Annals of Medicine & Surgery最新文献_第9页

Surgical management of a thoraco-lumbar extradural cyst in a pediatric patient with Klippel-Trenaunay Syndrome: A case report 一名患有克利珀-特雷纳综合征的儿童胸腰椎硬膜外囊肿的手术治疗：病例报告

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002145

Basem Zaino, Hayyan Ibrahem, M. Joha, Georges Jabbour, Mohammed Abdulrahman, Ghanem Ahmad

{"title":"Surgical management of a thoraco-lumbar extradural cyst in a pediatric patient with Klippel-Trenaunay Syndrome: A case report","authors":"Basem Zaino, Hayyan Ibrahem, M. Joha, Georges Jabbour, Mohammed Abdulrahman, Ghanem Ahmad","doi":"10.1097/ms9.0000000000002145","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002145","url":null,"abstract":"\u0000 \u0000 Klippel-Trenaunay Syndrome (KTS) is a congenital disorder characterized by the abnormal development of blood vessels, soft tissues, bones, and the lymphatic system. The syndrome is rare, with few cases reported worldwide, especially those describing an association between KTS and spinal extradural meningeal cysts (SEMC). This report highlights a rare case of a pediatric patient with Klippel-Trenaunay Syndrome who underwent successful surgical decompression of a thoracolumbar extradural cyst, highlighting the importance of reevaluating surgical interventions in KTS patients.\u0000 \u0000 \u0000 \u0000 A 15-year-old girl diagnosed with Klippel-Trenaunay Syndrome four days postnatally, was referred to our clinic due to chronic back pain and spastic paraparesis. These symptoms were attributed to a compressive extradural thoracolumbar cyst. Diagnostic evaluations confirmed the presence of the cyst, leading to the decision to proceed with surgical intervention.\u0000 \u0000 \u0000 \u0000 The surgical approach involved a laminoplasty at T11-T12-L1, resulting in the total removal of the cystic lesion. The patient exhibited a complete resolution of symptoms post-operatively, with no significant complications reported during the surgery.\u0000 \u0000 \u0000 \u0000 With this case, we question the fear of surgical intervention in Klippel-Trenaunay Syndrome patients, which is often avoided due to concerns of high-risk complications like excessive bleeding or poor wound healing, and hint at a possible association between KTS and Extradural Meningeal Cysts.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"137 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140976934","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}

引用次数: 0

A rare case of aortitis presenting as chest pain: a case report and literature review 以胸痛为表现的大动脉炎罕见病例：病例报告和文献综述

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002140

Hasaan Ahmed, Mahmoud Ismayl, Anirudh Palicherla, Ruth ann Mathew Kalathil, Shivani Vaza, Amjad Kabach, Andrew M. Goldsweig, A. Aboeata

{"title":"A rare case of aortitis presenting as chest pain: a case report and literature review","authors":"Hasaan Ahmed, Mahmoud Ismayl, Anirudh Palicherla, Ruth ann Mathew Kalathil, Shivani Vaza, Amjad Kabach, Andrew M. Goldsweig, A. Aboeata","doi":"10.1097/ms9.0000000000002140","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002140","url":null,"abstract":"\u0000 \u0000 Chest pain is a frequent reason patients seek medical attention. The broad spectrum of potential etiologies makes determining the underlying cause of chest pain complex. Among cardiovascular etiologies, aortitis is a rare but life-threatening possibility that should be considered in the differential diagnosis.\u0000 \u0000 \u0000 \u0000 A 53-year-old female with a history of smoking presented with progressively worsening chest and epigastric pain over several weeks. She had seen multiple physicians previously for the same symptoms with unremarkable workups. Physical exam was notable for severe tenderness upon palpation of her lower abdomen. Electrocardiogram and troponins were unremarkable. Computed tomography of the abdomen revealed aneurysmal dilatation of the abdominal aorta, soft tissue thickening, and surrounding inflammatory stranding, consistent with aortitis. Infectious and autoimmune workups were unremarkable. Intravenous steroids were initiated, and her symptoms improved significantly. Her aortitis was attributed to inflammation secondary to chronic smoking.\u0000 \u0000 \u0000 \u0000 Aortitis is a rare condition with varied clinical presentations. Etiologies of aortitis include infection and non-infectious inflammation. Diagnosis of aortitis requires a thorough clinical assessment and prompt imaging of the aorta, with CT being the preferred imaging modality.\u0000 \u0000 \u0000 \u0000 Evaluation for cardiovascular chest pain must extend beyond an electrocardiogram and troponin level. Imaging should be considered in patients with atypical symptoms. Aortitis is a rare but important diagnosis requiring immediate treatment.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975948","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}

