A Rare Case of Combined Direct Retinal Involvement and Suspected Bing-Neel Syndrome in a Patient With Waldenstrom's Macroglobulinemia.

A 75-year-old male with a history of Waldenström macroglobulinemia (WM), diagnosed in 2022, presented with several months of progressive blurred vision and floaters in his right eye, impairing his ability to drive, particularly at night. The ophthalmologic evaluation revealed vitreous haemorrhage and sub-retinal pigment epithelial lesions in the superonasal and inferonasal quadrants of the right eye. A pars plana vitrectomy with vitreous biopsy was performed, which was consistent with ocular involvement by WM.

Gallstone Ileus Post-cholecystectomy: A Case Review.

Gallstone ileus is an unusual cause of small bowel obstruction, in general, let alone after cholecystectomy. It occurs in patients with chronic calculous cholecystitis and gallstones who develop a cholecystoduodenal fistula over time. The diagnosis is made based on clinical presentation and examination findings and is confirmed with the use of radiological modalities, such as computed tomography (CT) scan, which has been proven to be the most sensitive investigation in diagnosis.

Role of Doppler Ultrasonography in Defining Normal and Abnormal Graft Hemodynamics After Living-Donor Liver Transplant.

Objectives: Our aim was to investigate the early changes that occur after graft perfusion in living-donor liver transplant by Doppler ultrasonography.

Materials And Methods: We prospectively evaluated liver grafts of 30 patients who underwent living-donor liver transplant during an 18-month period and who were followed for 1 year postoperatively. The hepatic artery peak systolic velocity, resistivity index, portal vein velocity, portal vein anastomotic velocity ratio, and hepatic vein pattern were compared after excluding patients who developed vascular complications and acute rejection episodes.

Intra-operative Ultrasound-guided Thrombectomy and Thrombolysis for Post-operative Portal Vein Thrombosis in Living Liver Donors.

There are few reports of portal vein thrombosis among living donor liver transplant donors and no published data on the management of this event. In this report, we present our experience in the diagnosis and management of this rare complication in two living donor liver transplantation donors who developed post-operative portal vein thrombosis. Both cases were successfully managed with intra-operative ultrasound-guided thrombectomy, vein patch venoplasty, and catheter-directed thrombolysis.

Improved pulmonary function after concave rib resection and posterior instrumentation for idiopathic scoliosis.

The authors conducted a prospective study in order to evaluate the effect'of concave rib osteotomy on pulmonary function, in the context of posterior instrumentation for the treatment of idiopathic scoliosis. Concave rib osteotomy improves the flexibility of the spine, especially in very rigid curves above 70. Seventy-eight consecutive children with a Cobb angle above 70 degrees were included in the study.

Anterior instrumentation and correction of congenital spinal deformities under age of four without hemivertebrectomy: a new alternative.

Study Design: Retrospective clinical and radiologic evaluation of a single-stage partial corpectomy of the hemivertebra with anterior instrumentation and simultaneous posterior noninstrumented fusion.

Objective: To determine the safety and efficacy of a new technique in the management of progressive congenital spinal deformities due to failure of formation in the very young age.

Summary Of Background Data: Several techniques have been reported for the surgical treatment of young children with congenital spinal deformities.

Unilateral transforaminal lumbar interbody fusion (TLIF) using a single cage for treatment of low grade lytic spondylolisthesis.

The authors conducted a prospective study on 30 patients with low grade lytic spondylolisthesis, who underwent unilateral transforaminal lumbar interbody fusion (TLIF) using a single cage with adjunctive pedicular fixation. There were 17 males and 13 females with a mean age of 39.5 years.

Two methods of atlantoaxial stabilisation for atlantoaxial instability.

Thirty-seven patients, 19 males and 18 females, with a mean age of 37.6 years (range 9-62), underwent atlantoaxial fusion for atlantoaxial instability associated with pseudarthrosis of the odontoid, fixed rotary subluxation, rheumatoid arthritis, and mongolism. Two operative techniques were used: transarticular C1-C2 screws and posterior bone grafts according to Magerl, but without posterior wiring, in 24 patients (group 1), and C1 lateral mass screws/C2 pedicle screws, plates and posterior bone grafts, according to Goel, in 13 patients (group 2).

Sentinel lymph node biopsy (SLNB) in management of N0 stage T1-T2 lip cancer as a "same day" procedure.

Current management of N0 stage lip Squamous Cell Carcinoma (SCC) are prophylactic neck dissection, radiotherapy, or "watch and see" policy. The aim is the evaluation of the role of sentinel lymph node biopsy (SLNB) in their management based upon actual and not hypothetical presence of cervical lymph node (CLN) micrometastases as a same day procedure. Fourteen patients between November 2003 and August 2005 were included, nine men and five women, median age:57 years, (range 34-65 years).