Publications by authors named "David Kosoy"

Article Synopsis
  • Heterotaxy syndrome (HS) is a rare congenital disorder characterized by unusual arrangements of thoracic and abdominal organs, which complicates its diagnosis due to varied clinical presentations and an unclear classification system.
  • The case of a 50-year-old male with a history of multiple health issues presented symptoms like abdominal and back pain, leading to the discovery of congenital anomalies associated with HS and left isomerism, as well as complications from hepatolithiasis.
  • This scenario highlights the diagnostic and management challenges of HS, emphasizing the need for a multidisciplinary approach to care, especially when patients exhibit acute medical issues tied to their unique anatomical structures.
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Background: Primary malignant melanomas of the Gastrointestinal mucosa are uncommon. Most cases of gastrointestinal (GI) melanomas are secondary, arising from metastasis at distant sites. The purpose of this study is to assess to what extent the interaction between independent prognostic factors (age and tumor site) of primary GI melanoma influence survival.

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Background: The optimal timing of esophagogastroduodenoscopy (EGD) and the impact of clinico-demographic factors on hospitalization outcomes in non-variceal upper gastrointestinal bleeding (NVUGIB) remains an area of active research.

Aim: To identify independent predictors of outcomes in patients with NVUGIB, with a particular focus on EGD timing, anticoagulation (AC) status, and demographic features.

Methods: A retrospective analysis of adult patients with NVUGIB from 2009 to 2014 was performed using validated ICD-9 codes from the National Inpatient Sample database.

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Orbital lipolysis typically develops in the setting of a chronic catabolic state. The acute development and rapid progression of orbital lipolysis are much less commonly described. In this report, we present a rare case of a 64-year-old male who progressed from normal orbital fat content to marked orbital lipolysis in less than one month following episodes of undifferentiated shock, colonic perforation, and total colectomy.

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