1,721,089 research outputs found

    Silent Contained Rupture of an Inflammatory IgG4-Related Abdominal Aortic Aneurysm

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    This report describes a case of a 66-year-old male patient with accidental diagnosis of chronic contained rupture of an aortic aneurysm. Surgery was performed through a median laparotomy. A thick periaortic tissue with fibrosis and lymphnodes covered the AAA. Immunohistochemical examination of the aneurismatic aortic wall revealed intense positivity for inflammatory markers and a large number of immunoglobulin G4 (IgG4) positive cells. The postoperative course was uneventful and patient was discharged in the fifth postoperative day. Patient was then followed periodically at the outpatient rheumatologic clinic. No adverse events occurred during 3 and 6 months follow up. Conclusion: Identification of IgG4-inflammatory aneurysms as an expression of the IgG4-related systemic disease is essential both for clinical follow up and surgical and pharmacological treatment considering the possibility of aneurysm rupture and the involvement of other organs

    Genetic delineation of venous leg ulcer and clinical implication

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    The recognition that functional gene variants, mainly single nucleotide polymorphisms significantly involved in venous ulcer establishment and in wound healing, have an extraordinary role in the prognosis, diagnosis and treatment of chronic wounds. • Single nucleotide polymorphisms in hemochromatosis and coagulation factor XIII genes can be used as molecular markers or prognostic tools. This allows the development of strategies to predict patients at increased risk of developing severe complications of chronic venous disorders and to predict healing time after superficial venous surgery. • Clinical practice could be strongly influenced by the results of an hemochromatosis genetic screening test. A positive test would strengthen the indications and priorities for surgical correction of superficial venous insufficiency. Primary varicose veins could be treated more appropriately before any lesions develop in patients with a genetic haplotype associated with an increased risk of lesion development

    Double Right Bronchial Artery Aneurysm Treated with Combined Procedures

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    PurposeBronchial artery aneurysms occur rarely. We present an unusual case.Case reportWe present a patient with double right bronchial artery aneurysms that were treated with a combination of endovascular and surgical procedures.ConclusionThis case report illustrates the treatment options for this unusual problem

    [Somatostatin in duodenocephalopancreatectomy for neoplastic pathology].

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    The authors investigated the role of Somatostatin in duodenocephalopancreatectomy for neoplastic pathology

    [Ultrastructural aspects of the liver and kidney during selective perfusion with a vasoconstrictor drug (experimental study)].

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    The authors present an experimental study evaluating the ultrastructural aspects of the liver and kidney during selective perfusion with a vasoconstrictor dru
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