Watchful waiting experience for solid renal masses: insight into the natural history of incidentalomas

Abstract Background The natural course of a vortex vein varix, though not well understood, has been known to remain stable. However, here we report a novel case of a vortex vein varix that resolved after an extended period of monitoring. Case presentation An asymptomatic 96-year-old Caucasian man was found to have a vortex vein varix. At his previous examination 13 months prior, his fundus was normal. At 13 months of observation, his vortex vein varix become clinically undetectable. Further follow-up confirmed continued absence of the varix. Conclusion This case demonstrates the development then clinical resolution of a vortex vein varix with no clear identifiable factors for its evolution. This case is novel and offers new insight into the natural history of some vortex vein varices, implicating venous congestion as an instigator and venous collateralization as its alleviator, suggesting that vortex vein varices are likely more common than previously reported since some may be temporary and under-identified.

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Penetrating Proximity Wounds and Minimal Arterial Injuries may not be so Benign

Surgical Case Reports ◽

10.31487/j.scr.2019.04.08 ◽

2019 ◽

pp. 1-4

Author(s):

Jonathan Gates ◽

Dina Tabello ◽

Alfred Croteau ◽

Adam Shen ◽

Nishant Merchant

Keyword(s):

Natural History ◽

Watchful Waiting ◽

Arterial Injury ◽

Standard Approach ◽

Vascular Injuries ◽

Arterial Injuries ◽

History Of

There is a well-established body of literature in the management of vascular injuries that underscores the benign natural history of minor so-called occult arterial injuries. The standard approach for the management of the proximity extremity wound has evolved into one of watchful waiting. We present a case of an occult arterial injury that declared itself with an acute arterial bleed after about 30 hours of observation indicating that caution and preparation remain critical in the management of these patients.

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Early Airway Pathological Changes in Children: New Insights into the Natural History of Wheezing

Journal of Clinical Medicine ◽

10.3390/jcm8081180 ◽

2019 ◽

Vol 8 (8) ◽

pp. 1180 ◽

Cited By ~ 1

Author(s):

Matteo Bonato ◽

Mariaenrica Tiné ◽

Erica Bazzan ◽

Davide Biondini ◽

Marina Saetta ◽

...

Keyword(s):

Natural History ◽

Genetic Background ◽

Current Knowledge ◽

Persistent Asthma ◽

Epidemiological Studies ◽

Airflow Limitation ◽

Clinical Expression ◽

Heterogeneous Condition ◽

History Of ◽

Insight Into

Asthma is a heterogeneous condition characterized by reversible airflow limitation, with different phenotypes and clinical expressions. Although it is known that asthma is influenced by age, gender, genetic background, and environmental exposure, the natural history of the disease is still incompletely understood. Our current knowledge of the factors determining the evolution from wheezing in early childhood to persistent asthma later in life originates mainly from epidemiological studies. The underlying pathophysiological mechanisms are still poorly understood. The aim of this review is to converge epidemiological and pathological evidence early in the natural history of asthma to gain insight into the mechanisms of disease and their clinical expression.

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The natural history of incidentally detected small renal masses

Cancer ◽

10.1002/cncr.20025 ◽

2004 ◽

Vol 100 (4) ◽

pp. 738-745 ◽

Cited By ~ 371

Author(s):

Alessandro Volpe ◽

Tony Panzarella ◽

Ricardo A. Rendon ◽

Masoom A. Haider ◽

Filippos I. Kondylis ◽

...

Keyword(s):

Natural History ◽

Small Renal Masses ◽

Renal Masses ◽

History Of

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Insight into the natural history of primary biliary cirrhosis: A systemic review of data from placebo-controlled clinical trials

The Turkish Journal of Gastroenterology ◽

10.5152/tjg.2016.15535 ◽

2016 ◽

Vol 27 (4) ◽

pp. 342-348 ◽

Cited By ~ 1

Author(s):

Ping Xu ◽

Lan Li ◽

Chaohui Yu ◽

Youming Li

Keyword(s):

Clinical Trials ◽

Primary Biliary Cirrhosis ◽

Natural History ◽

Systemic Review ◽

Biliary Cirrhosis ◽

Controlled Clinical Trials ◽

History Of ◽

Insight Into

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The Sense-organs and Perceptions of Fishes; with Remarks on the Supply of Bait

Journal of the Marine Biological Association of the United Kingdom ◽

10.1017/s0025315400072118 ◽

1890 ◽

Vol 1 (3) ◽

pp. 225-256 ◽

Cited By ~ 73

Author(s):

W. Bateson

Keyword(s):

Natural History ◽

Sense Organs ◽

Marine Animals ◽

Practical Solution ◽

Biological Association ◽

Marine Biological ◽

Marine Biological Association ◽

History Of ◽

Insight Into

The Council of the Marine Biological Association appointed me, in 1889, to make observations on the perceptions of fishes, and especially on those which constitute the modes by which they hunt for and recognise their food. It was suggested that this subject should be treated in as wide a manner as possible, and in accordance with this suggestion I have endeavoured to utilize any opportunities which presented themselves of getting an insight into the natural history of marine animals. In addition to this I have also made some experiments towards the practical solution of the bait question, both by making artificial baits, and by endeavouring to preserve materials which are already in use for bait.

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Evolution of the treatment of cerebral vasospasm

Neurosurgical FOCUS ◽

10.3171/foc.2006.20.6.4 ◽

2006 ◽

Vol 20 (6) ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Scott Y. Rahimi ◽

John H. Brown ◽

Samuel D. Macomson ◽

Michael A. Jensen ◽

Cargill H. Alleyne

Keyword(s):

Subarachnoid Hemorrhage ◽

Natural History ◽

Cerebral Vasospasm ◽

Successful Treatment ◽

Aneurysmal Subarachnoid Hemorrhage ◽

Disease Process ◽

Acute Setting ◽

The Past ◽

History Of ◽

Insight Into

✓ Cerebral vasospasm following aneurysmal subarachnoid hemorrhage (SAH) is a disease process for which the lack of effective treatments has plagued neurosurgeons for decades. Historically, successful treatment after SAH in the acute setting was often followed by a rapid, uncontrollable deterioration in the subacute interval. Little was known regarding the nature and progression of this condition until the mid-1800s, when the disease was first described by Gull. Insight into the origin and natural history of cerebral vasospasm came slowly over the next 100 years, until the 1950s. Over the past five decades our understanding of cerebral vasospasm has expanded exponentially. This newly discovered information has been used by neurosurgeons worldwide for successful treatment of complications associated with vasospasm. Nevertheless, although great strides have been made toward elucidating the causes of cerebral vasospasm, a lasting cure continues to elude experts and the disease continues to wreak havoc on patients after aneurysmal SAH.

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