📄 medicine

Intraluminal Thrombus Distribution Pattern and Risk of Abdominal Aortic Aneurysm Rupture: A Single-Centre Retrospective Study

This single-centre retrospective study of 93 patients demonstrates that a circumferential intraluminal thrombus distribution pattern is an independent predictor of abdominal aortic aneurysm rupture, significantly improving risk stratification beyond conventional parameters like maximum transverse diameter.

Fushan Li, Ying Li, Liqing Zhuo, Xiaoguang Li, Haiping Luo, Fangtao Xie, Rongfa Wei, Hai Lin2026-06-28
📄 medicine

Percutaneous microscopic lumbar discectomy via the trans-superior ligamentum flavum boundary approach for highly upward-migrated lumbar disc herniation: radiological and technical considerations

This study demonstrates that percutaneous microscopic lumbar discectomy via the trans-superior ligamentum flavum boundary approach is a safe and effective treatment for highly upward-migrated lumbar disc herniation, utilizing the superior border of the ligamentum flavum as a reliable landmark to achieve precise fragment removal with minimal fluoroscopy and favorable long-term clinical outcomes.

Long Fei Shu, Fei Hu Dai, Xiao Min Li, De Kang Nie, Yu Hai Wang, Wei Zhao2026-06-28
📄 medicine

Rapid Response of Aggressive Cranial Langerhans Cell Histiocytosis to Combined Intralesional and Perilesional Triamcinolone Injection: A Case Report with Video

This case report describes a 14-year-old male with aggressive, post-biopsy cranial Langerhans cell histiocytosis who achieved rapid clinical and radiological improvement following minimally invasive intralesional and perilesional triamcinolone injections, suggesting this approach as a viable therapeutic alternative for cases with limited surgical options.

Jesús Alberto Sánchez Hernández, Mónica Rivero Garvia, Gloria Moreno Madueño, José Gutiérrez Carrasco, Javier Márquez Ri (…)2026-06-28
📄 medicine

Prognostic Performance of Immune-Metabolic Indices Compared with Severity Scores in Children Requiring Continuous Kidney Replacement Therapy for Acute Kidney Injury

This study found that while immune-metabolic indices like the lactate-to-albumin ratio demonstrate prognostic performance comparable to established severity scores for predicting 28-day mortality in children requiring continuous kidney replacement therapy for acute kidney injury, they do not provide independent predictive value beyond these existing scores.

Ebru Guney Sahin, Kubra Boydag Guvenc, Idris Abdullah Yilmaz, Abdullah Ereren, Fatih Varol, Sirin Guven, Cansu Durak2026-06-28
📄 medicine

Exclusion of Patients with Brain Metastases From Early-Phase Systemic Therapy Trials: A Cross-Sectional Analysis of Eligibility Criteria

This cross-sectional analysis of 873 phase I systemic therapy trials reveals that while the inclusion of patients with brain metastases has improved over time—particularly for immunotherapy and targeted therapy trials—restrictive eligibility criteria frequently exclude those with symptomatic, active, or untreated brain metastases.

Cody Zatzman, Italo Fernandes, Isabella Kojundzic, Natasha D’Souza, Evan Cescon, Eva Zhang, Meghna Katyal, Farideh Tavan (…)2026-06-28
📄 medicine

Differential Effects of Early Fluid Overload on Acute Kidney Injury and Mortality in Critically Ill Children: A Prospective Cohort Study with Convergent Causal-Inference Methods

This prospective cohort study of 360 critically ill children reveals that early fluid overload is a dose-dependent, modifiable risk factor for acute kidney injury and prolonged intensive care, but it does not independently increase mortality once illness severity and the development of AKI are accounted for.

Akshata Angadi, Maneesha Bhargava, Amarjeet Mehta2026-06-28
📄 medicine

Multimodality Imaging Diagnosis of Multiple Giant Coronary Artery Aneurysms with Massive Mural Thrombosis

This case report demonstrates the critical diagnostic value of integrating transthoracic echocardiography, coronary computed tomography angiography, cardiac magnetic resonance, and coronary angiography to comprehensively characterize a rare case of multiple giant coronary artery aneurysms with massive mural thrombosis, thereby guiding risk stratification and treatment planning.

Wei Liu, Ran Zhou, Yuling Li, Kexin Lou2026-06-28