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Unexpected renal side effects of mRNA COVID-19 vaccines; a single-center experience and short review.
Am J Med Sci
January 2025
Department of Internal Medicine and Oncology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
Background: In late 2019, the World Health Organization declared Coronavirus disease 2019 a global emergency. Since then, many vaccines have been developed to combat the pandemic. Millions of people have received one of the approved COVID-19 vaccines; unfortunately, some adverse events also have been recorded.
View Article and Find Full Text PDFFeculent Drainage from Percutaneous Endoscopic Gastrostomy Tube due to Gastrocolocutaneous Fistula Found in Emergency Department: A Case Report.
Clin Pract Cases Emerg Med
November 2024
Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California.
Article Synopsis
- Percutaneous endoscopic gastrostomy (PEG) placement is a routine procedure for patients needing non-oral feeding, but it can lead to rare complications like gastrocolocutaneous fistula, where the bowel is caught during placement.
- A 73-year-old male on hospice experienced malodorous leakage from his PEG tube months after placement, prompting an emergency department visit where imaging revealed the tube was incorrectly positioned in the transverse colon.
- The patient was treated non-surgically by removing the PEG tube and switching to a nasogastric tube for nutrition, highlighting the need for careful tube management and awareness of potential complications such as gastrocolocutaneous fistula in similar cases.
This case report explores the management of a 56-year-old female oncology patient presenting with acute ST-elevation myocardial infarction (STEMI) and an incidental atrial septal defect (ASD). The patient, with a history of rectal cancer and hypothyroidism, experienced acute chest pain and dyspnea. She was diagnosed with an inferior STEMI and underwent percutaneous coronary intervention (PCI) with the placement of three medicated stents in the right coronary artery.
View Article and Find Full Text PDFQuantifying treatment burden: the patient burden score a study of 758 patients across three clinical urologic scenarios.
World J Urol
November 2024
Departments of Urology, Radiology, and Oncology, Hadassah Hebrew University Hospital, P.O.Box 12000, Jerusalem, 91120, Israel.
Article Synopsis
- A comprehensive scale was developed to measure the burdens of three types of treatment: expected, unexpected complications, and ancillary procedure needs.
- Expert panels assessed the burden of treatments in urology cases, calculating a burden score (BS) for different treatment options including partial nephrectomy, percutaneous ablation, radical cystectomy, and others.
- Results indicated that less invasive treatments like percutaneous ablation and trimodal therapy had similar success rates as more invasive options, but with significantly lower burden scores, aiding in patient consultations on treatment choices.
A large vaginal stone on top of ureteric stent migration through a poucho-vaginal fistula after radical cystectomy and ileal neobladder reconstruction - A case report.
Int J Surg Case Rep
December 2024
Radiology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Introduction And Importance: Orthotopic neobladder reconstruction may be associated with complications such as neobladder-vaginal fistula (NVF) and uretero-ileal anastomotic stricture which are often managed using stents, though these can be prone to migration.
Case Presentation: We present a 69-year-old lady with a surgical history of radical cystectomy and ileal neobladder that was complicated by a left ureteric stricture and poucho-vaginal fistula for which she underwent a left ureteric stent and bilateral percutaneous nephrostomy (PCN) insertions after which she lost to follow-up. The patient later presented to our center with a right subcostal anterior abdominal wall desmoid tumor for which she underwent wide local excision.
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