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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1617449PMC
http://dx.doi.org/10.1097/00000658-196704000-00004DOI Listing

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Background: We report the exceedingly rare case of diaphragmatic hernia after esophageal surgery resulting in obstructive shock and cardiac arrest.

Case Presentation: An 82-year-old man, who had undergone a robotic-assisted thoracoscopic esophagectomy and gastric tube reconstruction via a subcutaneously route with three-field lymphadenectomy for esophagogastric junction cancer at another hospital 3 months prior, complaining of persistent epigastric pain and nausea. Computed tomography revealed that the proximal jejunum had herniated through the esophageal hiatus into the left thoracic cavity, with dilation of the subcutaneous gastric tube and duodenum.

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Article Synopsis
  • - Vigilant monitoring for postoperative complications such as bleeding and dysrhythmia is essential for patients with craniosynostosis syndromes like Crouzon syndrome undergoing surgery, with coagulation tests aiding in identifying issues like von Willebrand disease subtype 1.
  • - Crouzon syndrome, resulting from early cranial suture fusion, often requires LeFort III advancement surgery to address midface malformations, but surgery can lead to significant complications, including massive bleeding.
  • - A case study of a 14-year-old female highlights the risks, as she experienced severe bleeding, dysrhythmia, and other complications post-surgery, leading to a later diagnosis of von Willebrand disease subtype 1, emphasizing the need for
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The fundamental pathophysiology of ischemic-hypoxia is oxygen depletion. Fischer's ratio is essential for monitoring hypoxia intensity. the current study highlighted the prophylactic role of sophoretin (QRC) and/or melatonin (MLN) versus sodium nitrite (SN) brain hypoxia.

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Symmetrical peripheral gangrene (SPG) is a rare yet severe condition characterized by peripheral ischemic lesions without significant vascular occlusion. Its clinical presentation includes peripheral cyanosis, mottling, and symmetrical ischemia of distal limbs, often progressing to gangrene. Recent years have seen a rise in SPG cases, with mortality rates ranging from 40% to 90%.

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Symmetrical peripheral gangrene is a rare condition that is characterized by ischemic damage and tissue death (gangrene) in the extremities. Recent reports have shed light on SPG in patients with severe COVID-19. This condition presents with symmetrical cyanosis of the extremities and common COVID-19 symptoms and what the most frightening is within a few days, cutaneous necrosis occurred and patients died.

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