Forcible or traumatic tear or break of an organ or other soft part of the body.
The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA.
Disease-related laceration or tearing of tissues of the heart, including the free-wall MYOCARDIUM; HEART SEPTUM; PAPILLARY MUSCLES; CHORDAE TENDINEAE; and any of the HEART VALVES. Pathological rupture usually results from myocardial infarction (HEART RUPTURE, POST-INFARCTION).
A complete separation or tear in the wall of the UTERUS with or without expulsion of the FETUS. It may be due to injuries, multiple pregnancies, large fetus, previous scarring, or obstruction.
Laceration or tearing of cardiac tissues appearing after MYOCARDIAL INFARCTION.
Spontaneous tearing of the membranes surrounding the FETUS any time before the onset of OBSTETRIC LABOR. Preterm PROM is membrane rupture before 37 weeks of GESTATION.
The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.
Bursting of the STOMACH.
Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures.
An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.
Accumulations of blood in the PERITONEAL CAVITY due to internal HEMORRHAGE.
A fibrous cord that connects the muscles in the back of the calf to the HEEL BONE.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.
Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.
General or unspecified injuries to the heart.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Delivery of an infant through the vagina in a female who has had a prior cesarean section.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The tendinous cords that connect each cusp of the two atrioventricular HEART VALVES to appropriate PAPILLARY MUSCLES in the HEART VENTRICLES, preventing the valves from reversing themselves when the ventricles contract.
An abnormal balloon- or sac-like dilatation in the wall of AORTA.
An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.
A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia.
The thin layers of tissue that surround the developing embryo. There are four extra-embryonic membranes commonly found in VERTEBRATES, such as REPTILES; BIRDS; and MAMMALS. They are the YOLK SAC, the ALLANTOIS, the AMNION, and the CHORION. These membranes provide protection and means to transport nutrients and wastes.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
The type of DIAPHRAGMATIC HERNIA caused by TRAUMA or injury, usually to the ABDOMEN.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.
Lesions formed within the walls of ARTERIES.
Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.
Allowing a woman to be in LABOR, OBSTETRIC long enough to determine if vaginal birth may be anticipated.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Elements of limited time intervals, contributing to particular results or situations.
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
Injuries to the knee or the knee joint.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY.
Surgical procedure involving either partial or entire removal of the spleen.
INFLAMMATION of the placental membranes (CHORION; AMNION) and connected tissues such as fetal BLOOD VESSELS and UMBILICAL CORD. It is often associated with intrauterine ascending infections during PREGNANCY.
The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)
A localized bulging or dilatation in the muscle wall of a heart (MYOCARDIUM), usually in the LEFT VENTRICLE. Blood-filled aneurysms are dangerous because they may burst. Fibrous aneurysms interfere with the heart function through the loss of contractility. True aneurysm is bound by the vessel wall or cardiac wall. False aneurysms are HEMATOMA caused by myocardial rupture.
Pathological processes in the ESOPHAGUS.
General or unspecified injuries involving organs in the abdominal cavity.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Damage or trauma inflicted to the eye by external means. The concept includes both surface injuries and intraocular injuries.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Hemorrhage within the pleural cavity.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment.
The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.
Aneurysm due to growth of microorganisms in the arterial wall, or infection arising within preexisting arteriosclerotic aneurysms.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.
Onset of OBSTETRIC LABOR before term (TERM BIRTH) but usually after the FETUS has become viable. In humans, it occurs sometime during the 29th through 38th week of PREGNANCY. TOCOLYSIS inhibits premature labor and can prevent the BIRTH of premature infants (INFANT, PREMATURE).
A breach in the continuity of the posterior chamber of the eyeball.
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.
A clear, yellowish liquid that envelopes the FETUS inside the sac of AMNION. In the first trimester, it is likely a transudate of maternal or fetal plasma. In the second trimester, amniotic fluid derives primarily from fetal lung and kidney. Cells or substances in this fluid can be removed for prenatal diagnostic tests (AMNIOCENTESIS).
The properties, processes, and behavior of biological systems under the action of mechanical forces.
Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Pathological processes of the URINARY BLADDER.
The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.
Surgical removal of a LEIOMYOMA of the UTERUS.
Sensation of discomfort, distress, or agony in the abdominal region.
The innermost membranous sac that surrounds and protects the developing embryo which is bathed in the AMNIOTIC FLUID. Amnion cells are secretory EPITHELIAL CELLS and contribute to the amniotic fluid.
Liver disease caused by infections with parasitic tapeworms of the genus ECHINOCOCCUS, such as Echinococcus granulosus or Echinococcus multilocularis. Ingested Echinococcus ova burrow into the intestinal mucosa. The larval migration to the liver via the PORTAL VEIN leads to watery vesicles (HYDATID CYST).
Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures.
Surgical procedure by which a tendon is incised at its insertion and placed at an anatomical site distant from the original insertion. The tendon remains attached at the point of origin and takes over the function of a muscle inactivated by trauma or disease.
A band of fibrous tissue that attaches the apex of the PATELLA to the lower part of the tubercle of the TIBIA. The ligament is actually the caudal continuation of the common tendon of the QUADRICEPS FEMORIS. The patella is embedded in that tendon. As such, the patellar ligament can be thought of as connecting the quadriceps femoris tendon to the tibia, and therefore it is sometimes called the patellar tendon.
Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.
Clinical syndrome describing overuse tendon injuries characterized by a combination of PAIN, diffuse or localized swelling, and impaired performance. Distinguishing tendinosis from tendinitis is clinically difficult and can be made only after histopathological examination.
The first and largest artery branching from the aortic arch. It distributes blood to the right side of the head and neck and to the right arm.
Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.
Injuries incurred during participation in competitive or non-competitive sports.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
A heterogeneous group of autosomally inherited COLLAGEN DISEASES caused by defects in the synthesis or structure of FIBRILLAR COLLAGEN. There are numerous subtypes: classical, hypermobility, vascular, and others. Common clinical features include hyperextensible skin and joints, skin fragility and reduced wound healing capability.
The pectoralis major and pectoralis minor muscles that make up the upper and fore part of the chest in front of the AXILLA.
A thickening and loss of elasticity of the walls of ARTERIES that occurs with formation of ATHEROSCLEROTIC PLAQUES within the ARTERIAL INTIMA.
Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint.
A condition of abnormally low AMNIOTIC FLUID volume. Principal causes include malformations of fetal URINARY TRACT; FETAL GROWTH RETARDATION; GESTATIONAL HYPERTENSION; nicotine poisoning; and PROLONGED PREGNANCY.
The plan and delineation of prostheses in general or a specific prosthesis.
Pathological processes involving any part of the AORTA.
Bleeding or escape of blood from a vessel.
Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.
The veins and arteries of the HEART.
Radiography of blood vessels after injection of a contrast medium.
Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Formation and development of a thrombus or blood clot in the blood vessel.
Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.
Incision into the side of the abdomen between the ribs and pelvis.
Endoscopic examination, therapy and surgery of the joint.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Thickening and loss of elasticity of the walls of ARTERIES of all sizes. There are many forms classified by the types of lesions and arteries involved, such as ATHEROSCLEROSIS with fatty lesions in the ARTERIAL INTIMA of medium and large muscular arteries.
The susceptibility of CAPILLARIES, under conditions of increased stress, to leakage.
The largest branch of the celiac trunk with distribution to the spleen, pancreas, stomach and greater omentum.
In horses, cattle, and other quadrupeds, the joint between the femur and the tibia, corresponding to the human knee.
The discharge of an OVUM from a rupturing follicle in the OVARY.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.
Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.
Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology.
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
Abnormal balloon- or sac-like dilatation in the wall of any one of the iliac arteries including the common, the internal, or the external ILIAC ARTERY.
Congenital vascular anomalies in the brain characterized by direct communication between an artery and a vein without passing through the CAPILLARIES. The locations and size of the shunts determine the symptoms including HEADACHES; SEIZURES; STROKE; INTRACRANIAL HEMORRHAGES; mass effect; and vascular steal effect.
A lesion on the surface of the skin or a mucous surface, produced by the sloughing of inflammatory necrotic tissue.
A computer based method of simulating or analyzing the behavior of structures or components.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Resistance and recovery from distortion of shape.
Postoperative hemorrhage from an endovascular AORTIC ANEURYSM repaired with endoluminal placement of stent grafts (BLOOD VESSEL PROSTHESIS IMPLANTATION). It is associated with pressurization, expansion, and eventual rupture of the aneurysm.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.
Conical muscular projections from the walls of the cardiac ventricles, attached to the cusps of the atrioventricular valves by the chordae tendineae.
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
Disease having a short and relatively severe course.
The escape of diagnostic or therapeutic material from the vessel into which it is introduced into the surrounding tissue or body cavity.
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
A fluid-filled sac lined with SYNOVIAL MEMBRANE that provides a cushion between bones, tendons and/or muscles around a joint.
An endopeptidase that is structurally similar to MATRIX METALLOPROTEINASE 2. It degrades GELATIN types I and V; COLLAGEN TYPE IV; and COLLAGEN TYPE V.
A condition with trapped gas or air in the PERITONEAL CAVITY, usually secondary to perforation of the internal organs such as the LUNG and the GASTROINTESTINAL TRACT, or to recent surgery. Pneumoperitoneum may be purposely introduced to aid radiological examination.
Making an incision in the STERNUM.
An infant during the first month after birth.
The dilatation of the aortic wall behind each of the cusps of the aortic valve.
Surgical incision into the chest wall.
Torn, ragged, mangled wounds.
Migration of a foreign body from its original location to some other location in the body.
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.
A type of scanning probe microscopy in which a probe systematically rides across the surface of a sample being scanned in a raster pattern. The vertical position is recorded as a spring attached to the probe rises and falls in response to peaks and valleys on the surface. These deflections produce a topographic map of the sample.
The pathological process occurring in cells that are dying from irreparable injuries. It is caused by the progressive, uncontrolled action of degradative ENZYMES, leading to MITOCHONDRIAL SWELLING, nuclear flocculation, and cell lysis. It is distinct it from APOPTOSIS, which is a normal, regulated cellular process.
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)

Perforation of the gallbladder: analysis of 19 cases. (1/1078)

Perforation of the gallbladder occurred in 19 (3.8%) of 496 patients with acute cholecystitis treated at one hospital in an 8-year period. The average age of the 19 patients was 69 years and the female:male ratio was 3:2. Most had a history suggestive of gallbladder disease and most had coexisting cardiac, pulmonary, renal, nutritional or metabolic disease. The duration of the present illness was short, perforation occurring within 72 hours of the onset of symptoms in half the patients; the diagnosis was not suspected preoperatively in any. In the elderly patient with acute cholecystitis who has a long history of gallbladder disease, cholecystectomy should be performed early, before gangrene and perforation of the gallbladder can occur.  (+info)

Serum triglyceride: a possible risk factor for ruptured abdominal aortic aneurysm. (2/1078)

BACKGROUND: We aimed to determine the relationship between ruptured abdominal aortic aneurysm (AAA) and serum concentrations of lipids and apolipoproteins. METHODS: A cohort of 21 520 men, aged 35-64 years, was recruited from men attending the British United Provident Association (BUPA) clinic in London for a routine medical examination in 1975-1982. Smoking habits, weight, height and blood pressure were recorded at entry. Lipids and apolipoproteins were measured in stored serum samples from the 30 men who subsequently died of ruptured AAA and 150 matched controls. RESULTS: Triglyceride was strongly related to risk of ruptured AAA. In univariate analyses the risk in men on the 90th centile of the distribution relative to the risk in men on the 10th (RO10-90) was 12 (95% confidence interval [CI] : 3.8-37) for triglyceride, 5.5 (95% CI: 1.8-17) for apolipoprotein B (apoB) (the protein component of low density lipoprotein [LDL]), 0.15 (95% CI : 0.04-0.56) for apo A1 (the protein component of high density lipoprotein [HDL]), 3.7 (95% CI: 1.4-9.4) for body mass index and 3.0 (95% CI: 1.1-8.5) for systolic blood pressure. Lipoprotein (a) (Lp(a)) was not a significant risk factor (RO10-90 = 1.6, 95% CI: 0.6-3.0). In multivariate analysis triglyceride retained its strong association. CONCLUSION: Triglyceride appears to be a strong risk factor for ruptured AAA, although further studies are required to clarify this. If this and other associations are cause and effect, then changing the distribution of risk factors in the population (by many people stopping smoking and adopting a lower saturated fat diet and by lowering blood pressure) could achieve an important reduction in mortality from ruptured AAA.  (+info)

Transcatheter arterial embolization for impending rupture of an isolated internal iliac artery aneurysm complicated with disseminated intravascular coagulation. (3/1078)

A 90-year-old male, with impending rupture of an isolated internal iliac artery aneurysm (IIAA) complicated with disseminated intravascular coagulation (DIC) was successfully treated with transcatheter arterial embolization (TAE). After TAE, enlargement of the aneurysm was arrested and coagulation-fibrinolytic abnormalities induced by DIC improved without severe complications. Although IIAA is relatively rare, the post-operative mortality of patients with ruptures is reportedly high. We assessed the usefulness of this procedure for impending rupture of IIAA, especially for patients in high risk groups.  (+info)

Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates. (4/1078)

