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[Infectious mononucleosis : an atypical cause of acute alithiasic cholecystitis]. [传染性单核细胞增多症：急性胆囊炎的非典型病因]。
Revue medicale de Liege Pub Date : 2024-07-01
Coumba Diop, Marie Pironet, Julie Descy, Virginie Mistretta, Pierre Perugini
{"title":"[Infectious mononucleosis : an atypical cause of acute alithiasic cholecystitis].","authors":"Coumba Diop, Marie Pironet, Julie Descy, Virginie Mistretta, Pierre Perugini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Epstein-Barr virus (also known as EBV), responsible for infectious mononucleosis, is a virus that infects the majority of the world's population. Infection occurs in several forms, most often asymptomatic, or as a fever accompanied by pharyngitis and lymphadenopathies. A rare complication of infectious mononucleosis is acute acalculous cholecystitis, an inflammation of the gallbladder characterized by ischaemia and severe cholestasis. The diagnosis of this pathology is made by imaging, but determining the cause may be tricky. We present here the case of acute acalculous cholecystitis in a 21-year-old woman. This case highlights a rare complication of EBV infection that is probably under-diagnosed, and demonstrates the usefulness of interpreting liver tests and leukocyte count in association with imaging findings.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"485-488"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918457","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
[Mispositioned central line with catheterization of partial anomalous pulmonary venous return]. [部分异常肺静脉回流导管插入中心管位置错误]。
Revue medicale de Liege Pub Date : 2024-07-01
Pauline Peeters, Raphaëlle Lopez, Sophie Dheur, Laura Silversmet, Alexandre Ghuysen
{"title":"[Mispositioned central line with catheterization of partial anomalous pulmonary venous return].","authors":"Pauline Peeters, Raphaëlle Lopez, Sophie Dheur, Laura Silversmet, Alexandre Ghuysen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Central venous access is common practice in intensive care, anesthesia and emergency departments. It is, however, a delicate technical procedure, prone to complications. We present a case report on the placement of a left jugular central venous line in the emergency room, which was thought to be a routine procedure. However, the operator observed arterial blood during sampling, and the central line was described as poorly positioned on the control X-ray. After verification and other examinations, the existence of a vertical vein was discovered in this patient, connecting the left superior pulmonary vein to the brachiocephalic trunk. A poorly positioned central venous line can therefore lead to the discovery of asympomatic congenital vascular anomalies, unrelated to the clinical context. This case study illustrates the various tools available to ensure the correct position of a central venous line, and their clinical implications.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"516-520"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918459","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
[Neurodevelopmental impact of a mutation in the RHOBTB2 gene]. [RHOBTB2基因突变对神经发育的影响]。
Revue medicale de Liege Pub Date : 2024-07-01
Martin Beckers, René Stevens, François-Guillaume Debray, Patricia Leroy
{"title":"[Neurodevelopmental impact of a mutation in the RHOBTB2 gene].","authors":"Martin Beckers, René Stevens, François-Guillaume Debray, Patricia Leroy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>RHOBTB2 was first described as epileptogenic when it presents a missense variant in 2016 and studied more specifically in 2018. It is a gene that causes rare, but potentially severe childhood epileptic encephalopathy. In 2021, research confirmed that heterozygous mutations of RHOBTB2 included other clinical signs besides these encephalopathies. Thus, these infantile epilepsies are mainly associated with highly variable phenotypes, with developmental delay, post-traumatic encephalitis, paroxysmal movement disorders and iconographic brain damage. In this work, after presenting a clinical case, we will recall the role of RhoGTPases on neuronal development. We will then discuss a study which highlighted the neurodevelopmental impact of mutations on the RHOBTB2 gene by carrying out work on Drosophila melanogaster flies. Finally, we will compare the presented clinical case with a literature review.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"467-470"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918460","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
[Perforated duodenal ulcer in patient with prior gastric bypass]. [曾做过胃旁路手术的患者十二指肠溃疡穿孔]。
Revue medicale de Liege Pub Date : 2024-07-01
Antoine Dumont, Ali Deeba
