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https://www.readbyqxmd.com/read/29184872/laparoscopic-total-extraperitoneal-hernia-repair-of-fallopian-tube-indirect-inguinal-hernia-in-reproductive-aged-woman-a-case-report
#1
Yong Hee Park, Eun Jung Jung, Jung Mi Byun, Min Sung An, Young Nam Kim, Kyung Bok Lee, Moon Su Sung, Ki Tae Kim, Eun Taeg Kim, Chul Hoi Jeong, Dae Hoon Jeong
An indirect inguinal hernia containing the fallopian tube alone is extremely rare in reproductive-aged women without any genital tract anomalies. Despite this rarity, early diagnosis and adequate management is important to prevent strangulation and recurrence. We present a case of an indirect inguinal hernia containing only the fallopian tube in the hernia sac, which was successfully reduced by using a laparoscopic total extraperitoneal approach and repaired with a polypropylene mesh.
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29179055/postmortem-biochemical-investigation-results-in-situations-of-fatal-mechanical-compression-of-the-neck-region
#2
Cristian Palmiere, Camilla Tettamanti, Maria Pia Scarpelli, Guillaume Rousseau, Coraline Egger, Massimo Bongiovanni
Biochemical investigations performed in cases of mechanical asphyxia have provided diverging information over time. The purpose of the study presented herein was threefold: to investigate the postmortem stability of a series of molecules (thyroglobulin, iodothyronines, calcitonin, and parathyroid hormone) in blood after death, to determine the same molecules in a series of cases of suicidal hangings for which antemortem serum samples were available, and to measure the same molecules in postmortem serum obtained from different sampling sites thereby evaluating the distribution of these molecules in the specific samples...
November 6, 2017: Legal Medicine
https://www.readbyqxmd.com/read/29166362/neutrophil-to-lymphocyte-ratio-predicts-the-severity-of-incarcerated-groin-hernia
#3
Xingming Xie, Shu Feng, Zhongling Tang, Longyu Chen, Yongsheng Huang, Xianzhi Yang
BACKGROUND The incarceration of a segment of bowel within a groin hernia can result in intestinal strangulation if hernia treatment is delayed. Once intestinal strangulation occurs, a bowel resection may be required, and there is an overall increased risk for postoperative complications. The aim of this study was to identify biomarkers to predict the severity of an incarcerated groin hernia. MATERIAL AND METHODS We retrospectively evaluated the records of 95 patients with incarcerated groin hernias who underwent emergency surgical correction of the hernias...
November 22, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29159208/a-rare-presentation-of-spigelian-hernia-involving-the-appendix
#4
Ling Xu, Gurjeet Dulku, Richard Ho
Spigelian hernia (SH) is a rare entity accounting for 1-2% of ventral abdominal wall hernias. Elusive clinical signs and symptoms pose a diagnostic challenge and a consequent risk of strangulation. We present an emergent case of a Spigelian hernia involving the appendix.
2017: European Journal of Radiology Open
https://www.readbyqxmd.com/read/29153725/differentiating-among-attempted-completed-and-multiple-nonfatal-strangulation-in-women-experiencing-intimate-partner-violence
#5
Jill Theresa Messing, Michelle Patch, Janet Sullivan Wilson, Gabor D Kelen, Jacquelyn Campbell
PURPOSE: Because identification of intimate partner violence (IPV) in health care settings is low and strangulation increases lethality risk among women experiencing IPV, we examined the prevalence and correlates of nonfatal strangulation among 1,008 women survivors of IPV. METHODS: Trained researchers conducted semistructured interviews with women survivors of IPV referred by police. Multinomial logistic regression examined differential correlates of attempted, completed, and multiple strangulation...
November 16, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29152282/incarcerated-giant-uterine-leiomyoma-within-an-incisional-hernia-a-case-report
#6
Georgios Exarchos, Nikolaos Vlahos, Dionysios Dellaportas, Linda Metaxa, Theodosios Theodosopoulos
Uterine leiomyomas presenting as incarcerated or strangulated hernias in surgical emergencies are extremely rare and should be considered in the differential diagnosis in patients with known uterine fibroids and an irreducible ventral abdominal wall hernia. Detailed history and multidisciplinary approach optimize the diagnosis and decision making toward surgical treatment.
November 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29148580/ultrasound-guided-reduction-of-an-incarcerated-obturator-hernia-in-an-elderly-patient
#7
Bente M de Kok, Julien B C M Puylaert, Frank M Zijta
Obturator hernia is a rare but clinically relevant cause of intestinal obstruction, usually found in elderly, thin, multiparous women. It is difficult to diagnose, leading to diagnostic delay with a high incidence of strangulation and a high mortality rate. Surgery is the only reported treatment. We report the case of an 86-year-old woman, in whom an early diagnosis of incarcerated obturator hernia was made with subsequent reduction by compression with an ultrasound transducer. When the risk of strangulation is presumed to be low, ultrasound-guided reduction of an obturator hernia is achievable and worth considering...
