Cadaveric

尸体
  • 文章类型: Case Reports
    左肝叶的分裂是一种罕见的异常,被描述为胆囊窝或镰状韧带左侧没有肝组织。在这里,我们报告了在84岁的男性福尔马林固定尸体的教育解剖过程中发现的左肝叶发育不全的病例。大体解剖特征,胚胎学起源,本报告描述了这种罕见变异的临床相关性。
    Agenesis of the left hepatic lobe is a rare anomaly described as the absence of liver tissue on the left side of the gallbladder fossa or falciform ligament. Here we report a case of agenesis of the left hepatic lobe identified during educational dissection of an 84-year-old male formalin-fixed cadaver. The gross anatomical characteristics, embryological origin, and clinical relevance of this rare variation are described in this report.
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  • 文章类型: Journal Article
    在当前的研究中,显示了颈外静脉被颈部横向皮神经穿透的非常罕见的解剖学变化。静脉开窗或被其他结构穿透的现象,如神经及其可能的胚胎发育进行了讨论。此外,代表医生详细讨论了这种变异意识的潜在临床意义。
    A very rare anatomical variation of external jugular vein\'s penetration by the transverse cutaneous nerve of the neck is displayed in the current study. The phenomenon of veins\' fenestration or penetration by other structures, such as nerves along with its likely embryologic development are discussed. Moreover, the potential clinical significance of that variation\'s awareness on behalf the physician is discussed in detail.
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  • 文章类型: Case Reports
    绒毛膜癌是一种罕见的癌症,可能是妊娠或非妊娠。绒毛膜癌约占所有已记录的肿瘤动脉瘤的四分之一。这是来自供体的绒毛膜癌传播的描述性病例报告,在肾脏捐赠之后。一名45岁的妇女从一名25岁的妇女那里得到了肾脏,该妇女因非创伤性脑出血而被送往医院。她在脑死亡前48天分娩了一个健康的婴儿。移植成功完成。移植后五周,受者在手术区域出现疼痛和红斑.关于她血液中β-人绒毛膜促性腺激素的高水平,进行了诊断测试。癌症确认后,启动了包含各种药物方案的五期化疗计划.最后一轮化疗后肝功能测试值上升,病人出现肝性脑病.考虑到血小板减少症,透析,或者血液灌流,通常用于减少肝酶,没有启动。最后,她死于肝功能衰竭和弥散性血管内凝血。尽管肾脏病学家对最佳治疗方案意见不一,在这种情况下,肾切除术似乎会有所帮助。医生应该意识到,由于不清楚原因,因脑内出血而死亡的育龄女性捐献者中与移植相关的绒毛膜癌的可能性。每个捐赠者都必须接受彻底的检查。获得文件至关重要,澄清历史,采访亲戚。
    Choriocarcinoma is a rare kind of cancer, which may be either gestational or non-gestational. Choriocarcinoma is responsible for about a quarter of all documented neoplastic aneurysms. It is a descriptive case report of choriocarcinoma transmission from a donor, following kidney donation. A 45-year-old woman got a kidney from a 25-year-old woman who was taken to the hospital due to a non-traumatic cerebral hemorrhage. She delivered a healthy baby 48 days before her brain death. The transplant was successfully done. Five weeks\' post-transplantation, the recipient had pain and erythema in the surgical area. Regarding the high level of beta-human chorionic gonadotropin in her blood, diagnostic tests were performed. Following the confirmation of the cancer, a five-phase chemotherapy plan with various pharmaceutical regimens was initiated. Liver function test values rose after the final round of chemotherapy, and the patient developed hepatic encephalopathy. Considering the thrombocytopenia, dialysis, or hemoperfusion, which are normally performed to reduce liver enzymes, were not initiated. Finally, she died due to the hepatic failure and disseminated intravascular coagulation. Although the nephrologists disagree on the optimal course of treatment, it seems that nephrectomy would be helpful in such instances. Physicians should be aware of the possibility of transplant-related choriocarcinoma in female donors of reproductive age who die because of intracerebral brain hemorrhage for unclear reasons. Every donor must undergo a thorough examination. It is critical to get documents, clarify history, and interview relatives.
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  • 文章类型: Journal Article
    动脉弯曲描述了通过动脉壁弯曲的变化,并且已经在整个身体的几个动脉中注意到。曲折的血管会导致神经压迫,以及给外科医生和放射科医生带来的困难。在这里,我们介绍了在78岁的西班牙裔男性尸体中发现的多支血管动脉弯曲的不寻常病例,独立于系统病理学。解剖左尺动脉和右胫动脉,使用校准的数字卡尺,它们的外径和内径都是在起点和扩张最大的地方测量的。还测量了壁厚和拐点的数量。在尺动脉中发现了六个弯曲,其最宽处的直径为8.11毫米,壁厚为0.88mm。在下肢,右胫动脉有三个弯曲,最宽处直径为4.86毫米,壁厚1.32毫米。这种不常见的曲折不仅在手术过程中更容易出现裂伤,但是弯曲和增厚可能被误认为是肿瘤。最后,流体动力学可以改变,影响四肢的血压.因此,提高认识对于预防症状和医源性并发症至关重要。
    Arterial tortuosity describes variation via bending of the arterial wall and has been noted in several arteries throughout the body. Tortuous blood vessels can cause nerve compression, as well as present difficulties to surgeons and radiologists. Here we present an unusual case of multi-vessel arterial tortuosity discovered in 78-year-old Hispanic male cadaver, independent of systemic pathology. The left ulnar and right tibial arteries were dissected, and using calibrated digital calipers, their external and internal diameters were measured both at the origin site and at the site of greatest dilation. Both wall thickness and the number of inflection points were also measured. Six bends were noticed in the ulnar artery and its diameter measured 8.11 mm at its widest, with a wall thickness of 0.88mm. On the lower extremity, the right tibial artery had three bends and its diameter measured 4.86 mm at its widest, with a wall thickness of 1.32 mm. This uncommon tortuosity is not only more prone to laceration during surgery, but the bending and thickening can be mistaken for tumors. Finally, fluid dynamics can be altered, resulting in an impact on blood pressure in the extremities. Thus, raising awareness is crucial to prevent both symptoms and iatrogenic complications.
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