In: Aartsma TJ, Matysik J (eds) Biophysical techniques in photosy

In: Aartsma TJ, Matysik J (eds) Biophysical techniques in photosynthesis research (volume II), series

advances in photosynthesis and respiration, vol 26. Springer, Dordrecht, pp 167–190 Kosourov S, Tsygankov A, Seibert M, Ghirardi ML (2002) Sustained hydrogen photoproduction by Chlamydomonas reinhardtii: effects of culture parameters. Biotechnol Bioeng 78:731–740. doi:10.​1002/​bit.​10254 CrossRefPubMed Metabolism inhibitor Kosourov S, Seibert M, Ghirardi ML (2003) Effects of extracellular pH on the metabolic pathways in sulfur-deprived, H2-producing Chlamydomonas reinhardtii cultures. Plant Cell Physiol 44:146–155. doi:10.​1093/​pcp/​pcg020 CrossRefPubMed Kosourov S, Patrusheva E, Ghirardi ML, Seibert M, Tsygankov A (2007) A comparison of hydrogen photoproduction by sulfur-deprived Chlamydomonas reinhardtii under different growth conditions. J Biotechnol 128:776–787. doi:10.​1016/​j.​jbiotec.​2006.​12.​025 CrossRefPubMed Kruse O, Nixon PJ, Schmid

GH, Mullineaux CW (1999) Isolation of state transition mutants of Chlamydomonas reinhardtii by fluorescence check details video imaging. Photosynth Res 61:43–51. doi:10.​1023/​A:​1006229308606 CrossRef Kruse O, Rupprecht J, Bader KP, Thomas-Hall S, Schenk PM, Finazzi G, Hankamer B (2005) Improved photobiological H2 production in engineered green algal cells. J Biol Chem 280:34170–34177. doi:10.​1074/​jbc.​M503840200 CrossRefPubMed Kuroda K, Silveira RG, Nishio N, Sunahara H, Nagap S (1991) Measurement of dissolved hydrogen in an anaerobic digestion process by a membrane-covered electrode. J Ferment Bioeng 71:418–423. doi:10.​1016/​0922-338X(91)90254-E CrossRef Laurinavichene T, Tolstygina I, Tsygankov A (2004) The effect of light intensity on hydrogen production by sulfur-deprived Chlamydomonas the reinhardtii.

J Biotechnol 114:143–151. doi:10.​1016/​j.​jbiotec.​2004.​05.​012 CrossRefPubMed Leroux F, find more Dementin S, Burlat B, Cournac L, Volbeda A, Champ S, Martin L, Guigliarelli B, Bertrand P, Fontecilla-Camps J, Rousset M, Léger C (2008) Experimental approaches to kinetics of gas diffusion in hydrogenase. Proc Natl Acad Sci USA 105:11188–11193. doi:10.​1073/​pnas.​0803689105 CrossRefPubMed Lien T, Schreiner O (1975) Purification of a derepressible arylsulfatase from Chlamydomonas reinhardtii. Biochim Biophys Acta 384:168–179PubMed Lindberg P, Lindblad P, Cournac L (2004) Gas exchange in the filamentous cyanobacterium Nostoc punctiforme strain ATCC 29133 and its hydrogenase-deficient mutant Strain NHM5. Appl Environ Microbiol 70:2137–2145. doi:10.​1128/​AEM.​70.​4.​2137-2145.​2004 CrossRefPubMed Lumbreras V, Stevens DR, Purton S (1998) Efficient foreign gene expression in Chlamydomonas reinhardtii mediated by an endogenous intron. Plant J 14:441–447CrossRef Makarova VV, Kosourov S, Krendeleva TE, Semin BK, Kukarskikh GP, Rubin AB, Sayre RT, Ghirardi ML, Seibert M (2007) Photoproduction of hydrogen by sulfur-deprived C.

