scholarly journals Peritoneal Inclusion Cysts in Female Children: Pathogenesis, Treatment, and Multimodality Imaging Review

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Rachelle Goldfisher ◽  
Divya Awal ◽  
John Amodio
Keyword(s):  
Multimodality Imaging ◽  
Pediatric Population ◽  
Treatment Options ◽  
Adolescent Females ◽  
Cystic Mass ◽  
Prior History ◽  
Imaging Findings ◽  
History Of Surgery ◽  
Multiple Modalities ◽  
History Of

We report the multimodality imaging findings of peritoneal inclusion cysts in two adolescent females each with a prior history of abdominal surgery. The few reports of peritoneal inclusion cysts in the pediatric population have largely focused on the clinical and pathological features of this entity. We wish to emphasize the imaging findings of peritoneal inclusion cysts on multiple modalities, the advantage of MRI in confirming the diagnosis, and the need to keep considering this diagnosis in patients who present with a pelvic cystic mass, with a history of surgery, even if remote. Additionally, we review the pathology, pathophysiology, differential diagnosis, and treatment options of peritoneal inclusion cysts.

scholarly journals ECG Changes in 8-Year-Old Boy with Pulmonary Edema after Head Injury

2006 ◽  
Vol 6 ◽  
pp. 571-576 ◽  
Author(s):  
Bojko Bjelakovic ◽  
Vladislav Vukomanovic ◽  
Ljiljana Saranac ◽  
Ivan Stefanovic
Keyword(s):  
Pulmonary Edema ◽  
Pediatric Population ◽  
Skull Fracture ◽  
Experimental Studies ◽  
Creatine Kinase Activity ◽  
Prior History ◽  
Neurogenic Pulmonary Edema ◽  
Ecg Changes ◽  
History Of ◽  
Biochemical Evaluation

This is a case story of an 8-year-old boy with no prior history of cardiac disease who developed acute pulmonary edema with ECG changes similar to transmural myocardial infarction after basilar skull fracture. Biochemical evaluation showed elevated total creatine kinase activity –1,350 U/L with 12% MB isoenzyme fraction. The brain scan on admission showed cerebral edema with ethmoidal sinuses hemorrhage. Neurogenic pulmonary edema following CNS damage is an extremely rare entity in the pediatric population and there are few reports. There are many proposed mechanisms and explanations of its origin. Based on previous reports and experimental studies, the cause of “neurogenic” pulmonary edema may be of cardiac as well as of noncardiac origin.

Prevalence of Hepatitis ‘B’ and ‘C’ in Orthopaedics Patients Admitted In Khyber Pakhtunkhwa Hospitals

2021 ◽  
Vol 15 (5) ◽  
pp. 1208-1210
Author(s):  
A. Khan ◽  
M. S. Zardad ◽  
Abdussaboor awan ◽  
M. Tahir ◽  
M. A. E. Bhattani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
Blood Transfusion ◽  
Hepatitis B ◽  
Venous Blood ◽  
Previous History ◽  
Prior History ◽  
History Of Surgery ◽  
History Of ◽  
Orthopedic Patients