OBJECTIVE To evaluate the impact of appendiceal computed tomography (CT) availability on negative appendectomy and appendiceal perforation rates. SUMMARY BACKGROUND DATA: Appendiceal CT is 98% accurate. However, its impact on negative appendectomy and appendiceal perforation rates has not been reported. METHODS: The authors reviewed the medical records of 493 consecutive patients who underwent appendectomy between 1992 and 1995, 209 consecutive patients who underwent appendectomy in 1997 (59% of whom had appendiceal CT), and 206 patients who underwent appendiceal CT in 1997 without subsequent appendectomy. RESULTS: Before appendiceal CT, 98/493 patients (20%) taken to surgery had a normal appendix. After CT availability, 15/209 patients (7%) taken to surgery had a normal appendix; 7 patients did not have CT, 5 patients had surgery despite a negative CT, and 3 patients had a false-positive CT. Negative appendectomy rates were lowered overall (20% to 7%), in men (11% to 5%), in women (35% to 11%), in boys (10% to 5%), and in girls (18% to 12%). Appendiceal perforation rates dropped from 22% to 14% after CT availability. CT excluded appendicitis in 206 patients in 1997 who avoided appendectomy and identified alternative diagnoses in 105 of these patients (51%). CONCLUSION: The availability of appendiceal CT coincided with a drop in the negative appendectomy rate from 20% to 7% in all patients, and to only 3% in patients with a positive CT. Perforation rates decreased from 22% to 14%. Appendiceal CT can be advocated in nearly all female and many male patients.  (+info)

Spontaneous perforation of common bile duct in infants. (5/1078)

Two infants with spontaneous perforation of the common bile duct are described. One presented with mild jaundice, dark urine, acholic stools, and hydroceles, the other with bilateral inguinal hernia. In both the diagnosis was unsuspected until bile-stained ascites was discovered. Both eventually developed bile-staining of the scrotum. Neither was acutely ill. The 131I-Rose Bengal faecal excretion test showed reduced faecal excretion at 8% and 12% of the injected dose with 16-5 and 17%/dl of the dose being recovered in the ascitic fluid 48 hours after intravenous injection. The ascitic:plasma ratio of isotope at that time was 32:1 and 28:1. Operative cholangiography in both showed a perforation at the junction of the cystic duct and common bile duct with no contrast entering the duodenum. Cholecystenterostomy using a Roux-en-Y loop of jejunum produced a rapid sustained recovery and is suggested as the treatment of choice. This condition should be considered in the differential diagnosis of obstructive jaundice in infancy since early surgical correction is necessary.  (+info)

Intraoperative left ventricular perforation with false aneurysm formation. (6/1078)

Two cases of perforation of the left ventricle during mitral valve replacement are described. In the first case there was perforation at the site of papillary muscle excision and this was recognized and successfully treated. However, a true ventricular aneurysm developed at the repair site. One month after operation rupture of the left ventricle occurred at a second and separate site on the posterior aspect of the atrioventricular ring. This resulted in a false aneurysm which produced a pansystolic murmur mimicking mitral regurgitation. Both the true and the false aneurysm were successfully repaired. In the second case perforation occurred on the posterior aspect of the atrioventricular ring and was successfully repaired. However, a false ventricular aneurysm developed and ruptured into the left atrium producing severe, but silent, mitral regurgitation. This was recognized and successfully repaired. The implications of these cases are discussed.  (+info)

Spontaneous gastrointestinal perforation in patients with lymphoma receiving chemotherapy and steroids. Report of three cases. (7/1078)

Spontaneous gastrointestinal perforations in three patients with lymphoma were considered to be treatment-related conditions. All three were diagnosed as having malignant lymphoma by histological examination, and treated with chemotherapy and steroids. Four to 14 days after the start of chemotherapy, they complained of abdominal pain and plain roentgenograms revealed pneumoperitoneum. The interval between the onset of peritonitis and operation was almost 24 h. Emergency operations were carried out; one patient with a jejunal perforation underwent resection of the jejunum, another with a gastric perforation received a simple closure with omental patch, and the third with a gastric perforation underwent gastrectomy. Two patients recovered from the surgery, while the gastrectomy patient died due to sepsis. The favorable outcome of the surgical intervention is attributed to early diagnosis, prompt exploration, and selective operative procedures. We recommended a simple closure with omental patch for gastroduodenal perforation. Resection and primary anastomosis are possible only in the small bowel.  (+info)

Epilepsy after two different neurosurgical approaches to the treatment of ruptured intracranial aneurysm. (8/1078)

One-hundred-and-fifty-two patients who underwent surgery for intracranial aneurysm were studied to determine the incidence of postoperative epilepsy in relation to the site of the aneurysm and the type of surgical approach. The overall incidence of epilepsy was 22%. Of the 116 patients treated by the intracranial approach 27.5% developed epilepsy, in contrast with only 5% of the 36 patients who had carotid artery ligation in the neck. Epilepsy occurred most frequently (35%) with middle cerebral artery aneurysms, especially if moderate or severe operative trauma was sustained and there was postoperative dysphasia.  (+info)

