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| 1 | Intrahepatic endometriosis as differential diagnosis: Case report and literature review显示文摘Intrahepatic endometriosis is one of the rarest forms of atypical endometriosis; only eighteen cases have been reported in the English literature. We describe the case of a 32-year-old woman, who presented with persistent, non-cyclical upper right quadrant abdominal pain, a central liver cyst, and no history of endometriosis. Three years previous, she was diagnosed with an intrahepatic cyst. The lesion progressed and two laparoscopic deroofing-operations were performed, yet the diagnosis of intrahepatic endometriosis was never reached. She presented in our clinic with further progress of the cyst as well as obstruction of the intrahepatic biliary system. The magnetic resonance imaging showed a 9.5 cm × 12 cm, lobulated intrahepatic cyst. We performed an ultrasonic pericystectomy. Immunostaining confirmed intrahepatic endometriosis. Only one of the previously described eighteen patients with intrahepatic endometriosis presented with cyclical pain in the upper right abdominal quadrant accompanying menstruation. This lack of a 'typical' clinic makes it challenging to diagnose extragonadal endometriosis without histopathology. A previous history of endometriosis was described in only twelve cases, thus the diagnosis of this condition should not be limited to patients with a known history of endometriosis. Six of 18 patients were postmenopausal, demonstrating this condition is not limited to women of reproductive age. A preoperative diagnosis was only reached in seven of the previously described cases, highlighting the importance of preoperative biopsies. Yet due to the potential adverse effects, a transhepatic biopsy must be discussed individually. Although rare, intrahepatic endometriosis should always be considered as a differential diagnosis in women with recurrent hepatic cysts, regardless of age or previous medical history. In such cases, histology is essential and a pericystectomy should be performed as standard of care. | Georg Fluegen Frank Jankowiak Luisa Zacarias Foehrding Feride Kroepil Wolfram T Knoefel Stefan A Topp | 2013 | World Journal of Gastroenterology2013，19，29： | 9 |
| 2 | Small intestine bleeding due to multifocal angiosarcoma显示文摘We report a case of an 84-year-old male patient with primary small intestinal angiosarcoma.The patient initially presented with anemia and melena.Consecutive endoscopy revealed no signs of upper or lower active gastrointestinal bleeding.The patient had been diagnosed 3 years previously with an aortic dilation,which was treated with a stent.Computed tomography suggested an aorto-intestinal fistula as the cause of the intestinal bleeding,leading to operative stent explantation and aortic replacement.However,an aorto-intestinal fistula was not found,and the intestinal bleeding did not arrest postoperatively.The constant need for blood transfusions made an exploratory laparotomy imperative,which showed multiple bleeding sites,predominately in the jejunal wall.A distal loop jejunostomy was conducted to contain the small intestinal bleeding and a segmental resection for histological evaluation was performed.The histological analysis revealed a lessdifferentiated tumor with characteristic CD31,cytokeratin,and vimentin expression,which led to the diagnosis of small intestinal angiosarcoma.Consequently,the infiltrated part of the jejunum was successfully resected in a subsequent operation,and adjuvant chemotherapy with paclitaxel was planned.Angiosarcoma of the small intestine is an extremely rare malignant neoplasm that presents with bleeding and high mortality.Early diagnosis and treatment are essential to improve outcome.A small intestinal angiosarcoma is a challenging diagnosis to make because of its rarity,nonspecific symptoms of altered intestinal function,nonspecific abdominal pain,severe melena,and acute abdominal signs.Therefore,a quick clinical and histological diagnosis and decisive measures including surgery and adjuvant chemotherapy should be the aim. | Luisa Zacarias Fhrding Arne Macher Stefan Braunstein Wolfram Trudo Knoefel Stefan Andreas Topp | 2012 | World Journal of Gastroenterology2012，18，44： | 4 |
