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bladder perforation

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https://www.readbyqxmd.com/read/28732299/enterovesical-fistula-a-rare-complication-of-meckel-s-diverticulum-a-case-report
#1
Bourguiba M A, Gharbi M, Ghalleb M, Ben Taher A, Souai F, Bensafta Y, Sayari S, Ben Moussa M
INTRODUCTION: Enterovesical fistulas usually result from diverticulitis, Crohn's disease, or colorectal cancer. A perforated Meckel's diverticulum can exceptionally result in an vesico-diverticulum fistula, as noted in only seven previously reported cases. CASE REPORT: A 35-year old Arabic male, quadriplegic,who presented epigastralgia evolving for a week, associated with abdominal distension and cloudy urine. On examination he was feverish (38.5°C), dehydrated with tenderness in the entire distended abdomen; rectal examination revealed a hypotonic sphincter with no other abnormality...
July 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28717536/safety-and-efficacy-of-bipolar-energy-for-transurethral-resection-of-bladder-tumours-a-prospective-quasi-randomized-study
#2
Vasudevan Thirugnanasambandam, Jeyaraman Ramanathan
OBJECTIVE: The primary aim of the study was to evaluate the safety and efficacy of bipolar energy in resecting bladder tumors. MATERIAL AND METHODS: The study was done between March 2012 and February 2013. This is a prospective quasi-randomized study evaluating the safety and efficacy of bipolar energy in transurethral resection of bladder tumours (TURBT). Institutional Ethics Committee approval was obtained. Informed consent was taken from all patients. Patients were randomized into two groups of 50 each to undergo either monopolar TURBT or bipolar TURBT using glycine and saline irrigation solutions, respectively...
June 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/28704814/acalculous-cholecystitis-is-an-elective-interval-cholecystectomy-necessary
#3
Syed H Abbas, Mudassar A Ghazanfar, Alex N Gordon-Weeks, Srikanth R Reddy, Zahir Soonawalla, Michael A Silva
BACKGROUND: Acute acalculous cholecystitis (AAC) accounts for 5-10% of cases of acute cholecystitis. The advantage of interval cholecystectomy for patients with AAC is unclear. Therefore, a retrospective analysis of patients diagnosed with AAC at our institution was performed over a 5-year period. METHODS: Patients were identified via hospital coding using the keywords "acalculous cholecystitis, cholecystostomy and gall bladder perforation." Follow-up data was obtained by performing a retrospective review of the patients' hospital records...
July 14, 2017: Digestive Surgery
https://www.readbyqxmd.com/read/28689526/tension-free-vaginal-taping-in-pakistani-women-with-stress-urinary-incontinence
#4
Ayesha Saleem
OBJECTIVE: To evaluate the effectiveness and determine the peroperative and postoperative complications of tension-free vaginal tape (TVT) sling for urinary stress incontinence (USI) and contributing factors to complications. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Kidney Centre Postgraduate Institute, Karachi, from January 2009 to December 2010. METHODOLOGY: One hundred consecutive patients underwent TVT as per Ulmsten Technique for urinary stress incontinence and patients were followed for 3 years...
June 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28673058/targeting-moderate-and-severe-male-stress-urinary-incontinence-with-adjustable-male-slings-and-the-perineal-artificial-urinary-sphincter-focus-on-perioperative-complications-and-device-explantations
#5
Alexander Kretschmer, Tanja Hüsch, Frauke Thomsen, Dominik Kronlachner, Alice Obaje, Ralf Anding, Tobias Pottek, Achim Rose, Roberto Olianas, Alexander Friedl, Wilhelm Hübner, Roland Homberg, Jesco Pfitzenmaier, Fabian Queissert, Carsten M Naumann, Carola Wotzka, Torben Hofmann, Roland Seiler, Axel Haferkamp, Ricarda M Bauer
PURPOSE: To analyze perioperative complications and postoperative explantation rates for selected readjustable male sling systems and the perineal single-cuff artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. METHODS: Two hundred eighty-two male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in the study (n=127 adjustable male sling [n=95 Argus classic, n=32 Argus T], n=155 AUS)...
June 2017: International Neurourology Journal
https://www.readbyqxmd.com/read/28663632/obturator-nerve-block-in-transurethral-resection-of-bladder-tumor-a-comparison-of-ultrasound-guided-technique-versus-ultrasound-with-nerve-stimulation-technique
#6
Nida Farooq Shah, Khalid Parvez Sofi, Showkat Hussain Nengroo
BACKGROUND: Obturator nerve (ON) stimulation during transurethral resection of lateral and posterolateral bladder wall tumor under spinal anesthesia may lead to obturator reflex, adductor contraction, and leg jerking with complications such as bleeding, bladder perforation, or incomplete tumor resection. Our study was carried out to obtain successful block of ON using ultrasound (US)-guided technique with or without nerve stimulation in patients undergoing transurethral resection of bladder tumor (TURBT) under spinal anesthesia...
