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| http://dx.doi.org/10.4250/jcvi.2021.0017 | DOI Listing |
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Ruptured vertebrobasilar junction aneurysm supplied by reversed flow from the anterior spinal artery: Illustrative case report.
Interv Neuroradiol
August 2023
Department of Neurosurgery, University of Oklahoma, Oklahoma City, OK, USA.
Background And Importance: In patients with vertebral artery (VA) occlusion, spontaneous flow reversal may occur in the anterior spinal artery (ASA) as a source of compensatory supply to the posterior circulation. Turbulent flow and increased flux through these small arteries may predispose to luminal damage and intracranial aneurysm formation. We report a novel case of a ruptured ASA-VA junction aneurysm in a patient with chronic bilateral VA occlusion, successfully treated with endovascular embolization.
View Article and Find Full Text PDFPrenatal diagnosis of bilobate placenta: incidence, risk factors and impact on pregnancy outcomes.
J Perinat Med
November 2023
Third Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Objectives: To investigate the incidence and risk factors of bilobate placenta, as well as to assess its impact on preeclampsia (PE), preterm delivery (PTD) and small-for-gestational age (SGA) neonates.
Methods: A prospective study of singleton pregnancies, undergoing routine anomaly scan at 20-23 gestational weeks, was conducted, between 2018 and 2022. The impact of prenatally diagnosed bilobate placenta on PE, PTD and SGA was assessed.
Ultrasound diagnosis of placental and umbilical cord anomalies in singleton pregnancies resulting from in-vitro fertilization.
Placenta
January 2023
Division of Obstetrics and Prenatal Medicine, Department of Medicine and Surgery, IRCCS University Hospital of Bologna, Italy.
Introduction: placental anomalies can affect fetal and maternal outcome due to severe maternal hemorrhage potentially resulting in hysterectomy and cord accident including abruption that can determine fetal damage or death. The aims of our study are to determine if the rate of placental and umbilical cord anomalies are more common in IVF singleton pregnancies compared to spontaneous pregnancies; to evaluate the role of ultrasound in screening for these anomalies and to investigate if oocyte donor fertilization is an additional risk factor for the development of these anomalies.
Methods: this was a prospective cohort study involving two tertiary centers.
Case report: Fluctuating tumor markers in a boy with gonadotropin-releasing hormone-independent precocious puberty induced by a pineal germ cell tumor.
Front Pediatr
August 2022
Department of Pediatrics, Fondazione MBBM, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.
GnRH-independent precocious puberty (GIPP) can be the presenting clinical picture experienced by patients with secreting germ cell tumor (GCT). Indeed, as luteinizing hormone (LH) and human chorionic gonadotropin (hCG) share identical α-subunits and similar β-subunits, an increased secretion of β-hCG may result in a precocious activation of Leydig cells. Though the co-occurrence of raised β-hCG levels and signs of precocious virilization usually prompts a complete oncological work-up, the diagnostic and therapeutic management of GCT-induced GIPP may be challenging.
View Article and Find Full Text PDFRobotic Cyst Gastrostomy and Roux-en-Y Cyst Jejunostomy for a Bilobed Walled-Off Pancreatic Necroma.
J Gastrointest Surg
April 2022
Department of Surgery, University of Pittsburgh Medical Center, 5150 Center Ave., Suite 421, Pittsburgh, PA, 15232, USA.
Background: Walled-off pancreatic necrosis (WON) represents delayed sequelae of necrotizing pancreatitis, generally developing in 5-15% of cases 4 weeks after the initial attack (Boškoski and Costamagna Ann Gastroenterol 27(2):93-94, 2014). They are characterized by a well-circumscribed, encapsulated collection of necrotic parenchyma with variable degree of gland liquefaction (Boškoski and Costamagna Ann Gastroenterol 27(2):93-94, 2014, Khreiss et al. J Gastrointest Surg 19(8):1441-1448, 2015).
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