1/25. Adrenal vein thromboses in an infant of diabetic mother.Maternal diabetes is common condition complicating pregnancy and may have serious consequences for the offspring. We report on an infant of a mother with multisubstance abuse and poorly controlled type I diabetes with complications that include multifocal fetal myocardial infarcts, macrosomia, hypoxic encephalopathy and islet cell hyperplasia, and bilateral adrenal vein thromboses with necrosis, a relatively rare complication of maternal diabetes.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
2/25. The antiphospholipid symdrome in a teenage with miscarriages, thromboses, and diabetes mellitus.The antiphospholipid syndrome has been associated with many clinical conditions since its description by GRV Hughes in 1983. The linkage to Type 1 diabetes mellitus has not been established. There have been no reports of deep venous thrombosis in association with antiphospholipid syndrome and diabetes mellitus. We present the case of an African-American teenager with multiple miscarriages, diabetic ketoacidosis, deep venous thromboses, and elevated immunoglobulin m and G anticardiolipin antibodies. We urge that clinicians consider testing for antiphospholipid antibodies when diabetic patients present with multiple miscarriages or deep venous thrombosis.- - - - - - - - - - ranking = 0.5keywords = diabetic (Clic here for more details about this article) |
3/25. blindness after laryngectomy and bilateral neck dissection in a diabetic patient: case report.CONTEXT: neck dissection that accompanies resection of the primary lesion in malignant tumors of the upper aerodigestive tracts may cause complications inherent to the procedure or to prolongation of surgical time, increasing the risks for the patient. Among the complications that might occur is blindness, a rare complication with only 10 cases reported in the literature thus far. OBJECTIVE: To present the case of a diabetic patient submitted to total laryngectomy and modified and selective neck dissection that resulted in blindness. CASE REPORT: The authors report on a patient submitted to total laryngectomy and selective neck dissection on the left side, and modified radical neck dissection on the right, who developed blindness. This was probably due to intraoperative hypotension plus the contribution of decompensated diabetes mellitus and thrombosis of the internal jugular vein on the right side. The possible causes, risk factors and care to be taken to prevent this rare but highly debilitating complication are discussed.- - - - - - - - - - ranking = 1.25keywords = diabetic (Clic here for more details about this article) |
4/25. Vascular complications in anterior thoracolumbar spinal reconstruction.OBJECT: Anterior approaches in thoracic and lumbar spinal surgery have potentially serious vascular injury-related complications. In this study the authors evaluate the incidence of vascular complications in anterior approaches to the thoracic and lumbar spine in cases requiring reconstructive surgery. methods: The authors retrospectively reviewed the medical records of 207 patients who underwent anterior thoracic and lumbar spinal reconstructive surgery during the period from 1992 through 1999 to determine the incidence, causes, and management of vascular complications. overall, the incidence of vascular complications following reconstructive spinal surgery was 5.8% (12 patients) and the mortality rate was 1% (two patient deaths). In seven patients (3.4%), direct vascular injuries developed as a result of surgical techniques or error; one patient died as a result. Five patients (2.4%) developed deep venous thromboses, and one patient in this subgroup died of pulmonary embolism. CONCLUSIONS: Vascular injury to the great vessels is a known and potentially serious complication associated with anterior spinal reconstructive procedures. The authors found, however, that the incidence is relatively low in cases in which venous injuries occurred acutely and arterial injuries presented in a delayed fashion.- - - - - - - - - - ranking = 12.613980926017keywords = vascular complication (Clic here for more details about this article) |
5/25. Cerebral venous thrombosis during diabetic ketoacidosis.Neurological deterioration during an episode of diabetic ketoacidosis is usually assumed to be caused by cerebral oedema. We present a case of cerebral venous sinus thrombosis presenting in a similar manner, also associated with severe iron deficiency anaemia. Computed tomography scanning provided the correct diagnosis and allowed institution of anticoagulation with improvement in neurological outcome. neuroimaging should always be performed in suspected cerebral oedema associated with diabetic ketoacidosis in order to exclude other pathologies.- - - - - - - - - - ranking = 1.5keywords = diabetic (Clic here for more details about this article) |
6/25. psoas abscess presenting with femoro-popliteal vein thrombosis.psoas abscess is an uncommon condition with vague clinical presentation. It generally has an insidious onset and before the advent of computed tomography, few cases were reported in the medical literature. We report the case of a middle aged diabetic woman who presented with left leg swelling. Doppler ultrasound revealed thrombosis of the popliteal vein and a collection in the left groin. Computed tomography confirmed the presence of a large left iliopsoas abscess extending to the anterior compartment of the thigh complicated with thrombosis of the superficial femoral and popliteal veins. We suggest that an iliopsoas abscess should be excluded when an immunocompromised patient presents with deep vein thrombosis.- - - - - - - - - - ranking = 0.25keywords = diabetic (Clic here for more details about this article) |
7/25. upper extremity deep vein thrombosis after radial artery harvesting.A 47-year-old diabetic man with unstable angina underwent coronary bypass surgery using bilateral radial arteries and left internal thoracic artery. After surgery, the patient suffered from severe right arm pain and swelling without any bleeding. The postoperative immediate digital subtraction angiogram detected thrombotic occlusion of the right axillary vein. We report here a rare case of deep vein thombosis related to radial artery harvesting.- - - - - - - - - - ranking = 0.25keywords = diabetic (Clic here for more details about this article) |
8/25. Renal transplantation with venous drainage through the superior mesenteric vein in cases of thrombosis of the inferior vena cava.Renal transplantation usually is performed by placing the graft in the iliac fossa, anastomosing the renal vein to the iliac vein or, when this is not possible, to the vena cava. When vascular complications occur, particularly on the venous side, the position of the graft may have to be changed. This report describes orthotopic renal grafts and positioning of the organ with anastomosis to the splenic vessels. Venous drainage was established directly into the mesenteric-portal territory, with two cases to the portal vein and one to the inferior mesenteric vein. A new technique for the venous drainage of the renal graft is shown. We have used this model in two cases of infrarenal inferior vena cava thrombosis. The kidney was located in a retroperitoneal position, with venous drainage to the superior mesenteric vein through an orifice in the posterior peritoneum.- - - - - - - - - - ranking = 4.2046603086723keywords = vascular complication (Clic here for more details about this article) |
9/25. intestinal obstruction caused by infarcted splenic hemangioma with renal vein thrombosis in a newborn: a case report.The spleen in newborns, infants, and children is rarely involved in a variety of pathological processes. These processes may involve an isolated splenic disease or may be a part of a systemic illness. Renal vein thrombosis in infants of diabetic mothers has been reported. We report a case of a newborn with intestinal obstruction caused by an infarcted splenic hemangioma and renal vein thrombosis. To the best of our knowledge, this is the youngest case with both above-mentioned diagnoses and causes of intestinal obstruction in the English medical literature.- - - - - - - - - - ranking = 0.25keywords = diabetic (Clic here for more details about this article) |
10/25. Post-infectious diffuse venous stenosis after renal transplantation: duplex ultrasonography and CT angiography.Venous stenosis is a rare vascular complication of renal transplantation. Venous stenosis usually occurs in early postoperative stage and manifests as a focal narrowing. We report a case of diffuse venous stenosis after 5 months following transplantation, which was suggested on duplex ultrasonography and directly visualized on CT angiography.- - - - - - - - - - ranking = 4.2046603086723keywords = vascular complication (Clic here for more details about this article) |
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