| 3 | Porosity and tortuosity relations as revealed by a mathematical model of biofilm structure 显示文摘 | Zacarias G D Ferreira C P Hernandez JXV | 2005 | Journal of Theoretical Biology2005，233，2： | 1 |
| 4 | Abseislc acid in the response of Fortune mandarins to chilling: effect of maturity and high-temperature conditioning 显示文摘 | Lafuente M T Martinez T Zacarias L | 1997 | J SeiFoodAgrie1997，73，： | 1 |
| 5 | Gibberellins and parthenocarpic ability in developing ovaries of seedless mandarins 显示文摘 | Talon M Zacarias L Primo-Millo E | 1992 | Plant Physiology1992，99，4： | 1 |
| 6 | Recreation carrying capacity estimations to support beach management at Praia de Faro, Portugal显示文摘 | ZACARIAS D A WILLIAMS A T NEWTON A | 2011 | Applied Geography2011，31，3： | 1 |
| 7 | Ammonia-lithium nitrate absorption chiller with an integrated low-pressure compression booster cycle for low driving temperatures 显示文摘 | Ventas R Lecuoua A Zacarias A | 2010 | Applied Thermal Engineering2010，30，： | 1 |
| 8 | Hyperglycemia is associated with adverse outcomes in patients receiving total parential nutrition 显示文摘 | Cheung NW Napier B Zacaria C | 2005 | Diabetes Care2005，28，10： | 1 |
| 9 | Testing and centering of lenses by means of a Hartmann test with four holes显示文摘 | Zacarias Malacara | 1992 | Optical Engineer1992，31，7： | 1 |
| 10 | Role of growth regulators in the senescence of Arabidopsis thaliana leaves显示文摘 | Zacarias L Reid M S | 1990 | Physiol Plant1990，80，4： | 1 |
| 11 | RAPD based geneti- crelationships between populations of three chemotypes of Cunila galioides Benth 显示文摘 | FRACARO F ZACARIA J ECHEVERRIGARAY S | 2005 | Biochemical Systematics and Ecology2005，33，： | 1 |
| 12 | Recreation carrying capacity estimations to support beach management at Praia de Faro, Portugal显示文摘 | ZACARIAS D A WILLIAMS A T NEWTON A | 2011 | Applied Geography2011，，： | 1 |
| 13 | Porosity and tortuosity relations as revealed by a mathematical model of biofilm structure 显示文摘 | Zacarias G D Ferreira C P Hemandez JXV | 2005 | Journal of Theoretical Biology2005，233，2： | 1 |
| 14 | Alcohols and carnation senescence显示文摘 | Wu M J Zacarias L Saltveit M E | 1992 | Hort Sci1992，27，2： | 1 |
| 15 | Effect of gibberellin acid and benzyladenine on-tree storage of Clementine mandarin mandarin fruits显示文摘 | Baez-Sanudo R Zacarias L Primo-Millo | 1992 | Pro Int Soc Citriculture1992，，： | 1 |
| 16 | Comparative measurementsof multicomponent phospholipid mixtures by electrospray mass spec-troscopy: relating ion intensity to concentration 显示文摘 | Zacarias A Bolanowski D Bhatnagar A | 2002 | Analytical Bio-chemistry2002，308，1： | 1 |
| 17 | Phenylalanine ammonia-lyase and ethylene in relation to chilling in- jury as affected by fruit age in citrus显示文摘 | LAFUENTE M T ZACARIAS L MARTINEA-TELLEZ M A et at | 2003 | Postharvest Biology and Technology2003，29，3： | 1 |
| 18 | Effect of theophylline associated with short-acting or long-acting inhaled beta2- agonists in patients with stable chronic obstructive pulmonary disease: a systematic review显示文摘 | Zacarias EC Castro AA Cendon S | 2007 | J Bras Pneumol2007，33，2： | 1 |
| 19 | Characterization and genetic distance analysis of cassava (Manihot esculenta Crantz)germplasm from Mozambique using RAPD fingerprinting显示文摘 | Zacarias AM Botha AM Labuschagne MT | 2004 | Euphytica2004，138，1： | 1 |
| 20 | Phen-ylalanine ammonia-lyase and ethylene in relation to chilling injury as af-fected by fruit age in citrus显示文摘 | LAFUENTE M T ZACARIAS L MARTINEZ-TLLEZ M A | 2003 | Postharvest Biology and Technology2003，29，3： | 1 |
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