ABSTRACT
The authors studied a case of left unilateral gynecomastia occurring in a 26-year-old body-builder after anabolic steroids assumption. The mammal features were found by echography and mammography and they showed the presence of a 3 cm diameter retroareolar area of gland tissue surrounded by fibrotic tissue. After excluding every likely cause giving gynecomastia through laboratory tests, it was clear a relationship with the assumption of high doses of anabolic hormones, with particular regard to methyltestosterone. Therefore, also this substance which on its own is not aromatized by extrasplanchnic tissues, can be responsible for man's mammal hypertrophy, if joined to a slight iatrogenic liver cytolysis.
Subject(s)
Anabolic Agents , Gynecomastia/chemically induced , Substance-Related Disorders/complications , Adult , Chronic Disease , Gynecomastia/blood , Gynecomastia/diagnosis , Humans , Male , Mammography , Sports , Substance-Related Disorders/blood , Substance-Related Disorders/diagnosis , Ultrasonography, MammaryABSTRACT
The effect of clonidine on stress-induced cortisol secretion was studied in 10 patients undergoing general anesthesia for surgery; six other patients served as a control group and none of them was given clonidine. Central and peripheral alpha 2 stimulation by clonidine (average dose:0.45 mg over 60 minutes) was able to completely suppress cortisol release during surgery.
Subject(s)
Clonidine/pharmacology , Hydrocortisone/metabolism , Hypotension, Controlled , Stress, Physiological/metabolism , Surgical Procedures, Operative , Adult , Anesthesia, General , Blood Pressure/drug effects , Female , Humans , Hydrocortisone/blood , Male , Stress, Physiological/etiologySubject(s)
Varicose Veins/surgery , Anesthesia, Spinal , Humans , Posture , Preoperative Care , Recurrence , Saphenous Vein/surgerySubject(s)
Cholecystitis/complications , Cholelithiasis/complications , Acute Disease , Child , Female , HumansSubject(s)
Anesthesia, Conduction/methods , Tracheotomy , Adult , Aged , Bupivacaine , Humans , Male , Middle AgedSubject(s)
Hernia, Inguinal/pathology , Aged , Hernia, Inguinal/surgery , Humans , Male , Pneumoperitoneum, Artificial , Preoperative Care , ScrotumSubject(s)
Aortic Rupture/surgery , Aged , Aorta, Abdominal , Aortic Rupture/diagnosis , Female , Humans , Male , Middle Aged , Postoperative Complications/mortalitySubject(s)
Splenectomy , Thalassemia/therapy , Adult , Evaluation Studies as Topic , Humans , Male , Splenectomy/adverse effectsSubject(s)
Splenectomy , Thalassemia/therapy , Adolescent , Blood Transfusion , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Splenomegaly/surgeryABSTRACT
The Authors present a case report of a spontaneous ruptured aneurysm of the superior pancreaticoduodenal artery (retropancreatic arterial arch), leading to a massive retroperitoneal hemorrhage with very severe hemorrhagic shock. They point out the rarity of such instances and explain some of the etiopathogenic, clinical and therapeutic aspects of this type of hemorrhagic pathology.
