Acute mesenteric venous thrombosis in a pregnant woman at 35 weeks of gestation: a case report and review of the literature

Abstract Background Mesenteric venous thrombosis (MVT) is an infrequent thrombotic event that can cause devastating intestinal hemorrhagic ischemia. The mortality rate among patients with acute MVT ranges from 20 to 50%. Occurrence of MVT in pregnancy is quite rare. In this case report, we describe a pregnant woman who presented with acute MVT at 35 weeks of gestation. Case presentation Our case was a 26-year-old primigravid woman at 35 weeks gestation. She presented to Guangzhou First People’s Hospital with complaints of abdominal pain, nausea and vomiting. The second day after admission, she complained of more intense abdominal pain, anorexia, vomiting and abdominal distention that were out of proportion to physical signs. An emergency exploratory laparotomy was performed. The entire ileum, part of the jejunum and part of the ascending colon were gangrenous, and thromboembolism was discovered in the corresponding mesenteric veins. The necrotic intestine was resected and an end-to-end jejunum-colon anastomosis was performed. A cesarean section was performed to remove the placenta and fetus, which had expired. Histopathological analysis revealed extensive edema, hemorrhage, inflammatory infiltration and necrosis in the resected bowel, and widespread thrombosis in mesenteric venous lumens. Conclusion The diagnosis of MVT during pregnancy is very difficult due to its low incidence, and non-characteristic symptoms, signs and laboratory results. MVT may be the underlying cause of severe abdominal pain during pregnancy and should be included in the differential diagnosis of pregnant patients with an acute abdomen

Groove pressing and its research progress

In order to systematically study the application of groove pressing in preparing bulk mass ultra-fine grain sheet metal, the fundamental principles, plastic mechanics analysis and classification of groove pressing are introduced, and on the basis of which, the influence rules and mechanism of processing factors such as pass number, deformation temperature and die structure on groove pressing are reviewed, and some key problems such as thermal stability of processed materials, process improvements and deformation path, deformation homogeneity analysis and process optimization are summarized. The research trends of groove pressing in the fields of application to sheet metals difficult to deform at room temperature, improvement of ductility, toughness and formability of processed sheets as well as its plastic deformation mechanism are prospected: in the future, groove pressing will be used for sheet metals which have limited formability but wide industrial applications such as magnesium alloys and titanium alloys, and much attention should be paid to investigation on performance adjustment mechanism and methods for processed sheets and exploration of effective technological measures for preventing cracks; meanwhile, the evolution mechanism of microstructure and properties of groove pressed materials must be systematically and thoroughly revealed

Model learning analysis of 3D optoacoustic mesoscopy images for the classification of atopic dermatitis

10.1364/boe.415105Biomedical Optics Express1263671-368

VLDL and LDL Subfractions Enhance the Risk Stratification of Individuals Who Underwent Epstein–Barr Virus‐Based Screening for Nasopharyngeal Carcinoma: A Multicenter Cohort Study

Abstract Serological tests for Epstein–Barr virus (EBV) antibodies have been widely conducted for the screening of nasopharyngeal carcinoma (NPC) in endemic areas. Further risk stratification of NPC can be achieved through plasma lipoprotein and metabolic profiles. A total of 297 NPC patients and 149 EBV‐positive participants are enrolled from the NCT03919552 and NCT05682703 cohorts for plasma nuclear magnetic resonance (NMR) metabolomic analysis. Small, dense very low density lipoprotein particles (VLDL‐5) and large, buoyant low density lipoprotein particles (LDL‐1) are found to be closely associated with nasopharyngeal carcinogenesis. Herein, an NMR‐based risk score (NRS), which combines lipoprotein subfractions and metabolic biomarkers relevant to NPC, is developed and well validated within a multicenter cohort. Combining the median cutoff value of the NRS (N50) with that of the serological test for EBV antibodies, the risk stratification model achieves a satisfactory performance in which the area under the curve (AUC) is 0.841 (95% confidence interval: 0.811‐0.871), and the positive predictive value (PPV) reaches 70.08% in the combined cohort. These findings not only suggest that VLDL‐5 and LDL‐1 particles can serve as novel risk factors for NPC but also indicate that the NRS has significant potential in personalized risk prediction for NPC