Pancreatoscopy-guided electrohydraulic lithotripsy in a patient with calcific chronic pancreatitis

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Endometriosis: A Rare Cause of Large Bowel Obstruction.

Large bowel obstruction can result in significant morbidity and mortality, especially in cases of acute complete obstruction. There are many possible causes, the most common in adults being colorectal cancer. Endometriosis is a benign disease, and the most affected extragenital location is the bowel, especially the rectosigmoid junction. However, transmural involvement and acute occlusion are very rare events. We report an exceptional case of acute large bowel obstruction as the initial presentation of endometriosis. The differential diagnosis of colorectal carcinoma may be challenging, and this case emphasizes the need to consider intestinal endometriosis in females at a fertile age presenting with gastrointestinal symptoms and an intestinal mass causing complete large bowel obstruction.info:eu-repo/semantics/publishedVersio

Mobility, social status, and cooperative practices in the Sucupira Hiace Central Station, Santiago Island, Cape Verde

Cape Verde's main interurban public transport hubs, the Hiace minibus stations, provide a look into the patterns and processes of mobility, urbanization, and aspirations for modernity in the archipelago. In this article, we examine the history of Hiace vehicles, the regulations and rules governing their circulation, the social status of drivers as mobility providers, and everyday interactions between passengers and drivers in the central Hiace minibus station of Sucupira, on the island of Santiago. The formation of a cooperative unit inside the Hiace is at the core of these interactions, challenging the usual preconceptions about practices of “capturing passengers” in the station. The multiplicity of social relations embedded in the station and during the trips, we argue, reflects popular forms of self-organization and cooperation in traveling, as well as notions of mobility, social status, and culture that articulate everyday life for both collective transport drivers and working-class commuters in Cape Verdean society.info:eu-repo/semantics/submittedVersio

Multifrequency radio observations of SNR J0536-6735 (N 59B) with associated pulsar

We present a study of new Australian Telescope Compact Array (ATCA) observations of supernova remnant, SNR J0536-6735. This remnant appears to follow a shell morphology with a diameter of D=36x29 pc (with 1 pc uncertainty in each direction). There is an embedded Hii region on the northern limb of the remnant which made various analysis and measurements (such as flux density, spectral index and polarisation) difficult. The radio-continuum emission followed the same structure as the optical emission, allowing for extent and flux density estimates at 20 cm. We estimate a surface brightness for the SNR at 1 GHz of 2.55x10^-21 W m^-2 Hz^-1 sr^-1. Also, we detect a distinctive radio-continuum point source which confirms the previous suggestion of this remnant being associated with a pulsar wind nebulae (PWN). The tail of this remnant isn't seen in the radio-continuum images and is only seen in the optical and X-ray images.Comment: 10 pages 4 figures, accepted for publication in SA

Eosinophilic Ascites: Uncommon Presentation of Eosinophilic Gastroenteritis in a Young Adult Male.

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A Complex Case of Cholestasis in a Patient with ABCB4 and ABCB11 Mutations

The low-phospholipid-associated cholelithiasis (LPAC) syndrome is a form of symptomatic cholelithiasis occurring in young adults, characterized by recurrence of symptoms after cholecystectomy and presence of hepatolithiasis. The case refers to a healthy 39-year-old Caucasian male who presented with abdominal pain and jaundice. His blood tests showed conjugated hyperbilirubinemia and elevated liver enzymes (total bilirubin 6.65 mg/dL, γ-glutamyltransferase 699 IU/L) and abdominal computed tomography revealed dilation of common bile duct and left intrahepatic ducts. Magnetic resonance cholangiopancreatography identified choledocholithiasis, retrieved by endoscopic retrograde cholangiopancreatography, after which there was a worsening of jaundice (total bilirubin 23 mg/dL), which persisted for several weeks, possibly due to ciprofloxacin toxicity. After an extensive workup including liver biopsy, the identification of two foci of hepatolithiasis on reevaluation abdominal ultrasound raised the hypothesis of LPAC syndrome and the patient was started on ursodeoxycholic acid, with remarkable improvement. Genetic testing identified the mutation c.1954A>G (p.Arg652Gly) in ABCB4 gene (homozygous) and c.1331T>C (p.Val444Ala) in ABCB11 gene (heterozygous). In conclusion, we describe the unique case of an adult male with choledocholithiasis, hepatolithiasis, and persistent conjugated hyperbilirubinemia after retrieval of stones, fulfilling the criteria for LPAC syndrome and with possible superimposed drug-induced liver injury, in whom ABCB4 and ABCB11 mutations were found, both of which had not been previously described in association with LPAC.info:eu-repo/semantics/publishedVersio

A rare presentation of breast cancer

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The Strongest 100 Point Radio Sources in the LMC at 1.4 GHz

We present the 100 strongest 1.4 GHz point sources from a new mosaic image in the direction of the Large Magellanic Cloud (LMC). The observations making up the mosaic were made over a ten year period and were combined with Parkes single dish data at 1.4 GHz to complete the image for short spacing. An initial list of co-identifications within 10" at 0.843, 4.8 and 8.6 GHz consisted of 2682 sources. Elimination of extended objects and artifact noise allowed the creation of a refined list containing 1988 point sources. Most of these are presumed to be background objects seen through the LMC; a small portion may represent compact H II regions, young SNRs and radio planetary nebulae. For the 1988 point sources we find a preliminary average spectral index of -0.53 and present a 1.4 GHz image showing source location in the direction of the LMC.Comment: 8 pages, 2 figure