[Uterine vessels spontaneous rupture during pregnancy: case report and literature review].: The spontaneous rupture of the uterine vessels during pregnancy is a
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Bilateral rupture of the patellar tendon is a rare injury. A case of a 67-year-old man with systemic lupus erythematosus under corticosteroid treatment for the last 10 years, who sustained spontaneous rupture of the patellar tendon and the contralate
True SAAs are rare with an incidence of 0.01-0.98% in large autopsy studies.1 They appear mainly in female patients with a female-to-male ratio of 4:1.2 The risk of rupture is 5% and the risk factors are pregnancy, portal hypertension, medial fibrodysplasia, splenomegaly, orthotopic liver transplantation, pancreatitis, vasculitis and degenerative atherosclerosis. None of these were found in the patients medical history. We present here a rare case of spontaneous rupture in a previously healthy male patient. Indications for treatment are symptoms, aneurysms measuring more than 20 mm, pregnancy and patients who have undergone previous major upper abdominal surgery.3 According to Van Rijn et al.2 the smallest spontaneously ruptured splenic aneurysm in their study was 23 mm ...
The patient was a 69-year-old man brought to the emergency room with severe chest pain. A contrast chest CT scan revealed a hematoma around the ascending aorta and a notch in the aortic wall, suggesting an intimal tear. An emergency operation was performed via standard median sternotomy under deep hypothermic circulatory arrest. Upon operation, there was a 2.0cm intimal tear just above the right coronary leaflet, which was extended near the right coronary artery orifice. There was no specific evidence of aortic aneurysm or dissection, therefore a spontaneous rupture of the ascending aorta was diagnosed. The pathological finding was cystic medial necrosis Grade 2. His postoperative course was unremarkable and he was discharged 12 days after surgery ...
Spontaneous rupture of the long head of the biceps tendon in a woman with hypothyroidism: a case report. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
ICD-10 M66.27 is spontaneous rupture of extensor tendons, ankle and foot (M6627). This code is grouped under diagnosis codes for diseases of the musculoskeletal system and connective tissue.
ICD-10 M66.339 is spontaneous rupture of flexor tendons, unspecified forearm (M66339). This code is grouped under diagnosis codes for diseases of the musculoskeletal system and connective tissue.
Spontaneous Rupture of Membranes & Vaginal Discharge Symptom Checker: Possible causes include Labor. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
It is widely believed that atherosclerotic plaque rupture and subsequent thrombosis leads to acute coronary events and stroke. However, study of the mechanism and treatment of human plaque rupture is hampered by lack of a suitable animal model. Our aim was to develop a novel animal model of atherosclerotic plaque rupture to facilitate the study of human plaque disruption and thrombosis. 28 healthy male New Zealand white rabbits were randomly divided into two groups: rabbits in group A (n = 12) were only fed a high-fat diet for eight weeks; rabbits in group B (n = 16) underwent cold-induced endothelial injury with liquid nitrogen, then were given a high-fat diet for eight weeks. After completion of the preparatory regimen, triggering of plaque rupture was attempted by local injection of liquid nitrogen in both groups. All rabbits in group B had disrupted plaques or rupture-driven occlusive thrombus formation, but none in group A showed any effects. More importantly, the cold-induced plaques in our model
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code M66.321 and a single ICD9 code, 727.62 is an approximate match for comparison and conversion purposes. ...
Diagnosis Code M66.819 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Diagnosis Code M66.279 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code M66.30 and a single ICD9 code, 727.62 is an approximate match for comparison and conversion purposes. ...
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
To investigate the role of infrasound aortic pressure waves (IPW) in atherosclerotic plaque rupture. Atherosclerotic plaques have been simulated partly, in two dimensions, as being short or long Conical Intersections (CIS), that is to say ellip
Two types of oesophageal damage are well documented after sudden forceful vomiting. In Boerhaaves syndrome, a tear occurs through all the layers of the left lateral wall of the oesophagus just above the diaphragm, produced by sudden increase in oesophageal pressure. The term is generally reserved for spontaneous rupture without intraluminal or extraluminal trauma.1 In the act of vomiting the diaphragm and the abdominal muscles contract violently upon the dilated stomach and force gastric contents into the oesophagus. When the oesophagus is open, passage out of the mouth is assured but when there is an obstruction at higher levels in the gastrointestinal tract, oesophageal pressure rises and gastric contents burst through the wall of the lower end of oesophagus. The rupture is usually sharp and linear and penetrates the entire wall of the oesophagus. The initial symptom reported is severe pain in chest, back or abdomen (83%) followed by excessive vomiting (19%), haematemesis (1.7%), dyspnoea ...
Vulvar hematoma caused by non-obstetric injuries is uncommon (incidence 3.7%) [4]. Although trauma is the major preceding cause, spontaneous vessel rupture is considered in the absence of evidence at examination.. Spontaneous rupture of the pudendal artery can occur exclusively at the site of an aneurysm and is generally related to atherosclerosis. Infection or connective tissue disease is rarely identified, but can occasionally cause aneurysms. The pudendal artery passes through the greater sciatic foramen and enters the ischioanal fossa through the external genitalia and perineum. Extension of a hematoma in this area is limited by the Colles fascia and the urogenital diaphragm, and is therefore directed toward the skin [5].. In this case, the patient did not present with symptoms due to her underlying condition, but common symptoms of internal iliac artery rupture include abdominal and groin pain as well as neurologic and urologic symptoms. In addition, the patient can be hemodynamically ...
Methods and Results-Atherosclerotic plaque rupture was induced by carotid artery ligation for 4 weeks followed by polyethylene cuff placement around the carotid in apolipoprotein E (ApoE)−/− and ApoE−/− AT1a−/− mice. The incidence of plaque rupture at 4 days after cuff placement was 72% in ApoE−/− mice compared with 24% in ApoE−/− AT1a−/− mice (P,0.01). Lipid accumulation, macrophage infiltration, expression of inflammatory cytokines, nicotinamide adenine dinucleotide phosphate-oxidase activity, and matrix metalloproteinase-9 activity in atherosclerotic plaque were markedly attenuated in ApoE−/− AT1a−/− compared with ApoE−/− mice. Oxidized low-density lipoprotein inhibited macrophage migration in ApoE−/− macrophages. In contrast, oxidized low-density lipoprotein-induced macrophage trapping was abolished in ApoE−/− AT1a−/− macrophages, and this was associated with decreased CD36 expression and focal adhesion kinase activity.. ...
https://doi.org/10.18632/oncotarget.18308 Sufang Li, Chongyou Lee, Junxian Song, Changlin Lu, Jun Liu, Yuxia Cui, Huizhu Liang, Chengfu Cao, Feng Zhang, Hong Chen
proton density weighted image - 28 images - ppt 12 mri contrast mechanisms powerpoint presentation, report spontaneous rupture of the ankle extensor, proton density mris are weighted between t1 and t2, ecr 2014 c 1733 learning irm the knee lateral, ecr 2014 c 1733 learning irm the knee lateral
When you are pregnant, a fluid-filled bag called the amniotic sac surrounds and protects the fetus. When a hole or tear forms in the sac, its called a rupture of the membranes. Most women describe this by saying their water broke. Your membranes can break by themselves. This is called a spontaneous rupture of the...
Labor Evaluation Elisabeth D. Howard 18 The process of childbirth at term is normally initiated by regular uterine contractions, spontaneous rupture of membranes, or both (Cunningham, Leveno, & Bloom, 2014). Safe, thorough evaluation of the pregnant woman at term who presents to an obstetric triage setting requires knowledge of the necessary components of maternal and…
pPROM - spontaneous rupture of the membranes at least one hour prior to the start of labor, regular contractions accompanied by cervical ...
Mulhair L, Carter J, Poston L, Seed P, Briley A. Prospective cohort study investigating the reliability of the AmnioSense method for detection of spontaneous rupture of membranes. BJOG 2009; 116 313-318.
The lack of normal endothelial integrity is thought to be the unifying principle for susceptibility to atherosclerotic plaque rupture as well as other arterial, nonatherosclerotic vessel wall rupture or fissure events (11-13). Recent autopsy data demonstrating the presence of multiple healed nonlethal plaque ruptures in the coronary arteries of sudden cardiac death victims suggest that ongoing arterial injury is actively transpiring during the time leading up to an acute arterial catastrophe (14, 15). Accordingly, the proposed framework of EC disruption from plaque rupture sites and their detection in the peripheral circulation in patients with MI and stroke is based on well-established biological principles. Here, we have demonstrated the ability to identify, enumerate, and quantitatively characterize the morphology of CECs from patients with acute MI using an automated rare cell imaging system in combination with fluorescence image computational analysis. Our method is tantamount to a ...
Miguel E. Combariza, Xinghuo Yu, Warwick S. Nesbitt, Arnan Mitchell, and Francisco J. Tovar-Lopez, RMIT University, Australia, Volume 62, Issue 7, Page: 1718-1727 The development of blood clots at sites of atherosclerotic plaque rupture -arterial thrombosis- remains a major cause of patient death... Read more ...
My daughters have a life-threatening condition and on most days, Im not worried. Should I be worried? My sister, Christie, died suddenly when she was 24 years old. So, youd think I would be even more worried about my kids, right? I feel safe, and I feel that my daughters, Cora (3) and Kate (1) are…
This article begins with a brief about blood cancer along with its statistical info. Subsequently, the various life-threatening conditions that may develop in the body due to blood cancer are listed.
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Rupture of the spleen is most commonly seen soon after blunt trauma to the abdomen or lower ribs. Iatrogenic splenic injuries are thought to be responsible for up to 40% of all splenectomies performed [1].. Spontaneous splenic rupture is uncommon but probably under-diagnosed in the absence of trauma [2]. Such splenic rupture may be classified as either pathological in the presence of underlying disease or spontaneous if normal [2, 3]. There is debate as to whether this entity exists or whether rupture always occurs in the presence of undiagnosed disease.. Classically patients may present with symptoms of pain, tenderness and guarding of the left upper quadrant and hypovolaemic shock [4]. Left-shoulder tip pain, particularly when lying flat (Kehrs sign), is caused by blood irritating the left hemi-diaphragm and is said to be present in 50% of cases of splenic rupture [5]. However, symptoms can be subtle and the condition may be mistaken for angina pectoris, myocardial infarction, pulmonary ...
Background Spontaneous hepatic rupture in pregnancy is rare and carries a high maternal and perinatal mortality. Case report We describe a case of hepatic rupture that occurred after emergency caesarean section performed in a pregnant woman at 38 weeks of gestation with Hemolysis, Elevated Liver enzymes and Low Platelet count (HELLP) syndrome. The patient was discharged after 30 days of intensive therapy and four explorative laparotomies. Today, 2 years after delivery, the patient and her baby are doing well. Conclusion Hepatic rupture in pregnancy is a rare event that may complicate HELLP syndrome. In this case, we were able to achieve an excellent clinical outcome by the performance of an immediately explorative laparotomy. ...
Spontaneous Rupture of the Left External Iliac Vein: Case Report. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
TY - JOUR. T1 - Spontaneous rupture of sinus of valsalva aneurysm presenting as perivalvular hematoma. AU - Sharma, Arindam. AU - Yedlapati, Neeraja. AU - Bob-Manuel, Tamunoinemi. AU - Woods, Timothy. AU - Donovan, Daniel. AU - Ibebuogu, Uzoma. PY - 2018/7/1. Y1 - 2018/7/1. N2 - Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe the case of a 63-year-old male who presented with acute shortness of breath and was found to have rupture of sinus of Valsalva aneurysm (SVA) with a perivalvular hematoma and severe aortic regurgitation. We also review the presentation, diagnosis, and management of SVAs.. AB - Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe ...
ICD-9 code 382.00 for Acute suppurative otitis media without spontaneous rupture of eardrum is a medical classification as listed by WHO under the ran
De Silva, T., Wickremasuriya, P. K. H., Wettasingha, S., Gamage, N., & Wijenaike, K. (2017). Spontaneous splenic rupture following bacterial endocarditis. Journal of the Ruhunu Clinical Society, 22(1), 33-34. DOI: http://doi.org/10.4038/jrcs.v22i1.35. ...
Spontaneous splenic rupture is a rare and potentially devastating entity associated with a wide variety of causes including, but not limited to, infections, inflammation,..
Spontaneous splenic rupture is a poorly understood and rare entity. The involved spleen may be normal or have an underlying pathology.
Boerhaaves syndrome, or post-emetic rupture of the oesophagus, classically presents with vomiting, chest pain and subcutaneous emphysema. Mortality in this condition is very high and increases dramatically with delayed diagnosis and intervention. The vast majority of patients have a tear in the left posterior-lateral wall of the lower third of the oesophagus and require urgent surgical intervention. Spontaneous rupture of the cervical oesophagus is very rare and may present differently to oesophageal perforations elsewhere. A case is presented following vomiting in a 70-year-old woman, which was diagnosed by computed tomography scan and treated conservatively. The attending physician must be alert to the diagnosis of post-emetic cervical oesophageal perforation as prompt diagnosis and treatment is essential to reduce morbidity and mortality. ...
Boerhaaves syndrome definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now!
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Bilateral patellar tendon rupture is usually associated with systemic immunologic or connective tissue disease, steroid use, fluoroquinolone antibiotic use, or renal disease. Amongst the spontaneous cases, bilateral ruptures are exceedingly rare and have only been documented in a few case reports. We present a case of bilateral midsubstance patellar tendon ruptures along from a fall from a standing height in a 34-year-old otherwise healthy adult without any predisposing conditions, diagnosed in clinical examination with a little extension deficit, and confirmed in plain radiographs showing a bilateral patella alta (A, B). Most patients that sustain a tendon rupture have risk factors for tendinopathy including chronic renal disease, systemic lupus erythematosus, rheumatoid arthritis, or exposure to medications (such as fluoroquinolones or corticosteroids). To the best of our knowledge, this condition is often misdiagnosed. Despite the rarity of cases in patients without systemic disease, emergency
The rupture of an unscarred uterine is a rare life-threatening event that usually occurs late in pregnancy or during labor. Spontaneous uterine rupture, as in our case, is extremely uncommon and rarely diagnosed before laparotomy. Herein, we present a case of spontaneous uterine rupture in a 32 year old multiparous woman with no previous uterine surgery. The patient presented with acute abdomen at 11 weeks of gestation. Preoperative diagnosis based on clinical and ultra-sonographic findings was ruptured ectopic pregnancy. However, emergency laparotomy showed uterine rupture with extrusion of a dead fetus within intact amniotic sac in the abdomen. The defect was repaired in layers and the patient was discharged in a good condition after five days of hospital stay. Multiparity is a risk factor for spontaneous uterine rupture even in the first trimester. It should be kept in mind in any pregnant multiparous woman presenting with acute abdomen and shock. The absence of vaginal spotting and lack of history
