Polish Annals of Medicine最新文献_第8页

Atypical presentation of Morgagni hernia: Bowel loops in the neck Morgagni疝的非典型表现：颈部的肠环

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/151797

H. Akkaya, O. Dilek, Mustafa Sert, Cenk Parlatan, B. Gülek

{"title":"Atypical presentation of Morgagni hernia: Bowel loops in the neck","authors":"H. Akkaya, O. Dilek, Mustafa Sert, Cenk Parlatan, B. Gülek","doi":"10.29089/paom/151797","DOIUrl":"https://doi.org/10.29089/paom/151797","url":null,"abstract":"Morgagni hernia is a rare congenital anomaly caused by the fusion defect between the septum transversum and the sternum. Patients may be asymptomatic or present with respiratory symptoms, abdominal pain, retrosternal pain, abdominal fullness, or gastrointestinal obstruction. Chest X-ray and thoracic computed tomography (CT) are the most commonly used modalities in imaging.We describe an adult case in which the transverse colon was herniated from the retrosternal area to the thyroid gland without a history of trauma or surgery.A 24-year-old female patient living in the countryside presented to our hospital with the complaints of indigestion and chest pain persisting for 2 years. In the thorax CT examination of the patient, it was observed that the transverse colon had herniated to the retrosternal region and then to the neck.Most acquired anterior diaphragmatic hernias are due to blunt or penetrating traumatic injury. However, there are also case reports describing iatrogenic diaphragmatic hernias following a sternotomy performed during thoracic or cardiac surgery. In Morgagni hernia, the most frequently herniated organs are the greater omentum and transverse colon. There are also reports, albeit rarer, describing the herniation of the stomach, liver and small intestines.Morgagni hernia is a very rare type of hernia, especially in adult patients. The diagnosis of these patients can be easily made based on thoracic CT findings.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46680444","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

Female athlete triad and relative energy deficiency in sport – endocrine changes and treatment in women 女运动员三合会与运动相对能量缺乏——女性内分泌变化及治疗

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/148215

J. Witkoś, Magdalena Hartman-Petrycka

{"title":"Female athlete triad and relative energy deficiency in sport – endocrine changes and treatment in women","authors":"J. Witkoś, Magdalena Hartman-Petrycka","doi":"10.29089/paom/148215","DOIUrl":"https://doi.org/10.29089/paom/148215","url":null,"abstract":"Female athlete triad (FAT) it is a syndrome of three tightly interrelated components: amenorrhea, eating disorder, and osteoporosis. FAT syndrome has been re-evaluated and re-defined and the International Olympic Committee introduced a new relative energy deficiency in sport (RED-S) syndrome.The aim of the study was to review the knowledge on the issues of endocrine changes occurring in FAT and RED-S, and treatment of those conditions on a basis of available literature.This article was based on a review of the literature search in the electronic databases Medline (PubMed), EBSCO, ClinicalKey, and Willey Online Library, using the terms: ‘female athlete triad,’ ‘relative energy deficiency in sport,’ ‘FAT and RED-S and endocrine changes,’ ‘low energy availability (LEA) and endocrine changes,’ ‘FAT and RED-S and treatment and women’.LEA influences abnormal secretion of gonadotropin-releasing hormone (GnRH) and this leads to the disrupted follicle-stimulating hormone (FSH) and luteinising hormone (LH) secretion. Higher ghrelin levels inhibit secretion of GnRH and of adrenocorticotropic hormone (ACTH), growth hormone (GH), FSH and LH. A high peptide YY (PYY) results in a significant suppression of GnRH secretion. Hypercortisolemia occurring in athletes may directly affect reproductive functions. Lack of estrogen contributes both to disrupted mineralization of bones and to endothelial dysfunction.Low energy levels found in female athletes diagnosed with FAT or RED-S syndrome significantly influence hormonal pathways, disrupting the function of their reproductive system, and this noticeably affects the overall health of sportswomen, influencing endothelial dysfunctions and bone mineral density.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49479806","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 cadaveric analysis of anatomical variations of the musculocutaneous nerve 肌肉皮神经解剖变异的尸体分析

