ABSTRACT
Traumatic descending thoracic aorta pseudo aneurysms have been treated traditionally with open surgery in the past, which have had noticeable rates of mortality and morbidity. A safer method of treatment for this disease is made possible with recent progress in endovascular treatment techniques. In this article, we present three cases of Traumatic descending thoracic aorta pseudo aneurysms that were treated with Thoracic endovascular aortic repair [TEVAR] and discharged from our clinic without any complication
ABSTRACT
Endovenous Laser Therapy [EVLT] for Greater Saphenous vein [GSV] insufficiency is a newly established method of treatment only recently made available in Iran. The present study seeks to describe the results of the first 20 patients treated with EVLT at Shohada-e Tajrish Medical Center, Tehran, Iran. 20 patients [16 male, 4 female] with the mean age of 38.9 and an average length of symptoms of 5.9 years, were treated with a 980-nm laser diode under local anesthesia. CEAP classification [Clinical Severity, Etiology, Anatomy, Pathophysiology] and AVSS scores [Aberdeen Varicose Vein Symptom Severity Score] were used to determine disease severity and symptoms before and after the procedure. Outcome was measured by the rate of recurrence as shown in Doppler ultrasonography evaluation. The mean procedure time was 49 minutes, and the mean admission time was 1.1 days. A success rate of 85% percent was recorded at 6-12 months of follow up. The patients showed a significant reduction in AVSS and CEAP scores [PV=0.0001], Pain [PV=0.00001], Parasthesia and Edema [PV=0.001]. EVLT seems promising as a novel method of treatment for GSV insufficiency in the Iranian population with many advantages, including higher success rates in comparison with conventional methods of treatment
Subject(s)
Humans , Male , Female , Venous Insufficiency/surgery , Laser Therapy , Treatment Outcome , Vascular Surgical Procedures , Lasers, Semiconductor , Follow-Up StudiesABSTRACT
The aim of this study is the report of our experience in diagnosis of the opium body packers with CT scan. For 12 cases that confessed to opium packet ingestion, we did abdominal and pelvic CT scan without contrast and evaluated the presence, number and location of opium packets and also measured the density of packets in Hounsfield unit [HU]. Mean age of our cases was 28.2 +/- 5.9 years [ranging 17-35 years]. Eleven [91.6%] of patients were male and only one case was female. In all patients, the packets were visualized in gastrointestinal [GI] lumen by CT scan. The mean of minimum HU was 163.8 +/- 19.6 and the mean of maximum HU was 205.3 +/- 32.8. We had mortality in an eighteen years old female due to opium overdose. CT scan could be a suitable imaging modality in identifying opium packets similar that reported for cocaine and heroin
Subject(s)
Humans , Male , Female , Tomography, X-Ray Computed , DeglutitionABSTRACT
Mycobacterium tuberculosis is the cause of 43% of the peripheral lymphadenopathy cases in developing countries. However, psoas abscesses are usually secondary to the extension of infection from an adjacent site. In the present study, we describe a case of abdominal and cervical lymphadenopathy and multiple abscesses due to mycobacterium tuberculosis. A 55 years old man with abdominal and cervical lymphadenopathy, psoas muscle sheath abscess and a large abscess of abdominal wall was admitted. Vertebral column was intact and the patient didn't have immunodeficiency or history of illicit drug use. Analysis of aspirated pus with PCR for mycobacterium tuberculosis was positive, however, Ziehl-Neelsen and gram staining was negative. Culture of pus was positive for mycobacterium. Treatment was commenced with 4 drug antituberculosis regimen. During the treatment period, paradoxical reaction occurred and prednisolone was administered. Following 9 months of treatment, the abscesses resolved and the patient recovered completely. our patient presented with a group of uncommon extrapulmonary presentations including GI involvement, paraaortic lymphadenopathy and abscess formation secondary to tuberculosis that was aroused without any immunodeficiency context with hematogenous origin. He responded well to our therapeutic protocol