Abstract:
RATIONALE:Heterotaxy with polysplenia is an extremely rare congenital condition resulting from abnormal arrangement of organs in the abdominal and thoracic cavities during embryologic development. When a malignancy such as pancreatic cancer develops under these conditions, surgical resection becomes particularly complex. This case report demonstrates successful pancreatic cancer resection despite the patient's complicated anatomy. PATIENT CONCERNS:An 82-year-old female presented to our institution with complaints of mild right upper quadrant pain radiating to the mid-epigastric region. DIAGNOSES:Physical examination revealed jaundice with scleral icterus consistent with obstructive jaundice. Radiographic imaging revealed hepatic duct dilation with several anatomic anomalies including small bowel location in the right upper abdomen, cecum, and appendix in the left lower quadrant, reversed superior mesenteric artery and superior mesenteric vein positions, and right-sided duodenal-jejunal flexture as well as an entirely right-sided pancreas, and left lower pelvis with ≥6 separate splenules. These findings resulted in a diagnosis of heterotaxy syndrome with polysplenia. INTERVENTIONS:Careful preoperative planning and total pancreatectomy was performed without complication. OUTCOMES:The patient recovered well. Pathologic examination of the pancreatic mass revealed moderately/poorly differentiated invasive pancreatic duct adenocarcinoma. The patient remains alive and well without signs of recurrent disease at the 2-year follow-up. LESSONS:Given the wide range of anatomical variants observed in patients with heterotaxy syndrome, a thorough radiologic assessment is necessary before engaging in any surgical procedure. In our case, preoperative identification of the various anatomic anomalies, such as the short and vertically oriented pancreas, the porta hepatis position anterior to the duodenum, the nonrotation of the intestines and the anomalous origin of the right hepatic artery allowed us to perform a safe and uncomplicated total pancreatectomy.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Pagkratis S,Kryeziu S,Lin M,Hoque S,Bucobo JC,Buscaglia JM,Georgakis GV,Sasson AR,Kim Jdoi
10.1097/MD.0000000000008599subject
Has Abstractpub_date
2017-12-01 00:00:00pages
e8599issue
49eissn
0025-7974issn
1536-5964pii
00005792-201712080-00009journal_volume
96pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Several scoring systems are commonly used to evaluate severity in patients with traumatic injuries. However, there is no generally accepted standard scoring system to assess the severity of thoracic trauma, specifically in patients who have sustained severe injuries. The present study aimed to evaluate the validity of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008317
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION:The Klippel-Trenaunay syndrome (KTS) is a rare congenital disorder. The obstetric course of women with KTS varies. Complications include bleeding, disseminated intravascular coagulation (DIC), thromboembolic events, etc. PATIENT CONCERNS:: Here, we report a case of late puerperal hemorrhage of a Chinese pu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018378
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:The argument on the recommended rehabilitation protocol following arthroscopic rotator cuff repair remains to be resolved. So this meta-analysis was presented to evaluate the differences of clinical effects between the 2 distinct rehabilitation protocols after arthroscopic rotator cuff repair. METHODS:The P...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000009625
更新日期:2018-01-01 00:00:00
abstract::The current study was to evaluate soluble ST-2 level and left ventricular ejection fraction (LVEF) in patients with breast cancer receiving doxorubicin or trastuzumab treatment for 6 months and determine whether soluble ST-2 level can be used to predictive left ventricular function impairment.Patients who were diagnos...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012447
更新日期:2018-09-01 00:00:00
abstract::This study is to investigate the cervical human papillomavirus (HPV) infection rate in women of Urumqi, China.The epidemiological questionnaire survey was used to study 2300 women in Urumqi with a prospective research method. The second-generation hybrid capture assay, cervical liquid-based cytology test, colposcopy, ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013206
更新日期:2018-11-01 00:00:00
abstract:RATIONALE:Fetal adenocarcinoma of the lung (FLAC) with fetal lung-like morphology is a rare entity of pulmonary adenocarcinoma. Well-differentiated fetal adenocarcinoma (WDFA) belongs to its the low-grade form, which possesses a relatively favorable prognosis. Tuberculosis (TB) is an aggressive infectious disease that ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018282
更新日期:2019-12-01 00:00:00
