scholarly journals Volvulus of the Gallbladder: Case Reports

2019 ◽  
pp. 1-2
Author(s):  
Jean Gugenheim ◽  
Imed Ben Amor ◽  
Jean Gugenheim ◽  
Radwan Kassir ◽  
Vincent Casanova
Keyword(s):  
Case Reports ◽  
Female Gender ◽  
The Elderly ◽  
Blood Analysis ◽  
Surgical Indications ◽  
Predisposing Factor ◽  
X Ray ◽  
Whole Blood Analysis ◽  
Torsion Of The Gallbladder ◽  
The Right

The volvulus of the gallbladder can be considered a clinical curiosity. However, we herein report three recent demonstrative consecutive cases. Female gender, advanced age and a thin constitution seem to represent common predisposing factors. A brutal and excrutiatingly painful presentation in the right hypochondrium contrast initially with seemingly normal vital parameters. Fever can be observed as well as signs of peritoneal irritation. An X-Ray of the abdomen can show a complete emptiness of the right flank and whole blood analysis can reveal an elevated leucocyte count predominantly neutrophilic. The torsion of the gallbladder thus presents itself as an acute cholecystitis with particularities catching the clinician's attention. The only anatomical predisposing factor resides in an anomaly of the mesocyst. The prognosis is driven by the delay to cholecystectomy as a fatal toxinic syndrome can be dreaded in this fragile population. Population's aging and possibilities to enlarge surgical indications in the elderly, enforces us to abandon the pejorative qualifier of « rare curiosity » attached to the gallbladder volvulus and define it as a clear entity in the gallbladder pathology.

Demonstration of whole blood analysis using proton-induced x-ray emission

1976 ◽  
Vol 3 (2) ◽  
pp. 91-94 ◽  
Author(s):  
J. J. Malanify ◽  
C. E. Burns ◽  
D. A. Close ◽  
R. C. Bearse
Keyword(s):  
Whole Blood ◽  
Blood Analysis ◽  
X Ray ◽  
Whole Blood Analysis

Complete Spontaneous Regression of Merkel Cell Carcinoma

2005 ◽  
Vol 114 (5) ◽  
pp. 376-380 ◽  
Author(s):  
Luis Junquera ◽  
Aintza Torre ◽  
Luis García-Consuegra ◽  
Juan C. Vicente ◽  
Manuel F. Fresno
Keyword(s):  
Computed Tomography ◽  
Cell Carcinoma ◽  
Merkel Cell Carcinoma ◽  
Spontaneous Regression ◽  
Case Reports ◽  
The Elderly ◽  
Merkel Cell ◽  
Review Of The Literature ◽  
The Right

Merkel cell carcinoma (MCC) is a very aggressive primary cutaneous neoplasm most often occurring on the head and neck of the elderly. Spontaneous regression of MCC was first described in 1986. A 79-year-old woman with MCC on the right cheek underwent spontaneous regression of the malignancy, documented by photographic follow-up, computed tomography, and histologic studies. A review of the literature is presented. Complete clinical and histologic regression of MCC was observed in the present case. Although the literature documents 11 similar cases, only 6 can be regarded as complete spontaneous regressions following exclusive performance of a biopsy (primary complete spontaneous regression). Primary complete spontaneous regression of MCC is infrequent, and most case reports describe this phenomenon in women with MCC on the cheek. The reasons underlying regression are unknown.

scholarly journals Partial diaphragmatic eventration and liver herniation

2014 ◽  
Vol 1 (2) ◽  
pp. 41
Author(s):  
Emily Morris ◽  
Duncan G. Fullerton ◽  
Gerhard C. Bockeler ◽  
Dilip Nazareth
Keyword(s):  
Case Reports ◽  
Lung Mass ◽  
X Ray ◽  
Diaphragmatic Eventration ◽  
Liver Herniation ◽  
Chest X Ray ◽  
The Right

This case reports a 54-year-old lady with a chest X-ray showing a lung mass that was later identified to be eventration or abnormal elevation of a part of the diaphragm. This article discusses eventration of the right diaphragm and liver herniation, that although relatively rare, has characteristic radiological appearances.

