A 71-year-old male patient was admitted with a diagnosis of acute myocardial infarction, he underwent an urgent coronary angiography and stent implantation to a totally occluded circumflex coronary artery. During the percutaneous coronary intervention, cardiac arrest occurred and a short-lived and successful mechanical and medical cardiopulmonary resuscitation was applied. Once a satisfactory c...

The treatment of intrahepatic or perihepatic neoplasms by hyperthermia may be limited by the thermal sensitivity of normal liver tissue. To establish the temperature dependence of hepatic toxicity, eight canine liver lobes were exposed to a single 30-min dose of localized hyperthermia in the range of 43.0 degrees C-47.5 degrees C, induced by radiofrequency currents. Four additional liver lobes ...

PURPOSE Prostaglandin E1 (PGE1) has been used to improve hepatic blood flow and to reduce ischemia reperfusion injuries of allografts in liver transplantation. However, PGE1 undergoes extensive metabolic clearance in the pulmonary and splanchnic circulation during intravenous administration. We analyzed the effect of intraportally administered PGE1. METHODS Sixty living-donor liver transplant...

Desmoplastic Small Round Cell Tumor (DSRCT) has a very poor prognosis. This report illustrates novel chemotherapy and local control interventions in a 5-year old patient. The patient was treated in the outpatient setting, achieved remission, with excellent quality of life. The patient presented with massive ascites and >1000 abdominal tumors. Neoadjuvant chemotherapy included vincristine (1.5 m...

Spontaneous rupture of the renal parenchyma is rarely reported, usually seen as a complication of an underlying disease like the benign and malignant tumors of the kidney, also except from tumors among the causes of spontaneous renal rupture associated with bleeding, there were claimed vascular anomalies affecting the parenchyma, infections and coagulation disorders. Presented case was a 79-yea...

OBJECTIVES The aim of this study was to introduce the concept of non-operative management (NOM) for blunt liver trauma by establishing a protocol and a prospective Liver Trauma Registry in Kuwait. SUBJECTS AND METHODS A prospective Liver Trauma Registry was started in 4 hospitals and it included 117 patients who had sustained blunt liver trauma (94 men and 23 women). Unstable patients were ta...

Background and Aims: Percutaneous liver-biopsy is often technically difficult relatively contraindicated in patients with compensated advanced chronic liver disease (cACLD) cirrhosis. EUS-guided (EUSLB) has emerged as an attractive alternative to percutaneous biopsies. However, data on EUSLB cACLD cirrhosis limited. Hence, we explored the performance of such patients. Methods: Consecutive perfo...

BACKGROUND Beside hepatocellular carcinoma, metastasis, and cholangiocarcinoma, the imaging findings of other relatively uncommon hepatic lesions are less discussed in the literature. Imaging diagnosis of these lesions is a daily challenge. In this article, we review the imaging characteristics of these neoplasms. METHODS From January 2003 to December 2014, 4746 patients underwent liver biops...

An 86-year-old female was brought in by ambulance for severe abdominal and back pain. She was hypotensive en route and appeared to be in distress upon arrival to the emergency department. Her abdomen was tense and distended with diffuse tenderness to palpation present. A bedside abdominal ultrasound (US) was done immediately, which raised concern for free air. A portable upright chest x-ray was...

A 38-year-old woman with abdominal gunshot injury underwent hepatorrhaphy, gastrorrhaphy, splenectomy, and hemicolectomy for severe liver, gastric, splenic, and colonic injury. On postoperative day 10, Gastroenterology was consulted for evaluation of a bile leak, after bilious drainage was seen in the perihepatic intra-abdominal drain. Abdominal computed tomography scan showed a fluid collectio...