Ultrasonographic, Surgical, and Histopathological Findings of a Uterine Leiomyoma in a Cow

The objective of this case report was to describe the ultrasonographic, surgical, and histopathological findings of a rare clinical case of uterine leiomyoma in a 5-year-old Holstein crossbred cow presented for diagnosis and treatment of infertility. Transrectal palpation revealed a large nonpainful mass suspected to be an abscess or a tumor in the caudal abdomen on the right side. Transabdominal ultrasonography revealed a round mass with irregular hypoechogenic/echogenic foci and a thin echogenic capsule around it. Ultrasonographic-guided centesis of the lesion under local analgesia did not yield any foul smelling aspirate leading to a tentative diagnosis of an intra-abdominal tumor. The lesion was later confirmed by exploratory laparotomy and histopathology as a case of uterine leiomyoma. The cow gave birth to a live normal calf 12 months following the surgery. Rectal examination after parturition revealed no evidence of the tumor at the surgical site. Ultrasonography enabled prompt, noninvasive diagnosis of uterine leiomyoma and proved to be a useful decision-making tool in the abdominal surgery of the cow. This is an interesting case which broadens the spectrum of the causes of infertility in cattle.

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Endovascular Stenting for Traumatic Common Iliac Pseudoaneurysm as an Adjunct following Exploratory Laparotomy in a Stab Injury Patient

Panamerican Journal of Trauma, Critical Care & Emergency Surgery ◽

10.5005/jp-journals-10030-1163 ◽

2016 ◽

Vol 5 (3) ◽

pp. 172-176

Author(s):

Saptarshi Biswas ◽

Nishaan Nagarakanti

Keyword(s):

Iliac Artery ◽

Relevant Literature ◽

Exploratory Laparotomy ◽

Interesting Case ◽

Endovascular Stenting ◽

Lower Quadrant ◽

Iliac Vessel ◽

Stab Injury ◽

Injury Patient ◽

The Right

ABSTRACT Traumatic iliac vessel injuries, especially secondary to penetrating wounds, are often associated with a very high mortality rate. The patients usually present to the trauma bay in profound hemorrhagic shock, which, in turn, triggers the vicious cycle of hypothermia, coagulopathy, and acidosis. Iliac artery injuries should be managed promptly because of the high incidence of late complications of pseudoaneurysm and arteriovenous fistulae and risks of subsequent arterial thrombosis and distal ischemia. We report a case of a 17-year-old female who was brought in following a stab wound in the right lower quadrant (RLQ). A postlaparotomy computed tomography (CT) scan performed revealed a pseudoaneurysm on the right common iliac. A pelvic angiography was performed, which was followed by an endovascular placement of a covered stent on the right common iliac artery. We discuss an interesting case along with discussion of relevant literature. How to cite this article Biswas S, Nagarakanti N. Endovascular Stenting for Traumatic Common Iliac Pseudoaneurysm as an Adjunct following Exploratory Laparotomy in a Stab Injury Patient. Panam J Trauma Crit Care Emerg Surg 2016;5(3):172-176.

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Canine Uterine Leiomyoma with Epithelial Tissue Foci, Adenomyosis, and Cystic Endometrial Hyperplasia

Case Reports in Veterinary Medicine ◽

10.1155/2011/901874 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

George S. Karagiannis ◽

Mihalis Pelekanis ◽

Panayiotis Loukopoulos ◽

Haris N. Ververidis ◽

Eleni Kaldrymidou

Keyword(s):

Reproductive System ◽

Uterine Leiomyoma ◽

Endometrial Hyperplasia ◽

Vaginal Discharge ◽

Exploratory Laparotomy ◽

Labrador Retriever ◽

Epithelial Tissue ◽

Histopathologic Examination ◽

History Of ◽

Tentative Diagnosis

An 11-year-old Labrador Retriever bitch with a history of intermittent, sanguineous vaginal discharge of a six-month duration was presented. During exploratory laparotomy, two well-delineated, intramural masses were identified bilaterally in the uterine horns. Histopathologic examination of the mass on the left horn showed that it was a typical leiomyoma. However, the second mass appeared with an unusual coexistence of histological lesions, involving epithelial tissue foci, mild focal adenomyosis, and cystic endometrial hyperplasia. Interestingly, such combination was never encountered before in dogs. Although uterine leiomyoma is quite usual in the reproductive system of female dogs, this case resembled relevant cases of human uterine adenomyomas in morphology, and thus it was offered a similar tentative diagnosis.

