Open Access DOI:10.23937/2377-9004/1410188
Modification of Staged Embolization-Hysterectomy Procedure for Placenta Accreta to Avoid Non-Target Embolisation of Ovaries
Catherine L Davis, Bishoy Hanna, John Keogh, Eisen Liang and Amir Hanna
Article Type: Case Series | First Published: December 21, 2020
Placenta accreta spectrum describes the abnormal adherence of the placenta to, into or beyond the myometrium of the uterus. Three women who were antenatally diagnosed with placenta accreta underwent a modified staged embolization- hysterectomy procedure consisting of; placement of prophylactic bilateral common iliac artery occlusion balloons, a classical caesarean section, surgical dissection of the ovaries from the uterus, embolization of the uterine arteries, followed by hysterectomy. The thre...
Open Access DOI:10.23937/2377-9004/1410187
A Pelvic Mass Masquerading as High Stage Malignancy - An Interesting Presentation of Psuedo-Meigs Syndrome
Cathy Monteith, PhD, Tamara Kalisse, Robert A Farrell, Yulia Shahabuddin and Thomas John D’Arcy, MD
Article Type: Case Report | First Published: December 21, 2020
The lifetime risk of developing an ovarian malignancy is reported to be 1.4%. Invasive epithelial ovarian cancers have the highest prevalence in women between 60-64 years while germ cell or borderline tumours pre-dominate in women under 40 years. We report the case of a 33-yearold nulliparous woman with a 7 kg leiomyoma, extensive endometriosis and several radiological features suggestive of a high stage ovarian malignancy. Meigs syndrome typically presents as a triad of ascites, pleural effusio...
Open Access DOI:10.23937/2377-9004/1410186
Trocar-Site Herniation (TSH) of the Small Bowel following Laparoscopy Despite Rectus Sheath Closure, Resulting in Subacute Bowel Obstruction in the Early Post-Operative Period: A Case Discussion and Review of Literature
Senadheera, DI, Jayasundara, DMCS and Jayawardane, IA
Article Type: Case Report and Literature Review | First Published: December 12, 2020
Laparoscopy is becoming the gold slandered of access to the abdomen and pelvis. However, it’s not without unique complications. Trocar site hernia is a rare but a serious complication which can cause diagnostic confusion, in the early post-operative period. It can be potentially life threatening with obstruction, strangulation, incarceration and finally perforation of the bowel, after a seemingly uncomplicated laparoscopy. First ever TSH, reported by “Fear in 1968”. Early studies described...
Open Access DOI:10.23937/2643-4474/1710050
De Novo Cavernoma in the Sensory Cortex Causing Cervicobrachialgia
Dhruv Jain, MS, Michael Broduhn, MD, Sophie Rosahl and Steffen K Rosahl, MD, PhD
Article Type: Case Study and Review of Literature | First Published: December 17, 2020
A 32-year-old female presented with neck pain radiating to the ulnar forearm along with occasion-al tingling sensations. Three years earlier, she had suffered from left-sided cerebellar infarction caused by dissection of the left vertebral artery. The dissection was provoked by manual therapy administered by a certified physiotherapist. Antiplatelet treatment with Aspirin 100 mg/day was established. One year later, she experienced tingling in the left side of her face. At the time, intracerebral...
Open Access DOI:10.23937/2643-4474/1710049
Orbital Apex Syndrome and Carotid Artery Injury Associated with Transorbital Stab Injury
Dimitri Laurent, MD, Brian Corlis, MD and Gregory JA Murad, MD
Article Type: Case Report | First Published: December 09, 2020
Transorbital penetrating injuries are particularly rare in the adult population. We present a case of TOPI sustained in an assault using a ballpoint pen-with concomitant transmaxillary injury due to a pencil stab wound-and a review of the literature. Transorbital penetrating injuries (TOPI) are particularly rare in the adult population, accounting for 0.096% of all head injuries. In the setting of TOPI, there should be a high index of suspicion for damage to the intracranial vascular and neural ...
Open Access DOI:10.23937/2469-5726/1510088
CTGF Signaling in Skeletogenesis, Articular Cartilage, and Osteoarthritis Development
Eduardo Branco de Sousa and Diego Pinheiro Aguiar
Article Type: Review Article | First Published: December 21, 2020
CTGF/CCN2 is involved in many cellular events related to proliferation and migration. Its main physiological role is related to the promotion of endochondral ossification, besides regeneration, protection of bone and articular cartilage, and angiogenesis. Skeletogenesis, the process by which bone and articular elements are formed, comprises endochondral and intramembranous ossification. However, the signaling pathways that mediate CTGF/CCN2 expression in chondrocytes have not been fully understo...
Open Access DOI:10.23937/2572-4193.1510096
Retrograde Air Flow through the Lacrimal Drainage System with Valsalva Maneuver
Swati Malik, B.A., Mohammad Javed Ali, F.R.C.S., Miel Sundararajan, M.D. and Harsha S. Reddy, M.D.
Article Type: Case Report | First Published: December 14, 2020
We present a series of three clinical videos of retrograde air flow through the lacrimal system with Valsalva maneuver that illustrate the hypothesized dysfunctions at various points within the lacrimal valvular system. Under normal physiologic conditions, the lacrimal excretory system has a series of valves that prevent retrograde flow of fluid and air. Therefore, while performing the Valsalva maneuver, increased intranasal pressure is not transmitted to the nasolacrimal system; however, trauma...
Open Access DOI:10.23937/2572-3243.1510089
Musculoskeletal Pain and Postural Abnormalities among Smartphone-Using Digital Natives
Adesola C Odole, Dorcas A Olutoge, Oluwagbohunmi Awosoga, Chidozie E Mbada, Clara Fatoye, Olufemi O Oyewole, Ruth I Oladele, Francis A Fatoye and Aderonke O Akinpelu
Article Type: Original Article | First Published: December 16, 2020
The younger generations are labeled “digital native” among whom smartphone penetration and adoption is high. However, the health consequences of intense utilization of smartphones as a contributor to the increasing prevalence of musculoskeletal disorders in young adults are less explored. This study investigated patterns of musculoskeletal pain, postural abnormalities, and smartphone usage among undergraduate university students. Four hundred (200 males and 200 females) two-staged sampled un...
Open Access DOI:10.23937/2474-3658/1510181
Personal Protection Equipment Utilization and Hand Hygiene Practice during COVID-19 Pandemic: A Narrative Review
Azmeraw Bekele and Yimenu Yitayih
Article Type: Review Article | First Published: December 16, 2020
Personal protective equipment and instant hand hygiene found the most effective preventive measures during coronavirus disease-19 and their utilization should depend upon contact-droplet exposure. The aim of the review was to evaluate when, where, and how the personal protective equipment utilized and hand hygiene practiced during SARS-CoV-2 infection. The following databases were searched using keywords and related browsing terms: PubMed Central, Ovid Medline via PubMed, Cochrane database, WHO ...
Open Access DOI:10.23937/2474-3658/1510180
Hybrid Autopsy Virology Laboratory Experimental Platform
Izak B Dimenstein, MD, PhD, HT (ASCP)
Article Type: Commentary | First Published: December 11, 2020
The SARS-CoV-2 aerosols’ transmission route is not still settled. Along with epidemiology data, there is an urgent necessity for reliable reproducible experimental methods for virus aerosolization studies. The autopsy table can form part of a hybrid autopsy virology laboratory as an investigative platform equipped with the necessary instruments for SARS-CoV-2 aerosolization studies. Wide open mucosa surfaces COVID-19 deceased can be a field for studying under experimental manipulations of air ...