April 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28659680/isolated-double-gastric-perforation-in-blunt-abdominal-trauma-a-case-report
#7
Husain M Gheewala, Snehajit Wagh, Surajsinh A Chauhan, Sonam M Devlekar, Shruti Bhave, Dharmesh J Balsarkar
Blunt abdominal trauma mostly results from motor vehicle accidents, recreational accidents, falls or assaults with commonly injured internal organs being the spleen, liver, retroperitoneum, small bowel, kidneys, bladder, colorectal, diaphragm and pancreas. Gastric rupture is quite uncommon. Isolated gastric perforations following blunt trauma to the abdomen are mostly seen in paediatric patients. It is uncommon in adult patients and even rarer is the occurrence of double gastric perforations. We report here with a case of isolated double gastric perforation in a 24-year-old male patient following vehicular accident...
June 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28659363/spontaneous-rupture-of-the-bladder-during-vomiting
#8
Ruairidh Crawford, Thomas Richard William Oliver, Hamid Abboudi, Shahzad Shah
A 46-year-old woman with no urological history or comorbidities presented with an acute abdomen with haematuria after a spell of protracted vomiting. The initial cystogram was negative; however, CT imaging highly suggested an intraperitoneal bladder perforation, which was confirmed during laparotomy and subsequently repaired. Cystoscopic evaluation prior to laparotomy revealed no concurrent bladder pathology, and the ureteric orifices were intact. A cystogram 2 weeks after repair demonstrated no leaks, and her catheters were removed...
June 28, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28647940/non-surgical-treatment-of-retroperitoneal-hemorrhage-and-urinary-bladder-perforation
#9
Ophir Eyal, Yuval Tal, Arie Ben, Ofer N Gofrit, Mordechai Golomb
No abstract text is available yet for this article.
June 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28646942/endoscopic-placement-of-double-j-ureteric-stents-in-children-as-a-treatment-for-primary-hydronephrosis
#10
Zenon Pogorelić, Tomislava Brković, Dražen Budimir, Jakov Todorić, Đurđica Košuljandić, Ana Jerončić, Mihovil Biočić, Marijan Saraga
INTRODUCTION: The aim of this study was to determine the efficacy and potential complications of double-J ureteric stents in the treatment of primary hydronephrosis in pediatric patients. MATERIALS AND METHODS: A retrospective case-records review of 133 patients (45 girls and 88 boys) treated because of primary hydronephrosis with double-J ureteric stents, in Department of Pediatric Surgery, Split University Hospital, between December 1997 and December 2014, was performed...
June 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28645552/mortality-following-augmentation-cystoplasty-a-transitional-urologist-s-viewpoint
#11
REVIEW
D A Husmann
INTRODUCTION: Three complications have been hypothesized to increase patient mortality following enterocystoplasty: spontaneous bladder perforation, bladder neoplasia, and chronic renal failure (CRF). The present study examined risk of their occurrence and discussed ways to improve the quality of care. MATERIALS AND METHODS: The present transitional clinic followed 385 patients with a history of bladder augmentation using either ileal, sigmoid, or ascending colon...
June 3, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28638663/acute-abdominal-compartment-syndrome-following-extraperitoneal-bladder-perforation
#12
Ana Licina
Extraperitoneal bladder perforation is a known complication of a commonly performed rigid cystoscopy. If unrecognized, this complication can lead to continuous intra-abdominal fluid leakage with consequent organ function impairment and symptoms. This is the first case report in literature of a transurethral bladder perforation causing an acute abdominal compartment syndrome, which was subsequently managed conservatively with supportive management only. Case Presentation. We describe a clinical course of a 73-year-old Caucasian female whose initial acute presentation involved urinary symptoms...
2017: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/28631901/-female-genital-prolapse-surgery-using-ultra-lightweight-polypropylene-mesh
#13
V B Filimonov, R V Vasin, I V Vasina, A D Kaprin, A A Kostin
AIM: To compare the results of female genital prolapse (FGP) surgery via vaginal access using lightweight and ultra-lightweight polypropylene mesh. MATERIALS AND METHODS: From 2007 to 2011, 93 women aged from 46 to 71 years with II-IV stage FGP (POP-Q classification) were examined and underwent the vaginal extra-peritoneal colpopexy using polypropylene implants in the Department of Urology. Patients were divided into 2 groups. In patients of group 1 (n=50) the surgery was performed according to a newly developed technique using perforated ultra-lightweight (surface density 19 g/m2) domestically manufactured polypropylene implant...
June 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/28626256/postoperative-chemoradiation-therapy-using-high-dose-cisplatin-and-fluorouracil-for-high-and-intermediate-risk-uterine-cervical-cancer
#14
Rise Miyauchi, Yoshiyuki Itoh, Mariko Kawamura, Akihiro Hirakawa, Kiyosumi Shibata, Hiroaki Kajiyama, Rie Nakahara, Seiji Kubota, Junji Ito, Tohru Okada, Fumitaka Kikkawa, Shinji Naganawa
The purpose of this retrospective study was to analyze data in patients with stage IB-IIB uterine cervical cancer who were treated with concurrent chemoradiotherapy (CCRT) with high dose cisplatin and fluorouracil as postoperative adjuvant therapy. Between February 2003 and November 2011, 76 patients with FIGO stage IB-IIB cervical cancer were analyzed. Seventy patients were treated with postoperative CCRT and 6 patients were treated with radiation therapy alone. Data related to overall survival (OS), disease-free survival (DFS), toxicity, and failure pattern were analyzed...
