Probable secondary hemophagocytic lymphohistiocytosis manifesting as central nervous system lesions after COVID-19 vaccination: a case report
ConclusionTo date, 23 cases of COVID-19 vaccine-related HLH have been reported. Additionally, HLH in COVID-19 patients has been reported in various case reports. To the best of our knowledge, this is the first reported case of central nervous system involvement in HLH related to any type of COVID-19 vaccine. This case suggests that even when there are no systemic symptoms after COVID-19 vaccination, HLH should be considered as a differential diagnosis if brain lesions are suggestive of CNS demyelinating disease. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 11, 2024 Category: Neurology Source Type: research
Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research
Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research
Transformation risk and associated survival outcome of marginal zone lymphoma: A nationwide study
AbstractHistological transformation into an aggressive B-cell lymphoma indicates a poor survival outcome for patients with indolent marginal zone lymphoma (MZL), which has been less studied. Large-scale data with long-term follow-up to investigate MZL transformation is limited. Here, by reporting a US-Nationwide cohort of 30,619 MZL patients diagnosed between 2000 and 2019, we found that transformation occurred in 2.08% (N = 624) of MZL cases, with the transformation incidence of 3.1 per 1,000 person-years. Advanced Ann Arbor stage, nodal MZL (NMZL) and splenic MZL (SMZL) were associated with an elevated risk of transf...
Source: Annals of Hematology - March 9, 2024 Category: Hematology Source Type: research
Weighing the outcomes: the role of BMI in complex robotic esophageal and hepatobiliary operations
ConclusionElevated BMI is associated with longer operative durations in select robotic surgeries, such as trans-hiatal esophagectomy and pancreaticoduodenectomy, and highlights the need for strategic planning in these patients. (Source: Updates in Surgery)
Source: Updates in Surgery - March 9, 2024 Category: Surgery Source Type: research
Clinical factors and outcomes of spleen-conserving surgery versus total splenectomy in splenic injuries: A nationwide database study
The objective of this study was to identify factors associated with the use of spleen-conserving surgeries, as well as patient outcomes, on a national scale. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 8, 2024 Category: Surgery Authors: Angela Tang-Tan, Chih Ying Chien, Stephen Park, Morgan Schellenberg, Lydia Lam, Matthew Martin, Kenji Inaba, Kazuhide Matsushima Tags: Original Research Article Source Type: research
Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching
CONCLUSION: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.PMID:38453348 | DOI:10.1503/cjs.000223 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 7, 2024 Category: Surgery Authors: Paul T Engels Qian Shi Angela Coates Laura Allen Fran Priestap Bradley S Moffat Kelly N Vogt Emily Joos Samuel Minor Mylene Marchand Erin Williams Chris Evans Brett Mador Sandy Widder Markus Ziessman Jacinthe Lampron Chad G Ball Timothy J Rice Canadian Co Source Type: research
Splenectomy < em > versus < /em > non-splenectomy for gastrointestinal bleeding from left-sided portal hypertension: a systematic review and meta-analysis
CONCLUSION: This meta-analysis demonstrated that splenectomy is superior to non-splenectomy therapeutic strategies in reducing the incidence of GI bleeding from LSPH, which revealed that splenectomy should be recommended in the management of these patients.TRIAL REGISTRATION: This study has been registered on the PROSPERO database with the registration number CRD42023483764.PMID:38450104 | PMC:PMC10916482 | DOI:10.1177/17562848241234501 (Source: Adv Data)
Source: Adv Data - March 7, 2024 Category: Epidemiology Authors: Minghui Liu Ning Wei Yuhu Song Source Type: research
Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching
CONCLUSION: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.PMID:38453348 | DOI:10.1503/cjs.000223 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 7, 2024 Category: Surgery Authors: Paul T Engels Qian Shi Angela Coates Laura Allen Fran Priestap Bradley S Moffat Kelly N Vogt Emily Joos Samuel Minor Mylene Marchand Erin Williams Chris Evans Brett Mador Sandy Widder Markus Ziessman Jacinthe Lampron Chad G Ball Timothy J Rice Canadian Co Source Type: research
Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching
CONCLUSION: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.PMID:38453348 | DOI:10.1503/cjs.000223 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 7, 2024 Category: Surgery Authors: Paul T Engels Qian Shi Angela Coates Laura Allen Fran Priestap Bradley S Moffat Kelly N Vogt Emily Joos Samuel Minor Mylene Marchand Erin Williams Chris Evans Brett Mador Sandy Widder Markus Ziessman Jacinthe Lampron Chad G Ball Timothy J Rice Canadian Co Source Type: research
Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching
CONCLUSION: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.PMID:38453348 | PMC:PMC10927282 | DOI:10.1503/cjs.000223 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 7, 2024 Category: Surgery Authors: Paul T Engels Qian Shi Angela Coates Laura Allen Fran Priestap Bradley S Moffat Kelly N Vogt Emily Joos Samuel Minor Mylene Marchand Erin Williams Chris Evans Brett Mador Sandy Widder Markus Ziessman Jacinthe Lampron Chad G Ball Timothy J Rice Canadian Co Source Type: research
Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching
CONCLUSION: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.PMID:38453348 | PMC:PMC10927282 | DOI:10.1503/cjs.000223 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 7, 2024 Category: Surgery Authors: Paul T Engels Qian Shi Angela Coates Laura Allen Fran Priestap Bradley S Moffat Kelly N Vogt Emily Joos Samuel Minor Mylene Marchand Erin Williams Chris Evans Brett Mador Sandy Widder Markus Ziessman Jacinthe Lampron Chad G Ball Timothy J Rice Canadian Co Source Type: research
Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching
CONCLUSION: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.PMID:38453348 | PMC:PMC10927282 | DOI:10.1503/cjs.000223 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 7, 2024 Category: Surgery Authors: Paul T Engels Qian Shi Angela Coates Laura Allen Fran Priestap Bradley S Moffat Kelly N Vogt Emily Joos Samuel Minor Mylene Marchand Erin Williams Chris Evans Brett Mador Sandy Widder Markus Ziessman Jacinthe Lampron Chad G Ball Timothy J Rice Canadian Co Source Type: research
