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JOURNAL ARTICLE
Paschalis Gavriilidis, Salomone Di Saverio, Mauro Podda, Nicola de'Angelis
Primary segmental omental torsion (PSOT) is a very rare cause of acute abdominal pain, and it may often imitate the clinical picture of acute appendicitis. In instances of acute abdominal pain without anorexia, nausea, and vomiting, omental torsion should be included in the differential diagnosis. Any misdiagnosis may lead to major complications such as intraabdominal abscesses and adhesions. A 63-year-old overweight man with a body mass index (BMI) of 41 Kg/m2 presented to the emergency department on a remote island with acute abdominal pain...
January 2024: Journal of Medicine and Life
#2
Abenezer S Tedla, Harsh R Parikh, Savni Satoskar, Jigyasha Pradhan, Shailja Kataria, Vinayak S Gowda
Deep-tissue extension of perianal and perirectal abscesses, while rare, requires timely diagnosis and emergent surgical intervention to prevent serious secondary complications. This report evaluates a case of intra-abdominal and extraperitoneal extension of a persistent perirectal abscess that required comprehensive irrigation, drainage, and debridement of multiple abscess-associated cavities. This report follows the case of a 24-year-old African-American female presenting to the ED with mild fevers, nausea, abdominal distension, and lower abdominal pain following a persistent perirectal abscess that had not resolved following conservative outpatient antibiotic management one week prior...
April 2024: Curēus
#3
Konrad van der Zwet, Karin P M van Galen, Annemiek C C Evers, Kathelijn Fischer, Roger E G Schutgens, Lize F D van Vulpen
BACKGROUND: Von Willebrand disease (VWD) type 3 is characterized by a complete deficiency of von Willebrand factor (VWF), resulting in a severe bleeding phenotype. Treatment often requires administration of VWF concentrates/factor (F)VIII. However, the development of alloantibodies is a rare complication, resulting in ineffective recovery and allergic reactions. Emicizumab, a bispecific antibody mimicking FVIII function, has emerged as a potential alternative, with promising results reported in several case reports...
March 2024: Research and Practice in Thrombosis and Haemostasis
#4
REVIEW
M Aubert, F Tradi, S Chopinet, J Duclos, R Le Huu Nho, J Hardwigsen, N Pirro, D Mege
BACKGROUND: Acute diverticulitis with extraluminal air constitutes a heterogeneous condition whose management is controversial. The aims of this study are to report the failure rate of conservative treatment for diverticulitis with extraluminal air and to report risk factors of conservative treatment failure. METHODS: A retrospective study was performed from an institutional review board-approved database of patients admitted with acute diverticulitis with extraluminal air from 2015 to 2021 at a tertiary referral center...
April 25, 2024: Techniques in Coloproctology
#5
L Danhel, A Fritz, L Havranek, T Kratzer, P Punkenhofer, A Punzengruber, D Rezaie, S Tatalovic, M Wurm, R Függer, M Biebl, P Kirchweger
INTRODUCTION: Laparoscopic cholecystectomy (LC) represents one of the most commonly performed routine abdominal surgeries. Nevertheless, besides bile duct injury, problems caused by lost gallstones represent a heavily underestimated and underreported possible late complication after LC. METHODS: Case report of a Clavien-Dindo IVb complication after supposedly straightforward LC and review of all published case reports on complications from lost gallstones from 2000-2022...
2024: Frontiers in Surgery
#6
Manal Jidal, Kenza Horache, Amine Achemlal, Rachida Saouab, Jamal El Fenni
The retention of a surgical sponge is a rare complication that presents diagnostic challenges and carries the risk of potential complications. Two distinct foreign body reactions, fibrinous, and exudative, can result in the formation of a granuloma (known as gossypiboma) or lead to complications such as abscess formation and migration into the gastrointestinal tract. In this report, we present the case of a 33-year-old woman with a history of splenectomy who presented with symptoms including epigastric pain, vomiting, and episodes of hematemesis...
