17 research outputs found
SIRS Triggered by Acute Right Ventricular Function, Mimicked Septic Shock.
BACKGROUND: The systemic inflammatory response syndrome (SIRS) is a complex immune response which can be precipitated by non-infectious aetiologies such as trauma, burns or pancreatitis. Addressing the underlying cause is crucial because it can be associated with increased mortality. Although the current literature associates chronic heart failure with SIRS, acute right ventricular dysfunction has not previously been reported to trigger SIRS. This case report describes the presentation of acute right ventricular dysfunction that triggered SIRS and mimicked septic shock. CASE PRESENTATION: A 70-year-old male presented to the Intensive Care Unit (ICU) with elevated inflammatory markers and refractory hypotension after a robotic-assisted laparoscopic radical choledochectomy with pancreaticoduodenectomy. Septic shock was misdiagnosed, and he was later found to have a pulmonary embolus. Thrombectomy and antimicrobials had no significant efect on lowering the elevated inflammatory markers or improving the persistent hypotension. Through Point of Care Ultrasound (POCUS), right ventricular dysfunction was diagnosed. Treatment with intravenous milrinone improved blood pressure, normalised inflammatory markers and led to a prompt discharge from the ICU. CONCLUSION: Acute right ventricular dysfunction can trigger SIRS, which may mimic septic shock and delay appropriate treatment
Repeat liver resection versus salvage liver transplant for recurrent hepatocellular carcinoma: A propensity score-adjusted and -matched comparison analysis.
10.14701/ahbps.2019.23.4.305Ann Hepatobiliary Pancreat Surg234305-31
Clinicopathological-Associated Regulatory Network of Deregulated circRNAs in Hepatocellular Carcinoma
10.3390/cancers13112772CANCERS131
Outcomes of salvage liver transplant for recurrent hepatocellular carcinoma: A comparison with primary liver transplant.
10.14701/ahbps.2019.23.1.1Ann Hepatobiliary Pancreat Surg2311-
Highly deregulated lncRNA LOC is associated with overall worse prognosis in Hepatocellular Carcinoma patients
10.7150/jca.56340JOURNAL OF CANCER12113098-311