Hepatic Angiosarcoma Presenting as an Acute Intraabdominal Hemorrhage Treated with Transarterial Chemoembolization

Primary malignant neoplasms of the liver are some of the most uncommon malignancies in many parts of the world. They include hepatocellular carcinoma and stromal tumors such as hepatic angiosarcoma. It is a lethal tumor with life expectancy of less than six months. Once discovered, it is often too late for surgical intervention. Like other vascular tumors of the liver and spleen, intraperitoneal hemorrhage is a well-documented finding of angiosarcoma which can be lethal if not diagnosed and treated immediately. As in our case, intraperitoneal hemorrhage from primary tumor rupture was the only clinical presentation of this neoplasm. Approximately 15% of patients present with acute hemoperitoneum from either tumor rupture or peritoneal metastasis. Although several therapeutic options are available, we describe apalliative therapy for hepatic angiosarcoma utilizing transcatheter arterial chemoembolization (TACE) techniques incorporating the newer embolization agent Embospheres to locally target and treat this aggressive tumor

TINDAK TUTUR ILOKUSI PENDAKWAH DALAM PROGRAM DAMAI INDONESIAKU DI TV ONE

Artikel ini ditulis untuk mengetahui jenis tindak tutur ilokusi yang digunakan pendakwah dalam program damai indonesiaku di tv one, dan konteks situasi tutur yang digunakan pendakwah dalam program damai indonesiaku di tv one. Metode yang digunakan adalah metode deskriptif Berdasarkan analisis temuan penelitian dan pembahasan tentang tindak tutur ilokusi yang digunakan pendakwah dalam program damai indonesiaku di tv one, terdapat 5 bentuk tindak tutur ilokusi yaitu asertif, direktif, komisif, ekspresif, dan deklarasi.Kata Kunci: tindak tutur, ilokusiThis article was written to find out the types of illocutionary speech acts used by preachers in my Indonesian peace program on TV One, and the context of the speech situation used by preachers in Indonesian peace programs on TV One. The method used is descriptive method Based on the analysis of research findings and discussion of illocutionary speech acts used by preachers in Indonesian indonesian peace programs on TV One, there are 5 forms of illocutionary speech acts which are assertive, directive, commissive, expressive, and declaration.Keywords: speech act, illocutionar

TINDAK TUTUR ILOKUSI PENDAKWAH DALAM PROGRAM DAMAI INDONESIAKU DI TV ONE

Artikel ini ditulis untuk mengetahui jenis tindak tutur ilokusi yang digunakan pendakwah dalam program damai indonesiaku di tv one, dan konteks situasi tutur yang digunakan pendakwah dalam program damai indonesiaku di tv one. Metode yang digunakan adalah metode deskriptif Berdasarkan analisis temuan penelitian dan pembahasan tentang tindak tutur ilokusi yang digunakan pendakwah dalam program damai indonesiaku di tv one, terdapat 5 bentuk tindak tutur ilokusi yaitu asertif, direktif, komisif, ekspresif, dan deklarasi.Kata Kunci: tindak tutur, ilokusiThis article was written to find out the types of illocutionary speech acts used by preachers in my Indonesian peace program on TV One, and the context of the speech situation used by preachers in Indonesian peace programs on TV One. The method used is descriptive method Based on the analysis of research findings and discussion of illocutionary speech acts used by preachers in Indonesian indonesian peace programs on TV One, there are 5 forms of illocutionary speech acts which are assertive, directive, commissive, expressive, and declaration.Keywords: speech act, illocutionar

TINDAK TUTUR ILOKUSI PENDAKWAH DALAM PROGRAM DAMAI INDONESIAKU DI TV ONE

Artikel ini ditulis untuk mengetahui jenis tindak tutur ilokusi yang digunakan pendakwah dalam program damai indonesiaku di tv one, dan konteks situasi tutur yang digunakan pendakwah dalam program damai indonesiaku di tv one. Metode yang digunakan adalah metode deskriptif Berdasarkan analisis temuan penelitian dan pembahasan tentang tindak tutur ilokusi yang digunakan pendakwah dalam program damai indonesiaku di tv one, terdapat 5 bentuk tindak tutur ilokusi yaitu asertif, direktif, komisif, ekspresif, dan deklarasi. Kata Kunci: tindak tutur, ilokusi This article was written to find out the types of illocutionary speech acts used by preachers in my Indonesian peace program on TV One, and the context of the speech situation used by preachers in Indonesian peace programs on TV One. The method used is descriptive method Based on the analysis of research findings and discussion of illocutionary speech acts used by preachers in Indonesian indonesian peace programs on TV One, there are 5 forms of illocutionary speech acts which are assertive, directive, commissive, expressive, and declaration. Keywords: speech act, illocutionar

Giant celiac artery aneurysm: Treatment by transcatheter coil embolization

Celiac artery aneurysms (CAA) are one of the rarest forms of visceral artery aneurysms. Most patients are a symptomatic at the time of diagnosis and aneurysms are detected incidentally during diagnostic imaging for other diseases. We present the case of a 42-year-old man who had an asymptomatic giant CAA detected incidentally by an abdominal ultrasound investigating an abdominal pain. A contrast enhanced computed tomography angiogram (CTA) revealed a large CAA measuring 7.1 cm × 4.3 cm with extensive collaterals from the superior mesenteric artery (SMA). The aneurysm sac was mostly filled with thrombus with the celiac artery branches occluded. Pre-procedural angiography and transcatheter embolization procedures were performed at the same session. Endovascular exclusion was performed by transcatheter coil embolization and packing of the aneurysm sack. Technical success was achieved by the absence of flow in the aneurysm, and preservation of the native circulation on angiograms obtained just after the transcatheter coil embolization procedure. One week postembolization, a CTA confirmed thrombosis of the aneurysm. The patient returned for a follow-up CTA 3, 6, 12 and 48 months after embolization. The aneurysm was thrombosed and the patient remained a symptomatic. The surgical mode of treatment of CAA is increasingly being replaced by endovascular embolization because of the lower morbidity and mortality and high success rate. The accepted endovascular approach is by coil embolization of the aneurysmal lumen, the proximal and distal aneurysmal neck, or both