Background and Aims:The impact of diagnosis and treatment delays for non-small cell lung cancer management is poorly understood, even if the literature on the subject is currently increasing in importance. We have few indicators that can serve as reference for quality assurance actions. The objective of this review was to review the literature on the subject. Methods: A literature search, using the words 'human lung cancer delay' and 'human lung cancer waiting time' , was undertaken in Medline database. Results: Several studies analyzed these delays mostly in a monocentric setting. There is an important variability in the definition of these delays, in the collection methods and in the results obtained. However, it seems distinctly clear that long delays are frequently observed in less symptomatic patients and, therefore, are accompanied by better prognosis.
The styloid process is a conical bone formation that comes from the base of the skull to the bottom of the mastoid, the stylohyoid ligament connects the tip of the styloid process to the little horn of the hyoid bone. Eagle syndrome is a radio-clinical entity characterized by ossification of the ligament stylohyoid giving a long styloid process exceeding 30 mm in length. This syndrome is characterized by a high variability semiologic. The objective of this work is to recall the clinical presentation of Eagle syndrome in order to evoke the diagnosis and show the radiological aspect of this often misunderstood entity through a clinical case.
Introduction. Mural intestinal hematoma (MIH) is an uncommon complication of anticoagulant therapy. Hemorrhagic shock has been rarely reported as a revealing modality. Results. We report two cases of shock induced by mural intestinal hematoma in patients under oral anticoagulant for aortic prosthetic valve and atrial fibrillation. Patients were admitted to the ICU for gastrointestinal tract bleeding associated with hemodynamic instability. After resuscitation, an abdominal CT scan has confirmed the diagnosis showing an extensive hematoma. Medical treatment was sufficient and there was no need for surgery. Conclusion. Gastrointestinal bleeding associated with shock in patients treated by oral anticoagulant should alert physicians to research a probable MIH. Urgent diagnosis and appropriate medical treatment can avoid surgical interventions.
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