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Ultrasound- and fluoroscopy-guided percutaneous transhepatic shunt attenuation using a vascular plug in a complex canine intrahepatic portosystemic shunt.
Can Vet J
August 2024
Veterinary Teaching Hospital, Washington State University, 255 East Main Street Pullman, Washington 99163, USA (Tiffinger, Fransson); Radia Inc., PS. 19020 33rd Avenue West, Lynnwood, Washington 98036, USA (Smith).
A 5-month-old Pembroke Welsh corgi dog was presented with a 3-month history of lethargy, inappetence, polyuria/polydipsia, and neurological signs. A diagnosis of a complex multiple intrahepatic portosystemic shunt (IHPSS) configuration was obtained by computed tomography angiogram, abdominal ultrasonography, and perioperative fluoroscopic angiography. The IHPSS was successfully attenuated by shunt embolization with a vascular plug, using a direct percutaneous hepatic approach under ultrasonographic and fluoroscopic guidance.
View Article and Find Full Text PDFA rare diagnosis of Langerhans cell histiocytosis made on thyroid histology with coexisting papillary thyroid cancer and AVP deficiency.
Endocrinol Diabetes Metab Case Rep
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Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia.
Summary: A 48-year-old Asian male, presented to the hospital for an elective total thyroidectomy in the context of 6.3 cm thyroid nodule. The fine needle aspiration cytology of the nodule confirmed papillary thyroid cancer (PTC) with some atypical histiocytes.
View Article and Find Full Text PDFA nephrogenic mechanism underlies dexmedetomidine-induced polyuria. A case report.
Rev Esp Anestesiol Reanim (Engl Ed)
April 2024
Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Dexmedetomidine's α-adrenoreceptor agonism has been gaining popularity in the anesthetic room as a sedative-hypnotic and analgesic agent, and with extensive perioperative use rising concern about side effects is necessary. Bradycardia and hypotension are common adverse effects, but there are also several reports of excessive urine output, possibly due to vasopressin secretion and permeability of collecting ducts. Polyuria usually resolves with discontinuation of the drug, and significant morbidity has not been reported.
View Article and Find Full Text PDFPerioperative polyuria associated with dexmedetomidine administration during reconstruction breast surgery.
Anaesth Crit Care Pain Med
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Department of Anesthesia, Gustave Roussy Cancer Center, Villejuif, France. Electronic address:
Perioperative Infusion Management for Adhesive Bowel Obstruction with Congenital Nephrogenic Diabetes Insipidus: A Case Report.
Yonago Acta Med
May 2023
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan.
Congenital nephrogenic diabetes insipidus (CNDI) is a rare disease that results in polyuria due to decreased responsiveness to the antidiuretic hormone in the collecting ducts of the kidney. Without compensation by drinking large amounts of water, dehydration and hypernatremia can rapidly develop. We present a case of a patient originally diagnosed with CNDI who required surgery and a fasting period due to adhesive bowel obstruction.
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