November 17, 2017: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/29145243/obstructive-internal-hernia-caused-by-mesodiverticular-bands-in-children-two-case-reports-and-a-review-of-the-literature
#8
Mirko Bertozzi, Berardino Melissa, Elisa Magrini, Giuseppe Di Cara, Susanna Esposito, Antonino Apignani
INTRODUCTION: The mesodiverticular band (MDB) is an embryologic remnant of the vitelline circulation, which carries the arterial supply to the Meckel diverticulum. In the event of an error of involution, a patent or nonpatent arterial band persists and extends from the mesentery to the apex of the antimesenteric diverticulum. This creates a snare-like opening through which bowel loops may herniate and become obstructed. This report describes 2 rare cases of small bowel occlusion owing to an internal hernia caused by a MDB...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29144770/equine-intestinal-mucosal-pathobiology
#9
Anthony Blikslager, Liara Gonzalez
The equine intestinal mucosa is intimately involved in maintaining homeostasis both on a systemic level by controlling extracellular fluid movement and at the local level to maintain barrier function. Horses are particularly susceptible to the clinical syndrome of colic, with the most severe cases involving strangulating obstruction that induces ischemia. Because of the mucosal vascular architecture, the mucosal epithelium is particularly susceptible to ischemic injury. The potential for reperfusion injury has been investigated and found to play a minimal role...
November 16, 2017: Annual Review of Animal Biosciences
https://www.readbyqxmd.com/read/29132477/elective-division-of-ilioinguinal-nerve-in-inguinal-hernioplasty-remedy-for-the-morbid-postoperative-inguinal-pain
#10
Muhammad Danish Muneeb, Mirza Aga Naushad Baig
OBJECTIVE: To compare the postoperative pain in inguinal hernioplasty, by preserving versus wide elective division of ilioinguinal nerve. STUDY DESIGN: Randomized controlled trial. PLACE AND DURATION OF STUDY: Surgical Department, Civil Hospital, Karachi, from January till August 2015. METHODOLOGY: All patients of either gender above 15 years of age, undergoing mesh repair for unilateral, reducible inguinal hernia, were included...
November 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29123864/right-sided-bochdalek-hernia-in-an-elderly-patient-a-case-review-of-adult-bochdalek-hernias-from-1982-to-2015-in-japan
#11
Yasuhiro Ohtsuka, Tiberiu H Suzuki
Case: An 89-year-old woman was admitted to our hospital because of dyspnea following abdominal pain and vomiting. According to chest computed tomography findings, a diagnosis of acute respiratory failure due to right-sided Bochdalek hernia was made. Outcome: Emergency laparotomy revealed that a bowel loop from the terminal ileum to the transverse colon had herniated into the right thoracic cavity through the foramen of Bochdalek. The herniated organs were reduced to the abdominal cavity and the foramen was repaired by direct suturing...
April 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29115904/transmesenteric-hernia-a-rare-case-of-acute-abdominal-pain-in-children-a-case-report-and-review-of-the-literature
#12
Edward Willems, Bart Willaert, Sam Van Slycke
In this report, we discuss the case of an 11-year old girl presenting with acute abdominal pain caused by gangrene of a large part of the small bowel. During urgent surgical exploration, the cause of gangrene appeared to be herniation of the small bowel through a congenital defect in the mesentery with subsequent strangulation. A resection was performed leaving the patient with only 130 cm of small bowel remaining. Transmesenteric hernia is a rare type of internal herniation consisting of a small congenital defect in the small bowel mesentery through which the intestine can herniate and subsequently become strangulated...
November 8, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29112788/non-strangulating-intestinal-infarctions-associated-with-strongylus-vulgaris-clinical-presentation-and-treatment-outcomes-of-30-horses-2008-2016
#13
T H Pihl, M K Nielsen, S N Olsen, P S Leifsson, S Jacobsen
BACKGROUND: Strongylus vulgaris is re-emerging in horses kept under surveillance-based parasite control regimens. Information on non-strangulating intestinal infarction associated with S. vulgaris is needed in order to improve recognition of the condition. OBJECTIVE: To describe the typical clinical presentation, laboratory findings, gross pathology, treatment and outcome of horses with non-strangulating intestinal infarction. STUDY DESIGN: Retrospective case-series...
November 7, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29102485/adhesive-internal-hernia-multidetector-ct-findings-and-clinical-relevance
#14
C-Y Lu, M Xu, J Lin, Y Chen, Y Gao, Z-F Wang, Z-W Zhao, J-J Song, H-F Que, J-J Ji
AIM: To review the clinical and multidetector computed tomography (MDCT) features of adhesive internal hernias (IHs) and to ascertain specific MDCT criteria to assist in the diagnosis of adhesive IHs and the early detection of intestinal strangulation. MATERIALS AND METHODS: Medical records and preoperative abdominal MDCT findings of 34 patients with surgically confirmed abdominal adhesive IHs were analysed retrospectively. RESULTS: The specific MDCT features of adhesive IHs included the following: dislocating and clustering of intestinal segments (100%); stretching and crowding of the mesenteric vessels (100%); presence of hernial orifice (88...
