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Ahmet Guner, Alev Kılıcgedik, Macit Kalçık, Mehmet Ozkan
Coronary embolism (CE) is the underlying cause of 3% of acute coronary syndromes but is frequently overlooked in the differential diagnoses of acute coronary syndromes. The CE may be direct (left sided from the native or prosthetic heart valve, the left atrium, left atrial appendage or pulmonary venous bed), paradoxical (from the venous circulation through a patent foramen ovale, atrial septal defect, ventricular septal defects, cyanotic congenital heart defects or pulmonary arteriovenous malformations), or iatrogenic (following cardiac interventions...
August 13, 2018: Echocardiography
Takuya Saito, Kohei Yasui, Shintaro Kurahashi, Kenichi Komaya, Seiji Ishiguro, Takashi Arikawa, Shunichiro Komatsu, Kenitiro Kaneko, Masahiko Miyachi, Tsuyoshi Sano
BACKGROUND: Intrapericardial diaphragmatic hernia (IPDH), defined as prolapse of the abdominal viscera into the pericardium, is a rare clinical condition. This case illustrates the possibility of IPDH after esophagectomy with antethoracic alimentary reconstruction, although such hernias are extremely rare. IPDH often presents with symptoms of bowel obstruction such as abdominal discomfort or vomiting. If not properly treated, life-threatening necrosis and/or perforation of the herniated contents may occur...
August 13, 2018: Surgical Case Reports
Yohann Renard, Louis de Mestier, Clémence Balaj, Jean-Michel Arnoux, Marc Labrousse, Gabriela Hossu, Manuela Perez
Surgical laparoscopic procedures in the retroperitoneal and supramesocolic spaces are increasingly frequent. There is a high risk of iatrogenic intraoperative injury of the retroperitoneal lymphatic structures during these procedures. A precise understanding of the anatomy of the thoracic duct (TD) and the cisterna chyli (CC) is essential for safe surgical procedures in this area. However, routine imaging procedures rarely and often incorrectly visualize the CC. The objective of this study was to evaluate the feasibility of a retrograde injection of the TD to fill the CC with a contrast agent in 16 human cadavers...
August 12, 2018: Journal of Anatomy
Daniel Ruter, Wei Chen, Ramon Garza, Daniel Eiferman, Roman Skoracki
BACKGROUND: The standard of care for treatment of lymphedema is manual lymphatic drainage and compression therapy, which is time intensive and requires a life-long commitment. Autologous lymph node transfer is a microsurgical treatment in which a vascularized lymph node flap is harvested with its blood supply and transferred to the lymphedematous region to assist with lymph fluid clearance. An ideal donor lymph node site minimizes the risk of iatrogenic lymphedema and other donor site morbidity...
October 2018: Journal of Surgical Research
Daisuke Tamura, Daichi Maeda, Sultan Ahmad Halimi, Masato Okimura, Yukitsugu Kudo-Asabe, Satoru Ito, Naoki Sato, Junji Shibahara, Hiroshi Nanjo, Yukihiro Terada, Akiteru Goto
AIMS: Uterine adenomatoid tumour (AT) is a benign proliferation of cells showing mesothelial differentiation within the myometrium that usually presents as a single nodule. Rare diffuse uterine ATs have been reported, often in patients undergoing immunosuppressive therapy. Herein, we aimed to elucidate the general association between the incidence of uterine AT and iatrogenic immunosuppression by cohort analysis. METHODS AND RESULTS: We analysed 611 consecutive hysterectomy specimens to determine the incidence of AT and its correlation with the immunosuppressive status...
August 11, 2018: Histopathology
Michael J Bartiss
PURPOSE OF REVIEW: As the population ages, the number of patients presenting to ophthalmologists with complaints of double vision is increasing. RECENT FINDINGS: Diplopia is known to occur for optical, neuroophthalmological, strabismological and even iatrogenic reasons following various ophthalmic surgical procedures. The mainstays of the nonsurgical treatment of diplopia including no treatment, partial or total occlusion, press-on or ground in prisms and vergence exercises (to increase fusional vergence amplitudes) have been utilized for some time...
