RESUMEN
La hernia umbilical es una complicación que puede constituirse en una amenaza para la vida en la cirrosis hepática. Aquí, demostramos dos interesantes casos de cirrosis hepática que se presentaron con hernia umbilical asintomática, pero que no fueron sometidos a ningún tipo de cirugía
Umbilical hernia is a life-threatening complication of liver cirrhosis. Herein, we demonstrated two interesting cases with liver cirrhosis that presented with asymptomatic umbilical hernia, but did not undergo any surgery.
Asunto(s)
Humanos , Persona de Mediana Edad , Anciano , Complicaciones Posoperatorias , Carcinoma Hepatocelular/cirugía , Carcinoma Hepatocelular/terapia , Puntuaciones en la Disfunción de Órganos , Hernia Umbilical/terapia , Cirrosis Hepática/terapiaRESUMEN
FUT1 and TAP1 have been identified as candidate genes that offer resistance against Escherichia coli F18 infection, with the AA genotype in FUT1 and the GG genotype in TAP1 conferring resistance. In order to confirm polymorphisms at FUT1 M307 and TAP1 G729, and evaluate their influence on immunity performance in Pudong White pigs, we performed polymerase chain reaction-restriction fragment length polymorphism analysis, measured immune indices, and compared the results with those observed in Large White pigs. The AA genotype of FUT1 was first discovered in Pudong White pigs and has not been found in other Chinese domestic pig breeds. The frequency of the AA genotype in Pudong White and Large White pigs was 0.018 and 0.052, respectively. The GG genotype of TAP1 was also detected in the two breeds, with a frequency of 0.708 and 0.695, respectively. Chi-square fitness analysis of both genes showed that these loci deviated from Hardy-Weinberg equilibrium in the two breeds (P < 0.05). No significant differences were observed in interleukin-6 (IL-6) and IL-10 levels among the three genotypes at FUT1 and TAP1 in the two breeds (P > 0.05). Individuals for all genotypes of TAP1 in both pig breeds had similar TNF-α levels (P > 0.05), implying that Pudong White pigs may have the same ability for hepatocyte inflammatory response and B cell differentiation as Large White pigs. These differences have a degree of influence on Pudong White pig's immune ability to resist F18 or other infections.
Asunto(s)
Transportadoras de Casetes de Unión a ATP/genética , Fucosiltransferasas/genética , Inmunidad/genética , Polimorfismo Genético , Alelos , Animales , Citocinas , Resistencia a la Enfermedad/genética , Frecuencia de los Genes , Genotipo , Interacciones Huésped-Patógeno/genética , Interacciones Huésped-Patógeno/inmunología , Polimorfismo de Longitud del Fragmento de Restricción , Análisis de Secuencia de ADN , Sus scrofa , Porcinos , Galactósido 2-alfa-L-FucosiltransferasaRESUMEN
A 32-year old male patient was wounded by a pistol. As shown in computed tomography (CT) scanning images, there was comminuted fracture of the left mandible and the bullet was found in the left side behind the sixth cervical vertebra. After the patient was hospitalized, the debridement was done in the emergency room and the operation of open reduction and internal fixation for comminuted fracture of left mandible was performed successfully. Eighteen days later, the patient was taken to surgery for anterior cervical decompression and fusion with autogenous iliac bone grafting for the sixth cervical vertebra. Postoperative follow-up of the patient over two years indicated that the left biceps muscle strength was recovered to level 4. Gunshot wound to the face associated with injury of the low cervical spine has the possibility of survival. It is safe to treat facial wounds early in the patient's treatment course, even if the bullet remains in the cervical vertebral body and there is neurological function damage.