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Aberrant branches of the superior mesenteric artery detected by MDCT angiography of abdominal aorta

angiographically. Surg Radiol Anat. 2001; 23:349-52. 4. Hazirolan T, Metin Y, Karaosmanoglu AD, Canyigit M, Turkbey B, Oguz BS, et al. Mesenteric arterial variations detected at MDCT angiography of abdominal aorta. AJR. 2009; 192:1097-102. 5. Lee JM, Lee YJ, Kim CW, Moon KM, Kim MW. Clinical implications of an aberrant right hepatic artery in patients undergoing pancreaticoduodenectomy. World J Surg. 2009; 33:1727-32. 6. Civelek AC, Sitzmann JV, Chin BB, Venbrux A, Wagner HN, Jr., Grochow LB. Misperfusion of the liver during

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Damage control surgery in blunt cardiac injury

HH, Strom PR, Mullins RJ. Management of the major coagulopathy with onset during laparotomy. Ann Surg. 1983; 197:532-5. 6. Rotondo MF, Schwab CW, McGonigal MD, Phillips GR 3rd, Fruchterman TM, Kauder DR, et al. Damage control: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma. 1993; 35:375-82. 7. Wall MJ Jr, Villavicencio RT, Miller CC, Aucar JA, Granchi TA, Liscum KR, et al. Pulmonary tractotomy as an abbreviated thoracotomy technique. J Trauma. 1998; 45:1015-23. 8. Vargo DJ

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Incidence of significant extravascular findings in patients undergoing computed tomographic angiography of the whole aorta or abdominal aorta

, we focused on CTA of the whole aorta and CTA of the abdominal aorta, which are usually requested in hospital for patients with common clinical manifestations, such as abdominal pain, chest pain, pulsatile abdominal mass or traumatic accidents who have suspected aortic disease or injury. In this study, we excluded patients who were the recipients and donors of renal transplants and patients with known significant vascular disease without new clinical onset. There were also incidental significant extravascular findings that may be important and require further

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Congenital abdominal aortic aneurysm in a term neonate: a case report

Congenital abdominal aortic aneurysm (AAA), a rare condition in neonates, is usually associated with umbilical artery catheterization [ 1 , 2 ] or other conditions such as congenital heart or aortic malformation, infection (mycotic aneurysm) [ 3 , 4 ], connective tissue diseases (Marfan syndrome, Ehlers–Danlos syndrome, Loeys–Dietz syndrome) [ 5 , 6 ], or vasculitis (Takayasu’s disease, Kawasaki syndrome) [ 7 ]. An idiopathic congenital AAA is extremely rare. We report a case of idiopathic congenital AAA consisting of multiple lesions in a Thai neonate born

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Urinary exosomes from a mouse model of chronic tubulointerstitial kidney disease induced by chronic renal ischemia–reperfusion injury and nephrectomy

Institutional Animal Care and Use Committee (IACUC) of the Faculty of Medicine, Chulalongkorn University. Bangkok, Thailand. We divided 14 mice into equalsized sham and Chr IR surgery groups. The baseline blood chemistry tests were conducted 2 weeks before nephrectomy (–2 wk) using blood samples obtained from a tail vein. One week later a Chr IR injury was made as previously described [ 10 ], with slight modifications as follows. In brief, the surgery was conducted in 2 stages. In the first stage at 1 week after baseline blood collection (–1 wk), an abdominal incision was

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Incidence and etiology of maxillofacial trauma: a retrospective analysis of King Chulalongkorn Memorial Hospital in the past decade

of maxillofacial fracture was motorcycle accident (39.7%); other causes of maxillofacial fracture are presented in Table 2 . Alcohol consumption was reported in 583 (47.5%) cases, denied in 315 (24.7%) cases, and in the remaining 377 (29.5%) cases, it was not documented. Associated injuries, such as head injury, thoracic injury, abdominal injury, pelvic injury and cervical (C-) spine injury, were found in 368 (28.9%) cases, as shown in Figure 2 . Table 1 Sex and age distribution of patients with maxillofacial fracture Age (years) Sex Total

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Unusual clinical manifestations of dengue infection in children in a tertiary care hospital in northeast Thailand

, Pruekprasert P, Dissaneewate P. Outcome of dengue hemorrhagic fever-caused acute kidney injury in Thai children. J Pediatr. 2010; 157:303-9. 11. World Health Organization Regional Office for South- East Asia. Comprehensive guidelines for prevention and control of dengue and dengue haemorrhagic fever: revised and expanded edition. New Delhi; World Health Organization Regional Office for South East Asia; 2011. 12. Lapphra K, Sangcharaswichai A, Chokephaibulkit K, Tiengrim S, Piriyakarnsakul W, Chakorn T, et al. Evaluation of an NS1 antigen

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Wall vacuum-assisted closure technique for a complex enteroatmospheric fistula: report of a case

Enteroatmospheric fistula (EAF) is one of the most devastating complications of abdominal surgery and an open abdomen because it causes several problems including fluid electrolyte imbalances, nutritional depletion, infection, and wound care problems [ 1 , 2 , 3 , 4 ]. The intestinal content coming out from the EAF is usually difficult to contain, especially if the fistula is proximal and of high output, resulting in multiple skin problems (irritation, maceration, erosion, and infection) [ 2 , 3 , 4 ]. Multiple EAF wound care techniques using vacuum

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Characteristics and risk factors for antituberculosis drug-induced liver injury in a cohort of patients with cirrhosis in a tertiary referral university teaching hospital in Thailand

population [ 2 ], which is likely due to impaired immunity and malnutrition [ 2 , 3 ]. First-line treatment of tuberculosis includes a combination of the following 4 oral drugs: isoniazid, rifampin, pyrazinamide, and ethambutol. All of these antituberculosis drugs (ATDs), except ethambutol, are considered hepatotoxic, because they can lead to ATD-induced liver injury (ATDILI) [ 4 , 5 ] with higher rates of complication and mortality than other antibiotic agents [ 6 ]. Isoniazid and pyrazinamide cause hepatocyte injury by inducing the formation of free radical species

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Hepatic resection using ultrasonic surgical aspirator

the diaphragm and the posterior abdominal wall, (3) cholecystectomy, (4) dissection of hepatic hilum, isolation of the left or right hepatic artery and left or right branch of the portal vein, (5) ligation of the left or right hepatic artery supplying the resected hepatic segments, (6) ligation of left or right branch of the portal vein supplying the targeted hepatic segments, (7) identification of line of demarcation on the liver surface, (8) parenchymal transection along the line of demarcation by using CUSA and intermittent hepatic inflow occlusion (Pringle

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