Christina Damsted Petersen, Susanne Neergaard Poll
{"title":"[Complications for Ballerine pearl spiral].","authors":"Christina Damsted Petersen, Susanne Neergaard Poll","doi":"10.61409/V01250026","DOIUrl":"10.61409/V01250026","url":null,"abstract":"<p><p>The Ballerine copper intrauterine device (IUD) has been used worldwide since 2014 and in Denmark since 2020. There is limited documentation for its effectiveness and possible risks and complications. In this case report, two women, one 22-year-old (multipara) and the other 24-year-old (nullipara), both experienced extrauterine displacement and perforation. In both cases, the IUD needed removal surgically. Clinical experience with the insertion of an IUD as well as the need for detailed information on possible complications is advised. Further studies on the Ballerine cobber IUD are warranted.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trygve Ulvund Solstad, Claudia Schröder, Michael Festersen Nielsen, Kim Agerholm Brogaard
{"title":"[Scrotal pain as the presenting symptom of metastatic sigmoid cancer].","authors":"Trygve Ulvund Solstad, Claudia Schröder, Michael Festersen Nielsen, Kim Agerholm Brogaard","doi":"10.61409/V12240896","DOIUrl":"10.61409/V12240896","url":null,"abstract":"<p><p>Colorectal cancer is one of the most common malignancies globally, and typical sites of metastasis include the liver and lungs; however, metastasis to the testes is exceedingly rare. We report a case where a 54-year-old male presented with acute scrotal pain and swelling. Scrotal ultrasound revealed a solid mass, and further investigations identified metastatic adenocarcinoma originating from the sigmoid colon. This case highlights the importance of considering malignancy in older patients with scrotal symptoms, especially when common causes have been ruled out.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Local administration of tranexamic acid for prevention and treatment of bleeding].","authors":"Jeppe Hjembæk-Brandt, Mathias Maagaard, Christine Nygaard Svendsen, Preben Homø, Jakob Felbo Paulsen","doi":"10.61409/V11240825","DOIUrl":"10.61409/V11240825","url":null,"abstract":"<p><p>Tranexamic acid (TXA) is an antifibrinolytic drug found on WHO's list of \"essential medicines\". TXA is effective in reducing bleeding by 30-40% in a wide range of clinical scenarios and is most often administered systemically. Concerns regarding increased risk of thromboembolic events have prompted research into local administration of TXA. Local administration of TXA has therefore been investigated in a wide range of clinical scenarios with most studies showing an effect approximately equal to systemically administrated TXA and with minimal risk of systemic side effects, as argued in this review.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristoffer N Skaastrup, Carolina C Graffe, Siska Frahm-Falkenberg, Christian Krarup, Johannes K Jakobsen
{"title":"[Neuralgic amyotrophy].","authors":"Kristoffer N Skaastrup, Carolina C Graffe, Siska Frahm-Falkenberg, Christian Krarup, Johannes K Jakobsen","doi":"10.61409/V09240628","DOIUrl":"10.61409/V09240628","url":null,"abstract":"<p><p>This review provides an overview of neuralgic amyotrophy (NA) to improve treatment and collaboration. The disorder is a neuropathy characterized by acute onset of asymmetric severe pain, paresis, atrophy, and sensory deficits followed by prolonged remission. The incidence of NA is likely higher than previously assumed. Initial treatment includes a combination of long-lasting NSAIDs and slow-release opioids, while corticosteroids may be considered in severe cases. Physical therapy is reserved for chronic phase treatment. Electrophysiological tests and ultrasound may aid the clinical diagnosis.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Recurrence of a hiatal hernia with intrathoracic perforation and respiratory failure during pregnancy].","authors":"Malene Børgager Dissing, Jesper Durup","doi":"10.61409/V01250061","DOIUrl":"10.61409/V01250061","url":null,"abstract":"<p><p>Recurring diaphragmatic hernias severely complicating pregnancy is a rare but potentially fatal condition. Varying symptoms and low incidence often lead to delays in diagnosis and treatment, causing increased morbidity and mortality. We present a case where a 31-year-old pregnant woman developed respiratory failure due to a right mediastinal shift caused by perforation of an incarcerated hiatal hernia, for which she had previously been operated for. Post-operatively, she suffered from vomiting due to gastroparesis, likely caused by damage to the vagus nerve, and needed supplementary nutrition.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kend de grønne løsninger.","authors":"Jakob Hjort Bønnløkke","doi":"10.61409/V03250245","DOIUrl":"10.61409/V03250245","url":null,"abstract":"","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kasper Jørgensen, Thomas Rune Nielsen, Ann Nielsen, Frans Boch Waldorff, Gunhild Waldemar
{"title":"[BASIC is an instrument for dementia assessment].","authors":"Kasper Jørgensen, Thomas Rune Nielsen, Ann Nielsen, Frans Boch Waldorff, Gunhild Waldemar","doi":"10.61409/V12240861","DOIUrl":"10.61409/V12240861","url":null,"abstract":"<p><p>BASIC is a new case-finding instrument for cognitive impairment and dementia that has been validated in memory clinics in Denmark and other European countries, and in general practice. The diagnostic accuracy of BASIC for dementia and mild cognitive impairment is like or better than the accuracy of existing, more time-consuming cognitive tests. BASIC is significantly correlated with the degree of cognitive impairment. Education does not affect BASIC, and the effects of age and gender are too small to justify score adjustment. BASIC has similar accuracy when assessing immigrants and native Europeans.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[When HbA1c fails].","authors":"Mads Bisgaard Bengtsen, Esben Søndergaard","doi":"10.61409/V12240902","DOIUrl":"10.61409/V12240902","url":null,"abstract":"<p><p>This case report highlights the importance of recognizing potential pitfalls in HbA1c measurement errors and being vigilant in terms of discrepancies between HbA1c estimated from continuous glucose monitoring (CGM) and venous HbA1c measurements. The latter is especially relevant for physicians managing diabetes, as by 2025, 4,400 adults with insulin-treated type 2 diabetes are expected to start using CGM devices, many of whom will be monitored in primary care settings.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frederik Christopher Gulmark Hansen, Caroline Lilja, Jørn Bo Thomsen, Jens Ahm Sørensen
{"title":"[Treatment of lymphoedema after breast cancer].","authors":"Frederik Christopher Gulmark Hansen, Caroline Lilja, Jørn Bo Thomsen, Jens Ahm Sørensen","doi":"10.61409/V12240905","DOIUrl":"10.61409/V12240905","url":null,"abstract":"<p><p>Breast cancer-related lymphoedema affects up to 20% of patients, leading to arm swelling and reduced quality of life. Conventional treatments include compression therapy, manual lymph drainage, and exercise. Surgical options like lymphovenous anastomosis and vascularized lymph node transplantation offer promising results, with robot-assisted techniques improving precision. Liposuction remains a great option amongst selected patients, while emerging medical treatments hold potential for further advancements. Continued research is essential to optimize therapies and individualize treatments, as argued in this review.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}