Superficial Thrombophlebitis of the Lower Limb: Practical Recommendations for Diagnosis and Treatment

2005 ◽  
Vol 105 (2) ◽  
pp. 145-147 ◽  
Author(s):  
M. G. R. De Maeseneer
Keyword(s):  
Lower Limb ◽  
Diagnosis And Treatment ◽  
Superficial Thrombophlebitis ◽  
Practical Recommendations

Leg Varices Originating from the Pelvis: Diagnosis and Treatment

Vascular ◽  
2007 ◽  
Vol 15 (2) ◽  
pp. 70-78 ◽  
Author(s):  
Milka Greiner ◽  
Geoffrey L. Gilling-Smith
Keyword(s):  
Effective Treatment ◽  
Lower Limb ◽  
Varicose Veins ◽  
Diagnosis And Treatment ◽  
Repeat Surgery ◽  
Recurrent Reflux ◽  
Venous Circulation ◽  
Platinum Coils

This article reports the investigation and treatment of 24 women presenting with recurrent lower limb varicosities secondary to reflux within the pelvic venous circulation. Diagnosis based on selective retrograde pelvic phlebography enabled precise identification and classification of sites of incompetence. A total of 74 veins were treated by embolization with platinum coils and glue prior to repeat surgery to the lower limb veins. At 4-year follow-up, signs of stasis had disappeared in all patients. Repeat phlebography revealed no evidence of recurrent reflux at the sites of treatment. One patient developed recurrent varices due to incomplete embolization of incompetent pelvic veins. Endovascular occlusion of incompetent pelvic veins is an effective treatment for varicose veins secondary to pelvic venous incompetence.

Traumatic Anterior Knee Dislocation with Popliteal Artery Injury: The Importance of a Prompt Diagnosis and Treatment to Obtain Lower Limb Salvage

2017 ◽  
Vol 43 ◽  
pp. 309.e1-309.e3 ◽  
Author(s):  
Mafalda Massara ◽  
Roberto Prunella ◽  
Giovanni De Caridi ◽  
Domenico Cito ◽  
Raffaele Serra ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Popliteal Artery ◽  
Lower Limb ◽  
Knee Dislocation ◽  
Diagnosis And Treatment ◽  
Artery Injury ◽  
Anterior Knee ◽  
Prompt Diagnosis

scholarly journals Presacral Tumor: Insights From a Decade’s Experience of This Rare and Diverse Disease

2021 ◽  
Vol 11 ◽  
Author(s):  
Zeyu Li ◽  
Min Lu
Keyword(s):  
Malignant Tumor ◽  
Lower Limb ◽  
Digital Rectal Examination ◽  
Operation Time ◽  
Diagnosis And Treatment ◽  
Benign Tumors ◽  
Presacral Space ◽  
Hormonal Changes ◽  
Presacral Tumor ◽  
Advantages And Disadvantages

BackgroundPresacral tumors are a group of rare and heterogeneous tumors that arise from the potential presacral space between the rectum and sacrum. The low occurrence and diverse origins make the diagnosis and treatment of these tumors a challenge. The aim of the study was to retrospectively review patient demographics and to identify advantages and disadvantages in the diagnosis and treatment of these tumors.MethodsRetrospectively collected and reviewed data from patients who received treatment of presacral tumors at the First Affiliated Hospital of China Medical University between August 2009 and June 2019.ResultsThe data from forty-four patients (33 females) with a median age of 50 years who were diagnosed with a presacral/retrorectal tumor were analyzed. The majority of tumors were congenital (61.4%) and benign tumors are more common (59.1%). The median age of patients with benign tumor was significantly higher than that of malignant tumor. The most common symptoms were sacrococcygeal/perianal pain (56.8%) and mass (36.4%), and 8 out of 9 patients having lower limb symptoms diagnosed with malignant tumor. The tumor detection rate of digital rectal examination was 75% and more than 90% of all patients underwent one or more radiology imaging exams for tumor diagnosis. Every patient had a biopsy result. The most common type of tumor was presacral cyst (40.9%) with overall tumor median size of 5.6 cm. Thirty-one (70.5%) patients underwent surgery, most often via the posterior route (83.9%). Posterior route surgery had significantly shorter operation time and tumors operated via posterior route were significantly smaller. The survival rate after surgery was 100%. The median course of disease was 6 months and median follow-up was 25 months.ConclusionsPresacral tumors have low occurrence and are more frequently observed in females in their 30s and 50s indicating a possible link between tumor occurrence and hormonal changes. Patients with lower limb symptoms were more likely to have a malignant presacral tumor. Posterior route was the most commonly utilized surgical approach. Supplementary iodine tincture treatment of cysts ruptured in operation could potentially be helpful in reducing the chance of recurrence.

scholarly journals Type 4 Cardiorenal Syndrome: Diagnosis and Treatment

2015 ◽  
Vol 1 (1) ◽  
pp. napoc.2015.1467
Author(s):  
Luca Di Lullo ◽  
Alberto Santoboni ◽  
Claudio Ronco
Keyword(s):  
Lower Limb ◽  
Clinical Presentation ◽  
Point Of Care ◽  
Cardiorenal Syndrome ◽  
Diagnosis And Treatment ◽  
Diagnostic Approach ◽  
Syndrome Diagnosis ◽  
Limb Edema

The clinical presentation of, and diagnostic approach taken for, a 63-year-old man with worsening dyspnea, chest heaviness and widespread lower limb edema, leading to a diagnosis of type 4 cardiorenal syndrome, is presented. The most appropriate approach at point of care is thoroughly discussed.

scholarly journals Practical Recommendations for the Management of Benign Adnexal Masses

2020 ◽  
Vol 42 (09) ◽  
pp. 569-576
Author(s):  
Rodrigo Manieri Rocha ◽  
Ionara Diniz Evangelista Santos Barcelos
Keyword(s):  
Ovarian Reserve ◽  
Treatment Options ◽  
Diagnosis And Treatment ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Adnexal Masses ◽  
Future Fertility ◽  
Long Term Impact ◽  
Practical Recommendations

Abstract Objective To perform a comprehensive review to provide practical recommendations regarding the diagnosis and treatment of benign adnexal masses, as well as information for appropriate consent, regarding possible loss of the ovarian reserve. Methods A comprehensive review of the literature was performed to identify the most relevant data about this subject. Results In total, 48 studies addressed the necessary aspects of the review, and we described their epidemiology, diagnoses, treatment options with detailed techniques, and perspectives regarding future fertility. Conclusions Adnexal masses are extremely common. The application of diagnosis algorithms is mandatory to exclude malignancy. A great number of cases can be managed with surveillance. Surgery, when necessary, should be performed with adequate techniques. However, even in the hands of experienced surgeons, there is a significant decrease in ovarian reserves, especially in cases of endometriomas. There is an evident necessity of studies that focus on the long-term impact on fertility.

Allergy in children: practical recommendations of the Finnish Allergy Programme 2008-2018 for prevention, diagnosis, and treatment

2012 ◽  
Vol 23 (2) ◽  
pp. 103-116 ◽  
Author(s):  
Anna S. Pelkonen ◽  
Mikael Kuitunen ◽  
Teija Dunder ◽  
Tiina Reijonen ◽  
Erkka Valovirta ◽  
...  
Keyword(s):  
Diagnosis And Treatment ◽  
Practical Recommendations
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