Background: Bilateral rupture of the patellar tendon is a very rare injury, which takes place in relation to chronic systemic diseases. These injuries are known causes. Some of these causes are particular in patellar tendon rupture and another are in quadriceps tendon rupture. Case presentation: 70-year-old diabetic man with simultaneous bilateral patellar tendon disruption of proximal inser...

Patients with pancreatic cancer frequently suffer from both biliary and duodenal obstruction. For such patients, both biliary and duodenal self-expandable metal stent placement is necessary to palliate their symptoms, but it was difficult to cross two metal stents. Recently, endoscopic ultrasonography-guided choledochoduodenostomy (EUS-CDS) was reported to be effective for patients with an inac...

In 10 healthy subjects and 10 duodenal ulcer patients the intestinal phase of gastric acid secretion was studied by intraduodenal infusion of a 10% liver extract meal (pH 7) at 400 ml/h for three hours. A gastroduodenal double lumen tube with two balloons was used to block the pylorus and to prevent duodenogastric reflux. Gastric acid response to a duodenal meal of liver extract reached a peak ...

Since Aird, Bentall, Mehigan, and Roberts (1954) convincingly demonstrated a high incidence of blood group 0 in duodenal ulcer subjects there have been a number of confirmatory studies carried out in different ethnic groups and populations (McConnell, 1966). Studies have also been undertaken to see if there is an especially strong association between blood group 0 and some particular category o...

Anorectal Malformations are known to be associated with various other congenital anomalies including duodenal atresia. An association of congenital intrinsic duodenal obstruction causing partial duodenal obstruction in a patient with anorectal malformation is not described in literature. We describe a case of delayed presentation of congenital intrinsic duodenal obstruction in a child with high...

The proximal duodenal mucosa secretes HCO that serves to protect the epithelium from injury. In isolated human duodenal enterocytes in vitro, multiple luminal membrane proteins are involved in acid/base transport. We postulated that one or more isoforms of the Na(+)/H(+) exchanger (NHE) family is located on the apical surface of human duodenal mucosal epithelial cells and thereby contributes to...

we reviewed 55 cases with trauma to the urinary bladder. blunt trauma was the cause of injury in 78 percent of cases and associated pelvic fracture was present in 75 percent. eighty percent of extraperitoneal ruptures were associated with fracture of the pelvis. the most common cause of trauma was car accident (63%), followed by war injury (20%). nearly two-thirds of patients (63 %) had extrape...

conclusions with the increase in interventional procedures in cardiology, iatrogenic pathology of the aorta is seen more frequently, and every cardiologist should know how to diagnose and treat this group of diseases. evidence acquisition our search strategy involved an investigation in the pubmed database for every available article in peer reviewed journals between 1975 and 2015, for subjects...

discussion bladder over-distention and spontaneous bladder rupture, although very rare in ham/tsp, should be considered in a differential diagnosis of bladder rupture, especially in patients with a history of htlv1. introduction spontaneous bladder rupture is a rare manifestation of hyporeflexic bladder due to ham/tsp( human t-cell lymphotropic virus type 1 (htlv1) associated myelopathy/tropica...