scholarly journals Bilateral Segmental Testicular Infarction

2007 ◽  
Vol 7 ◽  
pp. 779-783 ◽  
Author(s):  
Aaron Bayne ◽  
Brad Koslin ◽  
Siamak Daneshmand
Keyword(s):  
Acute Scrotum ◽  
Rare Entity ◽  
Management Options ◽  
The Past ◽  
First Case ◽  
Testicular Infarction ◽  
Radical Orchiectomy ◽  
Malignant Lesions ◽  
Segmental Testicular Infarction

Segmental testicular infarction is a rare entity with fewer than 40 cases documented in the literature. It frequently mimics an acute scrotum presenting with pain and swelling. Difficulty distinguishing benign from malignant lesions on imaging has led to radical orchiectomy in the past. With improvements in imaging, this condition may be treated more conservatively. We present the first case of bilateral segmental testicular infarction and discuss management options.

Segmental testicular infarction due to cholesterol embolism: Not the first case, but the first report

2008 ◽  
Vol 58 (11) ◽  
pp. 745-748 ◽  
Author(s):  
Shiro Adachi ◽  
Koh-ichi Tsutahara ◽  
Tatsuya Kinoshita ◽  
Koji Hatano ◽  
Toshio Kinouchi ◽  
...  
Keyword(s):  
Cholesterol Embolism ◽  
First Report ◽  
First Case ◽  
Testicular Infarction ◽  
Segmental Testicular Infarction

scholarly journals Segmental Testicular Infarction Associated to Torsion: First Case Report in Childhood

Urology ◽  
2020 ◽  
Author(s):  
Mohammed Elifranji ◽  
Abubakr Elawad ◽  
Samuel Stafrace ◽  
Joao Luiz Pippi Salle ◽  
Santiago Vallasciani
Keyword(s):  
Case Report ◽  
First Case ◽  
Testicular Infarction ◽  
Segmental Testicular Infarction

scholarly journals Segmental Testicular Infarction, an Underdiagnosed Entity: Case Report with Histopathologic Correlation and Review of the Diagnostic Features

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Sahar Shiraj ◽  
Nisha Ramani ◽  
Andrij R. Wojtowycz
Keyword(s):  
Diagnostic Features ◽  
Left Testis ◽  
Scrotal Pain ◽  
Left Testicle ◽  
Scrotal Ultrasound ◽  
Testicular Infarction ◽  
Segmental Infarction ◽  
History Of ◽  
Radical Orchiectomy ◽  
Segmental Testicular Infarction

A 30-year-old male presented with a 1-day history of left scrotal pain and a tender left testicle and epididymis on physical exam. Scrotal ultrasound showed an avascular, heterogeneous, hypoechoic lesion in the superior left testis suggestive of infarction or neoplasm. The patient was managed conservatively; however, his pain continued and follow-up ultrasound 6 days later showed interval increase in the size of the mass. Left radical orchiectomy was done and pathology result showed segmental infarction of the left testis.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

Penile Lymphoepithelioma-Like Carcinoma: A Rare Case With PD-L1 Expression

2021 ◽  
pp. 106689692098834
Author(s):  
Raquel Machado-Neves ◽  
Bernardo Teixeira ◽  
Elsa Fonseca ◽  
Pedro Valente ◽  
Joaquim Lindoro ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Tumor Cells ◽  
Rare Case ◽  
Malignant Tumors ◽  
Squamous Cell Carcinomas ◽  
The Third ◽  
The Past ◽  
First Case ◽  
Lymphoplasmacytic Infiltrate

Most malignant tumors of the penis are squamous cell carcinomas (SCC), being divided in 2 groups, one human papillomavirus (HPV)-related and another non-HPV-related, with lymphoepithelioma-like carcinoma (LELC) being one of the rarest HPV-related SCC. In this article, we report a case of a 50-year-old man who presented testicular swelling and pain for the past 3 months. A penile mass was identified, and the patient was submitted to a total penectomy. The penectomy specimen showed an ulcerated lesion at the glans reaching the cavernous bodies. Microscopic examination showed undifferentiated epithelial cells with syncytial growth pattern mix with a dense lymphoplasmacytic infiltrate, consistent with LELC. The tumor cells expressed p16 and all 3 different clones of PDL1 (22C3, SP263, and SP142). The patient is alive and well with a follow-up of 3 months. To our knowledge, this is the third LELC of the penis reported in literature and the first case reported with PDL1 expression.

scholarly journals Infective Aortic Valve Endocarditis Causing Embolic Consecutive ST-Elevation Myocardial Infarctions

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Kanksha Peddi ◽  
Alexander L. Hsu ◽  
Tomas H. Ayala
Keyword(s):  
Myocardial Infarction ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Index Case ◽  
Current Treatment ◽  
Myocardial Infarctions ◽  
Treatment Modalities ◽  
The Past ◽  
First Case ◽  
St Elevation

ST-elevation myocardial infarction (STEMI) is a rare and potentially fatal complication of infective endocarditis. We report the ninth case of embolic native aortic valve infective endocarditis causing STEMI and the first case to describe consecutive embolisms leading to infarctions of separate coronary territories. Through examination of this case in the context of the previous eight similar documented cases in the past, we find that infective endocarditis of the aortic valve can and frequently affect more than a single myocardial territory and can occur consecutively. Further, current treatment modalities for embolic infective endocarditis causing acute myocardial infarction are limited and unproven. This index case illustrates the potential severity of complications and the challenges in developing standardized management for such patients.

scholarly journals B.05 Hemi-laryngopharyngeal spasm (HELPS) syndrome: The discovery, cure, and characterization of a new neurological condition

