Visceral artery aneurysms (VAAs) are a rare condition, in case of a rupture they have a high mortality rate up to 70%. Visceral artery aneurysms are seen more often these days with the more widespread use of computed tomography and angiography. There are various options for treating VAAs; open surgical repair, endovascular treatment, and laparoscopic surgery. We report 5 cases of visceral aneurysms, all treated differently--ligation, aneurysmectomy (with splenectomy), emergency and elective coil embolization, and conservatively. We will further give a review of the literature on etiology, diagnosis, and treatment options.
Short-term withdrawal of the lipid fraction in the PN mixture is associated with a significant reduction of plasma triglyceride concentration. Reintroduction was related to an increase of triglyceride concentration. In addition, liver enzyme abnormalities and leukocyte count reduced, whereas albumin levels increased, suggesting that even short withdrawal of the lipid emulsion diminished hepatocellular damage and systemic inflammation.
A case of femoral neck fracture is reported after electrical shock injury with 300 V direct current in a 41-year old male. He had two small full thickness burns on his left heel, probably the exit wounds. A fracture after electrical shock due to musculoskeletal contractions is a very rare condition. Surgeons caring for patients with electrical injury should be aware of the possibility of skeletal injuries. Without vigilance for these injuries, delay in diagnosis may occur.
stromal component comprised loose-spindled cells with no cytologic atypia or mitotic activity. The majority of the stromal cells contained homogenously eosinophilic hyaline intracytoplasmic inclusions. Immunohistochemically the spindled stromal cells were positive for smooth muscle actin, vimentin, and desmin, and negative for S100 protein. The inclusion bodies were highlighted by smooth muscle actin (Fig. 2).This case was diagnosed as a benign Phyllodes tumor with intracytoplasmic inclusion bodies identical to infantile digital fibromatosis (IDF) based on the morphology of the stromal and epithelial components. The clinical, mammographic, and ultrasonographic findings supported the diagnosis. The stromal cells in this tumor are similar to the stromal cells in IDF having fibroblastic and myofibroblastic morphology. The stromal cells were positive for smooth muscle actin, vimentin, and desmin in this tumor as described in IDF. As in IDF the inclusion bodies in our case highlighted the hollow pattern with smooth muscle actin. The presence of intracytoplasmic inclusion bodies in stromal cells with morphologic, immunohistochemical pattern similar to that of IDF in a case of benign phyllodes tumor is rare with two cases described so far. This is the only case where the inclusion bodies were found in FNAC, NCB, and resection specimen.A 59-year-old woman was treated for an adenocarcinoma of her left breast for which an ablation and sentinel node procedure was performed. Since the sentinel node was positive for adenocarcinoma an axillairy node dissection on the left side was performed. A wound drain was placed during this procedure (a) (b) Figure 2. Phyllodes tumor in excised specimen (H&E) (a). Inclusions highlighted with smooth muscle actin (b).
Proteus syndrome was originally described by Cohen and Hayden in 1979. The disorder was named Proteus syndrome by Wiedmann and colleagues in 1983 after Proteus, the giant Greek god of the sea. Proteus syndrome is a rare, sporadic, congenital polymorphic condition. Approximately 200 cases have been reported in the literature, but none has been associated with anal bleeding from hemorrhoids. We describe the case of a 21-year-old man with Proteus syndrome with severe anal bleeding. A hemorrhoidectomy was assumed to be too risky because of the massive venous abnormalities seen on CT. The patient was successfully treated by Doppler-guided haemorrhoidal artery ligation (DG-HAL). Six months after surgery, the patient has had no further episodes of anal bleeding.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.