the differential diagnostic dilemma a case report

... by laparotomy or laparoscopy Laparoscopic surgery provides the advantages of good exposure and evaluation of entire abdominal cavity, as well as more rapid recovery with avoidance of a large incision ... of the gastrointestinal tract and ovaries [12] Conclusion Mucocele of the appendix can mimic an adnexal mass and prove to be a diagnostic challenge In a woman presenting with right iliac fossa ... closely correlated to the operative findings All the authors revised and approved the manuscript In our case, the decision for excision of the appendiceal mucocele was made as a result of diagnostic...

Ngày tải lên: 11/08/2014, 10:23

... supervised the study All authors read and approved the final manuscript Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images A ... Geography and cough aetiology Pulm Pharmacol Ther 2007, 20:383-387 Matsumoto H, Niimi A, Takemura M, Ueda T, Yamaguchi M, Matsuoka H, Jinnai M, Chin K, Mishima M: Prevalence and clinical manifestations ... several months A diagnosis of asthma was made, and treatment with inhaled hydrofluoroalkane beclomethasone dipropionate 200 μg bid and an leukotriene receptor antagonist pranlukast 225 mg bid was...

Ngày tải lên: 13/08/2014, 08:20

... local inflammation, injection site pain and itching, anaphylaxis/anaphylactoid reactions, local ecchymosis, nausea/vomiting, diarrhea, anorexia, and headache [26] While Hyalgan © has a relatively ... diathesis Though previous diagnostic imaging was not available at the time of our initial consultation, they were reviewed at a later date, prior to treatment, and revealed dysplasia of both acetabula, ... contributed additional data to the literature review and manuscript All authors read and approved the final manuscript Consent Written informed consent was obtained from the parent/guardian of the patient...

Ngày tải lên: 20/06/2014, 04:20

... avulse the lateral tibial condyle if the surface area of the tibial insertion site and the substance of the PCL are significantly wider With regard to the treatment, nonoperative treatment was another ... intact A vertical incision was made across the capsule, and both edges of the incision were elevated The avulsion fracture at the tibial insertion of the PCL was identified, and the lateral tibial ... Figure Sagittal and coronal T2-weitghted magnetic resonance images of the knee, showing upward displacement of the PCL insertion at the tibia (a) and the displaced fragment of the lateral tibial condyle...

Ngày tải lên: 20/06/2014, 04:20

... local inflammation, injection site pain and itching, anaphylaxis/anaphylactoid reactions, local ecchymosis, nausea/vomiting, diarrhea, anorexia, and headache [26] While Hyalgan © has a relatively ... diathesis Though previous diagnostic imaging was not available at the time of our initial consultation, they were reviewed at a later date, prior to treatment, and revealed dysplasia of both acetabula, ... contributed additional data to the literature review and manuscript All authors read and approved the final manuscript Consent Written informed consent was obtained from the parent/guardian of the patient...

Ngày tải lên: 20/06/2014, 07:20

... avulse the lateral tibial condyle if the surface area of the tibial insertion site and the substance of the PCL are significantly wider With regard to the treatment, nonoperative treatment was another ... intact A vertical incision was made across the capsule, and both edges of the incision were elevated The avulsion fracture at the tibial insertion of the PCL was identified, and the lateral tibial ... Figure Sagittal and coronal T2-weitghted magnetic resonance images of the knee, showing upward displacement of the PCL insertion at the tibia (a) and the displaced fragment of the lateral tibial condyle...

Ngày tải lên: 20/06/2014, 07:20

... this article as: Athanasopoulos et al.: A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater: a case report and review of the literature ... neoplasm However, the final diagnosis revealed a follicular lymphoma of the duodenum and a carcinoid tumour of the CBD No adjuvant therapy was judged appropriate after thorough staging and the patient ... carcinoma (malignant carcinoid) of the extrahepatic biliary tract: report of two cases and literature review APMIS 2010, 118:543-556 Yoshino T, Miyake K, Ichimura K, Mannami T, Ohara N, Hamazaki...

