When renewing medical equipment is necessary: a case report.

PURPOSE: The purpose of this paper is to present a remarkable medical equipment-induced adverse event and to suggest ways to prevent similar problems. DESIGN/METHODOLOGY/APPROACH: This paper uses a case study to discuss when it is necessary to renew medical equipment. FINDINGS: The paper finds that repairing medical equipment using inappropriate parts causes severe iatrogenic problems. RESEARCH LIMITATIONS/IMPLICATIONS: Events like this may be underestimated because well-organized reporting strategies in health care units are inappropriate. PRACTICAL IMPLICATIONS: Defining expiry dates for medical equipment may prevent unsatisfactory repair, especially when original parts are unavailable. ORIGINALITY/VALUE: The paper highlights the fact that simple errors cause severe patient injuries.

Pancreatic Tuberculosis in an Immunocompetent Patient: A Case Report and Review of the Literature.

Pancreatic tuberculosis is extremely rare and its clinical and radiological findings are similar to those of pancreatic malignancy. The diagnosis of pancreatic tuberculosis is not usually made prior to surgery. Here, we report a case of pancreatic tuberculosis, presented with abdominal pain and weight loss. Abdominal computed tomography (CT) showed a 62 mm × 32 mm septate solid-cystic mass in the pancreatic head area with extension into the hilum of the liver. There was no evidence of inflammation or pancreatitis. Endoscopic ultrasound-fine needle aspiration (EUSFNA) could not yield the diagnosis. Exploratory laparotomy and further pathological evaluation suggested pancreatic tuberculosis. Response to antituberculosis treatment confirmed the diagnosis. Finally, previous case reports and case studies of pancreatic tuberculosis in the literature are fully investigated.