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Gunshot Wound of the Thoracic Aorta with Right Popliteal Artery Embolization: A Case Report of Bullet Embolism with Review of Relevant Literature

Case Reports in Emergency Medicine ◽

10.1155/2013/198617 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Saptarshi Biswas ◽

Hadley Cadot ◽

Sunil Abrol

Keyword(s):

Thoracic Aorta ◽

Popliteal Artery ◽

Relevant Literature ◽

Exploratory Laparotomy ◽

Interesting Case ◽

Artery Embolization ◽

Early Management ◽

The Right ◽

Delays In Diagnosis ◽

Eventual Death

Bullet embolism is a well-known but relatively uncommon complication of gunshot injuries. Their rarity and the potential lack of early symptoms lead to delays in diagnosis and often in inadequate early management that can potentially result in the loss of a limb or life. We present an interesting case in which a small caliber bullet to the upper anterior abdomen penetrated the thoracic aorta and traveled to the right popliteal artery embolizing the vessel. The exploratory laparotomy failed to locate neither the bullet nor the trajectory resulting in sudden deterioration and eventual death 5 hours into the postoperative period.

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1003 A Case of Tunnel-Vision in Upper Renal Tract Imaging: The Invisible Gorilla

British Journal of Surgery ◽

10.1093/bjs/znab134.345 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

M Swamad ◽

M K Quraishi ◽

S Ahmed

Keyword(s):

Renal Mass ◽

Left Kidney ◽

Interesting Case ◽

Ct Scans ◽

Renal Ultrasound ◽

Ultrasound Scan ◽

Surgical Team ◽

Tunnel Vision ◽

Impact Patient Care ◽

The Right

Abstract We present an interesting case of a 70-year-old female who presented with haematuria on the suspected cancer pathway. Renal ultrasound showed a vascular renal mass on her right kidney measuring 8x7cm with an unremarkable left kidney. She underwent a laparoscopic radical nephrectomy following confirmation of an 8cm renal mass in the right kidney on the contrasted staging CT scan with a repeat review at the multidisciplinary meeting. Post-operatively a subsequent review of the pre-operative CT and ultrasound scan, showed an incidental large left(contralateral) upper quadrant retroperitoneal fatty mass sized 15x10cm, displacing the stomach and spleen. Further investigation in the form of an MRI Abdomen excluded features of a liposarcoma, resulting in the diagnosis of a large retroperitoneal lipoma. This case highlights the significance of selective attention in imaging interpretation. We believe this to be a prime example of the level of meticulousness required as fat-rich tissues have low attenuation on CT-scans, which can be easily missed out. A cautious multi-clinician interpretation of scans should be performed to avoid missing potentially sinister pathology which would impact patient care dramatically. This case has led to more thorough review of future pre-operative imaging by the operating surgical team.

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The Right to Be Right: Civil-Military Relations and the Iraq Surge Decision

International Security ◽

10.1162/isec_a_00033 ◽

2011 ◽

Vol 35 (4) ◽

pp. 87-125 ◽

Cited By ~ 37

Author(s):

Peter D. Feaver

Keyword(s):

Hybrid Approach ◽

Interesting Case ◽

Civil Military Relations ◽

Military Commanders ◽

The Right ◽

Military Relations ◽

The Military ◽

President Bush ◽

Primary Problem ◽

Better Than

President George W. Bush's Iraq surge decision in late 2006 is an interesting case for civil-military relations theory, in particular, the debate between professional supremacists and civilian supremacists over how much to defer to the military on decisions during war. The professional supremacists argue that the primary problem for civil-military relations during war is ensuring the military an adequate voice and keeping civilians from micromanaging and mismanaging matters. Civilian supremacists, in contrast, argue that the primary problem is ensuring that well-informed civilian strategic guidance is authoritatively directing key decisions, even when the military disagrees with that direction. A close reading of the available evidence—both in published accounts and in new, not-for-attribution interviews with the key players—shows that the surge decision vindicates neither camp. If President Bush had followed the professional supremacists, there would have been no surge because his key military commanders were recommending against that option. If Bush had followed the civilian supremacists to the letter, however, there might have been a revolt of the generals, causing the domestic political props under the surge to collapse. Instead, Bush's hybrid approach worked better than either ideal type would have.