These nanorod-nanofiber structures are designated as HNFs through

These nanorod-nanofiber structures are designated as HNFs throughout this paper. The average diameter of HNF is in the range of 500 to 700 nm. These nanorods not only increase the diameter of the nanostructure but also make its surface coarse. With further increase in reaction time to 2 h,

the density, length, and width of the secondary structures on the nanofiber Selleck MK-1775 scaffold increase to a greater extent as shown in Figure  2e, leading to the filling of pores between each fiber. These nanostructures appear nucleated from the nanofibers and spread outwards. From the inset image of Figure  2e, it can be observed that the small nanostructures are of tetragonal shape, with the tip having a morphology which is close to the square facets. The diagonal LY2874455 size of the tetragonal nanorod measures about 200 to 250 nm. For 3-h reaction time, the nanofiber morphology gives way to the flower-like nanostructures (Figure  2f). The growth of the flower-like nanostructures occurs at the expense of the seeding layer, which in this case is the nanofiber scaffold. This leads to complete dissolution of the nanofiber network. The diameter of flower-like nanostructures is approximately 240 to 280 nm. As the nanorods grow in size their tips become more

tapered. It is clear that the length, diameter, and density of the secondary structures can be tuned by varying the reaction time during the hydrothermal growth. Since a porous network of nanofibers will aid easy and complete infiltration of HTM layer, HNF synthesized Metabolism inhibitor for a hydrothermal reaction time of 1 h are apt for solar cell application. These

synthesized nanostructures are believed to not only retain the porous network but also display higher anchoring sites for the dye molecules, thereby leading to increased light harvesting. Figure 2 FESEM images of the secondary growth on TiO 2 nanofibers at different reaction time. (a) 10 min, (b) 30 min, (c) 45 min, (d) 1 h, (e) 2 h, and (f) 3 h. Insets show the magnified images of nanostructures. Based on the time-dependent study, a growth mechanism can be proposed for these nanostructures. In the initial stage, the reacting solution consists of Cl- ions and Ti precursors. Cl- ions diffuse out leading to nucleation of Ti precursor on the surface of nanofibers. These precursors tend to settle on the nanofibers surface and act as nuclei for further growth. It is through Ostwald’s ripening process that the initially formed aggregates gradually scavenge, accompanied by the growth of rod-like nanostructures. It is reported that the ratio of Cl- ions to Ti in the solution is important [19, 20]. The high STA-9090 mw acidity and low concentration of Cl- ions favor the growth of rutile-phase rod-like nanostructures. The precursor containing HCl as the acid medium has a tendency to form rod-shaped rutile TiO2 nanostructures.

obscura x   x   x x x

      Lejeunea sordida         x x

obscura x   x   x x x

      NVP-BEZ235 Lejeunea sordida         x x x x x   Lejeunea sp. 1 x x x x x x x x     Lejeunea sp. 2 x x         x x x   Lejeunea sp. 3     x               Lejeunea sp. 4 x x   x             Lejeunea sp. 5 x x   x x           Lejeunea sp. 6             x x     Lejeunea sp. 7         x x x x x   Lepidolejeunea bidentula       x x x x x     Leptolejeunea epiphylla       x         x   Lopholejeunea eulopha         x x x x     Lopholejeunea subfusca x x x x x x x x x   Lopholejeunea wiltensii         x   x x x   Mastigolejeunea auriculata   x x   x x x x x   Metalejeunea cucullata x TGF-beta inhibitor   x         x     Metzgeria furcata           x x x     Metzgeria lindbergii x x x x         x   Microlejeunea punctiformis   x x x x x x x x   Plagiochila bantamensis

