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Achalasia of the Esophagus at Donka National Hospital: A Case Report 顿卡国立医院食管失弛缓症一例报告
Pub Date : 2023-07-18 DOI: 10.52916/jmrs234111
Camara Fl, B. H, B. Am, Camara Sn, Diakité Sy, Baldé Ak, Soromou G, Sylla H, Diallo Aa, T. I, Balde Tm, Yattara A, Soumaoro Lt, T. A., Dia At, D. B
Background: Esophageal achalasia is an esophageal motility disorder of unknown etiology that results in impaired lower esophageal sphincter relaxation and loss of esophageal peristalsis. The aim of our study was to show our experience in the management of esophageal achalasia in a case treated by laparotomy in our service. Case Report: 21-year-old patient, student, admitted to our department for progressive dysphagia to solids accompanied by regurgitation, epigastric pain, nocturnal cough and weight loss, evolving for 5 years. ATCD of pulmonary tuberculosis. The physical examination noted a deterioration in general condition, stage (I) of the WHO; there was hypo coloration of the integuments and conjunctivae, TA=120/80mmHg, Pulse=70/min. The abdomen was symmetrical with presence of sluggish skin folds, supple and painless without a palpable mass, the digital rectal examination did not present any particularity. The thorax was symmetrical with a FR=20 c/mn. The biology showed a normo chrome and normocytic anemia of 8 g/l Group O+. The esogastroduodenal transit was in favor of an amputation (tight stenosis) extended on the cardia with megaesophagus upstream. We performed a cardiomyotomy according to Heller associated with a hemivalve according to Toupet. We performed a followed by preesophageal and subhepatic drainage. The postoperative course was simple, marked by a resumption of food on D6 postoperatively. The control test carried out with gastrographine 10 days after the surgical intervention noted a regression of the signs with passage of the product of contrast in the small intestine. The patient seen again 6 months after the operation showed no particularities. Conclusion: Achalasia is a chronic esophageal motility disorder characterized by the inability of the lower esophageal sphincter to relax. Heller cardiomyotomy by laparotomy associated with Toupet-type fundoplication retains its place in its management in our exercise context.
背景:食管贲门失弛缓症是一种病因不明的食管运动障碍,导致食管下括约肌松弛受损和食管蠕动丧失。我们的研究的目的是展示我们的经验,在管理食管贲门失弛缓症的情况下,在我们的服务治疗剖腹手术。病例报告:21岁学生,因进行性吞咽困难至固体物伴反流、胃脘痛、夜间咳嗽及体重减轻入院,病程发展5年。肺结核的ATCD。体检发现一般情况恶化,属于世卫组织(I)级;被膜、结膜色素过低,TA=120/80mmHg,脉搏=70/min。腹部对称,有松弛的皮肤褶皱,柔软无痛,无可触及的肿块,直肠指检未见特殊。胸腔对称,FR=20 c/mn。生物学表现为8 g/l O+组铬含量正常,正常红细胞性贫血。食管-十二指肠通道有利于截肢(狭窄)延伸至贲门,上游为食管。根据Heller的说法我们做了心肌切开术同时根据Toupet的说法做了半瓣手术。我们进行了食管前和肝下引流。术后过程简单,术后6天恢复进食。手术干预后10天用胃图碱进行的对照试验表明,随着造影剂在小肠中的通过,这些症状有所消退。术后6个月患者再次就诊,无明显异常。结论:贲门失弛缓症是一种以食管下括约肌不能放松为特征的慢性食管运动障碍。在我们的运动背景下,剖腹Heller心肌切开术联合toupet型基底扩张在其管理中仍占有一席之地。
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引用次数: 0
Neonatal Incarceration of Inguinal Hernia with Torsion of Right Testes 新生儿腹股沟疝右睾丸扭转置入术
Pub Date : 2023-07-18 DOI: 10.52916/jmrs234112
N. Alhojaili, A. Alzahrani, I. Kutbi, Helal Almalki, Laila Alabasi, A. Zubani, Samah Hamdi
An inguinal hernia is a bulge or protrusion that is seen or felt in the groin area or the scrotum (for boys). Inguinal hernias occur in boys more frequently than in girls. Infants who are born prematurely are at an increased risk of having an inguinal hernia. Incarceration of hernia is a major problem in neonates, it causes significant pain and the content of this hernia is the intestine. If not diagnosed early it causes a cut in the blood supply and the infant became very sick. Treatment of inguinal hernia is surgical under general anesthesia, but if an inguinal hernia is present in preterm the surgical will be done before discharge. Bilateral inguinal hernia in females must be investigated very carefully, maybe ovaries are present in inguinal hernia.
