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https://www.readbyqxmd.com/read/29444792/intestinal-obstruction-caused-by-a-strangulating-adnexa-a-rare-complication-of-ovarian-sparing-hysterectomy
#1
Mohamad Minhem, Youssef Mohsen, Charbel Saade, Ali Hallal
Intestinal obstruction caused by a remnant fallopian tube from previous hysterectomy is a rare entity that has been reported once in the literature. We report the case of a 61-year-old woman who presented with both small and large bowel obstructions caused by a strangulating remnant fallopian tube. She had an ovarian sparing hysterectomy 16 years ago and was diagnosed with antiphospholipid syndrome. Our case report will discuss the clinical presentation, imaging and outcome of the patient. It will also briefly tackle other rare causes of bowel obstruction...
February 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29440504/national-and-state-trends-in-sudden-unexpected-infant-death-1990-2015
#2
Alexa B Erck Lambert, Sharyn E Parks, Carrie K Shapiro-Mendoza
BACKGROUND: Sharp declines in sudden unexpected infant death (SUID) in the 1990s and a diagnostic shift from sudden infant death syndrome (SIDS) to unknown cause and accidental suffocation and strangulation in bed (ASSB) in 1999-2001 have been documented. We examined trends in SUID and SIDS, unknown cause, and ASSB from 1990 to 2015 and compared state-specific SUID rates to identify significant trends that may be used to inform SUID prevention efforts. METHODS: We used data from US mortality files to evaluate national and state-specific SUID rates (deaths per 100 000 live births) for 1990-2015...
February 12, 2018: Pediatrics
https://www.readbyqxmd.com/read/29435451/umbilical-hernia-repair-and-pregnancy-before-during-after%C3%A2
#3
REVIEW
Hakan Kulacoglu
Umbilical hernias are most common in women than men. Pregnancy may cause herniation or render a preexisting one apparent, because of progressively raised intra-abdominal pressure. The incidence of umbilical hernia among pregnancies is 0.08%. Surgical algorithm for a pregnant woman with a hernia is not thoroughly clear. There is no consensus about the timing of surgery for an umbilical hernia in a woman either who is already pregnant or planning a pregnancy. If the hernia is incarcerated or strangulated at the time of diagnosis, an emergency repair is inevitable...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29433399/death-caused-by-appendicular-knotting-and-small-bowel-strangulation-in-a-child-a-case-report-and-review
#4
Andres Rodriguez Zorro, Jairo Hernando Vivas Diaz
Acute appendicitis is one of the most common surgical emergencies in paediatrics. However, acute appendicitis in early infancy is an uncommon condition. Furthermore, strangulation of the small intestine through appendicular knotting is described as very unusual in the literature and is generally not well-diagnosed in the clinical context. This article reports the case of a 23-month-old girl who entered the emergency department with a three-day history of abdominal symptoms and who died in less than 24 hours without receiving surgical intervention...
January 1, 2018: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/29425783/variceal-hemorrhage-with-white-nipple-sign-associated-with-strangulated-umbilical-hernia-in-a-patient-with-cirrhosis
#5
Brian M Fung, Amir Kalani, James H Tabibian
No abstract text is available yet for this article.
February 6, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29414503/ileo-ileal-fistula-with-severe-malnutrition-caused-by-strangulated-ileus-surgery-while-preserving-ischemic-ileum-a-case-report
#6
Satoshi Nishiwada, Shinji Nakamura, Tetsuya Tanaka, Yuki Kirihataya, Daiki Nezu, Nobuhiro Sawa, Naoki Fujita, Haruka Ikegami, Atsushi Yoshimura
INTRODUCTION: Entero-enteric fistulas are rare complications that occur in patients with inflammatory bowel disease and other intestinal diseases. In this report, we present an ileo-ileal fistula accompanied by severe malnutrition caused by strangulated ileus surgery while preserving the ischemic ileum in a very elderly patient. CASE PRESENTATION: A 90-year-old woman underwent emergency surgery without bowel resection for strangulated ileus in another hospital. Minor abdominal pain and slight fever persisted after surgery...
January 27, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29412350/sociodemographic-characteristics-and-time-series-of-mortality-due-to-suicide-among-elderly-individuals-in-bahia-state-brazil-1996-2013
#7
Érica Assunção Carmo, Patrícia Honório Silva Santos, Bárbara Santos Ribeiro, Carine de Jesus Soares, Maria Lydia Aroz D'Almeida Santana, Eliane Dos Santos Bomfim, Bruno Gonçalves de Oliveira, Juliana da Silva Oliveira
OBJECTIVE: to describe sociodemographic aspects and time evolution of mortality due to suicide among elderly individuals in Bahia State, Brazil, from 1996 to 2013. METHODS: time series descriptive and ecological study, with data from the Mortality Information System (SIM); Prais-Winsten regression was used for trend analysis and to calculate annual percent change (APC). RESULTS: 858 deaths due to suicide were identified in elderly in Bahia; 85...