Ngày tải lên: 09/08/2014, 01:24

... Nishimura D, Morita K, Yoshida N, Katada N, et al: Case report: multiple cancers: hepatocellular carcinoma and adenocarcinomas of the common bile duct and the gall-bladder in a woman with primary ... primary malignant tumors can be determined independently by the stage of each malignancies In the present case, adenocarcinoma of gall bladder was T2N0M0 (stage II) and hepatocellular carcinoma ... was a hepatocellular carcinoma These findings might also support the fact that these two cancers occurred in a random and synchronous manner There was one case reported in the literature who had...

Ngày tải lên: 09/08/2014, 02:20

... to the left atrial wall Pre-operative trans-esophageal echocardiographic image on Pre-operative trans-esophageal echocardiographic image showing small mobile mass attached to the left atrial wall ... on the level of the aortic valve The operation was performed under normothermic cardiopulmonary bypass using ascending aortic and bicaval cannulation After cardiac arrest with antegrade cardioplegia, ... of a surgical disease Ann Thorac Surg 1999, 68:1881-5 Mohammadi S, Martineau A, Voisine P, Dagenais F: Left atrial papillary fibroelastoma: A rare cause of multipl cerebral emboli Ann Thorac...

Ngày tải lên: 10/08/2014, 10:20

... rate in the hand region is not known Case Presentation: We present the case of a 63-year-old Greek Caucasian woman with a giant lipoma of the hand and palm which was not initially diagnosed After ... sarcomas Their largest subgroup is the well-differentiated liposarcomas, which account for 40% of cases and require a different therapeutic approach We report the case of a patient with a giant ... Capelastegui A, Astigarraga E, Fernandez-Canton G, Saralegui I, Larena JA, Merino A: Masses and pseudomasses of the hand and wrist: MR findings in 134 cases Skeletal Radiol 1999, 28:498-507 Contran...

Ngày tải lên: 10/08/2014, 22:20

... opened The articular cartilage of the second metatarsal head was found to be detached from the subchondral bone The damaged articular cartilage was removed, and a cylindrical osteochondral hole was ... showed that the transplanted graft was well united with the second metatarsal head, that the articular surface of the graft had been remodeled (Figure 3), and that the patient was asymptomatic MRI ... present case, the patient’s foot pain was alleviated, the graft was united with the host bone, and the articular surface of the second metatarsal was shown radiographically to be well remodeled Page...

Ngày tải lên: 10/08/2014, 23:22

... infrapatellar ganglionic cyst of the knee fat pad: a case report and review of the literature Journal of Medical Case Reports 2011 5:351 Author details General Hospital “Asclepeion Voulas”, 1, Macedonias ... When the surgical excision was performed, spinal anesthesia and a tourniquet were used, and the mass was approached via an incision over the cystic mass medially to the patellar tendon (Figure 5A) ... G, Maffei MV, Papalia R, Denaro V: Arthroscopic ganglion cyst excision in the anterolateral aspect of the knee Arthroscopy 2003, 19:32e Patel SJ, Kaplan PA, Dussault RJ, Kahler DM: Anatomy and...

Ngày tải lên: 10/08/2014, 23:22

... 77 19 Albumin, g/l (normal range, 30 to 50) 38 27 1.9 29 76 24 2.2 29 107 IU, international normalized ratio; ALT, alanine transferase; AST, aspartate transaminase; ALP, alkaline phosphatase; ... < 50) accompanying the encephalopathy These findings were attributed to ifosfamide use on the basis of the temporal relationship and the subsequent normalization after drug withdrawal Apart from ... from her mental state, her clinical examination was unremarkable In particular, there was no fever, rash or arthralgia to suggest a hypersensitivity drug reaction The clinical features of drug-induced...