June 2024: Radiology Case Reports
#7
REVIEW
Da Wang, Jingyao Ren, Yuanyuan Wang, Xiaohua Dong, Shuo Liu, Tianyi Liao, Lihui Zhu, Miao Yu, Hui Cai
BACKGROUND: There is an ongoing debate regarding the comparative merits of splenectomy (SP) and splenic preservation in the surgical management of gastric cancer. This systematic review and meta-analysis aims to shed light on potential differences in survival outcomes and postoperative complications associated with these two procedures. METHOD: An exhaustive literature search was conducted across multiple databases, namely PubMed, Embase, Cochrane Library, and Web of Science...
April 3, 2024: Postgraduate Medicine
#8
Ehizele P Itama, Kelly Tran, Pratik Patel, Yash Patel, Anahita Saifollahi, Nicole Dushkin, Frederick Tiesenga
This case report describes the clinical course of a 51-year-old Caucasian woman with a history of anemia who presented to the emergency department with worsening diffuse abdominal pain and weakness two days after dental surgery. The patient's condition rapidly deteriorated, manifesting as tachycardia, diaphoresis, and a peritonitic abdomen. A CT scan revealed a perforated gastric ulcer, prompting emergent laparoscopy, Graham patch repair, and abdominal washout. Postoperatively, the patient developed leukocytosis, and imaging indicated the formation of an abscess...
February 2024: Curēus
#9
JOURNAL ARTICLE
Naotake Funamizu, Mio Uraoka, Yuki Numata, Mitsuhito Koizumi, Kohei Ogawa, Yoshio Ikeda, Yasutsugu Takada
Pancreas divisum (PD) represents a prevalent congenital pancreatic variant, typically arising from the failure of fusion between the ventral and dorsal pancreatic ducts. This condition is frequently associated with recurrent pancreatitis. We herein present a case involving an incomplete PD diagnosis following the identification of a refractory postoperative pancreatic fistula (POPF) after laparoscopic distal pancreatectomy (DP) for pancreatic cancer. A 74-year-old female patient, who had undergone laparoscopic DP for pancreatic cancer, developed a POPF accompanied by intraabdominal bleeding, necessitating urgent intervention radiology to avert life-threatening complications...
March 9, 2024: Clinical Journal of Gastroenterology
#10
JOURNAL ARTICLE
Hui Qiu, Zhen Wang, Bonan Liu, Rongze Sun, Xiuyun Tian, Chunyi Hao
To analyze the outcome in patients who have undergone multivisceral resection (MVR) for locally advanced gastrointestinal stromal tumors (GISTs), and identify the risk factors for tumor recurrence and postoperative morbidity. Sixty-four patients who operated for locally advanced GISTs with MVR in PPeking University Cancer Hospital Sarcoma Center (PUCHSC) between 2013 and 2021 were identified. Clinicopathologic characteristics, surgical outcomes, recurrence, and 5-year recurrence-free and overall survival were evaluated...
February 2024: Intractable & Rare Diseases Research
#11
Asitha Goonetilleke, Malith Nandasena, Nilesh Fernandopulle, Anne Thushara Matthias
Tuberculosis is a leading cause of death worldwide, especially in developing countries. It can affect any site in the body and have a myriad of presentations making diagnosis challenging. Tuberculous lymphadenitis in the abdomen is rare. We present a case of a 42-year-old man who presented with non-specific abdominal symptoms and was found to have an intraabdominal abscess on computed tomography scan of the abdomen. Endoscopic ultrasound-guided aspiration was performed, and tuberculosis was confirmed. This case highlights the importance of having a high clinical suspicion of tuberculosis even with vague symptoms in tuberculosis endemic countries...
