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| http://dx.doi.org/10.1136/bmj.1.4751.201 | DOI Listing |
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Spontaneous transomental hernia: a case report of a rare internal hernia with a challenging diagnosis.
Ann Med Surg (Lond)
November 2024
General Surgery Department, Tahar Sfar Hospital, Mahdia; Faculty of Medicine, University of Monastir, Tunisia.
Introduction And Importance: Transomental hernia (TOH) is an extremely rare clinical condition that represents 1-4% of all internal hernias. Spontaneous TOH occurs in patients with no history of surgery or previous abdominal trauma. It happens after protrusion of the abdominal viscera, commonly the small bowel loops through a defect on the great omentum.
View Article and Find Full Text PDFDesigning a platform/adaptive randomised controlled trial for peripheral arterial disease (PAD) - The PAEDIS international platform trial development project.
NIHR Open Res
April 2024
Cardiovascular Sciences, University of Leicester, Leicester, Leicestershire, LE3 9QP, UK.
Background: Peripheral artery disease (PAD) is a common health problem. There are several technologies, medications, and interventions that aim to improve or treat PAD in people with symptomatic disease. Most of these technologies, however, have been untested in high-quality randomised studies assessing effectiveness and their interactions remain unknown.
View Article and Find Full Text PDF[Is this iatrogenic pathology or rare disease?].
Sud Med Ekspert
June 2024
Saint-Petersburg State Pediatric Medical University, St. Petersburg, Russia.
Article Synopsis
- The article focuses on diagnosing and treating Buerger's disease, an uncommon inflammatory condition affecting small and medium blood vessels in limbs, which often poses a challenge for medical professionals.
- It presents a case of a 15-year-old girl who was misdiagnosed, initially believed to have suffered from complications related to a medical injection, leading to the amputation of her wrist due to dry gangrene.
- Through forensic histological studies and a thorough review of the patient’s medical records, the authors highlight how routine medical procedures can inadvertently trigger the onset of this rare disease and argue for better understanding and awareness in clinical practice.
Abdominal cocoon syndrome-a rare culprit behind small bowel ischemia and obstruction: Three case reports.
World J Gastrointest Surg
March 2024
Department of Colorectal Surgery, Chiang Mai University, Chiang Mai 50200, Thailand.
Background: Abdominal cocoon syndrome (ACS) represents a category within sclerosing encapsulating peritonitis, characterized by the encapsulation of internal organs with a fibrous, cocoon-like membrane of unknown origin, resulting in bowel obstruction and ischemia. Diagnosing this condition before surgery poses a challenge, often requiring confirmation during laparotomy. In this context, we depict three instances of ACS: One linked to intestinal obstruction, the second exclusively manifesting as intestinal ischemia without any obstruction, and the final case involving a discrepancy between the radiologist and the surgeon.
View Article and Find Full Text PDFAortoiliac Occlusion in a Rare Instance of Leriche Syndrome Type I in a 65-Year-Old Woman With Chronic Leg Discomfort Refractory to Pregabalin.
Cureus
November 2023
Cardiology, HCA Houston Healthcare Northwest, Houston, USA.
Article Synopsis
- Aortoiliac occlusive disease (AIOD), or Leriche syndrome, is a type of peripheral artery disease characterized by the narrowing or blockage of arteries in the abdominal aorta and iliac region, leading to symptoms like leg pain and erectile dysfunction.
- The disease can worsen if untreated, potentially resulting in ischemia and gangrene in the lower body, and is often linked to atherosclerosis and other severe cardiovascular issues.
- A case study of a 65-year-old woman with atypical symptoms led to her diagnosis of AIOD type I, which was successfully managed after thorough investigation.
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