scholarly journals A Case of Gas Gangrane of the Right Upper Arm Complicated by Strangulation Ileus Caused by Broad Ligament Hernia

2005 ◽  
Vol 30 (4) ◽  
pp. 685-688
Author(s):  
Takehiko SAKIMOTO ◽  
Masaru YOKOYAMA ◽  
Hideyuki ISHIDA ◽  
Daijou HASHIMOTO
Keyword(s):  
Broad Ligament ◽  
Upper Arm ◽  
The Right ◽  
Strangulation Ileus

scholarly journals Recurrence hernia in the broad ligament of the uterus: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yoshifumi Hashimoto ◽  
Tatsuo Kanda ◽  
Tadasu Chida ◽  
Kazuyoshi Suda
Keyword(s):  
Small Bowel ◽  
Rare Disease ◽  
Broad Ligament ◽  
Significant Risk ◽  
Disease Recurrence ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Bowel Segments ◽  
Hernia Orifice ◽  
Bowel Herniation

Abstract Background Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. Case presentation A 53-year-old woman complaining of abdominal pain was transported to our hospital. She had a history of laparotomy for small-bowel obstruction associated with hernia in the broad ligament of the uterus 10 years ago at a local hospital. Abdominal pelvic contrast-enhanced computed tomography revealed that the mesentery of the dilated bowels converged at a thick band in the pelvis, suggesting closed loop obstruction of the small bowel. The patient underwent urgent laparotomy and was diagnosed with bowel herniation through an opening in the broad ligament of the uterus on the right side, which was ipsilateral with the previous surgery. The hernia orifice was widened by incision and incarcerated bowel segments were released and preserved because ischemia was reversible. The membranous defect of BLH was closed by suture with braded silk strings. Conclusions Although BLH is a rare disease, patients face a significant risk of disease recurrence. Nonabsorbable suture may be advisable for closure of the hernia orifice in BLH.

Normative Arm and Calf Blood Pressure Values in the Newborn

PEDIATRICS ◽  
1989 ◽  
Vol 83 (2) ◽  
pp. 240-243
Author(s):  
Myung K. Park ◽  
Da-Hae Lee
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Mexican Americans ◽  
Newborn Infants ◽  
Coarctation Of The Aorta ◽  
Upper Arm ◽  
Mean Values ◽  
The Right ◽  
Diagnosis Of Hypertension ◽  
Mean Heart Rate

Indirect BP measurement was obtained in the right upper arm in 219 healthy newborn infants with the Dinamap monitor and was compared with values obtained from the calf to establish normative BP values and to help establish a diagnosis of hypertension and coarctation of the aorta in the newborn. There were 174 Mexican-Americans (79.5%), 33 whites (15.0%), and 12 blacks (5.5%). The width of the BP cuff was selected to be 0.4 to 0.5 times the circumference of the extremities. Three supine position readings of BPs and heart rate were obtained from each site and were averaged for statistical analyses. Mean arm BP values (±SD) of the neonate less than 36 hours of age were 62.6±6.9/38.9± 5.7 mm Hg (48.0±6.2 mm Hg). Neonates older than 36 hours had slightly but significantly (P<.05) greater values (4 to 6 mm Hg) than did infants younger than 36 hours of age. Active neonates had values 6 to 10 mm Hg greater than quiet neonates (P<.05). BP values in the calf obtained with the same-sized cuff were almost identical with those obtained from the arm. Differences in consecutively obtained arm and calf BPs (arm values minus calf values) were 1.1±7.7 mm Hg systolic, -0.01 ± 6.2 mm Hg diastolic, and 0.9 ±6.9 mm Hg mean pressures. Mean heart rate (±SD) of neonates less than 36 hours of age was 129.4± 13.2 beats per minute and that of neonates older than 36 hours of age was 139.4± 14.1 beats per minute. These results show the following: (1) arm BPs and calf BPs using the same-sized cuff are almost identical with mean values of approximately 65/ 41 mm Hg (50 mm Hg) in neonates one to three days of age, (2) arm BP of 75/49 mm Hg (59 mm Hg) or greater is in the hypertensive range, and (3) calf BPs that are less than arm BPs by mean + 1 SD (6 to 9 mm Hg) necessitate a thorough investigation for coarctation of the aorta.