2024: SAGE Open Medical Case Reports
#12
Elias E Lahham, Mohammad I Alsahouri, Abdalrazeq A Ghweir, Qusai A Alsalah, Mohammad AlQadi, Nader Sarhan
Necrotizing fasciitis (NF) is a life-threatening soft tissue infection, typically caused by preexisting conditions such as trauma, complicated intraabdominal infections, or even small wounds. However, it is very rare for NF to occur as a result of perforated colon cancer (CC). Diagnosis primarily relies on clinical findings, imaging, and laboratory tests. Early diagnosis and treatment are crucial for patient survival. In this study, we present a case of an 82-year-old female a known case of CC diagnosed 1 month ago...
December 2023: Journal of Surgical Case Reports
#13
JOURNAL ARTICLE
Lucy Li, Oluyemisi Adeyemi-Fowode, Jennifer L Bercaw-Pratt, Julie Hakim, Jennifer E Dietrich
STUDY OBJECTIVE: Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) includes uterine didelphys, unilateral obstructed hemivagina, and ipsilateral renal anomaly. Surgical management of this condition relies on accurate diagnosis to excise the obstructed longitudinal vaginal septum (OLVS). Vital considerations involve identifying the side affected, ipsilateral renal anomaly (IRA), thickness of the septum (TS), septal axis (SA) and distance of the septum to perineum (DSP). The study aimed to evaluate preoperative characteristics, imaging findings and surgical outcomes of OHVIRA...
December 7, 2023: Journal of Pediatric and Adolescent Gynecology
#14
REVIEW
Dimitrios Schizas, Ilias Giannakodimos, Konstantinos S Mylonas, Emmanouil I Kapetanakis, Alexandra Papavgeri, Georgios D Lianos, Dionysios Dellaportas, Aikaterini Mastoraki, Andreas Alexandrou
Patients with locally advanced gastric cancer (LAGC) often require multivisceral resection (MVR) of the involved organs to achieve R0 resection and local disease control. The aim of the present study was to systematically review all available literature on the postoperative and long-term outcomes of MVR for gastric cancer. The PubMed database was systematically searched by two independent investigators for studies concerning MVR for LAGC. In total, 30 original studies with 3362 patients met our inclusion criteria...
November 28, 2023: Journal of Clinical Medicine
#15
JOURNAL ARTICLE
Jens K H Strohäker, Martin J Brüschke, Robert Bachmann, André L Mihaljevic, Ruth Ladurner, Christian R Beltzer
Acute appendicitis is a common surgical emergency. Complicated appendicitis usually warrants perioperative antibiotic treatment in order to prevent infectious complications. Whether routine microbiological testing benefits the individual patient is a topic of debate. The goal of our study was to assess perioperative antibiotic prescriptions as well as the benefit of microbiological testing during the appendectomy as a predictor for bacteria encountered in infectious complications. This is a retrospective analysis of 1218 consecutive patients that underwent appendectomy at a tertiary referral center between 2014 and 2021...
January 2024: Updates in Surgery
#16
JOURNAL ARTICLE
Amro Elhadidi, Samira A Raouf, Amged Fadl, Hamdi Salama
Tuberculosis (TB), caused by Mycobacterium tuberculosis , continues to be a global health concern with high morbidity and mortality rates. Extrapulmonary TB (EPTB), which affects various organs beyond the lungs, presents a diagnostic challenge due to its diverse clinical and radiological manifestations. Herein, we describe the case of a middle-aged woman with severe lower abdominal pain, vomiting, night fevers, and other symptoms. Clinical and radiological examinations revealed pelvic abscesses and peritonitis...
December 4, 2023: American Surgeon
#17
JOURNAL ARTICLE
Omar Obaid, Tania Torres-Ruiz, Munier Nazzal, Meghan Wandtke Barber, Francisco Rodriguez-Silva, Siddhartha Dash, Omar Al-Jalodi, Alexander Young, Joseph Sferra
BACKGROUND: Peritoneal dialysis is a popular option for patients with end-stage renal disease. A recent presidential executive order has incentivized in-home end-stage renal disease treatments, leading to an increase in peritoneal dialysis use. Guidelines exist for creating and maintaining peritoneal dialysis access without addressing the optimal technique. This study evaluates nationwide peritoneal dialysis catheter placement practices and their long-term outcomes. METHODS: Retrospective cohort analysis of Nationwide Readmission Database from 2017 to 2019...
