Lymphangioma of the ascending colon
Publication date: Available online 13 December 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Yi-Han Jhuang, Chieh-Wen LinAbstractThe incidence of lymphangioma is about 0.18%. The 95% of lymphangioma located in the head, neck and axilla. Colonic lymphangioma is even rare and represented in less than 1% of all lymphatic malformations. Therefore, it is difficult for preoperative diagnosis and histological examination might be necessary for conclusive diagnosis. Even the symptoms might be relieved by conservative treatment, but complete surgical resection might be a good choice for colonic lymphangioma according to risks. In our case, a 3-year-old boy presented intermittent fever episodes and abdominal pain. Leukocytosis and escalation of C-reactive protein were noted. The abdominal computed tomography showed homogenous mass without contrast-enhancing and encasement of ascending colon. Acute abdomen due to intra-abdominal infection and mass effect was suspected. Therefore, exploratory laparotomy with hemi-colectomy was done without complication. The final pathology proved lymphangioma of ascending colon. Complete surgical resection was also recommended in all of these cases. However, extensive surgical resection was not available when colonic lymphangiomas were diffused and alternative therapy might be applied, such as intra-cystic sclerotherapy. The prognosis was good. However, long-term surveillance was necessary to assess the recurrence of colonic lymphangiom...
AbstractOsteoarthritis (OA) is a chronic joint disease that leads to pain and functional incapacity. The aim of the study is to investigate the effects of the incorporation of photobiomodulation (PBM) (via cluster) into a physical exercise program on the level of pain, lower limb muscle strength, and physical capacity, in patients with knee OA. Sixty-two female volunteers with a diagnosis of knee OA were distributed in 4 groups: exercise associated with placebo PBM group, exercise associated with active PBM group, active PBM group, and placebo PBM group. Sixteen sessions of lower limb strength exercises and PBM via cluster...
CONCLUSIONS: HSV may induce perianal infections, anal infections and HSV proctitis. Diagnosis of HSV1 and HSV2 using PCR is recommended. Anal and genital HSV infections are a risk factor for subsequent HIV infection. The risk is higher for HSV2 infection due to more frequent recurrences. PMID: 31965208 [PubMed - as supplied by publisher]
CONCLUSIONS: While the use of CAP for disinfection and wound treatment has already moved into clinical practice, further applications such as cancer treatment are still exploratory. PMID: 31965204 [PubMed - as supplied by publisher]
ConclusionWhile sciatic hernias are rare, lipomatous/ liposarcomatous tumors presenting as sciatic hernias are extremely rare. This case report highlights a combination of rare phenomena. The information presented adds to the current evidence that will guide accurate diagnosis and appropriate treatment of future cases.
ConclusionThe surgical team is responsible for preventing this event by careful inspection of the surgical site using all the available methods and technology. Technology increases the safety but doesn’t accurately prevent the accidents. All causative human and technical factors must be addressed carefully.
We describe a technique using a fascia lata autograft to reconstruct the rotator cuff in the setting of a massive cuff tear. This is of particular importance in centers that lack the funding or institutional approval to use acellular dermal allografts that have been popularized to date.
Try to get that out of your head.
Conclusions: Therapeutic exercises and playing AVGs similarly improved the pain of patients with knee OA; however, playing AVGs improved dynamic balance, physical functional performance, and physical health more than therapeutic exercises did.
Conclusion. This study does not justify the use of botulinum toxin in the context of chronic pelvic pain with myofascial syndrome but does justify muscle injections with LA alone.
DiscussionTrapeziectomy with LRTI for thumb carpometacarpal osteoarthritis provided early subjective improvements in outcomes as early as 3 months post-procedure. However, more than 6 months are required to determine objective improvements in outcomes. To obtain early patient-reported satisfactory outcomes, we should focus not on improving hand and finger strength, but on treating postoperative surgical site pain and preventing thumb stiffness.Level of evidenceIV, retrospective therapeutic study.