{"title":"[Perforated duodenal ulcer in patient with prior gastric bypass].","authors":"Antoine Dumont, Ali Deeba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Duodenal ulcer perforation in patients undergoing gastric bypass surgery is a rare late complication, occurring in less than 1% of cases. It carries a high mortality risk, particularly in cases of delayed diagnosis. The challenge lies in an unspecific clinical presentation and laboratory findings, as well as a CT scan not very helpful in almost half of cases. These features may lead to the consideration of other differential diagnoses, such as pancreatitis or cholecystitis. A multidisciplinary approach in collaboration with digestive surgeons is essential to enable rapid exploratory laparoscopy in presence of diagnostic uncertainty, and appropriate therapeutic management.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"489-491"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918461","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
[Grisel's syndrome : about two cases of a atlantoaxial (C1-C2) subluxation]. [格里斯尔综合征：关于两例寰枢椎（C1-C2）脱位的病例]。
Revue medicale de Liege Pub Date : 2024-07-01
Mathieu Czajkowski, Philippe Lefèbvre, Olivier Bouchain, Nicolas Peigneux, Gilles Reuter
{"title":"[Grisel's syndrome : about two cases of a atlantoaxial (C1-C2) subluxation].","authors":"Mathieu Czajkowski, Philippe Lefèbvre, Olivier Bouchain, Nicolas Peigneux, Gilles Reuter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Grisel's syndrome is a non-traumatic atlantoaxial (C1-C2) subluxation and one of the causes of torticollis in children. The subluxation occurs in the context of an infection in the ENT (\"Ear Nose and Throat\") region or following surgery. Diagnosis is based on clinical examination and radiological assessment. Treatment is typically medical and conservative, with surgical interventions reserved for recurrences and late presentations. We discuss here two cases of C1-C2 subluxation. The first case involves a 10-year-old child with subluxation following a rhinopharyngitis. This presentation is the classical manifestation of Grisel's syndrome. Prompt management led to correction of the subluxation using medical treatment and a soft Philadelphia collar. The second case involves a 34-year-old adult who developed posterior headaches after sphenoidotomy surgery. Grisel's syndrome is less common in adults, leading to clinical challenges and delayed diagnosis (> 1 month). Reduction combined with a halo vest treatment failed, and the patient required cervical arthrodesis.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"471-477"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918456","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
[Pericardial cyst, a rare, minimally symptomatic lesion easy to treat]. [心包囊肿，一种罕见、症状轻微、易于治疗的病变]。
Revue medicale de Liege Pub Date : 2024-07-01
Noman Bajwa, Elie Minga Lowampa, Natacha Mawait, César Vazquez
{"title":"[Pericardial cyst, a rare, minimally symptomatic lesion easy to treat].","authors":"Noman Bajwa, Elie Minga Lowampa, Natacha Mawait, César Vazquez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A pericardial cyst is a rare and benign lesion, most commonly of congenital origin. A female patient of 35 years old was admitted to the emergency department of our institution, for non-irradiating thoracic pain associated with a dyspnea. A CT-Scan was performed, and a pericardial cyst of a large size was found. A surgical procedure through thoracoscopy was performed to enhance the symptomatology of the patient and to eradicate the cyst. The diagnosis of these lesions is most commonly sporadic after a radiography performed for other causes. Most of the time these lesions are asymptomatic (although thoracic pains, chronic cough and dyspnea amongst others may be observed). In case of suspicion (related to radiography or an eventual symptomatology) a thoracic scan is performed with a contrasting product for the confirmation and localization of the cyst. In addition to the diagnosis and the localization, it is best to perform a transthoracic ultrasound which enables a differential diagnosis with other lesions (lipoma, aortic aneurysm, solid tumour, and a left ventricle aneurysm etc.). A surgical treatment is recommended in symptomatic cases. In non-symptomatic cases, a transthoracic ultrasound is recommended.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"463-466"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918462","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
[Pyoderma gangrenosum after orthopedic conservative treatment]. [骨科保守治疗后的脓皮病]。
Revue medicale de Liege Pub Date : 2024-07-01
Morgane Pottier, Jean-Marie Servier, Vincent Migliore, Thierry Thirion, Arjen Nikkels
{"title":"[Pyoderma gangrenosum after orthopedic conservative treatment].","authors":"Morgane Pottier, Jean-Marie Servier, Vincent Migliore, Thierry Thirion, Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis. Half of the cases are associated with an immune dysfunction and are frequently triggered by pathergy such as a tissular aggression via surgery or burn wounds. A patient with ulcerative colitis presented a PG at the site of an iontophoresis patch for tendinopathy. Treatment in a specialized burn center, corticosteroid therapy and adapted local care contributed to a favourable evolution. PG remains a diagnosis of exclusion and inflammatory phenomena must be differentiated from infectious causes such as necrotizing fasciitis to initiate immunosuppressive treatment. Being rare and difficult to diagnose and to treat as well as associated with potentially severe sequelae, a multidisciplinary team is required for the management of PG.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"521-526"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918464","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