November 10, 2023: Surgery
#18
JOURNAL ARTICLE
Kaido Oishi, Tetsuro Tominaga, Rika Ono, Keisuke Noda, Shintaro Hashimoto, Toshio Shiraishi, Yuma Takamura, Takashi Nonaka, Mitsutoshi Ishii, Hidetoshi Fukuoka, Makoto Hisanaga, Hiroaki Takeshita, Kazuo To, Kenji Tanaka, Terumitsu Sawai, Takeshi Nagayasu
INTRODUCTION: Thirty-day reoperation rate reflects short-term surgical outcomes following surgery. Laparoscopic surgery for colorectal cancer reportedly has positive effects on postoperative complications. This retrospective study investigated risk factors for 30-day reoperation rate among patients after laparoscopic colorectal cancer surgery using a multicenter database. METHODS: Participants comprised 3037 patients who had undergone laparoscopic resection of colorectal cancer between April 2016 and December 2022 at the Nagasaki University and six affiliated centers, classified into those who had undergone reoperation within 30 days after surgery (RO group; n = 88) and those who had not (NRO group; n = 2949)...
November 9, 2023: Asian Journal of Endoscopic Surgery
#19
MULTICENTER STUDY
Diego Casas Deza, Cristina Polo Cuadro, Ruth de Francisco, Milagros Vela González, Fernando Bermejo, Ignacio Blanco, Álvaro de la Serna, Luis Bujanda, Lorena Bernal, José Luis Rueda García, Carla J Gargallo-Puyuelo, Esteban Fuentes-Valenzuela, Beatriz Castro, Jordi Guardiola, Gemma Ladrón, Carles Suria, Julia Sáez Fuster, Javier P Gisbert, Beatriz Sicilia, Raquel Gomez, Carmen Muñoz Vilafranca, Manuel Barreiro-De Acosta, Elena Peña, Marta Castillo Pradillo, Elena Cerrillo, Xavier Calvet, Noemí Manceñido, David Monfort I Miquel, Sandra Marín, Cristina Roig, Ainhoa Marce, Patricia Ramírez de Piscina, Elena Betoré, Albert Martin-Cardona, Marta Teller, Inmaculada Alonso Abreu, Nuria Maroto, Santiago Frago, Diego Gardeazabal, Isabel Pérez-Martínez, Ángel David Febles González, Sara Barrero, Carlos Taxonera, Irene García de la Filia, Ander Ezkurra-Altuna, Lucía Madero, María Dolores Martín-Arranz, Fernando Gomollón, Eugeni Domènech, Santiago García-López
INTRODUCTION: Intra-abdominal abscesses complicating Crohn's disease [CD] are a challenging situation. Their management, during hospitalisation and after resolution, is still unclear. METHODS: Adult patients with CD complicated with intra-abdominal abscess. who required hospitalisation, were included from the prospectively maintained ENEIDA registry from GETECCU. Initial strategy effectiveness and safety to resolve abscess was assessed. Survival analysis was performed to evaluate recurrence risk...
April 23, 2024: Journal of Crohn's & Colitis
#20
JOURNAL ARTICLE
Alicia Amairan G Zamorano, Paula Spang Valencia, Gina R Porrazzo, Tariq Almerey, John A Stauffer
PURPOSE: To compare the outcomes between patients with cirrhosis and those without who have undergone pancreatoduodenectomy (PD) in our institution. METHODS: A review of patients undergoing PD from the time period of January 2010 to December 2020 was performed. Patients that have undergone open or laparoscopic PD and had liver cirrhosis diagnosed prior to surgery were included and matched on a 1:2 basis with non-cirrhotic patients based on age, gender, Eastern Cooperative Oncology Group (ECOG), and date of surgery...
September 28, 2023: Langenbeck's Archives of Surgery
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