Fetal intestinal volvulus without malrotation is a rare, life-threatening disease. Left untreated, hemorrhage from necrotic bowel tissue will lead to severe fetal anemia and even intrauterine death. We encountered a case of fetal intestinal volvulus causing severe anemia, which was diagnosed postnatally and successfully treated with surgical intervention.
HighlightsMammary-type Myofibroblastoma of the Inguinal Region is very rare.Prognosis of this disease is good after surgical resection.The correct diagnosis and treatment is important.We think that it is useful to share knowledge widely about this disease.
There is no consensus guidelines for treating duodenal variceal bleeding, which is a rare and life-threatening complication of portal hypertension. Here we report an exceedingly unusual case in a 9-year-old boy who had developed left-sided portal hypertension after surgical treatment for pancreatoblastoma followed by a duodenal variceal bleeding with massive melena, severe anemia (hemoglobin 4.5 g/dL) and hypovolemic shock. Emergency partial splenic arterial embolization (PSE) provided a reduction of variceal bleeding and improved blood pressure. Endoscopic injection sclerotherapy (EIS) was subsequently performed and stopped the duodenal variceal bleeding without the complication of portal vein thrombosis caused by injected sclerosant under hepatopetal flow. Our case demonstrates that emergency combined therapy with PSE and EIS can be considered as the therapeutic option for the management of left-sided portal hypertension-induced ectopic variceal bleedings in order to avoid the complication of portal embolization by EIS and provide effective hematostasis.
A 75-year-old woman was admitted to our hospital with a rapidly growing tumor in her left breast. Physical examination revealed a hard tumor with a diameter of 40 mm, located in the A area of the left breast. Ultrasonography, CT, and MRI showed a tumor with a cystic lesion, and no metastasis of the lymph node and other organs. Fine needle aspiration cytology suggested that the tumor was a giant cell tumor ; consequently, a partial mastectomy was performed. Histopathologically, the tumor was diagnosed as a primary osteosarcoma of the breast. Seven months after the operation, the patient died because of pleural dissemination despite receiving radiation therapy.
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.