The nonsurgical expansion of maxillary and mandibular arches in a young adult:

paythelady.612 shared this article with you from Inoreader Seven-year follow-up of the nonsurgical expansion of maxillary and mandibular arches in a young adult: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Seven-year follow-up of the nonsurgical expansion of maxillary and mandibular arches in a young adult: A case report. World J Clin Cases. 2020 Nov 06;8(21):5371-5379 Authors: Yu TT, Li J, Liu DW Abstract BACKGROUND: Palatal expansion treatment has been used to expand the constricted maxillary arch and has become a routine procedure in orthodontic practice over the past decades. However, the long-term stability of expansion in the permanent dentition without a surgical approach is uncertain. CASE SUMMARY: We present the case of a 15-year-old boy with Class II malocclusion and constricted arches. The patient was treated with rapid palatal expansion (RPE) followed by a fixed orthodontic appliance. A 7-year follow-up evaluation was performed by analyzing cephalometric radiographs, plaster models, and photographs. The patient's constricted maxillary and mandibular arches were relived after the expansion treatment. A Class I occlusion and normal arch form were established and maintained in the long-term. CONCLUSION: RPE treatment is successful in solving constricted dental arch in the permanent dentition without a surgical approach. Permanent retention and even occlusal contact help prevent long-term relapse. PMID: 33269272 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Pancreatic cancer with ovarian metastases: A case report and review of the literature.

paythelady.612 shared this article with you from Inoreader Pancreatic cancer with ovarian metastases: A case report and review of the literature. Μέσω pubmed: "world j clin cases"... Related Articles Pancreatic cancer with ovarian metastases: A case report and review of the literature. World J Clin Cases. 2020 Nov 06;8(21):5380-5388 Authors: Wang SD, Zhu L, Wu HW, Dai MH, Zhao YP Abstract BACKGROUND: Pancreatic cancer with ovarian metastases is rare and easily misdiagnosed. Most patients are first diagnosed with ovarian cancer. We report a rare case of ovarian metastases secondary to pancreatic adenocarcinoma. We also review the literature to analyze the clinical characteristics of, diagnostic methods for, and perioperative management strategies for this rare malignancy. CASE SUMMARY: A 48-year-old woman with an abdominal mass presented to our hospital. Computed tomography revealed lesions in the pancreas and lower abdomen. Radiological examination and histological investigation of biopsy specimens revealed either an ovarian metastasis from a pancreatic neoplasm or two primary tumors, with metastasis strongly suspected. The patient simultaneously underwent distal pancreatectomy plus splenectomy by a general surgeon and salpingo-oophorectomy with hysterectomy by a gynecologist. Histological examination of the surgical specimen revealed a pancreatic adenocarcinoma (intermediate differentiation, mucinous) and a metastatic mucinous adenocarci-noma in the ovary. CONCLUSION: For this rare tumor, surgical resection is the most effective treatment, and the final diagnosis depends on tumor pathology. PMID: 33269273 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Early ultrasound diagnosis of conjoined twins at eight weeks of pregnancy: A case report.

paythelady.612 shared this article with you from Inoreader Early ultrasound diagnosis of conjoined twins at eight weeks of pregnancy: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Early ultrasound diagnosis of conjoined twins at eight weeks of pregnancy: A case report. World J Clin Cases. 2020 Nov 06;8(21):5389-5393 Authors: Liang XW, Cai YY, Yang YZ, Chen ZY Abstract BACKGROUND: Conjoined twins are a rare occurrence, and the majority of these malformations are detected during second trimester screening. CASE SUMMARY: Herein we report a case of conjoined twins, which was diagnosed by ultrasound at 8 wk gestation and was normal at 7 wk gestation. The two fetuses shared one heart and were diagnosed as thoracopagus twins. This is the first report of conjoined twins diagnosed at 8 wk gestation. The pregnancy was terminated electively at 9 wk gestation. Because some congenital malformations can be diagnosed earlier, a prenatal ultrasound examination at an early gestational stage cannot be dismissed. CONCLUSION: This case demonstrates that a 7-8 wk gestation might be the earliest period when conjoined twins can be diagnosed by ultrasound. PMID: 33269274 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Supermicroscopy and arterio-venolization for digit replantation in young children after traumatic amputation: Two case reports.

paythelady.612 shared this article with you from Inoreader Supermicroscopy and arterio-venolization for digit replantation in young children after traumatic amputation: Two case reports. Μέσω pubmed: "world j clin cases"... Related Articles Supermicroscopy and arterio-venolization for digit replantation in young children after traumatic amputation: Two case reports. World J Clin Cases. 2020 Nov 06;8(21):5394-5400 Authors: Chen Y, Wang ZM, Yao JH Abstract BACKGROUND: To report the application of supermicroscopy combined with arterio-venolization without venous anastomosis for replantation of digits following traumatic amputation in young children. CASE SUMMARY: In March 2016, we treated two children aged 2 years and 7 years with traumatic digit amputation, no venous anastomosis, and bilateral digital inherent arteries on the palmar side. Supermicroscopy combined with an arteriovenous technique was adopted to improve the replantation surgery. Postoperative management involved auxiliary treatments such as anticoagulation, composure, anti-inflammatory drugs, and insulation. After treatment, the amputated fingers survived completely without major complications, with good recovery. CONCLUSION: Supermicroscopy combined with arterio-venolization is a safe and effective approach to treat traumatic digit amputation in young children without venous anastomosis. PMID: 33269275 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Candidal periprosthetic joint infection after primary total knee arthroplasty combined with ipsilateral intertrochanteric fracture: A case report.

