... develop BuddChiari syndrome die as a consequence of hepaticvenous outflow obstruction [9,10,13,15] The hepaticvenous outflow obstruction in Behçet’s disease is often associated with other venous ... of Budd- Chiarisyndrome in our patient was also performed with a Doppler ultrasound examination of the suprahepatic and cava veins showing absence of flow in the left suprahepatic vein Budd- Chiari ... ambiguous terminology of the Budd- Chiarisyndrome Mayo Clin Proc 1990, 65(1):51-55 Okuda K, Kage M, Shrestha SM: Proposal of a new nomenclature for Budd- Chiari syndrome: hepatic vein thrombosis versus...
... performed in all patients US revealed cervical venous obstruction, upper mediastinal venousobstruction in SVCS patients US also helped to differentiate between venous compression and invasion and to ... SVC syndrome (one third each in our experience) Gross venous invasion is probably underdiagnosed in the routine practice: it has been reported in up to 1.5% of papillary cancers only [7] Venous ... tributaries') diameter to differentiate between venous invasion and a strong tumor compression of the cervical vein Even a small echogenic thrombus can be seen in the venous lumen and it can originate from...
... the bevacizumab to the hepatic sinusoids or idiosyncratic and/or hypersensitivity reaction Conclusion We need to be aware that bevacizumab can cause sinusoidal obstructionsyndrome (veno-occlusive ... (OxMdg) with a good response (Figure 1b) In October 2000 he underwent left hepatic trisectionectomy, involving resection of hepatic segments 2, 3, 4, and 8, and liver remnant metastasectomies of ... there was no evidence of blue liver syndrome in the hepatectomy specimen after the use of neoadjuvant oxaliplatin Potential explanations of the occurrence of the syndrome are possible blockage of...
... a complete gastric obstruction (Figure 2) To address a possible submucosal infiltrative process such as lymphoma, a repeat Figure UGI demonstrating complete gastric outlet obstruction UGI demonstrating ... with small bowel obstruction She was therefore returned to the operating room for exploratory laparotomy which revealed diffuse ascites, an intact gastrojejunostomy, and an obstruction in the ... of the abdomen revealed a dilated, hypertrophied stomach consistent with chronic gastric outlet obstruction, abnormal thickening of the antrum and pylorus, and a normal appearing pancreas (Figure...
... case of gastric outlet obstruction (Bouveret’s syndrome) : a case report Mahesh Gajendran1*, Thiruvengadam Muniraj1 and Andres Gelrud2 Abstract Introduction: Bouveret’s syndrome is a clinically ... of Bouveret syndrome South Med J 2009, 102(9):963-965 doi:10.1186/1752-1947-5-497 Cite this article as: Gajendran et al.: A challenging case of gastric outlet obstruction (Bouveret’s syndrome) : ... highlights the considerable morbidity and mortality associated with Bouveret’s syndrome Introduction Bouveret’s syndrome is defined as a cholecystoduodenal or choledochoduodenal fistula with...
... I, Levy I: Gastric outlet obstruction by gallstone: Bouveret syndrome Scand J Gastroenterol 1999, 35:781-783 Beltran M, Csendes A, Cruces K: The relationship of Mirizzi syndrome and cholecystoenteric ... duodenum account for less than 10% [3] A gastric outlet obstruction secondary to an impacted gallstone in the duodenum or pylorus is called Bouveret syndrome It was first described in 1896 by the French ... signs of perforation or fistula Under antibiotic treatment (ceftriaxon g intravenously a day and metronidazole 400 mg intravenously four times a day for 10 days), our patient recovered completely...
... neoplasia Gastric outlet obstruction secondary to an impacted gallstone in the pyloric region or duodenal bulb is known as Bouveret's syndrome More common in elderly women, Bouveret's syndrome presents ... are passed spontaneously Obstruction most commonly occurs in the terminal ileum (90%) and less often in the duodenum (3%) [2] The differential diagnosis of gastric outlet obstruction includes diverticulae, ... authors present a case of Bouveret's syndrome in an 83 year old gentleman The diagnosis should be considered in patients with symptoms of gastric outlet obstruction with or without a history...
... Hughes-Stovin syndrome develop vascular thromboembolism, arterial aneurysms, and arterial and venous occlusions with nonspecific vasculitis The vascular lesions are arterial in 7%, venous in 25%, ... peripheral venous thromboses: the Hughes Stovin syndrome Report of a case in a 12-year-old boy and a review of the literature Pediatric Radiol 1982, 12(4):214-216 12 Yazici HFE: Mortality in Behçet's syndrome ... (papilledema) She was thus diagnosed with Hughes-Stovin syndrome, which is a variant of Behcet's disease She was treated with methylprednisolone gm intravenously for five days She then had 50 mg/day of...
... utilize tunnelled venous catheters in the medium to long term One consequence of this will be the increasing incidence of central venous stenosis, thrombosis and exhaustion SVC obstruction is likely ... history of failed vascular access procedures, including arterio -venous fistulas and synthetic grafts Again a clinical diagnosis of SVC obstruction was made and warfarin was started An attempted superior ... dialysis catheter insertion A clinical diagnosis of SVC obstruction was made and warfarin was restarted This was confirmed on magnetic resonance venous imaging, which showed extensive thrombosis in...
... This case is an unusual variant of Bouveret’s syndrome with some interesting differences There have been reports of gallstones causing afferent loop obstruction after Billroth II gastrectomy in ... Roux-en-Y reconstruction, the gallstone caused duodenal stump obstruction, resulting in abdominal pain, rather than gastric outlet obstruction as originally described by Bouveret There was no ... AC, Chung SC: Transhepatic balloon sphincteroplasty for bile duct stones after total gastrectomy Surg Endosc 2000, 14:966 Dias AR, Lopes RI: Biliary stone causing afferent loop syndrome and pancreatitis...