    x     x x x x   Plagiochila junghuhniana x x x   x   x       Plagiochila sp. 1 x                   Plagiochila sp. 2   x                 Plagiochila sp. 3     x       x       Plagiochila sp. 4   x x   x x x x     Plagiochila sp. 5   x x x x       x   Plagiochila sp. 6 x x         x       Plagiochila sp. 7 x x                 Plagiochila sp. 8 x           x       Plagiochila sp. 9     x   x   x       Plagiochila sp. 10             x       Plagiochila sp. 11               x     Porella acutifolia x x x x     x x x   Porella perrottetiana         x x         Porella sp. 1       x x x x x     Porella sp. 2   x                 Porella sp. 3             x x     Ptychanthus BMS 907351 striatus     science x               Ptychanthus sp.             x       Radula falcata x x     x x x       Radula javanica x x x x   x x x     Radula van-zantenii         x x x       Schiffneriolejeunea cumingiana         x     x     Schiffneriolejeunea tumida         x x x x x   Spruceanthus polymorphus   x x               Stenolejeunea apiculata x x   x x   x       Thysananthus convolutus         x   x   x   Thysananthus spathulistipus   x x   x x x x x   Tuyamaella jackii   x           x   Mosses Acroporium macroturgidum   x x   x   x x     Aequatoriella bifaria   x   x x x x x     Aerobryopsis longissima x            

  x   Aerobryopsis sp.       x x x x x     Aerobryum speciosum           x x x     Aerobyidium crispifolium     x               Atractylocarpus novoguineensis         x x x x x   Barbella trichophora     x   x x x x x   Calymperes dozyanum     x       x   x   Calyptothecium sp.           x x x x   Calyptothecium subcrispulum               x x   Chaetomitrium lanceolatum x   x       x   x   Chaetomitrium leptopoma   x x x x x x x x   Chaetomitrium papillifolium x   x x x   x x x   Chaetomitrium setosum x x           x     Chaetomitrium sp. 1   x x   x   x x x   Cryptopapillaria fuscescens               x     Dicranum sp.     x   x x         Ectropothecium sp. 1               x     Ectropothecium sp. 2       x x x x   x   Ectropothecium sp.

Antarct Sci 2:301–308CrossRef

Cappers RTJ, Bekker RM, Jan

Antarct Sci 2:301–308CrossRef

Cappers RTJ, Bekker RM, Jans JEA (2006) Digital seed atlas of the Netherlands. Groningen Archaeological Studies, Barkhuis Cappers RTJ, Neef R, Bekker RM (2009) Digital atlas of economic plants. Part 1, 2a, 2b. Groningen Archaeological Studies, Barkhuis Chown SL, 3-deazaneplanocin A ic50 Huiskes AHL, Gremmen NJM, Lee JE, Terauds A, Crosbie K, Frenote Y, Hughes KA, Imura S, Kiefer K, Lebouvierh M, Raymond B, Tsujimoto M, Warec C, Van de Vijverk B, Bergstrom DM (2012a) Continent-wide risk assessment for the establishment of nonindigenous species in Antarctica. Proc Natl Acad Sci USA 109:4938–4943PubMedCrossRef Chown SL, Lee JE, Hughes KA, Barnes J, Barrett PJ, Bergstrom DM, Convey P, Cowan DA, Crosbie K, Dyer G, Frenot Y, Grant SM, Herr D, Kennicutt II MC, Lamers M, Murray A, Possingham HP, Reid K, Riddle MJ, Ryan PG, Sanson L, Shaw JD, Sparrow MD, Summerhayes C, Terauds A, Wall DH (2012b) Challenges learn more to the future conservation of the Antarctic. Science 337:158–159. www.​sciencemag.​org Chwedorzewska KJ (2008) Poa annua L. in Antarctic: searching for the source of introduction. Polar Biol 31:263–268CrossRef Combretastatin A4 Chwedorzewska KJ (2009) Terrestrial Antarctic ecosystems in the

changing world: an overview. Pol Polar Res 30:263–276 Chwedorzewska KJ, Bednarek PT (2012) Genetic and epigenetic variation in a cosmopolitan grass (Poa annua L.) from Antarctic and Polish populations. Pol Polar Res 33:63–80 Chwedorzewska KJ, Korczak M (2010) Human impact upon the environment in the vicinity of Arctowski Station, King George Island, Antarctica. Pol Polar Res 31:45–60 Chwedorzewska KJ, Bednarek PT, Puchalski J (2004) Molecular variation of Antarctic grass Deschampsia antarctica Desv. from King George Island (Antarctica). Acta Soc Bot Pol 73:23–29 Conolly A (1976) Use of the scanning electron microscope for the identification of seeds, with special references to Saxifraga and Papaver. Folia Quat 47:29–37 Convey P (1996) The influence of environmental characteristics on life history attributes of Antarctic terrestrial biota. Biol Rev 71:191–225CrossRef Convey P (2005) Antarctic terrestrial