abstract::The present study compared the efficacy of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) and magnetic resonance elastography (MRE) in the estimation of hepatic fibrosis stages with histopathologic correlation.This retrospective study included 104 pa...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008339
更新日期:2017-10-01 00:00:00
abstract:RATIONALE:Gorham-Stout syndrome in the spine is extremely rare, and there is no standard curative management thus far. The objective of this article is to report a very rare case of Gorham-Stout syndrome of the lumbar and sacral spine with chylothorax and chyloperitoneum successfully treated by combination of vertebrop...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000011555
更新日期:2018-07-01 00:00:00
abstract:RATIONALE:Currently, the 5-year survival rate remains poor for patients with metastatic colorectal cancer (mCRC), and the purpose of therapy is to prolong survival while maintaining the quality of life. Trifluridine/tipiracil, an oral drug combining trifluorothymidine and a thymidine phosphorylase inhibitor, is indicat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022780
更新日期:2020-10-23 00:00:00
abstract::This study is conducted to investigate the involvement of T-helper (Th) cells and regulatory T cells in epithelial ovarian cancer (EOC).The percentages of Th22, Th17, Th1, and regulatory T cells in the peripheral blood of EOC patients, benign ovarian epithelial neoplasm (BOEN) patients, and healthy control (HC) were e...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008359
更新日期:2017-10-01 00:00:00
abstract:RATIONALE:Splenosis is the heterotopic auto-transplantation of the splenic tissues. Gastric splenosis in a rare location mimics a gastrointestinal stromal tumor (GIST). Gastric splenosis with hemangioma has not been reported throughout the literature. PATIENT CONCERNS:We report a case of a 74-year-old schistosomiasis ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000011461
更新日期:2018-07-01 00:00:00
abstract:RATIONALE:The optimal therapeutic regimen for chemotherapy-refractory and node-positive small-cell lung cancer (SCLC) is criticizable for the lack of evidence. PATIENT CONCERNS:A patient with locally advanced SCLC was insensitive to the first-line chemotherapy of etoposide, irinotecan, and cisplatin. DIAGNOSES:The pa...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008922
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury (TBI) is a debilitating medical and emerging public health problem that is affecting people worldwide due to a multitude of factors including both domestic and war-related acts. The objective of this paper is to systematically review the status of TBI in Lebanon - a Middle Eastern coun...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000005342
更新日期:2016-11-01 00:00:00
abstract::Idiopathic acute eosinophilic pneumonia (AEP) is an acute febrile illness that may be mistaken for an infectious pneumonia. Patients are often young and otherwise healthy. Clues to considering this disorder in a differential diagnosis include the acuity and severity of the clinical presentation and an initial chest X-...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/00005792-199611000-00004
更新日期:1996-11-01 00:00:00
abstract::As detection rates of non-albicans Candida species are increasing, determining their pathogen profiles and antifungal susceptibilities is important for antifungal treatment selection. We identified the antifungal susceptibility patterns and predictive factors for mortality in candidemia.A multicenter retrospective ana...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000019494
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Pancreatic cancer (PC) is a lethal disease, however current screening methods unable to achieve early diagnosis. Blood-based microRNAs (miRNAs) are promising molecular biomarkers for detecting PC. This meta-analysis summaries studies identifying serum- or plasma-based miRNAs dysregulated in PC patients compa...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012132
更新日期:2018-08-01 00:00:00
abstract::As whether Chlamydia trachomatis infection increases the risk of cervical cancer is controversial in the literature, we performed a meta-analysis.Based on a comprehensive search of publications in the Medline, Cochrane, and EMBASE databases, we identified and extracted data from all relevant articles examining C. trac...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000003077
更新日期:2016-03-01 00:00:00
abstract::This study was aimed to evaluate whether silver-containing dressings were superior to other types of dressings in the treatment of venous leg ulcers (VLU) and their specific advantages.Eight databases (Cochrane Library, PubMed, Web of Science, Ovid-Medline, Wanfang, VIP, China Biology Medicine, and China National Know...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022164
更新日期:2020-09-11 00:00:00
