scholarly journals Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review

2021 ◽  
pp. 20210117
Author(s):  
Divyesh Dadhania ◽  
Jineesh Valakkada ◽  
Anoop Ayyappan ◽  
Santhosh Kannath
Keyword(s):  
Case Report ◽  
Endoscopic Treatment ◽  
Vital Role ◽  
Endovascular Management ◽  
Dieulafoy’S Lesion ◽  
Gastrointestinal Bleed ◽  
Imaging Appearance ◽  
Life Threatening ◽  
Contrast Ct

Dieulafoy’s lesion is an uncommon cause of life-threatening gastrointestinal bleed from a dilated and tortuous submucosal artery. With the advent of endoscopy-guided intervention, the mortality of the condition has reduced significantly from 80 to 8%. Imaging plays a vital role in diagnosing them in endoscopically negative cases. Endovascular management can also be offered for unidentified lesions or failed endoscopic treatment. We report a middle-aged male with acute hematemesis where endoscopy was unable to reveal the source of the bleed. Contrast CT detected the lesion, which was embolised by endovascular route. The clinical details, imaging appearance and treatment of this uncommon lesion is presented.

Stent Graft Placement in the Top-Down Direction for Treating Traumatic Intra-Abdominal Suprahepatic Inferior Vena Cava Rupture: A Case Report

2021 ◽  
pp. 152660282110250
Author(s):  
Yun Chul Park ◽  
Hyoung Ook Kim ◽  
Nam Yeol Yim ◽  
Byung Chan Lee ◽  
Chan Park ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Stent Graft ◽  
Inferior Vena ◽  
Vena Cava ◽  
Endovascular Management ◽  
Top Down ◽  
Life Threatening ◽  
The Right ◽  
Suprahepatic Inferior Vena Cava

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.

Surgery for Renal Cell Carcinoma, Vital Role of Cardiopulmonary Bypass: Case Report

2014 ◽  
Vol 23 (2) ◽  
pp. 128-131
Author(s):  
Oğuz YILMAZ ◽  
Hasan ARDAL ◽  
Harun ARBATLI ◽  
Naci Erciyes YAĞAN ◽  
Oğuz ACAR ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Vital Role

scholarly journals Imaging appearance and role of CEUS of high flow priapism. A case report.

2019 ◽  
Vol 21 (3) ◽  
pp. 353
Author(s):  
Florin Elec ◽  
Tudor Moisoiu ◽  
Dan Burghelea ◽  
Razvan Zaro ◽  
Radu Badea
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Shear Wave ◽  
Ultrasound Examination ◽  
Shear Wave Elastography ◽  
High Flow ◽  
Contrast Enhanced Ultrasound ◽  
Imaging Appearance ◽  
Contrast Enhanced

High flow priapism caused by perineal trauma is a relatively rare disorder. Early diagnosis represents a mandatory condition for the therapeutic resolution. Ultrasound examination is affordable and a within reach method for diagnosis also in an emergency context. We present the case of a 56-year-old male patient with traumatic priapism which was subsequently investigated by contrast-enhanced ultrasound and shear wave elastography. This may be one of the first cases presented in the literature

scholarly journals Typhoid ulcer causing life-threatening bleeding from Dieulafoy's lesion of the ileum in a seven-year-old child: a case report

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Rajan Fuad Ezzat ◽  
Hiwa A Hussein ◽  
Trifa Shawkat Baban ◽  
Abbas Tahir Rashid ◽  
Khaled Musttafa Abdullah
Keyword(s):  
Case Report ◽  
Dieulafoy’S Lesion ◽  
Life Threatening

scholarly journals Transient Hyperinsulinemic Hypoglycemia Linked to PAX6 Mutation

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 582
Author(s):  
Jee-Min Kim ◽  
Seul-Ki Kim ◽  
Shin-Hee Kim ◽  
Won-Kyoung Cho ◽  
Kyoung-Soon Cho ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Case Report ◽  
Glucose Metabolism ◽  
Glucose Homeostasis ◽  
Hyperinsulinemic Hypoglycemia ◽  
Present Case Report ◽  
Insulin Regulation ◽  
Life Threatening ◽  
Pax6 Mutation