paythelady.612 shared this article with you from Inoreader Candidal periprosthetic joint infection after primary total knee arthroplasty combined with ipsilateral intertrochanteric fracture: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Candidal periprosthetic joint infection after primary total knee arthroplasty combined with ipsilateral intertrochanteric fracture: A case report. World J Clin Cases. 2020 Nov 06;8(21):5401-5408 Authors: Xin J, Guo QS, Zhang HY, Zhang ZY, Talmy T, Han YZ, Xie Y, Zhong Q, Zhou SR, Li Y Abstract BACKGROUND: Candidal periprosthetic joint infection is a rare and difficult to diagnose complication of total knee arthroplasty. The treatment of such complications is inconclusive and may include prosthesis removal, debridement, arthrodesis, and extensive antifungal therapy to control the infection. CASE SUMMARY: A 62-year-old male with a history of total knee arthroplasty (TKA) in his left knee presented with ipsilateral knee pain and a sinus discharge 20 mo after TKA. The patient was previously evaluated for left knee pain, swelling, and a transient fever one month postoperatively. Prothesis removal and insertion of a cement spacer were performed in a local hospital six months prior to the current presentation. Medical therapy included rifampicin and amphotericin which were administered for 4 wk following prosthesis removal. A second debridement was performed in our hospital and Candida parapsilosis was detected in the knee joint. Fourteen weeks following the latter debridement, the patient suffered a left intertrochanteric fracture and received closed reduction and internal fixation with proximal femoral nail anterotation. Two weeks after fracture surgery, a knee arthrodesis with autograft was performed using a double-plate fixation. The patient recovered adequately a nd was subsequently discharged. At the two-year follow-up, the patient has a stable gait with a pain-free, fused knee. CONCLUSION: Fungal periprosthetic joint infection following TKA may be successfully and safely treated with prosthesis removal, exhaustive debridement, and arthrodesis after effective antifungal therapy. Ipsilateral intertrochanteric fractures of the affected knee can be safely fixated with internal fixation if the existing infection is clinically excluded and aided by the investigation of serum inflammatory markers. PMID: 33269276 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Aspiration pneumonia during general anesthesia induction after esophagectomy: A case report.

paythelady.612 shared this article with you from Inoreader Aspiration pneumonia during general anesthesia induction after esophagectomy: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Aspiration pneumonia during general anesthesia induction after esophagectomy: A case report. World J Clin Cases. 2020 Nov 06;8(21):5409-5414 Authors: Tang JX, Wang L, Nian WQ, Tang WY, Xiao JY, Tang XX, Liu HL Abstract BACKGROUND: Esophageal cancer is a common malignant tumor of the digestive system. At present, surgery is the most important treatment strategy. After esophagectomy and gastric esophagoplasty, the patients are prone to regurgitation. However, these patients currently do not receive much attention, especially from anesthesiologists. CASE SUMMARY: A 55-year-old woman was scheduled for right lower lung lobectomy. The patient had undergone radical surgery for esophageal cancer under general anesthesia 6 mo prior. Although the patient had fasted for > 17 h, unexpected aspiration still occurred during induction of general anesthesia. Throughout the operation, oxygen saturation was 98%-100%, but the airway pressure was high (35 cmH2O at double lung ventilation). The patient was sent to the intensive care unit after surgery. Bedside chest radiography was performed, which showed exudative lesions in both lungs compared with the preoperative image. After surgery, antibiotics were given to prevent lung infection. On day 2 in the intensive care unit, the patient was extubated and discharged on postoperative day 7 without complications related to aspiration pneumonia. CONCLUSION: After esophagectomy, patients are prone to regurgitation. We recommend nasogastric tube placement followed by rapid sequence induction or conscious intubation. PMID: 33269277 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Large and unusual presentation of gallbladder adenoma: A case report.

paythelady.612 shared this article with you from Inoreader Large and unusual presentation of gallbladder adenoma: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Large and unusual presentation of gallbladder adenoma: A case report. World J Clin Cases. 2020 Nov 06;8(21):5415-5419 Authors: Cao LL, Shan H Abstract BACKGROUND: Gallbladder adenoma is a relatively rare benign tumor with a potential for malignant transformation if found to be greater than 1 cm in size. CASE SUMMARY: Herein, we report a case of a 51-year-old female with large 3 cm × 3 cm mass of gallbladder adenoma that was misdiagnosed as adenocarcinoma due to its clinical presentation. Computed tomography and magnetic resonance imaging scans showed an irregularly shaped cauliflower-like lump in the gallbladder measuring 38 mm × 32 mm corresponding to a malignant tumor and several gallbladder stones with low diffusion-weighted imaging and equisignal of T1-weighted imaging and T2-weighted imaging; moreover, the CA 19-9 levels were very high (184.1 U/mL). Pathology reports after tumor resection showed adenoma with moderate epithelial atypia and moderate atypia in the focal area with fine pedicle and no clear infiltration. CONCLUSION: Computed tomography and magnetic resonance imaging scans need to be carefully scrutinized in certain rare cases of adenomas with abnormal imaging features. PMID: 33269278 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.