腹股沟疝是指在腹股沟或阴囊(男孩)看到或感觉到的隆起或突起。腹股沟疝发生在男孩身上的频率高于女孩。早产的婴儿患腹股沟疝的风险增加。疝的嵌顿是新生儿的一个主要问题,它会引起严重的疼痛,而疝的内容物是肠道。如果不及早诊断,就会导致血液供应中断,婴儿会变得非常不舒服。腹股沟疝的治疗是在全身麻醉下进行的,但如果早产患者存在腹股沟疝,则应在出院前进行手术。女性双侧腹股沟疝必须仔细检查,腹股沟疝可能存在卵巢。
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引用次数: 0
Spirometry: A Test Underestimated by the Anesthesiologist 肺活量术:一项被麻醉师低估的测试
Pub Date : 2023-07-18 DOI: 10.52916/jmrs234110
Gerardo Alberto Solis Pérez, Tomás Segura Fernández, D. E. Martinez, Luz Elena Carpio Dominguez, Manuel Alberto Guerrero Gutierrez, J. Hernandez, Jorge Mario Antolinez Motta, Arturo Vázquez Peralta, Raymundo Flores Ramírez, Elvia Darelly Reyez Pérez
Spirometry is a lung function test, whose main objective is to evaluate lung mechanics. It is a test that is currently easily accessible, but little used by anesthesiologists. One cause may be that they are not familiar with the analysis and understanding of said test or the lack of a pulmonary physiology laboratory in their hospitals. The proper analysis and understanding of this test by the general and thoracic anesthetist offers a range of possibilities both for the perioperative evaluation of the patient with pulmonary pathology or the one who will undergo thoracic surgery. Having a great impact by influencing the prognosis and management of these patients.
肺活量测定是一种肺功能测试,其主要目的是评估肺力学。这是一种目前很容易获得的测试,但麻醉师很少使用。一个原因可能是他们不熟悉分析和理解所述测试或缺乏肺生理学实验室在他们的医院。全科麻醉师和胸外科麻醉师对这项测试的正确分析和理解,为肺部病变患者或将要接受胸外科手术的患者的围手术期评估提供了一系列可能性。通过影响这些患者的预后和治疗产生了很大的影响。
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引用次数: 0
Ginvival Plasma Cell Granuloma: A Case Report Ginvival浆细胞肉芽肿1例报告
Pub Date : 2023-07-06 DOI: 10.52916/jmrs234109
Somerville-Caso Santiago Walter, Ramos-Garibay José Alberto, Haces-Caso Alfonso, Martínez-Berlanga Paulina
Gingival Plasma Cell Granuloma (GPCG) is a rare benign lesion, which is considered within the so-called pseudotumors. In other specialties it is known as plasma cell granuloma. Histologically characterized by dense inflammatory cells infiltrates, mainly plasma cells. This manuscript presents the case of a 75 year-old woman, with a tumor in the upper alveolar region of the oral cavity. The final diagnosis corresponds to GGCP. Successfully treated with surgery, without recurrences. It is important to know this pathological entity to differentiate it form other oral cavity tumors with malignant behavior.
