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superior mesenteric artery syndrome is a very uncommon disorder in which acute angulation of superior mesenteric artery (sma) at its origin from aorta results in compression of the third part of the duodenum leading to partial or complete obstruction of the duodenum. other terminologies for this condition are cast syndrome, wilkie syndrome, arteriomesenteric duodenal obstruction, and chronic du...

We read the publication on “Serum tissue factor (TF) as a biomarker for renal clear cell carcinoma”. Silva et al. noted that “TF appears to be a useful serum marker for the presence of clear cell RCC (1)”. Indeed, to conclude that TF is an important biomarker, there should be a complete evaluation on this diagnostic test. Sensitivity and specificity should be studied. Also, some confounding med...

Vesical clear cell adenocarcinoma is an uncommon tumour. The description of nearly all published cases focuses on histological issues, providing few clinical particulars and limited followup. The treatment choice is resection. No publications have been found regarding systemic treatments for advanced disease. We present a case of metastatic clear cell adenocarcinoma of the bladder treated with ...

Parametric modeling of downwelling longwave irradiance under all-sky conditions (LW↓) typically involves “correcting” a clear- (or non-overcast) sky model estimate using solar-irradiance-based proxies cloud cover in lieu actual given uncertainties and measurement challenges the latter. While such approaches are deemed sound, their application time space is inherently limited. We report on corre...

for more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. jalal mohammed, nicola north, and toni ashton analyze decision autonomy within decentralized services...

Bilateral renal cell carcinoma (RCC) is an extremely rare renal tumor, which even more infrequently presents with two different types of pathology. We present a case of bilateral RCC in a 56-year-old male patient treated with simultaneous retroperitoneal laparoscopic nephron-sparing surgery (RLNSS). The postoperative histopathologic examination identified the left tumor as a clear cell carcinom...

To cite: Agarwal S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014206287 DESCRIPTION A 45-year-old man presented with non-tender soft tissue swelling on the medial aspect of the right foot with pain during dorsiflexion and eversion of the foot. X-ray (figure 1) and MRI (figure 2) of the mass revealed a heterogeneous soft tissue mass arising out of the calcan...

The external branch of the superior laryngeal nerve (ELN) is intimately associated with the superior thyroid artery (STA) in relation to the superior pole of the thyroid gland, rendering it vulnerable to injury during the ligation of this vessel during thyroidectomy. Although most texts acknowledge the fact that the nerve is in close relation to the STA, there has not been an anatomical study t...