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Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche
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  This is an Open Access Journal Open Access journal
ISSN (Online) 1828-6550
Published by Accademia Peloritana dei Pericolanti Homepage  [1 journal]
  • Giuseppe Romeo (1933-2021)

    • Authors: Sergio Baldari; Alberto Calatroni, Domenico Cucinotta, Filippo De Luca, Adriana Ferlazzo, Francesco Pisani, Antonio Pugliese, Giovanni Tuccari
      Abstract: --
      PubDate: Thu, 09 Jun 2022 12:27:01 +020
  • Robotic approach to Morgagni-Larrey hernia in pediatric surgery: a case

    • Authors: Giada Loria; Flora Maria Peri, Donatella Di Fabrizio, Grazia Giulia Pantè, Serena Scalise, Pietro Antonuccio, Pietro Impellizzeri, Ignazio Salamone, Claudio Romano, Girolamo Mattioli, Carmelo Romeo
      Abstract: Morgagni-Larrey hernias represent a subgroup of Congenital diaphragmatic hernias (CDHs), involving the anterior part of the muscle. They are complex developmental defects often representing a diagnostic and treatment challenge for both pediatricians and pediatric surgeons.
      We report our first case of a robot-assisted laparoscopic repair of a Morgagni hernia in an 8.3 kg 14-month-old girl with the use of the Da Vinci® Surgical System (Intuitive Surgical®, Sunnyvale, CA, USA)
      PubDate: Thu, 09 Jun 2022 12:27:01 +020
  • High diagnostic performance of cell-block procedure in a case of typical
           lung carcinoid

    • Authors: Cristina Pizzimenti; Francesco Monaco, Dario Familiari, Antonio Ieni
      Abstract: In young patients, bronchial carcinoid tumors (BCT) are rare, slow growing, malignant neuroendocrine tumors, which arise from Kulchitsky cells in tracheo-bronchial tree mucosa, covered by intact epithelium. Herein,  we report  a case of BCT occurred in a young 20-year-old female patient presenting cough, fever and shortness of breath. Although cytological smears were  suggestive for well differentiated lung tumor,  only the cell block procedure allowed to  define the diagnosis in the right way by the application of an immunohistochemical algorithm. The post-surgical histopathology confirmed the diagnosis of typical BCT with negative lymph nodes; no local recurrence was revealed in the 24 months follow-up after surgery.
      PubDate: Thu, 09 Jun 2022 12:27:01 +020
  • A case of neonatal persistent hyperinsulinemichypoglycemia

    • Authors: Mauro Iannelli; Alessandra Li Pomi, Fabio Sippelli, A. Spagnolo, I. Rulli, Fortunato Lombrado, Malgorzata Gabriela Wasniewska, Tommaso Aversa, Eloisa Gitto
      Abstract: Neonatal hypoglycemia (NH) is a common and important cause of morbidity in newborns. The most common cause of NH is congenital hyperinsulinism (CHI), a phenotypical and genotypical heterogeneous condition characterized by inappropriate insulin secretion. In our case a male, AGA, newborn from vaginal delivery at 37-week gestation, with no risk factors in maternal history, presented with asymptomatic hypoglycemia (30 mg/dL) at 30 minutes after birth. He was subsequently admitted to the NICU because of persistent hypoglycemia associated with symptoms development (peripheral tremors). Newborns can present with a wide variety of symptoms, including irritability, tremor, feeding impairment, coma, or be completely asymptomatic. He was treated with continuous glucose infusions progressively increased to a rate of 12.7mg/kg/min. Because of persistent hypoglycemia (> 72h) and high i.v. glucose needs (>10 mg/kg/min) screening tests during fast-induced hypoglycemia were performed and isolated hyperinsulinism was detected. Oral medical therapy with diazoxide was started with benefit. Genetic testing was also performed to characterize CHI. The diagnosis is usually based on clinical and biochemical findings. The mainstay of therapy is oral diazoxide administration. However, in cases refractory to medical therapy, 18F- DOPA-PET can be used to identify specific histological patterns which may need surgical intervention.   Neonatal CHI-induced hypoglycemia should always be considered in the differential diagnosis of NH. Prompt diagnosis and genotypic characterization of CHI through clinical, biochemical, radiological, and genetic testing is fundamental for a proper therapeutic management of the condition and for prevention of neurological sequelae.
      PubDate: Thu, 09 Jun 2022 12:27:01 +020
  • Ventricularpre-excitationand Ebstein anomaly in a patient with Phelan Mc
           Dermid syndrome: A case report

    • Authors: Flavia Caime; Aurora Framcesca Meo, Francesco De Luca, Letteria Bruno, Maria Pia Calabrò, Eloisa Gitto
      Abstract: Phelan-McDermid syndrome (PMS) or deletion 22q13 syndrome is a rare genetic syndrome resulting from loss of 22q13 region involving the SHANK3 gene. Main features are neonatal hypotonia, global developmental delay, absent to severely delayed speech and minor dysmorphic features. The true incidence remains unknown. The deletion can be detected by high resolution chromosome analysis, confirmed by fluorescence in situ hybridization (FISH) or array comparative genomic hybridization (aCGH). Ebstein’s anomaly (EA) is a rare congenital heart disease (1:20.000 live births) that consists in tricuspid valve’s malformation: from minimal displacement of the septal and posterior leaflets to involvement of right ventricular outflow with functional pulmonary atresia and severe right ventricular dysfunction. This condition leads to a large spectrum of clinical presentations. EA patients have a large incidence of tachyarrhythmias, most of which can be attributed to accessory atrioventricular pathways that could be observed to electrocardiogram as ventricular pre-excitation. We describe a case of a child with PMS and accidental finding of ventricular pre-excitation to electrocardiogram that underlined the presence of EA.
      PubDate: Thu, 09 Jun 2022 12:27:01 +020
  • Drowning with acute respiratory failure

    • Authors: Alessio Trombetta; Andrea Zappalà, Ilaria Di Cataldo, Rosalba Relo, Federica Lo Bello, Alfio Proietto, Gaetano Caramori
      Abstract: We present the case of a 74-year-old male that was admitted to our Unit of Pulmonology for chlorinated freshwater drowning syndrome with acute hypoxemic respiratory failure. Despite an initial clinical response, with improvement of the respiratory failure and decreased number of the multifocal pulmonary opacities on chest CT, after about ten days from the admission, the patient developed intermittent fever (up to 39.3°C), re-worsening of the respiratory failure and pneumatocele. Blood cultures showed the presence of methicillin-resistant staphylococcal aureus (MRSA) sepsis. Despite many courses of different antibiotics, the patient died. MRSA is a rare cause of pneumonia after drowning with a high lethality rate.
      PubDate: Fri, 01 Apr 2022 12:20:36 +020
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Heriot-Watt University
Edinburgh, EH14 4AS, UK
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