牙龈浆细胞肉芽肿(GPCG)是一种罕见的良性病变,被认为是所谓的假肿瘤。在其他专科中,它被称为浆细胞肉芽肿。组织学特征为致密的炎性细胞浸润,主要为浆细胞。这篇手稿介绍了一位75岁的女性的病例,她患有口腔上牙槽区的肿瘤。最终诊断对应GGCP。手术治疗成功,无复发。了解这种病理实体,将其与其他具有恶性行为的口腔肿瘤区分开来是很重要的。
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引用次数: 0
A Rare Case of Foreign Accent Syndrome Secondary to Cardiac Arrest 继发于心脏骤停的外国口音综合征一例
Pub Date : 2023-06-19 DOI: 10.52916/jmrs234108
Vinay Krupadev, JeffreyD. Mimbs, Lucy Tomb, H. Patel
Foreign Accent Syndrome (FAS) is a rare and poorly understood condition in which a patient develops a change in intonation resulting in a new foreign accent. FAS is associated with a traumatic event, especially neurologic injury. The literature suggests FAS is commonly associated with cerebrovascular accidents, though other precipitating neurological conditions are documented. To our knowledge, there is no reported case of FAS associated with cardiac arrest. Here we report a case in which a patient local to Louisiana developed a change in speech resembling a Haitian accent secondary to cardiac arrest.
外国口音综合症(Foreign Accent Syndrome, FAS)是一种罕见且鲜为人知的疾病,患者的语调发生了变化,从而产生了一种新的外国口音。FAS与创伤性事件有关,尤其是神经损伤。文献表明,FAS通常与脑血管意外有关,尽管有其他诱发神经系统疾病的文献记载。据我们所知,没有FAS与心脏骤停相关的病例报道。在这里,我们报告了一个病例,在路易斯安那州当地的病人发展了一种类似于海地口音的语言变化,继发于心脏骤停。
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引用次数: 0
A Study on Outcomes of Mini Open Procedures on Rotator Cuff Injuries 小型开放式手术治疗肩袖损伤的疗效研究
Pub Date : 2023-06-02 DOI: 10.52916/jmrs234106
Nageswararao Y, Shin Gm, Chemboli Jm
Background: Many treatment options exist for the management of rotator cuff tears, varying from non-operative-benign neglect to complex arthroscopic partial repair using an interval slide technique. Although satisfactory results may be obtained with many of these options, it should be remembered that few prospective, randomized trials exist comparing these treatments. Thus, controversy remains as to the absolute indications for each, and individual patient factors may significantly affect the final treatment decision. Methods: Hospital-based observational study. Informed consent was taken from the patients. A total of 30 patients who got admitted to the Department of Orthopaedics, Government General Hospital, Kakinada from November 2018 to September 2020 were included in the study. Results: Twenty five cases showed excellent results four cases showed good results and one showed poor result using University of California LosAngeles shoulder scale. Twenty nine cases showed excellent results and one case showed good result with Constant Murley Score. Conclusion: In the era of arthroscopic rotator cuff surgery the mini open technique with open acromio plasty and rotator cuff repair adds to rural surgeon as an elective procedure and can produce clinically competing results that of other contemporary techniques.