September 2018: Current Opinion in Ophthalmology
Tetsuro Ohba, Shigeto Ebata, Hiroki Oba, Kensuke Koyama, Hirotaka Haro
STUDY DESIGN: This was a retrospective cohort study using consecutive patients. OBJECTIVES: The objectives of this study were to evaluate the effect of lumbar lordosis (LL) construction on postoperative reciprocal progression of thoracic kyphosis (TK) and occurrence of proximal junctional kyphosis (PJK) following surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA: A large postoperative TK has been reported as an iatrogenic risk factor for PJK following surgery for ASD...
August 7, 2018: Clinical Spine Surgery
Geetika Sabharwal, Aparna Daley, Ahmed Elhatw, Timothy Craig
We presented a case of a 69-year-old woman who experienced monthly episodes of facial swelling and nonpruritic, erythematous rash on her face, accompanied by high fever, nausea, headache, and neck pain over 1 year. Her symptoms started with myalgia, arthralgia, fever and neck stiffness, and headache, and then angioedema occurred, which was painful to touch. She underwent multiple iatrogenic diagnostic and therapeutic procedures that did not lead to the correct diagnosis. Subsequently, relevant immunology laboratory tests were conducted after a careful history and physical examination, which led to the diagnosis...
July 1, 2018: Allergy and Asthma Proceedings:
Rafia Farooq Peer, Nadeem Shabir
Modern medicine is given overarching importance to tackle disease in the human body than environmental determinants. Although, most of the literature confirms that the determinants of disease are there in the environment. Yet in the modern times what is being emphasized is highly limited and reductionist approach of curing ailments in the human body only, which is one of the desired interventions but is full of other side effects and risks leading to iatrogenic reactions. Most of the literature establishes that modern medicine is one of the major threats to the world health...
March 2018: Journal of Family Medicine and Primary Care
Michele Young
There is growing evidence that medical device-related pressure ulcers (MDRPUs) are an increasing healthcare concern. Prevention and management is complicated, as they are caused by devices that are often an essential part of treatment. All clinical staff have a duty of care to do no harm. Damage caused by medical devices is iatrogenic, that is, caused through treatment, and may be exacerbated by a lack of assessment and care. This paper details a proposal to reduce the incidence of MDRPU in one UK healthcare trust...
August 9, 2018: British Journal of Nursing: BJN
Ivan Ignjatovic, Dragoslav Basic, Milan Potic, Ljubomir Dinic, Aleksandar Skakic
INTRODUCTION: Distal urogenital fistulas (DUF) are usually iatrogenic and are uncommon in Europe. They occur in the urethra or near the bladder neck, and can be caused by vaginal hysterectomy, para-urethral cyst surgery, or erosion of the bladder or urethra from tension-free slings or meshes. The psychological and physical health consequences of DUF are devastating because most patients consider themselves "healthy" before surgery. Incontinence can appear after successful DUF closure due to previously occult incontinence or urethral incompetence...
August 1, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Kyle A Batton, Beau B Toskich, Jordan D LeGout, Candice W Bolan, Matthew T Grove, Jason T Lewis, J Mark McKinney, Tara J Brigham, Barbara L McComb
Disseminated peritoneal leiomyomatosis (DPL) is a rare variant of extrauterine leiomyomatosis with reported spontaneous and iatrogenic occurrences. It has been associated with hysterectomy and myomectomy. To our knowledge, reports have not yet substantiated occurrence following uterine artery embolization (UAE), which has become a routine minimally invasive alternative to surgery for the treatment of symptomatic leiomyomata. This report presents the case of a nulliparous premenopausal woman with no other contributory history who presented with DPL 3 years after UAE...