An 86-year-old woman without any history of heart disease or trauma to the chest experienced an acute onset of dyspnea associated with a productive cough for 2 hours. Her medical history revealed that she was hypertensive for the past 20 years. Her blood pressure was 90 mmHg in systole and 50 mmHg in diastole. Immediately after admission, mechanical ventilation was initiated because there was progressive respiratory depression. A chest x-ray showed marked pulmonary congestion (Figure 1A). On physical examination, a grade III systolic murmur was noted at the apex, and a coarse breathing sound was detected within the whole lung field. ECG showed sinus tachycardia without any evidence of myocardial infarction (Figure 1B). Creatine kinase and its MB isoenzyme were not elevated, but high-sensitivity troponin T was 0.035 ng/mL (normal, 0-0.014 ng/mL). Transthoracic echocardiography revealed left ventricular hypertrophy without regional wall motion abnormalities. The left ventricular ejection fraction ...
Free, official coding info for 2021 ICD-10-CM H66.001 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
INTRODUCTION: Infectious mononucleosis (IM) is a common viral illness that predominantly causes sore throat, fever and cervical lymphadenopathy in adolescents and young adults. Although usually a benign, self-limiting disease, it is associated with a small risk of splenic rupture, which can be life-threatening. It is common practice therefore to advise avoiding vigorous physical activity for at least 4-6 weeks, however this is not based on controlled trials or national guidelines. We reviewed published case reports of splenic rupture occurring in the context of IM in an attempt to ascertain common factors that may predict who is at risk ...
Occult splenic rupture with cardiovascular collapse: a report of three cases in critically ill patients.: Three cases of splenic rupture causing cardiovascular
Background. It is commonly believed that a heart attack is caused by rupture of a plaque in the wall of the coronary artery, resulting in blood clots which impede blood flow. Currently, the investigators do not know whether heart attacks in patients who had a recent surgery are caused by the same disease process as those who did not have any surgery. This study will inform the investigators of very vital information about the cause of surgery-related heart attacks by taking images of coronary arteries using Optical Coherence Tomography (OCT). Images will also be taken from heart attack patients who did not have recent surgery, and the two groups will be compared.. OCT imaging. OCT is a relatively new imaging technology which is much better at taking images of the inside of the artery. OCT imaging procedure is carried out at the time of scheduled coronary angiogram, where a catheter with a mini-camera at its tip is advanced into the coronary artery, it will record video images of a length of the ...
Clipboard, Search History, and several other advanced features are temporarily unavailable. Uterine fibroid is one of the most common pelvic neoplasms. Spontaneous rupture of uterine leiomyoma during labour. Peritoneal irritation caused by rupture of an ovarian cyst was suspected, and an emergency exploratory laparotomy was performed. Yorita K, Tanaka Y, Hirano K, Kai Y, Arii K, Nakatani K, Ito S, Imai T, Fukunaga M, Kuroda N. J Med Case Rep. 2016 Dec 20;10(1):352. doi: 10.1186/s13256-016-1167-1. 3 In general, these areas of cystic degeneration are irregular and can appear as a combination of cystic and solid components of variable echogenicity. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. [Gynaecological pelvic mass. Connect by text or video with a U.S. board-certified doctor now â wait time is less than 1 minute! Precise knowledge of the histopathologic backgrounds of degeneration and the clinical ...
The exact disease process behind spontaneous rupture of the canine cranial cruciate ligament (CrCL) is not known. Though much research has focused on the structure and function of the ligamentous core of the CrCL, little has been dedicated to the thin layer of cells (synoviocytes) that envelop the CrCL. Similarly, there is little information on the potential role that these cells may have in the degeneration and rupture of the CrCL. It is not known if the cells have only a supportive function or if they become destructive to the CrCL when exposed to the right stimuli. Recently we successfully identified and quantified three distinct cell types in the thin membrane surrounding the normal canine CrCL. We now propose to compare these results with those of one or more of the cell types between normal and diseased or injured ligaments may be indicative of a direct or indirect role in CrCL degeneration and rupture. Another goal of our study is to determine if the cells surrounding the CrCL are targeted
The mass on top of the finger at the distal interphalangeal joint should usually be removed to prevent spontaneous rupture (leakage) of the cyst whic
A 38 5/7-weeks-gestation male was born to a 23-year-old G1P0 woman who had received prenatal care and whose pregnancy was uncomplicated. Spontaneous rupture of membranes occurred at home, and the fluid was clear. Her group B streptococcus status was unknown. Because labor was ineffective, oxytocin was administered. The second stage of labor was slightly longer than 2 hours. The treating nurses noted variable and late decelerations, tachysystole, and intermittent sinusoidal fetal patterns on the fetal heart rate tracings. The anesthesiologist placed an epidural, and vaginal delivery was allowed to proceed. The infant had meconium staining. The arterial cord blood gas had a pH of 7.13, a Pco2 of 64 mm Hg, a Po2 of 12 mm Hg, and a base deficit of -8. The venous cord blood gas had a pH of 7.31, a Pco2 of 41 mm Hg, a Po2 of 22 mm Hg, and a base deficit of -5. The obstetric expert retained by the plaintiff maintained that the delivery by cesarean delivery should have occurred 6 hours before birth ...
A 26-year-old woman with a second pregnancy (G2P1) and who had had a previous Caesarean section is admitted after spontaneous rupture of her membranes at term. Her initial examination reveals a cervix at 2 cm dilation. She elects to undergo a vaginal birth. Over the next 6 hours her contractions decrease in regularity with no further progression of her cervical dilation. The bedside nurse calls the obstetrician who asks her to start the oxytocin protocol. The hospital has 2 oxytocin protocols: a low-dose protocol for augmentation of labour, and a high-dose protocol for induction of labour. The nurse and obstetrician do not discuss which protocol to use. The bedside nurse institutes the induction protocol. The obstetrician intended to use the augmentation protocol.. Over the ensuing 3 hours, the nurse regularly increases the infusion rate of the oxytocin. When she reaches the hospital protocols maximal oxytocin dose, the nurse elects to continue to increase the dose because she wants to get ...
Indications are grouped into Maternal indications (Codes 1 to 19); Fetal indications (Codes 20 to 24) and Other indications (Codes 80 to 89).. CODE 1 Prolonged pregnancy. While prolonged pregnancy is commonly defined as greater than or equal to 41 weeks, in some circumstances a clinician may recommend inducing a female earlier than this. Such circumstances include advanced maternal age which may elevate the degree of risk (Haavaldsen et al. 2010). Other special circumstances may apply (for example, see Yao et al. 2014; Drysdale et al. 2012).. With appropriate professional judgement, these cases may be recorded under Code 1. Where appropriate, consideration should be given to recording Code 9 (maternal age) or other specific indications as additional indications if applicable.. CODE 2 Prelabour rupture of membranes. Can refer to preterm or term spontaneous rupture of membranes, occurs before labour has commenced, and may be prolonged.. CODE 4 Hypertensive disorders. Includes chronic (essential ...
The Xpert GBS real-time PCR assay for the recognition of group B streptococci (GBS) in antepartum screening samples was evaluated on amniotic fluid samples collected from 139 women with premature rupture of membrane at term. 12 h before delivery. Intrapartum antibiotic prophylaxis (IAP) reduces significantly the incidence of EO-GBSD (2). It is still debated whether this IAP will favor colonization by antibiotic-resistant bacteria (3, 4). In France, the strategy to determine ladies for targeted IAP is based on universal antenatal testing with vaginal tradition at 35 to 37 weeks ATF3 gestation (5). GBS tradition MRS 2578 remains the platinum standard for the detection of GBS colonization. However, its turnaround time (TAT) varies from 18 to 72 h, which makes it not adapted for intrapartum screening. Term PROM is definitely defined as the spontaneous rupture of membranes more than 12 h at term before the onset of regular uterine contractions. PROM at term affects 8 to 10% of pregnant women (6). ...
In the present study, we show that it is possible to identify genes that are differentially and reproducibly expressed in whole-mount advanced human atherosclerotic plaques by using the SSH procedure. In the present study, we describe the identification of several genes differentially expressed between advanced stable and ruptured atherosclerotic plaques. Our stable plaques are classified according to the morphological criteria of the AHA and are characterized by a thick fibrous cap, high smooth muscle cell/collagen content, and a small lipid core, but also comprise rupture-prone lesions, with a thin fibrous cap and a large lipid core, but with no signs of intraplaque hemorrhage or a healed fibrous cap. According to the classification scheme described by Virmani et al,5 our group of stable atherosclerotic plaques includes thin and thick fibrous cap atheromas and fibrocalcified plaques. Our group of ruptured plaques (type VI lesions according to the AHA classification) is defined by the presence ...
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Denudation of the overlying endothelium or rupture of the protective fibrous cap may result in exposure of the thrombogenic contents of the core of the plaque to the circulating blood. This exposure constitutes an advanced or complicated lesion. The plaque rupture occurs due to weakening of the fibrous cap. Inflammatory cells localize to the shoulder region of the vulnerable plaque. T lymphocytes elaborate interferon gamma, an important cytokine that impairs vascular smooth muscle cell proliferation and collagen synthesis. Furthermore, activated macrophages produce matrix metalloproteinases that degrade collagen. These mechanisms explain the predisposition to plaque rupture and highlight the role of inflammation in the genesis of the complications of the fibrous atheromatous plaque. A plaque rupture may result in thrombus formation, partial or complete occlusion of the blood vessel, and progression of the atherosclerotic lesion due to organization of the thrombus and incorporation within the ...
GYM workouts are encouraged to be intense, but pushing your body too far and over-exerting your muscles can trigger a life-threatening condition - rhabdomyolysis.
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A gene that appears to make plaques in arteries more likely to rupture and cause potentially deadly blood clots has been identified by U.S. researchers. The finding may lead to new drugs that target the gene in order to reduce the risk of plaque ruptures.
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Aims and objective. The aim of this study was to describe and interpret the essential meaning of the lived experiences of being in a critical illness-recovery process after a life-threatening condition. Background. The critical illness-recovery process after a life-threatening condition takes several years and does not only include patients experiences during intensive care. Previous research has mainly focused on what critically ill patients recall. However, from a phenomenological point of view, experiences are more than memories alone. To plan and perform relevant health care and social support for patients who have survived a life-threatening condition, a more profound understanding about their lived experiences is needed. Design and method. In this qualitative study, a phenomenological hermeneutical approach was used. Interviews were conducted with seven patients, two to four years after they had received care in an intensive care unit in Sweden. Results. The comprehensive understanding of ...
TWO Birstall sisters with a rare, potentially life-threatening genetic disorder have gained the support of their local MP in a campaign to help…
It is expected that a rural GP or senior hospital resident can stabilise most emergencies prior to acute referral. Some awareness of the principles behind definitive management should be obtained (an intern should at least be able to follow ABC principles ...
Singapore News - Take your medicine, and maybe you can prolong your life by five to 10 years, he was told. Three years ago, Mr Donald Kee, 26, was diagnosed with pulmonary arterial... Read more at www.tnp.sg
The heart pumps blood to the body through a complex network of arteries. With exception of the coronary arteries, which nourish the heart itself, most...
A perforated viscus is a life-threatening condition, whose treatment, if delayed, could prove to be fatal. Read through the following Buzzle article to know about the symptoms, causes, and treatment options of this condition.
Every one out of three people in the US is suffering from high blood pressure a chronic health concern which can increase your risk of developing heart diseases and stroke, a life-threatening condition by 50%. People who diagnosed with this health issue must follow a definite guideline and medications prescribed by the doctors to prevent… Read More ...
Sepsis is a life-threatening condition caused by the bodys overreaction to an infection. Urgent treatment is required to limit organ damage and prevent death.
SEATTLE -- A young Ethiopian woman with a life-threatening condition is receiving the treatment she needs, thanks to a local author who was inspired by her family's story ...
A puppy in life-threatening condition came into our care. This little girl is hardly 10 weeks old. She was born at a companys yard and her parents lived there as well. This baby was not loved by people and then she disappeared for a few days... and she turned up in a horrible shape ...
... s are due to the rupture of a blood vessel within the richly perfused nasal mucosa. Rupture may be spontaneous or ... Spontaneous epistaxis is more common in the elderly as the nasal mucosa (lining) becomes dry and thin and blood pressure tends ... tends to increase the duration of spontaneous epistaxis.[7] Anticoagulant medication and disorders of blood clotting can ...
These kinds of tests can be divided into recordings of: (1) spontaneous or continuously running electrical activity, or (2) ... to help improve bodily function or appearance or to repair unwanted ruptured areas (for example, a perforated ear drum). ... ligament tears or ruptures) and their repair in athletes, amateur and professional. ...
In women with a prior spontaneous preterm birth and who are pregnant with one baby, and have shortening of the cervical length ... These include: risks associated with regional or general anesthesia premature labor premature rupture of membranes infection of ... The Arabin Pessary is a silicone device that has been suggested to prevent spontaneous preterm birth without the need for ... clinical trials in singleton and twin pregnancies found that the cervical pessary did not result in a lower rate of spontaneous ...
Spontaneous drainage may also occur. Differential diagnosis are ectopic thyroid, enlarged lymph nodes, dermoid cysts and goiter ... A thyroglossal duct cyst may rupture unexpectedly, resulting in a draining sinus known as a thyroglossal fistula.[2] ... Most fistulae are acquired following rupture or incision of the infected thyroglossal cyst. A thyroglossal cyst is lined by ...
