Hippokratia
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Case Reports
Laparoscopic microwave ablation for the management of hemorrhage from ruptured hepatocellular carcinoma.
Treatment of ruptured hepatocellular carcinoma (HCC) focuses on hemorrhage control and utilizes tumor vascular anatomy to palliate or temporize selected patients with hepatic artery embolization (HAE). Radiofrequency ablation (RFA) and microwave ablation (MWA) are feasible alternatives or adjunct modalities to resection of HCC; the method of energy delivery in MWA allows uniform coagulative necrosis in shorter time compared with RFA. ⋯ Tumor rupture remains a negative prognostic factor in the course of HCC. In select patients, MWA allows definitive hemorrhage control with minimal surgical morbidity. Hippokratia 2016, 20(2): 169-171.
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Case Reports
Concentration-related mydriasis in a patient with renal dysfunction treated with phenytoin.
There is very limited evidence concerning phenytoin-related mydriasis. ⋯ Clinicians should be aware that mydriasis due to a toxic concentration of phenytoin may be manifested. Hippokratia 2016, 20(2): 166-168.