keyword
https://read.qxmd.com/read/38541051/the-first-prospective-study-investigating-the-safety-and-feasibility-of-a-spray-type-adhesion-barrier-adspray%C3%A2-in-minimally-invasive-hepatectomy-an-analysis-of-124-cases-at-our-institution
#1
JOURNAL ARTICLE
Masayuki Kojima, Atsushi Sugioka, Yutaro Kato
(1) Background: With the increasing demand for repeat hepatectomy, preventing perihepatic adhesion formation following initial hepatectomy is crucial. Adhesion-preventative barriers, like the new spray-type AdSprayTM (Terumo Corporation, Tokyo, Japan), have been proposed to reduce adhesion risk. However, data on their safety in minimally invasive hepatectomy (MIH) remain scarce. This is the first prospective study to evaluate the safety and feasibility of AdSprayTM in MIH. (2) Methods: A total of 124 patients who underwent MIH with AdSprayTM and 20 controls were analyzed...
March 15, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38539325/image-guided-percutaneous-drainage-of-abdominal-abscesses-in-pediatric-patients
#2
REVIEW
Dimitrij Kuhelj, Crt Langel
Image-guided percutaneous abscess drainage (IPAD) is an effective, minimally invasive technique to manage infected abdominal fluid collections in children. It is the treatment of choice in cases where surgery is not immediately required due to another coexisting indication. The skills and equipment needed for this procedure are widely available. IPAD is typically guided by ultrasound, fluoroscopy, computed tomography, or a combination thereof. Abscesses in hard-to-reach locations can be drained by intercostal, transhepatic, transgluteal, transrectal, or transvaginal approaches...
February 29, 2024: Children
https://read.qxmd.com/read/38524087/graham-patch-repair-of-a-prepyloric-ulcer-complicated-by-recurrent-abdominal-abscesses-and-leukocytosis-a-case-report
#3
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
https://read.qxmd.com/read/38524045/primary-squamous-cell-carcinoma-of-the-cecum-a-case-report
#4
Mahdi Albandar, Salwa Aljarayhi
Primary squamous cell carcinoma (SCC) of the colon is an exceptionally rare diagnosis. The etiology and pathogenesis of this entity remain unclear. It usually presents in patients as an emergency, typically with the tumor in the advanced stage. We report a case of SCC of the cecum presenting with perforation, initially diagnosed as SCC of unknown origin. The patient underwent a limited right hemicolectomy and end ileostomy outside our center. The patient was referred to us for further workup and possible adjuvant chemotherapy...
February 2024: Curēus
https://read.qxmd.com/read/38523693/a-case-of-percutaneous-deep-pelvic-abscess-drainage-using-ct-fluoroscopic-guided-cranio-caudal-puncture-technique
#5
Kazuki Murai, Ken Kageyama, Akira Yamamoto, Mariko Nakano, Atsushi Jogo, Yukio Miki
A 52-year-old male patient presented with complaints of abdominal and back pain. CT revealed a deep pelvic abscess extending into the anterior sacral space. Since puncture via the conventional transgluteal approach cannot reach a deep abscess, percutaneous pelvic abscess drainage was performed under CT fluoroscopy using the cranio-caudal puncture technique. The cranio-caudal puncture requires needle insertion perpendicular to the CT cross-section. This method advances the CT gantry deeper than the needle tip and follows the CT cross-section with the needle tip...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38520491/research-progress-of-robot-and-laparoscope-in-postoperative-complications-of-rectal-cancer
#6
REVIEW
Jiming Lian, Jinbiao Li, Cong Liu, BaoDong Luan, Yanmin Miao
Rectal cancer is one of the most common malignant tumours worldwide, and it is also one of the major diseases that seriously threatens human life and health. At present, the main treatment for rectal cancer is still surgical treatment. The surgical methods have been rapidly developed from the previous open surgery to the current minimally invasive surgery. At present, there are two main minimally invasive surgeries: robotic surgery and laparoscopic surgery. Due to the particularity of rectal cancer surgery, more and more studies have shown that robotic rectal cancer surgery has more advantages than laparoscopic rectal cancer surgery...
March 23, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38519916/clinical-characteristics-diagnosis-treatment-and-outcome-of-patients-with-liver-abscess-due-to-aspergillus-spp-a-systematic-review-of-published-cases
#7
Igor Dumic, Enzo Marasco Caetano, Sidney Marcel Domingues, Ivana Pantic, Milan Radovanovic, Libardo Rueda Prada, Charles W Nordstrom, Marina Antic, Tamara Milovanovic, Magdalena Kotseva, Amteshwar Singh, Shweta Fnu
BACKGROUND: Aspergillus spp liver abscess is a relatively rare entity and thus far no systematic review has been performed examining patients' demographics, clinical manifestations, diagnosis, management, and outcome. METHODS: We performed a systematic review of the literature using MEDLINE and LILACS databases. We searched for articles published in the period from January 1990 to December 24, 2022, to identify patients who developed liver abscesses due to Aspergillus spp...
