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An Unusual Presentation of Chest Pain and Laryngeal Discomfort in a Pregnant Woman: A Case Report and Literature Review
Acta Med Okayama. 2023 Aug;77(4):429-431. doi: 10.18926/AMO/65755.ABSTRACTIntramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction...
Source: Acta Medica Okayama - August 27, 2023 Category: General Medicine Authors: Misa Sasanami Atsuyoshi Iida Masaya Iwamuro Ryousuke Hirai Takashi Obara Kohei Tsukahara Tetsuya Yumoto Hiromichi Naito Atsunori Nakao Source Type: research
Acute Coronary Spasm Following Pelvic Fracture, Bleeding, and Shock in a Trauma Patient
We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST e...
Source: Acta Medica Okayama - August 27, 2023 Category: General Medicine Authors: Yasuaki Yamakawa Kohei Miyashita Atsushi Morizane Masato Takeuchi Yuta Kawashima Tomoko Sugimura Yuichi Saisaka Source Type: research
An Unusual Presentation of Chest Pain and Laryngeal Discomfort in a Pregnant Woman: A Case Report and Literature Review
Acta Med Okayama. 2023 Aug;77(4):429-431. doi: 10.18926/AMO/65755.ABSTRACTIntramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction...
Source: Acta Med Okayama - August 27, 2023 Category: Universities & Medical Training Authors: Misa Sasanami Atsuyoshi Iida Masaya Iwamuro Ryousuke Hirai Takashi Obara Kohei Tsukahara Tetsuya Yumoto Hiromichi Naito Atsunori Nakao Source Type: research
Acute Coronary Spasm Following Pelvic Fracture, Bleeding, and Shock in a Trauma Patient
We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST e...
Source: Acta Med Okayama - August 27, 2023 Category: Universities & Medical Training Authors: Yasuaki Yamakawa Kohei Miyashita Atsushi Morizane Masato Takeuchi Yuta Kawashima Tomoko Sugimura Yuichi Saisaka Source Type: research
An Unusual Presentation of Chest Pain and Laryngeal Discomfort in a Pregnant Woman: A Case Report and Literature Review
Acta Med Okayama. 2023 Aug;77(4):429-431. doi: 10.18926/AMO/65755.ABSTRACTIntramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction...
Source: Acta Medica Okayama - August 27, 2023 Category: General Medicine Authors: Misa Sasanami Atsuyoshi Iida Masaya Iwamuro Ryousuke Hirai Takashi Obara Kohei Tsukahara Tetsuya Yumoto Hiromichi Naito Atsunori Nakao Source Type: research
Acute Coronary Spasm Following Pelvic Fracture, Bleeding, and Shock in a Trauma Patient
We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST e...
Source: Acta Medica Okayama - August 27, 2023 Category: General Medicine Authors: Yasuaki Yamakawa Kohei Miyashita Atsushi Morizane Masato Takeuchi Yuta Kawashima Tomoko Sugimura Yuichi Saisaka Source Type: research
An Unusual Presentation of Chest Pain and Laryngeal Discomfort in a Pregnant Woman: A Case Report and Literature Review
Acta Med Okayama. 2023 Aug;77(4):429-431. doi: 10.18926/AMO/65755.ABSTRACTIntramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction...
Source: Acta Med Okayama - August 27, 2023 Category: Universities & Medical Training Authors: Misa Sasanami Atsuyoshi Iida Masaya Iwamuro Ryousuke Hirai Takashi Obara Kohei Tsukahara Tetsuya Yumoto Hiromichi Naito Atsunori Nakao Source Type: research
Acute Coronary Spasm Following Pelvic Fracture, Bleeding, and Shock in a Trauma Patient
We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST e...
Source: Acta Med Okayama - August 27, 2023 Category: Universities & Medical Training Authors: Yasuaki Yamakawa Kohei Miyashita Atsushi Morizane Masato Takeuchi Yuta Kawashima Tomoko Sugimura Yuichi Saisaka Source Type: research
An Unusual Presentation of Chest Pain and Laryngeal Discomfort in a Pregnant Woman: A Case Report and Literature Review
Acta Med Okayama. 2023 Aug;77(4):429-431. doi: 10.18926/AMO/65755.ABSTRACTIntramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction...
Source: Acta Medica Okayama - August 27, 2023 Category: General Medicine Authors: Misa Sasanami Atsuyoshi Iida Masaya Iwamuro Ryousuke Hirai Takashi Obara Kohei Tsukahara Tetsuya Yumoto Hiromichi Naito Atsunori Nakao Source Type: research
Acute Coronary Spasm Following Pelvic Fracture, Bleeding, and Shock in a Trauma Patient
We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST e...
Source: Acta Medica Okayama - August 27, 2023 Category: General Medicine Authors: Yasuaki Yamakawa Kohei Miyashita Atsushi Morizane Masato Takeuchi Yuta Kawashima Tomoko Sugimura Yuichi Saisaka Source Type: research
Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis
ConclusionCurrent evidence suggests that L is best at reducing mean operative time and intraoperative bleeding, T-S is best at reducing mean length of stay, TST has the shortest time to first defecation, STARR is best at reducing recurrence rates, PPH is best at reducing postoperative anal stricture, and F is best at reducing postoperative pain after 24 h.
Source: Techniques in Coloproctology - August 27, 2023 Category: Surgery Source Type: research
Digestive system deep infiltrating endometriosis: What do we know
J Cell Mol Med. 2023 Aug 25. doi: 10.1111/jcmm.17921. Online ahead of print.ABSTRACTDigestive system infiltrating endometriosis (DSIE) is an uncommon form of endometriosis in the digestive system. DSIE often occurs in the intestines (especially the sigmoid rectum), liver, gallbladder and pancreas. Clinically, DSIE presents with the same symptoms as endometriosis, including cyclic pain, bleeding and infertility, in addition to specific biliary/intestinal obstruction and gastrointestinal bleeding. Compared to general endometriosis, DSIE has unique biological behaviour and pathophysiological mechanisms. Most DSIEs are deep in...
Source: J Cell Mol Med - August 26, 2023 Category: Molecular Biology Authors: Wenze Yin Xiaoqing Li Peng Liu Yingjie Li Jin Liu Shan Yu Sheng Tai Source Type: research
