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Radix Entomolaris: A Case Report and Review of Literature 昆虫根一例报告及文献综述
Pub Date : 1900-01-01 DOI: 10.55948/ijermdc.2023.0614
Dr. Abhinav Bhasker, Dr. Tarun Nanda, Dr. Baljeet Singh, Dr. Tanvi Ohri, Dr. M. Rita Hepsi Rani, Dr. Sachin Goyal
Understanding and awareness of unusual root canal morphologies in different teeth is extremely important for a dentist in order to achieve maximal beneficial effect to the patient. Any missed canal during endodontic treatment causes persistent infection around endodontically- treated tooth leading to unsuccessful outcome of root canal treatment. One of the altered tooth morphology is of the mandibular molars having additional root located either lingually (the radix entomolaris) or buccally (the radix paramolaris). Therefore, this case report discusses the endodontic treatment of mandibular first molar with a radix entomolaris.
了解和认识不同牙齿的不同根管形态对牙医来说是非常重要的,以达到对患者最大的有益效果。在根管治疗过程中,如果漏根管,就会导致被根管治疗过的牙齿周围持续感染,导致根管治疗失败。其中一种改变的牙齿形态是下颌磨牙有额外的根位于舌侧(虫齿根)或颊侧(副齿根)。因此,本病例报告讨论用虫根根治疗下颌第一磨牙。
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引用次数: 0
Mechanical Small Bowel Obstruction Incidence, Causes, Signs, and Symptoms in Al – Yarmouk Teaching Hospital 阿尔耶尔穆克教学医院机械性小肠梗阻的发生率、原因、体征和症状
Pub Date : 1900-01-01 DOI: 10.55948/ijermdc.2023.0202
Maktoum Kawan Jassem, H. Abdulrahman
Objectives: To assess causes, signs & symptoms of mechanical obstruction of the small bowel. Background: Mechanical obstruction of the small bowel is a common clinical and surgical condition, often presenting with signs and symptoms like those seen in other acute abdominal disorders controversy remains as to which patients with small bowel obstruction need immediate surgical intervention and which may be managed conservatively. Patients and Methods: A prospective study to assess incidence, causes, signs, and symptoms among ninety-two patients undergoing surgeries due to mechanical small bowel obstruction in Al-Yarmouk Teaching Hospital. In a period between October 2016 and October 2017 patients have divided into two groups 1 patients had surgery during the first 24hr from the start of signs & symptoms and a group of 2 patients had surgery after 24hr since the beginning of signs & symptoms. Results: Among ninety-two patients included in this study the result was 54 male (58.7%) and 38 female (41.3%). Patients with the previous scar were 62 cases (67.4%). The most common causes of MOSB were adhesions (63%), obstructed hernia (29.3%) most common type was inguinal hernia (16.3%), tumors (4.34%) and other causes were Crohn’s, bezoar, and intussuscept. Conclusion: Mechanical obstruction. The small bowel is a severe condition and moderately common in cases of acute abdomen adhesions were the commonest cause of MOSB also a high incidence of strangulation was seen in obstructed hernia, and patients generally present with abdominal pain, nausea and emesis, abdominal distension, and progressive obstipation, the clinical finding of high fever. Localized or generalized severe abdominal tenderness, rebound tenderness, severe leukocytosis, or metabolic changes suggest possible complications of bowel necrosis, perforation, or generalized peritonitis. MSBO is usually suggested by plain abdominal radiographs and confirmed by a CT scan.
目的:探讨机械性小肠梗阻的病因、体征和症状。背景:机械性小肠梗阻是一种常见的临床和外科疾病,通常表现出与其他急性腹部疾病相似的体征和症状,对于哪些小肠梗阻患者需要立即手术干预,哪些患者可以保守治疗,仍然存在争议。患者和方法:一项前瞻性研究,评估在Al-Yarmouk教学医院因机械性小肠梗阻手术的92例患者的发生率、原因、体征和症状。在2016年10月至2017年10月期间,患者分为两组,1组患者在出现体征和症状后24小时内进行手术,2组患者在出现体征和症状后24小时进行手术。结果:本组92例患者中,男性54例(58.7%),女性38例(41.3%)。既往瘢痕62例(67.4%)。MOSB最常见的病因为粘连(63%)、梗阻性疝(29.3%),最常见的类型为腹股沟疝(16.3%)、肿瘤(4.34%),其他原因为克罗恩病、牛黄、肠套叠。结论:机械性梗阻。小肠是一种严重和中度常见的情况,急性腹部粘连是MOSB最常见的原因,梗阻性疝也有高发生率的绞窄,患者通常表现为腹痛、恶心和呕吐、腹胀和进行性梗阻,临床表现为高热。局部或全身性严重腹部压痛、反跳压痛、严重白细胞增多或代谢改变提示可能有肠坏死、穿孔或全身性腹膜炎的并发症。MSBO通常由腹部平片提示,并由CT扫描证实。
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引用次数: 0
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International Journal of Enhanced Research in Medicines & Dental Care
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