scholarly journals A Case of Slow-Release Potassium Chloride Overdose

2007 ◽  
Vol 14 (3) ◽  
pp. 169-173 ◽  
Author(s):  
CK Wan ◽  
HK Tong
Keyword(s):  
Emergency Department ◽  
Potassium Chloride ◽  
Medical Literature ◽  
Slow Release ◽  
Case Reports ◽  
The Elderly ◽  
Acute Hospital ◽  
X Ray ◽  
Whole Bowel Irrigation ◽  
Massive Overdose

An 86-year-old gentleman was brought to the emergency department after a massive overdose of slow-release potassium chloride and indapamide. The initial serum potassium was 6.8 mmol/L. His abdominal X-ray did not reveal any radio-opaque drugs. Whole bowel irrigation was commenced shortly after presentation. There was no rebound of hyperkalaemia and his stay in the acute hospital was short. Slow-release potassium overdose is uncommonly reported in the medical literature; such poisoning in the elderly has not been reported. Previous case reports are summarised and the management of this uncommon poisoning is discussed.

scholarly journals Cocaine-Induced Pneumopericardium: Safe for Discharge? A Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Xavier Galloo ◽  
Jan Stroobants ◽  
David Yeo ◽  
Esmael El-Abdellati
Keyword(s):  
Subcutaneous Emphysema ◽  
Cocaine Abuse ◽  
Blood Analysis ◽  
Conservative Approach ◽  
X Ray ◽  
Thoracic Ct ◽  
Intranasal Cocaine ◽  
Chest X Ray ◽  
The Right

A 29-year-old male presented at the Emergency Department (ED) with chest pain and neck tenderness after intranasal cocaine usage. Physical exam of the patient demonstrated moderate subcutaneous emphysema on the right side of his neck. The ECG did not demonstrate any changes associated with cocaine-induced cardiac ischemia, and blood analysis was normal (negative troponins). A chest X-ray revealed subtle evidence of pneumomediastinum. Subsequent thoracic CT confirmed the presence of subcutaneous emphysema with a pneumopericardium and a large pneumomediastinum along with a small pneumothorax. The patient was managed conservatively and kept overnight for observation. He was discharged from the ED the following day with ambulatory follow-up. A repeat thoracic CT performed two weeks later demonstrated that the findings identified in the first CT had resolved. Pneumopericardium, -mediastinum, and -thorax are rare conditions reported after cocaine abuse. A conservative approach with a period of observation in a suitable ambulatory unit is acceptable, as current literature suggests that the condition is usually self-limiting.

scholarly journals Spontaneous Splenic Rupture Four Days after an Open Appendicectomy

2015 ◽  
Vol 97 (2) ◽  
pp. e23-e24
Author(s):  
R Parker ◽  
G Gravante ◽  
M Elshaer ◽  
N Humayun ◽  
H Ebdewi
Keyword(s):  
Splenic Rupture ◽  
Case Reports ◽  
Iliac Fossa ◽  
Postoperative Bleeding ◽  
Haemorrhagic Shock ◽  
Spontaneous Splenic Rupture ◽  
Open Appendicectomy ◽  
Predisposing Factor ◽  
Midline Laparotomy ◽  
The Right

Introduction Spontaneous splenic rupture is a rare but dangerous event that requires prompt diagnosis and frequently an emergency splenectomy. Previous case reports have described the occurrence in patients with medical conditions, anticoagulant treatments, endoscopic procedures, laparoscopic surgery or no particular predisposing factor. Our report is the first to describe the occurrence of spontaneous spleen rupture following a laparotomy conducted in the lower abdomen. Case History A 62-year-old woman presented with a 10-day history of right iliac fossa pain radiating to the right leg and associated vomiting. Following a routine blood check and computed tomography (CT), she underwent an open appendicectomy through a lower midline laparotomy for an appendicular abscess. Four days later, she experienced haemorrhagic shock and a second CT scan diagnosed a spontaneous splenic rupture that required a prompt splenectomy. Conclusions Our case is the first that describes the spontaneous rupture of the spleen following an open procedure conducted in the lower quadrants. This entity must still be considered as a rare but potential cause for postoperative bleeding when no other obvious sources are identified.

