Acute Mesenteric Ischaemia and Coralliform Aorta

A 77 year old man presented with acute mesenteric ischaemia and peritonitis. Computed tomography angiography revealed acute thrombosis of the proximal calcified superior mesenteric artery (SMA) arising from a coralliform aorta (A, asterisk). He underwent emergency retrograde open mesenteric stenting (ROMS) using a 7  × 59 mm Atrium Advanta V12 stent graft (Maquet, Rastatt, Germany) with great saphenous vein patch angioplasty (panel B), followed by right colectomy. Ilio-mesenteric bypass was not feasible because of previous iliac kissing stents and femoro-femoral bypass.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Coup D'Oeil Source Type: research

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Authors: Ueda Y, Kawai Y, Shokoku G, Kuroda K, Kawamura K, Ono T, Tokioka K, Ohe T Abstract Superior mesenteric venous thrombosis (SMVT), which results from various etiologies, including coagulation disorders, can be diagnosed early using advanced imaging technology. However, few reports have described the nonsurgical treatment of acute peritonitis caused by SMVT. We encountered a young woman whose history included abdominal pain and daily oral contraceptives and who presented with acute peritonitis caused by SMVT. We administered nonsurgical treatment that included thrombolysis and anticoagulation for the peritoni...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Abstract OBJECTIVE: Minimally invasive anterolateral approach to the lumbar spine (oblique lateral interbody fusion, OLIF) to correct lumbar deformities. INDICATIONS: Ventral release in degenerative lumbar scoliosis or segmental kyphosis and intervertebral spondylodesis. CONTRAINDICATIONS: No absolute contraindications. Relative contraindications are previous (left-sided) retroperitoneal interventions or status after peritonitis with pronounced retroperitoneal scarring. Vascular anomalies with extremely lateral common iliac vein (especially with segmentation disorders in the penultimate mobile segment). ...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research
AbstractJaundice is a relatively uncommon finding in amoebic liver abscess and if present, is a marker of abscess erosion into biliary tract. In these cases, other causes of jaundice are secondary infection of amoebic liver abscess (ALA), pressure of the abscess on hepatic ducts, parenchymal damage or, sometimes could be cholestatic in nature.In our case, a twenty-five year-old male student presented with jaundice and fever. There was hepatomegaly and a mass of approximately 8x6 cm protruding into right hypochondrium and epigastrium. Jaundice occurred in this case due to compression of the hepatic ducts confluence by a lar...
Source: Hellenic Journal of Surgery - Category: Surgery Source Type: research
We report the successful eradication of repeated episodes of CNS peritonitis using an aggressive multipronged therapeutic approach combining several antibiotics and a thrombolytic agent. PMID: 31690701 [PubMed - in process]
Source: Peritoneal Dialysis International - Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research
Abstract BACKGROUND: Compared with traditional open surgery, laparoscopic surgery is preferred due to the advantages of less trauma, less pain, and faster recovery. Nevertheless, many patients still suffer from postoperative pain resulting from the surgical incision and associated tissue injury. Many researchers have reported methods to improve postoperative pain control, but there is not a simple and effective method that can be clinically adopted in a widespread manner. We designed this study to prove the hypothesis that application of ropivacaine in the port site and operative site in patients is an effective a...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
Abstract The intimate connection and the strict mutual cooperation between the gut and the liver realizes a functional entity called gut-liver axis. The integrity of intestinal barrier is crucial for the maintenance of liver homeostasis. In this mutual relationship, the liver acts as a second firewall towards potentially harmful substances translocated from the gut, and is, in turn, is implicated in the regulation of the barrier. Increasing evidence has highlighted the relevance of increased intestinal permeability and consequent bacterial translocation in the development of liver damage. In particular, in patient...
Source: World Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
Fibrin-VLDL Receptor-Dependent Pathway Promotes Leukocyte Transmigration by Inhibiting Src Kinase Fyn and is a Target for Fibrin β15-42 Peptide. Thromb Haemost. 2019 Aug 29;: Authors: Yakovlev S, Cao C, Galisteo R, Zhang L, Strickland DK, Medved L Abstract According to the current view, binding of fibrin degradation product E1 fragment to endothelial VE-cadherin promotes transendothelial migration of leukocytes and thereby inflammation, and fibrin-derived β15-42 peptide reduces leukocyte transmigration by competing with E1 for binding to VE-cadherin and, in addition, by signaling through Src...
Source: Thrombosis and Haemostasis - Category: Hematology Authors: Tags: Thromb Haemost Source Type: research
We report here a new case in a 35-year-old man presenting with paroxysmal abdominal pain during 13 days. The diagnosis of superior mesenteric venous thrombosis was confirmed by CT angiography, and the patient was operated on the third day of a well-conducted medical treatment with intravenous heparinotherapy, in the presence of localized peritonitis. The laparotomy revealed an ischemic ileal portion treated by segmental resection and terminoterminal anastomosis without complication.
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
Membrane-bound plasmin is used by immune cells to degrade extracellular matrices, which facilitates migration. The plasminogen receptor Plg-RKT is expressed by immune cells, including monocytes and macrophages. Among monocytes and macrophages, distinct subsets can be distinguished based on cell surface markers and pathophysiological function. We investigated expression of Plg-RKT by monocyte and macrophage subsets and whether potential differential expression might have functional consequences for cell migration. Proinflammatory CD14++CD16+ human monocytes and Ly6Chigh mouse monocytes expressed the highest levels of Plg-RK...
Source: Blood - Category: Hematology Authors: Tags: Phagocytes, Granulocytes, and Myelopoiesis, Thrombosis and Hemostasis, Brief Reports Source Type: research
CONCLUSION:  Our data indicate a crucial role of platelet PI3K signaling for leukocyte extravasation upon inflammatory stimuli in various diseases models. PMID: 31370072 [PubMed - as supplied by publisher]
Source: Thrombosis and Haemostasis - Category: Hematology Authors: Tags: Thromb Haemost Source Type: research
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