The Relationship between Consistency of Propulsive Cycles and Maximum Angular Velocity during Wheelchair Racing

2008 ◽  
Vol 24 (3) ◽  
pp. 280-287 ◽  
Author(s):  
Yong “Tai” Wang ◽  
Konstantinos Dino Vrongistinos ◽  
Dali Xu
Keyword(s):  
Angular Velocity ◽  
Upper Limb ◽  
Wheelchair Propulsion ◽  
Upper Arm ◽  
Wheelchair Athletes ◽  
Angular Velocities ◽  
Limb Kinematics ◽  
Analysis System ◽  
The Right ◽  
The Relationship

The purposes of this study were to examine the consistency of wheelchair athletes’ upper-limb kinematics in consecutive propulsive cycles and to investigate the relationship between the maximum angular velocities of the upper arm and forearm and the consistency of the upper-limb kinematical pattern. Eleven elite international wheelchair racers propelled their own chairs on a roller while performing maximum speeds during wheelchair propulsion. A Qualisys motion analysis system was used to film the wheelchair propulsive cycles. Six reflective markers placed on the right shoulder, elbow, wrist joints, metacarpal, wheel axis, and wheel were automatically digitized. The deviations in cycle time, upper-arm and forearm angles, and angular velocities among these propulsive cycles were analyzed. The results demonstrated that in the consecutive cycles of wheelchair propulsion the increased maximum angular velocity may lead to increased variability in the upper-limb angular kinematics. It is speculated that this increased variability may be important for the distribution of load on different upper-extremity muscles to avoid the fatigue during wheelchair racing.

scholarly journals A Case of Strangulation Ileus Complicated with Malrotation Caused by the Right Ureter after Radical Hysterectomy

2018 ◽  
Vol 79 (4) ◽  
pp. 921-924 ◽  
Author(s):  
Yoshinori OKAHATA ◽  
Kou SHIMADA ◽  
Shinsuke SUGENOYA ◽  
Arano MAKINO ◽  
Kuniyuki GOMI ◽  
...  
Keyword(s):  
Radical Hysterectomy ◽  
The Right ◽  
Strangulation Ileus

PRINCESS ELIZABETH, SECOND DAUGHTER OF KING CHARLES I, AND RICKETS

PEDIATRICS ◽  
1979 ◽  
Vol 64 (2) ◽  
pp. 241-241
Author(s):  
T. E. C.
Keyword(s):  
Relative Proportion ◽  
Spinal Column ◽  
Lower Extremities ◽  
Long Bone ◽  
Upper Arm ◽  
Charles I ◽  
King Charles I ◽  
The Right ◽  
Shoulder Blade ◽  
Unequal Length

In 1856 the coffin of Princess Elizabeth (1635-1650) was discovered during the demolition of old St. Thomas's Church at Newport, Isle of Wight, England. Mr. Ernest P. Wilkins, MRCS, examined the remains of the Princess and noted:1 The bones of the upper arm were slightly curved outwards—more particularly the right humerous—while those of the forearm were somewhat twisted and considerably curved outwards. The spinal column, retaining the relative position of the vertebrae during life, presented an extremely curved condition constituting the double lateral or S curvature of pathologists, which must have caused considerable projection of the right shoulder-blade and its attendant deformity .... The condyles of the lower extremities were very large in relative proportion. The femur or thigh bone of the left side was curved forwards and inwards, that of the right side was more distorted than any other long bone. It was very much curved forwards and inwards. This bone was much flattened, its greatest diameter being from before, obliquely outwards and backwards; the concavity of the curve was somewhat filled in, and the bone thus strengthened by additional osseous deposit in accordance with the natural reparative tendency of Nature's laws. The bones of the leg, the tibia and fibula, were much curved outwards. The bones of the skeleton indicate the great deformity which existed during life—there was evidently considerable "growing out" of the right shoulder-blade and corresponding flattening of the left side of the back. The lower extremities were contorted and of unequal length, the knees were what is termed "knocked"; below the knees the legs were bowed, the heels thrown outwards and the toes inverted.

scholarly journals Leiomyoma of Broad Ligament Mimicking Ovarian Malignancy– Report of a Unique Case

2015 ◽  
Vol 12 (3) ◽  
pp. 219-221
Author(s):  
D Mallick ◽  
M Saha ◽  
S Chakrabarti ◽  
J Chakraborty
Keyword(s):  
Histopathological Examination ◽  
Broad Ligament ◽  
Cystic Mass ◽  
Reproductive Age ◽  
Ca 125 ◽  
Resected Specimen ◽  
Benign Tumors ◽  
Ovarian Malignancy ◽  
Unique Case ◽  
The Right

Tumors of the broad ligament are uncommon. Leiomyoma, which is the commonest female genital neoplasm, is also the most common solid tumor of the broad ligament. Leiomyomas affect 30% of all women of reproductive age but the incidence of broad-ligament leiomyoma is <1%. These benign tumors are usually asymptomatic. A case is being described where a 52 year old presented with gradual abdominal swelling which was clinically and radiologically diagnosed as ovarian malignancy. On abdominal and bimanual palpation a soft cystic mass was noted in the right pelvic region. CA 125 was mildly raised. CEA, CA 19.9 levels were within normal limit. The radiological diagnosis was ovarian cyst with possibility of malignant changes. Staging laparotomy and histopathological examination of the resected specimen revealed a right sided broad ligament leiomyoma with cystic changes. The degenerative changes in the leiomyoma lead to the clinical and radiological diagnostic confusion. Thus, though uncommon, broad ligament leiomyoma should be considered during evaluation of adnexal masses for optimal patient management. The above description of leiomyoma in the broad ligament is a highly unique case and thus deserves appropriate attention.Kathmandu University Medical Journal Vol.12(3) 2014; 219-221

scholarly journals An Exploratory Study Comparing the Hand Arm Vibration Exposures Measured from Bucking Bars using Traditional Tool-mounted Accelerometers and Wrist Worn IMUs

