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Fatal Hemoperitoneum Secondary to a Spontaneous Splenic Vein Rupture.
Acad Forensic Pathol
September 2024
Carolina McEnnan, Hillsborough County Medical Examiner Department, University of South Florida Forensic Pathology Fellowship.
Spontaneous hemoperitoneum is rare and is often labeled as idiopathic because the source of bleeding is never found. We report the case of a 35-year-old male who died of a splenic vein rupture. The decedent was a chronic alcoholic with a reported history of cirrhosis and medication noncompliance.
View Article and Find Full Text PDFSegmentation model of soft tissue sarcoma based on self-supervised learning.
Front Oncol
July 2024
Department of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Introduction: Soft tissue sarcomas, similar in incidence to cervical and esophageal cancers, arise from various soft tissues like smooth muscle, fat, and fibrous tissue. Effective segmentation of sarcomas in imaging is crucial for accurate diagnosis.
Methods: This study collected multi-modal MRI images from 45 patients with thigh soft tissue sarcoma, totaling 8,640 images.
An integrated strategy for reducing anastomotic leakage in patients undergoing McKeown esophagectomy.
Heliyon
February 2024
Department of Thoracic Surgery and Lung Transplantation, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Objective: To describe our experience of reducing anastomotic leakage, a problem that has not been properly solved.
Methods: Starting in January 2020, we began implementing our integrated strategy (application of an esophageal diameter-approximated slender gastric tube, preservation of the fibrous tissue around the residual esophagus and thyroid inferior pole anastomosis) in consecutive patients undergoing esophagectomy without a nasogastric tube or a nasal-jejunum feeding tube. Additionally, the blood supply at the site of the anastomosis was evaluated with a near-infrared fluorescence thoracoscope after the completion of esophagogastric anastomosis in the integrated strategy group.
[Transoral robotic surgery in the management of solitary fibrous tumor at the entrance of the hypolaryngeal esophagus: a case report and literature review].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
February 2024
To explore the clinical diagnosis and treatment experience of isolated fibrotic tumor （SFT） occurring in the larynx, hypopharynx and esophageal inlet with a wide range.The patient, admitted to the Department of Otolaryngology-Head and Neck Surgery of Tangdu Hospital of Air Force Medical University was a female aged at 78 years, who was diagnosed with SFT primarily occured at laryngeal, hypopharynx and esophageal entrance. The clinical data, surgical methods, histopathology characteristics of the patient were analyzed respectively.
View Article and Find Full Text PDFNovel Advances in Qualitative Diagnostic Imaging for Decision Making in Multidisciplinary Treatment for Advanced Esophageal Cancer.
J Clin Med
January 2024
Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
Recently, neoadjuvant therapy and the succeeding surgery for advanced esophageal cancer have been evaluated. In particular, the response to the therapy has been found to affect surgical outcomes, and thus a precise evaluation of treatment effect is important for this strategy. In this study, articles on qualitative diagnostic modalities to evaluate tumor activities were reviewed, and the diagnostic indices were examined.
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