ecosystems: responses 4-Aminobutyrate aminotransferase to environmental change. Polarforschung 75:101–111 Convey P (2006) Antarctic climate change and its influences on terrestrial ecosystems. In: Bergstrom DM, Convey P, Huiskes AHL (eds) Trends in Antarctic terrestrial and limnetic ecosystems: Antarctica as a global indicator. Springer, Dordrecht, pp 253–272CrossRef Convey P, Key RS, Key RJD (2010) The establishment of a new ecological guild of pollinating insects on sub-Antarctic South Georgia. Antarct Sci 22:508–512CrossRef Dörter K (1968) Das Bestimmen der Samen von Gräsern and Schmetlerlingsblutelern. Veb Deuscher Landwirtschaftsverlag, Berlin Frenot Y, Aubry M, Misset MT, Gloaguen JC, Gourret JP, Lebouvier M (1999) Phenotypic plasticity and genetic diversity in Poa annua L. (Poaceae) at Crozet and Kerguelen Is. (sub-antarctic).

2 Carrizo GJ, Marjani MA: Dysphagia lusoria caused by an aberran

2. Carrizo GJ, Marjani MA: Dysphagia lusoria caused by an aberrant right subclavian artery. Tex Heart Inst J 2004, 31:168–71.PubMed 3. Currarino G, Nikadiho H: Esophageal foreign bodies in children with vascular ring or aberrant right subclavian artery: coincidence or causation? Pediatr Radiol 1991, 21:406–408.PubMedCrossRef 4. Bisognano JD, Young B, Brown JM, Gill EA, Fang FC, Zisman LS: Diverse presentation of aberrant origin of the right subclavian artery. Chest 1997, 112:1693–1697.PubMedCrossRef 5. Levitt B, Richter JE: Dysphagia lusoria: a comprehensive review. Diseases of Cilengitide manufacturer the

Esophagus 2007, 20:455–460.PubMedCrossRef Declaration of competing interests The authors declare that they have no competing interests. Authors’ contributions EB – conceived the study and participated

in its design, ML – operating surgeon, RK – operating surgeon, LAB – critical review study concept and design, YK – critical review study concept and design. All authors read and approved the final manuscript.”
“Background Blunt extracranial traumatic cerebrovascular injury (TCVI) is found in some 1-3% of all blunt force trauma patients [1–15]. Estimates of overall neurological morbidity associated with TCVI range as high as 31% [2, 14, 16]. Ischemic stroke appears to be the greatest source of Selleckchem KPT-8602 Acetophenone neurological morbidity in this setting. A recent buy A-1155463 report of 147 patients with TCVI found an ischemic stroke rate of 12% attributable to carotid injuries and 8% due to vertebral artery injuries [2]. Although antithrombotic therapy to prevent ischemic stroke has been widely reported, several different options exist, including anticoagulation[2, 7, 9, 17–19] and antiplatelet therapy [2, 16, 20–22]. Furthermore, the use of endovascular techniques in patients with TCVI appears to be gaining in popularity [23–26]. The optimal management strategy for patients with TCVI has not yet been established. No randomized trials in the management of

patients with TCVI have yet been published. The issue is complicated by the complex nature of many patients with TCVI, such as the variety of cerebrovascular injuries as well as the presence of polytrauma. Furthermore, cerebrovascular injury in trauma patients frequently involves the participation of numerous specialists, such as neurosurgeons, trauma surgeons, stroke neurologists, and interventional neuroradiologists. Differing disciplines may have different perspectives and practices in the management of patients with TCVI. The purpose of the current investigation was to assess the current management of patients with TCVI across the United States and also across the various medical specialties involved with the management of patients with TCVI.

ljubarskyi group, all excluded from Trametes in this study, are a

ljubarskyi group, all excluded from Trametes in this study, are always glabrous, and the hyphae located at the far edge of the upper surface are bent or adpressed and never protruding