背景:对于肩袖撕裂的治疗有很多选择,从非手术良性忽视到复杂的关节镜下间歇滑动部分修复技术。虽然这些选择中的许多可能获得令人满意的结果,但应该记住,很少有前瞻性的随机试验对这些治疗进行比较。因此,关于每一种药物的绝对适应症仍存在争议,个别患者因素可能会显著影响最终的治疗决定。方法:基于医院的观察性研究。获得患者的知情同意。研究纳入了2018年11月至2020年9月在卡基纳达政府总医院骨科住院的30名患者。结果:采用加州大学洛杉矶分校肩标法,25例疗效优,4例疗效好,1例疗效差。恒莫里评分法显示,优良者29例,优良者1例。结论:在关节镜下肩袖手术时代,小型开放技术联合开放式肩峰成形术和肩袖修复术作为一种可选择的手术方式,在临床上可以取得与其他当代技术相媲美的效果。
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引用次数: 0
Neurostimulation for Spinal Lesions: Enhancing Recovery and Axonal Regeneration. 脊髓损伤的神经刺激:加强康复和轴突再生。
Pub Date : 2023-06-01 Epub Date: 2023-06-03 DOI: 10.52916/jmrs234107
Drashti Patel, Jonathan Benjamin, Aashay Patel, Chance Fleeting, Jed Casauay, Marco Foreman, Sohum Sheth, Brandon Lucke-Wold

Spinal neurostimulation is a promising approach for treating spinal lesions and has implications in various neurological disorders. It promotes axonal regeneration and neuronal plasticity to reestablish disrupted signal transduction pathways following spinal injuries or degeneration. This paper reviews the current technology and its differing utilities in various types of neurostimulation, including invasive and noninvasive methods. The paper also explores the efficacy of spinal compression and decompression therapy, with a primary focus on degenerative spinal disorders. Moreover, the potential of spinal neurostimulation in therapies for motor disorders, such as Parkinson's disease and demyelinating disorders, is discussed. Finally, the paper examines the changing guidelines of use for spinal neurostimulation following surgical tumor resection. The review suggests that spinal neurostimulation is a promising therapy for axonal regeneration in spinal lesions. This paper concludes that future research should focus on the long-term effects and safety of these existing technologies, optimizing the use of spinal neurostimulation to enhance recovery and exploring its potential for other neurological disorders.

脊髓神经刺激是一种治疗脊髓病变的有前途的方法,对各种神经系统疾病具有重要意义。它能促进轴突再生和神经元可塑性,重建脊柱损伤或变性后中断的信号转导通路。本文回顾了当前的技术及其在各类神经刺激中的不同效用,包括侵入性和非侵入性方法。本文还探讨了脊柱加压和减压疗法的疗效,重点关注脊柱退行性疾病。此外,本文还讨论了脊髓神经刺激在帕金森病和脱髓鞘疾病等运动障碍治疗中的潜力。最后,本文探讨了肿瘤手术切除后脊髓神经刺激使用指南的变化。综述表明,脊髓神经刺激是脊髓病变轴突再生的一种有前途的疗法。本文的结论是,未来的研究应关注这些现有技术的长期效果和安全性,优化脊髓神经刺激的使用以促进康复,并探索其用于其他神经系统疾病的潜力。
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引用次数: 0
Pulmonary Artery Aneurysm: A Rare Case Report 肺动脉动脉瘤:一罕见病例报告
Pub Date : 2023-05-02 DOI: 10.52916/jmrs234103
Nimra Ali, Danial Khalid, Muhammed F. Ali, Raisa Altaf, Uzma Uzma, Ramsha Fatima Qureshi
Pulmonary artery aneurysm is a rare entity involving aneurysmal dilatation of the main pulmonary artery. It is associated with structural cardiac anomalies, structural vascular abnormalities, pulmonary artery hypertension, vasculitis and infection. In some cases, it can also be idiopathic. Clinical presentation may vary in different patients and are nonspecific. Treatment is usually surgical intervention once diagnosed. We have presented one such case of a patient whose Computed Tomography (CT) scan showed a large aneurysm of descending branch of pulmonary artery.
