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https://www.readbyqxmd.com/read/28983163/angioleiomyoma-of-uterus-masquerading-as-malignant-ovarian-tumor
#1
Sweta Singh, Monalisha Naik, Narbadyswari Deep Bag, Susama Patra
Uterine angioleiomyoma is rare. A 40-year-old nulliparous woman presented with heavy menstrual bleeding (HMB) for the past 2 years and mass per abdomen with severe dysmenorrhea for three cycles. She had received 8 units of packed cell transfusion outside. Clinical examination revealed a huge 32-week-sized abdominopelvic mass with irregular margins. Ultrasonography (USG) of the abdomen and pelvis showed a large solid cystic mass on the right side of the abdomen with a well-defined hypoechoeic rounded lesion of size 5...
July 2017: Journal of Mid-life Health
https://www.readbyqxmd.com/read/28717870/laparoscopic-liver-resections-for-hepatocellular-carcinoma-can-we-extend-the-surgical-indication-in-cirrhotic-patients
#2
Federica Cipriani, Corrado Fantini, Francesca Ratti, Roberto Lauro, Hadrien Tranchart, Mark Halls, Vincenzo Scuderi, Leonid Barkhatov, Bjorn Edwin, Roberto I Troisi, Ibrahim Dagher, Paolo Reggiani, Giulio Belli, Luca Aldrighetti, Mohammad Abu Hilal
BACKGROUND: Evidence on the value of laparoscopic liver resections (LLR) for hepatocellular carcinoma (HCC) and severe cirrhosis is still lacking. The aim of this study is to assess surgical and oncological outcomes of LLR in cirrhotic HCC patients. METHODS: The analysis included 403 LLR for HCC from seven European centres. 333 cirrhotic and 70 non-cirrhotic patients were compared. A matched comparison was performed between 100 Child-Pugh A and 25 Child-Pugh B patients...
July 17, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28521786/role-of-routine-abdominal-ultrasonography-in-intensified-tuberculosis-case-finding-algorithms-at-hiv-clinics-in-high-tb-burden-settings
#3
Sonam Spalgais, Upasna Agarwal, Rohit Sarin, Devesh Chauhan, Anita Yadav, Anand Jaiswal
BACKGROUND: High proportion of TB in people living with HIV (PLHIV) is undiagnosed. Due to this active TB case finding is recommended for HIV clinics in high TB burden countries. Presently sputum examination and chest radiography are frontline tests recommended for HIV infected TB presumptives. Abdominal TB which occurs frequently in PLHIV may be missed even by existing programmatic intensified case finding protocols. This study evaluated the routine use of ultrasonography (USG) for active case finding of abdominal TB in HIV clinics...
May 18, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28511440/portal-venous-thrombosis-eosinophilic-vasculitis
#4
Vasanthi Natarajan, David Jose, Kevin John, Ashok Kumar Das
Portal Vein Thrombosis (PVT) is caused by various thrombophilic states. PVT secondary to underlying vasculitis especially Churg-Strauss disease is among the rarest presentation. Here, we report a case of peripheral eosinophilia, eosinophilic ascitis and venous thrombosis involving portal vein and superior mesenteric vein diagnosed as Churg-Strauss Syndrome (CSS). He was managed with steroids and anticoagulants. Following initiation of steroids, eosinophilia and eosinophilic ascitis improved.
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28286023/peritoneal-infection-due-to-peptoniphilus-harei-in-a-patient-with-intestinal-occlusion
#5
Fernando Cobo, Javier Rodríguez-Granger, Antonio Sampedro, José María Navarro-Marí
Peptoniphilus harei is a Gram-positive anaerobic coccus mainly involved in polymicrobial infections. We report a case of peritoneal infection in a patient with intestinal occlusion. A 48-year-old woman presented with ascitis after an occlusive syndrome. Culture of peritoneal fluid resulted on P. harei isolation. Treatment was performed and resolution of this infection was documented.