(Fig. 4d–h). As defined here, Trametes encompasses species with various types of hymenophore: typical from circular or angular pores (T. versicolor complex; Ko 2000; Fig. 5d–e) to also radially elongated to lamellate (T. gibbosa – T. betulina group; Tomšovský et al. 2006) or daedaleoid pores (T. maxima and T. meyenii, formerly classified in Cerrena by Hansen 1960 and Sclerodepsis by Ryvarden 1972). These results confirm that hymenophoral structures, although conspicuous and on which traditional systematics was mainly based (Fries 1835; Ryvarden 1991), is of low taxonomic value at generic level. However it represents a relevant morphological character for species delimitation. Moreover, Selleck Vactosertib except T. polyzona with strictly poroid hymenial surface, which moderately clusters (Bayesian PP = 0,58; Fig. 1) with T. betulina and T. gibbosa, each type of hymenial

surface corresponds to a monophyletic subclade of Trametes. The Black line is frequent in Trametes but has no taxonomic value at subgeneric level, as it can be found in various subclades (Figs. 1, 4a–b) and shows no correlation with hymenophoral structures. In the T. Smoothened Agonist nmr meyenii subclade all species analyzed herein show a black line. However an ITS sequence of Daedalea microsticta deposited in Genbank clusters with T. meyenii and T. maxima (data not shown); RAD001 purchase for Ryvarden et al. (2009) Daedalea microsticta is a synonym of T. ochroflava, whose type specimen is glabrous, strictly pored and without black line (personal observation). More precision on this still confused group of species is required. Trametes polyzona, a species with brown context, was encorporated into Trametes by the mttSSU and ITS rDNA analyses of Ko (2000), who also established a close relationship between T. polyzona, T. gibbosa, T. hirsuta and also T. meyenii (Ko and Jung 1999; Garcia-Sandoval et al. Histidine ammonia-lyase 2011). Consequently

the brown color of the skeletal hyphae is not significant in excluding T. polyzona from the genus Trametes we propose. Morphological similarities between T. hirsuta, T. betulina, T. socotrana, T. villosa, T. maxima and T. polyzona, are especially significant regarding the upper surface with hirsute hairs along narrow sulcate zones (Gilbertson and Ryvarden 1987; Ryvarden and Gilbertson 1994). Finally, the effused-reflexed basidiome of T. polyzona is another characteristic of the genus Trametes, in contrast to the other clades mostly characterized by pseudostipe or contracted basis (Fig. 1). Once compared morphological characters with phylogenetical results, we can deduce that the major characteristic distinguishing Trametes from the other genera of the core Trametes-clade is the pilose upper surface.

Nucleic Acids Res 2009,37(22):7678–7690 PubMedCrossRef 51 Rojo F

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of Pseudomonas fluorescens OprE and OprQ membrane proteins. Biochem Biophys Res Commun 2006,346(3):1048–1052.PubMedCrossRef 55. Yamano Y, Nishikawa T, Komatsu Y: Cloning and nucleotide sequence of anaerobically induced porin protein E1 (OprE) of Pseudomonas aeruginosa PAO1. Mol Microbiol 1993,8(5):993–1004.PubMedCrossRef 56. Shrivastava R, Basu B, Godbole A, Mathew MK, Apte SK, Phale PS: Repression of the glucose-inducible outer-membrane protein OprB during utilization of aromatic compounds and VX-689 chemical structure organic acids in Pseudomonas putida CSV86. Microbiology 2011, 157:1531–1540.PubMedCrossRef 57. Wylie JL, Worobec EA: The OprB porin plays a central role in carbohydrate uptake in Pseudomonas learn more aeruginosa . J Bacteriol 1995,177(11):3021–3026.PubMed 58. Görke B, Stülke J: Carbon catabolite repression

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This study shows that Candida albicans RAD54 and Candida albicans