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/152136

Ewa Toruńska, Mikołaj Konopka, Jerzy Gielecki, Łukasz Klepacki

引用次数: 1

The dilemma in management of desmoid tumour: A case report 结缔组织样肿瘤的治疗困境：一例报告

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/150516

F. Y. Lee, A. Jagwani, Mohamad Fairuz Mohamad Sharin, Andee Dzulkarnain Zakaria, F. Hayati, I. Sagap

{"title":"The dilemma in management of desmoid tumour: A case report","authors":"F. Y. Lee, A. Jagwani, Mohamad Fairuz Mohamad Sharin, Andee Dzulkarnain Zakaria, F. Hayati, I. Sagap","doi":"10.29089/paom/150516","DOIUrl":"https://doi.org/10.29089/paom/150516","url":null,"abstract":"Desmoid tumours are rare benign tumours. The tumours may develop sporadically or they may be linked to familial adenomatous polyposis (FAP) in Gardner’s syndrome.This article highlights a young lady with an intra-abdominal desmoid tumour that manifested as an acute abdomen and we discuss our management strategy.A 24-year-old lady with a known FAP who had undergone a panproctocolectomy with an ileal pouch-anal anastomosis and total thyroidectomy, later was complicated with acute abdomen for symptomatic desmoid tumour. Computed tomography of the abdomen showed a large intraperitoneal heterogenous mass with small bowel displacement and was confirmed by magnetic resonance imaging. An exploratory laparotomy and en-bloc resection of the tumour with an end ileostomy were performed.Intra-abdominal desmoid tumours usually present as a painless slow-growing mass, however, in severe form, it can cause bowel ischemia, intestinal obstruction, or deterioration of function in the ileoanal anastomosis, among post total colectomy. Surgery is indicated upfront in specific clinical scenarios namely complications (occlusion, perforation, or bleeding) or major cosmetic issues.Desmoid tumour, despite being benign, is challenging to manage due to its compressing nature. As a key point, the diagnosis of a desmoid tumour should be suspected and followed up closely in patients with a previous history of FAP in combination with extracolonic manifestation.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44408244","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

Calcified gliomatosis peritonei in a post-menopausal woman with mature ovarian teratoma 绝经后妇女伴成熟卵巢畸胎瘤腹膜钙化胶质瘤病一例

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/152443

N. Sapiai, W. A. Wan Ahmed, S. Saminathan

引用次数: 0

The significance of race-related differences in anaesthesiological setting 麻醉学环境中种族相关差异的意义

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/151914

Katarzyna Szymonek, B. Kędziora, H. Tomczyk, I. Podlińska, Onichimowski Dariusz

{"title":"The significance of race-related differences in anaesthesiological setting","authors":"Katarzyna Szymonek, B. Kędziora, H. Tomczyk, I. Podlińska, Onichimowski Dariusz","doi":"10.29089/paom/151914","DOIUrl":"https://doi.org/10.29089/paom/151914","url":null,"abstract":"The human species shows a great variability. The differences involve culture, customs, appearance but they also come to include some biological or physiological aspects which have a potential bearing on the course of diseases and the effects of treatment. Over the recent years, the increasing globalisation and improved travel opportunities have resulted in a growing mass mobility. The arrival of people representing other ethnicities may pose a challenge to doctors traditionally offering treatment to individuals within ethnically homogenous societies.The paper aims to present a comprehensive summary of state-of-the-art knowledge on race-related differences which may be of great importance for patient management in anaesthesiological setting.This paper is based on the available literature.A literature review reveals a number of anatomical, pharmacokinetic and pharmacodynamic differences between the races. Moreover, particular ethnic groups show dissimilarities in the prevalence of some diseases requiring modifications in anaesthesiological management.Prior to the commencement of treatment, patient’s ethnicity and the consequent differences in terms of physiology should be recognised and considered in the treatment to ensure it is conducted appropriately and safely.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45768126","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

Frequency of polymorphic loci of GSTM1 and GSTT1 modifier genes in the genotype of children with pyelonephritis and congenital urinary malformations 儿童肾盂肾炎和先天性尿路畸形基因型中GSTM1和GSTT1修饰基因多态位点的频率

Polish Annals of Medicine Pub Date : 2022-09-20 DOI: 10.29089/paom/149242

N. Lukyanenko, A. Spaska, E. Lenha, I. Marazha

{"title":"Frequency of polymorphic loci of GSTM1 and GSTT1 modifier genes in the genotype of children with pyelonephritis and congenital urinary malformations","authors":"N. Lukyanenko, A. Spaska, E. Lenha, I. Marazha","doi":"10.29089/paom/149242","DOIUrl":"https://doi.org/10.29089/paom/149242","url":null,"abstract":"The growing number, prevalence, numerous complications, and deaths in patients with congenital anomalies of the kidney and urinary tract (CAKUT) indicate the high relevance of the declared topic. Currently, clinical medicine is actively engaged in research on the cellular and molecular mechanisms that cause the appearance of these diseases.The aim of the work is to study genetic markers of CAKUT and the tendency to a more severe course of pyelonephritis in young children.Using the multiplex polymerase chain reaction method, 50 children with pyelonephritis were examined for the presence of deletion alleles of the glutathione S-transferase mu 1 (GSTM1) and glutathione S-transferase theta 1 (GSTT1) genes.As a result, 35 children were diagnosed with certain CAKUT. A statistically significant associative relationship between the development of pyelonephritis in a child and the presence of a null allele GSTM1 0/0 in its genotype and a high probability of CAKUT with quantitative and positional anomalies and impaired formation and differentiation of renal tissue in carriers of null alleles GSTT1 0/0, GSTM1 0/0 in their combination was revealed.The fact that different forms of abnormalities are detected in members of the same family suggests that certain genetic mutations can potentially lead to CAKUT syndrome, but the final phenotype of the renal system depends either on the genetic background or on environmental factors.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42138341","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

