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An unusual cause ofileal perforation:Report of a case and literature review

World Journal of Gastroenterology 2009年第21期15卷 2672-2674页

作者： Sami Akbulut Bahri Cakabay cihan akgul ozmen Arsenal Sezgin Mahsuni Mert Sevinc Department of Surgery Diyarbakir Education and Research Hospital Department of Radiology Dicle University Faculty of Medicine Department of Pathology Diyarbakir Education and Research Hospital

An ileal perforation resulting from a migrated biliary stent is a rare complication of endoscopic stent placement for benign or malignant biliary tract *** describe the case of a 59-year-old woman with a history of abdominal surgery in which a migrated biliary stent resulted in an ileal *** with comorbid abdominal pathologies,including colonic diverticuli,parastomal hernia,or abdominal hernia,may be at increased risk of perforation from migrated stents.

关键词： Adhesion Biliary stent Ileal perforation Migration Choledocholithiasis

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Imaging the Atherosclerosis with 64-Detector Row Computed Tomography in Homozygous Familial Hypercholesterolemia

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Advances in Computed Tomography 2013年第3期2卷 96-101页

作者： cihan akgul ozmen Deniz Gokalp Hasan Nazaroglu Ayfer Gozu Pirinccioglu Department of Endocrinology Dicle University School of Medicine Diyarbakir Turkey Department of Pediatrics Dicle University School of Medicine Diyarbakir Turkey Department of Radiology Dicle University School of Medicine Diyarbakir Turkey

Objective: The higher risk and fatality of cardiovascular disease in subjects with homozygous familial hypercholesterolemia warrants early screening. Computed tomography angiography is the most promising method at present as a reliable and reproducible noninvasive diagnostic test of cardiovascular disease. We aimed to describe the 64-slice multidetector computed tomography coronary angiography findings of new cases with homozygous familial hypercholesterolemia. Methods: Four patients with homozygous familial hypercholesterolemia (2 female and 2 male) with mean age of 23 ± 9 years were included. Mean plasma total and LDL cholesterol were 654 ± 75 mg/dl and 609 ± 76 mg/dl. Tomography examinations were performed using a 64-row MDCT-CA system (Brilliance Computed Tomography scanner, Philips Healthcare). Results: All patients presented calcified and mixed atherosclerotic plaques in the ascending aorta near the origin of the coronary arteries. More extensive atherosclerosis was found in Case 1 and Case 2 than in other cases. Case 3 has mild atherosclerosis and Case 4 had normal coronaries but plaques in aorta. In addition, we detected myocardial bridging in left anterior descending artery of 2 cases, calcified plaques in postero-lateral branch artery, and calcification in non-coronary sinus in others. Conclusion: Multidetector computed tomography coronary angiography is a useful, non-invasive tool for detecting early aortic and coronary atherosclerosis in homozygous familial hypercholesterolemia subjects and may be the choice of imaging for most of such subjects.

关键词： Familial Hyperlipidemia Cardiovascular Disease Computed Tomography Angiography

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