This study shows that Candida albicans RAD54 and Candida albicans RDH54 are not

essential genes. This is similar to deletion mutants of other homologous recombination genes such as MRE11, RAD50 and RAD52 [12, 29]. Nonetheless, the rad54Δ/rad54Δ strain gave an aberrant colony morphology that suggested both a slower cell division time and checkpoint arrest to give lethal sectoring and a jagged colony edge. In contrast, the rdh54Δ/rdh54Δ strain grew with wildtype morphology and kinetics. Determination of cell cycle division times verified the slow growth phenotype of the rad54Δ/rad54Δ Linsitinib manufacturer strain while the heterozygous and reconstructed rad54Δ/RAD54 strains grew with wildtype kinetics. Examination of individual cells corroborated the aberrant morphology and slower cell cycle time. The rad54Δ/rad54Δ strain accumulated cells with a pseudohyphal shape during log phase growth. DAPI staining of cells showed that nuclear division was aberrant, with the pseudohyphal cells often having one elongated DAPI-staining body. Additionally, the rad54Δ/rad54Δ strain had an excess of doublet (large-budded)

cells with a single nucleus at the bud neck. This phenotype is suggestive of a checkpoint arrest www.selleckchem.com/products/mln-4924.html and a defect in chromosome segregation. Interestingly, the aberrant morphology of the rad54Δ/rad54Δ strain also extends to growth on Spider medium. The rad54Δ/rad54Δ strain was defective in invasion of Spider agar when compared to the wildtype and reconstructed strains (data not shown), perhaps due to the altered morphology of the cells. It is noted that this aberrant growth phenotype occurs in response to spontaneous damage. While diploid PD0332991 order Homozygous homologous

recombination mutants in Saccharomyces cerevisiae grow slower than wildtype diploids, they do not show aberrant colony morphology. The Saccharomyces cerevisiae rad54Δ/rad54Δ rdh54Δ/rdh54Δ mutant shows an aberrant colony morphology similar to the Candida albicans rad54Δ/rad54Δ strain but is more extreme [14]. Attempts to make a Candida albicans rad54Δ/rad54Δ rdh54Δ/rdh54Δ double mutant were unsuccessful, suggesting that the double mutant may be lethal or grows extremely poorly. Homozygous deletions of RAD54 in chicken DT40 cells [30, 31], mouse [32], and Drosophila [33] have resulted in sensitivity to ionizing radiation, MMS and crosslinking agents Methocarbamol and defective meiosis, but have only a modest effect on cell growth, if discernible at all. We assessed MMS sensitivity to determine the importance of the homologous recombination genes in DNA damage repair and found, similar to Saccharomyces cerevisiae, that Candida albicans RAD54 is extremely important for MMS damage repair and that Candida albicans RDH54 had no discernible role in MMS damage repair. As FLC susceptibility has been linked to homologous recombination deficiency in Candida albicans, we determined the FLC susceptibility of the rad54Δ/rad54Δ and rdh54Δ/rdh54Δ strains.

Infection and

Infection and Q-VD-Oph immunity 1994,62(8):3080–3085.PubMed

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down-regulation of cytochrome P450 7A1. Hepatology 2010,52(2):656–666.PubMedCrossRef 30. Wu X, Li Y: Therapeutic utilities of fibroblast growth factor 19. Expert Opin Ther Targets Trichostatin A in vivo 2011,15(11):1307–1316.PubMedCrossRef 31. Tomlinson E, Fu L, John L, Hultgren B, Huang X, Renz M, Stephan JP, Tsai SP, Powell-Braxton L, French D, et al.: Transgenic mice expressing human fibroblast growth factor-19 display increased metabolic rate and decreased adiposity. Endocrinology 2002,143(5):1741–1747.PubMedCrossRef 32. Fu L, John LM, Adams SH, Yu XX, Tomlinson E, Renz M, Williams PM,

