No abstract

Morgagni hernia (MH) is a very rare congenital defect found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. The most common defect is congenital diaphragmatic hernia, 90% of which are Bochdalek type. MHs account for approximately 3% of all diaphragmatic hernias. Most MHs are found and repaired in children, but 5% are found in adults. Here, we present the case of an incarcerated and strangulated MH with synchronous prolapse of the liver and transverse colon in a 77-year-old man who was admitted to our hospital for abdominal pain and symptoms of intestinal obstruction.

We present a rare case of pseudoaneurysm after ankle arthroscopy that was successfully surgically repaired. A 40-year-old male with a history of synovitis presented to our clinic with a complaint of pulsatile swelling of the right ankle. The patient had undergone arthroscopic synovectomy of the right ankle 8 weeks previously. Clinical examination revealed an indurated, pulsatile mass on the right ankle with painful range of motion and normal sensation and perfusion. An arterial duplex study demonstrated a pseudoaneurysm of the dorsalis pedis artery (Panel A) with normal flow proximal and distal to the neck. The patient underwent intraoperative angiography, which confirmed a 4.5 cm pseudoaneurysm arising from the dorsalis pedis artery (Panel B). Under spinal anesthesia, a longitudinal para-aneurysmal incision was made and the bleeding focus identified along the medial wall of the dorsalis pedis artery. The damaged artery (Panel C, left panel) was clamped proximally and distally with vascular slings, followed by evacuation of the sac and autogenous vein patch angioplasty (Panel C, right panel). Postoperative angiography documented good flow in the dorsalis pedis artery (Panel D). The patient recovered completely and Panel A. Panel B.

No abstract

A 56-year-old Korean female patient developed generalized morphea over three months. We focused on imbalance of the neuroendocrine-immune axis, mainly using Jiawei-Renshengyangrong-tang and Jiawei-Siqi-tang. Moxibustion on LU9 was conducted for skin symptoms. The patient's modified localized scleroderma skin severity index score decreased from 22 to 6 over 22 weeks of treatment and to 4 during a 3-month follow-up. Her verbal rating scale score for general symptoms decreased from 17 to 1 during the 22-week treatment.