Low Molecular Weight Heparin-Induced Skin Necrosis: A Case Report

Low molecular weight heparins (LMWHs) are the standard agents used for antithrombotic therapy and prophylaxis. Despite their widespread use, reports about adverse effects from LMWHs are very scarce. Heparin-induced skin necrosis at the injection site is a rare adverse effect, more commonly associated with unfractionated heparin (UFH) rather than with LMWH, while its mechanism remains unclear. This paper deals with the enoxaparin induced skin necrosis

Primary Malignant Fibrous Histiocytoma: A Rare Case

Malignant fibrous histiocytoma (MFH) of the small intestine is an extremely rare condition. It occurs most commonly in the extremities and the trunk. We report a case of a 67-year-old woman who admitted with fever, myalgia, and altered status. After thorough investigation, a tumor of the jejunum was found. The patient underwent complete surgical removal of the tumor. A diagnosis of MFN (undifferentiated high-grade pleomorphic sarcoma) was made. The patient received adjuvant chemotherapy with Gemcitabine. Two years after the operation, the patient died due to recurrence of the disease. MFH of the small intestine is an extremely rare neoplasm with an aggressive biological behaviour. In this paper, pathogenesis, natural history, and treatment are reviewed

Dermoid Cysts of the Floor of the Mouth: Two Case Reports

Dermoid cysts in the floor of the mouth may be congenital or acquired. The congenital form, according to the main theory, originates from embryonic cells of the 1st and 2nd branchial arch. The acquired form may be due to traumatic or iatrogenic causes and as a result of the occlusion of a sebaceous gland duct. Its occurrence is less and is estimated to be from 1.6 to 6.4% of the dermoid cysts of the body in adults and 0.29% of the head and neck tumors occurring in children. They may also be classified as anatomical and histological. Anatomically, they are divided into median genioglossal, median geniohyoid, and lateral cysts, while histologically they are divided into epidermoid, dermoid cysts and teratomas. Clinically, a distinction between supra and inferior type as well as between central and lateral type is proposed in relation to themylohyoidmuscle and themidline, respectively. Histologically, an estimation of dermoid, epidermoid, and teratoid cysts is reported. Enucleation via intraoral and/or extraoral approach is the method of treatment. Two case reports of dermoid cysts in the floor of the mouth are presented in this paper, and an evaluation with regard to pathology, clinical findings, differential diagnosis, and treatment is discussed

Standing long jump and handheld halters; is jumping performance improved?

The purpose of this experimental study was to document the kinematic and dynamic characteristics of the standing long jump without extra loading and with handheld weights (halters) of different mass and to investigate any association between the former and jumpers’ performance. Fifteen subjects (13 males and 2 females) between the ages of 19 and 21 years old participated in this horizontal prospective study. Each participant performed standing long jumps. Regarding the jumping technique, free arm swinging without or with handheld halters of different weights (1.5 kg and 3 kg in each hand) was used. The subjects repeated the jumping set (consisted of free arm swinging jump, jumping with 3 kg and then with 6 kg handheld halters) three times and the three different technique jumps were performed in a random order. The jumping distance was significantly increased 7 cm (2.7%) with 3 kg handheld halters compared to free arm jumps (p=0.006). In addition the subjects jumped 5 cm further with 6 kg handheld weights (2.67±0.27 m) than without (2.62±0.21 m) (statistically significant difference, p=0.005). The horizontal displacement of the center of mass was significantly increased with 3 kg and 6 kg handheld compared to free arm jumps (p=0.007, p=0.005 respectively). Take off angle of center of mass difference was statistically significant between 0 kg (36±5o) and 6 kg (29±5o) handheld weights (12.13% decrease, p=0.001). A gradual significant increase in the horizontal take off velocity of the center of mass was depicted between free arm and 3 kg halters jump (3.5% increase) and 3 kg weights and 6 kg ones (3.69% increase). In conclusion greater distance is achievable during a loaded standing long jump due to 1) horizontal translation of the center of mass, 2) the greater ground reaction force that is generated, 3) decrease in take off angle of center of mass and 4) increase in the horizontal take off velocity of the center of mass

Direct inguinal hernia containing bladder carcinoma: A case report and review of the literature

AbstractINTRODUCTIONInguinal hernia containing bladder carcinoma is a very rare occurrence.PRESENTATION OF CASEWe report a case of a male patient who presented with a left groin hernia containing an irregular mass. The hernia was repaired without the use of mesh and a partial cystectomy was done.DISCUSSIONOnly 1–3% of all inguinal hernias involve the bladder, with very few reports containing a carcinoma.CONCLUSIONTreatment consists of removing the tumor and repairing the hernia

Historical considerations regarding the first descriptions of pancreas’ anatomy

The descriptions of the term “pancreas” as well the macroscopic anatomy of the pancreas throughout Antiquity, Byzantium, Middle Ages and Renaissance are displayed. In particular, the original phrases of famous physicians of that period as regards the anatomy of the pancreas are presented: Hippocrates, Aristotle, Herophilus, Galen, Rufus of Efesus, Julius Pollux, Oribasius, Bartolomeo Eustachio, Andreas Vesalius, Gabriel Fallopius, Johann Georg Wirsung, Francis Glisson, Giovanni Domenico Santorini

Late Solitary Pancreatic Metastasis from Renal Cell Carcinoma: A Case Report

We report a case of a 70-year-old man with renal cell carcinoma and metastasis to the pancreas. Symptomatic patients usually present with obstructive jaundice, abdominal pain, or GI bleeding. The diagnosis usually occurs in asymptomatic patients during followup for renal cell carcinoma. It usually befalls slowly from 2 to 18 years after the onset of the primary tumor of the kidney. A 70-year-old man presented in our department with weight loss, anorexia, and elevated blood glucose, having a large tumor on the head of the pancreas treated successfully by pancreatoduodenectomy. Three years after his treatment, the patient is doing well and without recurrence of the tumor. In conclusion, metastasis of renal cell carcinoma to the pancreas is a rare neoplasm accounting for 0.25–3% of all pancreatic tumors