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Kollia P.,417 NIMTS Military Veterans Fund Hospital of Athens | Kounoudes C.,Athens Medical Center | Veloudis G.,417 NIMTS Military Veterans Fund Hospital of Athens | Giannakou N.,Athens Medical Center | Gourgiotis S.,417 NIMTS Military Veterans Fund Hospital of Athens
Journal of Obstetrics and Gynaecology Research | Year: 2014

Ectopic ovarian tissue is a rare gynecologic condition. The presence of ectopic ovary may be accompanied by maldevelopments of the genital and urinary tract. We report an extremely rare case of a 39-year-old woman presenting with abdominal pain localized in the right lower quadrant. During the preoperative investigation and the exploratory laparotomy, an ectopic ovary in contact with the appendix accompanied by a single left kidney was found. The present report also includes a review of the related published work. To the best of our knowledge, this is one of the very few cases reported describing the co-occurrence of true ovarian ectopia and ipsilateral renal agenesis. © 2013 Japan Society of Obstetrics and Gynecology. Source


Mathioulakis S.,417 NIMTS Military Veterans Fund Hospital of Athens | Liverakou E.,417 NIMTS Military Veterans Fund Hospital of Athens | Gourgiotis S.,417 NIMTS Military Veterans Fund Hospital of Athens | Salemis N.S.,401 General Army Hospital of Athens
American Journal of Emergency Medicine | Year: 2014

Laparoscopic cholecystectomy, because it is the less invasive surgical procedure, has been established as the procedure of choice for the treatment of patients with symptomatic gallbladder stones. However, bile leakage after laparoscopic cholecystectomy should not be overlooked. It is generally due to a minor biliary complication, although it can sometimes herald a major duct injury. Bile leakage rates of 1.2% to 4.0% in laparoscopic cholecystectomies have been reported, which are higher than the incidence with open cholecystectomies. © 2014 Elsevier Inc. All rights reserved. Source


Leptidis J.,417 NIMTS Military Veterans Fund Hospital of Athens | Aloizos S.,ICU | Chlorokostas P.,ICU | Gourgiotis S.,417 NIMTS Military Veterans Fund Hospital of Athens
American Journal of Emergency Medicine | Year: 2014

Acute myeloid leukemia is a hemopoietic myeloid stem cell neoplasm. It is the most common acute leukemia affecting adults, and its incidence increases with age. Acute myeloid leukemia is characterized by the rapid growth of abnormal white blood cells that accumulate in the bone marrow and interfere with the production of normal blood cells. As the leukemic cells keep filling the bone marrow, symptoms of the disease started to appear: fatigue, bleeding, increased frequency of infections, and shortness of breath. Cardiac tamponade or pericardial tamponade is an acute medical condition in which the accumulation of pericardial fluid prevents the function of the heart. Signs and symptoms include Beck triad (hypotension, distended neck veins, and muffled heart sounds), paradoxus pulses, tachycardia, tachypnea, and breathlessness. Pericardial effusion and cardiac tamponade are rare and severe complications of leukemia; they often develop during the radiation therapy, chemotherapy, or infections in the course of leukemia. This study sought to assess the fatal cardiac tamponade as the first manifestation of acute myeloid leukemia (AML). We found no reports in the literature linking these 2 clinical entities. Although the patient had no signs or diagnosis of AML previously, this case was remarkable for the rapidly progressive symptoms and the fatal outcome. The pericardial effusion reaccumulated rapidly after its initial drainage; it is a possible explanation that the leukemic cells interfered with cardiac activity or that they decreased their contractility myocytes secreting a toxic essence. © 2014 Elsevier Inc. All rights reserved. Source


Falidas E.,417 NIMTS Military Veterans Fund Hospital of Athens | Gourgiotis S.,417 NIMTS Military Veterans Fund Hospital of Athens | Veloudis G.,417 NIMTS Military Veterans Fund Hospital of Athens | Exarchou E.,417 NIMTS Military Veterans Fund Hospital of Athens | And 2 more authors.
Journal of Natural Science, Biology and Medicine | Year: 2015

An inguinoscrotal hernia is a common disorder that usually contains intraperitoneal organs (small intestine, colon, appendix, ovaries). Extraperitoneal ureteral herniation into an inguinoscrotal hernia is a rare condition and often associated with congenital abnormalities or postoperative anatomic changes. A high index of suspicion is needed in order to avoid intraoperative ureteric injuries. We herein report the case of a ureteric herniation into an inguinoscrotal hernia incidentally found during a scheduled hernia repair. Source


Falidas E.,417 NIMTS Military Veterans Fund Hospital of Athens | Gourgiotis S.,417 NIMTS Military Veterans Fund Hospital of Athens | Vlachos K.,417 NIMTS Military Veterans Fund Hospital of Athens | Villias C.,417 NIMTS Military Veterans Fund Hospital of Athens
American Journal of Emergency Medicine | Year: 2015

Blunt traumatic rupture of the diaphragm is a relatively uncommon but severe consequence that is usually seen in polytraumatized patients after thoracoabdominal trauma. Traumatic diaphragmatic rupture presents diagnostic difficulty, with basic radiological investigations discovering no more than half of all cases,whereas complicationsmay present long after the initial injury has occurred. Late presentation is associated with increasedmorbidity.Weherein report a rare case of diaphragmatic hernia due to missed traumatic diaphragmatic rupture in a 28-year-old man who experienced blunt thoracoabdominal trauma and presented with dyspnea and epigastric pain 4 months after his initial injury. His condition was complicated by diffuse ischemic alterations of the fundus and a part of the greater curvature of the stomach as well as questionable viability of the gastroesophageal junction. The patient had a successful emergency transabdominal suture plication of the diaphragm and a sleevelike gastrectomy. © 2015 Published by Elsevier Inc. Source

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