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https://www.readbyqxmd.com/read/28712008/acute-lower-gastrointestinal-haemorrhage-outcomes-and-risk-factors-for-intervention-in-949-emergency-cases
#1
Kheng-Seong Ng, Natasha Nassar, Deanne Soares, Patrick Stewart, Marc A Gladman
PURPOSE: Outcomes of acute lower gastrointestinal haemorrhage (ALGIH) are mostly derived from studies performed in the sub-acute/elective rather than the emergency department (ED) setting. The aims of this study were to determine the incidence and outcomes of patients presenting to a tertiary hospital ED with ALGIH and to identify associated clinicopathological risk factors. METHOD: A retrospective observational cohort study of consecutive patients presenting with ALGIH to a tertiary hospital ED was performed...
July 15, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28710233/venobiliary-fistula-with-haemobilia-a-rare-complication-of-percutaneous-liver-biopsy
#2
Rotimi Ayoola, Parth Jamindar, Renee Williams
We describe a case of a 36-year-old man with a history of chronic hepatitis C who presented with abdominal pain 3 days after undergoing a percutaneous ultrasound-guided liver biopsy. Initial investigations revealed a venobiliary fistula with haemobilia and obstructive jaundice with direct bilirubin peaking at 9.2 mg/dL. He underwent an endoscopic retrograde cholangiopancreatography with sphincterotomy and stent placement, bilirubin decreased to 3.7 mg/dL, and the patient was discharged. The patient returned with recurrent abdominal pain and upper gastrointestinal bleeding with haemoglobin of 8...
July 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28710195/marantic-endocarditis-and-paraneoplastic-pulmonary-embolism
#3
Tiago Lobo Ferreira, Rosa Alves, Tiago Judas, Maria F Delerue
Cancer is frequently associated with a hypercoagulable state. Almost 15% of patients with cancer will suffer a thromboembolic event during their clinical course. The aetiology of this hypercoagulable state is multifactorial and includes procoagulant factors associated with malignancy as well as the host's inflammatory response. Cancer-associated thrombophilia can present as venous thromboembolism, migratory superficial thrombophlebitis, arterial thrombosis, disseminated intravascular coagulation, thrombotic microangiopathy and rarely non-bacterial thrombotic endocarditis (NBTE)...
July 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28709918/unroofed-coronary-sinus-syndrome-an-easily-corrected-congenital-anomaly-but-more-diagnostic-suspicions-are-needed
#4
Changcheng Chen, Lili Xu, Yi Xu, Ping Li, Shuo Liu, Bin You
BACKGROUND: Unroofed coronary sinus syndrome (URCSS) is a spectrum of cardiac anomalies in which part (partial type) or the entire common wall (complete type) between the coronary sinus (CS) and left atrium is absent. It is commonly associated with a persistent left superior vena cava (PLSVC). The PLSVC can even anomalously connect to the left atrium in complete type anomaly. URCSS has been reported to be associated with delayed diagnosis and life-threatening cerebral injury. The purpose of the present study was to review our experience with surgical correction of this often-concealed malformation and discuss methods for reducing diagnostic omission...
June 22, 2017: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/28705404/midterm-results-of-internal-iliac-artery-aneurysm-embolization
#5
A Pirvu, N Gallet, S Perou, F Thony, J-L Magne
OBJECTIVE: We describe the immediate and midterm results of endovascular treatment of isolated internal iliac artery aneurysms (IIAA). METHODS: This was a retrospective single center study. From 2005 to 2014, data from 20 consecutive patients who had an embolisation for an isolated atherosclerotic internal iliac artery aneurysm underwent an endovascular treatment. We retrospectively evaluated the technical aspects and outcomes. RESULTS: The mean aneurysm diameter was 42mm (range 30-97mm)...
May 2017: J Med Vasc
https://www.readbyqxmd.com/read/28703270/acute-myocardial-infarction-due-to-embolisation-from-the-thrombosed-coronary-artery-fistula-between-the-right-coronary-artery-and-the-left-atrium
#6
Rafał Wolny, Jerzy Pręgowski, Krzysztof Cyran, Adam Witkowski
No abstract text is available yet for this article.
2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28694247/a-case-of-unprovoked-precarious-patent-foramen-ovale-protuberance
#7
H Z R McConkey, M Ghosh-Dastidar, S R Redwood, V Bapat
This is a case of a precarious thrombotic mass straddling a patent foramen ovale which had already embolised to the pulmonary circulation. The diagnosis was initially deceptive and management challenging.