Soriano R, Corpuz R, Moffat B, et al.: Fibroblast growth factor 19 increases metabolic rate and reverses dietary and leptin-deficient diabetes. Endocrinology 2004,145(6):2594–2603.PubMedCrossRef 33. Bhatnagar S, Damron HA, Hillgartner FB: Fibroblast growth factor-19, a novel factor that inhibits hepatic fatty acid synthesis. J Biol Chem 2009,284(15):10023–10033.PubMedCrossRef 34. Wu X, Ge H, Lemon B, Vonderfecht S, Weiszmann J, Hecht R, Gupte J, Hager T, Wang Z, Lindberg R, et al.: FGF19-induced hepatocyte GABA Receptor proliferation is mediated through FGFR4 activation. J Biol Chem 2010,285(8):5165–5170.PubMedCrossRef 35. Uriarte I, Fernandez-Barrena MG, Monte MJ, Latasa MU, Chang HC, Carotti S, Vespasiani-Gentilucci U, Morini S, Vicente E, Concepcion AR, et al.: Identification of fibroblast growth factor 15 as a novel mediator of liver regeneration and its application in the prevention of post-resection liver failure in mice. Gut 2013,62(6):899–910.PubMedCrossRef 36. Diaz-Delfin J, Hondares E, Iglesias R, Giralt M, Caelles C, Villarroya F: TNF-alpha represses beta-Klotho expression and impairs FGF21 action in adipose cells: involvement of JNK1 in the FGF21 pathway. Endocrinology 2012,153(9):4238–4245.PubMedCrossRef 37.

There was no evidence of dysplasia or malignancy Figure 1 Abdomi

There was no evidence of dysplasia or malignancy. Figure 1 Abdominal X-Ray. In favor of bowel obstruction. Figure 2 Abdominal computed tomography . Showing a fatty oval mass in the small intestine. Figure 3 Computed tomography scan of

the abdomen without oral contrast . A longitudinal cut view of the intussusception shows the “sausage” shape. Figure 4 Intraoperative findings of the lipoma: A pedunculated lesion, measuring 60 mm, was the lead see more point of the intussusception. Figure 5 Histological findings of the tumor . A histopathologic examination of the tumor revealed fat cells proliferating in the submucosal layer. Discussion Intussusceptions in adulthood is unusual, with an incidence of approximately 2-3 cases per population of 1 000 000 per year [5]. The most common classification system divides intussusceptions into four categories: enteric, ileocolic, ileocaecal and colonic [1–4]. In adults, intussusceptions is more likely to present insidiously with vague abdominal symptoms and rarely presents with the classic triad of vomiting, abdominal pain and passage of blood per rectum, making diagnosis difficult [6]. Tumors of the small bowel account for only 1% to 2% of all gastrointestinal tumors, and benign tumors account for approximately 30% of all small-bowel tumors

[7]. Lipomas are benign tumors of mesenchymal origin. They are the second most common benign tumors in the small intestine and account for 10% of all benign gastrointestinal tumors and 5% of all gastrointestinal tumors [1, 2, 5]. Gastrointestinal lipomas are most commonly located in the colon (65% to 75%), small bowel (20% to 25%) and Epigenetics inhibitor occasionally in the foregut (< 5%) [8]. Fifty-one cases of adult intussusceptions induced by a lipoma, including our present case, have been reported in the English literature during the past decade (Table  1) [9]. Lipomas are largely asymptomatic. The majority of presenting features (-)-p-Bromotetramisole Oxalate are either

intestinal obstruction or hemorrhage [1, 2, 5–8]. Their usual location in the small intestine is ileum (50%) while jejunum is the least common. The peak age of incidence is in the 6th-7th decades of life and it appears that females are more prone to lipomas. Malignant degeneration has never been reported [5]. The clinical presentation is very non-specific which makes this a difficult condition to diagnose. According to the literature, only 32% to 50% of cases are diagnosed preoperatively, despite the evolution of imaging methods [9–11]. Abdominal pain, nausea, Selleckchem CX-6258 diarrhea and bleeding per rectum are the common symptoms. Rarely, this can present with acute intestinal obstruction. The classical triad of abdominal pain, sausage shaped palpable mass and passage of red current jelly stools seen in children is rarely seen in adults. Fewer than 20% of cases present acutely with complete bowel obstruction. A palpable abdominal mass is present in only 7% to 42% of cases [12, 13].