2017 ◽  
Vol 44 (S2) ◽  
pp. S11-S11
Author(s):  
C Honey ◽  
M Morrison
Keyword(s):  
Surgical Care ◽  
Review Of The Literature ◽  
The Past ◽  
First Case ◽  
Patient Reported ◽  
Operative Outcome ◽  
Small Cohort ◽  
The Common ◽  
Similar Motor

Background: We published the world’s first case of hemi-laryngpharyngeal spasm (HELPS) syndrome cured by microvascular decompression (MVD) of the Xth cranial nerve in 2016. We now present a small cohort of patients (n=3) successfully treated with surgery in order to better delineate the common characteristics of this syndrome, diagnostic tests of choice, nuances of their surgical care and outcomes of their treatment. Methods: The history and physical examination of three patients with HELPS syndrome are presented. Pre-operative laryngoscopy, neuroimaging, response to botox and intra-operative videos are detailed. Post-operative outcome and complications are presented. Results: Each patient reported similar motor (choking) and sensory (coughing) features in their history. Episodic choking relentlessly progressed over the years until it occurred while sleeping and with frightening severity prompting tracheostomy in one patient and intubation in another. A “tickling” sensation deep in the throat triggered episodic coughing that worsened over the years until it occurred while sleeping and with frightening severity (syncope and incontinence). Conclusions: A review of the literature suggests that patients with similar symptoms, often called episodic laryngospasm in the past, have been treated with psychotherapy or antacids. With the recognition that a clearly defined subset of these patients have HELPS syndrome, we can offer them the potential of a neurosurgical cure.

Prostatic Abscess in a Patient with Chronic Granulomatous Disease: A Multi-Disciplinary Intervention

2017 ◽  
Vol 84 (4) ◽  
pp. 267-269 ◽  
Author(s):  
Alberto Martini ◽  
Ioannis Katafigiotis ◽  
Sofia Kalantzi ◽  
Ioannis Anastasiou ◽  
Ioannis Adamakis ◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Chronic Granulomatous Disease ◽  
Urine Culture ◽  
Underlying Disease ◽  
Multidrug Resistant ◽  
Granulomatous Disease ◽  
Prostatic Abscess ◽  
The Past ◽  
First Case

Introduction Chronic granulomatous disease (CGD) is a rare pathology that increases patients’ susceptibility to infections, given the inability to generate oxygen radicals to fight microorganisms. In the context of CGD, primary prostatic involvement has been described only once in the past, in a pediatric patient. Case Report We report the case of a 35-year old patient with CGD presenting with persistent fever. After hospital admission, blood and urine were sent for culture and antibiotic therapy was initiated. Patient's conditions continued to deteriorate and an aggressive antibiotic therapy was administered to treat the septic scenario. Urine culture grew a multidrug-resistant Escherichia Coli. After patient's condition improved, a CT scan was performed. The depiction showed multiple abscesses within the prostate. A rectal approach was excluded given patient's underlying disease. A TURP was performed and prostatic pathology resolved. Patient was discharged on postoperative day 14. At 6-month follow-up he hasn't experienced major infections. To the best of our knowledge, this is the first case of septic shock originating from a prostatic abscess in an adult patient with CGD. Conclusions Aggressive medical therapy along with TURP resulted curative in our case. A multi-disciplinary approach was mandatory.

Entertainment and Resonance

2021 ◽  
pp. 122-137
Author(s):  
Peter Vorderer
Keyword(s):  
Media Use ◽  
Affective States ◽  
Recent Past ◽  
The Past ◽  
First Case ◽  
Self Transcendence ◽  
Entertainment Theory

This chapter aims to differentiate between two kinds of media use experiences that in the past twenty some years have uniformly been labeled entertainment experiences. In the background of four identified fundamental assumptions in entertainment theory (entertainment as reception phenomenon, disparity between what media users want and what they should want, entertainment between approaching and avoiding affective states, entertainment as self-transcendence) media experiences are dichotomized between those that serve users’ hedonic motivations, needs, and interests and others, more fundamental experiences of resonance (which in the recent past have often been labeled eudaimonic) that connect users to the content of a media narrative and ultimately changes them. The argument is made here for communication scholars and media psychologists to refer to entertainment experiences only in the first case in order to be less vague and ambiguous in explicating entertainment theory.

Modeling Habitat Suitability and Management Options for Maintaining Round Whitefish (Prosopium cylindraceum) in Adirondack Ponds

2021 ◽  
Author(s):  
Amy Kathleen Conley ◽  
Matthew D. Schlesinger ◽  
James G. Daley ◽  
Lisa K. Holst ◽  
Timothy G. Howard
Keyword(s):  
Species Distribution Model ◽  
Management Strategies ◽  
Distribution Model ◽  
Nonnative Species ◽  
Simulated Population ◽  
Management Options ◽  
The Past ◽  
Almost All ◽  
Reintroduction Success ◽  
Maximum Air Temperature

Habitat loss, acid precipitation, and nonnative species have drastically reduced the number of Adirondack waterbodies occupied by round whitefish (Prosopium cylindraceum). The goal of this study was to 1) increase the probability of reintroduction success by modeling the suitability of ponds for reintroduction and 2) better understand the effects of different rates of pond reclamation. We created a species distribution model that identified 70 waterbodies that were physically similar to occupied ponds. The most influential variables for describing round whitefish habitat included trophic, temperature, and alkalinity classes; waterbody maximum depth; maximum air temperature; and surrounding soil texture and impervious surface. Next, we simulated population dynamics under a variety of treatment scenarios and compared the probability of complete extirpation using a modified Markov model. Under almost all management strategies, and under pressure from nonnative competitors like that observed in the past 30 years, the number of occupied ponds will decline over the next 100 years. However, restoring one pond every 3 years would result in a 99% chance of round whitefish persistence after 100 years.

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