Ochsner Journal最新文献

{"title":"Thigh Compartment Syndrome Following Physician-Modified Fenestrated Endograft Aneurysm Repair.","authors":"Alexander Crowley, W Reed Bigham, Mila Scheinberg Hurley, Godfrey Ross Parkerson, Ross Dunbar","doi":"10.31486/toj.25.0026","DOIUrl":"10.31486/toj.25.0026","url":null,"abstract":"<p><strong>Background: </strong>Thigh compartment syndrome (TCS), a rare but serious complication of vascular procedures, often leads to severe morbidity. Unlike leg compartment syndrome, TCS can present insidiously, delaying diagnosis and treatment. While most cases of TCS are trauma-related, vascular causes such as ischemia-reperfusion injury have been reported.</p><p><strong>Case report: </strong>A 67-year-old male with coronary artery disease, chronic obstructive pulmonary disease, and a 50 pack-year smoking history underwent physician-modified fenestrated endograft repair of an unruptured thoracoabdominal aortic aneurysm. The procedure, performed via bilateral common femoral artery access, required upsizing the right femoral sheath to 26 French from the original 22 French because of delivery challenges. Postoperatively, the patient developed severe right lower extremity pain and loss of sensation, prompting emergent 4-compartment fasciotomy for leg compartment syndrome. Hours later, he developed new-onset thigh pain, paresthesia, and restricted movement, leading to the diagnosis of TCS. Emergent 3-compartment thigh fasciotomy was performed. The patient's postoperative course was complicated by anterior cord syndrome, paraplegia, and end-stage renal disease resulting from severe rhabdomyolysis. One year later, the patient remained on dialysis with chronic fasciotomy wounds.</p><p><strong>Conclusion: </strong>This case highlights the rare occurrence of TCS following physician-modified fenestrated endograft and the potential for serious complications. Given the increased risk associated with prolonged procedures and large-diameter sheaths (≥20 French), close postoperative monitoring is crucial. Early recognition and timely intervention are key to improving patient outcomes.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 1","pages":"23-26"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Soft Tissue Surgical Technique for Obligate Dislocation of the Patella.","authors":"Barbara Minkowitz, Nitish R Kasarla, Colleen M Spingarn, Julia A Matalon, Nicholas J Avallone, Michael T Busch","doi":"10.31486/toj.25.0061","DOIUrl":"10.31486/toj.25.0061","url":null,"abstract":"<p><strong>Background: </strong>Obligate dislocation of the patella (ODP) is a subtype of congenital disorders and dislocations of the patella. Severity of the condition varies; symptoms range from minor disabilities to impaired ambulation. Definitive treatment for ODP is surgery, with the choice of surgical procedure determined by skeletal maturity.</p><p><strong>Case series: </strong>This report documents a soft tissue surgical correction for 2 patients with ODP using (1) lateral release of the retinaculum, (2) Z-lengthening of the quadriceps tendon, (3) patellar tendon split transfer (medial side only), and (4) vastus medialis oblique muscle advancement. Patient 1 is a 7-year-old skeletally immature male who experienced complete lateral dislocation of the right patella with flexion. The patient was unable to play sports without falling and without constant patellar dislocation. Patient 2 is a 7-year-old skeletally immature male with Down syndrome who presented with a right laterally dislocating patella with flexion and a 15° flexion contracture of the knee. The patient was unable to ambulate and-according to his parent-would \"hit the side of his patella\" to center it on his knee to provide stability and permit weight-bearing in a standing frame. After surgery and recovery, both patients reached full weight-bearing without dislocation. Patient 1 plays sports for the first time and has a range of motion of 165°. Patient 2 can stand with stability, continues to work on gait training, and has a range of motion of 160°.</p><p><strong>Conclusion: </strong>This combined surgical approach mitigates patellar tilt, knee flexion contracture, and recurrent instability, offering a reproducible option for improving stability, tracking, and long-term function in complex patellofemoral pathology.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 1","pages":"27-36"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Tuberculous Testicular Abscess Without Systemic Involvement: A Rare Cause of Scrotal Swelling.","authors":"Bharti Varshney, Sunita Agarwal, Yogi Raj Joshi","doi":"10.31486/toj.26.0012","DOIUrl":"10.31486/toj.26.0012","url":null,"abstract":"<p><strong>Background: </strong>Genitourinary tuberculosis most commonly involves the epididymis; isolated testicular involvement is rare and usually presents as a mass mimicking malignancy. Genitourinary tuberculosis presenting as a localized testicular abscess without evidence of tuberculosis elsewhere in the body is particularly uncommon.