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Agenesis of the dorsal pancreas is a rare congenital pancreatic malformation. We herein describe a 67-year-old woman with a 5-day history of lower back pain who was eventually diagnosed with agenesis of the dorsal pancreas. Abdominal computed tomography showed an enlarged pancreatic head, but the pancreatic body and tail were invisible. The magnetic resonance imaging findings were similar to the computed tomography findings. Magnetic resonance cholangiopancreatography showed that the major pancreatic duct was mildly dilated but otherwise normal. Endoscopic ultrasound revealed absence of the pancreatic body and tail, an enlarged head of the pancreas, and mild pancreatic duct dilation. The final diagnosis was dorsal pancreatic agenesis.

The development and manufacture of room-temperature NH3 respiratory gas sensors are particularly important in the medical field. However, current NH3 sensors either lack sensitivity or have slow response and recovery. Herein, in situ growth of TiO2 nanosheet on the layered amorphous C derived from oxidation of Ti3C2Tx by a hydrothermal method is proposed. The resultant gas sensing performance showed that the TiO2-C-2 (hydrothermal reactor for 12 h) specimen exhibited a high gas response value (10.3) and short response and recovery times (69 and 82 s, respectively) to 100 ppm of NH3 at room temperature. In the UV light environment, gas sensitivity is further improved (from 10.3 to 14.2 for 100 ppm of NH3 response value) and response and recovery times are reduced from 69 and 82 s to 50 and 60 s, respectively. Finally, selective adsorption of NH3 was characterized by density functional theory (DFT). This study confirms that the in situ growth of a TiO2 nanosheet on the layered amorphous C for gas-sensitive detection is expected to be a strategy. [ABSTRACT FROM AUTHOR]

Adjacent natural teeth with untreated pulpal or periodontal pathology may be a potential risk for implant infection. We report a rare case of an implant periapical lesion (IPL) possibly caused by direct extension of a periradicular lesion of an adjacent tooth. A 40-year-old female patient, who had previously received three implants on the edentulous areas of teeth 16, 36 and 46, had a recurrent infection over the lower left second molar area for 2 years. A periapical radiograph revealed incomplete root canal treatment and an infrabony defect on the mesial side of the lower left second molar; the defect extended to the apical third of the adjacent implant on tooth 36. Open flap debridement was performed 1 year after implant placement, but pain and swelling persisted for another year. Therefore, the second molar was extracted at the patient's request. The patient was unable to seek earlier and prompt treatment as she was abroad; therefore, we were able to observe the progression of severity in the IPL. One year after the extraction, the symptoms had subsided, and a periapical radiograph showed that the radiolucent lesion had decreased in size. She was followed for another 1.5 years and showed marked improvement. In this case, the IPL probably originated from the endodontic-periodontic problem of the adjacent molar, and the infected implant was saved by removing the infection source. We also discuss the treatment and prognosis of IPLs. To prevent the occurrence of an IPL, it is important to evaluate the pulpal and periodontal status of the teeth near the implant site when making a comprehensive treatment plan for an implant.