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February 23, 2025


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Bilateral Ovarian Thecoma in a Postmenopausal Woman with Rapidly Progressed Severe Hyperandrogenism

Sex cord-stromal neoplasms of the ovary are an infrequent cause of androgen excess and virilization in women. We report a case of a 60 years old woman with rapidly progressive signs of virilization and indeterminate pelvic masses at computed tomography imaging.

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Anesthetic Management of a Parturient with a History of Primary Spinal Malignant Melanoma

Primary CNS malignant melanomas are quite rare as they account for 1% of all CNS tumors. The potential presence of spinal cord malignancies is worrisome when considering neuraxial techniques due to possible complications. Additionally, a history of cervical spine surgery is a cause of concern in airway management, especially in an obstetric patient.

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Surgical Treatment for Iatrogenic Intrathoracic Subclavian Artery Aneurysm

Subclavian artery aneurysms (SAAs) are not common but with possible limb and life threatening complications. The present report describes a case of a large right iatrogenic subclavian artery aneurysm presenting with back pain, successfully treated with aneurysmectomy and graft interposition through a median sternotomy.

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Portosystemic Shunt for Treatment of Symptomatic Varices in Polycythemia Vera Patient: A Case Report

Myeloproliferative disorders are commonly associated with portal vein thrombosis, which can lead to extensive and symptomatic variceal disease due to the development of noncirrhotic portal hypertension. In severe cases, a decline in liver synthetic function may indicate the need for liver transplantation.

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Infectious Aortitis Complicated by Type B Intramural Hematoma

An 83-year-old woman was admission due to intermittent fever for 1 week. Her temperature was 38.5°C, and chest X-ray demonstrated tortuosity of aorta with calcification of aortic arch. Her blood cultures subsequently all grew Methicillin-Resistant Staphylococcus aureus (MRSA). Echocardiography revealed no vegetation.

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A Rare Case of Amyand’S Hernia with Acute Appendicitis

Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The reported incidence is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis.

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Indazole Synthetic Cannabinoids Intoxication Associated with Fatal Cardiac Complications: Two Case Reports

Usage of synthetic cannabinoids is associated with severe medical consequences and limited detectability in toxicology panels. We present two cases of patients with acute myocardial infraction resulting in death promptly after Indazole SC exposure demonstrating that AMI may be associated with consumption of SC and require greater awareness from physicians.

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Toxin Positive Corynebacterium Diphtheriae Skin Ulcers in a Vaccinated Traveller

A 20 year old German volunteer presented in good general condition without fever to our outpatient department with cutaneous ulcers (Figure 1) on the lower limbs and swelling of the right lower leg. The patient had just returned from a one year stay in the Ivory Coast and mentioned several insect bites a week ago while still abroad.

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007 (Opioid Oligopoly and the Seven Deadly Sins)

The most common market structure in today’s market place is the oligopoly. An argument can be made that the few pharmaceutical companies who market, manufacture, distribute opioids worldwide can be defined as an “opioid oligopolyâ€. The seven deadly sins are character vices and the origin of sins, dating back to early Christian times.

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