November 1, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/29098201/incarcerated-right-lateral-trocar-site-hernia-as-a-rare-complication-of-robot-assisted-laparoscopic-prostatectomy
#15
Neil J Kocher, Daniel Ilinsky, Jay D Raman
Background: Trocar-site hernia (TSH) is an uncommon complication following laparoscopic surgery and a potential cause of significant morbidity if bowel incarceration or strangulation occurs. Lateral trocar sites are intrinsically less susceptible to hernia development and traditionally do not mandate fascial closure. We present an unusual case involving an incarcerated TSH from a 12-mm right lateral port after robotic prostatectomy. Case Presentation: The patient is a 76-year-old man with localized intermediate risk, high-volume prostate cancer who underwent a robot-assisted, laparoscopic prostatectomy...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29093595/-pneumatosis-cystoides-intestinalis-complicated-with-intestinal-volvulus
#16
Carmen Elena Fuenmayor, Carlos Gainza, Maryori García, Richard Zambrano, Gledys Torres, Yohanys Hernández, Anna García
Pneumatosis cystoides intestinalis is a rare condition in which multiple gas-filled cysts are found within the wall of the gastrointestinal tract either in the subserosa or submucosa. Its pathogenesis is uncertain and several pathogenic mechanisms have been proposed to explain its origin. The case of a male patient of 46 years with previous diagnosis of pneumatosis cystic intestinalis, who consulted for abdominal pain, vomiting and fever (39 °C) is presented. By the time of admission ther were signs of peritoneal irritation...
July 2017: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/29092968/hair-thread-tourniquet-syndrome-in-a-male-infant-a-rare-surgical-emergency
#17
Louise Dunphy, Yash Verma, Rossel Morhij, Michael Lamyman
Hair thread tourniquet syndrome (HTTS) is a rare surgical emergency that occurs when one or more appendages are acutely circumferentially strangulated by human hair. If left untreated it may induce prolonged ischaemia, resulting in tissue necrosis or autoamputation of the affected digit. It may involve the fingers, toes, penis or labia. It typically occurs in infants, but cases have also been reported in adults. Prompt recognition and treatment by complete removal of the constricting agent is crucial to preserve the affected tissue...
November 1, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29084359/self-strangulation-turning-into-partial-hanging-for-a-suicide-victim
#18
Rajanikanta Swain, Mantaran Singh Bakshi, Shivani Dhaka, Krishna Kumar Singh, Asit Kumar Sikary
Hanging is the most common asphyxial method of suicide, whereas suicide by strangulation is unusual. Here, we are reporting a particular methodology of the asphyxial method of suicide in which a case of self-strangulation culminated into partial hanging. A 30-year-old male wrapped one end of the cable wire around his neck. He then passed the other end over a curtain rod and tied that end around the right hand. He pulled the hand down, using the curtain rod as a fulcrum, to tighten the noose around the neck in an attempt to strangulate himself...
October 30, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29083256/the-effects-of-intimate-partner-violence-and-probable-traumatic-brain-injury-on-central-nervous-system-symptoms
#19
Jacquelyn C Campbell, Jocelyn C Anderson, Akosoa McFadgion, Jessica Gill, Elizabeth Zink, Michelle Patch, Gloria Callwood, Doris Campbell
INTRODUCTION: Abused women often report a wide range of physical and psychological symptoms that present challenges to providers. Specifically, injuries to the head or strangulation, may initiate neurological changes that contribute to central nervous system (CNS) symptoms. These symptoms are often attributed to mental health diagnoses in this population. The purpose of this analysis is to examine the prevalence of and associations between reported probable traumatic brain injury (TBI) and CNS symptoms in a sample of women of African descent...
October 30, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29076691/richter-s-hernia-presenting-as-faecal-fistula-in-female-a-rare-entity
#20
Muhammad Khurram Zia, Hafsa Anwar, Sahira Naz, Hafiz Abdul Wase, Muhammad Saad Usmani, Taha Nafees
Strangulated hernia in quite common in surgical practice and always present with its typical symptoms. In this hardly found unique case, a 76-year's old female with no co morbid presented to us with abdominal pain, vomiting and diarrhoea initially and later developed left groin abscess after 4 days of swelling. It was assumed to be inguinal lymphadenitis leading to abscess formation but after complete evaluation on digital examination, diagnosis of Strangulated Femoral hernia of Richter type was made. This distinguishing presentation among the list of all hernias has to be discussed for the differential diagnosis...
July 2017: Journal of Ayub Medical College, Abbottabad: JAMC
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