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Annals of Medicine and Surgery

Basim Rassam Ghadhban
Background: Advanced breast cancer is a common disease among female in the world. There is a correlation between cancer and hyper coagulation. In a cancer state, there is an increase in the level of cross-linked fibrin degradation product (d-dimer)which indicates systemic activation of fibrinolysis and hemostasis. So, there is a relation between increase d-dimer value and advanced breast disease. Objective: To confirm the relation between increase d-dimer levels and advanced breast carcinoma in female patients...
December 2018: Annals of Medicine and Surgery
Israa Mohammad Abd Al-Khaliq, Batool Mutar Mahdi
Background: Entamoeba histolytica is the parasitic amoeba which caused amebiasis in human and responsible of 100,000 deaths every year. There is currently no vaccine against this parasite. The innate and adaptive immunity are important in protection against infection. Aim of the study: To investigate the association between HLA-DRB1 and Entamoeba histolytica infection. Patients and methods: The study is a case-controlled consisted from thirty Iraqi Arab Muslims patients with Entamoeba histolytica infection...
December 2018: Annals of Medicine and Surgery
Salman AlSabah, Eliana Al Haddad, Fahd AlSaleh
Background: Bleeding due to unintentional injuries are a leading cause of death in the younger population. The immediate involvement of lay bystanders has been proven to be imperative in outcomes, however, there still is less than 30% of out-of-hospital resuscitation attempts initiated by them. Study design: The Stop the Bleed campaign was initiated in Kuwait in September-2017, with the aim to raise awareness and train the general public on emergency situations...
December 2018: Annals of Medicine and Surgery
Seong Hee Cho, Jin Sung Park, Woo-Kon Lee, Min-Kyoung Shin, Myunghwan Jung, Kyeong Min Lee, Kyu Jam Hwang, Dong Kyu Moon
Introduction: Strains of the genus Dermabacter is a recently established species, recognized as relatively rare opportunistic human pathogen, and is infrequently isolated from clinical specimens, including blood cultures, abscesses, wounds, bone, eye, and skin. Presentation of case: We present a 78-year old female with chronic symmetrical peripheral gangrene and hand infection. The patient underwent surgical debridement with amputation on gangrene with infection of both fingers...
December 2018: Annals of Medicine and Surgery
Clementi Marco, Bonanni Luigi, Sista Federico, Vicentini Vincenzo, Salvatorelli Andrea, Di Furia Marino, Puccica Ilaria, Guadagni Stefano
Introduction: internal supravesical hernia (ISH) is an exceptional subtype of internal hernia often presenting with small bowel obstruction (SBO). Its rarity makes preoperative suspicion and diagnosis very difficult in an emergency setting. Methods: we retrospectively analyzed the database of patients admitted in a single center emergency unit for small bowel occlusion (SBO) in virgin abdomen and treated by surgery from August 2013 to October 2018. The patients with intraoperative diagnosis of ISH were included in this study...
December 2018: Annals of Medicine and Surgery
Irean Garcia-Hernandez, Carlos A Lopez-Garcia, Servando Cardona-Huerta, Rocio Ortiz-Lopez, Jaime J Tamez Salazar, Mauricio Canavati Marcos, Eduardo Esteban-Zubero, David Verdin Gonzalez, Paloma Del C Monroig-Bosque, Gabriela Sofia Gomez-Macias
Introduction: Panniculits presents as an inflammation of the subcutaneous adipose tissue of the skin. In breast, panniculitis is very rare and is usually a manifestation of underlying inflammatory conditions. The typical presentation is palpable tender nodules, which in cases of breast panniculitis, triggers an extensive work up to exclude a malignancy. Herein we present a case of septal and lobar panniculitis in a female with clinical history of invasive ductal carcinoma. Presentation of the case: A 52-year old female with past medical history of invasive breast carcinoma 5 years prior to the presentation...
December 2018: Annals of Medicine and Surgery
Tuba Apaydın, Cem Başaran
Introduction: Hydatid cyst disease is a zoonosis provoked by Echinoccocus. Presentation of case: 17 year old male applied to our clinic with complaints of fatigue, lassitude, right chest pain and spitting of watery expectoration proceeding in 6 months. Computed tomographic scan indicated a 130*110 mm smooth contoured cavitary lesion located in the right middle lobe of the lung. Treatment with cystotomy and capitonnage successfully. Histopathologic examination confirmed hydatid cyst...
