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http://dx.doi.org/10.5045/br.2023.2023049 | DOI Listing |
Cureus
August 2025
Internal Medicine, Al Jahra Hospital, Al Jahra, KWT.
Carcinoembryonic antigen (CEA) is a commonly used tumor marker, primarily for the surveillance of colorectal and other gastrointestinal malignancies. However, its diagnostic specificity is limited, as CEA levels may be elevated in several benign conditions. This case report aims to highlight the potential diagnostic confusion and psychological distress caused by incidental CEA elevation in asymptomatic individuals when tested outside of an appropriate clinical context.
View Article and Find Full Text PDFCureus
August 2025
Department of Obstetrics and Gynecology, University of Ioannina, Ioannina, GRC.
A 34-year-old nulligravida with schizophrenia presented after four months of progressive abdominal distension, culminating in severe respiratory compromise. An urgent transabdominal ultrasound was initially interpreted as massive ascites; however, its diagnostic accuracy was limited by the extreme abdominal distension and the patient's inability to change position due to respiratory distress. Further evaluation with CT of the thorax and abdomen revealed a 35 × 42 × 48.
View Article and Find Full Text PDFIntroduction: Congenital diaphragmatic hernia (CDH) can result in intrathoracic displacement of the kidney, presenting anatomical challenges for robot-assisted radical nephrectomy (RARN). Reports of RARN in such cases are scarce.
Case Presentation: A 56-year-old man with a history of right-sided CDH repair was referred for evaluation of an incidentally discovered right renal mass.
Cureus
August 2025
Radiology and Imaging Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
The Arc of Buhler (AOB) is a rare embryological vascular remnant that forms a persistent arterial connection between the superior mesenteric artery and the celiac artery. Although typically asymptomatic, it assumes clinical importance in the presence of celiac artery stenosis by serving as a key collateral route. Aneurysms arising from the AOB are uncommon but carry a significant risk of rupture.
View Article and Find Full Text PDFJ Vasc Surg
September 2025
Heart Center, Turku University Hospital, Turku, Finland. Electronic address:
Objective: To investigate the prevalence of mesenteric artery stenosis and its association with acute mesenteric ischemia (AMI) among elderly patients presenting at the emergency department with acute abdominal pain.
Methods: This single-center retrospective cohort study included 500 consecutive patients aged 65 years or more who underwent contrast enhanced computed tomography at the emergency department due to acute abdominal pain between 2013 and 2014. Imaging data were retrospectively evaluated by a consultant interventional radiologist for ≥50% stenosis of the superior mesenteric artery (SMA), celiac artery (CA) and inferior mesenteric artery (IMA).