August 7, 2018: Cardiovascular and Interventional Radiology
Yiu Ming Wong
Fibrosis of skeletal muscle following acupuncture is an iatrogenic disorder. The present case illustrates a patient with a unilateral fibrotic formation on a thumb muscle after acupuncture injection therapy with red sage. The patient in the present case was a counter-terrorism police officer with right-handedness; he noted a palpable nodule three months after injection therapy at his left first dorsal interosseous in which the acupuncture point LI4 (He Gu) is located. He also found a reduction in the strength of his left pinch grip that noticeably affected his left handgun marksmanship...
September 2017: Journal of Pharmacopuncture
Massimo Imazio
Cardiac tamponade is a pericardial syndrome characterized by diastolic impairment due to the accumulation of pericardial fluid under pressure. It may be an acute life-threatening condition if not recognized and treated (e.g. cardiac tamponade by hemopericardium), or may present as a subacute condition allowing in some cases a delayed treatment.The causes of cardiac tamponade are the same as for pericardial effusion, primarily cancer in one third of cases (being lung cancer the most common type of cancer), bacterial infections (25% of cases), iatrogenic factors (15% of cases), and acute aortic disease with aortic dissection...
September 2018: Giornale Italiano di Cardiologia
Aparna Sodhi, Marie Crandall, William F Sasser, Bharti Jasra
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Christine E Cherella, David T Breault, Vidhu Thaker, Bat-Sheva Levine, Jessica R Smith
Context: In neonates, iatrogenic hypothyroidism can result from topical or intravenous (IV) iodine exposure. Data on intra-lymphatic iodine exposure, risk factors for disease severity, and timing of hypothyroidism are limited. Case descriptions: We report 4 cases of premature neonates with previously normal thyroid function tests (TFTs) who developed hypothyroidism after intra-lymphatic iodinated contrast. Cases 1 and 2, premature infants with complex medical histories, had chylous effusions and high-volume chest tube output requiring imaging with lymphangiograms on day of life (DOL) 97 and DOL 43, respectively...
July 31, 2018: Journal of Clinical Endocrinology and Metabolism
Emre Ozdemir, Fatma Kayaalti Esin, Cem Nazli
Pulmonary air embolism is a rare complication with a high probability of death. We present an air embolism case during permanent cardiac pacemaker implantation procedure. When the patient worsened hemodynamically, we saw a large air embolism in the main pulmonary trunk. Air embolism can be fatal, it is always iatrogenic, but is an avoidable complication.
June 30, 2018: Global Cardiology Science & Practice
Varun Singh Chauhan, Mohd Altaf Mir
BACKGROUND: The thermal burn is accidental and also is the hidden and worst complication of medical plaster application. This study evaluated clinical and aetiological profile and severity of plaster burns. METHODS: In Department of Burns, Plastic and Reconstructive Surgery from 1st August 2014 to 31st December 2015, six patients with plaster burn were assessed for total body surface area and depth of burn. The wounds were cultured and dressed with moist dressings daily till the surgical procedure and satisfactory healing...
May 2018: World Journal of Plastic Surgery
H Cao, H Zhou, F Yang, L Ma, X Zhou, T Tao, D Liu, N Xing, W Cheng, Z Feng
INTRODUCTION: The management of long ureteric strictures is very challenging, and ureteral substitution is necessary when end-to-end anastomosis can not be accomplished. OBJECTIVE: To evaluate the mid-term results of laparoscopic appendiceal interposition pyeloplasty in children with long ureteric strictures. METHODS: Between March 2010 and September 2016 four patients (median age 24 months, male/female 3/1) underwent laparoscopic appendiceal interposition pyeloplasty at the current hospital...
July 18, 2018: Journal of Pediatric Urology
Moritz Florian Kummann, Hannes Gruber, Dolores Woflram-Raunicher, Robert Zimmermann, Alexander Loizides
No abstract text is available yet for this article.
August 6, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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