July 10, 2017: Echo Research and Practice
https://www.readbyqxmd.com/read/28690884/hepatic-or-cystic-artery-pseudoaneurysms-following-a-laparoscopic-cholecystectomy-literature-review-of-aetiopathogenesis-presentation-diagnosis-and-management
#8
REVIEW
Norman O Machado, Adil Al-Zadjali, Anupam K Kakaria, Shahzad Younus, Mohamed A Rahim, Rashid Al-Sukaiti
Pseudoaneurysms (PSAs) of the hepatic and/or cystic artery are a rare complication following a laparoscopic cholecystectomy (LC). Generally, PSA cases present with haemobilia several weeks following the procedure. Transarterial embolisation (TAE) is considered the optimal management approach. We report a 70-year-old woman who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with massive hemoperitoneum two weeks after undergoing a LC procedure in another hospital. She was successfully managed using coil TAE...
May 2017: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/28684434/optical-measurement-of-stem-xylem-vulnerability
#9
Timothy John Brodribb, Marc Carriqui, Sylvain Delzon, Christopher Lucani
The vulnerability of plant water transport tissues to a loss of function by cavitation during water stress is a key indicator of the survival capabilities of plant species during drought. Quantifying this important metric has been greatly advanced by non-invasive techniques that allow embolisms to be directly viewed in the vascular system. Here we present a new method for evaluating the spatial and temporal propagation of embolising bubbles in the stem xylem during imposed water stress. We demonstrate how the "optical method", previously used in leaves, can be adapted to measure the xylem vulnerability of stems...
July 6, 2017: Plant Physiology
https://www.readbyqxmd.com/read/28677101/non-perforated-peptic-ulcer-disease-multidetector-ct-findings-complications-and-differential-diagnosis
#10
REVIEW
Massimo Tonolini, Anna Maria Ierardi, Elena Bracchi, Paolo Magistrelli, Adriana Vella, Gianpaolo Carrafiello
Despite availability of effective therapies, peptic ulcer disease (PUD) remains a major global disease, resulting from a combination of persistent Helicobacter pylori infection and widespread use of nonsteroidal anti-inflammatory drugs. Albeit endoscopy definitely represents the mainstay diagnostic technique, patients presenting to emergency departments with unexplained abdominal pain generally undergo multidetector CT as an initial investigation. Although superficial ulcers generally remain inconspicuous, careful multiplanar CT interpretation may allow to detect deep ulcers, secondary mural and extraluminal signs of peptic gastroduodenitis, thereby allowing timely endoscopic verification and appropriate treatment...
July 4, 2017: Insights Into Imaging
https://www.readbyqxmd.com/read/28676073/one-year-symptom-severity-and-health-related-quality-of-life-changes-among-black-african-patients-undergoing-uterine-fibroid-embolisation
#11
Charles Mariara, Timona Obura, Nigel Hacking, William Stones
BACKGROUND: The main aim in the treatment of symptomatic fibroids by various modalities including uterine fibroid embolisation (UFE) is to alleviate symptoms and ultimately improve the quality of life. The efficacy of this modality of treatment in Black African women with significant fibroid burden and large uterine volumes is not clear. The main objective of the study was to examine potential changes in symptom severity among Black African patients 1 year following UFE for symptomatic uterine fibroids in a resource-constrained setting, rated using a validated questionnaire (UFS-QOL)...
July 4, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28673447/bleeding-from-gestational-trophoblastic-neoplasia-embolotherapy-efficacy-and-tumour-response-to-chemotherapy
#12
Z Wang, X Li, J Pan, J Chen, H Shi, X Zhang, W Liu, N Yang, Z Jin, Y Xiang
AIM: To evaluate retrospectively the impact of selective arterial embolisation (SAE) on the prognosis of patients with gestational trophoblastic neoplasia (GTN). MATERIALS AND METHODS: A retrospective analysis of the records of all patients with GTN between January 2005 and January 2015 was performed. Forty-one patients (mean age, 28.9 ± 7.6 years) with massive vaginal haemorrhage from GTN (including 27 cases of choriocarcinoma and 14 cases of invasive mole) were treated with SAE...
June 30, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28669457/secondary-partial-thrombosis-of-a-false-lumen-responsible-for-acute-mesenteric-embolisation
#13
M Z Ghariani, N Chakfé
No abstract text is available yet for this article.
