![]() ![]() ![]() But yeah man, we’ve been busy, and also it’s been good. I feel always busy! But yeah, we’ve been creating babies, moving to new cities, buying new homes, becoming adults, and trying to reconcile that with me being a touring musician which just seems like a hilarious thing to try. (Laughing) Speaking of busy, you’ve had a busy 18 months We’re on a quest for socks and underwear, this is going to be your weirdest interview! Sam, we’re talking while walking through the busy streets of Manchester… So it was when I met up with Sam, as you’ll see from our conversation below… If he needs something while he’s on the road, he’s got to find the time to go out and get it himself – and pay out of his own pocket too. There’s no major label support to underwrite all the expenses. There’s no Personal Assistant attending to his every need. There’s no grand tour bus to carry everything and everyone. At the place on the scale where Sam Outlaw operates, it’s very much “hands-on” and “back to basics”. It’s not all about the thrill of the stage and the roar of the crowd, as rewarding and exciting as that all might be. That’s a hard thing to contemplate, and to commit to. While his wife was able to join him briefly in Sweden, Sam won’t have hugged his young children for over a month by the time he returns Nashville. A month away from home and family, separated by thousands of miles and several time zones, is the flip side of the lifestyle that is the domain of the working musician. Manchester, where we met up, was show number 24. ![]() For his current European tour Sam has packed in 28 shows in 31 days, across 6 countries. The success of, and acclaim for, his albums “Angelino” and “Tenderheart” have led to a busy touring schedule both at home and abroad – something that’s good for his career but can be challenging on a personal level. His “SoCal” style of country music with a Southern California vibe and certain pop influences has found a ready audience, while his lyrics sometimes need repeated listens to appreciate the range of wry humour, sadness and often gentle realism within. Sam Outlaw Interview: We chat touring, being away from family and more with the California-raised artist Over the last few years Sam Outlaw has become a frequent and welcome visitor to the UK, building a reputation as a hard working musician with a great live show. ![]()
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There are described 3 types of gastric volvulus according to the axis of rotation: organoaxial, mesenteroaxial and combination. In fact, both gastric volvulus and wandering spleen share a common mechanism, the abnormality of intraperitoneal visceral ligaments. It is thought to be secondary to hyperlaxity or absence of gastric ligaments. Gastric volvulus is an uncommon entity in adults characterized by an abnormal rotation of the stomach of more than 180° around one of its axis. Other features of vascular compromise and splenic infarctions include poor enhancement of splenic parenchyma, hyperattenuating pedicle on unenhanced CT due to acute thrombosis, or peripheral enhancement of splenic parenchyma (“pseudocapsule sign”) attributed to chronic ischemia and secondary perisplenic collateral circulation. The “whirl sign” of the splenic pedicle is highly specific and characteristic for splenic torsion and has been described in cases with pancreatic tail involvement, some of them associated with acute pancreatitis. Often, the spleen is rotated, more commonly counter-clockwise, and usually has vascular congestion signs, so that it may be also increased in size. CT confirms the abnormal position of the spleen at the mid-abdomen, pelvis or more rarely at the right iliac fossa. ![]() Doppler sonography can be useful to evaluate the blood flow in the parenchyma and in the splenic vessels. The echotexture can be normal, heterogeneous or hypoechoic if complete infarction. US can demonstrate the absence of splenic tissue in its normal position. Plain abdominal radiography findings include the absence of splenic silhouette in the splenic fossa, small bowel loops occupying the left upper quadrant, elevation of the left kidney and a well-circumscribed abdominal mass. Imaging plays a major role in establishing the diagnosis. The clinical presentation of wandering spleen is highly variable, ranging from asymptomatic patients to recurrent episodes of abdominal pain and acute abdomen due to complete torsion and splenic infarction. An unusual association with gastric and pancreatic volvulus have been described. Both congenital and acquired conditions result in a mobile spleen with predisposition to torsion. Acquired anomalies, such as splenomegaly, weakness of the abdominal wall, multiple pregnancies and hormonal changes, have been associated with this entity, explaining its higher incidence among women of reproductive age. The absence of the splenorenal ligament makes the pancreas not completely retroperitoneal, with its tail localized within the splenic hilum. These ligaments hold the spleen in its normal position and attach it to adjacent viscera. The congenital hypothesis is an anomalous development of the dorsal mesogastrium, which does not fuse with the posterior peritoneum, leading to the absence or abnormal development of one or more of the gastrosplenic, splenorenal and phrenocolic ligaments. īoth congenital and acquired causes of wandering spleen have been previously described. ![]() This anomaly is characterized by an abnormal localization of the spleen within the abdominal and pelvic cavity due to hyperlaxity, underdevelopment or even absence of splenic suspensory ligaments. It has two peaks of incidence in children aged less than 10 years and in women of childbearing age. Wandering spleen is a rare condition accounting for less than 0.2% of splenectomies. ![]() |
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