Uremic platelet dysfunction rarely causes significant bleeding in adequately dialyzed patients. When encountered, the management is complicated by a lack of well-supported treatment modalities. Estrogen use in uremic platelet dysfunction has been described, but enthusiasm for the treatment has been dampened by the risk of thrombotic events in vasculopathic dialysis patients. We present a patien...

At the age of 69 years, a woman with recurrent gastrointestinal bleeding underwent investigation by gastroscopy and colonoscopy. Extensive telangiectatic changes were observed in the canalis and antrum of the ventricle and in the colon. In parallel, the woman suffered from nephrotic syndrome, hypertension, and progressive renal failure attributable to chronic glomerular changes with extensive i...

Polyclonal gammopathy represents the diffuse activation of B cells and is usually related to inflammation or immune-related diseases. However, the mechanisms leading to polyclonal gammopathy are essentially speculative. Generally, infectious, inflammatory, or various other reactive processes may be indicated by the presence of a broad-based peak or band in the gamma region on serum protein elec...

OBJECTIVES  To identify the  predictive factors of successful non-operative  management  of patients  with intraperitoneal bleeding following blunt abdominal trauma. METHODS This was cross-sectional study being performed in our Level I trauma center in southern  Iran between 2010 and 2011. We included adult (>14 years) patients with blunt  abdominal trauma  and intra-peritoneal hemorrhage  de...

Peritoneal keratin granulomatosis is a rare condition included under granulomatous lesions of the peritoneum. It can be secondary to neoplasms of the female genital tract and can mimic carcinomatosis intraoperatively. A case of a 40-year-old woman with a history of polycystic ovaries and a chief complaint of vaginal bleeding is presented. She was diagnosed with endometrioid adenocarcinoma with ...

Background: The concept of open laparoscopy is to eliminate the risks associated with blind insertion Veress needle and trocar. present study was conducted assess versus closed method pneumoperitoneum creation in laparoscopic surgery.Materials & Methods: 74 patients who underwent operative procedure for laparoscopysurgery both genderswere divided into 2 groups based on used. Group I were (H...

peritoneal dialysis is an established form of renal replacement therapy used in many patients with end-stage renal disease. the key to a successful chronic peritoneal dialysis is a permanent and safe access to the peritoneal cavity. this study was conducted in order to evaluate the catheter survival and its related factors in imam khomeini hospital. a total of 80 catheters were inserted into 69...