scholarly journals A rare case of post-traumatic high-flow priapism requiring endovascular salvage with bilateral superselective microcoil embolization

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Aman B Williams ◽  
Lauren G Lax
Keyword(s):  
Peak Systolic Velocity ◽  
High Flow ◽  
Embolic Agent ◽  
Rare Occurrence ◽  
Feeding Vessels ◽  
Post Traumatic ◽  
Left And Right ◽  
Angiographic Result ◽  
Arterial Anatomy

Abstract Post-traumatic high-flow priapism is a rare occurrence, with potentially debilitating long-term erectile dysfunction if left unaddressed. Even rarer, however, is for the priapism symptoms to be caused by a single cavernosal arterial pseudoaneurysm, with feeding vessels from the distal branched vessels of ‘both’ the left and right internal pudendal arteries. To the best of our knowledge, we present the first documented case of endovascular salvage utilizing superselective microcoil embolization in the treatment of high-flow priapism caused by a singular pseudoaneurysm with bilateral inflow. Timing of symptoms, interpretation of imaging, multidisciplinary discussions, procedural risk, arterial anatomy and choice of embolic agent were all careful considerations in this case. Following embolization, this young gentleman ultimately had a successful angiographic result, normalization of his cavernosal artery peak systolic velocity on ultrasound and a full return to normal erectile function by 6 months.

Post traumatic prepubertal high-flow priapism: a rare occurrence

2007 ◽  
Vol 24 (3) ◽  
pp. 379-381 ◽  
Author(s):  
Eric Chung ◽  
John McKnight ◽  
Bruce Hosken
Keyword(s):  
High Flow ◽  
Rare Occurrence ◽  
Post Traumatic

Monitoring Effects of Catchment Management Practices on Phosphorus Loads into the Eutrophic Peel-Harvey Estuary, Western Australia

1986 ◽  
Vol 18 (4-5) ◽  
pp. 53-61 ◽  
Author(s):  
P. B. Birch ◽  
G. G. Forbes ◽  
N. J. Schofield
Keyword(s):  
Management Practices ◽  
Major Change ◽  
High Flow ◽  
Catchment Management ◽  
Flow Rates ◽  
Early Results ◽  
Phosphorus Loads ◽  
Time Of Year ◽  
High Runoff

Early results from monitoring runoff suggest that the programme to reduce application of superphosphate to farmlands in surrounding catchments has been successful in reducing input of phosphorus to the eutrophic Peel-Harvey estuary. In the estuary this phosphorus fertilizes algae which grow in abundance and accumulate and pollute once clean beaches. The success of the programme has been judged from application of an empirical statistical model, which was derived from 6 years of data from the Harvey Estuary catchment prior to a major change in fertilizer practices in 1984. The model relates concentration of phosphorus with rate of flow and time of year. High phosphorus concentrations were associated with high flow rates and with flows early in the high runoff season (May-July). The model predicted that the distribution of flows in 1984 should have resulted in a flow-weighted concentration of phosphorus near the long-term average; the observed concentration was 25% below the long-term average. This means that the amount of phosphorus discharged into the Harvey Estuary could have been about 2 5% less than expected from the volume of runoff which occurred. However several more years of data are required to confirm this trend.

scholarly journals Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maude Bernasconi ◽  
Béatrice Eggel-Hort ◽  
Antje Horsch ◽  
Yvan Vial ◽  
Alban Denys ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Uterine Artery Embolization ◽  
Stress Disorder ◽  
Post Partum ◽  
Post Traumatic Stress ◽  
Artery Embolization ◽  
Increased Risk ◽  
Post Traumatic

AbstractThis study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5–17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.

scholarly journals Depression following traumatic brain injury: a comprehensive overview

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Marc Fakhoury ◽  
Zaynab Shakkour ◽  
Firas Kobeissy ◽  
Nada Lawand
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Concern ◽  
First Year ◽  
Comprehensive Overview ◽  
Symptoms Of Depression ◽  
Current State ◽  
Post Traumatic ◽  
Brain Changes

Abstract Traumatic brain injury (TBI) represents a major health concern affecting the neuropsychological health; TBI is accompanied by drastic long-term adverse complications that can influence many aspects of the life of affected individuals. A substantial number of studies have shown that mood disorders, particularly depression, are the most frequent complications encountered in individuals with TBI. Post-traumatic depression (P-TD) is present in approximately 30% of individuals with TBI, with the majority of individuals experiencing symptoms of depression during the first year following head injury. To date, the mechanisms of P-TD are far from being fully understood, and effective treatments that completely halt this condition are still lacking. The aim of this review is to outline the current state of knowledge on the prevalence and risk factors of P-TD, to discuss the accompanying brain changes at the anatomical, molecular and functional levels, and to discuss current approaches used for the treatment of P-TD.

scholarly journals Edemas of the face and lymphoscintigraphic examination

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pierre Bourgeois ◽  
E. Peters ◽  
A. Van Mieghem ◽  
A. Vrancken ◽  
G. Giacalone ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Lymph Node ◽  
Cervical Lymph Node ◽  
Cervical Vertebra ◽  
Lymphatic Drainage ◽  
The Face ◽  
Facial Edema ◽  
Post Traumatic ◽  
Left And Right ◽  
Lymphatic Pathways

AbstractFacial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema.

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