Arezoo Esmailzadeh; shahla Chaichian; Abolfazl Mehdizadehkashi; Kobra Tahermanesh; Samaneh Rokhgireh; Nastaran Khodakarim; Shima Ghafourian; Saeedeh Moslemi; Meisam Akhlaghdoust
Volume 22, Issue 8 , 2020
Abstract
Introduction: Coronavirus disease 2019 (COVID-19), newly emerging in the world as a pandemic disease, can have rare extrapulmonary manifestations. Few studies have reported coagulation disorders, induced by coronavirus; however, hemorrhage is an extremely rare and life-threatening phenomenon in COVID-19.
Case ...
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Introduction: Coronavirus disease 2019 (COVID-19), newly emerging in the world as a pandemic disease, can have rare extrapulmonary manifestations. Few studies have reported coagulation disorders, induced by coronavirus; however, hemorrhage is an extremely rare and life-threatening phenomenon in COVID-19.
Case presentation: Herein, we present a 31-year-old woman referring with vaginal bleeding, melena, skin ecchymosis, mucosal bleeding, melena, hematuria, and hypovolemic shock. At our center, she was diagnosed as a case of severe internal hemorrhage due to ovulation site hemorrhage and underwent emergency surgery, complicated by prolonged international normalized ratio, which could be due to the presence of COVID-19 in the patient, detected by spiral computed tomography.
Conclusions: This case showed the importance of examining COVID-19 in any patients referring to the hospital during the pandemic as well as paying greater attention to the effect of COVID-19 on coagulation disorders in these patients.
Hayedeh Hoorsan; Parvin Mirmiran; Shahla Chaichian; Yousef Moradi; Meisam Akhlaghdoust; Roza Hoorsan; Fatemeh Jesmi
Volume 19, Issue 9 , September 2017, , Pages 1-9
Abstract
Context: Given the role of nutrition and food, as well as environmental pollutants in the probability of developing endometriosis, this study aimed to identify the risk factors and preventive factors in a systematic review and meta-analysis.Evidence Acquisition: In this study, available references were ...
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Context: Given the role of nutrition and food, as well as environmental pollutants in the probability of developing endometriosis, this study aimed to identify the risk factors and preventive factors in a systematic review and meta-analysis.Evidence Acquisition: In this study, available references were searched for the relevant articles published “between” 2000 - 2015. Among a total of 357 articles extracted from primary studies, 5 articles were finally selected for meta-analysis, which were ultimately analyzed for the effect of dietary factors and risk of endometriosis on 73,102 cases (2,608 cases and 70,494 controls).Results: Systematic review and meta-analysis of the studies indicated that calcium intake OR: 0.99, (95% CI: 0.83 - 1.18), milk OR: 0.90 (95% CI: 0.65 - 1.23), eggs OR: 1.01(95% CI: 0.81 - 1.28), bacon OR: 1.26 (95% CI: 0.60 - 2.65), red meat OR: 1.26 (95% CI 0.73 - 2.18), increase the risk of endometriosis.Conclusions: Evidence shows a need to improve the understanding of the impact of dietary components on the risk of endometriosis to modify and prevent this disease. Futhermore, more studies are required and recommended to clarify the role of diet in the incidence and progression of endometriosis.
Samaneh Rokhgireh; Abolfazl Mehdizadehkashi; Shahla Chaichian; Mansoureh Vahdat; Leila Nazari; Banafsheh Tajbakhsh; Banafsheh Nikfar
Volume 19, Issue 8 , August 2017, , Pages 1-4
Abstract
Introduction: Gossypiboma is defined as retained foreign object (sponge, needle, and instrument) in patient’s corpus after operation that is recognized as a medical error. It may induce catastrophic implications for the patient and medical care providers. We present a case with a 17-year-old gossypiboma ...
