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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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Dilated cardiomyopathy (DCM), a primary myocardial disorder, manifests through the dilation of one or both ventricles, coupled with systolic and valvular dysfunction. Renal agenesis is a congenital condition characterized by the absence of one or both kidneys at birth. Unilateral renal agenesis, wherein one kidney is absent, can subtly evade detection due to the impressive adaptability of the remaining kidney, often preserving typical functionality.

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Introduction Erector spinae plane (ESP) block was first introduced for the management of thoracic pain but has become increasingly popular for the treatment of abdominal surgical pain. Previous studies have shown the ESP block can be easily adapted to abdominal procedures at the corresponding dermatome level and provide postoperative analgesia. Though the versatility, simplicity, and safety of the ESP block have been demonstrated, there is a gap in the literature regarding its comparison between thoracic and abdominal surgeries.

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Detection of non-cardiac fetal abnormalities on ultrasound at 11-14 weeks: systematic review and meta-analysis.

Ultrasound Obstet Gynecol

July 2024

Oxford Maternal and Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK.

Article Synopsis
  • The study aimed to evaluate the effectiveness of 2D ultrasound as a screening tool for various fetal anomalies during the 11-14 weeks of pregnancy, while also examining factors that might influence screening success.
  • It involved a systematic review and meta-analysis of 52 studies, encompassing over 500,000 fetuses, to gauge the accuracy of detecting 16 specific congenital anomalies, using a postnatal or postmortem reference standard.
  • Findings indicated that while some severe anomalies had very high detection rates (like acrania at 98% and gastroschisis at 96%), not all conditions were as easily detected during the first trimester.
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