scholarly journals Refractory Asthma Treatment Is Complicated by Tracheobronchomalacia: Case Reports and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Sawad Boonpiyathad ◽  
Atik Sangasapaviliya
Keyword(s):  
Severe Asthma ◽  
Case Reports ◽  
Persistent Asthma ◽  
Posterior Wall ◽  
The Elderly ◽  
Review Of The Literature ◽  
Adequate Treatment ◽  
Left Bronchus ◽  
The Right ◽  
Refractory Asthma

Tracheobronchomalacia (TBM) is defined as the condition where the airway lumen narrows more than 50 percent. The acquired TBM usually occurs in adults; however, the prevalence of TBM in asthma is unknown. We report two cases of severe asthma in elderly patients that could not be controlled with higher medication use. Case 1 was a 70-year-old woman with sever persistent asthma for 10 years, presented with uncontrolled symptoms for 4 months. A CT of the chest showed collapse of the trachea at the posterior wall. Case 2 involved a 72-year-old woman with partly controlled asthma presenting with uncontrolled symptoms for 3 months. A CT of the chest showed normal distal tracheal anteroposterior diameter. However, bronchoscopy showed bronchomalacia at the right and left bronchus of the lower lungs. Patients who have severe asthma, despite adequate treatment with medication, should be further investigated to exclude other diseases that have clinical features similar to asthma such as tracheobronchomalacia, particularly in the elderly.

Low temperature x-ray microanalysis of frozen-hydrated tobacco leaves

1984 ◽  
Vol 42 ◽  
pp. 284-285
Author(s):  
S. Edith Taylor ◽  
Patrick Echlin ◽  
May McKoon ◽  
Thomas L. Hayes
Keyword(s):  
Low Temperature ◽  
Lemna Minor ◽  
Root Tips ◽  
Tobacco Leaves ◽  
X Ray ◽  
Whole Cells ◽  
Carbon Coated ◽  
The Right ◽  
Beam Currents ◽  
The University

Low temperature x-ray microanalysis (LTXM) of solid biological materials has been documented for Lemna minor L. root tips. This discussion will be limited to a demonstration of LTXM for measuring relative elemental distributions of P,S,Cl and K species within whole cells of tobacco leaves.Mature Wisconsin-38 tobacco was grown in the greenhouse at the University of California, Berkeley and picked daily from the mid-stalk position (leaf #9). The tissue was excised from the right of the mid rib and rapidly frozen in liquid nitrogen slush. It was then placed into an Amray biochamber and maintained at 103K. Fracture faces of the tissue were prepared and carbon-coated in the biochamber. The prepared sample was transferred from the biochamber to the Amray 1000A SEM equipped with a cold stage to maintain low temperatures at 103K. Analyses were performed using a tungsten source with accelerating voltages of 17.5 to 20 KV and beam currents from 1-2nA.

Crohn's disease as a differential diagnostic problem in the elderly (case reports)

2006 ◽  
Vol 44 (05) ◽  
Author(s):  
Z Czeglédi ◽  
K Rábai ◽  
T Szamosi ◽  
B Nádas ◽  
J Banai
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Case Reports ◽  
The Elderly ◽  
Diagnostic Problem

Nachhaltigkeit in Wald und Gesellschaft trotz «Überalterung» und «Unterjüngung» (Essay)

2013 ◽  
Vol 164 (8) ◽  
pp. 236-239
Author(s):  
Werner Schärer
Keyword(s):  
Civil Society ◽  
Technical Progress ◽  
The Elderly ◽  
Human Populations ◽  
Civil Society Organisations ◽  
Care For The Elderly ◽  
Economic Reasoning ◽  
The Right ◽  
Implementation Programme ◽  
Effective Distribution

Sustainability in forest and society despite “overmaturity” and “lack of regeneration” (essay) This essay compares efforts to move towards sustainability in the forests with those in the care for the elderly in Switzerland, and tries to draw conclusions which may promote sustainability. It is wrong, for forests and human populations, to talk of “overmaturity”, as this assumes the primacy of economic reasoning. To guarantee sustainability, the balance between all aspects is crucial. To attain true sustainability, we need binding guidelines and the “right” scale of implementation programme. Civil society organisations have been working for decades – often longer than the state itself – to improve sustainability. In many different areas, good cooperation and effective distribution of tasks between these institutions can be observed. This is important, among other things, because the ever greater speed of technical progress may overwhelm the adaptive capacity of both forests and people, which would influence sustainability in a negative way.

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