Pancreatitis may induce a spectrum of venous and arterial vascular complications. However, hepatic infarction complicated with acute pancreatitis seldom occurs because of the unique vascular configuration of the liver. We herein describe an extremely rare and unique case in which simultaneous portal vein and hepatic vein thrombosis were present. We precisely assessed both hepatic hemodynamics and hepatocellular function using sequential multidetector computed tomography and gadoxetate disodium-enhanced magnetic resonance imaging, which may provide useful information on the pathophysiological state and diagnosis of hepatic infarction.
An adolescent girl presented with inappetence. Upper gastrointestinal endoscopy showed rough and cracked mucosa at the gastric antrum with a scarred duodenal ulcer, and a biopsy sample demonstrated abundant eosinophils. We therefore diagnosed the patient as having eosinophilic gastroenteritis. Eradication therapy for Helicobacter pylori (H. pylori) did not improve her symptoms; however, proton pump inhibitor therapy was effective in resolving her chief complaints. There are several reports of eosinophilic gastroenteritis complicated with H. pylori infection in which the association between eradication therapy and the patient's symptoms is unclear. In the present case, the patient's symptoms did not improve with eradication therapy, and there appeared to be no relationship between the two.
The present preliminary study examined whether an increase in the lateral width of footwear (base-of-support width) can reduce the risk of falling caused by induced lateral slip while turning on slippery surfaces. Wide base-of-support (BOS) footwear was designed and manufactured, with lateral widening achieved by fixing a BOS extension, using a planar linkage of 70-mm width on the lateral side of normal BOS footwear. Gait trials were conducted on 16 young healthy male adults. Subjects were instructed to walk in a straight line and to turn 60° to the right on a stainless steel floor covered with glycerol solution. As compared with the normal BOS footwear, the wide BOS footwear reduced the frequency of trials in which fall occurred due to lateral slip by up to 67% and the slip distance and slip velocity of the supporting foot were reduced by up to 40% and 35%, respectively. The results demonstrated the efficacy of increased lateral BOS width in reducing the risk of fall caused by induced lateral slip.
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