scholarly journals Case of congenital adrenocortical cancer

Author(s):  
L. R. Karaseva ◽  
L. P. Privalova ◽  
E. G. Novopoltseva ◽  
V. V. Radovsky

The article presents a unique clinical observation of adrenocortical cancer (ACC) in a newborn baby, whose mother suffered from a recurrent form of maxillary fibrosarcoma and had a burdened obstetric and gynecological history, but was not examined by a geneticist. Complications of ACC in the presented patient were secondary hypertrophic cardiomyopathy with obstruction of the exit paths of both ventricles, Itsenko– Cushing syndrome. Despite the surgical treatment carried out according to vital indications (tumoradinectomy on the right with hormonal support with a Solu-Cortef), the child died during the progression of multiple organ failure and sepsis.

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.


2016 ◽  
Vol 2 (12) ◽  
Author(s):  
Alpha Oumar BAH ◽  
Mamadou Cellou BALDE ◽  
Amadou BAH ◽  
Alpha Oumar BARRY

1988 ◽  
Vol 18 (6) ◽  
pp. 705-708 ◽  
Author(s):  
Masao Miyashita ◽  
Masahiko Onda ◽  
Koji Sasajima ◽  
Akira Tokunaga ◽  
Noritake Tanaka

2017 ◽  
Vol 07 (01) ◽  
pp. 19-23
Author(s):  
Alpha Oumar Bah ◽  
Mamadou Cellou Balde ◽  
Amadou Bah ◽  
Alpha Oumar Barry

2021 ◽  
Vol 180 (4) ◽  
pp. 65-73
Author(s):  
D. A. Granov ◽  
I. I. Tileubergenov ◽  
V. N. Zhuikov ◽  
A. R. Sheraliev ◽  
D. N. Maistrenko ◽  
...  

In the presented case, the patient after orthotopic liver transplantation from an optimal cadaveric donor against the background of a smooth postoperative period and satisfactory graft function was followed by a series of biliary complications in the form of ongoing necrosis of the bile ducts of the graft, which required repeated surgical interventions, which led to the formation of a separate bicholangiostomy. The patient was put on the waiting list for a repeated liver transplantation. The developed complications led to sepsis, multiple organ failure and unstable hemodynamics, that required using of substitution therapy and high doses of inotropic, vasopressor drugs. A decision was made to assign the patient a «high-urgency» status with priority graft obtaining, and the coordination centers of St. Petersburg, Moscow, Leningrad and Moscow Regions and FMBA were notified. From the assignment of the «high urgency» status to receiving an organ has passed 10 hours. Hepatectomy with the formation of a temporary portocaval shunt began in advance of the donor liver’s admission to the clinic, which made it possible to stabilize the hemodynamic parameters and the recipient’s condition. However, against the background of massive blood loss, at the stage of graft revascularization, two episodes of cardiac arrest occurred, requiring indirect heart massage with chest and diaphragm compressions. Due to severe peripheral circulatory insufficiency, dry gangrene of the nail phalanx of the right forefinger was developed. Nevertheless, from the first postoperative day and thereafter, the graft demonstrated satisfactory function. Two months after the repeated transplantation, the patient was discharged in satisfactory condition. Subsequently, the index finger was amputated. Six months after the second operation, the patient returned to the work of a teacher.


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