April 2017: Anaerobe
https://www.readbyqxmd.com/read/28155576/diagnosis-of-pseudomyxoma-peritonei-via-endoscopic-ultrasound-guided-fine-needle-aspiration-a-case-report-and-review-of-literature
#6
REVIEW
Umar Darr, Anas Renno, Turki Alkully, Zubair Khan, Abhinav Tiwari, Waleed Zeb, Jenna Purdy, Ali Nawras
INTRODUCTION: Pseudomyxoma peritonei (PMP) is a rare condition caused by mucinous adenocarcinoma cancerous cells that produce abundance of mucin or gelatinous ascites. This cancer can cause tissue fibrosis and can impair normal organ function. Diagnosis can involve multiple imaging modalities including CT scan. There have been few cases of endoscopic ultrasound (EUS) being used as a means for diagnosis of this condition. Here we report a second case of PMP with a previous history of appendectomy diagnosed with EUS guided fine needle aspiration (FNA) biopsy...
May 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/27785319/new-biochemical-parameters-in-the-differential-diagnosis-of-ascitic-fluids
#7
Anabela Angeleri, Adriana Rocher, Beatriz Caracciolo, Marcela Pandolfo, Luis Palaoro, Beatriz Perazzi
BACKGROUND: In the cases of ascitis, it is essential to determine their origin using the parameters obtained by the cytological and biochemical examinations. The aim of this study was to evaluate the usefulness of different biochemical markers and the number of cells in the differential diagnosis of ascitic fluid (AF). METHODS: One hundred ninety-one cases of AF were studied, who were admitted to the hospital from January 01, 2009 to December 31, 2014. One hundred fifty-two of them were included in the analysis, and the remaining 39 were excluded because they had more than one associated pathology, clotted or hemolyzed...
February 2016: Gastroenterology Research
https://www.readbyqxmd.com/read/27560015/computed-tomography-features-of-appendiceal-metastasis-in-patients-with-underlying-malignancy-comparison-with-pathological-findings
#8
COMPARATIVE STUDY
Mi Yeon Nam, Mi Young Kim, Yeo Ju Kim, Chang Hae Suh, Young Chae Chu, Dae Hyung Lee, Jae Sung Cho
OBJECTIVE: To evaluate the computed tomography (CT) findings compared with pathologic features and to determine whether CT findings are useful for diagnosis of appendiceal metastasis in patients with underlying malignancy. MATERIALS AND METHODS: Preoperative CT examinations of 59 patients who had underlying malignancy and underwent appendectomy were evaluated. Appendiceal metastasis (n = 21) and nonmetastasis (n = 38) were pathologically confirmed. Computed tomography features (appendiceal morphology and diameter, presence of ascites, rectal shelf, omental cake, lymphadenopathy or organ metastasis) were retrospectively reviewed, and compared with histopathological findings...
January 2017: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/27509708/chylous-ascitis-post-primary-living-donor-liver-transplantation-managed-by-dietary-modification
#9
Mohit Kehar, Nishant Wadhwa
No abstract text is available yet for this article.
October 2015: Tropical Gastroenterology: Official Journal of the Digestive Diseases Foundation
https://www.readbyqxmd.com/read/27453758/complex-histopathological-and-surgical-aspects-in-a-case-of-giant-malignant-gastric-perforation
#10
D Serban, C Branescu, C Savlovschi, A El-Khatib, C Tudor, A Nica, A Kraft, A M Dascalu
We present the case of a 52-year-old male patient, hospitalized on an emergency basis in the University Emergency Hospital in Bucharest, after being diagnosed with pneumoperitoneum acute abdomen, for which emergency surgery was mandatory. A 3,5-4 cm malignant gastric perforation, ascitis and peritoneal carcinomatosis were found. The histopathological exam revealed infiltrative mucinous gastric carcinoma with epiploic metastasis. Due to the lack of available gastric material, an atypical surgical solution was performed: gastric packing with epiploic material by means of transgastric traction...
April 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27040515/a-single-bnp-measurement-in-acute-heart-failure-does-not-reflect-the-degree-of-congestion
#11
RANDOMIZED CONTROLLED TRIAL
Hesham R Omar, Maya Guglin
INTRODUCTION: Multiple studies found a significant correlation between B-type natriuretic peptide (BNP) level and clinical severity of heart failure (HF). We aim to study the ability of a single BNP measurement to predict the degree of congestion in acute systolic HF. METHODS: Patients enrolled in the ESCAPE trial who were admitted with acute systolic HF were divided into tertiles according to baseline BNP level with comparison of the degree of congestion across tertiles using clinical signs of congestion as well as objective parameters of overload checked by the pulmonary artery catheter...