Ngày tải lên: 11/08/2014, 00:23

... a joint statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American ... temporary clamping of the right ICA by improving the collateral supply using endovascular means With regard to the anesthesiological and surgical methods, local anesthesia during CEA with the eversion ... et al Journal of Medical Case Reports 2010, 4:397 http://www.jmedicalcasereports.com/content/4/1/397 the full range of therapeutic options on site are advantageous Further evaluation in larger...

Ngày tải lên: 11/08/2014, 02:22

... the abdomen at infrarenal level showing abdominal wall veins and absence of the inferior vena cava AA, abdominal aorta Figure MRI demonstrating the hemiazygos vein (HV) and the azygos vein (AV) ... Discussion The umbilical vein is obliterated a few days after birth and is usually not part of the actual circulation Patent paraumbilical and abdominal subcutaneous veins are found frequently as collaterals ... preservation of a hypoplastic suprarenal segment causing abdominal subcutaneous veins as collaterals With this anomaly, the external and internal iliac veins join to form enlarged ascending abdominal...

Ngày tải lên: 11/08/2014, 03:20

... reveal bacteria; arterial blood gas measurement revealed clinically important metabolic acidosis (Table 1); and lactate was in the normal reference range The patient received immediate intravenous ... rate and arterial blood pressure); exacerbation of anxiety; and activation Page of of the hypothalamic-pituitary-adrenal axis The most frequently reported side effects are arrhythmias, hyperthermia, ... reviewed the literature and wrote the first draft of the report MPRG was the chief clinician, edited the first draft of the manuscript and assisted in the literature review All authors read and approved...

Ngày tải lên: 11/08/2014, 03:21

... the abdomen at infrarenal level showing abdominal wall veins and absence of the inferior vena cava AA, abdominal aorta Figure MRI demonstrating the hemiazygos vein (HV) and the azygos vein (AV) ... Discussion The umbilical vein is obliterated a few days after birth and is usually not part of the actual circulation Patent paraumbilical and abdominal subcutaneous veins are found frequently as collaterals ... preservation of a hypoplastic suprarenal segment causing abdominal subcutaneous veins as collaterals With this anomaly, the external and internal iliac veins join to form enlarged ascending abdominal...

Ngày tải lên: 11/08/2014, 06:23

... reveal bacteria; arterial blood gas measurement revealed clinically important metabolic acidosis (Table 1); and lactate was in the normal reference range The patient received immediate intravenous ... rate and arterial blood pressure); exacerbation of anxiety; and activation Page of of the hypothalamic-pituitary-adrenal axis The most frequently reported side effects are arrhythmias, hyperthermia, ... reviewed the literature and wrote the first draft of the report MPRG was the chief clinician, edited the first draft of the manuscript and assisted in the literature review All authors read and approved...

Ngày tải lên: 11/08/2014, 07:20

... Clinical examination revealed neither jaundice nor a palpable abdominal mass The clinical laboratory data were normal Ultrasonography revealed a hypoechogenic, nearly spheric, homogenous formation ... closure After fenestration, a drain was placed into the abdomen Because of the recurrent pain, a laparoscopic fenestration of the large cyst was recommended and this was performed at a primary care ... in many other illnesses of the upper gastrointestinal tract The clinical triad of jaundice, a palpable mass and abdominal pain occurs only in one-third of all patients Abdominal pain is the prominent...

Ngày tải lên: 11/08/2014, 10:22

... markedly narrowed Note the patency of the distal arterial branches artery arose from its false lumen, while distal arterial branches of the SMA were patent Since our patient was asymptomatic and ... mesenteric artery after the placement of a metallic endoprosthesis (A) The lateral arteriogram shows the final position of the endoprosthesis at the proximal part of the superior mesenteric artery (black ... Digital subtraction angiography of the superior mesenteric artery with a 5F Cobra catheter (A) The lateral arteriogram shows the entry site of the false lumen and confirms the compression of the...

Ngày tải lên: 11/08/2014, 12:20