引用次数: 0

Blood purification therapy in chronic renal failure and its impact on renal index, serological index, and inflammatory factors 慢性肾衰竭患者的血液净化疗法及其对肾指数、血清学指数和炎症因子的影响

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002182

Batool Butt, A. Mushtaq, Fatima Abdul Hameed, Muhammad Sajid Rafiq Abbasi, Maham Tariq, Amna Akbar, S. K. Jadoon, Sabahat Tasneem, Mumtaz Ahmad, Anam Zeb, S. Alvi

引用次数: 0

Hypervascular GIST: A rare case report 高血管性 GIST：罕见病例报告

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002176

Firas Khana, Abdulrahman Katerji, Taher Sawas, Jack Zambakjian, Dima Kafa, Abdulmonem Abdullah, Maen Moussa, N. Lbabidi, Zakaria Al-Najjar, Ahmad Ghazal

引用次数: 0

Recent trends in septic shock management: A narrative review of current evidence and recommendations 脓毒性休克治疗的最新趋势：当前证据和建议综述

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002048

Mariam Akram Nofal, Jawad Shitawi, Hashem Bassam Suleiman Altarawneh, Sallam Alrosan, Yanal Alqaisi, Al-Mothaffer Al-Harazneh, Ammar Masoud Alamaren, Mohammad Abu-Jeyyab

{"title":"Recent trends in septic shock management: A narrative review of current evidence and recommendations","authors":"Mariam Akram Nofal, Jawad Shitawi, Hashem Bassam Suleiman Altarawneh, Sallam Alrosan, Yanal Alqaisi, Al-Mothaffer Al-Harazneh, Ammar Masoud Alamaren, Mohammad Abu-Jeyyab","doi":"10.1097/ms9.0000000000002048","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002048","url":null,"abstract":"Septic shock stands for a group of manifestations that will cause a severe hemodynamic and metabolic dysfunction which leads to a significant increase in the risk of death by a massive response of the immune system to any sort of infection that ends up with refractory hypotension making it responsible for escalating the numbers of hospitalized patients mortality rate, Organisms that are isolated most of the time are Escherichia coli, Klebsiella, Pseudomonas aeruginosa, and Staph aureus. The World Health Organization considers sepsis to be a worldwide health concern; the incidence of sepsis and septic shock have been increasing over the years while being considered to be under-reported at the same time. This review is a quick informative recap of the recent studies regarding diagnostic approaches using lactic acid (Lac), procalcitonin (PCT), sequential organ failure assessment (SOFA) score, acute physiology and chronic health evaluation II (APACHE II) score, as well as management recommendations for using vasopressors, fluid resuscitation, corticosteroids and antibiotics that should be considered when dealing with such type of shock.","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"51 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974793","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}

引用次数: 0

Effect of erythropoietin on SOFA score, glasgow coma scale and mortality in traumatic brain injury patients: a randomized-double blind controlled trial 促红细胞生成素对脑外伤患者 SOFA 评分、格拉斯哥昏迷量表和死亡率的影响：随机双盲对照试验

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002143

Seyyed Javad Boskabadi, Fatemeh Heydari, Farhad Mohammadnejad, A. Gholipour-Baradari, Mahmood Moosazadeh, Ayat Dashti

{"title":"Effect of erythropoietin on SOFA score, glasgow coma scale and mortality in traumatic brain injury patients: a randomized-double blind controlled trial","authors":"Seyyed Javad Boskabadi, Fatemeh Heydari, Farhad Mohammadnejad, A. Gholipour-Baradari, Mahmood Moosazadeh, Ayat Dashti","doi":"10.1097/ms9.0000000000002143","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002143","url":null,"abstract":"\u0000 \u0000 Recent studies suggest that erythropoietin has an anti-inflammatory effect on the central nervous system. We aimed to investigate the effect of erythropoietin on GCS, SOFA scores, and the mortality rate of TBI patients.\u0000 \u0000 \u0000 \u0000 Sixty-eight patients with available inclusion criteria were randomly allocated to the control or intervention groups. In the intervention group, erythropoietin (4,000 units) was administrated on days one, three, and five. In the control group, normal saline on the same days was used. The primary outcomes were the GCS and SOFA score changes during the intervention. The secondary outcomes were the ventilation period during the first two weeks and the three-month mortality rate.\u0000 \u0000 \u0000 \u0000 Erythropoietin administration significantly affected SOFA score over time (P=0.008), but no significant effect on the GCS, and duration of ventilation between the two groups was observed. Finally, erythropoietin had no significant effect on the three-month mortality (23.5% vs. 38.2% in the erythropoietin and control group respectively). However, the mortality rate in the intervention group was lower than in the control group.\u0000 \u0000 \u0000 \u0000 Our finding showed that erythropoietin administration in TBI may improve SOFA score. Therefore, erythropoietin may have beneficial effects on early morbidity and clinical improvement in TBI patients.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"8 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975234","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}

