Ultrasound-guided oocyte retrieval is a standard procedure for ovum pick up (OPU) during in vitro?fertilization. Possible complications include tubo-ovarian abscesses (TOAs) in the fallopian tubes, and endometriosis m...Ultrasound-guided oocyte retrieval is a standard procedure for ovum pick up (OPU) during in vitro?fertilization. Possible complications include tubo-ovarian abscesses (TOAs) in the fallopian tubes, and endometriosis may be associated with increasing?the severity of pelvic infection. A 35-year-old?woman who had been treated for infertility and endometriosis presented with abdominal pain that appeared several days after OPU. There were no significant changes in the size of both ovaries and fallopian tubes. A week later, transvaginal echography revealed right oviduct enlargement. Because conservative treatment with antibiotics before this revelation had not been successful, laparoscopy was performed for abscess drainage and/or excision of the adnexa. Intraoperative findings were an abscess in the right adnexa involving the ovary and fallopian tube. Preservation of the right fallopian tube was difficult due to the risk of prolonged infection, and a right appendectomy was performed. The diagnosis was a right TOA. Severe cases of pelvic infection after OPU may cause infertility. The presence of endometriosis may aggravate the infection, but the relationship between the extent of the endometriosis and the severity of the infection is not known. Even if the endometriosis is mild, as it was in this patient, surgical treatment should be considered if a severe infection occurs after OPU and conservative treatment is not effective.展开更多
Described here is an unusual complication of a common condition; diverticulitis resulting in a tubo-ovarian abscess. The etiology of this abscess was clinically unapparent due to atypical presenting symptoms and signs...Described here is an unusual complication of a common condition; diverticulitis resulting in a tubo-ovarian abscess. The etiology of this abscess was clinically unapparent due to atypical presenting symptoms and signs. Furthermore, radiological diagnosis was misleading because of an inflammatory reaction of the colon which prevented visualization of diverticula. Failure to correctly identify the underlying pathology early in the patient's course of treatment led to a perforation of the colon.展开更多
Ethnic people living on the Tibetan Plateau during the Tubo period have been well-known as not only strong and brave on horses,but they were also an ethnic group enriched with powerful creativity and rich imagination....Ethnic people living on the Tibetan Plateau during the Tubo period have been well-known as not only strong and brave on horses,but they were also an ethnic group enriched with powerful creativity and rich imagination.From Tubo’s cultural art,we can observe a large amount of extremely fine artifacts.For instance,among展开更多
Most previous studies have held that the system of Tubo gaoshen(an honorary identity mark)was an imitation of a similar system in the Tang dynasty,referring to the latter's official costume decorations for its str...Most previous studies have held that the system of Tubo gaoshen(an honorary identity mark)was an imitation of a similar system in the Tang dynasty,referring to the latter's official costume decorations for its stratified office-holders.These studies have not given due attention to the characteristics of the title itself.From the perspective of the change of the Tibetan name and based on existing research results and historical records in both Tibetan and Chinese,this article tries to offer a new understanding and preliminary discussion on the development of Tubo gaoshen and several related issues.We find that there are two paths in the evolution of its name:One is from Sugto Yi Ge or Yig,the other is from Yig tsang to Yig tshangs.The former is used to denote a concrete gaoshen and can be added as a prefix while the latter denotes the abstract idea of gaoshen and no attribute can be used before it.When the two are used together,the latter is used before the former,such as in:yig tshangs pa ni zangs kyi yi ge gtong/(As to the gaoshen[yig tshangs],[he]is awarded a bronze yi ge).展开更多
文摘Ultrasound-guided oocyte retrieval is a standard procedure for ovum pick up (OPU) during in vitro?fertilization. Possible complications include tubo-ovarian abscesses (TOAs) in the fallopian tubes, and endometriosis may be associated with increasing?the severity of pelvic infection. A 35-year-old?woman who had been treated for infertility and endometriosis presented with abdominal pain that appeared several days after OPU. There were no significant changes in the size of both ovaries and fallopian tubes. A week later, transvaginal echography revealed right oviduct enlargement. Because conservative treatment with antibiotics before this revelation had not been successful, laparoscopy was performed for abscess drainage and/or excision of the adnexa. Intraoperative findings were an abscess in the right adnexa involving the ovary and fallopian tube. Preservation of the right fallopian tube was difficult due to the risk of prolonged infection, and a right appendectomy was performed. The diagnosis was a right TOA. Severe cases of pelvic infection after OPU may cause infertility. The presence of endometriosis may aggravate the infection, but the relationship between the extent of the endometriosis and the severity of the infection is not known. Even if the endometriosis is mild, as it was in this patient, surgical treatment should be considered if a severe infection occurs after OPU and conservative treatment is not effective.
文摘Described here is an unusual complication of a common condition; diverticulitis resulting in a tubo-ovarian abscess. The etiology of this abscess was clinically unapparent due to atypical presenting symptoms and signs. Furthermore, radiological diagnosis was misleading because of an inflammatory reaction of the colon which prevented visualization of diverticula. Failure to correctly identify the underlying pathology early in the patient's course of treatment led to a perforation of the colon.
文摘Ethnic people living on the Tibetan Plateau during the Tubo period have been well-known as not only strong and brave on horses,but they were also an ethnic group enriched with powerful creativity and rich imagination.From Tubo’s cultural art,we can observe a large amount of extremely fine artifacts.For instance,among
基金This article is an intermediate result of the Major Bidding Project of the National Social Science Fund,China(No.14ZDB115).
文摘Most previous studies have held that the system of Tubo gaoshen(an honorary identity mark)was an imitation of a similar system in the Tang dynasty,referring to the latter's official costume decorations for its stratified office-holders.These studies have not given due attention to the characteristics of the title itself.From the perspective of the change of the Tibetan name and based on existing research results and historical records in both Tibetan and Chinese,this article tries to offer a new understanding and preliminary discussion on the development of Tubo gaoshen and several related issues.We find that there are two paths in the evolution of its name:One is from Sugto Yi Ge or Yig,the other is from Yig tsang to Yig tshangs.The former is used to denote a concrete gaoshen and can be added as a prefix while the latter denotes the abstract idea of gaoshen and no attribute can be used before it.When the two are used together,the latter is used before the former,such as in:yig tshangs pa ni zangs kyi yi ge gtong/(As to the gaoshen[yig tshangs],[he]is awarded a bronze yi ge).