It is commonly characterised by rupture or absorption of the spore coat, swelling of the endospore, an increase in metabolic ... notion of spores being the reproductive mechanism for the growth was a large blow to the previous suggestions of spontaneous ...
... is a consequence of lactase deficiency, which may be genetic (primary hypolactasia and primary congenital alactasia) or environmentally induced (secondary or acquired hypoalactasia). In either case, symptoms are caused by insufficient levels of lactase in the lining of the duodenum. Lactose, a disaccharide molecule found in milk and dairy products, cannot be directly absorbed through the wall of the small intestine into the bloodstream, so, in the absence of lactase, passes intact into the colon[citation needed]. Bacteria in the colon can metabolise lactose, and the resulting fermentation produces copious amounts of gas (a mixture of hydrogen, carbon dioxide, and methane) that causes the various abdominal symptoms. The unabsorbed sugars and fermentation products also raise the osmotic pressure of the colon, causing an increased flow of water into the bowels (diarrhea).[18][9] The LCT gene provides the instructions for making lactase. The specific DNA sequence in the MCM6 gene ...
Preterm birth, congenital heart disease, birth asphyxia, exchange transfusion, prolonged rupture of membranes[1]. ... and prolonged rupture of membranes.[1] The underlying mechanism is believed to involve a combination of poor blood flow and ...
... premature rupture of membranes, which means that the amniotic sac will rupture prematurely, and will induce labour before the ... "Cocaine and Tobacco Use and the Risk of Spontaneous Abortion". New England Journal of Medicine. 340 (5): 333-9. doi:10.1056/ ...
... spontaneous pushing, upright positions for labour and birth, breastfeeding techniques, and keeping mother and baby together ...
One on his autopsies in 1857 was the first description of vertebral disc rupture.[18][69] His autopsy on a baby in 1856 was the ... It is a rejection of the concept of spontaneous generation, which held that organisms could arise from nonliving matter. For ...
Partially digested food starts to arrive in the small intestine as semi-liquid chyme, one hour after it is eaten.[citation needed] The stomach is half empty after an average of 1.2 hours.[31] After four or five hours the stomach has emptied.[32] In the small intestine, the pH becomes crucial; it needs to be finely balanced in order to activate digestive enzymes. The chyme is very acidic, with a low pH, having been released from the stomach and needs to be made much more alkaline. This is achieved in the duodenum by the addition of bile from the gall bladder combined with the bicarbonate secretions from the pancreatic duct and also from secretions of bicarbonate-rich mucus from duodenal glands known as Brunner's glands. The chyme arrives in the intestines having been released from the stomach through the opening of the pyloric sphincter. The resulting alkaline fluid mix neutralises the gastric acid which would damage the lining of the intestine. The mucus component lubricates the walls of the ...
The word tachycardia came to English from New Latin as a neoclassical compound built from the combining forms tachy- + -cardia, which are from the Greek ταχύς tachys, "quick, rapid" and καρδία, kardia, "heart". As a matter both of usage choices in the medical literature and of idiom in natural language, the words tachycardia and tachyarrhythmia are usually used interchangeably, or loosely enough that precise differentiation is not explicit. Some careful writers have tried to maintain a logical differentiation between them, which is reflected in major medical dictionaries[7][8][9] and major general dictionaries.[10][11][12] The distinction is that tachycardia be reserved for the rapid heart rate itself, regardless of cause, physiologic or pathologic (that is, from healthy response to exercise or from cardiac arrhythmia), and that tachyarrhythmia be reserved for the pathologic form (that is, an arrhythmia of the rapid rate type). This is why five of the previously referenced ...
Slama R, Bouyer J, Windham G, Fenster L, Werwatz A, Swan S (2005). "Influence of paternal age on the risk of spontaneous ... Gracia C, Sammel M, Chittams J, Hummel A, Shaunik A, Barnhart K (2005). "Risk factors for spontaneous abortion in early ... "Cocaine and tobacco use and the risk of spontaneous abortion". N Engl J Med. 340 (5): 333-9. doi:10.1056/NEJM199902043400501. ...
A Spigelian hernia (or lateral ventral hernia) is a hernia through the Spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling. Spigelian hernias are usually small and therefore risk of strangulation is high. Most occur on the right side. (4th-7th decade of life.) Compared to other types of hernias they are rare.[1] ...
Dysentery is initially managed by maintaining fluid intake using oral rehydration therapy. If this treatment cannot be adequately maintained due to vomiting or the profuseness of diarrhea, hospital admission may be required for intravenous fluid replacement. Ideally, no antimicrobial therapy should be administered until microbiological microscopy and culture studies have established the specific infection involved. When laboratory services are not available, it may be necessary to administer a combination of drugs, including an amoebicidal drug to kill the parasite and an antibiotic to treat any associated bacterial infection. Anyone with bloody diarrhea needs immediate medical help. Treatment often starts with an oral rehydrating solution-water mixed with salt and carbohydrates-to prevent dehydration. (Emergency relief services often distribute inexpensive packets of sugars and mineral salts that can be mixed with clean water and used to restore lifesaving fluids in dehydrated children gravely ...
Spontaneous coronary artery dissection (SCAD). *කිරීටක ශ්‍යානිය (Coronary thrombosis). *Coronary vasospasm. *Myocardial bridge ...
Anticoagulation can be used to reduce the risk of stroke from AF. Anticoagulation is recommended in most people other than those at low risk of stroke[77] or those at high risk of bleeding. The risk of falls and consequent bleeding in frail elderly people should not be considered a barrier to initiating or continuing anticoagulation since the risk of fall-related brain bleeding is low and the benefit of stroke prevention often outweighs the risk of bleeding.[78][79] Similarly, the presence or absence of AF symptoms does not determine whether a person warrants anticoagulation and is not an indicator of stroke risk.[33] Oral anticoagulation is underused in atrial fibrillation, while aspirin is overused in many who should be treated with a direct oral anticoagulant (DOAC) or warfarin.[80][81][82] In 2019, DOACs were often recommended over warfarin by the American Heart Association.[83] The risk of stroke from non-valvular AF can be estimated using the CHA2DS2-VASc score. In the 2019 AHA/ACC/HRS ...
Spontaneous[edit]. Spontaneous cases are considered to be caused by intrinsic factors that weaken the arterial wall.[1] Only a ... Subarachnoid hemorrhage due to arterial rupture typically occurs if the dissection extends into the V4 section of the artery. ... 1-4% of spontaneous cases have a clear underlying connective tissue disorder affecting the blood vessels. Treatment is usually ... Spontaneous vertebral artery dissection was described in the 1970s. Prior to this, there had been isolated case reports about ...
For spontaneous ICH seen on CT scan, the death rate (mortality) is 34-50% by 30 days after the insult,[7] and half of the ... Acceleration-deceleration trauma,[9][10][11] rupture of an aneurysm or arteriovenous malformation (AVM), and bleeding within a ... CT scan of a spontaneous intracerebral bleed, leaking into the lateral ventricles. ... "Comparison of CTA to DSA in determining the etiology of spontaneous ICH". Canadian Journal of Neurological Sciences. 36 (2): ...
These rupture easily and they leave an ulcerated, painful surface.[41] These types often coexist in the same individual. Oral ... as a spontaneous, isolated eruption, usually on the extremities, and rarely on the face.[16] ...
Ipecac or ipecacuanha consists of the dried rhizome and roots of Cephaelis ipecacuanha. The medical virtues of ipecac are almost entirely due to the action of its alkaloids-emetine and cephaline. Till today, emetine remains one of the best drugs for treating amoebic liver abscess. It has a direct action on the trophozoites. Its greater concentration and duration of action in the liver as compared to that in the intestinal wall explains its high efficacy in amoebic liver abscess and also its low parasitic cure rate for intestinal amoebiasis. The drug is detoxicated and eliminated slowly. It may, therefore, produce cumulative effects. In man, emetine poisoning is characterized by muscular tremors, weakness and pain in the extremities which tend to persist until drug administration is stopped. Gastro-intestinal symptoms include nausea, vomiting and bloody diarrhoea. The latter may be mistaken for a recurrence of amoebic dysentery. Many clinicians fear the occurrence of cardiac toxicity due to this ...
Neonatal infection is also more likely with the premature rupture of the membranes (PROM) of the amniotic sac.[32] ... spontaneous abortions) or those who die during or immediately after childbirth as stillborn. Therefore, the quality of a ...
പല കാരണങ്ങളാലും മലബന്ധം ഉണ്ടാകും. തെറ്റായ ആഹാരക്രമവും ദിനചര്യയുമാണ് പ്രധാന കാരണം. വൻകുടലിനു ചുരുങ്ങാനും വികസിക്കാനുമുള്ള ശേഷി നഷ്ടപ്പെടുന്നത് കുട്ടികളിലും, കുടലിന്റെ മാംസപേശികൾക്കു ബലക്ഷയം സംഭവിക്കുന്നത് പ്രായം ചെന്നവരിലും മലബന്ധത്തിനു കാരണമാകും. കുടലിലുണ്ടാകുന്ന അർബുദം, നാഡികൾക്കുണ്ടാകുന്ന ക്ഷതങ്ങൾ ഇവയൊക്കെ മലബന്ധം ഉണ്ടാക്കാവുന്നതാണ്. ആഹാരത്തിൽ നാരുകൾ തീരെ ...
In the great majority of cases, sufferers experience no life-altering discomfort, and no treatment is required. If there is pain or discomfort, 3 or 4 sips of room temperature water will usually relieve the pain. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals[citation needed]. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion. Medications that reduce the lower esophageal sphincter (LES) pressure should be avoided. However, in some unusual instances, as when the hiatal hernia is unusually large, or is of the paraesophageal type, it may cause esophageal stricture or severe discomfort. About 5% of hiatal hernias are paraesophageal. If symptoms from such a hernia are severe for example if chronic acid reflux threatens to severely injure the ...
... "spontaneous" adhesion formation (i.e. no prior history of surgery). In another study, 100% of spontaneous adhesion formations ...
... (TD) is a stomach and intestinal infection. TD is defined as the passage of unformed stool (one or more by some definitions, three or more by others) while traveling.[2][3] It may be accompanied by abdominal cramps, nausea, fever, and bloating.[3] Occasionally bloody diarrhea may occur.[5] Most travelers recover within four days with little or no treatment.[3] About 10% of people may have symptoms for a week.[3] Bacteria are responsible for more than half of cases.[3] The bacteria enterotoxigenic Escherichia coli (ETEC) are typically the most common except in Southeast Asia, where Campylobacter is more prominent.[2][3] About 10% to 20% of cases are due to norovirus.[3] Protozoa such as Giardia may cause longer term disease.[3] The risk is greatest in the first two weeks of travel and among young adults.[2] People affected are more often from the developed world.[2] Recommendations for prevention include eating only properly cleaned and cooked food, drinking bottled water, and ...
2002) "Spontaneous regression: a hidden treasure buried in time" Medical Hypotheses 58 (2): 115-119 [6] [7][permanent dead link ... William Coley died on April 16, 1936, at the age of 74 in the Hospital for the Ruptured and Crippled (now called the Hospital ... 2003) "Coley" Spontaneous Regression: Cancer and the Immune System Philadelphia: Xlibris[self-published source]. [1] ... Hoption Cann SA, Gunn HD, van Netten JP, van Netten C. (2004) "Spontaneous regression of pancreatic cancer" Case Reports and ...
An esophageal motility disorder (EMD) is any medical disorder causing difficulty in swallowing, regurgitation of food and a spasm-type pain which can be brought on by an allergic reaction to certain foods. The most prominent one is dysphagia. It is a part of CREST syndrome, referring to the five main features: calcinosis, Raynaud syndrome, esophageal dysmotility, sclerodactyly and telangiectasia.[1] ...
Women are almost twice as likely as men to form gallstones especially during the fertile years; the gap narrows after the menopause. The underlying mechanism is female sex hormones; parity, oral contraceptive use and estrogen replacement therapy are established risk factors for cholesterol gallstone formation. Female sex hormones adversely influence hepatic bile secretion and gallbladder function. Estrogens increase cholesterol secretion and diminish bile salt secretion, while progestins act by reducing bile salt secretion and impairing gallbladder emptying leading to stasis. A new 4th generation progestin, drospirenone, used in some oral contraceptives may further heighten the risk of gallstone disease and cholecystectomy; however, the increased risk is quite modest and not likely to be clinically meaningful.[13] A retrospective (historical) cohort study was performed on a very large data base including 1980 and 1981 Medicaid billing data from the states of Michigan and Minnesota in which ...
... and is known to lead to rupture.[39] Observations of tendons that have undergone spontaneous rupture have shown the presence of ... which may eventually lead to tendon rupture.[33] Tendinopathies can be caused by a number of factors relating to the tendon ... Other forms of tendinosis that have not led to rupture have also shown the degeneration, disorientation, and thinning of the ... are factors that are believed to cause weakening of the tendon ECM and an increase in the potential for another rupture to ...
Spontaneous Rupture of the Spleen. Br Med J 1878; 1 doi: https://doi.org/10.1136/bmj.1.905.641 (Published 04 May 1878) Cite ...
Spontaneous Rupture of Muscle Complicating Rheumatoid Arthritis Br Med J 1948; 2 :942 ... Spontaneous Rupture of Muscle Complicating Rheumatoid Arthritis. Br Med J 1948; 2 doi: https://doi.org/10.1136/bmj.2.4586.942 ( ...
... P. J. Cozzi and D. L. Morris ... Spontaneous liver rupture is uncommon, difficult to diagnose and carries a universally high mortality. It has been well ... The conclusions to be drawn from this review and our own recent experience is that the treatment of choice for ruptured ... Neither had any evidence of a ruptured haemangioma or tumour at laparotomy or on histological examination, and both are alive ...
Spontaneous Rupture of a Papillary Muscle. Chi Young Shim, Young Jin Kim, Jang-Won Son, Hyuk-Jae Chang, Geu-Ru Hong, Jong-Won ... Spontaneous Rupture of a Papillary Muscle. Chi Young Shim, Young Jin Kim, Jang-Won Son, Hyuk-Jae Chang, Geu-Ru Hong, Jong-Won ... Spontaneous Rupture of a Papillary Muscle. Chi Young Shim, Young Jin Kim, Jang-Won Son, Hyuk-Jae Chang, Geu-Ru Hong, Jong-Won ... Spontaneous papillary muscle rupture rarely develops without acute myocardial infarction. Here, we detail a case of an elderly ...
... ABSTRACT. Adrenal myelolipoma is a benign tumor composed of adipose tissue and ... Amano T, Takemae K, Niikura S, Kouno M, Amano M. Retroperitoneal hemorrhage due to spontaneous rupture of adrenal myelolipoma. ... We present a patient with retroperitoneal hemorrhage due to spontaneous rupture of a myelolipoma with enlargement of the mass ... The spontaneous rupture of the myelolipoma that we report here is an unusual occurrence. ...
... Stanislav Sotošek,1 Dean Markić,1 Josip ... "Bilateral Wünderlich Syndrome Caused by Spontaneous Rupture of Renal Angiomyolipomas," Case Reports in Urology, vol. 2015, ...
Case report: spontaneous rupture of spleen in patient with Plasmodium ovale malaria.. Lemmerer R1, Unger M2, Voßen M3, Forstner ... Malaria may lead to spontaneous splenic rupture as a rare but potentially lethal complication. Most frequently, this has been ... the patient suffered a splenic rupture requiring immediate surgical intervention and splenectomy. Following this surgical ...
