Embolization of spontaneous retroperitoneal bleeding fed by aneurysmal arc of Bühler: Case report and technical considerations.
The arc of Bühler (AOB) is a rare embryonic anastomosis between the celiac artery and the superior mesenteric artery, which may become a crucial collateral pathway in cases of celiac axis stenosis. We report a challenging case of a 70-year-old woman presenting with hemorrhagic shock owing to a…
Pain management in pancreatic cancer: time to change our strategy!
Pain affects 70-80% of patients with pancreatic adenocarcinoma and remains inadequately controlled in more than half of cases. Beyond its impact on quality of life, pain is now recognized as an independent prognostic factor, reflecting the unique neurobiological features of this malignancy. Perineur…
Olmesartan-Induced Enteritis Mimicking Small Bowel Crohn's Disease.
Drug-induced enteritis and colitis are commonly included in the differential diagnosis for inflammatory bowel disease and olmesartan, an angiotensin-II receptor blocking antihypertensive medication, has been implicated in numerous cases. Typical findings of olmesartan-associated enteropathy mimic th…
Early-life gastrointestinal inflammation and the developing brain: Unravelling the pathways to long-term cognitive dysfunction.
The gut-brain axis (GBA) is a complex, bidirectional communication network critical to integrating central nervous system functions with gastrointestinal (GI) health. This review examines how disruptions to the GBA during the critical early-life developmental window - a period of rapid neurogenesis…
Frequency of follow-up testing for tissue transglutaminase antibodies after initial positivity among children: An analysis of real-world data from a population-based cohort in Canada.
Tissue transglutaminase antibodies (tTG-IgA) are the primary tool for celiac disease (CeD) screening, can be incorporated into a formal diagnosis of CeD without the need for biopsy-confirmation, and are recommended for subsequent monitoring of disease status. However, it remains understudied how fre…
Anatomic Feasibility of Off-the-Shelf FEVAR Devices: An Anatomic Study.
Fenestrated endovascular aneurysm repair (FEVAR) enables treatment of complex aortic aneurysms involving visceral branches but is limited by patient-specific anatomical variability. Off-the-shelf (OTS) devices could reduce manufacturing delay; however, their feasibility depends on anatomic compatibi…
Inferior Pancreaticoduodenal Artery Aneurysms: Diagnostic Challenges and Management Outcomes-A Systematic Review of 113 Cases.
BackgroundInferior pancreaticoduodenal artery (IPDA) aneurysms are rare visceral artery aneurysms with high rupture rates and significant mortality. Nonspecific clinical presentation frequently leads to diagnostic delay. We conducted a systematic review to characterize clinical features, diagnostic…
Referral patterns and requested interventions in a cancer pain e-consult system.
Chronic pain affects a substantial proportion of patients with cancer and remains undertreated despite advances in pharmacologic and interventional management. Electronic consultation (e-consult) systems have improved specialty access in other fields, yet their application to interventional cancer p…