This study confirms that ultrasound scans are effective in the diagnosis of equivocal ventral hernias. Advances in knowledge: The accuracy of ultrasound scanning specifically for ventral hernias is quantified, and are comparable to that of groin hernias.
The 95-degree-angled blade plate is an effective reduction aid and fixation device for aseptic nonunions of the proximal and distal femur with acceptable healing rates with one surgery alone.
A nuchal-type fibroma is a rare, benign fibrous tumour that typically occurs in the posterior neck along the midline, but can occur in extra-nuchal locations, most commonly in the back, shoulder and face. We present a biopsy-proven case that arose as a result of heavy gym-related activities. In particular, a heavy barbell was rested on his vertebral prominence at the level of C7/T1 during leg squatting. Repetitive trauma as a cause for extra-nuchal-type fibromas has been sparsely reported, but we suggest that sustained high pressure is an additional required feature. Although this lesion was in the posterior neck, it was contained entirely within the subcutaneous tissues without involvement of the nuchal ligament. Hence, it was considered an extra-nuchal fibroma. A description of key ultrasound and MRI imaging characteristics are provided to assist in making the diagnosis, along with a review of the current literature and a discussion of differential diagnoses.
Visceral artery aneurysms are focal pathologic dilatations arising within the splanchnic arterial circulation, which comprises the celiac artery, the superior and inferior mesenteric arteries, and their branches. 1 Of these, splenic artery aneurysms (SAA) are the most common as they account for 60% of all visceral artery aneurysms, followed by hepatic artery, superior mesenteric artery, and celiac artery aneurysms. 1,2 The estimated prevalence of true SAA varies from 0.01% to 0.2% in the general population. Female gender is an important risk factor as SAA have a 4:1 predominance in women compared with men. [1][2][3]
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