Open Access DOI:10.23937/2377-9004/1410098
Challenges Diagnosing Appendiceal Neoplasms during Pregnancy
Vidya Bharati, Angeles Alvarez Secord, Thomas M Price and John Migaly
Article Type: Case Report | First Published: November 01, 2016
A 31 y.o. G1P0 at 18 weeks estimated gestational age was found to have an echogenic 7.8 cm by 3.1 cm mass adjacent to the uterine fundus during an anatomy scan. Follow-up radiology performed abdominal ultrasound was normal. Patient delivered vaginally without incident. Three years later she was diagnosed with a right complex pelvic mass identified during a saline infusion sonogram for fertility evaluation. Carcinoembryonic antigen was elevated. Laparoscopic surgery revealed appendiceal mass and ...
Open Access DOI:10.23937/2469-567X/1510027
Human Immunodeficiency Virus Infections in the Middle East and North Africa: Prevalence, Risk, Prevention and Challenges
Ahmed A Abd-Rabou
Article Type: Review Article | First Published: September 27, 2016
The Middle East and North Africa (MENA) has few recorded outputs regarding the prevalence of the human immunodeficiency viral (HIV) infections associated with acquired immune deficiency syndrome (AIDS). When we went through the HIV/AIDS in MENA, we found a hole in the scientific publications. Attention towards this issue progressed recently though, with few pre-clinical studies conducted. In the current review, we collected comprehensive data of HIV epidemiology in MENA and discussed the main ch...
Open Access DOI:10.23937/2469-5793/1510044
Prolonged Esophageal Button Battery Impaction in a 15 Month-Old: A Case Report
Jennifer Marshalla and Kelly Williamson
Article Type: Case Report | First Published: September 13, 2016
A 15 month-old female was transferred to the emergency department from a gastroenterologist's office after a chest x-ray revealed an esophageal foreign body. The patient was undergoing evaluation for regurgitation of food and refusal to eat solid food for three months with their primary care physician. X-ray of the neck upon arrival in the emergency department revealed that the foreign body was consistent with a button battery. The button battery was likely lodged in the esophagus for the three ...
Open Access DOI:10.23937/2378-3397/1410048
Markedly Elevated Tumor Markers with a Benign Epidermoid Cyst of Spleen
Jane Lee, Jingjing Sherman and L Brian Katz
Article Type: Case Report | First Published: October 17, 2016
A 25-year old female presented with left upper quadrant pain of several weeks duration. Her labs were significant for elevated tumor markers including CA 19-9, CA 125 and CEA. Computed tomography of the abdomen showed ascites, ovarian cysts and enlarged spleen with a large cystic lesion measuring approximately 9.9 × 3.2 cm. Diagnostic laparoscopy revealed an enlarged cystic spleen, ovarian cysts and no evidence of malignancy. Splenectomy was performed along with ascites cytology, peritoneal...
Open Access DOI:10.23937/2378-3397/1410047
Surgical Gastrostomy in Delayed Emergency: Indications, Morbidity and Mortality in 293 Patients from a Single Center Experience
Anne-Sophie Studer, Vincent Venchiarutti, Edouard Girard, Jessica Morel, Julio Abba and Catherine Arvieux
Article Type: Original Article | First Published: October 15, 2016
293 patients under went surgical gastrostomy according to the Witzel technique. Age, gender, indication, type of anesthesia, complications and 30-days mortality were analyzed. Complications were detailed according to type minor (tube site infection, gastric tube removal, obstruction, breakage or leakage, intra-abdominal displacement, parietal hematoma) or major (gastric bleeding, aspiration pneumonia, gastroesophageal reflux, peristomal hernia, peritonitis, digestive perforation, incisional hern...
Open Access DOI:10.23937/2469-5807/1510048
A Battle against the Odds: Intensive Therapy in Thrombotic Storm
Priyanka Raheja, Pavel Olivera, Veronica Pons, Mercedes Perez, Joan Balcells, Romy Rossich and Amparo Santamaria
Article Type: Case Report | First Published: October 31, 2016
Thrombotic storm (TS) is a rare life-threatening entity that is characterized by multiple thrombotic events affecting diverse vascular sites occurring over a short period of time (days to weeks). We describe a case of a young boy who developed extensive and rapidly progressive thrombosis which required intensive treatment that included the use of triple antithrombotic therapy, pharmacomechanical thrombectomy, systemic thrombolytic therapy, and the combined use of plasmapheresis and immunosuppres...