</p><p><strong>Case report: </strong>A 60-year-old male presented with right scrotal swelling of 2 months' duration associated with low-grade fever. He reported no urinary symptoms and no weight loss. Clinical examination revealed an enlarged right testis with loss of normal testicular architecture. Ultrasonography showed a heterogeneous hypoechoic lesion predominantly replacing the right testis, with central liquefaction suggestive of an intratesticular abscess. The contralateral testis was normal. Routine blood tests, renal and liver function, and tumor markers (alpha-fetoprotein, beta-human chorionic gonadotropin, lactate dehydrogenase) were within normal limits. Chest radiograph and abdominal ultrasound excluded pulmonary and renal tuberculosis. The patient underwent right inguinal orchidectomy for diagnosis and management. Histopathology demonstrated granulomatous orchitis with caseous necrosis and Langhans giant cells consistent with a tubercular etiology. No evidence of malignancy was seen. Postoperatively, the patient received a 6-month course of first-line antitubercular therapy. The patient had a good clinical recovery, and at follow-up had no evidence of disease.</p><p><strong>Conclusion: </strong>In endemic regions, isolated tuberculous testicular abscess should be considered in the differential diagnosis of testicular abscesses. Orchidectomy is useful diagnostically and therapeutically for patients with irreversibly damaged testicular tissue or suspicion of malignancy.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 3","pages":"266-269"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13577627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revision Anterior Cruciate Ligament Reconstruction in an Adult Twin With Meier-Gorlin Syndrome.","authors":"Misty Suri, Srikanth Mudiganty, Salvatore Sclafani, David Vanegas-Contla, Brian Godshaw, Scott Montgomery","doi":"10.31486/toj.25.0048","DOIUrl":"10.31486/toj.25.0048","url":null,"abstract":"<p><strong>Background: </strong>Meier-Gorlin syndrome is a rare autosomal recessive disorder characterized by the clinical triad of microtia, patellar aplasia or hypoplasia, and proportionate short stature. The absence of the patella poses 2 surgical challenges: lack of a donor site for graft harvest and lack of anterior restraint during anterior cruciate ligament (ACL) reconstruction surgery. Given that individuals with Meier-Gorlin syndrome generally exhibit normal cognitive function and life expectancy, ensuring knee stability is essential to support their ability to participate in sports and engage in daily activities independently.</p><p><strong>Case report: </strong>We present the case of an adult twin with Meier-Gorlin syndrome who had an absent patella and recurrent knee instability after ACL retear. At 2-year follow-up after revision ACL reconstruction, the patient's Single Assessment Numeric Evaluation score had increased to 100 from a preoperative score of 30. The patient reported excellent pain relief and was able to perform all activities of daily living.</p><p><strong>Conclusion: </strong>Successful revision ACL reconstruction is possible in a patient with Meier-Gorlin syndrome. However, these patients may be at higher risk of revision because of the lack of the anterior constraint provided by a normal extensor mechanism with a present patella.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 2","pages":"132-138"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Trochleoplasty Procedures Following Bilateral Femoral Rotational Osteotomies for Bilateral Dejour Type D Trochlear Dysplasia.","authors":"Laura Linscheid, Jonathan Willard, Eden Schoofs, W Evans Few, Deryk Jones","doi":"10.31486/toj.25.0066","DOIUrl":"10.31486/toj.25.0066","url":null,"abstract":"<p><strong>Background: </strong>Trochlear dysplasia is a considerable risk factor for patellar instability. Surgical treatment options include medial patellofemoral ligament reconstruction, medial quadriceps tendon-femoral ligament reconstruction, femoral rotational osteotomy, tibial tubercle osteotomy, and trochleoplasty.</p><p><strong>Case report: </strong>A 26-year-old female presented with bilateral knee pain and recurrent patellar dislocations since childhood that were unresponsive to physical therapy and bracing. Initial evaluation by an orthopedic trauma service revealed excessive femoral anteversion and Dejour type D trochlear dysplasia bilaterally. A right femoral rotational osteotomy with intramedullary nail fixation improved right-sided patellar stability. Eighteen months after the first surgery, the patient underwent a planned left femur rotational osteotomy. The patient continued to experience recurrent bilateral patellar subluxation and was referred for definitive treatment. Examination demonstrated bilateral patellar subluxation at rest and positive J-sign on flexion, with the left knee more symptomatic than the right. Imaging revealed healed osteotomies, persistent Dejour type D trochlear dysplasia, and elevated tibial tubercle-trochlear groove distances bilaterally. Merchant view radiographs and magnetic resonance imaging showed substantial lateral patellar subluxation on the left with intact patellofemoral cartilage. Computed tomography confirmed bilateral trochlear dysplasia. The patient underwent left knee recession wedge trochleoplasty, tibial tubercle osteotomy, and medial quadriceps tendon-femoral ligament reconstruction. One year later, the same procedures were performed on the right knee with good results.