Background and Aim: Hepatitis B and C are widespread global health issues that are rapidly spreading in developing countries due to ineffective preventive measures.Undiagnosed hepatitis B (HBV) and hepatitis C (HCV) viral infections in hospitalized patients and outdoor attendees must be addressed in order to obtain a more accurate picture of HBV and HCV prevalence.The purpose of this study was to determine the prevalence of HBV and HCV in patients admitted to the orthopedic department. Materials and Methods: This is a descriptive cross-sectional study of 1080 patients admitted to the department of orthopedics at Ayub Medical Teaching Institute Abbottabad and Orthopaedics department of DHQ Hospital Thimergara Dir lower for duration of six months fromSeptember 2019 to February 2020.The study included patients of both sex and all ages who were undergoing surgery. Venous blood was drawn from 1080 people and tested for infection using ELISA.All patients were screened for Hepatitis B and C, and positive patients were confirmed using the Elisa method. Results:Out of 1080 patients, 756 (70%) were male and 324 (30%) were female. Hepatitis B and C were found in 86 (8%) of the patients. Out of 86 infected patients, 49 (4.53 %t) had hepatitis C and 37 (3.42 %) had hepatitis B. The prevalence of both hepatitis B and C infections were 4 (0.37 %) of the patients. Of the 49 hepatitis C patients, 32 (65.3%) were male and 17 (34.7%) were female. Thirty-one (83.8 %) of the 37 hepatitis B patients were male, while six (16.21 %) were female.The prevalence of risk factors were history of blood transfusion 14 (16.27 %) patients, Previous history of surgery 17 (19.8 %), dental procedure 6 (7.00 %), and abroad visit in 5 (5.81 %) patients. Conclusion:Hepatitis B and C are common in orthopedic patients, with the following risk factors: prior history of surgery or blood transfusion. To prevent the transmission of HBV and HCV to others, a routinely screened procedure should be followed on a regular basis. Keywords:Prevalence, Hepatitis B, Hepatitis C, Orthopedic patients.

scholarly journals Respiratory Presentation of Pediatric Patients in the 2014 Enterovirus D68 Outbreak

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Georgina Martin ◽  
Rachel Li ◽  
Victoria E. Cook ◽  
Matthew Carwana ◽  
Peter Tilley ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Presentation ◽  
Hospital Admissions ◽  
Pediatric Population ◽  
Retrospective Chart Review ◽  
Respiratory Illness ◽  
Prior History ◽  
Medical Comorbidities ◽  
History Of ◽  
Enterovirus D68

Background. In the fall of 2014, a North American outbreak of enterovirus D68 resulted in a significant number of pediatric hospital admissions for respiratory illness throughout North America. This study characterized the clinical presentation and risk factors for a severe clinical course in children admitted to British Columbia Children’s Hospital during the 2014 outbreak.Methods. Retrospective chart review of patients with confirmed EV-D68 infection admitted to BCCH with respiratory symptoms in the fall of 2014. Past medical history, clinical presentation, management, and course in hospital was collected and analyzed using descriptive statistics. Comparison was made between those that did and did not require ICU admission to identify risk factors.Results. Thirty-four patients were included (median age 7.5 years). Fifty-three percent of children had a prior history of wheeze, 32% had other preexisting medical comorbidities, and 15% were previously healthy. Ten children (29%) were admitted to the pediatric intensive care unit. The presence of complex medical conditions (excluding wheezing) (P=0.03) and copathogens was associated with PICU admission (P=0.02).Conclusions. EV-D68 infection resulted in severe, prolonged presentations of asthma-like illness in the hospitalized pediatric population. Patients with a prior history of wheeze and preexisting medical comorbidities appear to be most severely affected, but the virus can also cause wheezing in previously well children.

scholarly journals Endometriosis and ART: A prior history of surgery for OMA is associated with a poor ovarian response to hyperstimulation

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0202399 ◽  
Author(s):  
Mathilde Bourdon ◽  
Jade Raad ◽  
Yaniv Dahan ◽  
Louis Marcellin ◽  
Chloé Maignien ◽  
...  
Keyword(s):  
Ovarian Response ◽  
Prior History ◽  
History Of Surgery ◽  
Poor Ovarian Response ◽  
History Of

Early entrapment of fourth ventricle following Pseudomonas meningitis in extreme prematurity: Case report

2020 ◽  
Vol 13 (4) ◽  
pp. 581-586
Author(s):  
P.E. Edison ◽  
S.K. Sanamandra ◽  
V.A. Shah ◽  
V.R. Baral ◽  
C.L. Yeo
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Fourth Ventricle ◽  
Pediatric Population ◽  
Prior History ◽  
Extreme Prematurity ◽  
Early Course ◽  
History Of ◽  
Perinatally Acquired ◽  
Trapped Fourth Ventricle ◽  
Neuro Imaging

