the patient is a 69 years old female presented with chest pain and rapidly progressive dysphagia. then she suffered of hematemesis and aphagia. in evaluation of patient, a intramural hematoma obstructing esophageal lumen was demonstrated which was accompanied with mucosal ulceration and bleeding. it appears that this complication occurred in the context of concomitant use of alendronate with as...

Extrauterine leiomyomas are rare, benign, and may arise in any anatomic sites. Their unusual growth pattern may even mimic malignancy and can result in a clinical dilemma. Occasionally, uterine leiomyomas become adherent to surrounding structures. They also develop an auxiliary blood supply, and lose their original attachment to the uterus, thus becoming ‘parasitic’. Parasitic myomas may also b...

Calcification of uterine myoma is not rare. However, due to the hardness calcified myomas, sometimes it difficult extract from pelvic cavity during a total laparoscopic hysterectomy (TLH). We present case patient with large who underwent TLH. A 52-year-old virgin woman was diagnosed multiple myomas maximal size 120 mm by magnetic resonance imaging. An abdominal X-ray examination identified one ...

Etiology of esophageal intramural pseudodiverticulosis is still unknown but several accompanying diseases have been reported, for example, reflux esophagitis, esophageal cancer, diabetes mellitus and so on. We have experienced a case of esophageal intramural pseudodiverticulosis with cancer improved by radiation therapy. In this case, there were esophageal cancer in the cervical esophagus, with...

The clinical manifestations and natural history of acute aortic intramural hemorrhage are not well characterized. Therefore, we have evaluated the differences in the clinical features and prognosis between acute intramural hemorrhage and acute classic aortic dissection. One hundred two consecutive patients with acute aortic syndrome were diagnosed between November 1994 and May 1999. The clinica...

Introduction Uterine leiomyomas are common benign pelvic tumors. Currently, laparoscopic myomectomy (LM) is the preferred treatment option for women in fertile age group with symptomatic myomas. The authors hypothesize that combining LM a bilateral temporary occlusion of hypogastric artery (TOHA) using vascular clips minimizes uterine blood flow during surgery and can significantly reduce surge...

This study intended to investigate whether body weight gain during adulthood is associated with uterine myomas. 1,560 subjects were evaluated in a Pró-Saúde Study. Weight gain was evaluated in a continuous fashion and also in quintiles. Odds ratios and 95% confidence intervals were estimated through logistic regression models that were adjusted for education levels, color/race, body mass indice...