Volume 29, Issue 155, January 2025

About the Cover

Background: Gastrointestinal vascular malformations are rare and challenging-todiagnose causes of gastrointestinal bleeding, accounting for 5% of non-variceal upper gastrointestinal hemorrhages. We describe a clinical case of a young female patient with superior mesenteric arteriovenous malformation accompanied by a fistula leading to severe gastrointestinal bleeding. Additionally, we review the literature on this condition and provide information about diagnostic tools and applicable treatment methods. Case Presentation: A 28- year-old female patient presented with a four-month history of hematochezia. She arrived at the emergency department of Binh Dan Hospital in a state of severe anemia. Esophagogastroduodenoscopy up to the first part of the duodenum and colonoscopy up to the cecum did not reveal signs of bleeding. A CT angiography of the abdomen identified a superior mesenteric arteriovenous malformation with active bleeding into the small intestine, suggesting the presence of a fistula from the malformed vessels. The surgical team performed an emergency laparotomy and resected a segment of the small intestine along with the mesentery containing the malformed vessels to control the bleeding source. Conclusion: This clinical case describes a rare condition of mesenteric arteriovenous malformation with a fistula causing severe gastrointestinal hemorrhage.

Previous | Next

CASE REPORT

Lower gastrointestinal hemorrhage in a case of mesenteric arteriovenous malformation with fistula: A case report from Vietnam

Duc M Tran, Duc K Ho, Dai T Nguyen, Khanh G Cheng, Phuoc T Bui, Nguyen Ly

Background: Gastrointestinal vascular malformations are rare and challenging-todiagnose causes of gastrointestinal bleeding, accounting for 5% of non-variceal upper gastrointestinal hemorrhages. We describe a clinical case of a young female patient with superior mesenteric arteriovenous malformation accompanied by a fistula leading to severe gastrointestinal bleeding.

Medical Science, 2025, 29, e1ms3500

Abstract | PDF

ARTICLE

Functional gastrointestinal symptoms among university students in Al Madinah and their association with perceived stress

Sally Elnawasany, Samia Saeed Alawad, Zayed Mohammad Alnafaie

Background: Functional gastrointestinal disorders FGIDs are common chronic illnesses. Multiple risk factors have been connected to the development of FGIDs, such as stress. Perceived stress is a public problem that commonly affects academic students.

Medical Science, 2025, 29, e2ms3505

Abstract | PDF

REVIEW

The effectiveness of surgical treatment with perioperative therapy compared to surgery alone in the treatment of gastric cancer - a systematic review

Michał Muciek, Jakub Kawka, Alicja Baranowska, Katarzyna Baranowska, Filip Czyżewski, Kinga Filipek, Sebastian Mrugała, Waldemar Mrugała, Bartosz Skierkowski, Natalia Zalewska

Introduction: Gastric cancer poses a significant challenge for physicians. This cancer is a growing concern globally due to its rising occurrence and high mortality rate. The standard approach to treatment has been surgery, but it often falls short of delivering effective outcomes.

Medical Science, 2025, 29, e3ms3471

Abstract | PDF

Male infertility - causes, diagnostics, and treatment options review

Szymon Bienia, Sara Hassan, Aisha Hassan, Kamil Hassan, Klaudia Konieczna, Wafa Al-Batool, Izabela Zarecka, Jakub Leicht, Aleksandra Kossakowska, Paweł Godlewski

Male infertility is a complicated problem that often poses a challenge to couples trying to conceive. Its causes may be very diverse and may result from genetic or environmental factors such as excess stress, obesity, and smoking

Medical Science, 2025, 29, e4ms3481

Abstract | PDF

Effect of alcohol consumption on the risk of kidney stones formation: Systematic review

Arkadiusz Zaremba, Miłosz Abkowicz, Michał Kluska, Anna Bieda, Maciej Wyskok, Karolina Stachyra, Marta Borecka, Julia Beata Krasnodębska, Przemysław Kwiatka, Mateusz Leśniewski, Karolina Hanusz

Introduction: Nephrolithiasis, commonly known as kidney stone disease, is a disease that involves the formation of crystal clusters in favorable conditions. It occurs under favourable conditions when the urine is supersaturated with specific compounds.

