Diagnosis and Management of Nonocclusive Mesenteric Ischemia

2018 ◽  
Vol 02 (03) ◽  
pp. 240-243
Author(s):  
Himani Agarwal ◽  
Anil Pillai ◽  
Sanjeeva Kalva

AbstractAcute hypoperfusion of the bowel without mechanical occlusion of the arterial or venous circulation is referred to as nonocclusive mesenteric ischemia (NOMI) and is responsible for approximately one fourth of all arterial causes of mesenteric ischemia. Patients present with nonspecific symptoms, making clinical diagnosis difficult. Prognosis is poor with high mortality rates. Mortality rates have improved during the past two decades from 80 to 50% due to early diagnosis and prompt initiation of treatment. In this review, we discuss the etiology, pathophysiology, and symptoms of NOMI as well as radiological findings and management along with comprehensive review of the literature.

2013 ◽  
Vol 26 (6) ◽  
pp. 475
Author(s):  
Michelle T. Casanova

Charophytes in the genus Lamprothamnium exhibit a large amount of diversity, particularly in the examples from Australia, although little of that variation has been recognised at species level in the past. The Australian members of the genus are revised here on the basis of extensive new collections, examination of specimens in herbaria and comprehensive review of the literature and available type material. The existing species Lamprothamnium macropogon (A.Braun) Ophel, L. inflatum (Fil. & G.O.Allen ex Fil.) A.García & Karol and L. heraldii A.García & Casanova are retained, eight new species are described (L. australicum Casanova, L. beilbyae Casanova, L. capitatum Casanova, L. compactum Casanova, L. coorongense Casanova, L. diminutum Casanova, L. macroanthum Casanova and L. stipitatum Casanova) and two taxa variously treated at infraspecific rank in Lychnothamnus are transferred to Lamprothamnium at species rank (L. cockajemmyense Casanova, L. tasmanicum (A.Braun) Casanova). Neither L. papulosum (Wallr.) J.Groves nor L. succinctum (A.Braun) R.D.Wood are confirmed for Australia after examination of the type material of these species. Species are distinguished by the arrangement of the gametangia, morphology of the fertile whorls and characteristics of the oospores. Four of these species are dioecious and nine are monoecious, which supports published conjectures concerning the biogeography of charophyte species (Proctor (1980): J. Phycol. 16, 218–233, doi:10.1111/j.1529-8817.1980.tb03023.x).


2020 ◽  
Vol 11 (4) ◽  
pp. 7822-7826
Author(s):  
Rakhi Issrani ◽  
Amal Alrayes ◽  
Arunpriya Srinivasan ◽  
Namdeo Prabhu ◽  
Zafar Ali Khan ◽  
...  

Supernumerary tooth (ST) are the developmental disorders that could be found in either of the dental arches. Whereas the single ST is quite a common entity, multiple ST are rare, especially when they are not related to any syndromes or disorders. The experience of observing one such case is reported in light of a review of the literature on this condition. This report describes  a case of a non-syndromic 22-year-old female who presented with multiple erupted and impacted ST in the mandibular premolar region. The patient was educated about the complications and consequences associated with ST and was advised for extraction of erupted supernumerary premolars and observation of the impacted ones but the patient denied any treating as ST were not causing any immediate problem. Radiographic assessment plays a pivotal part in early diagnosis and intervention as it aids in avoiding complications associated with ST, especially in non-syndromic cases or when they are asymptomatic. Patients should be counselled regarding the same with proper explanations of all the treatment options.


2006 ◽  
Vol 72 (8) ◽  
pp. 746-749 ◽  
Author(s):  
John M. Connell ◽  
David C. Han

Celiac artery aneurysms (CAA) are uncommon. Most are asymptomatic, but up to 20 per cent will present as surgical emergencies. We present a case of an asymptomatic CAA discovered in a 56-year-old male during evaluation for nephrolithiasis. Only rough estimates of the prevalence of CAA are available, ranging between 0.005 per cent and 0.05 per cent. There appears to be a slight male predominance, and atherosclerotic degeneration is the most common cause. Although most patients are asymptomatic, some will present with vague abdominal pain, nausea, vomiting, or symptoms of mesenteric ischemia. Rupture is a devastating presentation, with reported mortality rates from 35 per cent to 80 per cent. Repair is performed by ligation or reconstruction. Ligation should be considered in an urgent setting, with reconstruction preferred for elective repair. Morbidity and mortality from elective repair should not exceed 5 per cent. Repair of CAA should be undertaken unless major comorbid factors are prohibitive.


2013 ◽  
Vol 5 (1) ◽  
pp. 45-47
Author(s):  
A. Reklou ◽  
A. Kamparoudis ◽  
A. Mamopoulos ◽  
A. Lazaridis ◽  
P. Rakitzi ◽  
...  

Pheochromocytoma during pregnancy is rare and lethal to the mother and fetus. Its diagnosis is often missed during pregnancy and is usually made during labour or immediately postpartum with increased mortality rates for both the mother and fetus. Early diagnosis and timely, appropriate management reduce possible maternal and fetal complications. A case of pheochromocytoma recognized at early pregnancy is described


Author(s):  
Luca Giustiniano ◽  
Lucia Marchegiani ◽  
Enzo Peruffo ◽  
Luca Pirolo

Many decisions on IS investments have made during the past 20 years but yet, the extant literature does not provide a clear understanding of the phenomenon of IS outsourcing. This chapter answers two main questions relevant to researchers and practitioners: 1) What are the main findings so far in IS outsourcing literature? 2) What do we still need to learn? Through a comprehensive review of the literature, the authors offer systematization of the body of knowledge on outsourcing, its implications on firms’ boundaries, and the theoretical challenges. The MIS perspective appears to be very present, both by considering technology as part of the external environment and by exploring IS and IT as areas for important sourcing decision. In conclusion, implications for managers are drawn.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Marcela Mautone ◽  
Jessica Gray ◽  
Parm Naidoo

Emphysematous osteomyelitis is a rare but potentially fatal condition that must be considered whenever intraosseous gas is identified on imaging. The organisms implicated in most cases of emphysematous osteomyelitis are anaerobes or members of theEnterobacteriaceaefamily. Significant comorbidities, such as malignancy and diabetes mellitus, frequently predispose to this condition, and high mortality rates have been reported. The radiologist must be aware of the implications of identifying intraosseous gas in order to facilitate early diagnosis and expedite management. We report a unique case of a 58-year-old male with diabetes mellitus who presented with emphysematous osteomyelitis of the midfoot and necrotising fasciitis of the ipsilateral distal lower limb. Specimen cultures in this case revealed a pure growth of Group GStreptococcus.


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