An unexpected cause of abdominal pain or maybe more

A 61-year old Caucasian woman, presented to the Emergency Department due to a four-week history of vomiting, diarrhea and abdominal pain. Physical examination revealed tenderness in the upper abdomen and normal bowel sounds. A CT was performed and the patient was admitted. A CT scan of the chest and the abdomen revealed a chronically dissected Stanford B thoracoabdominal aneurysm with mural thrombus, thrombosis of the celiac, hepatic, splenic and superior mesenteric arteries with collateral circulation, thrombosis of the portal and superior mesenteric veins and a splenic infarct. Dissection of an aneurysm is a catastrophic complication with high mortality and morbidity, thus an invasive treatment is often warranted with either surgery or endovascular repair. On the other hand, portal thrombosis is associated with inherited or acquired procoagulant states (like Factor V Leiden), hematologic diseases (like myeloproliferative diseases), cirrhosis, abdominal surgery or trauma and intra-abdominal inflammatory conditions. Its treatment involves anticoagulation or rarely, thrombolysis or thrombectomy. Both chronic dissection of the abdominal aneurysm and the portal vein thrombosis can cause abdominal pain, nausea, and other gastrointestinal symptoms secondary to bowel hypoperfusion. Diagnosis: chronically dissected Stanford B thoracoabdominal aneurysm and thrombosis of the celiac, hepatic, splenic and superior mesenteric arteries with collateral circulation, thrombosis of the portal and superior mesenteric veins and a splenic infarct

Statistical State Dynamics: a new perspective on turbulence in shear flow

Traditionally, single realizations of the turbulent state have been the object of study in shear flow turbulence. When a statistical quantity was needed it was obtained from a spatial, temporal or ensemble average of sample realizations of the turbulence. However, there are important advantages to studying the dynamics of the statistical state (the SSD) directly. In highly chaotic systems statistical quantities are often the most useful and the advantage of obtaining these statistics directly from a state variable is obvious. Moreover, quantities such as the probability density function (pdf) are often difficult to obtain accurately by sampling state trajectories even if the pdf is stationary. In the event that the pdf is time dependent, solving directly for the pdf as a state variable is the only alternative. However, perhaps the greatest advantage of the SSD approach is conceptual: adopting this perspective reveals directly the essential cooperative mechanisms among the disparate spatial and temporal scales that underly the turbulent state. While these cooperative mechanisms have distinct manifestation in the dynamics of realizations of turbulence both these cooperative mechanisms and the phenomena associated with them are not amenable to analysis directly through study of realizations as they are through the study of the associated SSD. In this review a selection of example problems in the turbulence of planetary and laboratory flows is examined using recently developed SSD analysis methods in order to illustrate the utility of this approach to the study of turbulence in shear flow.Comment: 27 pages, 18 figures. To appear in the book "Zonal jets: Phenomenology, genesis, physics", Cambridge University Press, edited by B. Galperin and P. L. Rea

Stochastic Structural Stability Theory applied to roll/streak formation in boundary layer shear flow

Stochastic Structural Stability Theory (SSST) provides an autonomous, deterministic, nonlinear dynamical system for evolving the statistical mean state of a turbulent system. In this work SSST is applied to the problem of understanding the formation of the roll/streak structures that arise from free-stream turbulence (FST) and are associated with bypass transition in boundary layers. Roll structures in the cross-stream/spanwise plane and associated streamwise streaks are shown to arise as a linear instability of interaction between the FST and the mean flow. In this interaction incoherent Reynolds stresses arising from FST are organized by perturbation streamwise streaks to coherently force perturbation rolls giving rise to an amplification of the streamwise streak perturbation and through this feedback to an instability of the combined roll/streak/turbulence complex. The dominant turbulent perturbation structures involved in supporting the roll/streak/turbulence complex instability are non-normal optimal perturbations with the form of oblique waves. The cooperative linear instability giving rise to the roll/streak structure arises at a bifurcation in the parameter of STM excitation parameter. This structural instability eventually equilibrates nonlinearly at finite amplitude and although the resulting statistical equilibrium streamwise streaks are inflectional the associated flows are stable. Formation and equilibration of the roll/streak structure by this mechanism can be traced to the non-normality which underlies interaction between perturbations and mean flows in modally stable systems.Comment: 16 pages, 24 figures, has been submitted for publication to Physics of Fluid