Trapped fourth ventricle (TFV) as a complication of post-hemorrhagic hydrocephalus (PHH) is widely reported in the pediatric population with a prior history of ventriculo-peritoneal (VP) shunt placement. Characterized by disproportionate dilatation of the fourth ventricle on serial neuro-imaging, it is rarely encountered in the early course of preterm infants and the differentiating clinical features are subtle and non-specific. Clinical alertness and sonographic correlation hold the key to early diagnosis. We report an early emergence of TFV in an extremely low gestational age newborn (ELGAN) following fulminant Pseudomonas aeruginosa meningitis, approach to management, and the neurological outcome. Fourth ventricle entrapment as a complication of perinatally acquired Pseudomonas aeruginosa meningitis in a surviving ELGAN is extremely rare.

scholarly journals A Rare Case of Craniopharyngioma in the Temporal Lobe

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Sasan Razmjoo ◽  
Seyed Nematollah Jazayeri ◽  
Mohammad Bahadoram ◽  
Maedeh Barahman
Keyword(s):  
Head Trauma ◽  
Temporal Lobe ◽  
Rare Case ◽  
Cystic Mass ◽  
Prior History ◽  
Mr Images ◽  
Left Temporal Lobe ◽  
History Of

Herein, we report on a rare case of craniopharyngioma arising in the left temporal lobe with no prior history of head trauma or surgery. There was a solid-cystic mass in the left temporal lobe on MR images. To the best of our knowledge, this is the second case of a craniopharyngioma occurring in the temporal lobe.

scholarly journals Endometriosis - Morphology, clinical presentations and molecular pathology

2010 ◽  
Vol 2 (01) ◽  
pp. 001-009 ◽  
Author(s):  
Neha Agarwal ◽  
Arulselvi Subramanian
Keyword(s):  
Sigmoid Colon ◽  
Cystic Mass ◽  
Prior History ◽  
Low Back ◽  
Fallopian Tubes ◽  
Rectovaginal Septum ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Clinical Presentations ◽  
History Of

ABSTRACTEndometriosis is found predominantly in women of childbearing age. The prevalence of endometriosis is difficult to determine accurately. Laparoscopy or surgery is required for the definitive diagnosis. The most common symptoms are dysmenorrhea, dyspareunia, and low back pain that worsen during menses. Endometriosis occurring shortly after menarche has been frequently reported. Endometriosis has been described in a few cases at the umbilicus, even without prior history of abdominal surgery. It has been described in various atypical sites such as the fallopian tubes, bowel, liver, thorax, and even in the extremities. The most commonly affected areas in decreasing order of frequency in the gastrointestinal tract are the recto-sigmoid colon, appendix, cecum, and distal ileum. The prevalence of appendiceal endometriosis is 2.8%. Malignant transformation is a well-described, although rare (<1% of cases), complication of endometriosis. Approximately 75% of these tumors arise from endometriosis of the ovary. Other less common sites include the rectovaginal septum, rectum, and sigmoid colon. Unopposed estrogens therapy may play a role in the development of such tumors. A more recent survey of 27 malignancies associated with endometriosis found that 17 (62%) were in the ovary, 3 (11%) in the vagina, 2 (7%) each in the fallopian tube or mesosalpinx, pelvic sidewall, and colon, and 1 (4%) in the parametrium. Two cases of cerebral endometriosis and a case of endometriosis presenting as a cystic mass in the cerebellar vermis has been described. Treatment for endometriosis can be expectant, medical, or surgical depending on the severity of symptoms and the patient’s desire to maintain or restore fertility.

