|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Postpartum pubic symphysis diastasis-conservative and surgical treatment methods, incidence of complications: Two case reports and a review of the literature显示文摘BACKGROUND Widening of the pubic joint of more than 10 mm is diagnostic and defined as pubic symphysis diastasis and is considered a complication of vaginal childbirth or pregnancy.As it is a rare pathology(ranging from 1 in 300 to 1 in 30000 pregnancies),no gold standard treatment has been defined.CASE SUMMARY This study examines two cases,a 27-year-old woman(gravida 1,para 1)and a 32-year-old woman(gravida 2,para 2),who presented to the clinic after uneventful vaginal deliveries.A normal pregnancy with no complications was observed in both patients.Severe pain in the pubic region occurred after labour and was accompanied by complicated locomotion.Pubic symphysis diastasis was confirmed radiologically and bed rest with lateral decubitus positioning was recommended.Oral non-steroidal antiinflammatory drugs were administered to relieve pain exacerbations.The symptoms decreased after treatment.Posttreatment magnetic resonance imaging(MRI)in the first case showed a reduction in symphyseal separation with no signs of osteitis.Three years later the symptoms recurred;MRI examination showed no further symphyseal widening or signs of osteitis.A relapse of symphyseal separation was diagnosed and conservative treatment was re-administered resulting in successful recovery.In the second case,pain recurred when the patient conceived for the second time.This time no benefit following conservative treatment was observed.Persistent pain and complicated locomotion led to scoliotic deformation of the lumbar part of the spine and leg length discrepancy,thus surgical treatment was chosen and internal pubic synthesis was performed.CONCLUSION Overall,surgical treatment resulting from insufficient conservative treatment showed a high risk of postoperative complications following the treatment of postpartum pubic symphysis diastasis. | Kristina Norvilaite Monika Kezeviciute Diana Ramasauskaite Audrone Arlauskiene Daiva Bartkeviciene Valentinas Uvarovas | 2020 | World Journal of Clinical Cases2020，8，1： | 5 |
| 2 | Congestive hepatopathy and hypoxic hepatitis in heart failure: A cardiologist’s point of view显示文摘 | Ausra Kavoliuniene Audrone Vaitiekiene Giedre Cesnaite | 2013 | International Journal of Cardiology2013，，3： | 1 |
| 3 | Multivariate analysis of a biologically activated carbon (BAC) system and its efficiency for removing PAHs and aliphatic hydrocarbons from wastewater polluted with petroleum products显示文摘 | Lijana Augulyte Daina Kliaugaite Viktoras Racys Dalia Jankunaite Audrone Zaliauskiene Per-Anders Bergqvist Patrik L. Andersson | 2009 | Journal of Hazardous Materials2009，，1： | 1 |
| 4 | The influence of CYP2C9 and VKORC1 gene polymorphisms on optimal warfarin doses after heart valve replacement 显示文摘 | VACIS T VAIVA L AUDRONE V | 2011 | Medicina (Kaunas)2011，47，1： | 1 |
| 5 | Crohn’s disease in human immunodeficiency virus-infected patient:A case report显示文摘BACKGROUND Inflammatory bowel disease(IBD)is an autoimmune condition treated with immunosuppressive drugs.However,the need for immune system suppression becomes questionable when infection with the human immunodeficiency virus(HIV)occurs simultaneously and impacts the course of IBD.Our reported case represents the clinical course,prescribed treatment and its effect,as well as clinical challenges faced by physicians in a combination of such diseases.We also present a comprehensive literature review of similar cases.CASE SUMMARY A 49-year-old woman suffering from a newly diagnosed Crohn’s disease was hospitalized due to exacerbated symptoms(abdominal pain,fever,and weight loss).During her hospital stay,she tested positive for HIV.With conservative treatment,the patient improved and was discharged.In the outpatient clinic,her HIV infection was confirmed as stage C3,and antiretroviral treatment was initiated immediately.That notwithstanding,soon the patient was rehospitalized with pulmonary embolism and developed a series of complications because of the subsequent coexistence of IBD and HIV.After intensive and meticulous treatment,the patient’s condition has improved and she remains in remission.CONCLUSION The paucity of studies and data on the coexistence of HIV and IBD leaves clinicians doubting the optimal treatment options. | Ausra Vinikaite Benediktas Kurlinkus Dominyka Jasinskaite Sandra Strainiene Audrone Buineviciute Goda Sadauskaite Vytautas Kiudelis Edita Kazenaite | 2023 | World Journal of Clinical Cases2023，11，17： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员