... http://www.jmedicalcasereports.com/content/2/1/351 Figure angiogram HepaticHepatic angiogram Black arrow, pseudoaneurysm biliary fistula and obstruction to biliary drainage [7] Differentiating Mirizzi syndrome from gallbladder cancer ... opinion and reviewed the radiology References Mirizzi PL: Syndrome del conducto hepatico J Int Chir 1948, 8:731-733 Lai EC, Lau WY: Mirizzi syndrome: History, present and future development ANZ J ... gallstone was found to have fistulated from the cystic duct into the common hepatic duct resulting in a Mirizzi type II syndrome The pseudoaneurysm was immediately superior to the stone The common...
... 2a) Venous oxygen saturation was iteratively calculated from oxygen content in venous blood using the haemoglobin dissociation curve defined by input parameters SaO2 was similarly derived Venous ... 0.8 Basal metabolic acid base balance was defined as venous pH 7.37, which according to Siggaard-Andersen [11] yields a base excess of zero Venous carbon dioxide tension was for most simulations ... as in the endcapillary blood (PcCO2) V'CO2, eliminated carbon dioxide (ml/minute); pHv, venous pH; PvCO2, venous carbon dioxide tension; PaCO2, arterial carbon dioxide tension be estimated by using...
... GS 10 μm B α−SMA 10 μm Figure 11 Small hepatic veins Small hepatic veins A – GS staining B – α-SMA staining In the rather faint GS-positive area, a small hepatic vein (black arrow) was identified ... disappearance of portal vein, bile ducts, and hepatic veins, subsequently resulting in the enlargement and proliferation of arteries, in venous shunts (portal and hepatic) and in all other features described ... the presence of arterio -venous shunts (portal vein or hepatic vein) The existence of these shunts proposed by Wanless' group is however very likely (proximity of artery to hepatic vein, and dystrophic...
... upper motor neurone syndrome This definition emphasizes the fact that spasticity is only one of the many different features of the upper motor neurone (UMN) syndrome The UMN syndrome is a somewhat ... the UMN syndrome can be divided into two broad groups – negative phenomena and positive phenomena (Table 1.1) Negative phenomena of the UMN syndrome The negative features of the UMN syndrome ... of the upper motor neurone (UMN) syndrome (Table 1.1, p 2) The clinician tends to picture the whole UMN syndrome and regard all the ‘positive’ features of the syndrome as ‘spasticity’ For example,...
... 30:580-588 Shapiro N, Howell MD, Bates DW, Angus DC, Ngo L, Talmor D: The association of sepsis syndrome and organ dysfunction with mortality in emergency department patients with suspected infection ... Costigan M, Hwang T, Davis CS, Wenzel RP: The natural history of the systemic inflammatory response syndrome (SIRS) A prospective study JAMA 1995, 273:117-123 Brun-Buisson C, Doyon F, Carlet J, Dellamonica ... Ranieri VM, Gerlach H, Fielden J, Groba CB, Payen D: An evaluation of systemic inflammatory response syndrome signs in the Sepsis Occurrence In Acutely Ill Patients (SOAP) study Intensive Care Med...
... resources and needs as a component of the syndrome The arrival of the MET brings a critical care environment to the bedside In a sense, when an MET syndrome develops, it could be argued that ... hospital and the patient are ‘sick’ [37] Occasionally, errors that underlie the development of the MET syndrome naturally surface during an MET review [38] This often causes parent medical unit doctors ... myocardial infarction GISSI investigators Am Heart J 1999, 138:10581064 26 Nardi G, Riccioni L, Cerchiari E, De Blasio E, Gristina G, Oransky M, Pallotta F, Ajmone-Cat C, Freni C, Trombetta S, et...
... especially useful in the diagnosis of obstructive jaundice, intrahepatic cholestasis, and pancreatitis (31) GGT is more responsive to biliary obstruction than are aspartate aminotransferase (AST) and ... study On the other hand the patients who had common bile duct dilatation (more than 10mm) or intrahepatic biliary dilatation in US or CT or MR were also excluded These patients have been accepted ... aminotransferase (ALT) GGT is helpful to work up elevated alkaline phosphatase values and more specific for hepatic disease than is alkaline phosphatase (32) These two parameters were evaluated for predicting...
... interrupt the arterial and portal venous blood supply to the left and median lobes of the liver The clip was removed 90 after partial hepatic ischemia to initiate hepatic reperfusion Sham control ... the Guide for the Care and Use of Laboratory Animals Surgical procedures of hepatic I/R A model of segmental (70%) hepatic ischemia was used as previously described14,15 Rats were anesthetized ... of lung injury induced by hepatic I/R Various methods, including pharmacological treatment, gene therapy and ischemia preconditioning, have been applied to ameliorate hepatic I/R injury, with...
... study, while in patients with hepatic steatosis, these parameters are more likely related to hepatic steatosis Thus, for the treatment of HBeAg-negative CHB with hepatic steatosis, in addition ... HBeAg-negative CHB patients with hepatic steatosis may even progress into fibrosis and cirrhosis (14) In HBeAg-negative CHB patients with hepatic steatosis, the activity of hepatic inflammation may be ... excluded from hepatic steatosis (79 men and 19 women, mean age 39.4±9.81 years) Their diagnoses were finally confirmed by clinical presentations and pathological features The criteria for hepatic steatosis...