Renal hilar pheochromocytoma: a case report

Paraganglioma is a rare tumor arising from undifferentiated cells of the primitive neural crest. These tumors are most commonly found in the adrenal gland, other localisations are also possible. A 58-year-old woman who presented with history of left lumbar pain, headache, hypertension, palpitation and sweating was found to have a secreting left renal hilar pheochromocytoma. Radical excision of the tumor was therefore undertaken and her hypertension was controlled. From the case report and literature review, the authors suggest a diagnostic and therapeutic strategy for the management of ectopic localization of pheochromocytoma

Bilateral testicular self-castration due to cannabis abuse: a case report

<p>Abstract</p> <p>Introduction</p> <p>The self-mutilating patient is an unusual psychiatric presentation in the emergency room. Nonetheless, serious underlying psychiatric pathology and drug abuse are important background risk factors. A careful stepwise approach in the emergency room is essential, although the prognosis, follow-up, and eventual rehabilitation can be problematic.</p> <p>We present a unique and original case of bilateral self-castration caused by cannabis abuse.</p> <p>Case Presentation</p> <p>We report a case of a 40-year-old Berber man, who was presented to our emergency room with externalization of both testes using his long fingernails, associated with hemodynamic shock. After stabilization of his state, our patient was admitted to the operating room where hemostasis was achieved.</p> <p>Conclusion</p> <p>The clinical characteristics of self-mutilation are manifold and there is a lack of agreement about its etiology. The complex behavior associated with drug abuse may be one cause of self-mutilation. Dysfunction of the inhibitory brain circuitry caused by substance abuse could explain why this cannabis-addicted patient lost control and self-mutilated. To the best of our knowledge, this is the first case report which presents an association between self-castration and cannabis abuse.</p

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Review of the horse flies of the genus Atylotus Osten Sacken, 1876 (Diptera: Tabanidae) from Egypt, with description of a new species

Abu El-Hassan, Gawhara M. M., Badrawy, Haitham B. M., Fadl, Hassan H., Mohammad, Salwa K. (2019): Review of the horse flies of the genus Atylotus Osten Sacken, 1876 (Diptera: Tabanidae) from Egypt, with description of a new species. Zootaxa 4551 (1): 79-86, DOI: https://doi.org/10.11646/zootaxa.4551.1.

A review of the genus Tabanus Linnaeus, 1758 (Diptera: Tabanidae) from Egypt

Abu El-Hassan, Gawhara M. M., Badrawy, Haitham B. M., Fadl, Hassan H., Mohammad, Salwa K. (2013): A review of the genus Tabanus Linnaeus, 1758 (Diptera: Tabanidae) from Egypt. Zootaxa 3691 (5): 559-576, DOI: 10.11646/zootaxa.3691.5.

Figures 3–8. 3 in Addenda to the insect fauna of Al-Baha Province, Kingdom of Saudi Arabia with zoogeographical notes

Figures 3–8. 3, Platypleura arabica Myers; 4, Cletomorpha sp.; 5, Gonocerus juniperi Herrich-Schäffer; 6, Coranus lateritius (Stål); 7, Rhynocoris bipustulatus (Fieber); 8, Cantacader iranicus Lis.Published as part of El-Hawagry, Magdi S., Sharaf, Mostafa R., Al Dhafer, Hathal M., Fadl, Hassan H. & Aldawood, Abdulrahman S., 2015, Addenda to the insect fauna of Al-Baha Province, Kingdom of Saudi Arabia with zoogeographical notes, pp. 1209-1236 in Journal of Natural History 50 on page 1215, DOI: 10.1080/00222933.2015.1103913, http://zenodo.org/record/399024