Imipramine-induced vasospasm: a case report.
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Biomedical subjects
Publications and source records attributed to W Kapoor.
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A case of small-bowel obstruction occurred secondary to an uncommon parasitic disease, anisakiasis. Intestinal obstruction is a rare manifestation of this disease. Anisakiasis may be seen initially with nausea and vomiting or may mimic acute appendicitis or Crohn's disease. The predisposing factor in all cases is the ingestion of raw fish, and the disease is preventable by cooking fish at greater than 60 degrees C for a short time or by freezing at less than -20 degrees C for more than 24 hours. Anisakiasis should be considered in the differential diagnosis of small-bowel obstruction in patients whose diet includes raw fish.
A case of ureteric obstruction due to perianeurysmal fibrosis is reported and the literature reviewed. Reports of 56 previous cases showed striking male predominance, the presenting symptoms being abdominal pain, flank pain and back pain with radiation to the groin or leg. Anuria occurred in 14.2%, and an abdominal mass was palpable in 45%. The pathogenesis and pathology of perianeurysmal fibrosis is discussed. The treatment of choice is bilateral ureterolysis and resection of the aneurysm, but in elderly, sick or uremic patients more limited procedures may be indicated.
A patient with tetanus was treated with high-dose intravenous (IV) diazepam for control of muscular spasms. As the spasms were controlled with diazepam, lactic acidosis developed. The condition resolved on discontinuation of diazepam therapy and recurred with reinstitution of the drug. To our knowledge, lactic acidosis previously has not been associated with the use of high-dose IV diazepam.