Prolonged hyperinsulinemic hypoglycemia in infancy can result in developmental sequelae. A mutation in the paired box-6 gene (PAX6) has been reported to cause disorders in oculogenesis and neurogenesis. A limited number of cases of diabetes mellitus in adults with a PAX6 mutation suggest that the gene also plays a role in glucose homeostasis. The present case report describes a boy with a PAX6 mutation, born with anophthalmia, who underwent hypoglycemic seizures starting at 5 months old, and showed a prediabetic condition at 60 months. This patient provides novel evidence that connects PAX6 to glucose homeostasis and highlights that life-threatening hypoglycemia or early onset glucose intolerance may be encountered. The role of PAX6 in glucose metabolism and insulin regulation should be further investigated.

scholarly journals The role of apraclonidine in Horner’s syndrome: A case report

2016 ◽  
Vol 144 (5-6) ◽  
pp. 312-314
Author(s):  
Jelena Karadzic ◽  
Igor Kovacevic ◽  
Jelena Ljikar
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Value ◽  
Surgical Removal ◽  
Imaging Studies ◽  
Life Threatening ◽  
History Of ◽  
Previous Medical History ◽  
Sympathetic Pathway

Introduction. Horner?s syndrome is an interruption of the sympathetic nervous system at any point along its course between the hypothalamus and the orbit. Horner?s syndrome is classically presented as an ipsilateral miosis, subtle ptosis, and facial anhidrosis. Pharmacologic testing is very useful in the diagnosis of Horner?s syndrome as it could help to localize the lesioned neuron in the sympathetic pathway, suggesting an etiology. Case Outline. We present a case report of a 41-year-old woman who reported right eyelid drooping immediately after operation of sympathetic chain schwannoma. We performed apraclonidine test for the diagnosis of Horner?s syndrome, which produced mydriasis on the affected eye, while there was no significant change of the normal eye. Based on the clinical presentation of anisocoria and one-sided ptosis, and previous medical history of surgical removal of the mediastinal tumor, the patient was diagnosed with a right-sided, partial Horner?s syndrome. Conclusion. Timely recognition, exact localization of the lesioned neuron, and referral for urgent imaging studies are important for ophthalmologists in order to prevent and treat life-threatening conditions. Besides its diagnostic value in Horner?s syndrome, topical apraclonidine could correct ptosis for the sake of esthetics or when ptosis reduces the superior visual field.

scholarly journals The role of the clinical pharmacists to improve the clinical outcomes of a kidney disease patient - A case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 3942-3945
Author(s):  
Deepalakshmi M ◽  
Diya C ◽  
Ajay Samraj P ◽  
Jonna Venkatesh ◽  
Kamalrathinam R ◽  
...  
Keyword(s):  
Case Report ◽  
Kidney Disease ◽  
Clinical Pharmacist ◽  
Kidney Diseases ◽  
Disease Patient ◽  
Vital Role ◽  
Care Plan ◽  
Clinical Pharmacists

Pruritis is mostly presented as a warning/symptom of a few chronic diseases that may include kidney diseases. Often it can be an indication of any neurologic, systemic, psychiatric or dermatologic disorders. About 10-70% of patients with chronic renal failure, and patients undergoing dialysis exist with Pruritis. Undiagnosed Pruritis may develop into cellulitis and other complications such as septicemia. A clinical pharmacist role is crucial in managing such patients. Clinical pharmacists’ vital role towards the patient helps them manage the unhealthy condition, restore, and improve their quality of life. We had a case report of anaemia in chronic kidney disease presented with Pruritis. The treatment was going on for the severe anaemic condition. Pruritis was left undiagnosed. The treating physician accepted the intervention of the clinical pharmacist to add Epoetin-alfa 3000 units/mL thrice a week. This intervention reaffirms the role of clinical pharmacists in developing the pharmaceutical care plan for patients.

Sign in / Sign up

Export Citation Format

Share Document