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acute abdominal

Ana Navas, Ricard Ferrer, Maria Luisa Martínez, Gemma Gomà, Gisela Gili, Jordi Masip, David Suárez, Antonio Artigas
BACKGROUND: Septic shock is a leading cause of death in critical patients. In patients with gram-negative septic shock, hemoperfusion with polymyxin B aims to remove endotoxins from plasma. We analyzed the clinical and biological response to hemoperfusion in patients with septic shock and acute kidney injury. METHODS: This prospective case-control study in the medical-surgical intensive care unit of a university hospital included consecutive adults patients with septic shock and suspected gram-negative bacteria infection with elevated plasma endotoxin activity (EAA > 0...
December 7, 2018: Annals of Intensive Care
Cristian Meşină, Theodor Viorel Dumitrescu, Stelian Ştefăniţă Mogoantă, Mihai Călin Ciorbagiu, Daniel Alin Cristian, Mihaela Iustina Meşină-Botoran, Corina Lavinia Gruia, Maria Camelia Foarfă, Mihai Meşină, Marius Eugen Ciurea, Daniela Ciobanu
Benign multicystic peritoneal mesothelioma (BMPM) is a rare disease that primarily affects fertile women with previous abdominal surgery. BMPM associated with adenomatous tumor is a single case report, according to our opinion. The patient had a history of abdominal surgery nine years ago for ovarian cysts. Upon admission, the diagnosis was acute surgical abdomen with acute peritonitis signs. The treatment applied consisted in the removal of peritoneal cysts and partial omentectomy. Only immunohistochemical examination established the diagnosis...
2018: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
Jill Crosby, Dagmawi Werku, Tigist Zewdu, Grace Wanjiku, Jessica Schmidt
Introduction: The term acute abdomen refers to a clinical syndrome of sudden onset, severe abdominal pain. The differential diagnosis for this presentation is broad, but most cases require emergent medical or surgical management. Especially in cases of ischaemic bowel, time to diagnosis can mean the difference between survival and death. As a result, mortality remains high in resource-limited settings. Case report: We describe the case of a 28-year-old male who presented to an urban Ethiopian emergency centre with three days of vomiting, bloody diarrhoea, and abdominal pain...
December 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
Srilekha Sridhara, Christopher Lichtenwalter, Shahnaz Mazdeh, Beeletsega T Yeneneh
A positive Murphy's sign in a patient with right upper quadrant abdominal pain is the arrest of inspiration during deep palpation of the quadrant. It is usually suggestive of acute cholecystitis. We report an unusual case of a positive Murphy's sign not due to acute cholecystitis, but rather from a pericardial hematoma from a right atrial tear causing right heart failure. The patient required an atrial tear repair to prevent a cardiac tamponade.
October 2, 2018: Curēus
Ci Huang, Mun-Kun Hong, Tang-Yuan Chu, Dah-Ching Ding
Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km2 , 330,000 residents). Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. We compared the symptoms, objective findings, and surgical outcomes of patients who underwent laparotomy or laparoscopy...
2018: PeerJ
D V Krasheninin, S E Yartsev, A D Gavrilko, A M Polyakov
Endovascular abdominal aortic aneurysm repair (EVAR) has recently become an operation of choice in the presence of clinical, anatomic and organizational conditions for implantation of a stent graft. However, like any other operation, EVAR bears the risk of various complications. Due to low frequency of EVAR, the problem concerning appropriate policy of managing patients presenting with such types of complications may be difficult. Thrombosis of a stent graft's components is encountered more often compared with "open" prosthetic repair of the abdominal aorta...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
E D Zvereva, B B Komakha, D A Zverev, M A Chernyavsky, M L Gordeev
OBJECTIVE: The purpose of the study was to assess surgical outcomes in patients suffering from an infrarenal abdominal aortic aneurysm and treated at the Department of Cardiovascular Surgery #2 of the National Medical Research Centre named after V.A. Almazov. PATIENTS AND METHODS: We carried out a non-randomized retrospective study including a total of 209 patients presenting with an infrarenal abdominal aortic aneurysm. Of these, 160 (76%) patients were subjected to open surgical interventions (Group One) and 49 (24%) patients underwent endovascular isolation of the abdominal aortic aneurysm (Group Two)...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
S V Kharitonov, I B Rannev, S S Kharitonov
AIM: To analyze informative value of radiological diagnosis of acute gallstone ileus. MATERIAL AND METHODS: There were 7 patients with acute gallstone ileus who underwent diagnostic abdominal X-ray examination, ultrasonography and computed tomography. RESULTS: There was high informative value of CT for acute gallstone ileus if it was applied within the first hours after admission. At the same time other diagnostic approaches were less informative...
