Chest
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Surgery Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Incidence of hiatal hernias (HH) increases with age. Approximately 60% of individuals aged 50 or older have a HH. [1] A giant HH is a hernia that includes at least 30% of the stomach in the chest, although a uniform definition does not exist; most commonly, a giant HH is a type III hernia with a sliding and paraesophageal component [2]. Patients with a giant HH generally present with pain, heartburn or a history of heartburn, dysphagia, vomiting, and anemia. We present a case of giant HH presenting with hematemesis. ⋯ This case illustrates the need to consider giant HH in the presence of hematemesis. Early recognition of this rare entity can lead to early surgical intervention.Reference #1: Goyal Raj K, "Chapter 286. Diseases of the Esophagus". Harrison's Principles of Internal Medicine, 17e.Reference #2: Mitiek, MO "Giant Hiatal Hernia" Annl Thor Surg 2010 Jun;89(6):S2168-73.Reference #3: Landreneau RJ et al. Management of paraesophageal hernias Surg Clin North Am 2005;85:411-432DISCLOSURE: The following authors have nothing to disclose: Anita Rajagopal, Anthony AsciotiNo Product/Research Disclosure Information.
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Tuberculosis PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Diabetes mellitus is a recognized risk factor for developing tuberculosis. Whether pulmonary tuberculosis is a risk factor for diabetes? ⋯ The following authors have nothing to disclose: Mohammad HossainNo Product/Research Disclosure Information.
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Tuberculosis Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: To reveal the risk of pulmonary hamartoma mimicking pulmonary tuberculoma. To explore the varied and unusual, clinical and radiological pattern of pulmonary hamartoma. ⋯ The following authors have nothing to disclose: Georgios Athanasiou, Ioan Arghir, Valerios Kortzis, Paraschiva Postolache, Oana ArghirNo Product/Research Disclosure Information.
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Tuberculosis Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: The potential complications of immune reconstitution disease during antiretroviral therapy (ART) are extremely diverse and included the unmasking form of tuberculosis. TB caused by immune reconstruction inflammatory syndrome is associated with a high mortality risk although HIV-infected patients are treated with antiretroviral agents. ⋯ Described unmasked and accelerated worsening of TB disease post-ART suggest that immune reconstitution inflammatory syndrome had contributed in both cases. Because pelvic inflammation disease is considered co-epidemic with HIV, the diagnosis of TB was delayed, the progression of TB disease was fast and severe, but the prognosis was finally a favorable one.Reference #1: Lawn SD, Meintjes G. Pathogenesis and prevention of immune reconstitution disease during antiretroviral therapy. Expert Rev. Anti Infect. Ther. 9(4), 415-430 (2011)Reference #2: Lawn SD, Wilkinson RJ, Lipman MC, Wood R. Immune reconstitution and unmasking tuberculosis during antiretroviral therapy. Am.J. respir. Crit. Care Med. 177, 680-685 (2008)DISCLOSURE: The following authors have nothing to disclose: Valerios Kortzis, Georgios Athanasiou, Ioan Arghir, Elena Dantes, Simona Cambrea, Paraschiva Postolache, Oana ArghirNo Product/Research Disclosure Information.
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Pleural Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Spontaneous pneumomediastinum (SPM) is an unusual condition. It is reported to present in one in 1,000 to one in 40,000 ED referrals. It is characterized by the presence of interstitial air in the mediastinum without any apparent precipitating factor. It is seen after intrathoracic pressure changes leads to alveolar rupture and dissection of air along the tracheobronchial tree. We report a case of a young male who presented with a spontaneous pneumomediastinum. ⋯ The following authors have nothing to disclose: Vanessa Yap, Debapriya DattaNo Product/Research Disclosure Information.