scholarly journals Spiradenoma of the breast and review of cases over 76-years

2019 ◽  
Vol 6 (1) ◽  
pp. 38
Author(s):  
Mary Dick ◽  
Apporva Sharma ◽  
Poonam Sharma
Keyword(s):  
Breast Cancer ◽  
Case Reports ◽  
Breast Mass ◽  
Prior History ◽  
Imaging Findings ◽  
Apocrine Glands ◽  
Breast Masses ◽  
Non Invasive ◽  
Wide Range ◽  
History Of

Spiradenomas stem from eccrine and apocrine glands to form benign cutaneous tumors. When arising on the breast, nipple, and areola region, spiradenomas can be difficult to differentiate from more worrisome breast masses. This is particularly true in patients with a prior history of breast cancer. These tumors can be mimicked by a wide range of adnexal growths and play a role in syndromic conditions. We present a case of a 56-year-old female with a 20-year enlarging left lower inner quadrant breast mass reviewed on mammography which was later excised and histopathologically diagnosed as a spiradenoma. Spiradenomas can be challenging to diagnose as they can present with similar findings on inexpensive and non-invasive testing such as ultrasound and mammogram. While a biopsy is a definitive tool for diagnosis, this is contraindicated in some spiradenoma mimickers such as epidermal cysts complicating diagnosis. To our knowledge, there are only six case reports of breast spiradenomas. We have reviewed the histopathology of this case and summarized all cases of breast spiradenomas and their malignant counterpart spiradenocarcinomas available in the literature compiling their presentations and imaging findings.

scholarly journals 1028. Dalbavancin Use in Complicated Infections and-associated Cost-Savings

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S362-S362 ◽  
Author(s):  
Amber C Streifel ◽  
Monica Sikka ◽  
Monica Sikka ◽  
James Lewis
Keyword(s):  
Soft Tissue ◽  
Social Issues ◽  
Treatment Options ◽  
Alternative Therapy ◽  
Cost Savings ◽  
Prior History ◽  
Inpatient Setting ◽  
Soft Tissue Infections ◽  
Cost Avoidance ◽  
History Of

Abstract Background Dalbavancin is a lipoglycopeptide antibiotic active against Gram-positive organisms with an extended half-life that allows for weekly dosing. Initially approved for treating skin and soft-tissue infections, use for more complicated infections provides several potential benefits, particularly in the outpatient setting when daily intravenous antibiotics are not practical due to social or financial issues. Methods We conducted a retrospective study to describe dalbavancin use at our institution and to estimate resulting cost avoidance. We identified all patients aged 18 years or older who received at least one dose of dalbavancin via medication records, regardless of setting. Results 46 patients received dalbavancin between April of 2015 and March of 2019. The most commonly treated infections were bone and joint infections (41%), complicated bacteremias (24%), and skin and soft-tissue infections (20%). The most commonly treated organism was Staphylococcus aureus (55%). A variety of dosing regimens were used, 26 patients (57%) received a single dose to complete a treatment course. The majority of doses were administered in an outpatient infusion center (61%) although 28% of doses were administered in the inpatient setting prior to discharge. Reasons for dalbavancin selection included history of intravenous drug use (35%), contraindications to alternative antibiotics (30%), prior history of nonadherence or manipulation of PICC (18%), other social issues preventing PICC (11%), and limited outpatient daily infusion options due to lack of funding (9%). 4 patients (8.7%) were lost to follow-up. 11 (24%) patients were readmitted to the hospital within 30 days, 2 (4%) of these patients were readmitted with a concern related to their infection or an adverse effect of the dalbavancin infusion. Based on a calculation of equivalent dalbavancin therapy days for each patient, 774 hospital days were saved. In total, this is estimated to be $1,885,479 in overall cost avoidance and a mean cost avoidance of $40,988 per patient. Conclusion As data regarding the efficacy of dalbavancin for more complicated infections continue to emerge, it should be considered as a cost-effective alternative therapy when social and financial factors limit treatment options. Disclosures All authors: No reported disclosures.

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