Repeat CT showed spontaneous rupture of a pseudocyst into the peritoneum with pancreatic ascites, which was treated with ... Pancreatic Panniculitis Associated With Spontaneous Rupture of Massive Pancreatic Pseudocyst. Jehangir, Asad MD1,2; Qureshi, ... Pancreatic Panniculitis Associated With Spontaneous Rupture of Massive Pancreatic Pseudocyst ACG Case Reports Journal6(8): ... Periduodenal panniculitis due to spontaneous rupture of a pancreatic pseudocyst into the duodenum. Abdom Imaging. 1995;20(2): ...
Emergence laparotomy surgery and hysterectomy were done due to active bleeding secondary to pseudoaneurysm rupture. Patient was ... ultra sound study showed evidence of free fluid in abdominopelvic cavity suggestive of pseudoaneurysm rupture. ... "Spontaneous Uterine Artery Pseudoaneurysm Rupture Following Cesarean Section: A Case Report" written by Ahmad Rezaee ...
... iDepartment of Cardiovascular Surgery, Rinku General Medical Center, ... There was no specific evidence of aortic aneurysm or dissection, therefore a spontaneous rupture of the ascending aorta was ...
We report a very rare case of intra-peritoneal spontaneous rupture of the urinary bladder which was successfully managed ... Rupture, Spontaneous / diagnosis, therapy. Tomography, X-Ray Computed. Treatment Outcome. Urinary Bladder Diseases / ... We report a very rare case of intra-peritoneal spontaneous rupture of the urinary bladder which was successfully managed ... Computed tomography raised the suspicion of bladder rupture which was later confirmed by cystoscopy and cystogram. Following 8 ...
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If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Spontaneous uterine rupture at 28 weeks: A case report. by Journal of Pakistan Medical Association; Health, general Liver ... Keywords: Placenta percreta, Ultrasound, Uterine rupture, Computed Tomography.. Introduction. Spontaneous rupture of the non- ... APA style: Spontaneous uterine rupture at 28 weeks: A case report.. (n.d.) >The Free Library. (2014). Retrieved Jan 22 2019 ... MLA style: "Spontaneous uterine rupture at 28 weeks: A case report.." The Free Library. 2016 Asianet-Pakistan 22 Jan. 2019 ...
Staggered-Grid Split-Node Method for Spontaneous Rupture Simulation. Luis A. Dalguer, & Steven M. Day Published February 2007, ... Dalguer, L. A., & Day, S. M. (2007). Staggered-Grid Split-Node Method for Spontaneous Rupture Simulation. Journal of ... We adapt the traction-at-split-node method for spontaneous rupture simulations to the velocity-stress staggered-grid finite ... The method provides an efficient and accurate means of adding spontaneous rupture capability to velocity-stress staggered-grid ...
We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed ... Traumatic diaphragmatic rupture (TDR) is very rare in the pediatric age group. Because of its rarity and its coexistence with ... Secondary spontaneous rupture of the diaphragm in children is very rare but should be considered in such circumstances. ... We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed ...
Spontaneous splenic rupture: a rare complication of Q fever in Australia. Amanda J Wade, Tim Walker, Eugene Athan and Andrew J ... We report a case of spontaneous splenic rupture as a complication of acute Q fever acquired in Australia. ...
Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure. J. Loehr and R. ... Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure ... Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure ... Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure ...
This case suggests that spontaneous intraperitoneal haemorrhage associated with uterine fibroids, although rare, should be ... Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. A 38-year-old woman presented to the ... Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. A 38-year-old woman presented to the ... Dahan, M.H. and Ahmadi, R. (2002) Spontaneous subserosal venous rupture overlying a uterine leiomyoma. A case report. The ...
... forceful vomiting or any other definable cause but were similar to those previously described as intramural oesophageal rupture ... intramural oesophageal bleeding and submucosal dissection but in the remainder the aetiology of intramural oesophageal rupture ...
Genetic predisposition for the two subtypes, spontaneous PTB with intact membranes (sPTB) and preterm prelabor rapture of ...
Spontaneous Splenic Rupture in Dengue Hemorrhagic Fever. The American Journal of Tropical Medicine and Hygiene 78, 7 (2008); ... f Spontaneous Splenic Rupture in Dengue Hemorrhagic Fever * Surendra K. Sharma1,*, Tamilarasu Kadhiravan1 ... Hemorrhagic dengue with spontaneous splenic rupture: case report and review. Clin Infect Dis 25 : 1262-1263. ... Spontaneous rupture of the spleen due to dengue fever. Braz J Infect Dis 7 : 423-425. ...
Spontaneous bladder rupture (SBR) is an uncommonly reported entity, defined as the presence of rupture without any antecedent ... Spontaneous Bladder Rupture: A Diagnostic and Treatment Dilemma (Case Studes and Literature Review) .utlogo1 { display: none ! ... Spontaneous rupture of the urinary bladder presenting as oliguric acute renal failure. Int Med. 2006;45(13):815-818. Doi: ... Spontaneous bladder rupture caused by a giant vesical calculus. Int Urol Nephrol. 2006;38(3-4):487-489.. PubMed ...
Various pathological reasons implicated in non-traumatic spontaneous splenic r ... Non-traumatic splenic rupture has been described in the medical literature as a clinical entity with grave consequences, if ... Various pathological reasons implicated in non-traumatic spontaneous splenic rupture have been described in literature ranging ... Non-traumatic splenic rupture has been described in the medical literature as a clinical entity with grave consequences, if ...
Primary cardiac angiosarcoma causing rupture of the heart and spontaneous bilateral pneumothorax. ... Primary cardiac angiosarcoma causing rupture of the heart and spontaneous bilateral pneumothorax. ... A patient with a primary cardiac angiosarcoma developed two previously unreported manifestations: cardiac rupture, which has ... not been reported with any primary cardiac tumour; and spontaneous pneumothorax, which is well recognised with other tumours ...
A ruptured liver abscess is one of these occasions, and herein a case that resulted in pneumoperitoneum is reported. A 61-year- ... A ruptured pyogenic liver abscess is an extremely rare and threatening condition despite the advances in diagnostic technology ... However, on rare occasions, spontaneous pneumoperitoneum not associated with a perforated GI tract has been described in the ... Under the laparoscopy, a ruptured liver abscess and large amount purulent plaque were observed scattered in the entire ...
ICD-9 code 382.00 for Acute suppurative otitis media without spontaneous rupture of eardrum is a medical classification as ... Acute suppurative otitis media without spontaneous rupture of eardrum (382.00). ICD-9 code 382.00 for Acute suppurative otitis ... media without spontaneous rupture of eardrum is a medical classification as listed by WHO under the range -DISEASES OF THE EAR ...
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|p|JTCM June 2003 73/56|br /|Zhang Shiyan|/p||p||em|(Archive subscribers please click on find out more to see abstract. The full article is not available online and must be bought as a photocopy delivered by post).|/em||/p|
Unusual mechanisms of hemostasis are seen in approximately 12% of ruptured aneurysm. The outside-arrest-pattern aneurysm was ... The present preliminary study revealed that arrest of bleeding from a ruptured cerebral aneurysm does not always occur from ... How does spontaneous hemostasis occur in ruptured cerebral aneurysms? Preliminary investigation on 247 clipping surgeries Surg ... Methods: Between April 2002 and March 2004, we prospectively investigated mechanisms of spontaneous hemostasis in ruptured ...
  • Spontaneous mechanical rupture of a papillary muscle effectively resolved by mitral valve repair Fiore, Antonio;Piscitelli, Mariantonietta;Bergoend, Eric;Couetil, Jean Paul 2018-04-01 00:00:00 Abstract We report a case of spontaneous mechanical papillary muscle rupture. (deepdyve.com)
  • Spontaneous uterine rupture at 28 weeks: A case report. (thefreelibrary.com)
  • Spontaneous Uterine rupture is associated with massive intra-peritoneal bleed which can be fatal if not recognized. (thefreelibrary.com)
  • The patient underwent emergency caesarean hysterectomy due to uterine rupture at the cornual site. (thefreelibrary.com)
  • Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. (scirp.org)
  • This case suggests that spontaneous intraperitoneal haemorrhage associated with uterine fibroids, although rare, should be considered in women with hypovolemic shock and a pelvic mass. (scirp.org)
  • Mattison, D.R. and Yeh, S.Y. (1980) Hemoperitoneum from rupture of a uterine vein overlying a leiomyoma. (scirp.org)
  • Dahan, M.H. and Ahmadi, R. (2002) Spontaneous subserosal venous rupture overlying a uterine leiomyoma. (scirp.org)
  • Uterine rupture after endometrial ablation is rare and has not been reported previously in the English literature. (ovid.com)
  • A cesarean delivery was performed for recurrent late fetal heart rate deceleration, and a complete spontaneous uterine rupture was discovered. (ovid.com)
  • Silent uterine rupture is very rare and easy to ignore due to nonspecific clinical symptoms, unexplained haemoglobin reduction and haemoperitoneum, but these features caution us to more closely consider uterine rupture in patients. (springer.com)
  • the uterine rupture was found during the operation. (springer.com)
  • An urgent laparotomy was performed and revealed a massive haemoperitoneum caused by the rupture of the uterine posterior wall. (springer.com)
  • The lower uterine segment was intact and not ruptured. (springer.com)
  • After removing the blood and clots, a 12 cm-long tear in the posterior wall and active bleeding from the uterine rupture were found. (springer.com)
  • The rupture of an unscarred uterine is a rare life-threatening event that usually occurs late in pregnancy or during labor. (uiowa.edu)
  • Spontaneous uterine rupture, as in our case, is extremely uncommon and rarely diagnosed before laparotomy. (uiowa.edu)
  • Herein, we present a case of spontaneous uterine rupture in a 32 year old multiparous woman with no previous uterine surgery. (uiowa.edu)
  • However, emergency laparotomy showed uterine rupture with extrusion of a dead fetus within intact amniotic sac in the abdomen. (uiowa.edu)
  • Multiparity is a risk factor for spontaneous uterine rupture even in the first trimester. (uiowa.edu)
  • One hundred and thirty-five healthy primigravid women at or near term with spontaneous rupture of the membranes without uterine contractions were submitted to a prospective trial of management. (gla.ac.uk)
  • Spontaneous uterine rupture at 28 weeks: A case report" by Mahreen Rasool, Imrana Masroor et al. (aku.edu)
  • Uterine vessels spontaneous rupture during pregnancy: case re. (mysciencework.com)
  • Uterine vessels spontaneous rupture during pregnancy: case report and literature review]. (mysciencework.com)
  • The spontaneous rupture of the uterine vessels during pregnancy is a potentially lethal complication that usually is not suspected as cause of acute abdomen in pregnancy. (mysciencework.com)
  • Uterine rupture is a tear in the muscle of the uterus (womb). (epnet.com)
  • Uterine rupture: caring for the patient with. (epnet.com)
  • Uterine rupture between the left lower segment and borderline of the cervix in the anterior wall with active bleeding was confirmed. (bvsalud.org)
  • Uterine rupture is a catastrophic complication of pregnancy occurring most commonly during third trimester. (journalcra.com)
  • Though, uterine rupture in first and second trimesters is rare, spontaneous mid-trimester rupture is even rarer with only four such cases described in English literature. (journalcra.com)
  • We hereby report an extremely rare case of spontaneous midtrimester uterine rupture due to angular pregnancy. (journalcra.com)
  • Trial of labor after myomectomy and uterine rupture: a systematic review. (tripdatabase.com)
  • There is concern about the risk of uterine rupture in the subsequent pregnancy after myomectomy. (tripdatabase.com)
  • The terms "myomectomy", "pregnancy", "trial of labor" and " uterine rupture " were used in PubMed and EMBASE searches for identification purposes. (tripdatabase.com)
  • Every reference was reviewed for possible inclusion and all eligible cases of uterine rupture were considered.Twenty-three studies with at least five cases of pregnancy after myomectomy were identified, with an overall incidence of uterine rupture of 0.6% (0.3-1.1%) (n = 11/1825). (tripdatabase.com)
  • Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. (tripdatabase.com)
  • This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall. (tripdatabase.com)
  • IMSEAR at SEARO: Spontaneous rupture of subserosal uterine varix of gravid uterus: a case report. (who.int)
  • Case report: spontaneous rupture of spleen in patient with Plasmodium ovale malaria. (nih.gov)
  • Spontaneous rupture of the spleen due to dengue fever. (ajtmh.org)
  • Spontaneous rupture of the spleen in association with idiopathic thrombocytopaenic purpura. (bmj.com)
  • Spontaneous splenic rupture or, non-traumatic rupture of the spleen, is one of the many causes of acute onset abdominal pain and can result in severe morbidity and mortality of not recognized quickly with an overall mortality rate of 10-15% [ 1 ]. (omicsonline.org)
  • We herein report the case of a 58-year-old male patient with acute myeloid leukemia (AML) complicated by splenic tuberculosis (TB), who presented with spontaneous rupture of the spleen. (pubmedcentralcanada.ca)
  • Spontaneous splenic rupture, also referred to as atraumatic splenic rupture, is an uncommon serious complication of acute leukemia, with very few reported cases since Rokitansky first described spontaneous rupture of the spleen in a patient with leukemia in 1861 ( 1 - 7 ). (pubmedcentralcanada.ca)
  • Rhee SJ, Sheena Y, Imber C: Spontaneous rupture of the spleen: a rare but important differential of an acute abdomen. (springermedizin.de)
  • We here-in, report of a case of spontaneous rupture of the spleen secondary to G-CSF (filgrastim) therapy in an otherwise healthy allogeneic donor of peripheral blood stem cells. (spotidoc.com)
  • An angiosarcoma of the spleen is uncommon and often accompanied by hematologic abnormalities of hemolytic anemia, thromtocytopenia, reticulocytosis, and unusual spontaneous rupture occurs in about one third of the cases. (jpatholtm.org)
  • We recently experienced a 65-year-old woman with spontaneous rupture of an angiosarcoma of the spleen. (jpatholtm.org)
  • Spontaneous rupture of spleen in viral hepatitis A. (bvsalud.org)
  • A twenty-five year old man presented with history of fever , malaise and jaundice and developed a spontaneous rupture of the spleen during hospital admission. (bvsalud.org)
  • Putterman, C, Almog, Y & Lebensart, P 1992, ' Sonographic diagnosis of spontaneous rupture of the spleen in infectious mononucleosis: Case report and review of the literature ', Israel Journal of Medical Sciences , vol. 28, no. 11, pp. 801-804. (elsevier.com)
  • Spontaneous/pathological and delayed rupture of the spleen is not unknown. (biomedcentral.com)
  • Many pathological conditions of spleen predispose it to spontaneous rupture, diagnosis of which can be delayed due to its unusual presentation. (biomedcentral.com)
  • Ultrasonography revealed chronic rupture of spleen with some hemoperitonem in the perisplenic area and small pleural effusion. (biomedcentral.com)
  • The optimal management strategy for the older patient with spontaneous ruptured spleen is unknown. (biomedcentral.com)
  • Chest and abdominal ultrasound scans showed a large amount of free fluid surrounding the spleen suggesting splenic rupture and a moderate left sided pleural effusion. (biomedcentral.com)
  • Rupture of the spleen is most commonly seen soon after blunt trauma to the abdomen or lower ribs. (biomedcentral.com)
  • M66.88 is a billable ICD code used to specify a diagnosis of spontaneous rupture of other tendons, other. (icd.codes)
