Intrathoracic stomach is a rare and serious congenital abnormality.The anomaly may be complicated by gastric volvulus and can lead to ischemic gastric infarction in the neonate.If diagnosed antenatally, neonatal manag...Intrathoracic stomach is a rare and serious congenital abnormality.The anomaly may be complicated by gastric volvulus and can lead to ischemic gastric infarction in the neonate.If diagnosed antenatally, neonatal management can be planned in advance so as to reduce morbidity.This anomaly must be differentiated from the more common congenital diaphragmatic hernia, as associated pulmonary hypoplasia is common in the latter and rare with gastric herniation.We report an infant born to a mother with Marfan’s syndrome with the antenatal diagnosis of intrathoracic stomach.The ultrasound and magnetic resonance imaging features of this congenital abnormality are described.A review of the literature would indicate that this is the first case report of gastric volvulus diagnosed in utero.展开更多
To report a case of permanent endothelial cell injury after intracorneal penetration of milky latex from Calotropis procera (ushaar). Interventional case report. A 40- year-old patient developed painless corneal edema...To report a case of permanent endothelial cell injury after intracorneal penetration of milky latex from Calotropis procera (ushaar). Interventional case report. A 40- year-old patient developed painless corneal edema despite minimal epithelial injury after exposure to ushaar latex. Confocal and specular microscopy confirmed permanent endothelial cell loss with morphologic alteration after intracorneal penetration of ushaar latex. Corneal edema resolved completely after 2 weeks, although reduced endothelial cell count and abnormal morphology persisted. Ushaar latex is capable of penetrating the corneal stroma and inducing permanent loss of endothelial cells. Corneal edema resolves if sufficient endothelial cell viability is still present after resolution of ushaar keratitis.展开更多
文摘Intrathoracic stomach is a rare and serious congenital abnormality.The anomaly may be complicated by gastric volvulus and can lead to ischemic gastric infarction in the neonate.If diagnosed antenatally, neonatal management can be planned in advance so as to reduce morbidity.This anomaly must be differentiated from the more common congenital diaphragmatic hernia, as associated pulmonary hypoplasia is common in the latter and rare with gastric herniation.We report an infant born to a mother with Marfan’s syndrome with the antenatal diagnosis of intrathoracic stomach.The ultrasound and magnetic resonance imaging features of this congenital abnormality are described.A review of the literature would indicate that this is the first case report of gastric volvulus diagnosed in utero.
文摘To report a case of permanent endothelial cell injury after intracorneal penetration of milky latex from Calotropis procera (ushaar). Interventional case report. A 40- year-old patient developed painless corneal edema despite minimal epithelial injury after exposure to ushaar latex. Confocal and specular microscopy confirmed permanent endothelial cell loss with morphologic alteration after intracorneal penetration of ushaar latex. Corneal edema resolved completely after 2 weeks, although reduced endothelial cell count and abnormal morphology persisted. Ushaar latex is capable of penetrating the corneal stroma and inducing permanent loss of endothelial cells. Corneal edema resolves if sufficient endothelial cell viability is still present after resolution of ushaar keratitis.