abstract::To assess prognostic factors for survival and describe Model for End-Stage liver disease (MELD) dynamics in human immunodeficiency virus+/hepatitis C virus+ (HIV+/HCV+) patients after an initial episode of hepatic decompensation.An HIV+/HCV+ cohort of patients experiencing an initial decompensation episode within the ...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000001239
更新日期:2015-07-01 00:00:00
abstract::There is a substantial effort to increase the accuracy of conflicts of interest (COI) reporting, and reduce the influence of COI between physicians and industry, especially as it relates to clinical practice guidelines.We used the newly implemented Open Payments dataset to evaluate the accuracy of COI disclosures of a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005711
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The patient's pattern identification has been used for personalized medicine in traditional Korean medicine (TKM) and aims for patient-specific therapy by Korean medical doctors. The pattern identification in this trial will be diagnosed from body constitution questionnaire (BCQ) with a more objective diagno...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016035
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:To assess the safety and efficacy of percutaneous short-segment pedicle instrumentation compared with conventionally open short-segment pedicle instrumentation and provide recommendations for using these procedures to treat thoracolumbar fractures. METHODS:The Medline database, Cochrane database of Systemat...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012535
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Presently, hip arthroscopy is a widely adopted surgical intervention for the treatment of femoroacetabular impingement (FAI). However, there is insufficient evidence regarding which between arthroscopy and nonoperative treatment is more optimal for symptomatic FAI. METHODS:MEDLINE, Embase, Web of Science, a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023247
更新日期:2020-12-04 00:00:00
abstract::The aim of this study was to elucidate the possible association between migration inhibitory factor (MIF)-173G/C gene polymorphisms and transcript and plasma levels of MIF in spinal tuberculosis (TB) patients. Clinical data were collected from 254 spinal TB patients and 262 healthy controls participating in the study....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021331
更新日期:2020-07-24 00:00:00
abstract:BACKGROUND:A pathological increase in intraabdominal pressure (IAP) and inflammatory responses have negative effects on splanchnic, respiratory, cardiovascular, renal, and neurological function in septic patients with intestinal dysfunction. Electro-acupuncture (EA) has been evidenced to have a bidirectional neuron-end...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000010555
更新日期:2018-04-01 00:00:00
abstract:RATIONALE:Methotrexate (MTX) is an antimetabolite of folic acid, which is used for management of ectopic pregnancy. MTX-related toxicity may include cutaneous mucosal damage, bone marrow suppression, gastrointestinal disorders (gastritis, diarrhea, hematitis), liver and kidney function damage, pulmonary toxicity, cardi...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000016895
更新日期:2019-08-01 00:00:00
abstract::To investigate the efficacy, key technical points, and complication management of the transabdominal preperitoneal (TAPP) approach for incarcerated inguinal hernia repair. Seventy-three patients with incarcerated inguinal hernias underwent TAPP surgery in our department between Jan 2010 and Dec 2015. A retrospective r...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005686
更新日期:2016-12-01 00:00:00
abstract::A nationwide multicenter study was conducted in the China to explore sources of variation of reference values and establish reference intervals for 28 common biochemical analytes, as a part of the International Federation of Clinical Chemistry and Laboratory Medicine, Committee on Reference Intervals and Decision Limi...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000002915
更新日期:2016-03-01 00:00:00
abstract:RATIONALE:Woven coronary artery is an extremely unusual congenital anomaly with unknown etiology. Because of normal flow after anomalous segment, this anomaly is considered to be benign. PATIENT CONCERNS:A 51-year-old man was admitted to our hospital with exertional dyspnea that he had experienced for half a year. Wov...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008302
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Infantile fever is a common symptom of the pediatric diseases, which is often caused by cold, food accumulation, or other pathogenic factors. Pediatric tuina is regarded as an acceptable non-pharmaceutical therapy for children with optimal effects, which has been widely used for infantile fever around China....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021664
更新日期:2020-08-14 00:00:00