2019 ◽  
Vol 63 (1) ◽  
pp. 1048-1051
Author(s):  
Wadih Zaklit ◽  
Per Reinhall ◽  
Livia Anderson ◽  
Szymon Sarnowicz ◽  
Cassidy Quigley ◽  
...  
Keyword(s):  
Laboratory Study ◽  
Exploratory Study ◽  
Inertial Measurement Units ◽  
Upper Arm ◽  
Inertial Measurement ◽  
Steel Core ◽  
Hand Tool ◽  
Measurement Units ◽  
Left And Right ◽  
The Right

This controlled, exploratory laboratory study was conducted to measure hand-arm vibration (HAV) exposures when using a bucking bar fitted with three different handles: 1) a typical plastic handle, 2) a similarly designed handle with an aluminum core and a built-in dampening spring, and 3) a steel core handle with the same built-in spring. Using two experienced machinists, tri-axial HAV exposures were measured at the bucking bar handles; small, battery-powered, self-contained Inertial Measurement Units (IMUs) were used to measure the vibration transmitted through the tool operator’s left and right arms; and a wearable device worn on the operator’s right wrist estimated the HAV exposures occurring at the tool handle. The plastic handle produced the highest HAV exposures while the aluminum-spring and steel spring handles reduced exposures by 19% and 39%, respectively. On average, 74%, 65% and 40% of the tool-measured vibration was transmitted to the right hand, forearm and upper arm, respectively. The wrist mounted sensor appeared to accurately estimate HAV exposures measured at the hand-tool interface.

scholarly journals CHEK2 Mutation in Patient with Multiple Endocrine Glands Tumors. Case Report

2020 ◽  
Vol 17 (12) ◽  
pp. 4397
Author(s):  
Anna Szeliga ◽  
Aleksandra Pralat ◽  
Wiktoria Witczak ◽  
Agnieszka Podfigurna ◽  
Cezary Wojtyla ◽  
...  
Keyword(s):  
Broad Ligament ◽  
Gene Mutations ◽  
Pathogenic Mutation ◽  
Suppressor Gene ◽  
Uncontrolled Hypertension ◽  
Endocrine Glands ◽  
Histopathology Result ◽  
The Right ◽  
Acth Secreting ◽  
Adnexal Tumors

Background: Many studies show the occurrence of several multiple endocrine neoplasia syndromes caused by different mutations, for example, in MEN1 and RET genes. Nevertheless, there are less common mutations causing multiple endocrine glands tumors. Examples of such mutations are CHEK2 gene mutations, causing breast, kidney, gastric, colorectal, prostate, lung, ovarian, and thyroid cancers. Case description: In 2005, a 30-year-old woman was admitted to the hospital due to uncontrolled hypertension and obesity. Performed tests have shown ACTH (adrenocorticotropic hormone)—independent micronodular adrenal hyperplasia (AIMAH) as a cause. In 2010, the further diagnostic analysis revealed Cushing’s disease caused by ACTH-secreting pituitary microadenoma. Additionally, in 2011, the patient underwent the strumectomy of multinodular struma. Papillary thyroid carcinoma was found in the excised tissue. In 2018, transvaginal ultrasonography revealed a tumor of the right ovary. After a performed hysterectomy with bilateral salpingo-oophorectomy, the histopathology result has shown female adnexal tumors of probable Wolffian origin (FATWO) located in the broad ligament of the uterus. Due to the history of multiglandular diseases, the patient was referred to genetic testing. We found a positive pathogenic mutation in CHEK2-suppressor gene involved in DNA repair, cell cycle arrest, and apoptosis in response to DNA damage. Conclusion: CHEK2 variants may predispose to a range of endocrine glands tumors, including those identified in our patient. Multiple endocrine glands tumors, as in the presented patient, are a serious problem of public health, due to numerous hospitalizations and necessary repeated surgical treatments. Moreover, the association between CHEK2 and ovarian cancer can be a serious problem with reproductive health.

A sac-like protrusion on the right upper arm

2015 ◽  
Vol 13 (1) ◽  
pp. 62-64
Author(s):  
Li-qiang Zheng ◽  
Xiang-chun Han ◽  
Yong Huang ◽  
Xiao-dong Niu
Keyword(s):  
Upper Arm ◽  
The Right
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