Paratesticular liposarcoma: Two case reports.

paythelady.612 shared this article with you from Inoreader Paratesticular liposarcoma: Two case reports. Μέσω pubmed: "world j clin cases"... Related Articles Paratesticular liposarcoma: Two case reports. World J Clin Cases. 2021 Jan 16;9(2):457-462 Authors: Zheng QG, Sun ZH, Chen JJ, Li JC, Huang XJ Abstract BACKGROUND: Paratesticular liposarcoma accounts for approximately 7% of scrotal tumors. They are rare lesions of the reproductive system with approximately 90% of the lesions originating from the spermatic cord. Surgery, with the goal of complete resection, is the mainstay for treatment of this disease. However, treatment consisting of extended resection to decrease local recurrence remains controversial. CASE SUMMARY: We report the cases of two patients with paratesticular liposarcomas who were treated with radical testicular tumor resection without adjuvant therapy. Follow-up investigations at 9 mo showed no sign of recurrence. CONCLUSION: Surgery is the first-line treatment, regardless of whether it is a recurrent or primary tumor. Extended resection carries a higher risk of complications and should not be performed routinely. Preoperative radiotherapy can reduce the local recurrence rate without affecting the overall survival. PMID: 33521115 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Sinistral portal hypertension associated with pancreatic pseudocysts - ultrasonography findings: A case report.

paythelady.612 shared this article with you from Inoreader Sinistral portal hypertension associated with pancreatic pseudocysts - ultrasonography findings: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Sinistral portal hypertension associated with pancreatic pseudocysts - ultrasonography findings: A case report. World J Clin Cases. 2021 Jan 16;9(2):463-468 Authors: Chen BB, Mu PY, Lu JT, Wang G, Zhang R, Huang DD, Shen DH, Jiang TT Abstract BACKGROUND: Sinistral portal hypertension associated with pancreatic pseudocysts is rare, often caused by extrinsic compression of splenic vein, the follow-up examinations by ultrasonography for early diagnosis are quietly necessary since haematemesis, a life-threatening condition. Few studies have reported the ultrasonography findings of sinistral portal hypertension. CASE SUMMARY: A 52-year-old man presented with acute abdominal pain after drinking, steatorrhea, weight loss and accidentally melena in the past 2 mo. He underwent ultrasound-guided fine needle aspiration in other hospital and diagnosed with pancreatic pseudocysts. Ultrasonography imaging, in our department, appeared as cystic heterogeneous hypoechoic area with the size of 4.7 cm × 3.8 cm that located posterior to the body and tail of pancreas, adjacent to splenic vein associated with thrombosis resulted from compression. Spleen incrassated to approximately 7.3 cm, but no dilation of main portal vein was presented. Color Doppler Flow Imaging demonstrated the formation of splenic venous collateral, nevertheless no significantly flow signals was observed in splenic vein. Pulsed Doppler revealed that the peak velocity of splenic venous collateral was 18.4 cm/s with continuous waveform. Laparotomy confirmed sinistral portal hypertension associated with pancreatic pseudocysts, su bsequently distal pancreatectomy combined with splenectomy and partial gastrectomy was performed. CONCLUSION: It's important clinically to know the ultrasound appearance of sinistral portal hypertension associated with pancreatic pseudocysts for sonographer and physician. PMID: 33521116 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report.

