Esophageal intramural pseudodiverticulosis (EIP) is a rare condition of unknown etiology. It is characterized by multiple, small, flaskshaped outpouchings in the esophageal wall. Involvement may be segmental or diffuse. Since this entity was first reported in 1960, there have been 43 cases described in the English literature. These cases are reviewed and six additional cases are reported with emphasis on clinical and radiographic parameters of this entity.
We report estimated stable isotope compositions of depositional waters and paleoprecipitation from the Cretaceous Arctic to further elucidate the role of the global hydrologic cycle in sustaining polar warmth during that period. Estimates are based on new hydrogen isotopic analyses of n-alkane biomarkers extracted from Late Cretaceous and mid-Cretaceous terrestrial deposits in northern Alaska and the Canadian High Arctic. We integrate these new results with earlier published work on oxygen isotopic analyses of pedogenic siderites, dinosaurian tooth enamel phosphates, and pedogenic clay minerals from the same field areas. Average Late Cretaceous δD values of −143‰ VSMOW corresponded with average δ18O values of −24.1‰ VSMOW, and average mid-Cretaceous δD values of −106‰ VSMOW corresponded with average δ18O values of −22.1‰ VSMOW. The distributions of water isotope δD and δ18O values from Cretaceous Arctic deposits do not intersect with the Global Meteoric Water Line, suggesting an apparent deuterium excess ranging from about 40 to 60 per mil. We considered several possible explanations for these Cretaceous results including (1) mass-balance changes in zonal patterns of evaporation and precipitation at lower latitudes, (2) concentration of 2H in leaf tissue waters from continuous transpiration by coniferous paleofloras during the Arctic growing season, and (3) concentration of 2H in the groundwaters of methane-emitting Arctic soils.
The sonographic and CT appearance of squamous cell carcinoma of the renal pelvis is described. Clinical presentation, pathology, and radiologic diagnosis of this rare urothelial tumor are discussed. The sonographic or CT appearance may suggest this diagnosis preoperatively.
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