Minimally Invasive Elective Surgery as a Treatment of Bowel Invagination in a Peutz-Jeghers Syndrome Case

We present a case of a 24-year-old woman with Peutz-Jeghers syndrome, recurrent colic abdominal pain, and lower gastrointestinal bleed for the last 5 years. Colonoscopy showed hamartomas without any dysplasia. In the enteral magnetic resonance imaging, a distal jejunum and ileum invagination, secondary to hamartomas was detected. The patient was referred to the Surgery Department and despite few symptoms, elective surgery was proposed. By laparoscopic surgery approach, the entire bowel was carefully revised, 3 intussusceptions and bowel volvulus were found, 2 in jejunum and 1 in ileum, causing incomplete obstruction and intestinal dilatation, with a diameter of 6 cm. These intussusception areas were marked with a silk filament, after achieving devolvulation and disinvagination. A 5-cm laparotomy was done, to externalize the entire bowel, to explore it manually, to verify the absence of other lesions, and locate silk points. By longitudinal enterotomies on the antimesenteric intestinal border where silk filaments were located, the polyps were removed through their stalk, and the enterotomies were transversely closed. Postoperative evolution was favorable, starting oral tolerance on the fourth day and being discharged from the hospital on the seventh day. Eight months later, the patient was asymptomatic with a better quality of life.

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Erratum

Journal of Cerebral Blood Flow & Metabolism ◽

10.1038/jcbfm.1995.91 ◽

1995 ◽

Vol 15 (4) ◽

pp. 719-719

Keyword(s):

Magnetic Resonance Imaging ◽

Blood Flow ◽

Electrical Impedance ◽

Neonatal Rat ◽

Print Quality ◽

Resonance Imaging ◽

Excitotoxic Injury ◽

Cereb Blood Flow ◽

Neonatal Rat Brain

Early Evolution and Recovery from Excitotoxic Injury in the Neonatal Rat Brain: A Study Combining Magnetic Resonance Imaging, Electrical Impedance, and Histology Menno van Lookeren Campagne, Jeroen B. Verheul, Klaas Nicolay and Robert Balázs [Originally published in J Cereb Blood Flow Metab 1994;14(6):JOll-J023] The print quality of Fig. 6G in the above article was poor and the figure therefore lacked the necessary detail. The publisher apologizes for this and reprints Fig. 6 , in its entirely, with the legend below. [Figure: see text]

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Differing Spontaneous Brain Activity in Healthy Adults with Two Different Body Constitutions: A Resting-State Functional Magnetic Resonance Imaging Study

Journal of Clinical Medicine ◽

10.3390/jcm8070951 ◽

2019 ◽

Vol 8 (7) ◽

pp. 951

Author(s):

Ching-Hsiung Liu ◽

Yen-Ying Kung ◽

Tzu-Chen Yeh ◽

Pei-Shan Hsu ◽

Ching-Ju Yang ◽

...

Keyword(s):

Quality Of Life ◽

Magnetic Resonance Imaging ◽

Resting State ◽

Brain Activity ◽

Functional Magnetic Resonance ◽

Resonance Imaging ◽

Spontaneous Brain Activity ◽

Body Constitution ◽

Postcentral Gyrus

Traditional Chinese medicine (TCM) practitioners assess body constitution (BC) as a treatment basis for maintaining body homeostasis. We investigated patterns in spontaneous brain activity in different BC groups using resting-state functional magnetic resonance imaging (rsfMRI) and determined the relationship between these patterns and quality of life (QOL). Thirty-two healthy individuals divided into two groups (body constitution questionnaire (BCQ)-gentleness [BCQ-G] and BCQ-deficiency [BCQ-D]) based on the body constitution questionnaire (BCQ) underwent rsfMRI to analyze regional homogeneity (ReHo) and the amplitude of low-frequency fluctuation (ALFF). The World Health Organization Quality of Life Instruments (brief edition) scale was used to evaluate the QOL. The BCQ-G group (n = 18) had significantly greater ReHo values in the right postcentral gyrus and lower ALFF values in the brainstem than the BCQ-D group (n = 14). In the BCQ-D group, decreased ReHo of the postcentral gyrus correlated with better physiological functioning; increased ALFF in the brainstem correlated with poor QOL. BCQ-subgroup analysis revealed a nonsignificant correlation between ReHo and Yang deficiency/phlegm and stasis (Phl & STA). Nonetheless, the BCQ-D group showed a positive correlation between ALFF and Phl & STA in the parahippocampus. This study identified differences between BCQ-G and BCQ-D types of healthy adults based on the rsfMRI analysis. The different BCQ types with varied brain endophenotypes may elucidate individualized TCM treatment strategies.

