Intraductal papillary bile duct adenocarcinoma and gastrointestinal stromal tumor in a case of neurofibromatosis type 1.

We report our experience with a synchronous case of gastrointestinal stromal tumor (GIST) and intraductal papillary neoplasm of the bile duct (IPNB) in an elderly woman with neurofibromatosis type 1 (NF-1). A 72-year-old woman presented with a 2-mo history of right upper abdominal pain unrelated to diet and indigestion. Fourteen years earlier, she had been diagnosed with NF-1, which manifested as café au lait spots and multiple nodules on the skin. Computed tomography (CT) revealed a multilocular low-density mass with septation, and mural nodules in the right hepatic lobe, as well as a 1.7-cm-sized well-demarcated enhancing mass in the third portion of the duodenum. The patient subsequently underwent right hepatectomy and duodenal wedge resection. We present here the first report of a case involving a synchronous IPNB and GIST in a patient with NF-1. Our findings demonstrate the possibility of various tumors in NF-1 patients and the importance of diagnosis at an early stage. PMID: 29398874 [PubMed - in process]
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research

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Publication date: Available online 22 September 2018Source: Journal of Visceral SurgeryAuthor(s): C. Chater, A. Saudemont, P. ZerbibSummaryRadiation enteritis is an iatrogenic disease of the intestines caused by radiation therapy. Two entities, chronic and acute radiation enteritis, are described. The acute symptoms (abdominal pain, loss of appetite, diarrhea) develop within the first hours or days after radiation therapy and can be treated medically. Chronic radiation enteritis leads to a chronic sub-obstructive and/or malabsorption syndrome developing at least two months after the end of radiation therapy. Cases occurrin...
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
ConclusionSAAE is caused by an air shunt following trauma. Clinical signs and operative findings summarized in this case should aid in the recognition of possible SAAE.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
In this study we assess the impact of a “rapid imaging protocol” (RIP) on outcomes in patients with suspected acute cholecystitis (AC).MethodsFrom January 2017 to January 2018, a prospective cohort study was implemented using a RIP with hepatoscintigraphy (HIDA) or CT scan (first available, goal within 4 hours) in patients (n = 52) presenting with highly suspected AC and a clinical feature score of ≥ 1. For the latter, the following presenting features were scored as follows: 1 point for WBC count ≥ 10,000 (109/L), 1.5 points for glucose ≥140 (mg/dl), and/or 1 point for age ≥ 50...
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ARTHRITIS causes pain, inflammation and stiffness of certain joints. The most common types are osteoarthritis and rheumatoid arthritis, but there are also other types. Watch out for these five, lesser known types of the painful joint condition.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Publication date: Available online 21 September 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Glaucus Cajaty Martins, Luiz Felippe Martins Filho, Andre Heringer Raposo, Raphael Barbosa Gamallo, Zarthur Menegazzi, Antônio Vítor de AbreuAbstractObjectiveTo evaluate the prevalence of pain and radiographic degenerative arthritis in a group of severe obese patients (body mass index [BMI] > 35).Methods41 patients with an indication of bariatric surgery were studied. The group of severely obese patients was subdivided into two subgroups: those with BMI  50 (n =&nb...
Source: Revista Brasileira de Ortopedia - Category: Orthopaedics Source Type: research
ConclusionThe use of the collagen I/III porcine membrane was favorable for the treatment of chondral and osteochondral lesions of the knee when assessing the results using the VAS, Lysholm, and Kujala scores 1 year after surgery, as well as when assessing the magnetic resonance image of the lesion 6 months after surgery.ResumoObjetivosAvaliar os resultados clínicos e funcionais dos pacientes com diagnóstico de lesões condrais de espessura total em joelhos sintomáticos submetidos a um método de reparação biológica por meio da técnica de condrogênese aut&oa...
Source: Revista Brasileira de Ortopedia - Category: Orthopaedics Source Type: research
We report a case of a pyomyoma in which in-bag morcellation allowed for a total laparoscopic hysterectomy instead of laparotomy, which has been recognized as the standard of care to avoid the spread of infection from morcellation. A 45-year-old multiparous woman presented with sepsis, pelvic pain, and leukocytosis at 1 month after undergoing uterine artery embolization for symptomatic uterine leiomyoma. Pelvic computed tomography scan revealed a 9-cm suspected pyomyoma. A total hysterectomy was performed using a laparoscopic approach with in-bag morcellation. The intervention was successful, and the postoperative course wa...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionOur results suggest that neuroinflammation mediated by elevated IL-8 concentrations in CSF and IL-8 mediated periphery-to-CNS inflammatory cross-talk contributes to pain in LDH patients and suggest a link between TSPO expression in discs and low back pain.
Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
PMID: 30236587 [PubMed - in process]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
CONCLUSIONS: Nurses' awareness of evidence-based practice increases with their education. Among the key problems is the lack of available professional publications in the Polish literature, ignorance of English, shortage of time, and lack of support from chief physicians of the ward. PMID: 30236579 [PubMed - in process]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
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