</p><p><strong>Conclusion: </strong>Trochleoplasty, tibial tubercle osteotomy, and medial quadriceps tendon-femoral ligament reconstruction are effective when performed concomitantly for recalcitrant patellar instability associated with trochlear dysplasia and failed prior surgical intervention.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 2","pages":"139-148"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stener-Like Lesion of the Radial Collateral Ligament of the Thumb Metacarpophalangeal Joint.","authors":"Alexander Crowley, Jakob Oury, Katherine Fisher, Carol Meyer","doi":"10.31486/toj.25.0076","DOIUrl":"10.31486/toj.25.0076","url":null,"abstract":"<p><strong>Background: </strong>Stener lesions involve rupture of the ulnar collateral ligament of the thumb metacarpophalangeal joint with displacement of the ligament superficial to the adductor aponeurosis, preventing healing. Rarely, however, entrapment of the ligament by the overlying abductor pollicis brevis aponeurosis can lead to a Stener-like lesion. Few Stener-like lesions have been described, and surgical repair is recommended.</p><p><strong>Case report: </strong>A 27-year-old female fell while skiing and hyperextended her right thumb. She presented with thumb pain, swelling, ecchymosis, and laxity. X-ray showed subluxation of the metacarpophalangeal joint. Magnetic resonance imaging demonstrated a complete radial collateral ligament tear with the proximal end displaced superficial to the abductor pollicis brevis aponeurosis (Stener-like), blocking reduction. An incision was made over the metacarpophalangeal joint. The radial collateral ligament fibers were interposed in the abductor pollicis brevis aponeurosis. Metacarpophalangeal joint arthrotomy revealed volar plate interposition that was removed to restore metacarpophalangeal joint reduction. The radial collateral ligament was repaired with a modified Kessler technique and augmented using an internal suture brace involving a suture anchor reinforced with suture tape for collateral metacarpophalangeal joint support. The abductor pollicis brevis aponeurosis was repaired, the joint was confirmed stable, and the wound was closed and dressed in a thumb spica splint.</p><p><strong>Conclusion: </strong>This case describes a rare Stener-like lesion of the thumb radial collateral ligament, adding to the limited literature on this injury pattern. Such lesions are far less common than the classic Stener lesion. Early recognition is critical because interposed tissue will block reduction and healing.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 1","pages":"50-53"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical Visceral Involvement of Pyoderma Gangrenosum.","authors":"Nicolás Martínez Ruiz, Javier Oliva Ibarz, Saray Rodríguez López, Justyna Szafranska, Sheila Alfonso-Cerdán","doi":"10.31486/toj.25.0094","DOIUrl":"10.31486/toj.25.0094","url":null,"abstract":"<p><strong>Background: </strong>Pyoderma gangrenosum is a noninfectious reactive inflammatory dermatosis included in the spectrum of neutrophilic dermatoses. Extracutaneous manifestations of pyoderma gangrenosum are rare, but when visceral lesions occur, they are typically detected through radiologic tests, can be cavitated or noncavitated, and progress rapidly. Because of the difficult etiologic diagnosis of these lesions, the use of nonproductive and potentially harmful invasive procedures and treatments is common.</p><p><strong>Case report: </strong>A 58-year-old female with a history of ulcerative colitis presented to the emergency department with a history of pain in the right sternoclavicular joint radiating to the shoulder. Cervicothoracic computed tomography (CT) suggested right sternoclavicular arthritis. During hospitalization, the patient experienced a flare of ulcerative colitis and developed cutaneous lesions. The patient worsened clinically with increased abdominal pain in the left hemiabdomen and elevated acute phase reactants. Thoracoabdominal CT revealed a hypodense lesion on the anterior aspect of the spleen that was deemed a splenic abscess, and ultrasound-guided percutaneous drainage was placed. Cultures were negative. Subsequently, 2 cutaneous lesions appeared on the patient's right arm, suggestive of abscesses related to attempts to place a midline catheter. All cultures were negative. Given the negative microbiologic cultures and the appearance of cutaneous lesions, pyoderma gangrenosum with visceral involvement was diagnosed and the patient was successfully treated with infliximab.</p><p><strong>Conclusion: </strong>While visceral involvement of pyoderma gangrenosum is uncommon, correct diagnosis is crucial to avoid unnecessary treatments and interventions.