OBJECTIVE To assess the frequency of infertility after pelvic inflammatory disease (PID) and factors important in postinfectious tubal damage in an urban population at high risk for sexually transmitted diseases. METHODS From a cohort of 213 women with PID documented by laparoscopy and/or endometrial biopsy, 58 women (27% of the initial cohort) were interviewed by phone 2 to 9 years after an ...

A giant renal angiomyolipoma (AML) measuring 18 × 13.2 × 22.4 cm was found in the left kidney of this 43-year-old female (with no evidence of tuberous sclerosis [TS]). Her other kidney was atrophic contributing only 3% of total renal function (damaged by chronic pelvi-ureteric junction obstruction). The grossly hypertrophied left kidney was causing displacement of the ureter, pancreas and splee...

A 67-year-old man was referred for Barrett’s esophagus, Prague classification C8M8, with high grade dysplasia (HGD). A first endoscopic mucosal resection (EMR) using the Duette system (Wilson Cook Medical, USA) allowed removal of half of the circumference of the Barrett’s area. The remaining Barrett’s zone was resected 1month later, without peroperative adverse events (●" Fig.1). However, 4 hou...

Disseminated disease, especially to the liver, constitutes the major risk of recurrence for colorectal cancer patients. However, successful resection can still be achieved in 25-35% of colorectal cancer patients with isolated metastases. To evaluate the clinical value of occult micrometastatic disease detection in lymph nodes, we tested genetic (K-ras and p53 gene mutations) and epigenetic (p16...

We have read with great interest the article by Scanagatta and colleagues [1] reporting the case of a huge hepatocarcinoma (HCC) with intrathoracic extension. The authors addressed the diagnostic challenge to recognise tumour origin and possible pitfalls with intrathoracic neoplasm; they also advocated the use of magnetic resonance imaging (MRI) to better characterise lesion relationships. As w...

Liver transplantation is the most effective treatment for various end-stage liver diseases. Living donor liver transplantation (LDLT) was first developed in Asia due to the severe lack of cadaveric graft in this region. The Liver Transplant Service at Queen Mary Hospital (QMH), Hong Kong, has pioneered the application of LDLT to patients using both left lobe and right lobe grafts. The QMH liver...

upper quadrant pain and progressive dyspnea for 2 days. He had history of chronic obstructive pulmonary disease and chronic kidney disease. On admission, he was febrile and had sinus tachycardia. Laboratory findings showed an elevated white blood cell count of 18.01 × 109/L with 92.1% neutrophils. Liver function tests revealed normal alanine aminotransferase (14 U/L [3–37 U/L]), normal total bi...

Objective: To assess the frequency of infertility after pelvic inflammatory disease (PID) and factors important in postinfectious tubal damage in an urban population at high risk for sexually transmitted diseases. Methods: From a cohort of 213 women with PID documented by laparoscopy and/or endometrial biopsy, 58 women (27% of the initial cohort) were interviewed by phone 2 to 9 years after an ...

BACKGROUND Severe liver injury in trauma patients still accounts for significant morbidity and mortality. Operative techniques in liver trauma are some of the most challenging. They include the broad and complex area, from damage control to liver resection. MATERIAL AND METHOD This is a retrospective study of 121 trauma patients with hepatic trauma American Association for Surgery of Trauma (...