Jugular phlebectasia presenting as globus pharyngeus

Even though much has been written on the aetiology of globus pharyngeus, itstill remains elusive and multifactorial. We present a case of a 54-year-old womanwho was referred by an orthopedist to the radiology department with a 6-dayhistory of an intense feeling of “pressure” and “tightness” in the jugular notch.After performing a contrast-enhanced computed tomography scan, a phlebectasiaof the right anterior jugular vein was discovered. When trying to determinethe cause of the globus sensation one has to consider the possible existence ofa phlebectasia of one of the jugular veins

Anatomical variants of coeliac trunk in Polish population using multidetector computed tomography angiography

Background: Multidetector computed tomography angiography (MDCTA) has become a major part in evaluation of normal anatomy and its variants in patients undergoing operative or interventional procedures. The purpose of this study was to assess the frequency of anatomical variation of coeliac trunk in patients undergoing MDCTA of the abdominal aorta. Materials and methods: A descriptive, retrospective study was carried out on MDCTAs performed from January 2014 till January 2020 in Polish patients. Coeliac trunk was studied and normal and anatomical variations were noted according to Adachi’s classification. All patients with abnormalities affecting the vessels or a history of any vascular abnormality were excluded from the study. Results: Out of total 1000 patients, hepatogastrosplenic trunk was found in 93.0%. True and false types of trifurcation were observed. Hepatosplenic trunk was found in 2.8%, coeliacomesenteric trunk in 1.1%, hepatomesenteric trunk in 1.7% gastrosplenic trunk was found in 1.4%. We have not observed hepatosplenomesenteric trunk. Conclusions: The type and knowledge of anatomy is of prime importance for an optimum preoperative planning in surgical or radiological procedure. MDCTA allows minimally invasive assessment of arterial anatomy with high quality three-dimensional reconstruction images

Unusual variations in the branching pattern of the coeliac trunk and their clinical significance

Background: The anatomical variations of the coeliac trunk are due to developmental changes in the ventral segmental arteries. Multidetector computed tomography (MDCT) has been used to investigate vascular anatomy for scientific and diagnostic purposes. These studies allow for much larger sample sizes than traditional cadaveric studies. The aim of this research was to isolate rare anatomical variants of the coeliac trunk and emphasize their clinical significance. Materials and methods: A descriptive, retrospective study was carried out on MDCT angiographies performed from January 2020 till March 2020 in Polish patients. Coeliac trunk was studied and normal and anatomical variations were identified. Results: Out of total 350 patients, hepatogastrosplenic trunk was predominant. However, we observed: coeliaco-mesenteric and hepatogastric trunk type, hepatic artery variations and coeliac axis stenosis with collateral mesenteric circulation. Conclusions: Rare variations of the coeliac trunk should always be anticipated before radiological and surgical interventions. Knowledge of unusual coeliac trunk anatomy is important in hepatopancreatobiliary surgery, transplantology, and interventional radiology

Land-sharing vs. land-sparing urban development modulate predator-prey interactions in Europe

Urban areas are expanding globally as a consequence of human population increases, with overall negative effects on biodiversity. To prevent the further loss of biodiversity, it is urgent to understand the mechanisms behind this loss to develop evidence-based sustainable solutions to preserve biodiversity in urban landscapes. The two extreme urban development types along a continuum, land-sparing (large, continuous green areas and high-density housing) and land-sharing (small, fragmented green areas and low-density housing) have been the recent focus of debates regarding the pattern of urban development. However, in this context, there is no information on the mechanisms behind the observed biodiversity changes. One of the main mechanisms proposed to explain urban biodiversity loss is the alteration of predator–prey interactions. Using ground-nesting birds as a model system and data from nine European cities, we experimentally tested the effects of these two extreme urban development types on artificial ground nest survival and whether nest survival correlates with the local abundance of ground-nesting birds and their nest predators. Nest survival (n = 554) was lower in land-sharing than in land-sparing urban areas. Nest survival decreased with increasing numbers of local predators (cats and corvids) and with nest visibility. Correspondingly, relative abundance of ground-nesting birds was greater in land-sparing than in land-sharing urban areas, though overall bird species richness was unaffected by the pattern of urban development. We provide the first evidence that predator–prey interactions differ between the two extreme urban development types. Changing interactions may explain the higher proportion of ground-nesting birds in land-sparing areas, and suggest a limitation of the land-sharing model. Nest predator control and the provision of more green-covered urban habitats may also improve conservation of sensitive birds in cities. Our findings provide information on how to further expand our cities without severe loss of urban-sensitive species and give support for land-sparing over land-sharing urban development.This paper is a contribution by M. Diaz to the thematic net-work REMEDINAL3-CM (S2013/MAE-2719). F. Morelli and Y. Benedetti were financially supported by the Czech Science Foundation GACR (project number 18-16738S). P. Tryjanowski was supported by the BIOVEINS “Connectivity of green and blue infrastructure: living veins for biodiverse and healthy cities” (2016/22/Z/NZ8/00004)