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Intrahepatic portosystemic venous shunt (IPSVS) is a rare vascular abnormality that involves abnormal communication between the intrahepatic portal vein and systemic veins, such as the hepatic vein or inferior vena cava. Patients with IPSVS are typically asymptomatic, and IPSVS is incidentally discovered via imaging while evaluating other diseases. However, endovascular closure of the shunt should be considered in symptomatic patients with a high-flow shunt. This report presents a patient with congenital IPSVS with sudden onset hepatic encephalopathy treated using percutaneous transhepatic embolization.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9748464 | PMC |
http://dx.doi.org/10.3348/jksr.2022.0017 | DOI Listing |
Breast Cancer (Auckl)
September 2025
Allgemeine Pathologie und pathologische Anatomie, Pathologisches Institut, Universitätsklinikum Heidelberg, Heidelberg, Germany.
Juvenile fibroadenoma typically is seen in the adolescent patient and has distinctive clinical and histopathological features that are related to the early onset of the benign tumor. Only rarely can juvenile fibroadenoma occur as a prepubertal lesion or may be detected earlier in childhood, raising questions about differential diagnosis and management of the lesion. We present a case of very early first manifestation of juvenile fibroadenoma in a 2-year-old patient.
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September 2025
Department of Hepato-Biliary-Pancreatic Surgery and Transplantation, Kanazawa University, Kanazawa, Ishikawa, Japan.
Introduction: Liver transplantation for polycystic liver disease (PLD) poses significant intraoperative risks due to the presence of a massively enlarged liver. We report a rare case of intraoperative pneumothorax and pneumatocele formation during total hepatectomy, which was successfully managed with a non-operative approach.
Case Presentation: A female patient in her 40s with a history of autosomal dominant polycystic kidney disease presented with progressive liver cyst enlargement (Gigot type III, Qian classification Grade 4), which led to decreased activities of daily living and intracystic hemorrhage.
Cureus
August 2025
General Surgery, Government Medical College, patiala, IND.
Spontaneous rupture of the pelvicalyceal system due to obstructive uropathy is a rare urological emergency. It can mimic other abdominal catastrophes and may be underrecognized, especially in young patients. We report the case of a 17-year-old male presenting with sudden-onset left flank pain, fever, and vomiting.
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August 2025
Thoracic Surgery, Tohoku Medical and Pharmaceutical University, Sendai, JPN.
Neurofibromatosis type 1 (NF-1) is an autosomal dominant disorder associated with vascular abnormalities, including spontaneous hemothorax and arterial aneurysms. We present a rare case of spontaneous hemothorax in which an apparently hemostatic sub-pleural hematoma began to bleed again after the patient was repositioned. A 47-year-old man with NF-1 presented with the sudden onset of left-sided chest pain.
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August 2025
Department of Urology, Dammam Medical Complex, Dammam, SAU.
Testicular torsion is a urological emergency that occurs when the spermatic cord twists, cutting off blood supply to the testicle, and it requires immediate surgical intervention to prevent irreversible damage. Although it typically presents with sudden, severe scrotal pain and swelling, atypical presentations can complicate diagnosis and delay treatment. We report the case of a 25-year-old male who presented to the emergency department with a sudden onset of left lower abdominal pain and left inguinal swelling.
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