A Surgical Procedure and Prognosis for Gallbladder Carcinoma According to the Extent of the Tumor Invasion-A Retrospective Case Series Study at a Japanese Hospital
Akitsugu Makino, Hiroshi Nakagomi, Atsushi Takano, Masahiro Maruyama, Kazunori Takahashi, Yuko Nakayama, Masayuki Inoue, Kazushige Furuya, Hidemitsu Sugai, Masao Hada, Yoshiaki Miyasaka and Toshio Oyama
Article Type: Case Series | First Published: August 14, 2015
Purpose: To analyze the prognostic effects of our selecting surgical procedures for gallbladder carcinoma based on the extent of tumor invasion. Methods: We reviewed 35 patients with gallbladder carcinoma who underwent the surgical treatment in our hospital. We divided the patients into three groups (8 with T1, 15 with T2, and 12 patients with T3) according to the pathological extent of the tumor invasion. Results: Although 8 patients with T1 group had been achieved curative operation (R0), 2 patients developed an unexpected recurrence regardless the kinds of surgical procedures....
Left Renal Cell Carcinoma with a Tumor Thrombus in the Inferior Vena Cava: A Case Report
Changqin Jiang and Chaozhao Liang
Article Type: Case Report | First Published: July 30, 2015
A case of Left renal cell carcinoma with a tumor thrombus in the inferior vena cava in a 79-years-old woman is presented. Renal Cell Carcinoma (RCCs) is the most common malignancy of the kidney. Because of shorter right renal vein, the right renal cell carcinoma is more common, the cases of left renal cell carcinoma merging inferior vena cava cancer embolus were rare compared to those in the right. Here, we reported a case is with left renal cell carcinoma with a tumor thrombus in the inferior vena cava....
Chorioretinitis as a Rare Presentation of Cat Scratch Disease: A Case Report
Zimmermann, Nicolas Lefebvre, Jaulhac B and Sauer A
Article Type: Case Report | First Published: July 30, 2015
A 12-year-old female was referred in our center for management of a chorioretinopathy. Ophthalmologic examination revealed unilateral chorioretinal scar with subretinal detachment. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral azithromycin led to regression of lesions, resolution of subretinal detachment, and improvement in visual acuity....
Modified Vertico-Sagittal Osteotomy Technique
Renato de Toledo Breguez, Giovanni Gasperini and Jose Nazareno Gil
Article Type: Review Article | First Published: July 29, 2015
Among the techniques used to correct mandibular deformities, intraoral vertico-sagittal ramus osteotomy is indicated for small mandibular rotations and forward or backward movements. Although it is still little used by oral and maxillofacial surgeons, it presents advantages compared to intraoral vertical ramus osteotomy because of a greater contact between bone fragments, and in relation to sagittal split ramus osteotomy, it introduces a parallelism to the sagittal plane, thereby decreasing the possibility of a post-operative dislocation of the mandibular condyle and leading to a lower inciden...
Potentiating the Adverse Effects of Zolpidem in a Patient with Alcohol Dependence and SSRI use
Nitin Chopra, Abner Rayapati and Aarti Patel
Article Type: Case Report | First Published: July 29, 2015
Though rare, zolpidem has been implicated in perceptual disturbances. Zolpidem elimination can be reduced with liver or kidney pathology. Concomitant Selective Serotonin Reuptake Inhibitor (SSRI) and alcohol use have increased susceptibility to delirium. This case describes a 63 year old Caucasian male, seen by the consulting service, having depression and alcohol dependence, presenting with auditory and visual hallucinations with paranoid delusions. He was prescribed zolpidem 10mg for several years, but reported doubling his dose recently, until stopping the medication 7 days prior to hospita...
Left Atrial Versus Biatrial Maze Procedures in Atrial Fibrillation: Initial Institutional Randomized Trial with Literature Overview
Walid Ben Ali, Pierre Page, Jean Lambert, Michel Carrier and Denis Bouchard
Article Type: Research Article | First Published: July 27, 2015
The objective of study is to compare in a randomized fashion biatrial and left atrial Maze by continuous event recorder at one year follow-up. Methods: From January 2011 to December 2012, 19 patients were prospectively enrolled. Patients were allocated in 3 groups regarding their rythm, 7 continuous atrial fibrillation, 8 paroxysmal atrial fibrillation and 4 sinus rhythm with atrial size above 45 mm. Patients were randomized to receive left atrial or biatrial or not receive a Maze. Patients were followed prospectively for 1 year. The interrogation of the recorder was done at 6 and 12 months......
An Unusual Foreign Body in the Neck: A Case of Sternal Wire Migration
O'Connell BP, DeNino WF and O'Rourke AK
Article Type: Case Report | First Published: July 26, 2015
Migration of sternal wires is a rare, but potentially serious, complication of median sternotomy and there are a limited number of reports in the literature regarding such migration. Most of these reports document cardiac and/or vascular injuries related to thoracic migration of stainless steel wires. Imran et al. reported bilateral pneumothoraces due to lateral displacement of sternal wires. Rungatscher et al. described sternal wire segments adjacent to, and inside of, the sternal insertion of the sternocleidomastoid muscle resulting in an intramuscular hematoma, but the wire itself had not m...
A Review: Are All Inhaled Fibres, Such as Asbestos, Toxic?
Sumayah Abdul-Jabbar and Luigi G Martini
Article Type: Review Article | First Published: August 05, 2015
Exposure to asbestos is well known to have a causal relationship with the development of lung cancer. In order to understand the mechanism of this toxicity an extensive review was undertaken. Findings were able to show that the morphology of the asbestos (which is fibrous) has a marked correlation with its toxicity. It is this morphology that mutually contributes to enhanced aerodynamic properties making asbestos ideal for deposition in the lungs as well as giving it mutagenic properties. Therefore, it is inappropriate to ignore the intrinsic property of fires, especially due to an increase in...
Postmenopausal Calcified Pedunculated Large Subserous Leiomyoma: A Case Report
Ozhan Ozdemir, Cemal Resat Atalay, Mustafa Erkan Sari, Ertugrul Sen and Mehriban Nebioglu
Article Type: Case Report | First Published: August 03, 2015
A 72-year-old postmenopausal and nullipar woman presented with abdominopelvic pain and a palpable mass in the right lower quadrant. Ultrasonography showed a large, hyperechoic, solid mass. Contrast-enhanced computed tomography (CT) of the abdomen demonstrated a well-circumscribed mass. Rutine laboratuary tests and tumour markers revealed as normal. Total abdominal hysterectomy and bilateral salpingo-oophorectomy is the surgery of choice in this case. Histopathological examination confirmed a calcified leiomyoma. The majority of uterine leiomyomas are confidently diagnosed sonographically....