引用次数: 0

Acute cholangitis: A state-of-the-art review 急性胆管炎：最新综述

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002169

M. Cozma, M. Găman, B. Srichawla, A. Dhali, M. R. Manan, Ahmed Nahian, M. D. Marsool, R. Suteja, L. V. S. Kutikuppala, Vincent Kipkorir, A. Găman, C. Diaconu

{"title":"Acute cholangitis: A state-of-the-art review","authors":"M. Cozma, M. Găman, B. Srichawla, A. Dhali, M. R. Manan, Ahmed Nahian, M. D. Marsool, R. Suteja, L. V. S. Kutikuppala, Vincent Kipkorir, A. Găman, C. Diaconu","doi":"10.1097/ms9.0000000000002169","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002169","url":null,"abstract":"Acute cholangitis is a potentially life-threatening bacterial infection of the intra- and/or extrahepatic bile ducts. It remains the second and third cause of community- and hospital-acquired bacteremia, respectively, and is associated with mortality rates of up to 15%, despite advances in broad-spectrum antimicrobial therapy and improved access to emergency biliary tract decompression procedures. Even though not much has changed in recent years in terms of diagnosis or treatment, new data have emerged regarding multidrug-resistant bacteria that serve as etiologic agents of cholangitis. Moreover, different approaches in antibiotic regimes depending on severity grading and bile sample cultures as well as novel minimally invasive endoscopic procedures that can help when consecrated treatments such as Endoscopic Retrograde Cholangiopancreatography (ERCP) fail, cannot be performed, or are unavailable have been proposed. This state-of-the-art review aims to offer a complete and updated assessment of the epidemiology, novel diagnostic and therapeutic methods, complications, and prognostic variables of acute cholangitis. We will review the prognostic implications of unusual complications, the relevance of regular bile samples and antibiograms, and their new role in guiding antibiotic therapy and limiting antibiotic resistance to present an organized and comprehensive approach to the care of acute cholangitis.","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"54 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975913","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}

引用次数: 0

“Management of multiple giant bladder diverticula: a comprehensive approach – a case report.” "多发性巨大膀胱憩室的综合治疗方法--病例报告"。

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002162

Wael Gazzah, Souheil Ben Taher, Sedki Masmoudi, Mahmoud Hamza, S. Naouar, B. Salem

{"title":"“Management of multiple giant bladder diverticula: a comprehensive approach – a case report.”","authors":"Wael Gazzah, Souheil Ben Taher, Sedki Masmoudi, Mahmoud Hamza, S. Naouar, B. Salem","doi":"10.1097/ms9.0000000000002162","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002162","url":null,"abstract":"\u0000 \u0000 Bladder diverticula are commonly due to bladder outlet obstruction, typically managed conservatively. However, the rarity and complexity of multiple giant diverticula necessitate a tailored surgical approach.\u0000 \u0000 \u0000 \u0000 We report on a 72-year-old male presenting with severe urinary symptoms and lumbar pain, diagnosed with multiple giant bladder diverticula, including one compressing the ureter. The patient’s complex presentation, including his age and comorbidities, added layers of complexity to the clinical decision-making process.\u0000 \u0000 \u0000 \u0000 The patient underwent a two-stage surgery, consisting of transurethral prostate resection followed by the resection of three diverticula. Postoperatively, the patient showed remarkable improvement in urinary symptoms, resolution of hydronephrosis, and importantly, no complications, attesting to the efficacy and safety of the chosen surgical strategy.\u0000 \u0000 \u0000 \u0000 This case underscores the challenges in managing complex bladder diverticula, highlighting the importance of personalized treatment strategies and further research in atypical urological conditions. Moreover, this case highlights the need for greater awareness and research into rare urological conditions. By sharing detailed insights from this case, we aim to enrich the clinical knowledge base, ultimately improving patient outcomes in similar challenging scenarios.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"39 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975635","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}