March 22, 2024: BMC Infectious Diseases
https://read.qxmd.com/read/38513235/postpartum-necrotizing-myositis-with-endometrial-prolapse
#8
JOURNAL ARTICLE
Rongyao Li, Zheng Fang, Qingqing Zhou, Jing Fu, Ran Meng, Qiaoyun Cai, Yingli Shen, Cheng Peng
BACKGROUND: Postpartum necrotizing myositis is a rare condition, typically presenting as a complication after uterine artery embolization or uterine compression suturing. Uterine ischemia can cause endometrial necrosis and even myometrial necrosis, which can lead to systemic infection. If a systemic infection is not promptly and actively treated, it may pose significant risk. CASE: A 35-year-old patient who had undergone bilateral uterine artery ligation, modified B-Lynch suture, and multiple compression sutures due to refractory postpartum hemorrhage frequently presented to clinic after postpartum discharge due to persistent fever and vaginal discharge...
March 22, 2024: Obstetrics and Gynecology
https://read.qxmd.com/read/38511164/liver-abscess-due-to-migrated-foreign-body
#9
Kushan Sengupta, Priyansh Bhayani, Sarojini Ashok Parameswaran
Liver abscess secondary to a migrated foreign body (fish bone) is a rare entity where early diagnosis helps in management and thereby improves the prognosis. We present a unique case of a 47-year-old hypertensive man who presented with high-grade fever, chills, rigors, and abdominal pain. On evaluation, he was found to have a liver abscess secondary to a foreign body (fish bone), although no history of foreign body ingestion was recalled by the patient. Drainage of liver abscess and removal of the foreign body comprise the treatment of choice...
March 2024: ACG Case Reports Journal
https://read.qxmd.com/read/38508606/transgastric-drainage-for-subdiaphragmatic-abscess-secondary-to-perforation-of-the-sigmoid-colon-after-cytoreductive-surgery-for-advanced-ovarian-cancer
#10
JOURNAL ARTICLE
Takuya Yokoe, Hiroshi Shiraga, Tsukasa Ikeura, Masato Kita
Drainage of subdiaphragmatic abscesses is difficult due to its anatomical location and it can result in adverse events, including organ damage and the spread of infection. In recent years, endoscopic ultrasonography (EUS) guided drainage for upper abdominal abscesses has become available. We report a case of successful infection control using this procedure for a subdiaphragmatic cyst secondary to perforation of the sigmoid colon after cytoreductive surgery for advanced ovarian cancer. A Japanese woman in her 60s underwent laparotomy for ovarian cancer, and then developed sigmoid colon perforation 6 days after surgery...
March 19, 2024: BMJ Case Reports
https://read.qxmd.com/read/38505450/observational-study-of-clinical-profiles-and-management-of-liver-abscess-in-hospitalized-patients-a-north-indian-tertiary-care-perspective
#11
JOURNAL ARTICLE
Shishirendu S Parihar, Aakash S Shah, Nitesh Bassi, Ishan Mittal, Dawesh Yadav, Vinod K Dixit, Anurag K Tiwari
Background Liver abscesses are a significant health concern, necessitating prompt diagnosis and appropriate management. Spontaneous liver abscesses are a frequent reason for hospitalizations in India, particularly in the northern part. By analyzing demographics, symptoms, radiological findings, laboratory parameters, and treatment outcomes, this study will contribute valuable insights to enhance the understanding and management of liver abscesses. Aims and objective To evaluate demographic, clinical, laboratory, and radiological parameters and management options in hospitalized patients with liver abscesses at a tertiary care center...
February 2024: Curēus
https://read.qxmd.com/read/38501946/safety-and-feasibility-of-photodynamic-therapy-for-percutaneous-image-guided-abdominopelvic-abscess-drainage-phase-1-trial
#12
JOURNAL ARTICLE
Timothy M Baran, David A Bass, Laurie Christensen, Erica Longbine, Maria D Favella, Thomas H Foster, Ashwani K Sharma
Background Standard-of-care abscess management includes image-guided percutaneous drainage and antibiotics; however, cure rates vary, and concern for antibiotic-resistant bacteria is growing. Photodynamic therapy (PDT), which uses light-activated dyes to generate cytotoxic reactive oxygen species, could complement the standard of care by sterilizing the abscess at the time of drainage. Purpose To evaluate safety and feasibility of PDT with methylene blue (hereafter, MB-PDT) at the time of percutaneous abscess drainage...
