HighlightsTTE associated with PMDS is a rare case which is incidentally discovered during surgery of undescended testis.Early diagnosis and treatment is necessary to prevent malignancy.Follow-up for fertility assessment in the latter years should be counselled.
This study found that abnormal voiding parameters are present in patients with constipation even if LUTS are not present. Therefore, it is important that all patients presenting with constipation have their voiding function evaluated.
two other grade III patients based on the radiological findings. However, due to the appearance of necrotic bowel segments from the incision site, they underwent bowel resection and ileostomy during a bedside laparotomy. One of these patients improved clinically, but the other patient was lost in the early stages. Due to the deterioration seen in the clinical findings of 5 patients who were radiologically grade II, the decision for laparotomy was made initially. All of these 5 patients were discharged after an uneventful postoperative period.
Conclusion:In patients who are grade II radiologically, the decision for surgical intervention in an operating room can be made according to clinical deterioration. In infants who are grade III, and whose clinical condition is poor, bedside surgical intervention in the neonatal intensive care unit is preferable..
The aim of our study was to investigate the clinical prevalence of dilated cardiomyopathy (DCM) with predominantly failure of the right-side heart (right ventricular DCM, RV-DCM), and features of the clinical course and prognosis of the disease compared to DCM with biventricular heart failure (BV-HF).The study design suggests a prospective observation of 300 patients with idiopathic DCM between 2000 and 2012. Herewith, we followed the criteria of the WHO/ISFC task force (1995) on the definition and classification of cardiomyopathies. All patients underwent a comprehensive examination. Two groups were formed for further comparative analysis. Group 1 included 22 patients (mean age 42.9±14.3 years, male/female 5/17) with RV-DCM. Group 2 included 38 patients (mean age 43.6±13.8, male/female 29/9) with DCM and BV-HF. The groups were matched for age, NYHA class II-III, and disease duration. According to our aim, we studied 5-year survival prognosis and analyzed the incidence and causes of deaths, as well as the occurrence of nonfatal complications of the disease. Medical therapy for DCM patients was performed according to the CHF therapy guidelines (ACC/ AHA 2001.The results of our investigations during many years of research have shown that the clinical incidence of RV-DCM was 7.3% among all forms of DCM. The study of life prognosis in patients with 2 forms of DCM showed that 5-year mortality of patients was about 50%. Fatal pulmonary embolism was a leading cause (50%) in RV-DCM patients.
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