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A study of the sensitivity and specificity of the Magnetic Resonance Imaging (MRI) technique used in the diagnosis of endometriosis versus the intraoperative appearance considered the reference standard in the diagnosis of endometriosis

Medicina Moderna - Modern Medicine ◽

10.31689/rmm.2021.28.1.55 ◽

2021 ◽

Vol 28 (1) ◽

pp. 55-61

Author(s):

Alexandra RADU ◽

◽

Elvira BRATILA ◽

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Sensitivity And Specificity ◽

Reference Standard ◽

Resonance Imaging ◽

First Line ◽

Magnetic Resonance Imaging Mri ◽

Asymptomatic Women ◽

Bladder Invasion

Endometriosis is a gynecological pathology with chronic symptoms, which negatively affects the patient’s quality of life. The prevalence of endometriosis in asymptomatic women is between 2% and 50%, depending on the populations studied and the method of diagnosis. The severity of the symptoms as well as the probability of diagnosing endometriosis increases with age9. Because endometriosis is a gynecological condition with a nonspecific clinical picture, sometimes even asymptomatic, imaging technology can be considered the first line of diagnosis for this pathology. The main objective of this study is to evaluate the sensitivity and specificity of nuclear magnetic resonance imaging (MRI) used in the diagnosis of endometriotic lesions depending on their location, and compare the results obtained with the intraoperative appearance considered a reference standard in the diagnosis of endometriosis. Our study revealed the highest specificity for MRI in the case of endometriotic bladder invasion, respectively the highest sensitivity for endometriotic rectal nodules.

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Diagnosis and management of congenital absence of pericardium: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytz223 ◽

2019 ◽

Vol 3 (4) ◽

pp. 1-5

Author(s):

Melissa Bouchard ◽

A Hoschtitzky ◽

M Gatzoulis

Keyword(s):

Magnetic Resonance Imaging ◽

Cardiac Magnetic Resonance ◽

Magnetic Resonance ◽

Cardiac Magnetic Resonance Imaging ◽

Rare Condition ◽

Symptomatic Patient ◽

Resonance Imaging ◽

Asymptomatic Patients ◽

Chest Pains

Abstract Background Absence of the pericardium is a rare congenital defect with an approximate incidence of <1/10 000. We review a case of complete pericardial agenesis in a symptomatic patient with gross cardiac mobility, for which pericardial reconstruction was undertaken successfully. Case summary A 24-year-old otherwise fit and well patient, with debilitating exertional chest pain was found to have complete pericardial agenesis on the left side and on the diaphragmatic surface. There was gross cardiac mobility demonstrated on cardiac magnetic resonance imaging. His pericardium was reconstructed surgically using Gore-tex® patches. There were no complications, and the patient was discharged 8 days later. Three months later at follow-up, the patient required no analgesia and has had complete resolution of his chest pains. Discussion Congenital hemi-pericardial agenesis is a very rare condition which often remains undetected due to its asymptomatic nature. It is important to consider this as a differential diagnosis of exertional chest pains. Cardiac magnetic resonance imaging remains the investigation of gold standard. There is no consensus on whether surgical intervention in symptomatic or asymptomatic patients has any prognostic value. However, we have demonstrated that by reconstructing the pericardium in a highly symptomatic patient, there has been a resolution in size of a previously dilated right ventricle and most importantly an improvement in quality of life.

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