February 1, 2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/29394708/-strangulation-ileus-caused-by-incarcerated-esophageal-hiatal-hernia-after-laparoscopic-total-gastrectomy-a-case-report
#8
Hiroaki Nagata, Tokunari Okayama, Wataru Takaki, Yasunori Sawabe, Masahiro Nishikawa, Hiroshi Kounosu
Laparoscopic total gastrectomy(LTG)is one of the most increasing surgeries among gastric cancer surgery. Although LTG has many advantages on the patient, we should be more careful of its specific complications. Here we report a case of 72- year-old man with the complaint of severe acute upper abdominal pain due to strangulation ileus caused by incarcerated esophageal hiatal hernia(EHH)after LTG. Emergent operation has performed on the patient and total 180 cm length of necrotic small intestine was resected...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29388327/primary-small-intestinal-volvulus-after-laparoscopic-rectopexy-for-rectal-prolapse
#9
Michihiro Koizumi, Takeshi Yamada, Seiichi Shinji, Yasuyuki Yokoyama, Goro Takahashi, Masahiro Hotta, Takuma Iwai, Keisuke Hara, Kohki Takeda, Hayato Kan, Hideaki Takasaki, Keiichiro Ohta, Eiji Uchida
Primary small intestinal volvulus is defined as torsion in the absence of congenital malrotation, band, or postoperative adhesions. Its occurrence as an early postoperative complication is rare. A 40-year-old woman presented with rectal prolapse, and laparoscopic rectopexy was uneventfully performed. She could not have food on the day after surgery. She started oral intake on postoperative day 3 but developed abdominal pain after the meal. Contrast-enhanced CT revealed torsion of the small intestinal mesentery...
February 1, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29379708/an-arthroscopic-knotless-technique-for-anatomical-restoration-of-the-rotator-cuff-and-superior-capsule-the-double-layer-cinch-bridge
#10
Philipp R Heuberer, Leo Pauzenberger, Daniel Smolen, Roman C Ostermann, Werner Anderl
Rotator cuff repairs are the most common procedures in shoulder surgery, but still show long-term retear rates of up to 70%. Nonanatomic reconstruction is one possible cause of repair failure. The rotator cuff histologically consists of 5 separate layers of which 2 are macroscopically identifiable: the superior or tendinous layer and the inferior or capsule-ligamentous layer. In case of rotator cuff tears, these layers are often retracted to different degrees. The intraoperative detectable prevalence of rotator cuff delamination reaches up to 85%...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29374649/strangulated-spiegel-s-hernia-mimicking-ischaemic-colitis-endoscopic-diagnosis-of-a-rare-surgical-emergency
#11
Tiago Cúrdia Gonçalves, Sara Monteiro, Carla Marinho, José Cotter
No abstract text is available yet for this article.
January 26, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29372693/small-bowel-transanal-evisceration-mimicking-a-rectal-prolapse-a-case-report-and-review-of-literature
#12
Giuseppe Pisano, Enrico Erdas, Fabio Medas, Umberto Pisano, Pietro Giorgio Calò
Transanal intestinal evisceration is a very uncommon and dramatic occurrence, linked most frequently to rectal prolapse rupture or, very rarely, to traumatic pathology. The Authors describe a case of a 74-year-old female patient who required urgent hospital admission because of a seemingly strangulated rectal prolapse. During surgical preparation the protruding mass was recognized as small bowel loops herniating from the anus. Evisceration was due to spontaneous rectal wall rupture, most likely caused by increased abdominal pressure and consequent breach through the weakened rectum...
November 20, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29362977/biceps-tendon-interposition-in-two-part-fracture-of-the-humeral-surgical-neck
#13
Selim Şanel, Yalçın Turhan, Nurullah Ermiş, Korhan Özkan, Ender Uğutmen
OBJECTIVES: Long head of the biceps tendon (LHB) is an obstacle to closed reduction in two-part fracture of the humeral surgical neck if the distal humeral shaft is displaced into the axilla in anteroposterior X-ray examination. METHODS AND MATERIAL: Among 36 proximal humeral fractures, 10 two-part humeral surgical neck fractures which were displaced into the axilla in anteroposterior X-ray views and classified as 11-A3.2 were included in this study. In all of these fractures, closed reduction attempts were unsuccessful...