December 2018: Annals of Medicine and Surgery
Mithaq Sabeeh Khudur Al-Nassary, Batool Mutar Mahdi
Background: Hepatitis C virus is a small, enveloped, positive-sense single-stranded RNA virus that causes and liver cancer like hepatocellular carcinoma and lymphomas. Aim of the study : to assess different methods in diagnosis HCV infection. Patients and methods: A retrospective study of 426 patients was admitted to Al-Kindy Teaching Hospital, Baghdad-Iraq for surgical operations or renal dialysis from January-2015 to December-2016. Their serum tested for HCV Abs by rapid immunochromatography, Enzyme Linked ImunoSorbent Assay (ELISA), and RIBA test...
December 2018: Annals of Medicine and Surgery
Khalid Hureibi, Pradip Abraham, Osama Alsunidar, Charles Evans, Kai Leong, Ling Wong
Background/objective: Published studies have shown conflicting results regarding the benefit of Hyoscine Butylbrmoide use during colonoscopy in polyp and adenoma detection rates. This meta-analysis was conducted with the aim to summarize all available evidence. Methods: A literature search was carried out using PubMed, Ovid MEDLINE and the Cochrane Library database from inception to December 2017. Studies that compared the use of Hyoscine Butylbrmoide compared to placebo during colonoscopy were included...
December 2018: Annals of Medicine and Surgery
Marios Nicolaides, Luca Cardillo, Iakovos Theodoulou, John Hanrahan, Georgios Tsoulfas, Thanos Athanasiou, Apostolos Papalois, Michail Sideris
Objectives: There is substantial lack of guidance when it comes to the implementation of non-technical skills (NTS) in undergraduate medical education. This review aimed to identify and critically evaluate published literature on learning strategies for NTS in undergraduate medical education and to derive a training framework targeted towards standardizing future training interventions. Methods: A systematic review of the MEDLINE database was performed using a prospective protocol following PRISMA guidelines...
December 2018: Annals of Medicine and Surgery
Jesse K Sulzer, Amit V Sastry, Lauren M Meyer, Allyson Cochran, William C Buhrman, Erin H Baker, John B Martinie, David A Iannitti, Dionisios Vrochides
Introduction: Optimal fluid balance is critical to minimize anastomotic edema in patients undergoing pancreaticoduodenectomy. We examined the effects of decreased fluid administration on rates of postoperative pancreatic leak and delayed gastric emptying. Methods: Retrospective study of 105 patients undergoing pancreaticoduodenectomy at a single institution from January 2015 through July 2016. Stroke volume variation (SVV) was tracked and titrated during the procedure...
December 2018: Annals of Medicine and Surgery
Ryoichi Miyamoto, Yukio Oshiro, Naoki Sano, Satoshi Inagawa, Nobuhiro Ohkohchi
Background/aims: We evaluated the usefulness of three-dimensional (3D) images for pancreatoduodenectomy (PD), including the classification of the bile duct and vascular arrangement, i.e., hepatic artery, inferior mesenteric vein (IMV) and left gastric vein (LGV). We evaluated the extent to which this simulation affected the perioperative outcomes of PD. Methods: In all, 117 patients who underwent PD were divided into the without-3D (n = 53) and with-3D (n = 64) groups, and perioperative outcomes were compared...
December 2018: Annals of Medicine and Surgery
Alana Costa Borges, Marcelo de Sousa Cury, Gilberto F de Carvalho, Stella Maria Torres Furlani
Introduction: Intramural hematomas of the gastrointestinal tract are uncommom, usually located in the esophagus or duodenum, with idiophatic or secondary causes. We present a very rare case of gastric intramural hematoma caused by an unpublished etiology, with literature review. Case presentation: An elderly woman suffered acute thoracic aorta dissection followed by gastric intramural hematoma, diagnosed through endoscopy and computed tomography angiography. The treatment included endovascular aortic repair and conservative management...
