Volume 13 - Issue 2
Authors : Jochen Fries, Tobias Fortman, Johannes Friemann, Romina Schueller
This is the first report of a fatal bleeding caused by segmental mediolysis of the inferior vena cava (IVC) at the transition through the diaphragm in a 74 year old
female patient. As evaluated by the missing vital reaction, the abdominal bleed occurred three days after the placement of 2 XTW clips reducing a grade III-IV
tricuspid insufficiency to a grade II. In the immediate vicinity of the rupture, an acute thinning and ultimately a segmental loss of the smooth muscle
layer without any sign of repair, inflammation or necrosis is present. In the surrounding area, individual venues as well as single arterioles show segmental
changes in their muscular layer being previously mentioned as defect in the literature.
Authors : Dr. Turkia B Al-Rouk, MB, Bch, MD*, Zawawi FRCSI, Prof. M. Murmish MRCOG, Dr. M. Rahouma MD, Dr. N. Belkher, MB, Prof. M. Rashed
FRCSI
The term “congenital dislocation of the hip” has traditionally been used to describe abnormal infant hips that may progress to dislocation. “Developmental
Dysplasia of the Hip”, the currently preferred term, denotes the same range of hip problems but also includes hips that are never documented to be
dislocated but are poorly developed, as well as hips that are determined to be abnormal after the newborn period. Clinical screening for DDH was instituted
in many European countries after 1962.
Authors : Dr. T.B. EROUK, M. RASHED FRCSI
Degenerative Joint Disease (DJD), also known as osteoarthritis (OA), is a common condition that affects the synovial joints, leading to the progressive
deterioration of cartilage, subchondral bone, and surrounding tissues. It is often associated with joint pain, limited range of motion (ROM), and functional
impairments. While the knee joint is one of the most commonly affected areas, the shoulder joint can also exhibit signs of degenerative changes.
Authors : Babak Zandi, Nazanin Zargar , Seyyede Tarannom Maddah*
Removal of buccal cortical bone during endodontic microsurgery may result in unfavorable healing. The “bone window” technique aims to preserve the
buccal cortex while providing satisfactory access to the operative field. This case report represents surgical management of a maxillary right lateral incisor
with a history of endodontic retreatment and persistent large periapical lesion. The bone window was created with fine osteotomy instruments and after root
resection and retro-preparation, was repositioned to the original site at the end of the procedure.
Authors : Sacco ML, Fortunato G, Esposito A, Pasqua R, Pennacchio E
Splenic artery aneurysm (SAA) is the third most common intra abdominal aneurysm and the most frequent visceral arterial aneurysm. Although most
SAAs are discovered incidentally, spontaneous rupture is a catastrophic event, with case fatality rates of 10–25 % in the general population and up to 70 %
during pregnancy. This review synthesises current evidence on epidemiology, pathophysiology, clinical presentation, diagnostic work up, and management
of ruptured spontaneous SAA (r SAA). A literature search of PubMed and EMBASE from 2000 2025 identified key clinical studies, systematic reviews,
and guideline statements.
Authors : Onur Dede*; Mazhar Utanğac; Ece Yilmaz Eşsiz
Non-obstructive azoospermia (NOA) accounts for approximately 10–15% of all infertile men and represents the most severe form of spermatogenic failure
[1]. Microdissection testicular sperm extraction (mTESE) is currently the most effective surgical technique for sperm retrieval in NOA patients [2]. However,
retrieval rates remain low in those with Sertoli cell-only (SCO) histology [3].
Authors : Charlie Vidal MD, MPH, MBA *; Jose Martinez Barroso MD, FACC
Coronary embolism accounts for approximately 3% of acute myocardial infarctions (AMI) and is frequently associated with atrial fibrillation, infective
endocarditis, or prosthetic valve pathology. Although mechanical prostheses confer higher thromboembolic risk, embolic events can occur with bioprosthetic
valves and are likely underrecognized. Differentiating sources of emboli includes LV mural thrombus, prosthetic valve thrombus or pannus, and vegetations; is
essential because therapies differ (anticoagulation vs antimicrobials vs surgery). Contemporary guidance emphasizes targeted imaging (TEE, cardiac CT/PET,
CMR) to clarify etiology and direct treatment.
