Articles

Volume-5, 2024
Issue 12 (December)



Bilateral necrotizing pneumonia: A fulminant evolution

A 47-year-old female patient, elderly caregiver, with no previous medical history was admitted at ICU with hypoxemic acute respiratory failure in the context of bilateral pneumonia, with an arterial blood gas at admission revealing a paO2 52 mmHg (reference value >60 mmHg) and paCO2 32 mmHg (reference value 35-45 mmHg) in FiO2 of 60% by venturi mask.

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Diaphragmatic fistula caused by subhepatic collection

Diaphragmatic fistula is a rare complication of intra-abdominal infections, such as subhepatic abscesses, often resulting in significant morbidity. Timely diagnosis and management are crucial, to prevent the development of empyema or other serious complications.

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Pregnancy in patient with Swyer syndrome: A case report

Swyer syndrome is a rare disorder of sexual development (DSD) characterized by a female phenotype, either normal or tall stature, bilateral gonadal dysgenesis, and primary amenorrhea. Given the risk of malignancy, gonadectomy is strongly recommended post-diagnosis. Pregnancy can be achieved through assisted reproduction technology.

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Risk of postpartum hemorrhage in an ethnic minority region: Prediction results based on iterative machine learning

To develop a predictive model for Postpartum Hemorrhage (PPH) in a minority region of China (Qiandongnan Miao and Dong Autonomous Prefecture). A retrospective study was conducted using data from 23,490 hospitalized patients. Employing machine learning techniques, a multilayer perceptron neural network model was built to identify significant risk factors affecting PPH.

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Endoscopic submucosal dissection thread technique using conventional suture needle for difficult upper esophageal lesion

We report a clinical case of a 68 years old patient planning for endoscopic mucosal dissection of stenotic lesion with thread pull with needle technique. Patient was known for an undifferentiated upper 1/3 carcinoma treated with exclusive targeted radiotherapy curative (50.4 Gy) with radiosensitizing chemotherapy with paclitaxel and carboplatin four cycles.

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May-Thurner syndrome: Silent cause of venous thromboembolism

May-Thurner Syndrome (MTS) is characterized by the compression of the left iliac vein when it passes between the right common iliac artery and the spine. Complications of MTS include deep vein thrombus formation and even life-threatening pulmonary embolism.

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An unwanted “pregnancy”

Cystadenomas are among the most common benign ovarian neoplasms. They are generally incidental findings, but as the mass grows, they can cause pressure, pain, swelling, urinary symptoms, and even ovarian torsion.

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All roads lead to rome

A 57 year-old man with a history of alcoholic-dilated cardiomyopathy was admitted in the Intensive Care Unit (ICU) with a cardiogenic shock due to eletrical instability. During the ICU stay the patient condition’s got worse and the team decided to use a Swan-Ganz catheter in order to monitor blood flow and pressures around the heart.

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Parotid gland plasmacytoma: A rare presentation of clinical progression of multiple myeloma

57 years, male, businessman by profession diagnosed with IgA kappa Multiple Myeloma 1 year back, on treatment under haematologist [VRD regimen {Bortezomib (Velcade), Lenalidomide (Revlimid) and Dexamethasone}] presented with complaints of painful (L) preauricular mass from past 12 days associated with deviation of angle of mouth to (R) side (Figure 1A) and inability to close the (L) eye (Figure 1B).

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Fundus autofluorescence changes in multiple sclerosis

Visual dysfunction caused by optic neuritis represent the most common ocular manifestation in the multiple sclerosis. Other ocular findings in multiple sclerosis include vasculitis, retinitis and ocular motility dysfunction. An increased interest in the use of non-invasive retinal imaging modalities has been seen in neurodegenerative diseases.

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