June 2016: Journal of Critical Care
https://www.readbyqxmd.com/read/26958336/a-case-report-of-peritoneal-tuberculosis-with-multiple-miliary-peritoneal-deposits-mimicking-advanced-ovarian-carcinoma
#12
Shahla Yazdani, Mahmod Sadeghi, Abolhasan Alijanpour, Mojgan Naeimi-Rad
BACKGROUND: Peritoneal tuberculosis accounts 1-2% of all forms of tuberculosis. Peritoneal tuberculosis is an important differential diagnosis for ovarian cancer in women with ascites, adnexal mass and elevated cancer antigen 125 (CA125) levels. We report a case of a 32- year -old woman with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma. CASE PRESENTATION: A 32-year-old drug addicted woman presented with menometrorrhagia, fever and shivering, ascites and pelvis mass...
2016: Caspian Journal of Internal Medicine
https://www.readbyqxmd.com/read/26894076/primary-epithelioid-angiosarcoma-of-spleen-a-case-report-and-review-of-literature
#13
Rania Abdallah Abdallah, Asmaa Gaber Abdou, Nancy Yousef Asaad, Dalia Rifaat Al-Sharaky, Alshimaa Mahmoud Alhanafy
Splenic angiosarcomas are usually secondary tumours, and only few primary cases have been encountered. We report a unique primary case of epithelioid angiosarcoma arising in the spleen in a male patient 55-year-old and presented to our hospital as a medical emergency with acute abdomen and haemorrhagic ascitis. CT revealed splenic focal lesion and suggested that this abdominal haemorrhage was due to ruptured splenic haemangioma, thus abdominal exploration and splenectomy were done. The histopathological examination showed an infiltrating ill-defined growth formed of high grade epithelioid cells arranged in sheet-like growth pattern, with occasional papillary appearance...
January 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26864729/bloodstream-infections-in-patients-with-liver-cirrhosis
#14
REVIEW
Michele Bartoletti, Maddalena Giannella, Russell Edward Lewis, Pierluigi Viale
Bloodstream infections are a serious complication in patients with liver cirrhosis. Dysregulated intestinal bacterial translocation is the predominant pathophysiological mechanism of infections in this setting. For this reason enteric Gram-negative bacteria are commonly encountered as the first etiological cause of infection. However, through the years, the improvement in the management of cirrhosis, the recourse to invasive procedures and the global spread of multidrug resistant pathogens have importantly changed the current epidemiology...
April 2, 2016: Virulence
https://www.readbyqxmd.com/read/26538990/a-rare-case-of-occult-abdominal-tuberculosis-with-poncet-s-disease-mimicking-adult-onset-still-s-disease
#15
Isha Sood, Gaurav M Kasundra, Prathibha Shankaranarayana Supriya, Aradhana Gupta, Bharat Bhushan
A 50-year-old female presented with fever, symmetrical arthralgias, rash, painful oral ulcerations and alopecia since 8 weeks. Examination showed mild hepatospleenomegaly. Investigations revealed leucocytosis, neutrophilia, elevated sedimentation rate and raised ferritin levels (3850 ng/ml). Computerized tomography (CT) abdomen showed hepatospleenomegaly, mild ascitis and mild bilateral pleural-effusion. After ruling out occult infections, tuberculosis, malignancies and autoimmune diseases by appropriate investigations, and due to raised ferritin levels, adult onset stills disease (AOSD) was diagnosed...
July 2015: Journal of Mid-life Health
https://www.readbyqxmd.com/read/26408739/diagnostic-accuracy-of-tumor-markers-cyfra21-1-and-ca125-in-the-differential-diagnosis-of-ascites
#16
Jaume Trapé, Gabriel Gurt, Josefina Franquesa, Jesús Montesinos, Anna Arnau, Maria Sala, Francesc Sant, Esther Casado, Josep Maria Ordeig, Carmen Bergos, Francesc Vida, Pau Sort, Álvaro Isava, Montserrat González, Rafael Molina
BACKGROUND: The usefulness of tumor markers in the differential diagnosis of cancer in patients with ascites remains a matter of controversy. Few studies have reported the measurement of cancer antigen 125 (CA125) and cytokeratin 19 soluble fragments (CYFRA21-1) in ascitic fluid. The aim of the present study was to evaluate the diagnostic accuracy of these tumor markers in the detection of malignant ascites. MATERIALS AND METHODS: We analyzed CA125 and CYFRA21-1 from 143 consecutive undiagnosed patients with ascitis...