January 23, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29359571/strangulated-child-s-psychological-trauma-intervened-with-imagery-based-cognitive-therapy
#14
Jaiganesh Selvapandiyan, Suvethaa Vasu, Ramanujam Venkatasamy
No abstract text is available yet for this article.
January 1, 2018: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/29356947/forensic-application-of-epidermal-aqp3-expression-to-determination-of-wound-vitality-in-human-compressed-neck-skin
#15
Yuko Ishida, Yumi Kuninaka, Mizuho Nosaka, Emi Shimada, Satoshi Hata, Hiroki Yamamoto, Yumiko Hashizume, Akihiko Kimura, Fukumi Furukawa, Toshikazu Kondo
In forensic practices, it is often difficult to determine wound vitality in compression marks of the neck with naked eyes. AQP1 and AQP3 are the major water channels associated with skin. Thus, we immunohistochemically examined the expression of AQP1 and AQP3 in neck skin samples to discuss their forensic applicability to determination of the wound vitality. Skin samples were obtained from 56 neck compression cases (hanging, 35 cases; strangulation, 21 cases). The intact skin from the same individual was taken as a control...
January 22, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29348992/hernioscopy-in-incarcerated-inguinal-hernia-spontaneously-reduced-after-general-anesthesia-induction
#16
Irwin C White-Gittens, Aleksandr Kalabin, Vishnu R Mani, Anant Dinesh, Raja Sabbagh
Hernioscopy is essentially hernia sac laparoscopy. Hernia repair has evolved over the years with better outcomes; however, strangulated inguinal hernias are acute surgical emergencies which require emergent operative intervention. During anesthesia induction and/or after incision, hernia self-reduction is possible, with or without compromised bowel, back into the abdominal cavity. It is pivotal to examine the bowel to decide on further operative course. A simple alternative to unnecessary laparotomy or standard laparoscopy is hernioscopy, which is quite uncommon...
November 15, 2017: Curēus
https://www.readbyqxmd.com/read/29336749/heroic-measures-for-an-american-hero-attempting-to-save-the-life-of-general-douglas-macarthur
#17
Theodore N Pappas
General Douglas MacArthur was a towering public figure on an international stage for the first half of the 20th century. He was healthy throughout his life but developed a series of medical problems when he entered his 80s. This article reviews the General's medical care during two separate life-threatening medical crises that required surgical intervention. The first episode occurred in 1960 when MacArthur presented with renal failure due to an obstructed prostate. Four years later after his 84th birthday, MacArthur developed bile duct obstruction from common duct stones...
December 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29330975/emergency-inguinal-hernia-repair-comparison-of-desarda-s-versus-darning-technique
#18
Adeel Hussain, Syed Mehsam, Mansab Ali, Shahid Rasul, Sughra Parveen, Ahson Memon
BACKGROUND: Emergency inguinal hernia repair remains the commonest operation performed by general surgeons all over the world. The aim of this study was to compare the mean operative time, post-operative pain, wound infection and early recurrence between Desarda's and Darning emergency inguinal hernia repair. METHODS: This is a randomized controlled trial conducted at Jinnah Postgraduate Medical Centre, Karachi. A total of 186 patients of male gender between ages 20-60 years with incarcerated, obstructed and strangulated inguinal hernia were enrolled in the study...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#19
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
February 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29324729/vital-signs-trends-and-disparities-in-infant-safe-sleep-practices-united-states-2009-2015
#20
Jennifer M Bombard, Katherine Kortsmit, Lee Warner, Carrie K Shapiro-Mendoza, Shanna Cox, Charlan D Kroelinger, Sharyn E Parks, Deborah L Dee, Denise V D'Angelo, Ruben A Smith, Kim Burley, Brian Morrow, Christine K Olson, Holly B Shulman, Leslie Harrison, Carri Cottengim, Wanda D Barfield
There have been dramatic improvements in reducing infant sleep-related deaths since the 1990s, when recommendations were introduced to place infants on their backs for sleep. However, there are still approximately 3,500 sleep-related deaths among infants each year in the United States, including those from sudden infant death syndrome, accidental suffocation and strangulation in bed, and unknown causes. Unsafe sleep practices, including placing infants in a nonsupine (on side or on stomach) sleep position, bed sharing, and using soft bedding in the sleep environment (e...
January 12, 2018: MMWR. Morbidity and Mortality Weekly Report
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