Medical Science, 2025, 29, e5ms3486

Abstract | PDF

Mesenteric ischemia - a rare but fatal cause of abdominal pain. A literature review

Aleksandra Jonkisz, Seweryn Rozalczyk, Gabriela Skurzyńska, Zuzanna Bałoniak, Agnieszka Leszyńska, Julia Bałoniak, Michalina Doligalska, Aleksandra Stremel, Aleksandra Anioła, Sandra Ważniewicz

Mesenteric ischemia is an uncommon condition with unspecific symptomatology, making it difficult to diagnose. It arises from inadequate blood flow through the visceral arteries due to chronic or acute obstruction. The disease primarily affects women over the age of 60 with many other comorbidities

Medical Science, 2025, 29, e6ms3506

Abstract | PDF

Physical and dietary interventions in managing migraine. A review of the literature

Gabriela Skurzyńska, Aleksandra Krzowska, Zuzanna Bałoniak, Agnieszka Leszyńska, Julia Bałoniak, Michalina Doligalska, Aleksandra Stremel, Aleksandra Jonkisz

Migraine is a prevalent, burdensome, debilitating neurological disorder that poses a socioeconomic burden, significantly impacting the quality of life. The recommended migraine management is pharmacological treatment.

Medical Science, 2025, 29, e7ms3508

Abstract | PDF

The impact of lifestyle factors on fertility: An analysis of effects on women and men. A review of the literature

Zuzanna Bałoniak, Anna Jędrasiak, Julia Bałoniak, Gabriela Skurzyńska, Agnieszka Leszyńska, Aleksandra Jonkisz, Michalina Doligalska, Aleksandra Stremel, Emilia Bachoń, Wiktoria Wesołowska

Fertility, defined as the ability to achieve a clinical pregnancy, is a crucial aspect of human reproduction. Infertility, on the other hand, is a complex condition affecting both men and women.

Medical Science, 2025, 29, e8ms3510

Abstract | PDF

Carbon monoxide poisoning: Pathophysiology, diagnosis, symptoms and advances in acute and chronic management

Wafa Al-Batool, Hiba Al-Batool, Aisha Hassan, Izabela Zarecka, Sara Hassan, Szymon Bienia, Aleksandra Kossakowska, Jakub Leicht, Klaudia Konieczna

Carbon monoxide (CO) poisoning is most important contributor to toxic gasrelated morbidity and mortality. Acute poisoning is well-documented, but chronic exposure remains poorly understood, often presenting with nonpathognomonic symptoms that complicate the diagnosis

Medical Science, 2025, 29, e9ms3482

Abstract | PDF

The impact of physical exercise on the development of neurodegenerative diseases

Dawid Wiktor Kulczyński, Natalia Dąbrowska, Paweł Nowocin, Zuzanna Kudas, Paulina Kumięga, Aleksandra Litwin, Piotr Wasiński, Karolina Krzywicka, Nikola Perchel, Martyna Koszyk

Behaviors like physical activity may impact neurodegenerative diseases such as Alzheimer's, Parkinson's, and ALS, which remain significant global challenges with limited therapies

Medical Science, 2025, 29, e10ms3489

Abstract | PDF

Adverse effects of contraception: A general overview

Piotr Wasński, Natalia Dąbrowska, Dawid Kulczyński, Karolina Krzywicka, Aleksandra Litwin, Martyna Koszyk, Paweł Nowocin, Zuzanna Kudas, Nikola Perchel, Paulina Kumięga

The following is a brief overview of the potential adverse effects related to hormonal, mechanical, and natural methods of contraception have been summarized from the findings of recent peer-reviewed studies.

Medical Science, 2025, 29, e11ms3501

Abstract | PDF

Creatine Supplementation: Effects on athletic performance, cognitive processing, and longterm health consequences. A review of the literature

Weronika Kotnis, Jan Siemianowski, Sandra Prolejko, Michalina Doligalska, Aleksandra Stremel, Błażej Gajęcki, Greta Steć, Justyna Kopala, Agata Brzyska, Magdalena Pawlak

Creatine is a naturally occurring compound that plays an essential role in cellular energy production. It has important applications in sports nutrition and medical research. Mainly accumulated in skeletal muscle, it facilitates ATP replenishment during strenuous exercise.

Medical Science, 2025, 29, e12ms3516

Abstract | PDF

Asthma in cross-country and alpine skiing: Risks and prevention. A review of the literature

Jan Siemianowski, Weronika Kotnis, Sandra Prolejko, Michalina Doligalska, Aleksandra Stremel, Błażej Gajęcki, Greta Steć, Justyna Kopala, Agata Brzyska, Magdalena Pawlak

Asthma and exercise-induced bronchoconstriction (EIB) are prevalent among winter athletes, particularly cross-country and alpine skiers. These disciplines involve strenuous exercise in hostile environmental conditions (e.g., cold and dry air), exacerbating respiratory dysfunction

Medical Science, 2025, 29, e13ms3522

Abstract | PDF

ARTICLE

Knowledge, attitudes, and perceptions of medical students regarding Artificial intelligence in radiology in the Eastern Province of Saudi Arabia

Khalid Aljoqiman, Nora Alsultan, Thamer Alhabdan, Latifah Aldhaif, Mohammed Albesher, Nora Albaqshi, Zainab Bu-Khamsin, Hussain Alali, Fatimah Alhabdan

Background: Artificial intelligence (AI), particularly deep learning, is transforming radiology by enhancing diagnostic and imaging analysis capabilities. However, the integration of AI into clinical practice has sparked significant debate within the field.