paythelady.612 shared this article with you from Inoreader Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report. World J Clin Cases. 2021 Jan 16;9(2):476-481 Authors: Shao J, Kong DC, Zheng XH, Chen TN, Yang TY Abstract BACKGROUND: Fat embolism syndrome (FES) is a rare disease characterized by pulmonary distress, neurologic symptoms, and petechial rash and seriously threatens human life and health. It is still neglected clinically because of the lack of verifiable diagnostic criteria and atypical clinical symptoms. No studies on FES with pulmonary embolism (PE) and tympanic membrane perforation have been reported to date. Here, we report a rare case of concomitant FES, PE and tympanic membrane perforation after surgery in a patient with a tibiofibular fracture. CASE SUMMARY: A 39-year-old man presented with right lower extremity pain due to a car accident while driving a motorbike on the road. X-ray and computed tomography scans revealed a fracture of the right mid-shaft tibia and proximal fibula categorized as a type A2 fracture according to the AO classification. A successful minimally invasive operation was performed 3 d after the injury. Postoperatively, the patient developed sudden symptoms of respiratory distress and hearing loss. Early diagnosis was made, and supportive treatments were used at the early stage of FES. Seven days after surgery, he presented a clear recovery from respiratory symptoms. The outcome of fracture healing was excellent, and his hearing of the left ear was mildly impaired at the last follow-up of 4 mo. CONCLUSION: Concomitant FES, PE and tympanic membrane perforation are very rare but represent potentially fatal complications of trauma or orthopedic surgery and present with predominantly pulmonary symptoms. Early diagnosis and treatment can reduce the mortality of FES, and prevention is better than a cure. PMID: 33521118 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Double-hit lymphoma (rearrangements of MYC, BCL-2) during pregnancy: A case report.

paythelady.612 shared this article with you from Inoreader Double-hit lymphoma (rearrangements of MYC, BCL-2) during pregnancy: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Double-hit lymphoma (rearrangements of MYC, BCL-2) during pregnancy: A case report. World J Clin Cases. 2021 Jan 16;9(2):482-488 Authors: Xie F, Zhang LH, Yue YQ, Gu LL, Wu F Abstract BACKGROUND: Double-hit lymphoma is a highly aggressive B-cell lymphoma that is genetically characterized by rearrangements of MYC and BCL2 and/or BCL6. Lymphoma is often accompanied by atypical systemic symptoms similar to physiological changes during pregnancy and is often ignored. Herein, we describe a gravid patient with high-grade B-cell lymphoma with a MYC and BCL-2 gene rearrangement involving multiple parts of the body. CASE SUMMARY: A 32-year-old female, gestational age 22+5 wk, complained of abdominal distension, chest tightness and limb weakness lasting approximately 4 wk, and ovarian tumors were found 14 d ago. Auxiliary examinations and a trimanual gynecologic examination suggested malignant ovarian tumor and frozen pelvis. Coupled with rapid progression, severe compression symptoms of hydrothorax, ascites and moderate anemia, labor was induced. Next, biopsy and imaging examinations showed high-grade B-cell lymphoma with a MYC and BCL-2 gene rearrangement involving multiple parts of the body. She was referred to the Department of Oncology and Hematology for chemotherapy. Because of multiple recurrences after complete remission, chemotherapy plans were continuously adjusted. At present, the patient remains in treatment and follow-up. CONCLUSION: The early detection and accurate diagnosis of lymphoma during pregnancy can help expedite proper multidisciplinary treatment to delay disease progression and decrease the mortality rate. PMID: 33521119 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Is sinusoidal obstructive syndrome a recurrent disease after liver transplantation? A case report.

paythelady.612 shared this article with you from Inoreader Is sinusoidal obstructive syndrome a recurrent disease after liver transplantation? A case report. Μέσω pubmed: "world j clin cases"... Related Articles Is sinusoidal obstructive syndrome a recurrent disease after liver transplantation? A case report. World J Clin Cases. 2021 Jan 16;9(2):489-495 Authors: Liu Y, Sun LY, Zhu ZJ, Wei L, Qu W, Zeng ZG Abstract BACKGROUND: Sinusoidal obstructive syndrome (SOS) is a disease that damages hepatic sinusoidal endothelial cells, resulting in progressive occlusion and fibrosis of the lobular central vein and the occurrence of intrahepatic sinusoidal portal hypertension. However, SOS after liver transplantation (LT) is uncommon and potentially fatal. Here, we report a rare case of second-time recurrence of SOS after liver retransplantation (rLT). CASE SUMMARY: A 22-year-old woman received a living donor LT due to SOS. Four years later, she developed abdominal distention and ascites with no apparent cause. She was diagnosed with recurrence of SOS and underwent rLT. But 2 mo post rLT, the patient suffered from aggravated jaundice and ascites again. She was diagnosed with second-time recurrence of SOS post-rLT according to computed tomography and liver pathology. After treatment with warfarin anticoagulation and immunosuppressant conversion, she gradually recovered with improvement of liver function and liver pathology. During the 17-mo follow-up period, she was in good condition with normal liver function and no ascites. CONCLUSION: SOS can be a recurrent disease after LT, and autoimmune antibody and genetic sequencing should be screened before LT. For susceptible patients, anticoagulant drugs should be used for an extended period, and tacrolimus or other pathogenic agents should be avoided. Early diagnosis and treatment can improve the prognosis of patients and avoid graft failure or death. PMID: 33521120 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Portal hypertension exacerbates intrahepatic portosystemic venous shunt and further induces refractory hepatic encephalopathy: A case report.