引用次数: 0

Landau-Kleffner syndrome (LKS) in an 8-year-old girl: A case report and review of the literature 一名 8 岁女孩的兰道-克莱夫纳综合征（LKS）：病例报告和文献综述

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002156

Mohammed M. Salahaldin, M. H. Shehadeh, Abdullah Abu Keshek, Tala Watheq Abdullah, Hany Abueita

{"title":"Landau-Kleffner syndrome (LKS) in an 8-year-old girl: A case report and review of the literature","authors":"Mohammed M. Salahaldin, M. H. Shehadeh, Abdullah Abu Keshek, Tala Watheq Abdullah, Hany Abueita","doi":"10.1097/ms9.0000000000002156","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002156","url":null,"abstract":"\u0000 \u0000 Landau-Kleffner syndrome (LKS) is a rare epileptic encephalopathy characterized by language regression and abnormal electroencephalogram (EEG) patterns. This case report highlights the importance of early recognition and intervention in LKS, as well as the challenges in diagnosis and management due to its varied clinical manifestations.\u0000 \u0000 \u0000 \u0000 An 8-year-old girl presented with delayed speech, suspected hearing loss, and regression in language skills. Diagnostic tests revealed mild sensorineural hearing loss and EEG abnormalities consistent with LKS. The patient underwent speech therapy and received pharmacological treatment with valproic acid, resulting in significant improvements in language function.\u0000 \u0000 \u0000 \u0000 This case report provides insights into the typical features of LKS, including language regression and EEG abnormalities. It also highlights uncommon findings such as sensorineural hearing loss and mild intellectual delay. The multidisciplinary approach involving neurology, audiology, speech therapy, and education is crucial in the diagnosis and management of LKS.\u0000 \u0000 \u0000 \u0000 Early recognition and intervention, along with tailored pharmacological approaches and a multidisciplinary care approach, are essential in managing LKS. Further research is needed to better understand the pathophysiology, natural history, and optimal treatment of LKS, aiming to improve long-term outcomes for affected children and their families.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"59 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140972236","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}

引用次数: 0

Clinical and electroencephalographic correlates of carbamazepine-associated hiccups in epileptic patients 癫痫患者卡马西平相关性打嗝的临床和脑电图相关性

Annals of Medicine & Surgery Pub Date : 2024-05-15 DOI: 10.1097/ms9.0000000000002159

Chukwuka Elendu, B. M. Jeswani, C. C. Madekwe, C. P. Chukwuneta, Alamjeet K. Sidhu, Confidence O. Okorie, Aakash V. Banerjee, Boluwatife D. Oshin

{"title":"Clinical and electroencephalographic correlates of carbamazepine-associated hiccups in epileptic patients","authors":"Chukwuka Elendu, B. M. Jeswani, C. C. Madekwe, C. P. Chukwuneta, Alamjeet K. Sidhu, Confidence O. Okorie, Aakash V. Banerjee, Boluwatife D. Oshin","doi":"10.1097/ms9.0000000000002159","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002159","url":null,"abstract":"Carbamazepine, a commonly prescribed antiepileptic drug, is known to induce hiccups in a subset of epileptic patients. Though relatively uncommon, this phenomenon this phenomenon can have significant clinical implications. This comprehensive review delves into the clinical and electroencephalographic correlates of carbamazepine-associated hiccups, aiming to enhance understanding and management of this neurological side effect. Our review synthesizes qualitative epidemiological data, revealing that carbamazepine-induced hiccups occur in a subset of patients receiving the medication, with reported incidence rates ranging from 2.5% to 40%. Despite its relatively low prevalence, hiccups pose substantial challenges for patients and healthcare providers. Complications associated with carbamazepine-induced hiccups include disruption of sleep, impaired social functioning, and decreased quality of life, underscoring the clinical significance of this side effect. Effective management strategies can be implemented through a multidisciplinary approach, including collaboration among neurologists, pharmacists, and other healthcare professionals. These may include dose adjustments, medication discontinuation, and adjunctive therapies such as diaphragmatic breathing exercises or acupuncture. Additionally, close monitoring for adverse effects and timely intervention are essential to mitigate the impact of hiccups on patient well-being. Essentially, carbamazepine-induced hiccups represent a clinically relevant phenomenon that warrants attention in the management of epilepsy. By recognizing the clinical manifestations, understanding the underlying pathophysiology, and implementing evidence-based management strategies, healthcare providers can optimize patient care and improve outcomes in this patient population.","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"36 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975811","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}

引用次数: 0

Annals of Medicine &amp; Surgery最新文献

Annals of Medicine & Surgery最新文献