December 2018: Annals of Medicine and Surgery
Ahmad Mahmoud Eweida, Hafsa Mohamed Ebeed, Mahmoud Fathy Sakr, Yasser Hamza, Essam Gabr, Tarek Koraitim, Hatem Fawzy Al-Wagih, Waleed Abo-Elwafa, Tarek Ezzat Abdel-Aziz, Ayman Sameh Nabawi
Background: The literature contains diverse and sometimes contradicting results about wound seroma following thyroidectomy. This is probably due to the subjective clinical estimation of seroma, or due to failure to differentiate between the occurrence of subcutaneous (SC) and deep wound collections. This work aimed at objectively investigating the factors affecting subcutaneous and deep wound seroma after thyroidectomy. Methods: The relation between various operative and clinico-pathological factors and the collection formation was prospectively analyzed in a cohort of 100 patients after conventional thyroidectomy...
December 2018: Annals of Medicine and Surgery
Kusay Ayoub, Nihad Mahli, M Fateh Dabbagh, Bashar Banjah, Bassel Banjah
Introduction: Although relatively rare, an obturator hernia is a significant cause of intestinal obstruction. It usually occurs in emaciated elderly females. Computed tomography is the imaging modality of choice to diagnose obturator hernias. Case report: In this report we present a case of an elderly female who presented to the emergency department with features suggesting bowel obstruction. The patient was admitted to the hospital and was initially managed conservatively...
December 2018: Annals of Medicine and Surgery
Nana Nagura, Kiyohito Naito, Ahmed Zemirline, Yoichi Sugiyama, Mayuko Kinoshita, Kenji Goto, Yoshiyuki Iwase, Kazuo Kaneko
Introduction: We report the case of volar dislocation of the ulnar head occurred after osteosynthesis for the treatment of distal radius fracture. Presentation of case: The patient, 68-year-old female, had the dorsal displaced left distal radius fracture and volar dislocation of the ulnar head. Osteosynthesis was performed using a volar locking plate without postoperative immobilization. Two weeks after surgery, volar dislocation of the ulnar head in distal radioulnar joint (DRUJ) was noted on CT...
November 2018: Annals of Medicine and Surgery
Kamal N Rezkallah, Khalid Barakat, Abdurraheem Farrah, Shesh Rao, Monica Sharma, Shyam Chalise, Teresita Zdunek
Introduction: Epstein Barr virus (EBV) is a human herpes virus 4, transmitted through intimate contact between susceptible persons and asymptomatic EBV shedders. It usually presents with fever, pharyngitis and lymphadenopathy. Majority of individuals with primary EBV infection recover uneventfully. Acute Acalculous Cholecystitis (AAC) is usually seen in hospitalized and critically ill patients with major trauma, shock, severe sepsis, total parenteral nutrition and mechanical ventilation...
November 2018: Annals of Medicine and Surgery
Sibtain Ahmed, Imran Siddiqui, Lena Jafri, Madiha Hashmi, Aysha Habib Khan, Farooq Ghani
Background: Sepsis is the leading cause of mortality in critically ill patients. Procalcitonin (PCT) is a promising marker for identification of bacterial sepsis. The aim of this study was to determine the diagnostic accuracy of serum PCT concentration in patients with suspected sepsis admitted to mixed medical-surgical Intensive care unit (ICU). Material and methods: A cross-sectional study conducted at section of Chemical Pathology, Department of Pathology and Laboratory Medicine and ICU...
November 2018: Annals of Medicine and Surgery
Faraz A Khan, Richard Mullins, Anna M Ledgerwood, Charles E Lucas
Purpose: Measuring total blood volume (TBV) in critically ill patients, using isotope techniques to determine red cell volume (RBCV) and plasma volume (PV) is laborious. Recently, PV measurement using a single bolus dose of tracers has been validated, thus, allowing TBV calculation using large venous hematocrit (LVHCT). However, this technique relies on using a correlation factor, the f-cell ratio, to adjust for differences in LVHCT and total body hematocrit (TBHCT). The normal f-cell ratio is 0...
November 2018: Annals of Medicine and Surgery
Jennifer C Pontré, Jessica M A Yin, Bernadette Brown, Krishnan Karthigasu, Bernadette McElhinney
Introduction: Whilst endometriosis is a relatively common condition, deeply infiltrating endometriosis (DIE) of the bladder is less so, and when medical treatment fails, surgical management is an effective option. We present a case report and surgical video of a patient undergoing combined laparoscopic and cystoscopic excision of deeply infiltrating endometriosis of the bladder. Design: Case report (Canadian Task Force Classification III) and step-by-step explanation of the surgery using video...
November 2018: Annals of Medicine and Surgery
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