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HETEROTOPIC PREGNANCY WITH INEVITABLE ABORTION (RIGHT ADNEXAL LIVE ECTOPIC AND COEXISTING INTRAUTERINE TRIPLETS WITH ABSENT FETAL CARDIAC ACTIVITY)

10.36106/ijsr/9522431 ◽

2021 ◽

pp. 58-59

Author(s):

Jayanta Sarkar ◽

Mini Sengupta

Keyword(s):

Ectopic Pregnancy ◽

Abdominal Cavity ◽

Lower Abdominal Pain ◽

Cardiac Activity ◽

Exploratory Laparotomy ◽

Sudden Onset ◽

Heterotopic Pregnancy ◽

Intrauterine Pregnancy ◽

Short Period ◽

The Right

Heterotopic pregnancy describes the occurrence of two or more pregnancies in different implantation sites simultaneously, intrauterine pregnancy coexists withectopic pregnancies (ampullary in 80%). A 27-year-old women (P ,L1) presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain with 1+1 vaginal bleeding and had a short period of Amenorrhea. Ultrasonography demonstrated three intrauterine gestational sacwith foetal pole noted but Cardiac activity was absent . The right adnexa showed a heteroechoic area andmoderate amount of free uid was present in the lower abdominal cavity. Ectopic pregnancy was disturbed. An emergency exploratory laparotomy was performed under general anesthesia. Haemoperitoneum was found with a ruptured righttubal ectopic pregnancy as well. Both the ovaries appeared normaland a corpus luteal cyst was presentin right ovary. Right sided salpingectomy was performed with removal of the ectopic mass,heamostasis secured ,on table blood transfusion had been given.Suction evacuation had also been performed by manual vacuum aspirationon same sitting.Both the specimen send for histopathology. Histology conrmedGestational sac suggestive of an intra uterine pregnancy coexists with ectopic pregnancy. Left tube and both ovaries were found healthy. Episodes of PID also have a strong correlation with occurrence of ectopic gestation. Once diagnosis of heterotrophic pregnancy has been made the management is essentially surgical.

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Extraovarian primary seromucinous cystadenoma masquerading as mesenteric cyst

BMJ Case Reports ◽

10.1136/bcr-2020-240414 ◽

2021 ◽

Vol 14 (5) ◽

pp. e240414

Author(s):

Kishor R J ◽

Bhuvaneshwari Harikrishnan ◽

Naveen Alexander ◽

Veena Bheeman

Keyword(s):

Lower Abdominal Pain ◽

Interesting Case ◽

Mesenteric Cyst ◽

Lumbar Region ◽

Normal Limits ◽

Mesenteric Border ◽

Contrast Enhanced ◽

Laparoscopic Excision ◽

Abdominal Examination ◽

The Right

We report an interesting case of extraovarian, primary seromucinous cystadenoma, which presented as a mesenteric cyst. A 31-year-old woman came with complaints of lower abdominal pain for 2 years, which is intermittent and aggravated during the menstrual cycle. On examination, her vitals were within normal limits; per abdominal examination revealed 7×7 cm mass in the right lumbar and right hypochondrium with well-defined margins. A Contrast-enhanced whole abdomen done showed a thin-walled of cyst of size 7×8×9 cm in the right lumbar region abutting and replacing the mesenteric border of ascending colon suggesting of mesenteric cyst. Patient underwent laparoscopic excision of mesenteric cyst. Histopathology revealed seromucinous cystadenoma without ovarian stroma.

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Occurrence of parasitism by Dioctophyma renale in ring-tailed coatis (Nasua nasua) of the Tiete Ecological Park, São Paulo, Brazil

Pesquisa Veterinária Brasileira ◽

10.1590/s0100-736x2009001200001 ◽

2009 ◽

Vol 29 (12) ◽

pp. 959-962 ◽

Cited By ~ 9

Author(s):

Liliane Milanelo ◽

Márcia Bento Moreira ◽

Lílian S. Fitorra ◽

Bruno S.S. Petri ◽

Melissa Alves ◽

...

