Esophageal Stab Wounds Repaired Endoscopically: A Case Report and Comprehensive Literature Review.

Esophageal injuries are typically iatrogenic after endoscopic/surgical procedures, but they are rarely caused by penetrative or blunt trauma. We present a case of patient who suffered multiple stab wounds to the neck and underwent surgical repair for hemorrhagic shock but was ultimately diagnosed and treated successfully via endoscopy for a thoracic esophageal injury. Early detection is imperative and usually diagnosed via contrast studies but less commonly via direct visualization endoscopically. Moreover, endoscopic treatment is also less commonly utilized, even if diagnosed from that modality. Cervical injuries also confer a lower mortality than thoracic injuries.

A Rare Presentation of Gastrointestinal Stromal Tumor Causing Gastroduodenal Intussusception.

Adult intussusception is exceedingly rare and most commonly occurs in the stomach or ileum. It is less common for adult intussusception to be classified as gastroduodenal, which also carries a higher mortality rate. Adult intussusception usually warrants surgical intervention as the underlying cause is often malignancy. However, rarely, the etiology is a gastrointestinal stromal tumor (GIST). Here, we present the case of a patient who presented with abdominal pain, vomiting, and hemorrhagic shock and was diagnosed with gastroduodenal intussusception secondary to a gastric GIST.

System, Design and Experimental Validation of Autonomous Vehicle in an Unconstrained Environment.

In recent years, technological advancements have made a promising impact on the development of autonomous vehicles. The evolution of electric vehicles, development of state-of-the-art sensors, and advances in artificial intelligence have provided necessary tools for the academia and industry to develop the prototypes of autonomous vehicles that enhance the road safety and traffic efficiency. The increase in the deployment of sensors for the autonomous vehicle, make it less cost-effective to be utilized by the consumer. This work focuses on the development of full-stack autonomous vehicle using the limited amount of sensors suite. The architecture aspect of the autonomous vehicle is categorized into four layers that include sensor layer, perception layer, planning layer and control layer. In the sensor layer, the integration of exteroceptive and proprioceptive sensors on the autonomous vehicle are presented. The perception of the environment in term localization and detection using exteroceptive sensors are included in the perception layer. In the planning layer, algorithms for mission and motion planning are illustrated by incorporating the route information, velocity replanning and obstacle avoidance. The control layer constitutes lateral and longitudinal control for the autonomous vehicle. For the verification of the proposed system, the autonomous vehicle is tested in an unconstrained environment. The experimentation results show the efficacy of each module, including localization, object detection, mission and motion planning, obstacle avoidance, velocity replanning, lateral and longitudinal control. Further, in order to demonstrate the experimental validation and the application aspect of the autonomous vehicle, the proposed system is tested as an autonomous taxi service.

Pelvic Bone Hydatidosis: A Dangerous Crippling Disease.

Hydatid disease is one of the most complicated and devastating conditions caused by Echinococcus granulosus. This globally distributed disease continues to be an important public health concern in many low- and middle-income countries. The liver and the lungs are the most frequently involved sites, but virtually any organ system can be affected. Osseous hydatidosis is relatively less common, but it is extremely debilitating and difficult to manage due to frequent recurrences. Patients often demonstrate a delayed clinical presentation as bone involvement is predominantly a silent and slowly progressive disease with a long latent period. Radiological investigations play an important role in the diagnosis. Although standard therapeutic guidelines are not available, the treatment of choice is a combination of chemotherapy and surgery. Clinicians should perform a lifelong follow-up for early detection of potential recurrence and sequels. This paper aims to highlight hydatid disease of the pelvic bone as an important differential diagnosis of tubercular hip arthritis, especially in areas with high echinococcosis prevalence.

Presentation Patterns, Diagnostic Modalities, Management Strategies, and Clinical Outcomes in Patients with Hydatid Disease of the Pelvic Bone: A Comparative Review of 31 Cases.

Hydatid disease is a parasitic zoonosis commonly caused by Echinococcus granulosus. It characteristically involves the liver and the lungs but rare occurrences in other organs have also been reported. Bone involvement is distinctly uncommon, which is predominantly a silent and slowly progressive disease with a long latent period. We conducted a systematic literature search of MEDLINE, Cochrane, Embase, and Scopus databases. After a comprehensive review of the search results, a total of 31 cases of hydatid disease of the pelvic bone fulfilled the inclusion criteria. The data on patient demographics, epidemiology, lesion site, management, clinical outcomes, and follow-up were collected and analyzed. This review illustrates that hydatid disease should be considered among the differential diagnoses of unusual cystic lesions of the pelvic bone. Prompt diagnosis and appropriate management are of paramount importance to prevent bone destruction and serious complications in these patients. Long-term follow-up should be performed for potential recurrence.