摘要肺动脉动脉瘤是一种少见的肺动脉主动脉瘤性扩张的疾病。它与心脏结构性异常、结构性血管异常、肺动脉高压、血管炎和感染有关。在某些情况下,它也可能是特发性的。不同患者的临床表现可能不同,且无特异性。一旦确诊,通常采取手术治疗。我们报告了一例这样的病例,患者的计算机断层扫描(CT)显示肺动脉降支的大动脉瘤。
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引用次数: 0
The Glutamate Dependence Hypothesis May Explain Overeating Browned Food Only and the Worldwide Heart Disease Pandemic 谷氨酸依赖假说可以解释过度食用棕色食物和世界范围内的心脏病流行
Pub Date : 2023-04-30 DOI: 10.52916/jmrs234105
J. Cocores
The following study tried to determine whether Maillard reaction end product-embodied food is significantly more alluring, rewarding, addictive, and cardiovascular taxing than Maillard reaction end product-free meals. As importantly, does Maillard end product-containing fare exhibit more tolerance measured by increased total calorie consumption per day, progression measured by rising amounts of overweight, and withdrawal measured by more frequent urges to snack and dine than Maillard reaction end product-free provisions? The data presented here suggests an intimate association between dietary Maillard-reaction end product-induced glutamate dependence, overeating browned food only, and cardiovascular disease. Phosphorous and glutamate-prompted redox imbalance, hyperlipidemia, immune system activation, chronic inflammatory disease, vascular calcification, hypertension, ischemic heart disease, atrial fibrillation, and stroke may be symptoms of Glutamate dependence.
接下来的研究试图确定含有美拉德反应最终产物的食物是否比不含美拉德反应最终产物的食物更有吸引力、更有回报、更容易上瘾、更容易引起心血管疾病。同样重要的是,与不含美拉德反应最终产物的食品相比,含有美拉德反应最终产物的食品是否表现出更强的耐受性(通过每天增加的总热量消耗来衡量),通过增加超重量来衡量的进展,以及通过更频繁地渴望吃零食和吃饭来衡量的戒断?本文提供的数据表明,饮食美拉德反应终产物诱导的谷氨酸依赖、过度食用棕色食物和心血管疾病之间存在密切联系。磷和谷氨酸引起的氧化还原失衡、高脂血症、免疫系统激活、慢性炎症性疾病、血管钙化、高血压、缺血性心脏病、房颤和中风可能是谷氨酸依赖的症状。
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引用次数: 1
An Uncommon Presentation of Common Disease at Tertiary Care Centre of Northern India 印度北部三级保健中心常见疾病的罕见表现
Pub Date : 2023-04-27 DOI: 10.52916/jmrs234104
Rajni Sharma, A. Joshi, A. Singhal, Amit Katyal, Naveen Kumar
Snake bite is often met emergency in Indian subcontinent especially in rural settings. We sent a case of a 26-year-old male, residing in North India who sented with complaints of swelling over left leg along with breathlessness. His renal functions deteriorated gradually. In view of various physical and laboratory findings, a diagnosis of vasculotoxic snake bite envenomation with acute kidney injury and pulmonary oedema was made. He was managed conservatively with IV fluids, parenteral antibiotics and haemodialysis. Acute kidney injury is an important complication in vasculotoxic snake bites and should be addressed early.
在印度次大陆,尤其是在农村地区,蛇咬伤经常发生。我们发送了一个居住在北印度的26岁男性病例,他抱怨左腿肿胀和呼吸困难。他的肾功能逐渐恶化。根据各种物理和实验室检查结果,诊断为血管毒性蛇咬伤环境病伴急性肾损伤和肺水肿。他接受了静脉输液、非肠道抗生素和血液透析的保守治疗。急性肾损伤是血管毒性蛇咬伤的一个重要并发症,应尽早解决。
{"title":"An Uncommon Presentation of Common Disease at Tertiary Care Centre of Northern India","authors":"Rajni Sharma, A. Joshi, A. Singhal, Amit Katyal, Naveen Kumar","doi":"10.52916/jmrs234104","DOIUrl":"https://doi.org/10.52916/jmrs234104","url":null,"abstract":"Snake bite is often met emergency in Indian subcontinent especially in rural settings. We sent a case of a 26-year-old male, residing in North India who sented with complaints of swelling over left leg along with breathlessness. His renal functions deteriorated gradually. In view of various physical and laboratory findings, a diagnosis of vasculotoxic snake bite envenomation with acute kidney injury and pulmonary oedema was made. He was managed conservatively with IV fluids, parenteral antibiotics and haemodialysis. Acute kidney injury is an important complication in vasculotoxic snake bites and should be addressed early.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48967512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of medical research and surgery
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