Keyword(s):

Population Control ◽

Abdominal Cavity ◽

Exploratory Laparotomy ◽

Renal Tissue ◽

Intermediate Hosts ◽

Wild Mammals ◽

Rigid Structure ◽

Nasua Nasua ◽

Males And Females ◽

The Right

Dioctophymosis is a worldwide renal parasitosis caused by the Dioctophyma renale nematode, which results in progressive destruction of renal tissue. Aquatics annelids are considered the main intermediate hosts and the literature refers as permanent hosts of dogs, wild mammals and even humans. During procedures for population control of coatis (Nasua nasua) in the Ecological Park of Tietê (PET), was noticed the presence of parasitosis by D. renale. From 68 animals, males and females, young and adults, submitted to exploratory laparotomy, 51 were positive for the presence of worms, 9 were found only in the right kidney. In 10 cases, in addition to right kidney parasitism, worms were also observed in the abdominal cavity. In 24 cases D. renale was found only in the abdominal cavity and in 8 animals the right kidney was reduced to a small rigid structure. The study showed that the preferred site for parasitism of the worm, considered erratic, was the abdominal cavity in 66.66% of the cases.

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Enterocutaneous fistulas due to stent migration. How reliable is its use on duodenal benign pathology? a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20202284 ◽

2020 ◽

Vol 8 (6) ◽

pp. 2316

Author(s):

Aldo Edyair Jimenez Herevia ◽

Luis Montiel Hinojosa ◽

Diego Hinojosa Ugarte ◽

Erick Martin Paez Hernandez ◽

Enrique Obregon Moreno

Keyword(s):

Enterocutaneous Fistula ◽

Duodenal Bulb ◽

Exploratory Laparotomy ◽

Stent Migration ◽

Metal Stents ◽

Benign Pathology ◽

Extraction Site ◽

Self Expanding Metal Stents ◽

Hepatopancreatobiliary Surgery ◽

The Right

Duodenal stenting has been widely used on malignant pathology on selected patients with poor prognosis and advanced disease. In these last years, there has been a clear ampliation of the clinical applications of endoscopy procedures and stents. Its use on benign pathology is spreading but there is a lack of literature about the complications in this context. The incidence of stent migration is about 10-25% in self-expandable metal stent (SEMS), and 2-5% on covered self-expanding metal stents (CSEMS). We reported a clinical case of a 48 years old patient who developed a duodenal ulcer. The patient was submitted to exploratory laparotomy, with duodenal primary closure of the ulcer. Later, the patient developed a enterocutaneous fistula because of the duodenal leak. It was referred to our third level hospital to the hepatopancreatobiliary surgery service. A new exploratory laparotomy with duodenal exclusion was planned, but it was impossible to access due to frozen abdomen. CSEMS was placed in the duodenal bulb resulting in the resolution of leaking, but the stent could not be removed because of migration. The stent trajectory was followed by abdominal x ray and tomography. The patient developed multiple intestinal an fecal enterocutaneous fistulas. It was submitted to multiples endoscopies, colonoscopies and enteroscopy without any success to reaching it. It was decided to perform a right lumbotomy to extract the prothesis. The stent was surgically removed, a planned stoma was left on the right flank on the extraction site.

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Hypoconnectivity networks in schizophrenia patients: a voxelwise meta-analysis of rs-fMRI

10.21203/rs.3.rs-918263/v1 ◽

2021 ◽

Author(s):

Silvia Ruiz-Torras ◽

Oscar Fernández-Vazquez ◽

Cristina Cañete-Massé ◽

Maribel Peró-Cebollero ◽

Joan Guàrdia-Olmos

Keyword(s):

Brain Connectivity ◽

Meta Analysis ◽

Superior Temporal Gyrus ◽

Interesting Case ◽

Control Group ◽

Precentral Gyrus ◽

Healthy Controls ◽

Health States ◽

The Right ◽

Work Done

Abstract In the last few years, the field of brain connectivity has focused on identifying biomarkers to describe different health states and to discriminate between patients and healthy controls through the characterization of brain networks. A particularly interesting case, because of the symptoms' severity, is the work done with samples of patients diagnosed with schizophrenia. This meta-analysis aims to identify connectivity networks with different activation patterns between people diagnosed with schizophrenia and healthy controls. Therefore, we collected primary studies exploring whole brain connectivity by functional magnetic resonance imaging at rest in patients with schizophrenia compared to healthy people. Thus, we identified 25 high-quality studies that included a total of 1285 people with schizophrenia and 1279 healthy controls. The results indicate hypoactivation in the right precentral gyrus and in the left superior temporal gyrus of people with schizophrenia compared with the control group. These regions have been linked to deficits in gesticulation and the experience of auditory hallucinations in people with schizophrenia. A study of heterogeneity demonstrated that the effect size was influenced by the sample size and type of analysis. These results imply new contributions to the knowledge, diagnosis, and treatment of schizophrenia both clinically and in research.

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