Spontaneus pneumomediastinum and subcutaneus emphysema in nonventilated COVID-19 patient 非通气COVID-19患者纵隔自发性肺炎和皮下肺气肿

Polish Annals of Medicine Pub Date : 2022-09-09 DOI: 10.29089/paom/152734

Beata Moczulska, M. Żechowicz, L. Gromadziński, P. Nowek

{"title":"Spontaneus pneumomediastinum and subcutaneus emphysema in nonventilated COVID-19 patient","authors":"Beata Moczulska, M. Żechowicz, L. Gromadziński, P. Nowek","doi":"10.29089/paom/152734","DOIUrl":"https://doi.org/10.29089/paom/152734","url":null,"abstract":"The most common complications of COVID-19 infection are: pneumonia, acute respiratory distress syndrome, pulmonary fibrosis, pulmonary embolism, pneumothorax and pneumomediastinum.We would like to highlight the rarity of pneumomediastinum and subcutaneous emphysema in nonventilated COVID-19 patient.A 50-year-old man was addmitted to the COVID-19 Department with SARS-CoV-2 pneumonia. The patient wasn’t vaccinated against COVID- 19. Upon admission the general condition was quite good with mild dyspnea.Upon admission a CT scan was performed in which there were bilateral infiltrates consistent with COVID-19 infection, covering approximately 50% of the lungs. On the 5th day of hospitalization the general condition deteriorated and a drop in saturation was observed. A follow-up CT scan revealed progression of lung inflammatory changes that spanned approximately 60%–70% of lung parenchyma; there was pneumomediastinum and subcutaneous emphysema in the neck, left subclavian, and axillary area. High flow nasal oxygen therapy (60 L/min) was administered. On the 13th day the general condition of the patient further deteriorated and blood saturation continued to drop which prompted the decision to escalate treatment. Initially, noninvasive ventilation was used, however, shortly after the patient was intubated. Immediately after intubation the patient went into cardiac arrest that ultimately led to his death.The development of spontaneus pneumomediastinum in the patient can be mainly attributed to the intense cough and rapidly developing acute respiratory distress syndrome in the course of SARS-CoV-2 infection despite aggressive treatment with steroids, tolicizumab, and antibiotics for staphylococcal pneumonia.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48553439","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

Uncommon series of subclavian vein thrombosis in Emergency Department 急诊科罕见系列锁骨下静脉血栓形成

Polish Annals of Medicine Pub Date : 2022-05-20 DOI: 10.29089/paom/147912

R. Jalali, Agata Pypkowska, Weronika Szwed, Magdalena Fadrowska, G. Wasilewski, A. Zawadzki, J. Manta

{"title":"Uncommon series of subclavian vein thrombosis in Emergency Department","authors":"R. Jalali, Agata Pypkowska, Weronika Szwed, Magdalena Fadrowska, G. Wasilewski, A. Zawadzki, J. Manta","doi":"10.29089/paom/147912","DOIUrl":"https://doi.org/10.29089/paom/147912","url":null,"abstract":"Deep vein thrombosis (DVT) is one of the two possible clinical manifestations of venous thromboembolism (VTE), and the other one is the pulmonary embolism. The most common reasons behind the upper limb DVT can be central venous catheterization, compression of subclavian vein or anatomical abnormalities.The aim of this study is to stress the importance of accurate diagnosis of the relatively rare subclavian vein thrombosis (SCVT). Due to low specificity of the clinical signs and symptoms, a careful risk assessment of VTE is extremely helpful in successfully reaching a diagnosis.Authors are presenting a series of 4 cases of diagnosis and initial treatment in Emergency Department (ED) of the patients presenting with common symptoms of upper limb with uncommon SCVT. All patients presented to ED, of which 3 were seen in ED of our hospital and 1 patient, who is co-author of the publication, had the same diagnosis in other ED allocated in another city.Among the 4 patients only 1 has reached high risk in Caprini’s score and moderate in Wells score. In Padua scale patient did not reach high risk. In other patients risks in each score were low.In most cases, the Wells, Padua, Caprini scores can be used to evaluate the risk of VTE; this diagnostic tool cannot be efficiently utilized in patients with local anatomical anomalies, which can lead to problems with diagnostics and treatment of such patients.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47533293","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

Myeloid sarcoma (chloroma) a rare tumour of the chest wall 髓样肉瘤(氯瘤)是一种罕见的胸壁肿瘤

Polish Annals of Medicine Pub Date : 2022-05-20 DOI: 10.29089/paom/147732

S. Skrzyniarz, M. Wojtyś, Janusz Wójcik, Darko Gajić, K. Ptaszyński

引用次数: 0