  • To code a diagnosis of this type, you must use one of the three child codes of M66.83 that describes the diagnosis 'spontaneous rupture of other tendons, forearm' in more detail. (icd.codes)
  • M66.352 is a billable code used to specify a medical diagnosis of spontaneous rupture of flexor tendons, left thigh. (icdlist.com)
  • She was subsequently diagnosed with a combined EHL and EDL tendon rupture as well as chronic tendinosis of both tendons. (faoj.org)
  • Rupture and bleeding of the myelolipoma is an infrequent complication resulting in a massive retroperitoneal hemorrhage. (urotoday.com)
  • Malaria may lead to spontaneous splenic rupture as a rare but potentially lethal complication. (nih.gov)
  • In this case report, we aimed to present a case of spontaneous DR in a child that occurs as a complication of underlying diaphragmatic lesion after thoracic blunt trauma who had delayed successful surgical management. (scirp.org)
  • We report a case of spontaneous splenic rupture as a complication of acute Q fever acquired in Australia. (mja.com.au)
  • Although spontaneous hepatic rupture associated with HELLP syndrome is a rare complication of pregnancy, hepatic rupture results in life-threatening complications. (ovid.com)
  • We present an extremely rare complication of simple liver cyst, its rupture in the free abdominal cavity, and its presentation as an acute abdomen. (biomedcentral.com)
  • The spontaneous rupture of an umbilical hernia in our patient highlights a rare complication with high mortality rates and stresses the challenge of treatment that falls in the area between medical and surgical management. (thepermanentejournal.org)
  • This case report presents the challenge in management of patients with Flood syndrome, the eponym for spontaneous umbilical hernia rupture, which is a rare yet potentially serious complication of the massive ascites in cirrhotic patients. (thepermanentejournal.org)
  • Spontaneous rupture of a kidney can occur as a complication of an acquired cystic kidney lesion. (ekja.org)
  • While a spontaneous rupture of the kidney is very rare, especially during the perioperative period, it is important to consider this complication when evaluating the corresponding clinical picture. (ekja.org)
  • In this article, we provided summary of knowledge on left ventricular posterior wall rupture as a complication of mitral valve replacement surgery and shared our experience with such complication. (hvt-journal.com)
  • Spontaneous rupture (SR) of the left ventricular posterior wall (LVPW) following mitral valve replacement (MVR) is infrequent but a highly lethal complication. (hvt-journal.com)
  • Most patients with delayed ruptures do not survive after that complication (3, 8). (hvt-journal.com)
  • The overall mortality rate at the occurrence of left ventricular ruptures varies from 75 to 86% and depends on the duration of the development of this complication and currently does not have a significant tendency to decrease (4, 9). (hvt-journal.com)
  • There was no specific evidence of aortic aneurysm or dissection, therefore a spontaneous rupture of the ascending aorta was diagnosed. (umin.ac.jp)
  • In the most common pattern (79.4%), the surface of the aneurysm rupture point was sealed from the outside by a platelet plug or fibrin net (outside-arrest pattern). (nih.gov)
  • In some aneurysms (10.1%), a thrombus or platelet plug was attached to the rupture point from inside the aneurysm (inside-arrest pattern). (nih.gov)
  • The present preliminary study revealed that arrest of bleeding from a ruptured cerebral aneurysm does not always occur from outside the aneurysm. (nih.gov)
  • Unusual mechanisms of hemostasis are seen in approximately 12% of ruptured aneurysm. (nih.gov)
  • In this report, we present the fatal spontaneous delayed rupture of a previously unruptured large PICA aneurysm following treatment with the PED. (ajnr.org)
  • 3 According to Van Rijn et al.2 the smallest spontaneously ruptured splenic aneurysm in their study was 23 mm. (njmonline.nl)
  • Abdulrahman A, Shabkah A, Hassanain M, Aljiffry M. Ruptured spontaneous splenic artery aneurysm: A case report and review of the literature. (njmonline.nl)
  • Aydin MT, Fersahoglu MM, Tezer S, Okuducu M, Agca B, Memisoglu K. Spontaneous rupture of the splenic artery aneurysm: a rare clinical presentation of acute abdomen. (njmonline.nl)
  • After emergency reoperative sternotomy, the aneurysm was found to have a posterior free-wall rupture into the pericardium and right side of the chest ( Fig. 3 ). (allenpress.com)
  • Intraoperative photograph after the opening of the anterior wall of the aneurysm (An) shows a posterior free-wall rupture of the aneurysm (arrow). (allenpress.com)
  • In the few reports of SVG-aneurysm rupture, several patients survived to repair, 2-6 so with prompt diagnosis and urgent surgical correction, aneurysmal rupture is potentially survivable. (allenpress.com)
  • V. Ruptured saphenous vein graft aneurysm . (allenpress.com)
  • In the past, the mortality rate of splenic rupture was extremely high, due to the patient's poor general condition, complications and difficulty in diagnosis, with the major cause of death being hypotensive shock from the extensive blood loss, whereas infection and other complications also played a major role. (pubmedcentralcanada.ca)
  • Cysts can cause symptoms when they become large and produce bile duct compression or portal hypertension, and also when complications such as rupture, infection or hemorrhage take place. (biomedcentral.com)
  • Complications of EoE, including esophageal strictures, rupture, and tears, can occur due to increased friability of the esophageal mucosa as a consequence of chronic inflammation. (gi.org)
  • Despite the numerous works described the clinical significance of ruptures, few publications in literature were devoted to the prevention of these fatal complications. (hvt-journal.com)
  • A premature rupture of membranes can have multiple effects on the fetus such as increasing his/her risk of prematurity and facing neonatal or perinatal complications. (wikipedia.org)
  • A spontaneous rupture that occurs early in labor may actually be related to other complications resulting in delayed labor. (wikipedia.org)
  • This term describes a rupture of the membranes that occurs before 37 weeks gestation, and it can have multiple effects on the fetus such as increasing his/her risk of prematurity and facing neonatal or perinatal complications. (wikipedia.org)
  • In caesarean section patients, the spontaneous rupture of the posterior wall of the uterus is extremely rare, with nonspecific signs and symptoms being present. (springer.com)
  • An emergency laparotomy was performed, and the posterior wall of the uterus had ruptured. (springer.com)
  • First trimester spontaneous rupture of an unscarred uterus" by Ahmed M. Abbas, Amera M. Sheha et al. (uiowa.edu)
  • When the amniotic sac ruptures, production of prostaglandins increases and the cushioning between the fetus and uterus is decreased, both of which are processes that increase the frequency and intensity of contractions. (wikipedia.org)
  • The rupture is usually at the bottom of the uterus, over the cervix, causing a gush of fluid. (wikipedia.org)
  • It is usually diagnosed incidentally in imaging tests such as computed tomogram (CT) or by patient symptoms such as retroperitoneal hemorrhage due to tumor rupture. (urotoday.com)
  • We present a patient with retroperitoneal hemorrhage due to spontaneous rupture of a myelolipoma with enlargement of the mass and hemorrhage during the follow-up regimen of watchful waiting. (urotoday.com)
  • Rupture of cerebral aneurysms results in subarachnoid hemorrhage. (nih.gov)
  • Long-term use of anticoagulants may increase the risk of gallbladder rupture and hemorrhage, which is a lethal condition. (springer.com)
  • Rupture and hemorrhage of gallbladder is a lethal condition, rapid diagnosis and treatment are very virtual. (springer.com)
  • Splenic ruptures are mostly due to trauma and manifest at the moment of injury with symptoms of acute intraperitoneal hemorrhage and shock. (biomedcentral.com)
  • Two-dimensional and 3-dimensional transesophageal echocardiography clearly visualized the ruptured head of the posteromedial papillary muscle, the freely mobile stump within the left ventricle, and severe eccentric mitral regurgitation ( Figure 3A - 3C and Movies IV-VI in the online-only Data Supplement). (ahajournals.org)
  • The operation revealed a structurally normal mitral valve with partial rupture of the posterior head of the posteromedial papillary muscle (Fig. 1C and D). No signs of endocarditis or inflammatory process were discovered. (deepdyve.com)
  • Spontaneous liver rupture is uncommon, difficult to diagnose and carries a universally high mortality. (hindawi.com)
  • Spontaneous Achilles tendon ruptures are uncommon. (ajol.info)
  • Spontaneous renal pelvis rupture (SRPR) is extremely uncommon and thought as a nontraumatic leakage of the urine from the renal pelvis. (journalcra.com)
  • Spontaneous splenic rupture is uncommon but probably under-diagnosed and should be considered in all patients presenting with non-specific abdominal pain. (biomedcentral.com)
  • Spontaneous tendon rupture, with or without intervention, is uncommon. (faoj.org)
  • Spontaneous rupture of extensor pollicis longus tendon in a kick boxer. (bmj.com)
  • Spontaneous intramural rupture of the oesophagus. (bmj.com)
  • The injuries were not related to forceful vomiting or any other definable cause but were similar to those previously described as intramural oesophageal rupture. (bmj.com)
  • One patient in this study had oesophageal cavernocapillary haemangiomatosis which may have caused intramural oesophageal bleeding and submucosal dissection but in the remainder the aetiology of intramural oesophageal rupture remains uncertain. (bmj.com)
  • 5676956 1968 11 06 2018 11 13 0007-1447 3 5617 1968 Aug 31 British medical journal Br Med J Intramural rupture of the oesophagus. (tripdatabase.com)
  • Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. (gi.org)
  • The conclusions to be drawn from this review and our own recent experience is that the treatment of choice for ruptured haemangiomata is liver resection and, for rupture during pregnancy, is tamponade with packs and evacuation of the haematoma. (hindawi.com)
  • A 36-yr-old primiparous woman started spontaneous term labor after a physiologic pregnancy. (asahq.org)
  • Probable causes of chordae tendineae rupture include mitral valve prolapse, infectious endocarditis, congenital heart disease, rheumatic heart disease, ischemic heart disease, connective tissue diseases, previous mitral valve surgery or pregnancy itself. (deepdyve.com)
  • The pathophysiology of spontaneous chordae tendineae rupture due to pregnancy remains unclear. (deepdyve.com)
  • Ruptured chordae tendineae complicating pregnancy. (deepdyve.com)
  • Preoperative diagnosis based on clinical and ultra-sonographic findings was ruptured ectopic pregnancy. (uiowa.edu)
  • BACKGROUND: Although spontaneous rupture of the renal pelvis during pregnancy has been reported, albeit rarely, spontaneous ureteral rupture is extremely rare. (elsevier.com)
  • 2 The risk of rupture is 5% and the risk factors are pregnancy, portal hypertension, medial fibrodysplasia, splenomegaly, orthotopic liver transplantation, pancreatitis, vasculitis and degenerative atherosclerosis. (njmonline.nl)
  • 2,4) Ureteral rupture during pregnancy is thought to result from increased pressure secondary to ureteral compression. (thefreedictionary.com)
  • Rupture of membranes (ROM) or amniorrhexis is a term used during pregnancy to describe a rupture of the amniotic sac. (wikipedia.org)
  • How does spontaneous hemostasis occur in ruptured cerebral aneurysms? (nih.gov)
  • The spontaneous rupture of the gallbladder is extremely rare, majority of ruptures occur secondary to traumatic injuries. (springer.com)
  • however, spontaneous ruptures can occur. (omicsonline.org)
  • Once the rupture rate is sufficiently high, spontaneous ignition can still occur. (warwick.ac.uk)
  • Early ruptures are the intraoperative ruptures, which occur mostly after the completion of the main stage of the operation, making up 30-66% of all LVPW lesions (3, 5). (hvt-journal.com)
  • Although patients are often asymptomatic, life-threatening spontaneous organ rupture may occur. (biomedcentral.com)
  • Spontaneous rupture of the extensor pollicis longus (EPL) tendon can occur in the 3rd extensor compartment after a distal radius fracture involving Lister's tubercle, steroid injections, or rheumatoid arthritis. (handmicro.org)
  • We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed surgical repair. (scirp.org)
  • We herein, report a case of spontaneous splenic rupture secondary to high-dose G-CSF use (20 µg/kg/day), in a healthy female allogeneic donor of peripheral-blood stem cell (PBSC). (spotidoc.com)
  • We present a 46-year-old man with spontaneous Achilles tendon rupture due to ochronosis. (ajol.info)
  • Bilateral patellar tendon rupture is usually associated with systemic immunologic or connective tissue disease, steroid use, fluoroquinolone antibiotic use, or renal disease. (panafrican-med-journal.com)
  • Spontaneous bilateral quadriceps tendon rupture in obese patient medicated with statin. (docphin.com)
  • Bilateral quadriceps tendon rupture (BQTR) is a rare diagnosis only reported in about 100 cases in international literature, and is often associated with medical diseases, trauma or certain medications. (docphin.com)
  • We present an independent case study of a 54-year-old woman that underwent arthroscopic ankle synovectomy with an open Broström lateral ankle stabilization who eventually suffered a spontaneous tendon rupture of both the extensor digitorum longus (EDL) and extensor hallucis longus (EHL) during the post-operative period. (faoj.org)
  • T he incidence of tendon rupture following arthroscopic ankle intervention is rare. (faoj.org)
  • Generally, spontaneous tendon rupture is directly correlated with a combination of mild trauma and chronic degeneration of a tendon. (faoj.org)
  • H. The importance of gray scale and color Doppler ultrasonography in the diagnosis of spontaneous renal pelvis rupture: case report. (actaurologicaportuguesa.com)
  • A diagnosis of spontaneous splenic rupture was made following clinical and radiological examination. (biomedcentral.com)
  • The CT-cystogram showed bladder rupture in all 3 patients (intraperitoneal in 1 and extraperitoneal in 2). (urotoday.com)
  • Conservative treatment may also be considered in carefully selected patients with intraperitoneal bladder rupture, especially if there is intent of temporarization. (urotoday.com)
  • Spontaneous intraperitoneal rupture of the bladder in association with transitional cell carcinoma. (bmj.com)
  • Spontaneous nontraumatic rupture is even more unusual, with only 14 cases reported in the literature. (eurekamag.com)
  • We describe an adult patient with Caroli's syndrome in whom spontaneous rupture of a bile duct developed with consequent biliary peritonitis, which was successfully managed with endoscopic stent placement. (elsevier.com)
  • Although the ascitic fluid results did not meet the criteria for spontaneous bacterial peritonitis, the patient was treated with cefotaxime because the clinical picture was consistent with peritonitis. (thepermanentejournal.org)
  • The patient was discharged with a prescribed regimen of sulfamethoxazole and trimethoprim daily for prophylaxis of spontaneous bacterial peritonitis. (thepermanentejournal.org)
  • Spontaneous bladder rupture (SBR) is uncommonly reported and often presents with non-specific clinical features. (urotoday.com)
  • Non-traumatic splenic rupture has been described in the medical literature as a clinical entity with grave consequences, if diagnosis and subsequent treatment are delayed. (biomedsearch.com)
  • An emergency abdominal sonography confirmed the clinical suspicion of a splenic rupture. (springermedizin.de)
  • Awaiting the spontaneous onset of labor for 24 hours or less did not result in clinical maternal or neonatal infection. (gla.ac.uk)
  • Spontaneous rupture of the iliac vein is rare clinical emergency.Sudden onset, hypertension, and abdominal distention with a nonpulsatile massin the iliac fossa are the chief symptoms. (duhnnae.com)
