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Ovarian carcinoma in two patients with chronic liver disease

World Journal of Gastroenterology 2005年第28期11卷 4445-4446页

作者： Mehlika Lsildak Murat Kekilli Yavuz Beyazit gulay sain guven Mustafa Erman gulay sain Guverl Mustafa Ermall Department of Internal Medicine Faculty of Medicine Ha cettepe University Sihhiye Ankara 06100 Turkey Department of Internal Medicine Section of General Internal Medicine Faculty of Medicine Hacettepe University. Sihhiye Ankara 06100 Turkey Department of internal Medicine Section of Medical Oncology Faculty of Medicine Hacettepe UniversitySihhiye Ankara 06100 Turkey

Ascites is a common and debilitating complication of cirrhosis. However, patients with chronic liver disease are not spared from other causes of ascites and physicians should be careful not to miss an underlying malignancy. Ovarian cancer is an insidious disease, which is difficult to diagnose and it ranks first in mortality among all gynecological cancers. Here, we present two cases of patients with chronic liver disease that developed ascites not： simply because of drrhosis but as a manifestation of ovarian cancer. We would like to emphasize that the causes of ascites, other than the liver itself, should not be overlooked in patients with chronic liver disease.

关键词： Ovarian carcinoma Ascites Chronic liver disease

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Epstein Barr Virus Infection Induced Suspected Acute Myocarditis in COVID-19 Pandemic

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World Journal of Cardiovascular Diseases 2022年第8期12卷 419-425页

作者： Ersin Saricam Nalan Can gulay Kilic Yasemin Saglam Fatih Karaahmet Erdogan Ilkay Medicana International Ankara Hospital Atilim University Cardiology Clinic Ankara Turkey Medicana International Ankara Hospital Nuclear Medicine Ankara Turkey Medicana International Ankara Hospital Department of Infectious Disease Ankara Turkey guven Hospital Cardiology Clinic Ankara Turkey Medicana International Ankara Hospital Gastroenterology and Hepatology Ankara Turkey Medicana International Ankara Hospital Cardiology Clinic Ankara Turkey

Background: Epstein Barr Virus infection (EBV) could be associated with cardiovascular disease, including myocarditis. We informed a case of EBV infection presenting initially as myocarditis, followed 5 days later by the typical symptoms of infectious mononucleosis. Case Presentation: A 19-year-old man with persistent retrosternal chest pain was admitted to the emergency department. On physical examination, the patient had sub-febrile fever (37.2°C) and palpable cervical lymphadenopathy, with no hepatosplenomegaly. Initial ECG has repolarization abnormalities in leads II, aVF and III. Laboratory testing revealed elevated cardiac enzymes and liver enzymes (high sensitive troponin I levels 3000 ng/mL, aspartate transaminase 158 U/L, alanine transaminase 100 U/L). Blood white cells were 10,500 μL, platelet level were low 98,000 (thrombocytopenia), and lenfo-monocytosis in complete blood count. We hospitalized the patients the intensive coronary unit (ICU) because of high troponin levels. We recognized hypokinesia of the posterolateral wall of the left ventricle with mild impaired systolic function and increased perimyocardial brightness by echocardiography. Antibody serology tests showed that the anti-EBV capsid antigen IgM (EBV-VCA) was positive, EBV-VCA) IgG was negative. Other etiologies were excluded. Therefore, the patient was referred to cardiac positron emission tomography due to technic problems of magnetic resonance imaging device. We documented in positron emission tomography imaging that increased 18F-FDG uptake on posterior and posterolateral walls of left ventricle (indicating a large jeopardized area). We diagnosed suspected diagnosis of myocarditis without associated pericarditis. We monitored the patient and gave beta blocker, and aldosterone antagonists. Complications in the intensive care unit not occurred. We discharged patients after one week. After three weeks, we re-evaluated the patient. We not observed wall segment motion abnormality

关键词： Epstein Barr Virus Myocarditis 18F-FDG PET/CT

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