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Introduction: Gossypiboma is defined as retained foreign object (sponge, needle, and instrument) in patient’s corpus after operation that is recognized as a medical error. It may induce catastrophic implications for the patient and medical care providers. We present a case with a 17-year-old gossypiboma after cesarean section.Case Presentation: A 49-year-old woman was admitted to the outpatient clinic of Rasool-e-Akram hospital of Tehran, Iran, in 2016 presenting with abnormal uterine bleeding (AUB), abdominal pain, and urinary symptoms for many years. She underwent hysteroscopy. Operative findings included intrauterine synechiae and a polypoid lesion. Besides, a thread-like foreign body was observed in the anterior surface of the uterine cavity, which was suspected as a cesarean section suture material that was extracted. After hysteroscopy, uterine bleeding stopped although abdominal pain and urinary symptoms maintained. Voiding cystourethrogram (VCUG) and MRI revealed a mass between uterus and bladder. Then, laparotomy was performed. After opening the abdominal wall under general anesthesia, we explored internal organs and encountered a necrotic mass revealing an old organized gauze between bladder and uterus, which infiltrated the uterus and trigon. It was extracted and then, hysterectomy and bladder repair were carried out.Conclusions: Surgical sponges are the most common foreign materials retained in abdominal cavity
Meisam Akhlaghdoust; Nesa Zarbati; Shahla Chaichian; S. Hoseinali Saberi; Nasrin Mohammadkhani; Mahshad Asami; Fatemeh Hadipour; Zahra Hadipour; Yousef Shafeghati; Banafsheh Nikfar; Narges Vasei; Farkhondeh Behjati
Volume 19, Issue 7 , July 2017, , Pages 1-6
Abstract
Triploidy is the most frequent chromosome abnormality in the gestational age. According to the study, survival of more than 2 months in triploid patients is very rare. A 7-year-old girl with mild mental retardation with dysmorphism was referred for genetic counseling and clinical evaluation to Sarem ...
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Triploidy is the most frequent chromosome abnormality in the gestational age. According to the study, survival of more than 2 months in triploid patients is very rare. A 7-year-old girl with mild mental retardation with dysmorphism was referred for genetic counseling and clinical evaluation to Sarem medical genetics department (Tehran, Iran, 2013). Clinical features of the child were mental retardation, prominent upper lip, microgenitalia, prominent forehead, foot fingers syndactyly, and short hypoplastic 5th finger. G banding technique, skin biopsy, and Fluorescence in situ hybridization (FISH) testing were performed. Brain Imaging was evaluated. The karyotype of patient showed triploid (69, XXX) chromosome complement in all the metaphase spreads. However, two cell lines were found in metaphase of cultured cutaneous biopsy. The majority of the cells the body were triploid (69, XXX) and 16% of cells were diploid (46, XX). Findings of the FISH testing using X and Y Satellite enumeration probes in all studied peripheral blood lymphocyte (PBL) cells, included 3 signals and none signal respectively indicating X and Y chromosomes. Also, cultured of cutaneous biopsy finding showed 66% of cells had three signals (triploid) and 34 percent of cells had two signals (diploid) and mosaicism was confirmed. Karyotypes of parents and the brain imaging were normal. This study presents a rare case of triploidywith long survival with normal karyotypes of PBL and mosaicism in skin biopsy and interphase FISH.
Mohammad Reza Motamed; Reza Mollahoseini; S. Ahmad Tahami; Massod Mehrpoor; Shahla Chaichian; Meisam Akhlaghdoust; Valioallah Hassani; Katayoun Gohari Moghaddam
Volume 19, Issue 3 , March 2017, , Pages 1-3
Abstract
Introduction: Temporal arteritis (TA) is a chronic inflammatory vasculitis involving medium and large arteries, which mostly occurs after the age of 50 and involves one side of the body.Case Presentation: We present a 40-year-old male patient with simultaneous bilateral temporal arteritis along with ...
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Introduction: Temporal arteritis (TA) is a chronic inflammatory vasculitis involving medium and large arteries, which mostly occurs after the age of 50 and involves one side of the body.Case Presentation: We present a 40-year-old male patient with simultaneous bilateral temporal arteritis along with a headache, mild fever, palpation of temporal arteries and anemia who responded to 1mg/kg oral daily prednisone for threemonths. This patient was referred to the Pars Hospital in Tehran, Iran on March 2016.Conclusions: Temporal arteritis should be kept in mind as an important curable differential diagnosis, not only in ages above 50, but also in lower ages and should be evaluated in both sides.