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Case Report  |   Volume 2, Issue 4

A Case of Dedifferentiated Leiomyosarcoma of the Uterus

Kanae Nosaka, Hiroaki Komatsu, Tetsuro Oishi, Yasushi Horie, Tasuku Harada and Yoshihisa Umekita
Abstract

Dedifferentiation of leiomyosarcoma is a rare phenomenon that associates pleomorphic histology and loss of smooth muscle differentiation. Although the leiomyosarcoma is well known sarcoma in the uterus, and the dedifferentiated leiomyosarcoma is well recognized in the soft parts, there are only a few reports of dedifferentiation of leiomyosarcoma in the uterus. Herein we present a case of dedifferentiated uterine leiomyosarcoma and discuss its relation to the undifferentiated uterine sarcoma.

  PDF   |    Full Text | DOI: 10.23937/2469-5807/1510049

Case Report  |   Volume 2, Issue 4

A Battle against the Odds: Intensive Therapy in Thrombotic Storm

Priyanka Raheja, Pavel Olivera, Veronica Pons, Mercedes Perez, Joan Balcells, Romy Rossich and Amparo Santamaria
Abstract

Thrombotic storm (TS) is a rare life-threatening entity that is characterized by multiple thrombotic events affecting diverse vascular sites occurring over a short period of time (days to weeks). We describe a case of a young boy who developed extensive and rapidly progressive thrombosis which required intensive treatment that included the use of triple antithrombotic therapy, pharmacomechanical thrombectomy, systemic thrombolytic therapy, and the combined use of plasmapheresis and immunosuppression.

  PDF   |    Full Text | DOI: 10.23937/2469-5807/1510048

Case Report  |   Volume 2, Issue 4

Intra-Abdominal Abscess Caused by Perforated Jejunal Diverticulitis: A Case Report

Sornsupha Limchareon, Chomsorn Suparuxjinda and Varachaya Sawasdeemongko
Abstract

Jejunal diverticulitis with complication is a rare entity. Diagnosis is usually made intra-operatively. A case of 46-year-old female with acute upper abdomen is presented. Computed tomography demonstrated jejunal perforation with abscess formation. Operative findings revealed perforating jejunal diverticulitis with abscess formation. Though jejunal diverticulitis is rare but should be included in the differential diagnosis of jejunal perforation.

  PDF   |    Full Text | DOI: 10.23937/2469-5807/1510047

Case Report and Literature Review  |   Volume 2, Issue 4

Spontaneous Duodeno-Colic Fistula: A Case Report and Literature Review

Meizhuo Gao, Tie Wang, Lining Tian and Jinlu Zhao
Abstract

Duodeno-colic fistula is an unnatural connect between the duodenum and the colon, which occurs rarely with the onset in the middle-aged. This report summarized the clinical manifestation and surgical treatment of the sixth case of spontaneous duodenum-colic fistula and reviewed the published other five cases.

  PDF   |    Full Text | DOI: 10.23937/2469-5807/1510046

Review Article  |   Volume 2, Issue 4

Evaluation of Hematologic Exams in Parturient Adolescents Assisted at a Public Hospital in Brazil

Ana Karina Marques Salge, Maria TheresaCeravolo Laguna Abreu, Janaina Valadares Guimaraes, Fabiola de Azevedo Mello, Renata Calciolari Rossi e Silva, Douglas Reis Abdalla, George Kemil Abdalla, Thaila Correa Castra, Marilia Cordeirode Souza, Livia Roberta Rodrigues Conceicao and Eumenia Costa da Cunha Castro
Abstract

Pregnancy during adolescence is a high-risk condition that prompts research interest due to frequent obstetrics complications in this age group. We aimed to identify potentially significant hematologic alterations in parturient adolescent patients at a public hospital in Goiania, Goias State, Brazil. Data from the medical charts of 45 parturient adolescents (aged 10 to 19 years) seen from 2013-2014 were analyzed, including their hemogram results, neonatology records, and labor and delivery notes.

  PDF   |    Full Text | DOI: 10.23937/2469-5807/1510045