October 2015: Anticancer Research
https://www.readbyqxmd.com/read/26254307/impaired-innate-immune-response-of-leukocytes-from-ascitic-fluid-of-patients-with-spontaneous-bacterial-peritonitis
#17
Juan Camilo Nieto, Elisabet Sánchez, Cristina Romero, Eva Román, Maria Poca, Carlos Guarner, Cándido Juárez, Germán Soriano, Silvia Vidal
An ascitic microenvironment can condition the immune response of cells from cirrhotic patients with spontaneous bacterial peritonitis. To characterize this response, we determined the cytokine concentrations in ascitic fluid and analyzed the phenotype and function of ascitic leukocytes at diagnosis and after antibiotic-induced resolution in sterile ascites and ascitic fluid of 2 spontaneous bacterial peritonitis variants: positive and negative bacteriological culture. At diagnosis, a high concentration was found of IL-6 and IL-10 in the ascitic fluid from negative and positive bacteriological culture...
November 2015: Journal of Leukocyte Biology
https://www.readbyqxmd.com/read/26104271/cyproterone-acetate-induces-a-wide-spectrum-of-acute-liver-damage-including-corticosteroid-responsive-hepatitis-report-of-22-cases
#18
Fernando Bessone, M I Lucena, Marcelo G Roma, Camilla Stephens, Inmaculada Medina-Cáliz, Bernardo Frider, Guillermo Tsariktsian, Nelia Hernández, Miquel Bruguera, Gisela Gualano, Eduardo Fassio, Joaquín Montero, María V Reggiardo, Sebastián Ferretti, Luis Colombato, Federico Tanno, Jaime Ferrer, Lelio Zeno, Hugo Tanno, Raúl J Andrade
BACKGROUND & AIMS: Cyproterone acetate (CPA), an anti-androgenic drug for prostate cancer, has been associated with drug-induced liver injury (DILI). We aim to expand the knowledge on the spectrum of phenotypes and outcomes of CPA-induced DILI. METHODS: Twenty-two males (70 ± 8 years; range 54-83) developing liver damage as a result of CPA therapy (dose: 150 ± 50 mg/day; range 50-200) were included. Severity index and causality by RUCAM were assessed. RESULTS: From 1993 to 2013, 22 patients were retrieved...
February 2016: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/26019604/biological-evaluation-of-new-potential-anticancer-agent-for-tumour-imaging-and-radiotherapy-by-two-methods-99m-tc-radiolabelling-and-epr-spectroscopy
#19
Yanka Karamalakova, Krishna Chuttani, Rakesh Sharma, Antoaneta Zheleva, Veselina Gadjeva, Anil Mishra
Recently, a new class of in vitro and ex vivo radiotracers/radioprotectors, the nitroxyl-labelled agent 1-ethyl-1-nitroso-3-[4-(2,2,6,6-tetramethylpiperidine-1-oxyl)]-urea (SLENU), has been discovered. Our previous investigations demonstrated that SLENU is a low-molecular-weight stable free radical which is freely membrane permeable, easily crosses the blood brain barrier and exhibited in/ex vivo the lowest general toxicity and higher anticancer activity against some experimental tumour models. Further investigation was aimed to develop a (99m)Tc-labelled SLENU (97%) as a chelator and evaluate its labelling efficiency and potential use as a tumour seeking agent and for early diagnosis...
November 2, 2014: Biotechnology, Biotechnological Equipment
https://www.readbyqxmd.com/read/25989502/spontaneous-splenorenal-shunt-in-liver-transplantation-results-of-left-renal-vein-ligation-versus-renoportal-anastomosis
#20
Nicolas Golse, Petru Octav Bucur, François Faitot, Mohamed Bekheit, Gabriella Pittau, Oriana Ciacio, Antonio Sa Cunha, René Adam, Denis Castaing, Didier Samuel, Daniel Cherqui, Eric Vibert
BACKGROUND: Management of portal inflow to the graft in patients with spontaneous splenorenal shunts (SRS) is a matter of concern especially in case of large varices (more than 1 cm). In case of portal vein (PV) thrombosis (PVT), renoportal anastomosis (RPA) directly diverts the splanchnic and renal venous blood assuring a good portal inflow to the graft. Disconnection of the portacaval shunt by left renal vein ligation (LRVL) is another option but requires a patent PV. The indication of primary RPA rather than LRVL in patients with small native PV, especially in case of large graft, should be questioned in these complex cases of liver transplantation...
December 2015: Transplantation
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