February 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/28620570/perforated-bladder-as-a-cause-of-abdominal-ascites-in-a-patient-presenting-with-acute-onset-abdominal-pain
#15
Raj Shah, Madhuri Ramakrishnan, Beenish Ahmed, Khalil Abuamr, Osama Yousef
Bladder perforation, especially when atraumatic, is a rare cause of ascites and is often difficult to differentiate from other causes of abdominal pain and ascites in the acute setting.  A 43-year-old Caucasian woman with a history of multiple sclerosis presented with acute abdominal pain. A computed tomography (CT) scan of her abdomen and pelvis without contrast revealed ascites, acute kidney injury (AKI) was noted on laboratory workup, and very little urine was drained by Foley catheter. Over the next several days, the patient's clinical condition deteriorated with no definitive diagnosis...
May 11, 2017: Curēus
https://www.readbyqxmd.com/read/28598447/single-stage-management-of-concomitant-cholelithiasis-and-choledocholithiasis
#16
M R Joshi, S Rupakheti, T P Bohara, D R Singh
INTRODUCTION: Concomitant cholelithiasis and choledocholithiasis are commonly managed in two stage procedure, endoscopic management of common bile duct stone followed by laparoscopic cholecystectomy in different time and setting. We perform these two procedures in same sitting in operating room set up. We evaluated the procedure in terms of outcome, feasibility and complications. METHODS: Prospective cross-sectional study carried out since April 2013 to August 2016 in all patients who had undergone single stage endoscopic and laparoscopic management of concomitant cholelithiasis and choledocholithiasis...
January 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/28598139/mini-sling-efficacy-in-obese-versus-non-obese-patients-for-treatment-of-stress-urinary-incontinence
#17
Matteo Frigerio, Cristina Regini, Stefano Manodoro, Federico Spelzini, Rodolfo Milani
BACKGROUND: The impact of obesity on single-incision has been object of concerns. The aim of the study was to compare the outcomes of MiniArc single-incision sling in normal weight, overweight and obese patients. METHODS: This retrospective study analysed women with proven stress urinary incontinence (SUI). Patients were divided into three groups according to BMI: normal weight (group A), overweight (group B) and obese (group C). Objective cure rate was assessed with stress test and subjective cure rate was determined by ICIQ-SF and PGI-I scores...
June 9, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28573791/early-experiences-of-contact-laser-vaporization-of-the-prostate-using-the-980%C3%A2-nm-high-power-diode-laser-for-benign-prostatic-hyperplasia
#18
Hideyo Miyazaki, Yoshikazu Hirano, Shinobu Kato, Naomasa Ioritani, Takaharu Ichikawa, Hitoshi Takamoto, Yukio Homma
OBJECTIVES: We report early experiences of contact laser vaporization of the prostate for symptomatic benign prostatic hyperplasia (BPH). METHODS: A total of 80 patients recruited at four institutions in Japan from April 2013 through September 2014 underwent contact laser vaporization of the prostate using 980 nm high power diode laser with an end-firing fiber in the contact mode. Patients were followed prospectively at 1 day, 2, 4, 8, 12, and 24 weeks, postoperatively per protocol, and at 1 and 2 years post-protocol...
June 2, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28557554/ten-year-review-of-perioperative-complications-after-transurethral-resection-of-bladder-tumors-analysis-of-monopolar-and-plasmakinetic-bipolar-cases
#19
Michael A Avallone, Bryan S Sack, Ahmad El-Arabi, David K Charles, William R Herre, Andrew C Radtke, Carley M Davis, William A See
OBJECTIVES: To evaluate the rate of perioperative complications after plasmakinetic bipolar and monopolar transurethral resection of bladder tumor (BTURB and MTURB). In addition, the study identifies patient and procedure characteristics associated with early complications. PATIENTS AND METHODS: Retrospective review was conducted on patients undergoing transurethral resection of bladder tumor procedures at a single institution from 2003 to 2013 to assess the 30-day complication rates associated with BTURB and MTURB...
June 29, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28522363/a-bloodstream-infection-by-ruminococcus-gnavus-in-a-patient-with-a-gall-bladder-perforation
#20
Young Jin Kim, Hee Yoon Kang, Yujin Han, Mi Suk Lee, Hee Joo Lee
Ruminococcus gnavus is frequently found among human gut microbiome. However, human bloodstream infections by R. gnavus have been reported only three times. Clinical details were lacking for one case; the other two cases with concurrent bacteremia in patients with diverticulitis. We report a case of R. gnavus bloodstream infection in a patient with a gall bladder perforation suggesting its association with damage to the gastrointestinal tract. R. gnavus was misidentified using biochemical test but 16S rRNA sequencing and Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry were useful for correct identification...
May 15, 2017: Anaerobe
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