paythelady.612 shared this article with you from Inoreader Portal hypertension exacerbates intrahepatic portosystemic venous shunt and further induces refractory hepatic encephalopathy: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Portal hypertension exacerbates intrahepatic portosystemic venous shunt and further induces refractory hepatic encephalopathy: A case report. World J Clin Cases. 2021 Jan 16;9(2):496-501 Authors: Chang YH, Zhou XL, Jing D, Ni Z, Tang SH Abstract BACKGROUND: Intrahepatic portosystemic venous shunt (IPSVS) is a rare hepatic disease with different clinical manifestations. Most IPSVS patients with mild shunts are asymptomatic, while the patients with severe shunts present complications such as hepatic encephalopathy. For patients with portal hypertension accompanied by intrahepatic shunt, portal hypertension may lead to hemodynamic changes that may result in exacerbated portal shunt and increased shunt flow. CASE SUMMARY: A 57-year-old man, with the medical history of chronic hepatitis B and liver cirrhosis, was admitted to our hospital with abnormal behavior for 10 mo. He had received the esophageal varices ligation and entecavir therapy 1 year ago. Comparing with former examination results, the degree of esophageal varices was significantly reduced, while the right branch of the portal vein was significantly expanded and tortuous. Meanwhile, abdominal ultrasound presented the right posterior branch of portal vein connected with the retrohepatic inferior vena cava. The imaging findings indicated the diagnosis of IPSVS and hepatic encephalopathy. Instead of radiologic interventions or surgical therapies, this patient had only accepted symptomatic treatment. No recurrence of hepatic encephalopathy was observed during 1-year follow-up. CONCLUSION: Hemodynamic changes may exacerbate intrahepatic portosystemic shunt. The intervention or surgery should be carefully applied to patients with severe portal hypertension due to the risk of hemorrhage. PMID: 33521121 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Repair of a severe palm injury with anterolateral thigh and ilioinguinal flaps: A case report.

paythelady.612 shared this article with you from Inoreader Repair of a severe palm injury with anterolateral thigh and ilioinguinal flaps: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Repair of a severe palm injury with anterolateral thigh and ilioinguinal flaps: A case report. World J Clin Cases. 2021 Jan 16;9(2):502-508 Authors: Gong HY, Sun XG, Lu LJ, Liu PC, Yu X Abstract BACKGROUND: In daily life and work, there are more and more patients with trauma to the hand, which often results in skin and soft tissue defects. Although there are many repair methods, the function and appearance of the fingers will be adversely affected if the repair is inadequate. CASE SUMMARY: In the present report we describe an 18-year-old male patient whose right hand was mangled by a machine. X-ray imaging showed that a right hand bone (middle finger) was absent and the alignment was poor. After hospitalization, he was diagnosed with a severe right hand injury, skin and soft tissue defects, partial finger defects, and a skin degloving injury. He underwent reconstructive surgery with anterolateral thigh and ilioinguinal flaps. After two repair operations, satisfactory results were obtained, including good fracture healing, good skin flap shape, and good wrist joint function. CONCLUSION: This case highlights the good effect of anterolateral thigh and ilioinguinal flaps repair technique on severe palm injury. PMID: 33521122 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Indirect inguinal hernia containing portosystemic shunt vessel: A case report.