2018: Khirurgiia
V T Samsonov, A S Ermolov, P A Yartsev, A A Gulyaev, V D Levitsky, I I Kirsanov
AIM: To assess laparoscopy in diagnosis and treatment of patients with perforated gastroduodenal ulcers. MATERIAL AND METHODS: There were 273 patients with perforated gastroduodenal ulcers who underwent laparoscopy at the Sklifosovsky Research Institute for Emergency Care in 2010-2016. Sample included patients with clinical and instrumental diagnosis of perforated gastroduodenal ulcers, suspected hollow organ perforation including perforated ulcer and other acute abdominal diseases followed by perforated ulcer...
2018: Khirurgiia
Chao Deng, Tao Wang, Jianfeng Cui, Sheng Zhang, Zongxing Jiang, Hongtao Yan, Hongyin Liang, Lijun Tang, Ruiwu Dai
No abstract text is available yet for this article.
January 2019: Pancreas
Sally Zebari, Dean Y Huang, C Jason Wilkins, Paul S Sidhu
No abstract text is available yet for this article.
December 5, 2018: Urology
C Sousa-Ribeiro, L N C Tavore, L Anjos-Ramos
Strongyloidiasis is an intestinal parasitosis that occurs in humans infected by Strongyloides stercoralis mostly. At its acute phase, symptoms like constipation, diarrhea and abdominal pain can be observed, but become asymptomatic for a long time, until an immunosuppression will start a hyperinfection and the dissemination of the disease, prevalent on the elderly population in tropical countries. Ivermectina treatment is the currently choice for this disease, due to its great efficacy and the results reported...
December 6, 2018: Acta Tropica
Yadong Shi, Jianping Gu, Liang Chen, Wanyin Shi, Mohammed Jameeluddin Ahmed, Hao Huang, Haobo Su
PURPOSE: To review preliminary efficacy and safety outcomes of mechanical thrombectomy using the Solitaire AB device combined with thromboaspiration for treatment of acute embolic occlusion of the superior mesenteric artery (SMA). MATERIALS AND METHODS: Between October 2015 and October 2017, 9 patients (average age, 77 y; range, 62-84 y) presenting with acute mesenteric ischemia attributable to embolic occlusion at the stem of the SMA were retrospectively evaluated for mechanical thrombectomy using the Solitaire AB device combined with manual thromboaspiration...
December 6, 2018: Journal of Vascular and Interventional Radiology: JVIR
Austin J Lee, Xiang Liu, Tudor Borza, Yongmei Qin, Benjamin Y Li, Kenneth L Urish, Peter S Kirk, Scott Gilbert, Brent K Hollenbeck, Jonathan E Helm, Mariel S Lavieri, Ted A Skolarus, Bruce L Jacobs
BACKGROUND: Payment models, including the Hospital Readmissions Reduction Program and bundled payments, place pressures on hospitals to limit readmissions. Against this backdrop, we sought to investigate the association of post-acute care after major surgery and readmission rates. METHODS: We identified patients undergoing high-risk surgery (abdominal aortic aneurysm repair, coronary bypass grafting, aortic valve replacement, carotid endarterectomy, esophagectomy, pancreatectomy, lung resection, and cystectomy) from 2005 to 2010 using the Healthcare Cost and Utilization Project's State Inpatient Database...
