This study has showed a dose-dependent protective effect of GnRH analogue on ovarian reserve against ovarian toxic chemotherapy, thus demonstrating an important role of GnRH analogues in fertility preservation.
Objective: Intermittent gastric volvulus is a rare disease that requires high index of suspicion for diagnosis and treatment. The incidence and prevalence is unknown, may be due to under reporting or under diagnosis. Gastric volvulus may be transient producing few symptoms. The Borchardt’s Triad may be present only during an acute presentation. Common symptoms may mislead to diagnose a nonsurgical disease if an evaluation is not done, keeping in mind a possibility of gastric volvulus, even if a UGI scopy is normal. Cases may be submerged in the community being undiagnosed. Case Series: CASE 1: 21 yrs old male with intermittent abdominal pain for 1(1/2) yrs with marfanoid habitus, MVP and a normal UGI scopy. BMS revealed an Organo-Axial Volvulus and ligament laxity per-operatively. CASE 2: 65 yrs old diabetic female with vomiting and abdominal pain for 3 months and left sided pneumonitis. UGI scopy showed twisted gastric folds immediately below OGJ and inability to visualise antrum. BMS revealed mixed volvulus with paraesophageal herniation of distal stomach. Per-operatively there was laxity of ligaments with omental content alone within the diaphragmatic rent. Posterior retrocolic sub-mucosal gastrojejunostomy(pexy) was done for all cases. Conclusion: Gastric volvulus should be thought of in a case of chronic intermittent abdominal pain with normal baseline evaluation. A Chest X-ray and BMS should be done, at the time of symptoms
The roentgenographic morphology of the wrist has been described in textbooks and in articles but no ethnographic differences were reported. This study aims to identify normal radiographic anthropometry reference values and variations according to age and sex of carpal bones and joints in healthy Egyptians that might be useful in clinical practice. Selected landmarks were digitized on 300 posteroanterior wrist radiographs of asymptomatic volunteers. Men and women were equally represented as were two age groups (20-40 years and above 40-60 years). The roentgenograms were made, with standard exposure with the wrist and forearm in the neutral positions. It was found that in all age groups, males showed higher values than females in most of the measurements. The width of the distal radio-ulnar joint space, ulnar variance and length of the 3rd metacarpal were reduced in older subjects while radius of radio-carpal joint arc, carpal height, carpal-ulnar ratio and radial inclination were increased in older subjects. In ulnar variance and radial inclination, there were differences with respect to those reported in Mexicans and in Japanese. Information regarding normal values in wrist measurements could be used as the normal reference value for the evaluation of surgical management and follow-up of the wrist abnormalities.
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