Spontaneous Rupture of a Deep Femoral Pseudoaneurysm Mimicking Lymphedema After Radical Hysterectomy in a Woman Who Was Receiving Warfarin
Bibliographic record
Abstract
Pseudoaneurysms of the deep femoral artery have been reported after external injury to the thigh and orthopedic surgery of the femur. We describe our experience with a case of spontaneous rupture of a deep femoral pseudoaneurysm in a woman who was receiving warfarin within the therapeutic range. She received a choledocholithotomy after a radical hysterectomy for uterine cervical cancer (stage IB1). Pulmonary embolism and deep-vein thrombosis developed after choledocholithotomy, and an inferior vena cava filter was left in place permanently. She was receiving warfarin since then. This time, the patient presented with a pseudoaneurysm of the deep femoral artery and a large hematoma in the adductor muscle of the thigh. Swelling of the thigh in this condition resembled the lower-extremity edema that occurs after pelvic lymph-node dissection. Contrast-enhanced computed tomography (CT) was useful for diagnosis of the pseudoaneurysm and evaluation of the extent of muscle damage. J Med Cases. 2016;7(7):299-302 doi: http://dx.doi.org/10.14740/jmc2543w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".