February 2019: Journal of Surgical Research
Murat Esmer, Ilke Keser, Dilek Erer, Buse Kupeli
BACKGROUND: The purpose of this study was to investigate acute cardiovascular responses to manual lymphatic drainage (MLD) on different parts of the body. MATERIALS AND METHODS: Thirty healthy individuals (10 women and 20 men) participated in the study voluntarily. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), respiration frequency, and oxygen saturation were measured before and after MLD was applied to different regions of the body (neck, abdomen, anastomosis, arm, and leg)...
December 11, 2018: Lymphatic Research and Biology
Chiara Rubino, Monica Paci, Massimo Resti, Paolo Lionetti, Sandra Trapani
Henoch-Schönlein purpura is a systemic vasculitis, commonly affecting children. Gastrointestinal manifestations are observed in 50-75% of patients; it is well known they may occur before skin lesions in about 20% of cases during the first vasculitic episode. Relapses occur in about one third of patients, typically within 4 months from the initial presentation and with milder symptoms. We report the case of a 17-year old girl with an atypical relapse of Henoch-Schönlein purpura, presenting with acute abdominal symptoms 5 years after the first episode...
2018: Frontiers in Pediatrics
C R Harnsberger, K Alavi, J S Davids, P R Sturrock, M Zayaruzny, J A Maykel
BACKGROUND: Carbon dioxide (CO2 ) embolism is a rare but potentially devastating complication of minimally invasive abdominal and retroperitoneal surgery. Characterized by a decrease in end-tidal CO2 (ETCO2 ) and oxygen saturation (SpO2 ), CO2 emboli can cause rapid intraoperative hypotension and cardiovascular collapse. Transanal total mesorectal excision (taTME) is a novel surgical approach for rectal resection, which requires high flow CO2 insufflation in a low volume operative field...
December 6, 2018: Techniques in Coloproctology
Brett Doleman, Jo Leonardi-Bee, Thomas P Heinink, Debamita Bhattacharjee, Jon N Lund, John P Williams
BACKGROUND: Postoperative pain is a common consequence of surgery and can have deleterious effects. It has been suggested that the administration of opioid analgesia before a painful stimulus may improve pain control. This can be done in two ways. We defined 'preventive opioids' as opioids administered before incision and continued postoperatively, and 'pre-emptive opioids' as opioids given before incision but not continued postoperatively. Both pre-emptive and preventive analgesia involve the initiation of an analgesic agent prior to surgical incision with the aim of reducing intraoperative nociception and therefore postoperative pain...
December 3, 2018: Cochrane Database of Systematic Reviews
Serghei Covantev
Pancreas divisum (PD) is the most common developmental anatomic variant of pancreatic duct. The attention towards the PD has grown significantly since there are reports that this condition may cause acute relapsing pancreatitis, chronic pancreatitis and chronic abdominal pain syndrome. Furthermore, over the years, there have been multiple reports of PD associated with different types of tumors. There is evidence that PD can be associated with pancreatic tumors (up to 12.5% of cases). The golden standard for diagnosing PD is endoscopic retrograde cholangiopancreatography, but since it is an invasive procedure magnetic resonance cholangiopancreatography with secretin is a good alternative...
December 1, 2018: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
David A Talan, Darin J Saltzman, Daniel A DeUgarte, Gregory J Moran
BACKGROUND: Meta-analyses and a recent guideline acknowledge that conservative management of uncomplicated appendicitis with antibiotics can be successful for patients who wish to avoid surgery. However, guidance as to specific management does not exist. METHODS: PUBMED and EMBASE search of trials describing methods of conservative treatment was conducted according to PRISMA guidelines. RESULTS: Thirty-four studies involving 2944 antibiotic-treated participants were identified...
December 3, 2018: Journal of Trauma and Acute Care Surgery
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