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[46-year-old woman with abdominal pain and fever].
Dtsch Med Wochenschr
March 2025
Medizinische Klinik II, Klinikum am Gesundbrunnen, SLK-Kliniken Heilbronn Korrespondenzadresse.
Can a single-shot abdominal wall nerve block for unexpected open surgery be done without specific consent?
Reg Anesth Pain Med
March 2025
Massachusetts General Hospital Department of Anesthesia Critical Care and Pain Medicine, Boston, Massachusetts, USA.
Abdominal wall blocks are simple and safe opioid-sparing adjuncts for abdominal procedures that are generally well tolerated. These blocks have been shown to be effective for open abdominal surgeries, though their utility in laparoscopic or robotic surgery has been questioned. The unanticipated conversion from laparoscopic to open surgery may pose a challenge for the anesthesiologist, if regional anesthesia was not discussed before the start of the case as part of the pain-control regimen.
View Article and Find Full Text PDFIs Integrating Acupuncture into the Management of Attention-Deficit/Hyperactivity Disorder Among Children and Adolescents Now Opportune and Evidence-Based? A Systematic Review with Meta-Analysis and Trial Sequential Analysis.
Complement Ther Med
March 2025
Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, NSW, 2006, Australia.
Background And Aim: The use of acupuncture is becoming increasingly popular in the management of attention-deficit/hyperactivity disorder (ADHD). This systematic review consolidates evidence on acupuncture's efficacy and safety for treating ADHD in children and adolescents.
Methods: Controlled clinical trials assessing acupuncture against waitlist-control, placebo or active controls, or as an adjunct treatment were systematically searched across seven databases from inception to November 2024.
Differential immune responses behind different celiac disease manifestations.
Semin Immunol
March 2025
Celiac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
In celiac disease (CeD), dietary gluten serves as the driver for a comparatively well characterized small bowel mucosal immune response that generally results in small bowel mucosal villous atrophy and crypt hyperplasia along with a disease-specific transglutaminase 2 (TG2) targeting autoantibody response. Individuals with positive TG2 autoantibodies but normal small intestinal mucosal morphology are regarded at increased risk of developing CeD and represent patients with potential CeD. The removal of gluten from the diet leads to disappearance of the autoantibodies and normalization of the mucosal architecture in most cases.
View Article and Find Full Text PDFGiant retroperitoneal liposarcoma with colonic infiltration as a cause of gastrointestinal bleeding: Case report and literature review.
Int J Surg Case Rep
March 2025
Faculty of Medicine, Pontifical Xavierian University, Bogotá, Colombia.
Introduction: Retroperitoneal liposarcomas are rare malignant tumors that often present asymptomatically until advanced stages. Giant liposarcomas exceeding 30 cm are particularly uncommon, and colonic infiltration causing gastrointestinal bleeding is extremely rare, with only a few cases documented in the literature.
Case Presentation: A 78-year-old female presented with hematochezia, constipation, and diffuse abdominal pain.
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