[TruClear™ treatment of caesarean scar pregnancy interrupted after methotrexate injection]. [TruClear™治疗甲氨蝶呤注射后中断的剖腹产疤痕妊娠]。
Revue medicale de Liege Pub Date : 2024-07-01
Aurélie Simon, Florence Hanocq, Kahy Delbecque, Frédéric Kridelka, Patricia Nervo
{"title":"[TruClear™ treatment of caesarean scar pregnancy interrupted after methotrexate injection].","authors":"Aurélie Simon, Florence Hanocq, Kahy Delbecque, Frédéric Kridelka, Patricia Nervo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cesarean scar pregnancy is a complicated and potentially life-threatening type of ectopic pregnancy. There is no gold standard for its management. The aim is to demonstrate the efficacy and safety of treatment by hysteroscopic tissue removal system after systemic methotrexate injection.</p><p><strong>Methods: </strong>We report the case of a 27-year-old patient who had previously had a C-section and who presented herself to the emergency room with pelvic pain and metrorrhagia. The human chorionic gonadotrophin (hCG) serum level was positive. The exploration revealed an ectopic pregnancy on the cesarean scar. She benefited of 4 systemic injections of methotrexate. As the hCG became negative, endovaginal ultrasound confirmed the avascular nature of the mass. Surgical resection by mechanical morcellation hysteroscopy (TruClear™) was performed under general anaesthesia, visual control and ultrasound guidance.</p><p><strong>Results: </strong>This procedure was successful. It was an ambulatory procedure and there were neither intra- nor postoperative complications.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first time in Belgium that a hysteroscopic tissue removal system procedure has been used to treat a caesarean scar pregnancy. This technique seems to be safe for both the patient and the surgeon and could become a new approach for cesarean scar pregnancy management.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"527-531"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918429","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
[An unusual presentation of superior vena cava syndrome]. [上腔静脉综合征的不寻常表现]。
Revue medicale de Liege Pub Date : 2024-07-01
Gilles Terlonge, Aline Bialas, Stéphanie Charpentier, Christian Wahlen, Marc Radermecker
{"title":"[An unusual presentation of superior vena cava syndrome].","authors":"Gilles Terlonge, Aline Bialas, Stéphanie Charpentier, Christian Wahlen, Marc Radermecker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Superior vena cava syndrome (SVCS) is a clinical picture resulting from the obstruction of superior vena cava. SVCS usually causes symptoms and signs related to the head, the neck, the upper extremities and the upper thorax. We report a case of unusual clinical presentation of SVCS in a 25-year-old male patient who suffered from lymphoblastic lymphoma in childhood. Clinicians should be aware of abdominal wall presentations of SVCS especially in patients having undergone central venous catheterization, even years before. SVCS could be an emergency situation, requiring specific treatment or contraindicating surgical procedures.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"535-537"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918452","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
[Conservative treatment in orthopedic oncology surgery ?] [肿瘤骨科手术中的保守治疗？］
Revue medicale de Liege Pub Date : 2024-07-01
Christopher Mettlen, Olivier Galand
{"title":"[Conservative treatment in orthopedic oncology surgery ?]","authors":"Christopher Mettlen, Olivier Galand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bone tumors are and remain rare entities in our daily hospital clinical practice. Their appearance seems anecdotal but does not remain absent. They can manifest directly (pain, redness, functional impotence, suspicious mass, etc.) or indirectly (inflammatory or paraneoplastic syndrome, profuse sweating, emaciation, etc.). The most common benign bone tumors are non-ossifying bone fibroma. Then come osteochondroma and solitary bone cysts. For malignant tumors, osteosarcomas and chondrosarcomas are at the forefront. Primary bone lymphoma accounts for less than 1 % of these. In general, lymphomatous bone lesions are frequently metastasis from primary hematological lymphoma and are therefore treated by chemotherapy. An early surgical treatment of the bone tumor is most often not mandatory and a conservative therapy may represent a valuable option.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"503-506"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918454","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
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