Medical Science, 2025, 29, e14ms3449

Abstract | PDF

REVIEW

Managing dry eye disease: A review of emerging and established treatments

Karolina Krzywicka, Nikola Perchel, Paweł Nowocin, Paulina Kumięga, Aleksandra Litwin, Zuzanna Kudas, Natalia Dąbrowska, Dawid Wiktor Kulczyński, Martyna Koszyk, Piotr Wasiński

Dry eye syndrome (DES) is a widespread condition that impacts the ocular surface. It originates from multiple etiological factors and results in an imbalance in tear film homeostasis. A range of eye-related symptoms emerging from this disorder can significantly impair vision-related quality of life

Medical Science, 2025, 29, e15ms3492

Abstract | PDF

Health Implications of Capsaicin: Weighing the Benefits and Risks of Spicy Foods - a review of the literature

Michalina Doligalska, Daniel Zieliński, Emilia Bachoń, Wiktoria Wesołowska, Aleksandra Stremel, Anna Weigle, Agnieszka Leszyńska, Aleksandra Jonkisz, Małgorzata Sędek, Weronika Tuszyńska

Capsaicin is very well known as the principal active constituent in chili peppers, however, despite widespread recognition of this substance as a simple enhancer of spicy flavour, it is also a complicated agent that exerts its effects on human health.

Medical Science, 2025, 29, e16ms3515

Abstract | PDF

CASE REPORT

Acute Meckel’s diverticulum with perfotation and segmental bowel ischemia: Case report

Mona Alghamdi, Nasir Khan, Yasmin Taha Almudawah, Razan Hussain Alomar

The MD is among the most common congenital GI tract defects that are found, it’s rarely complicated with perforation which seriously impair the ability to diagnose the illness. Intussusception, inflammation, bleeding, intestinal obstruction and volvulus are other frequent complications of MD

Medical Science, 2025, 29, e17ms3519

Abstract | PDF

REVIEW

The importance of Anterolateral Ligament Repair in anterior cruciate ligament reconstruction – a review of the literature

Piotr Paluch, Karol Leśniewski, Kamil Gibczyński, Jakub Pudźwa, Martyna Orzechowska, Aleksandra Roztoczyńska, Aleksandra Jeńć-Magoń, Michał Orczyk, Karolina Jabłońska, Anita Król

Rupture of the anterior cruciate ligament (ACL) is a common knee injury. While ACL reconstruction has historically been designed around isolated repair of the ACL, newer literature suggests that the role of anterolateral ligament (ALL) repair may have critical stability roles and improved surgical results

Medical Science, 2025, 29, e18ms3496

Abstract | PDF

Intragastric Balloon vs. Endoscopic Sleeve Gastroplasty: A review of the efficacy and safety of both procedures

Hashim Mohamed Siraj, Aafreen Ali Nyaz, Ramlah Atif Khan, Mohammed Aamir Qayyum Sarguroh Khan, Sanaf Nisar Hamdulay, Nivedita Pant

The increasing prevalence of obesity worldwide has made it a global pandemic. In recent years, endoscopic bariatric therapies (EBTs), such as the intragastric balloon (IGB) and the endoscopic sleeve gastroplasty (ESG), have gained recognition for their effectiveness

Medical Science, 2025, 29, e19ms3513

Abstract | PDF

Selective photothermolysis of sebaceous glands- 1726 nm laser in the treatment of acne vulgaris

Sandra Ważniewicz, Aleksandra Anioła, Aleksandra Jonkisz, Jagoda Saniuk

Acne vulgaris is an inflammatory skin disease commonly seen in a significant part of the population, most commonly in teenagers and young adults. It can lead to pigmented lesions and scarring; standard systemic treatment can be associated with several side effects

Medical Science, 2025, 29, e20ms3525

Abstract | PDF

ARTICLE

The effect of perceived stress on glycated hemoglobin value (HbA1c) on Diabetes type 2 patients- An observational study from Lahore, Pakistan

Sara Shahid, Ghanwa Maqsood, Arooj Majeed, Muhammad Qasim, Memoona Arshad, Taha Yasin, Atera Afzal, Shanza Saadat, Rana Muhammad Sheraz Ali, Seerat Shahzad, Muhammad Zahid Iqbal

Introduction: Diabetes mellitus (type 2) is a common endocrine disease characterized by elevated blood glucose levels. Various sociodemographic, environmental factors and clinical predictors positively influence blood glucose levels in diabetics

Medical Science, 2025, 29, e21ms3512

Abstract | PDF