paythelady.612 shared this article with you from Inoreader Indirect inguinal hernia containing portosystemic shunt vessel: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Indirect inguinal hernia containing portosystemic shunt vessel: A case report. World J Clin Cases. 2021 Jan 16;9(2):509-515 Authors: Yura M, Yo K, Hara A, Hayashi K, Tajima Y, Kaneko Y, Fujisaki H, Hirata A, Takano K, Hongo K, Yoneyama K, Nakagawa M Abstract BACKGROUND: Inguinal hernia repair is one of the most common general surgical operations worldwide. We present a case of indirect inguinal hernia containing an expanded portosystemic shunt vessel. CASE SUMMARY: We report a 72-year-old man who had a 4 cm × 4 cm swelling in the right inguinal region, which disappeared with light manual pressure. Abdominal-pelvic computed tomography (CT) revealed a right inguinal hernia containing an expanded portosystemic shunt vessel, which had been noted for 7 years due to liver cirrhosis. We performed Lichtenstein's herniorrhaphy and identified the hernia sac as being indirect and the shunt vessel existing in the extraperitoneal cavity through the internal inguinal ring. Then, we found two short branches between the expanded shunt vessel and testicular vein in the middle part of the inguinal canal and cut these branches to allow the shunt vessel to return to the extraperitoneal cavity of the abdomen. The hernia sac was returned as well. We encountered no intraoperative complications. After discharge, groin seroma requiring puncture at the outpatient clinic was observed. CONCLUSION: If an inguinal hernia patient has portal hypertension, ultrasound should be used to determine the contents of the hernia. When atypical vessels are visualized, they may be shunt vessels and additional CT is recommended to ensure the selection of an adequate approach for safe hernia repair. PMID: 33521123 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Recurrent inverted papilloma coexisted with skull base lymphoma: A case report.

paythelady.612 shared this article with you from Inoreader Recurrent inverted papilloma coexisted with skull base lymphoma: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Recurrent inverted papilloma coexisted with skull base lymphoma: A case report. World J Clin Cases. 2021 Jan 16;9(2):516-520 Authors: Hsu HJ, Huang CC, Chuang MT, Tien CH, Lee JS, Lee PH Abstract BACKGROUND: Inverted papilloma is an uncommon neoplasm in the nasal cavity. It is a histologically benign tumor, but has a high recurrence and local invasion rate. In addition, nasal or skull base lymphoma is another rare neoplasm. The coexistence of these two tumors in one case makes the diagnosis and related treatment difficult. CASE SUMMARY: We report a case of an immunocompetent patient, who had a history of inverted papilloma 20 years ago. The patient presented with an infiltrated mass lesion in the nasal cavity with extension to the frontal base. The repeated biopsies revealed inverted papilloma without any malignant transformation. After the patient underwent a frontobasal craniotomy with total tumor excision, the final pathological examination revealed nasal inverted papilloma coexisting with diffuse large B-cell lymphoma of the skull base. CONCLUSION: Based on this case report, while managing a case of an aggressive recurrent inverted papilloma, not only squamous cell carcinoma transformation, but also other invasive malignancy, such as lymphoma, should be considered. PMID: 33521124 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Circulatory Histidine levels for the assessment of disease activity in Takayasu arteritis A targeted NMR basedserum metabolomics study

xlomafota.13 shared this article with you from Inoreader Circulatory Histidine levels for the assessment of disease activity in Takayasu arteritis A targeted NMR basedserum metabolomics study Via OMICS International Umesh Kumar View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Eosinophilic Esophagitis and IgG4: Is There a Relationship?

xlomafota.13 shared this article with you from Inoreader Eosinophilic Esophagitis and IgG4: Is There a Relationship? Via Latest Results for Digestive Diseases and Sciences Abstract Our knowledge of the pathophysiology of eosinophilic esophagitis is constantly evolving. There is significant association between eosinophilic esophagitis and atopy; however, multiple studies have refuted the role of IgE in its pathogenesis. Instead, new data have demonstrated an elevated IgG4 level in patients with eosinophilic esophagitis. We review the current understanding of eosinophilic esophagitis pathogenesis and highlight the increasing evidence for the role of IgG4. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.