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Full-Text Articles in Medicine and Health Sciences
Atypical Presentations Of Alimentary Tract Duplications In Children: Two Case Reports, Nimmita Srisan, Palittiya Sintusek, Teerasak Phewplung, Paisarn Vejchapipat
Atypical Presentations Of Alimentary Tract Duplications In Children: Two Case Reports, Nimmita Srisan, Palittiya Sintusek, Teerasak Phewplung, Paisarn Vejchapipat
Chulalongkorn Medical Journal
Alimentary tract duplication is a rare congenital anomaly. We present herein, two cases of different types of alimentary tract duplications that have entirely different clinical presentations. The first case was a girl presented with chronic constipation was finally diagnosed with tubular duplications of the entire colon. The other was a toddler with acute intestinal obstruction diagnosed with cystic duplication at terminal ileum. These two cases remind us of the difficulty in preoperative diagnosis. High suspicion of the disease and multimodality approaches were beneficial for accurate preoperative diagnosis. Surgery was the mainstay of the treatment.
First Case Report Of High Volume Therapeutic Plasma Exchange As A Rescue Therapy In Dengue Hemorrhagic Fever With Acute Liver Failure, Surat Nakaviroj
First Case Report Of High Volume Therapeutic Plasma Exchange As A Rescue Therapy In Dengue Hemorrhagic Fever With Acute Liver Failure, Surat Nakaviroj
Chulalongkorn Medical Journal
Acute liver failure is a rare but life-threatening complication of severe dengue infection. Besides standard medical treatment, high volume therapeutic plasma exchange (HV-TPE) is a potential management strategy used to reverse hepatic encephalopathy and coagulopathy. HV-TPE, moreover, improves patient survival from acute liver failure due to paracetamol overdose, viral-induced hepatitis, and Wilson disease. The use of HV-TPE in acute liver failure with dengue hemorrhagic fever has never been reported. We, hereby, report a successful treatment with HV-TPE in acute liver failure with dengue hemorrhagic fever.