Informes de casos clínicos y médicos

Iatrogenic ureteral injuries, which occur more than half of the time during gynecologic surgery, can be fatal for both patients and doctors. To prevent ureteral damage, gynaecologists have used a variety of procedures such as cystoscopy, ureteral stents, and LED ureteral stents. The rise in popularity of robotic surgery involves not just a re-evaluation of old procedures, but also the development of new ones tailored to the robotic modality. One of the most recent advancements in minimally invasive surgical procedures is gynecologic robotic surgery. Our gynaecological surgeons can treat a variety of disorders affecting a woman's reproductive systems using a narrow, illuminated scope and miniature equipment controlled by a robotic system. In a robotic surgery, the surgeon is unable to receive tactile feedback and must rely solely on visual cues. Intraureteral indocyanine green and subsequent visualisation under near-infrared fluorescence appears to be a potential strategy for preventing ureteral injuries during robotic gynecologic surgery, both initially and later.

Diabetes mellitus is a silent killer and one of the leading causes of death globally. Its complications include damage to the brain, heart, kidney and the limbs. More than 50% of people living with the disease are oblivious to it especially in Nigeria where poor healthcare, unhealthy diet, sedentary lifestyle and poverty persist. Unfortunately, Civil Service workers in Osogbo, Osun States do not know their diabetic status. Hence, this study, seeks to determine the prevalence and risk factors of diabetes mellitus among Civil Service workers in Osogbo, Osun State, Nigeria. A descriptive study was conducted in selected ministries and agencies. Sampling was done using systematic sampling technique; an Agency/Ministry-based survey was carried out among 216 respondents who are Civil Service workers in Osogbo, Osun State using questionnaire forms. The sample size of 216 was determined by Cochran’s sampling formula. The questionnaire forms were administered to the Civil Service workers to obtain information about their bio-data, health status and lifestyle; measurements taken were also recorded in the questionnaire forms. Data obtained were analyzed using frequency, percentage, bar charts, and one-way analysis of variance (ANOVA), SPSS software, version 23. Findings of this study revealed a high prevalence of diabetes, due to the high incidence of high blood pressure and obesity, coupled with consumption of soft drinks, fatty parts of meat, fried meats, and family history of diabetes and blood pressure among the respondents.

The Life Switch is part of the Immune System which is part of the body’s operating system. It is in the mind. Normally the Life Switch is always on. If it is turned off, death soon follows. Why this should happen and whether it can be stopped are the questions asked in this article.

Cada vez hay más conciencia de los posibles efectos hepatotóxicos de las preparaciones a base de hierbas y los complementos dietéticos. La red de lesiones hepáticas inducidas por fármacos (DILIN) afirma que los complementos dietéticos y a base de hierbas (HDS) representan el 16% de los casos de DILI, y se estima que esta tasa, que fue del 7% en 2004-2005, aumentará al 20% en 2013-2014. En nuestra serie de 6 casos, 5 de los pacientes eran de la misma familia y había una paciente embarazada de 4 meses. Un día después de comer ferula communis, los pacientes fueron llevados a la sala de emergencias debido a náuseas, vómitos y dolor abdominal. Los cuadros de hepatitis actuales se evaluaron como el patrón hepatocelular. Se administró hidratación intravenosa (iv) y ampollas de acetilcisteína 3x1 iv. a los pacientes. Se realizaron dos sesiones de plasmaféresis a uno de los pacientes que presentó una presentación de hepatitis fulminante. Durante el seguimiento se observó una mejoría en la presentación clínica de los pacientes y en sus hallazgos de laboratorio. Los pacientes fueron dados de alta después de un promedio de cinco días de seguimiento. El consumo de plantas silvestres también debe cuestionarse en pacientes en seguimiento por hepatitis aguda o intoxicación alimentaria.

Background: Rapid growing amyloid goiter (AG) is an extremely rare cause of thyroid gland hypertrophy associated with secondary forms of amyloidosis. Characterized by the presence of deposits extracellular amyloid protein in thyroid tissue in sufficient quantities to produce enlargement of the gland, it can be seen in chronic inflammatory disorders, with the common characteristic of amyloidotic renal failure. Case presentation: We present a case of 24-year-old male in euthyroid with AG secondary to ankylosing spondylitis and chronic renal failure. This showed a rapid enlargement of both thyroid lobes, eventually causing a loco-regional compression simulating a malignant process. Following total thyroidectomy, Diagnostic confirmation of amyloid goiter was established by microscopic examination. Conclusion: In daily practice, practitioners should discuss differential diagnosis in patients with comorbidities suggestive of amyloidosis. The entity may be already suspected by radiology, but cytological and histological examination of amyloid deposits remain the keys attributes to establish the correct diagnosis.