  • Clinical practice shows frequent combination of I-III and III-II types of ruptures, developing simultaneously or consequently after the correction of one of the previously existing ruptures. (hvt-journal.com)
  • Various pathological reasons implicated in non-traumatic spontaneous splenic rupture have been described in literature ranging from infection, malignancy, metabolic disorders as well as haematological malignancies. (biomedsearch.com)
  • We present two patients with spontaneous splenic rupture and review the literature with regard to the surgical, pathological and radiological findings in such cases as well as the management of patients with this condition. (biomedcentral.com)
  • General surgery input was taken and an abdominal ultrasound and CT scan were advised as there was a suspicion of a ruptured liver cyst. (thefreelibrary.com)
  • The patient was scheduled for operation with the diagnosis of left diaphragmatic rupture (DR). The patient's vital signs were stable and laboratory tests were normal before surgery. (scirp.org)
  • Iliac vein rupture is rare and primarily results from major trauma or occurs during pelvic surgery. (eurekamag.com)
  • Prior reports have documented an association of biloma with abdominal trauma, surgery and other primary causes, but spontaneous bile leakage has rarely been reported. (kjim.org)
  • Chronic splenic rupture may be associated with dense peri splenic adhesions making this surgery a difficult one. (biomedcentral.com)
  • Although there is an increasing trend towards conservative management of spontaneously ruptured kidneys from benign causes, embolization followed by early surgery should be considered in cases of extensive intraabdominal haemorrhage. (hku.hk)
  • Herein, one case of a spontaneous rupture of a contralateral native kidney, due to the rupture of a cystic lesion during kidney transplantation surgery, is described. (ekja.org)
  • AIM and METHODS: Spontaneous ruptures of the Achilles tendon are frequent among occasional and high level athletes. (minervamedica.it)
  • The Achilles tendon is the most common tendon to experience spontaneous rupture, followed by the patellar tendon, and the Tibialis Anterior (TA). (faoj.org)
  • The quadriceps tendon and patellar ligament rupture rarely, even when under great stress or trauma, but can rupture spontaneously in patients with chronic diseases such as gout, rheumatoid arthritis and renal disease. (cmaj.ca)
  • Spontaneous bladder rupture (SBR) is an uncommonly reported entity, defined as the presence of rupture without any antecedent trauma [1]. (urotoday.com)
  • Spontaneous splenic rupture must be considered in patients presenting with acute abdominal pain even without evident history of trauma , as early recognition and treatment may prevent serious morbidity and mortality. (omicsonline.org)
  • We report a very rare case of intra-peritoneal spontaneous rupture of the urinary bladder which was successfully managed conservatively in a 77-year-old woman, who presented with lower abdominal pain, acute urinary retention and pelvic organ prolapse (POP). (biomedsearch.com)
  • Because of the patient's progressive anaemia (blood tests revealed a slow decline in haemoglobin to 93 g/L, 87 g/L) and sudden increasing abdominal pain, ultrasound was used but did not show ruptured abdominal fluid. (springer.com)
  • Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension. (ovid.com)
  • We report a case of 30-year-old primigravida female with spontaneous hepatic rupture caused by HELLP syndrome as a presenting symptom of right upper quadrant abdominal pain. (ovid.com)
  • In this report we present the case of a 70-year-old man who was admitted to our hospital with diffuse abdominal pain after the spontaneous rupture of a large non-parasitic hepatic cyst. (biomedcentral.com)
  • CONCLUSION: This case compels us to consider spontaneous ureteral rupture in the differential diagnosis for postpartum abdominal pain when common causes have been ruled out. (elsevier.com)
  • When splenic rupture is indicated by abdominal pain, tachycardia, or hypotension in a patient with splenomegaly, abdominal examination should be performed immediately, and emergency transcatheter arterial embolization and/or splenectomy should be considered. (ijhgateway.net)
  • A 42-year-old man with decompensated hepatitis C and alcoholic cirrhosis complicated by ascites and esophageal varices presented with 1 day of ascitic fluid drainage after rupture of a preexisting umbilical hernia associated with diffuse abdominal pain and tenderness. (thepermanentejournal.org)
  • A 42-year-old Hispanic man with decompensated hepatitis C and alcoholic cirrhosis (Child-Pugh Grade B, Model for End-stage Liver Disease Score = 15) complicated by ascites and esophageal varices presented to the Emergency Department with 1 day of ascitic fluid drainage after rupture of a preexisting umbilical hernia associated with diffuse abdominal pain and tenderness. (thepermanentejournal.org)
  • Conway, D. I. , Prendiville, W. J. , Morris, A. , Speller, D. C.E. and Stirrat, G. M. (1984) Management of spontaneous rupture of the membranes in the absence of labor in primigravid women at term. (gla.ac.uk)
  • Rupture of the membranes was diagnosed by speculum examination. (gla.ac.uk)
  • We would therefore advocate awaiting the spontaneous onset of labor after spontaneous rupture of membranes without contractions at or near term in healthy primigravid women for up to 24 hours because it seems to confer significant advantages without producing any additional hazard. (gla.ac.uk)
  • Artificial rupture of membranes (AROM), also known as an amniotomy, is performed by a midwife or obstetrician and was once thought to be an effective means to induce or accelerate labor. (wikipedia.org)
  • The membranes can be ruptured using a specialized tool, such as an amnihook or amnicot, or they may be ruptured by the proceduralist's finger. (wikipedia.org)
  • The different techniques for artificial rupture of membranes have not been extensively compared in the literature. (wikipedia.org)
  • In one study comparing amnihook versus amnicot for artificial rupture of membranes, use of an amnicot was associated with fewer neonatal scalp lacerations. (wikipedia.org)
  • 1. The baby may turn to a breech position, making birth more difficult if the membranes are ruptured before head engagement. (wikipedia.org)
  • A premature rupture of membranes (PROM) is a rupture of the amnion that occurs prior to the onset of labor. (wikipedia.org)
  • In the United States, there are over 120,000 pregnancies a year that are affected by a premature rupture of membranes, and it is the cause of about one third of preterm deliveries. (wikipedia.org)
  • Sometimes, a child is born with no rupture of the amniotic sac (no rupture of membranes). (wikipedia.org)
  • On occasion, with the rupture of membranes, particularly if the head is not engaged, the umbilical cord may prolapse. (wikipedia.org)
  • Once the membranes are ruptured, bacteria may ascend and could lead to amnionitis and fetal infection. (wikipedia.org)
  • This term describes the normal, spontaneous rupture of the membranes at full term. (wikipedia.org)
  • This term describes a rupture of the membranes that occurs before the onset of labor. (wikipedia.org)
  • PPROM : preterm, premature rupture of membranes. (wikipedia.org)
  • AROM : artificial rupture of membranes. (wikipedia.org)
  • This term describes a rupture of the membranes by a third party, usually a midwife or obstetrician in order to induce or accelerate labor. (wikipedia.org)
  • Detection of rupture of membranes mainly include: Pooling test: visualization of amniotic fluid pooling in the vagina Nitrazine paper test Fern test Amniotic fluid index For results to be roughly 90% accurate In infection detection, a combination of both an arborization test and nitrazine paper test may be used. (wikipedia.org)
  • Spontaneous Rupture of Membranes By Paula Skelton, midwife Bennett, S. (wikipedia.org)
  • Primary cardiac angiosarcoma causing rupture of the heart and spontaneous bilateral pneumothorax. (bmj.com)
  • Amongst the spontaneous cases, bilateral ruptures are exceedingly rare and have only been documented in a few case reports. (panafrican-med-journal.com)
  • A coronary angiogram revealed a significantly calcified stenotic lesion on the mid left anterior descending artery ( Figure 4A ), but there was no critical stenosis on the right coronary system that could explain the infarct-related rupture of the posteromedial papillary muscle ( Figure 4B ). (ahajournals.org)
  • We believe that the aetiology of papillary muscle rupture, in this case, is linked to the physical and mechanical strains exerted on the papillary. (deepdyve.com)
  • Mitral valve repair, Papillary muscle, Mitral valve regurgitation INTRODUCTION Acute mitral regurgitation resulting from papillary muscle rupture (PMR) is a rare life-threatening condition frequently associated with coronary artery disease. (deepdyve.com)
  • Here, we present a case of a patient with a spontaneous posteromedial papillary muscle rupture related only to the physical and mechanical strains exerted on the papillary. (deepdyve.com)
  • Transoesophageal echocardiography clearly revealed severe eccentric mitral regurgitation with P3 and A3 prolapse, associated with the rupture of the posteromedial papillary muscle. (deepdyve.com)
  • C and D) Intraoperative image of partial posteromedial papillary muscle head rupture. (deepdyve.com)
  • The head and the base of the ruptured papillary muscle were frail and did not seem to be infarcted, but rather were haemorrhagic (Fig. 2A). (deepdyve.com)
  • One possible explanation of spontaneous rupture of the papillary muscle head in our patient, is that it might be linked to the physical and mechanical strains on the papillary. (deepdyve.com)
  • III type - intermediate rupture of LVPW between AV groove and papillary muscle bases. (hvt-journal.com)
  • Spontaneous splenic rupture, also referred to as atraumatic splenic rupture, is a rare but life-threatening emergency condition. (pubmedcentralcanada.ca)
  • The frequency of massive hemoperitoneum caused by spontaneous rupture of hepatocellular carcinoma (HCC) has been reported to be 10% to 18% because of the extensive vascular structure and relatively small amount of fibrous tissue in these tumors [ 1 ]. (kjim.org)
  • Here, we report a case of spontaneous rupture of the gallbladder with probably cause of oral anticoagulants. (springer.com)
  • In the present study, we report a case of spontaneous splenic rupture occurring in a patient with acute myeloid leukemia (AML). (pubmedcentralcanada.ca)
  • We report a case of spontaneous rupture of the EPL tendon in a 26-year-old male patient who played a rhythm game, which requires repetitive wrist motions to play the drums. (handmicro.org)
  • The intraoperative finding was hemoperitoneum due to splenic two-step rupture and splenectomy was therefore performed. (springermedizin.de)
  • We reported another case ofspontaneous rupture of the left external iliac vein diagnosed intra-operativelyand successfully treated with direct suturing. (duhnnae.com)
  • X. Chen, W. Zhang and D. Xin -Spontaneous Rupture of the Left External Iliac Vein: Case Report,- Surgical Science, Vol. 4 No. 7, 2013, pp. 325-328. (duhnnae.com)
  • CASE: We present the case of a 22-year-old nulliparous woman with spontaneous ureteral rupture after vaginal delivery diagnosed on contrast-enhanced computed tomography scan. (elsevier.com)
  • 10. Kalafatis P, Zougkas K, Petas A. Primary ureterocopic treatment for obstructive ureteral stone causing fornix rupture. (actaurologicaportuguesa.com)
  • 11. Sallami S, Ben Rhouma S, Rebai S, Gargouri MM, Horchani A. Spontaneous rupture of the upper urinary tract caused by ureteral calculi: effectiveness of primary ureteroscopic treatment. (actaurologicaportuguesa.com)
  • As defined, there was no underlying cause for a ureteral rupture in our case. (thefreedictionary.com)
  • Spontaneous ureteral rupture , diagnosis and treatment. (thefreedictionary.com)
  • Gould, " Ureteral rupture from aberrant Foley catheter placement: A case report," Journal of Radiology Case Reports, vol. (thefreedictionary.com)
  • To the Editor: Spontaneous ureteral rupture is rare, and urolithiasis is the most common cause. (thefreedictionary.com)
  • Hemothorax caused by rupture of a lung or pleural metastasis of HCC occurs less frequently. (kjim.org)
  • There is debate as to whether this entity exists or whether rupture always occurs in the presence of undiagnosed disease. (biomedcentral.com)
  • Conservative management of spontaneous rupture of the urinary bladder. (biomedsearch.com)
  • Computed tomography raised the suspicion of bladder rupture which was later confirmed by cystoscopy and cystogram. (biomedsearch.com)
  • The management of bladder rupture is discussed. (biomedsearch.com)
  • Conservative management by indwelling bladder catheter and drainage of extravasated collection is feasible in many cases of extraperitoneal bladder rupture. (urotoday.com)
  • Bladder rupture (BR) commonly presents with hypogastric pain or tenderness, abdominal distension, hematuria, etc [1]. (urotoday.com)
  • Spontaneous bladder rupture is a rare condition that can be followed by an acute alcohol intoxication and can be associated with significant morbidity and mortality. (pagepressjournals.org)
  • DESIGN Intravascular ultrasound was used to examine prospectively 51 ruptured ulcerated coronary plaques. (bmj.com)
  • 14-19 Along with its use in assessing vascular remodelling, 20-27 intravascular ultrasound can also be employed to confirm the presence of plaque rupture in vivo and to measure the size of the emptied plaque cavity (fig 1 ). (bmj.com)
  • 27 33 In this study we analysed ruptured plaques using intravascular ultrasound in order to evaluate whether the remodelling pattern, plaque or vessel size, or other ultrasonic lesion characteristics might be related to the size of the cavity inside the ruptured plaque. (bmj.com)
  • An abdominal ultrasound was suggestive of spontaneous splenic rupture. (biomedcentral.com)
  • However, this potentially lethal condition can present with spontaneous organ rupture. (biomedcentral.com)
  • Neither had any evidence of a ruptured haemangioma or tumour at laparotomy or on histological examination, and both are alive and well. (hindawi.com)
  • We present the case of a 70-year-old Greek-Caucasian man with a large, asymptomatic and non-parasitic liver cyst that presented as an acute surgical abdominal emergency after spontaneous rupture into the peritoneal cavity. (biomedcentral.com)
  • If one assumes a 5% operative mortality for mitral valve replacement, then left ventricular rupture is responsible for 18% of all deaths from the procedure (3). (hvt-journal.com)
  • Thus, the main reason for the rupture of the left ventricle type I is excessive tissue excision during resection of the diseased mitral valve (3, 5). (hvt-journal.com)
  • To the best of our knowledge, this is the first report of lung obstructive atelectasis due to mucous plug formation during the nighttime sleep and manifesting as morning-onset spontaneous TR. (biomedcentral.com)
  • 857-9 O'Connell N D ND eng Case Reports Journal Article England Proc R Soc Med 7505890 0035-9157 IM Adult Aged Esophageal Perforation Humans Male Middle Aged Rupture , Spontaneous 1965 11 1 1965 11 1 0 1 1965 11 1 0 0 ppublish 4952961 PMC1898989 Dis Chest. (tripdatabase.com)
  • 504-8 Toghill P J PJ MacGuire C F CF Raut P S PS eng Journal Article England Postgrad Med J 0234135 0032-5473 IM Aged Esophageal Perforation diagnostic imaging Humans Male Middle Aged Radiography Rupture , Spontaneous 1968 7 1 1968 7 1 0 1 1968 7 1 0 0 ppublish 5662191 PMC2466268 JAMA. (tripdatabase.com)
  • It can be caused by traumatic, iatrogenic or spontaneous rupture of the biliary tree. (kjim.org)
  • Iatrogenic rupture is relatively common, but to our knowledge there are only 7 reported cases of SIER in the setting of EoE. (gi.org)
  • We present a case report of male patient who is under conservative treatment presenting as spontaneous rupture of the renal pelvis with urinoma formation. (journalcra.com)
  • Hemorrhagic dengue with spontaneous splenic rupture: case report and review. (ajtmh.org)
  • 2. Yanaral F, Ozkan A, Cilesiz NC, Nuhoglu B. Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature. (actaurologicaportuguesa.com)
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