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 3","pages":"247-250"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13577633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Amputation for Complex Regional Pain Syndrome Type 1.","authors":"Kimberley Teo, Siang Naik, Kathy Stiller","doi":"10.31486/toj.25.0107","DOIUrl":"10.31486/toj.25.0107","url":null,"abstract":"<p><strong>Background: </strong>Complex regional pain syndrome (CRPS) is a chronic condition involving severe pain that can be resistant to many treatment modalities. Therapeutic amputation of the affected limb is unusual and controversial.</p><p><strong>Case report: </strong>A 33-year-old female with a 4-year history of CRPS associated with intractable foot and calf pain underwent elective transtibial amputation after conservative treatments failed. The patient's outcomes were favorable: resolution of pain and improved mobility sustained at 18 months postoperatively.</p><p><strong>Conclusion: </strong>Amputation may be a viable last resort treatment option for selected patients with CRPS who are unresponsive to conventional treatments.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 3","pages":"251-255"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13577641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postcholecystectomy Biliary Tract Traumatic Neuroma Mimicking Cystic Duct Stump Malignancy.","authors":"Ankit Rai, Subhash Chandra Soni, Meenakshi Rao, Binit Sureka, E Saikrishna, B Selvakumar, Peeyush Varshney, Lokesh Agarwal","doi":"10.31486/toj.25.0073","DOIUrl":"10.31486/toj.25.0073","url":null,"abstract":"<p><strong>Background: </strong>Biliary tract traumatic neuroma is a rare benign hyperplasia of nerve tissue that follows some form of trauma. These lesions closely mimic malignancy, and a conclusive diagnosis is difficult to establish.</p><p><strong>Case report: </strong>We report the case of a 65-year-old female who presented with jaundice with cholestatic features, abdominal pain, and intermittent episodes of fever. She had undergone open cholecystectomy 3 years prior for gallstone disease. Her liver function tests showed direct hyperbilirubinemia with elevated alkaline phosphatase. Serum CA 19-9 was >3,000 U/L. Cross-sectional imaging showed a nodular mass at the hilum causing extrinsic compression of the common hepatic duct with resultant bilobar intrahepatic biliary dilatation. Endoscopic ultrasound showed an eccentric thickening of the common hepatic duct, just below the hilum. Malignant common hepatic duct stricture was provisionally diagnosed, and the patient underwent open extrahepatic biliary excision with Roux-en-Y hepaticojejunostomy. The proximal and distal resection margins were confirmed negative for dysplasia or malignancy on frozen section. Final histopathologic examination showed conglomeration of nerve fascicles and Schwann cells in a fibrotic stroma, features suggestive of a traumatic neuroma.</p><p><strong>Conclusion: </strong>Traumatic neuroma of the biliary tree is a rare entity and mimics biliary tract malignancy. Preoperative diagnosis of traumatic neuromas is usually difficult, and surgery is indicated in cases of diagnostic uncertainty.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 2","pages":"157-161"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Type 1 Collagen/Poly-L-Lactic Acid Biocomposite Augmentation of a Nontraumatic Symptomatic Complete Rotator Cuff Tear.","authors":"J Heath Wilder, Jonathan Willard, Eden Schoofs, Brianna Bennett, Graylin Jacobs, Joseph Laurent, Deryk Jones","doi":"10.31486/toj.25.0068","DOIUrl":"10.31486/toj.25.0068","url":null,"abstract":"<p><strong>Background: </strong>Treatment modalities for rotator cuff tears are continuously evolving. Augmentation of rotator cuff repair with biocomposite implants with bioinductive properties such as collagen scaffolds, dermal grafts, and synthetic materials are increasingly being used to ensure repair integrity. Ideally, an implant should provide added structural integrity as well as biologic components that augment the final repair tissue quality.</p><p><strong>Case report: </strong>A 69-year-old male underwent arthroscopic rotator cuff repair augmented with a BioBrace Reinforced BioInductive Implant (CONMED Corporation), a biocomposite implant containing type 1 bovine collagen with poly-L-lactic acid. With physical therapy, the patient's periscapular and rotator cuff strengthening had progressed by 8 weeks postoperatively, and full return to activities began at 6 months postoperatively. Postoperative magnetic resonance imaging at 1 year demonstrated complete healing of the rotator cuff repair with intact footprint on coronal and sagittal images.</p><p><strong>Conclusion: </strong>This biocomposite implant provides an encouraging option for use in patients with poor tissue quality or tear patterns that are concerning for possible postoperative retear.</p>","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 2","pages":"149-156"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}