RESUMO
Stones in the common duct occur in 10% to 15% of patients with cholelithiasis. In our case, coexistent cholelithiasis and choledocholithiasis were diagnosed by endoscopic retrograde cholangiopancreatography. The stone basket was easily introduced into the gallbladder and common bile duct, then fortunately removed stones. However, endoscopic retrograde cholelithiasis removal is known to be difficult because of the anatomical approach. We herein present a rare case of cholelithiasis successfully treated by retrograde endoscopic removal.
Assuntos
Humanos , Colangiopancreatografia Retrógrada Endoscópica , Coledocolitíase , Colelitíase , Ducto Colédoco , Vesícula BiliarRESUMO
No abstract available.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Biomarcadores Tumorais/análise , Biópsia , Carcinossarcoma/química , Quimiorradioterapia Adjuvante , Evolução Fatal , Imuno-Histoquímica , Neoplasias Pulmonares/química , Soalho Bucal/química , Neoplasias Bucais/química , Pneumonectomia , Fatores de Tempo , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
A gastric intramural hematoma is very rare and commonly associated with trauma, anticoagulation therapy, coagulopathy, pancreatic disease, aneurysm and peptic ulcer disease. This is a case of gastric intramural hematoma which occurred in a patient taking aspirin after hypertonic saline-epinephrine injection for bleeding from a biopsy site. We describe a case of gastric intramural hematoma that was successfully managed with conservative therapy.
Assuntos
Humanos , Aneurisma , Aspirina , Biópsia , Epinefrina , Hematoma , Hemorragia , Hemostasia , Pancreatopatias , Úlcera Péptica , Solução Salina HipertônicaRESUMO
The sea hare is a marine mollusk in the family Aplysiidae that has long been consumed as food. Rarely, toxic hepatitis can occur after eating sea hare. We herein discuss four cases of toxic hepatitis due to sea hare ingestion and review the relevant literature.
Assuntos
Humanos , Aplysia , Doença Hepática Induzida por Substâncias e Drogas , Ingestão de Alimentos , Lebres , MoluscosRESUMO
A 67-year-old man developed swelling of the right leg with inguinal and abdominal pain over a period of 5 days. Excisional biopsy of the left supraclavicular lymph nodes revealed the diffuse, large B cell type of malignant lymphoma. After chemotherapy, he complained of a tingling sensation and weakness in the left upper extremity, and then this progressed to quadriplegia. Electrodiagnostic testing demonstrated the characteristic findings of demyelination, which was consistent with Guillain-Barre syndrome (GBS). Non-Hodgkin's Lymphoma (NHL) leading to GBS, as was observed in the present case, suggests that physicians should be aware of GBS and non-Hodgkin's lymphoma as the full spectrum of these diseaseshas not been fully defined.
Assuntos
Idoso , Humanos , Dor Abdominal , Biópsia , Doenças Desmielinizantes , Síndrome de Guillain-Barré , Perna (Membro) , Linfonodos , Linfoma , Linfoma não Hodgkin , Quadriplegia , Sensação , Extremidade SuperiorRESUMO
BACKGROUND: In order to investigate the effects of intensive training on cardiorespiratory response to maximal exercise in soccer players, graded excercise stress tests were carried out before and after the training, and the results were compared. METHODS: Fourteen male soccer players of a university team with the mean age and career of 19.9 and 7.8 years, respectively, underwent intensive training for approximately 20 weeks, 6 days a week and 4 hours a day, which included running of 2 km daily during the last 8-9 weeks. The symptom-limited maximal exercise test was done by Bruce protocol. RESULTS: After the training. HR max showed no significant changes but Vo2 max, O2 pulse and AT were increased approximately 13%, 12% and 10%, respectively. At maximal exercise, the V(E)/M2 was also increased 18%, but VE/MVV was significantly decreased owing to a marked increase in MVV. However, the rest of various ventilatory parameters showed no significant changes. CONCLUSION: These data indicate that the intensive training of about 20 weeks duration can further improve the level of cardiorespiratory fitness in the soccer players who have been regularly trained and are already highly fit.