Case Reports

The aim of this case report is to demonstrate the efficacy and safety of Continuous Spinal Anesthesia (CSA) in an elderly patient with severe Chronic Obstructive Pulmonary Disease (COPD), who was scheduled for elective laparoscopic cholecystectomy.CSA can be used to provide a sufficient block in order to allow laparoscopic cholecystectomy to be performed even in patients with severely abnormal respiratory function. Safety, efficacy and a decreased need for postoperative analgesia render this approach a valid option for patients with symptomatic gallstone disease, who are poor candidates for general anesthesia due to cardiorespiratory or airway problems as well as for patients with other contraindications for general anesthesia.

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Syncope is a common complaint in clinical medical care. Except of neurological disorder, most of the patients havea brief benign clinical course with spontaneous recovery. Etiology may range from benign disorders to severe life-threatening diseases.Syncope as the leading symptom in patients suffering from intrathoracic neoplasm is uncommon. A rare case of a giant pleural solitary fibrous tumor causing recurrent episodes of syncope is presented. Diagnostic considerations and therapeutic strategy are discussed.

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Το σύνδρομο της αναστρέψιμης οπίσθιας εγκεφαλοπάθειας [Posterior reνersible encephalopathy syndrome (PRES)] είναι μια σχετικά πρόσφατα αναγνωρισμένη κλινική οντότητα συνοδευόμενη από χαρακτηριστικά ευρήματα στην αξονική τομογραφία του εγκεφάλου. Ως κυριότερες αιτίες του συνδρόμου αυτού έχουν αναφερθεί η υπερτασική εγκεφαλοπάθεια, η νεφρική ανεπάρκεια, ανοσοκατασταλτικά και κυτταροτοξικά φάρμακα όπως και η εκλαμψια. Οι διαταραχές του επιπέδου συνείδησης, οι σπασμοί (συνήθως επαναλαμβανόμενα επεισόδια γενικευμένων τονικοκλονικών σπασμών), ο εμετός και η φλοιική τύφλωση αποτελούν τις κλινικές εκδηλώσεις του συνδρόμου.

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We present two cases of pregnant women with placenta percreta invading the bladder, along with a short review of the literature. The two women sustained early and late major haemorrhagic complications requiring massive transfusion (up to 142 PRBC and 353 blood product units) and urgent reoperation. They were both treated in the ICU and discharged in good state.

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