Petersebsen9133

Ovarian hyperstimulation syndrome (OHSS) is a rare but serious complication of assisted reproductive technology application. The incidence of stroke symptoms associated with OHSS is lower than that of abdominal symptoms, which may occur in severe OHSS situation. Rapamycin purchase If tissue plasminogen activator (tPA) is not applicable, mechanical thrombectomy (MT) is recommended for acute cerebral artery occlusion within 6 hours of symptom onset according to the current guidelines. However, the current experience and evidence is insufficient, whether acute cerebral artery occlusion associated with OHSS can be treated with MT. A 21-year-old woman underwent an ovulation induction with gonadotropin-releasing hormone agonist. Two days later, she presented with abdominal distension and diarrhea. Ascites and enlarged ovaries were confirmed by ultrasound. She was highly suspected of OHSS in by the Department of Obstetrics and Gynecology. Three days later, she presented with right-side hemiplegia, superficial coma, and aphasia, and rision associated with OHSS.Breast cancer is rare in men and there is no report of male breast cancer (MBC) with ureteral metastasis. In this study, we report the first case of MBC with ureteral metastasis. A 60-year-old man was diagnosed with triple negative breast cancer (TNBC) with local lymph nodes metastasis (TNM stage T4N3M0). After surgery, chemotherapy and radiotherapy he was diagnosed with ureter metastasis because of hematuria. This patient took a Precitype gene test (immune index and PAM50) after several lines of treatment and the result indicated that this was a Luminal A subtype case as well as HER-2 mRNA positive, which was quite different from his immunohistochemical staining. Because of his poor condition and he could not tolerate chemotherapy, we adjusted his therapeutic regimen with endocrine therapy and antiHER-2 therapy according to the gene expression analysis with the informed consent of the patient and his families. However, it seemed that there was no obvious efficacy and he passed away five months later. In our opinion, MBC patients with urinary symptoms should be considered for the possibility of metastasis although urinary metastasis in breast cancer is rare. We still need more research about gene expression analysis and more evidence of treatment recommendations for MBC.We present the case of a 53-year-old woman with a history of maintenance hemodialysis through arteriovenous fistula, CUFF catheter (cuffed tunneled catheter) and artificial vascular graft successively. Some signs of superior vena cava syndrome have presented including chronic edema in the face and left arm and varicose veins. Both CT (computed tomography) and angiography showed narrowing and occlusion in multiple veins, especially the right innominate vein, superior vena cava, inferior vena cava, left jugular vein, and bilateral common iliac veins. The first attempt at recanalization of the AVG (arteriovenous graft) failed due to severe occlusion of central venous. Finally, the patient was treated with a minimally invasive surgical approach involving percutaneous direct superior vena cava puncture driven by a single bend and vascular snare that were placed in the right atrium via hepatic vein percutaneous direct puncture under a double C arm angiographic device. The initial attempt failed with RUPS 100 (Cook, Chicago, USA) and was complicated by pericardial tamponade. The second attempt succeeded and the catheter was placed without hindrance and edema or varicose veins and its patency has remained for over 18 months following the intervention. It is the first successful case of sharp recanalization in combined superior and inferior vena cava syndromes with long-segment occlusion. This creative approach to providing vascular access offers a novel way to address refractory lesions in central veins.Adenoid cystic carcinoma (ACC) of the lacrimal sac is an extremely rare disease with a poor prognosis. There is currently no standard treatment for this malignancy. Radical surgical excision followed by radiotherapy and chemotherapy is the preferred treatment for localized ACC of the lacrimal sac. Apatinib has shown efficacy in recurrent/metastatic ACC. The role of apatinib in combination with concurrent chemoradiotherapy in patients with non-operated localized advanced ACC is not clear. Here, we report a 30-year-old man with a 1-year history of epiphora of the left eye and nasal congestion who was diagnosed as ACC of the lacrimal sac. The computed tomography (CT) scan showed the tumor invading the left orbit and left maxillary sinus. He refused surgical resection and instead received combined apatinib and nedaplatinbased concurrent chemoradiotherapy. He experienced moderate adverse effects such as nausea, hypertension, myelosuppression that were well controlled after symptomatic supportive care. Complete response was observed 3 weeks following the treatment. The patient remained free of disease until the last follow up by December 2020, 22 months after the treatment. This case suggested that combined apatinib and concurrent chemoradiotherapy might be an option for locally advanced ACC patients who are ineligible for or rejective to surgical resection.Coronary artery fistula (CAF) is characterized by abnormal communication between the main coronary artery and the cardiac chambers, pulmonary arteries, vena cava, and systemic arteries and veins, and is a rare cardiac malformation. Bronchiectasis involves remodeling and persistent dilatation of the bronchial airways. It can either be localized to one lung segment or diffused throughout the whole lung. The incidence of bronchiectasis has increased to 566 per 100,000 over the last decade. There is a 33% possibility that CAF and lung-related disease will co-occur. However, the merging mechanism of these two diseases has not been explored. We report a case of a 61-year-old female with bronchiectasis who was admitted to our hospital with dyspnea and ankle edema. The patient was diagnosed with coronary artery-pulmonary artery fistula by coronary angiography (CAG), which was performed to rule out the possibility of coronary artery stenosis. Using the keywords "coronary artery fistula" and "bronchiectasis" to search the inpatient system of our hospital, PubMed, and Web of Science, we found that these two diseases often occur due to abnormal cardiovascular and pulmonary airway connection.