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A STEMI Complicated by Cardiogenic Shock Due to Simultaneous Acute Thrombosis of Two Coronary Vessels in the 'Deadly Double Infarct Syndrome': A Case Report and Discussion of Literature.
J Clin Med
December 2024
Department of Biomedical and Clinical Sciences, University of Milan, 20122 Milan, Italy.
: ST-segment elevation myocardial infarction (STEMI) remains a leading cause of mortality worldwide, primarily caused by acute thrombosis over atherosclerotic plaques. Simultaneous acute thrombosis in two coronary arteries is an exceptionally rare event. This report highlights a unique case of STEMI associated with cardiogenic shock due to dual coronary artery thrombosis and provides insights from a literature review on this rare condition.
View Article and Find Full Text PDFRecanalization of port-superior mesenteric vein thrombosis with long-term anticoagulant therapy after failed early anticoagulant therapy.
Surg Case Rep
June 2024
Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital, 1-1-5, Sendagi, Bunkyo-Ku, Tokyo, 113-8603, Japan.
Article Synopsis
- The first-line treatment for acute mesenteric vein thrombosis is anticoagulant therapy with heparin, but some patients may still develop serious complications like bowel infarction.
- A 38-year-old male patient diagnosed with port-superior mesenteric vein thrombosis underwent urgent bowel resection due to worsening symptoms and signs of peritonitis despite initial anticoagulation.
- After surgery, he was treated with long-term anticoagulant therapy, initially with warfarin, following the identification of a protein C and S deficiency, highlighting the potential for recanalization in patients who fail early treatment.
Controversies and Future Directions in Management of Acute Appendicitis: An Updated Comprehensive Review.
J Clin Med
May 2024
Department of Surgery, University of New Mexico, Albuquerque, NM 87131, USA.
Article Synopsis
- Acute appendicitis has a lifetime risk of 7-8%, with treatment options including non-operative management (NOM) using antibiotics and surgery, depending on the patient's health.
- Interval appendectomy (IA) involves delayed surgery and is useful for patients with contained perforations, as it can help identify the nature of the condition and lower recurrence risks.
- Post-surgery, careful closure of the appendiceal stump is crucial and can be done with various methods, while debates continue regarding the management, complications, and the potential of endoscopic appendectomy.
Ileocecal valve-preservation ileocecostomy (IVPI) in infants with extremely short distal ileum after primary stoma.
Pediatr Surg Int
June 2024
National Center for Children's Health CN, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Purpose: Preserving the ileocecal valve (ICV) has shown significant benefits. We present our experience with 18 infants who underwent ileocecal valve-preservation ileocecostomy (IVPI) with an extremely short distal ileum after primary ileostomy.
Methods: A retrospective analysis was conducted on IVPI cases between 2014 and 2020.
Sigmoid Colon Intraluminal Obstruction by a Detached Recurrent Ascending Colon Liposarcoma.
Cureus
April 2024
Surgery, Aretaieio University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Primary liposarcoma of the colon is extremely rare in the literature. We present a case of a 51-year-old male patient with recurrent ascending colon liposarcoma, which caused obstructive ileus, just a few days prior to his scheduled elective operation and led us to expedite his surgery. The procedure was scheduled to be a robotic right colectomy.
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