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Computed Tomography-guided Percutaneous Bilateral Neurolytic Celiac Plexus Block with Alcohol for Upper Abdominal Visceral Cancer Pain.
Pain Physician
November 2024
Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine.
Background: The neurolytic celiac plexus block (NCPB) can be introduced through the posterior para-aortic, anterior para-aortic, posterior transaortic, or endoscopic anterior para-aortic puncture approach, as well as the posterior approach via the intervertebral disc. To reduce the complications of puncture, this block's original manual blind puncture technique can be improved upon by using a C-arm fluoroscope, computed tomography (CT), or an ultrasound, the last of which may be endoscopic.
Objective: To observe the distribution of absolute alcohol and its analgesic effect on cancer-induced upper abdominal visceral pain during percutaneous NCPB through the anterior and posterior diaphragmatic crura under CT guidance.
Complete resection of a giant costal chondrosarcoma with reconstruction of the thoraco-abdominal wall: a case report.
J Cardiothorac Surg
November 2024
Department of Thoracic Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, No. 55, Section 4, South Renmin Road, Chengdu, 610041, Sichuan, China.
Article Synopsis
- Chondrosarcoma most often forms in the pelvis and femur, and while surgical removal is the main treatment for tumors in the ribs, it can create significant challenges for chest wall reconstruction.
- A 49-year-old woman with a diagnosed Grade I chondrosarcoma had a large mass affecting her ribs and diaphragm, leading to a complete surgical resection of the tumor and surrounding affected structures, followed by reconstruction using mesh and sutures.
- The histopathology revealed a Grade II chondrosarcoma, but the patient had an uneventful recovery, highlighting the need for careful planning and collaborative approaches in treating such cases.
Ruptured giant splenic artery aneurysm with an exceptional concurrent gastric and transverse colonic fistula: A rare case report.
Medicine (Baltimore)
August 2024
Department of Vascular Surgery, Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic.
Introduction: Splenic artery aneurysm (SAA) is a focal dilation of the splenic artery with varying etiologies including atherosclerosis, arteritis, or trauma. Giant SAAs with a diameter of 10 cm is rare and can lead to severe complications like rupture and fistulas. Therefore, an accurate and timely diagnosis and treatment are important.
View Article and Find Full Text PDFA Case of Incidentally Discovered Congenital Complete Pericardial Defect during Lobectomy for Lung Cancer: A Case Report and Literature Review.
Ann Thorac Cardiovasc Surg
May 2024
Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
An 82-year-old male patient underwent a left upper lobectomy with anterolateral thoracotomy for lung cancer. Although a complete left-pericardial defect was observed during surgery, the pericardial repair was not performed because the left lower lobe remained and the heart was considered stable. Postoperative pathological examination revealed primary synchronous double-lung squamous-cell carcinoma (pathological stage pT2a(2)N0M0 stage IB).
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