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Hepatol Res. 2002 Jun;23(2):145-151.
Intrahepatic huge hematoma due to rupture of small hepatocellular adenoma: a case report.
Minami Y, Kudo M, Kawasaki T, Chung H, Matsui S, Kitano M, Suetomi Y, Onda H, Funai S, Kou K, Yasutomi M.
Department of Gastroenterology and Hepatology, Kinki University School of Medicine, 377-2, Ohno-Higashi 589-8511, Osaka-Sayama, Japan
Hepatocellular adenoma sometimes causes intraperitoneal hemorrhage. It is, however, rare for small hepatocellular adenoma to cause intrahepatic huge hemorrhage without intraperitoneal bleeding. Here we describe such a rare case of hepatocellular adenoma with huge intrahepatic hemorrhage in a 25-year-old female, who had taken oral contraceptives for the last 2 weeks. She was admitted to our hospital with a sudden onset of right-upper-quadrant abdominal pain and temporally fell in shock state. Plain CT depicted low density area measuring more than 13 cm in diameter in the right lobe of the liver. Huge tumor was also suggested by abdominal ultrasound, contrast enhanced CT, magnetic resonance imaging (MRI) and angiography. The patient was diagnosed as intrahepatic rupture of hepatic tumor. Because of the risk of re-hemorrhage and malignancy, she underwent right hepatic lobectomy. Histopathologial examination of the resected specimen showed a typical small hepatocellular adenoma with the surrounding huge hematoma in the liver. The case presented here is very rare but seems to be suggestive to the natural course and management of hepatocellular adenoma.
Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12048069&dopt=Abstract hemorrhage [PubMed - as supplied by publisher]
J Neurosci Methods. 2002 Dec 31;122(1):75-8.
Control of completeness and immediate detection of bleeding by a single laser-Doppler flow probe during intravascular middle cerebral artery occlusion in rats.
Woitzik J, Schilling L.
Department of Neurosurgery, University Hospital Mannheim, University of Heidelburg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany. johannes.woitzich.ma.uni-heidelberg.de
To detect the unintentional generation of subarachnoid hemorrhage (SAH) during thread occlusion of the middle cerebral artery (MCA) in rats, a single laser-Doppler flowmetry (LDF) probe was positioned over the ipsilateral cortex. Occlusion of the MCA resulted in an immediate drop of the LDF signal to 21.4+/-8.0% which was followed by a partial recovery to 31+/-11% in animals without SAH. In contrast, a sustained decrease to 7.4+/-5% (P<0.05 vs. non-SAH) occurred in animals with SAH. Thus, unintentional rupturing of the intracerebral carotid artery can easily and reliably be detected by single LDF monitoring immediately after MCA occlusion.
Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12535766&dopt=Abstract hemorrhage
Gan To Kagaku Ryoho. 2002 Nov;29(12):2205-8.
[Treatment of tracheobronchial malignant tumors using a new high power diode contact laser (GaAlAs) system]
[Article in Japanese]
Ishiguro T, Sawa T, Yoshida T, Yokoyama M, Murakawa S, Azuma K, Tomida Y.
Division of Respiratory Medicine, Gifu Municipal Hospital.
We treated ten patients with tracheobronchial malignant tumors using a new high power diode contact laser (GaAlAs) system (DIOMED 25, OLYMPUS) with a flexible bronchofiberscope (OLYMPUS BF IT200 or BF IT240). The total energy of the high power diode laser was 811 J, with a range of 64-3,960 J. With this method 85.7 percent of the symptoms such as dyspnea and hemoptysis were improved, and there was no incidence of massive hemorrhage or serious respiratory failure. The results confirmed the usefulness and safety of this method of treatment for obstructive lesions due to tracheobronchial polypoid malignant tumor and bleeding of the tracheobronchial tree.
Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12484038&dopt=Abstract hemorrhage
Orbit. 1998 Mar;17(1):41-46.
Ocular injuries in midfacial fractures.
Marin MI, Tejero TR, Dominguez FM, Gutierrez ME.
Department of Ophthalmology, Hospital 12 de Octubre, Madrid, Spain
The incidence of ocular lesions in midfacial fractures ranges from 4 to 67%, depending on the criteria used in the previous examination. We report a retrospective study of 219 patients (233 fractures) who were admitted to our hospital between January 1990 and June 1994. The fractures are classified according to Henderson's classification (X-ray and Computed Tomography). We present the results of the ophthalmologic evaluation, after excluding palpebral lesions, and discuss the correlation with the etiology and the kind of fracture. The ocular lesions are divided into extraocular and intraocular ones. The extraocular lesions that we found are the following: damage to the lacrimal system, cranial nerve damage, displacement of the eye, corneal erosion and corneal foreign body and conjunctival lesions (subconjunctival hemorrhages, lacerations and chemosis). The intraocular lesions studied are divided into lesions of the anterior structures (hyphema, traumatic cataract, lens dislocation and hernia of the iris) and lesions of the posterior structures (vitreous and macular hemorrhage, eyeball perforation, optic nerve damage and Berlin's edema). Our conclusion is that comminuted fractures, fractures of the orbital rim only and those of the orbital floor are the most frequently associated with ocular damage, being mainly caused by automobile accidents and assaults.
Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12048718&dopt=Abstract hemorrhage [PubMed - as supplied by publisher]
Orbit. 1998 Sep;17(3):189-194.
Cryoextraction in the management of orbital tumors. An old technique revisited.
Kiratli H, Bilgic S.
Department of Ophthalmology, Ocular and Orbital Oncology Unit, Hacettepe University School of Medicine, Ankara, Turkey
Four patients with relatively large orbital tumors are described. These patients had superomedial rhabdomyosarcoma, inferomedial cavernous hemangioma, lateral primitive neuroectodermal tumor, and superior neurofibroma, respectively. Continuing enlargement and encroachment upon vital ocular structures and suspicion of malignancy warranted surgical intervention. Following exposure of the anterior portions of these tumors, a cryoprobe was used for the complete removal of the mass. Cryoextraction greatly facilitates the excision of well-defined, solid, encapsulated, benign or malignant tumors excluding the lacrimal gland and thus minimizes trauma to adjacent tissues. More importantly, the tumor can be removed intact without capsular rupture and risk of tumor spill-over or hemorrhage. At the histopathological level, the application of a cryoprobe did not alter the microscopic structures of the lesions and did not cause any difficulty for histopathologic interpretation.
Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12048727&dopt=Abstract hemorrhage [PubMed - as supplied by publisher]
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