Acute appendicitis caused by endometriosis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Endometriosis is a well-recognized gynecological condition in the reproductive age group. Surgical texts present the gynecological aspects of the disease in detail, but the published literature on unexpected manifestations, such as appendiceal disease, is inadequate. The presentation to general surgeons may be atypical and pose diagnostic difficulty. Thus, a definitive diagnosis is likely to be established only by the histological examination of a specimen.</p> <p>Case presentation</p> <p>We report a case of endometriosis of the appendix in a 25-year-old Caucasian woman who presented with symptoms of acute appendicitis and was treated by appendectomy, which resulted in a good outcome.</p> <p>Conclusions</p> <p>We discuss special aspects of acute appendicitis caused by endometriosis to elucidate the pathologic entity of this variant of acute appendicitis.</p

Genome variations associated with viral susceptibility and calcification in Emiliania huxleyi

Emiliania huxleyi, a key player in the global carbon cycle is one of the best studied coccolithophores with respect to biogeochemical cycles, climatology, and host-virus interactions. Strains of E. huxleyi show phenotypic plasticity regarding growth behaviour, light-response, calcification, acidification, and virus susceptibility. This phenomenon is likely a consequence of genomic differences, or transcriptomic responses, to environmental conditions or threats such as viral infections. We used an E. huxleyi genome microarray based on the sequenced strain CCMP1516 (reference strain) to perform comparative genomic hybridizations (CGH) of 16 E. huxleyi strains of different geographic origin. We investigated the genomic diversity and plasticity and focused on the identification of genes related to virus susceptibility and coccolith production (calcification). Among the tested 31940 gene models a core genome of 14628 genes was identified by hybridization among 16 E. huxleyi strains. 224 probes were characterized as specific for the reference strain CCMP1516. Compared to the sequenced E. huxleyi strain CCMP1516 variation in gene content of up to 30 percent among strains was observed. Comparison of core and non-core transcripts sets in terms of annotated functions reveals a broad, almost equal functional coverage over all KOG-categories of both transcript sets within the whole annotated genome. Within the variable (non-core) genome we identified genes associated with virus susceptibility and calcification. Genes associated with virus susceptibility include a Bax inhibitor-1 protein, three LRR receptor-like protein kinases, and mitogen-activated protein kinase. Our list of transcripts associated with coccolith production will stimulate further research, e.g. by genetic manipulation. In particular, the V-type proton ATPase 16 kDa proteolipid subunit is proposed to be a plausible target gene for further calcification studies

Expansion of subarctic water masses in the North Atlantic and Pacific oceans and implications for mid-Pleistocene ice sheet growth

Past surface ocean circulation changes associated with the mid-Pleistocene transition, 0.9–0.6 Ma, were reconstructed in the northern North Atlantic (ODP 983) and the northwest Pacific (ODP 882), using proxies for subarctic/subpolar water mass distributions (%C37:4 alkenone) and sea surface temperature (U37 K). Both sites experienced a secular expansion of subarctic waters from ∼1.15 Ma, spanning both glacial and interglacial intervals. After 0.9 Ma, low %C37:4 at Site 983 records a northward retreat of subarctic waters during interglacials in the Atlantic, while continued high glacial %C37:4 indicate extensive subarctic waters during glacial maxima associated with the development of the larger late Pleistocene ice sheets. In contrast, a secular decline in %C37:4 occurred at Site 882 from 0.9 to 0.5 Ma, marking a more gradual retreat of subarctic conditions in the Pacific. It is proposed that the expansion of subarctic waters between 1.15 and 0.9 Ma exerted negative feedbacks to the moisture supply to the ice sheet source regions and may account for the apparent delayed ice sheet response to atmosphere-ocean circulation changes associated with the mid-Pleistocene transition that began as early as 1.2 Ma