:15