June 29, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28668778/solitary-fibrous-tumour-of-the-pleura-presenting-as-a-giant-intrathoracic-mass
#14
Eleeza Raafat, Deepthi Karunasiri, Nader Kamangar
Solitary fibrous tumours (SFTs) are relatively rare neoplasms thought to originate from the submesothelial connective tissue. SFTs have been described in a variety of sites, including the pleura, orbit, lower respiratory tract, peritoneal cavity and heart. These neoplasms are usually benign, though locally aggressive, and metastatic behaviour has been observed in some cases. We describe a case of a 61-year-old man presenting with weight loss, poor appetite, malaise, worsening dyspnoea on exertion and lower extremity oedema, who was found to have a gigantic-21×21 cm-tumour occupying the entire right hemithorax causing compression and displacement of the mediastinum and liver...
June 30, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28664233/endovascular-treatment-of-wide-necked-visceral-artery-aneurysms-using-the-neurovascular-comaneci-neck-bridging-device-a-technical-report
#15
Julian Maingard, Hong Kuan Kok, Emma Phelan, Caitriona Logan, Dinesh Ranatunga, Duncan Mark Brooks, Ronil V Chandra, Michael J Lee, Hamed Asadi
INTRODUCTION: Visceral and renal artery aneurysms (VRAAs) are an uncommon clinical entity but carry a risk of rupture with associated morbidity and mortality. The rupture risk is particularly high when the aneurysms are large, of unfavourable morphology or in the setting of pregnancy and perioperative period. Endovascular approaches are now first line in the treatment of VRAA, but conventional techniques may be ineffective in excluding aneurysms with unfavourable anatomy such as those with wide necks or at arterial bifurcation points...
June 29, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28663365/outcome-after-percutaneous-edge-to-edge-mitral-repair-for-functional-and-degenerative-mitral-regurgitation-a-systematic-review-and-meta-analysis
#16
Mauro Chiarito, Matteo Pagnesi, Enrico Antonio Martino, Michele Pighi, Andrea Scotti, Giuseppe Biondi-Zoccai, Azeem Latib, Giovanni Landoni, Carlo Di Mario, Alberto Margonato, Francesco Maisano, Ted Feldman, Ottavio Alfieri, Antonio Colombo, Cosmo Godino
OBJECTIVES: Differences in terms of safety and efficacy of percutaneous edge-to-edge mitral repair between patients with functional and degenerative mitral regurgitation (MR) are not well established. We performed a systematic review and meta-analysis to clarify these differences. METHODS: PubMed, EMBASE, Google scholar database and international meeting abstracts were searched for all studies about MitraClip. Studies with <25 patients or where 1-year results were not delineated between MR aetiology were excluded...
June 29, 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28660821/major-haemorrhage-requiring-transarterial-embolisation-following-open-biopsy-of-an-unusual-neck-mass
#17
M Walsh, M Supriya, N Railton
A 65-year-old man presented with a right supraclavicular neck mass and right arm pain. Magnetic resonance imaging revealed a 96mm lesion in the upper thoracic paraspinal region extending into the deep supraclavicular fossa. The presentation was consistent with a sarcoma or lymphoma but fine needle aspiration was inconclusive. During open biopsy of the lesion, the patient had a rapid intraoperative haemorrhage of 1l from the tumour. Haemostasis could only be achieved by transarterial embolisation of the feeding vessel and the biopsy result confirmed Ewing's sarcoma...
July 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28657264/the-role-of-transcatheter-arterial-embolisation-in-the-management-of-epistaxis
#18
E O'Dwyer, W Torregianni, P Govender
No abstract text is available yet for this article.
February 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28655958/spontaneous-arterial-catheter-fracture-and-embolisation-unpredicted-complication
#19
Suresh Babu Kale, Senthilkumar Ramalingam
Arterial cannulation is a common procedure in the care and management of critically ill patients. Blood pressure measurement, arterial blood sampling and cardiac output determinations are a few primary reasons for arterial cannulation. This invasive catheter placement also imposes certain risks and clinical management problems like bleeding, thrombosis and hematoma formation. Fracture and embolisation of arterial catheters placed in the femoral region is a rare and serious complication that may result in arterial occlusion and thrombosis...
June 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28651746/the-management-of-colorectal-liver-metastases
#20
B Maher, E Ryan, M Little, P Boardman, B Stedman
Colorectal cancer remains a leading cause of cancer-related death in Europe. Approximately one-quarter of patients have synchronous hepatic metastases and metachronous liver metastases occur in a further 30%. The scope of surgery in management of colorectal metastases has evolved to include selected patients with extra-hepatic disease for whom R0 resection is considered feasible; however, locoregional treatments are increasingly recognised as viable management options in those patients deemed unsuitable for surgery and there is an expanding body of evidence regarding their ability to achieve local control and increase progression-free survival in the liver...
June 23, 2017: Clinical Radiology
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