March 2024: Radiology
https://read.qxmd.com/read/38501151/gastrointestinal-variant-of-lemierre-syndrome-due-to-fusobacterium-nucleatum-a-case-report
#13
Reshad Salam, Abhiroop Verma, Michael Noeske, Lynna Alnimer, Eric M Sieloff, Marc S Piper
INTRODUCTION: Pyogenic liver abscess is a noteworthy health concern in North America, characterized by a mortality rate ranging from 2 to 12%. This condition is often polymicrobial, with Streptococcus species and Escherichia coli as the predominant causal pathogens in Western countries. Fusobacterium species, typically commensals of gastrointestinal, genital, and oral flora, have been implicated in the rare formation of tonsillar abscesses and Lemierre syndrome, including its gastrointestinal variant known as pylephlebitis...
2024: Case Reports in Gastroenterology
https://read.qxmd.com/read/38495276/coinfection-with-hepatic-cystic-and-alveolar-echinococcosis-with-abdominal-wall-abscess-and-sinus-tract-formation-a-case-report
#14
Miao-Miao Wang, Xiu-Qing An, Jin-Ping Chai, Jin-Yu Yang, Ji-De A, Xiang-Ren A
BACKGROUND: Hepatic cystic and alveolar echinococcosis coinfections, particularly with concurrent abscesses and sinus tract formation, are extremely rare. This article presents a case of a patient diagnosed with this unique presentation, discussing the typical imaging manifestations of both echinococcosis types and detailing the diagnosis and surgical treatment experience thereof. CASE SUMMARY: A 39-year-old Tibetan woman presented with concurrent hepatic cystic and alveolar echinococcosis, accompanied by abdominal wall abscesses and sinus tract formation...
February 27, 2024: World Journal of Hepatology
https://read.qxmd.com/read/38495040/an-uncommon-case-of-right-hepatic-duct-entering-cystic-duct-associated-to-multiple-complications-of-biliary-tract-disease-acute-pancreatitis-hepatolithiasis-acute-cholecystitis-and-hepatic-abscess
#15
Javier A Meza-Hernandez, Asya Zubillaga-Mares, Minnet Serrano-Sanchez, Francisco E Alvarez-Bautista, Mario Trejo-Avila, Alejandra Nuñez-Venzor
Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case. A 61-year-old man is admitted to the hospital with epigastric pain and diagnosis of pancreatitis of biliary origin and intermediate risk of choledocholithiasis...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38487134/endoscopic-retrograde-appendicitis-therapy-in-subacute-appendicitis-with-abscess-a-comprehensive-case-study-and-innovative-insights
#16
Bhuvi Raxwal, Jayashree Payappagoudar, Satish Patel
This case report explores the feasibility and efficacy of endoscopic retrograde appendicitis therapy (ERAT) in treating a 42-year-old female with subacute appendicitis complicated by an abscess. The patient, initially presenting with abdominal pain, underwent an endoscopic intervention involving drainage, irrigation, and stent placement in the appendix. The study discusses the patient's successful outcome, emphasizing the role of ERAT in managing complicated appendicitis with abscesses. The report outlines the case presentation with the initial misdiagnosis of cecal intussusception...
February 2024: Curēus
https://read.qxmd.com/read/38485809/successful-management-of-splenic-artery-dissection-after-sigmoid-colon-perforation-in-vascular-ehlers-danlos-syndrome
#17
JOURNAL ARTICLE
Moegi Yoshizaki, Yasuko Matsuo, Satoshi Yasuda, Shunsuke Doi, Takeshi Sakata, Minako Nagai, Kota Nakamura, Yuichiro Kohara, Shohei Toyoda, Toshihiro Tanaka, Masayuki Sho
BACKGROUND: Ehlers-Danlos syndrome (EDS) is a genetic disorder that causes fragility of the systemic connective tissues. Of the 13 subtypes, vascular EDS (vEDS) is associated with abnormalities in collagen production, resulting in arterial rupture and intestinal perforation. Herein, we report the case of a man with confirmed vEDS who survived a ruptured dissected splenic artery aneurysm triggered by perforation of the sigmoid colon. CASE PRESENTATION: A 48-year-old man presented to our hospital with sudden severe lower abdominal pain...
March 15, 2024: Surgical Case Reports
https://read.qxmd.com/read/38482098/pulmonary-clostridium-perfringens-seeding-beyond-the-gastrointestinal-tract
#18
Thilini Delungahawatta, Shiavax J Rao, Marcos Wolff, Christopher J Haas
Clostridia perfringens infection outside the gastrointestinal system is rare. Here, we report on a 75-year-old man with history of end-stage renal disease presenting after a syncopal event with lactic acidosis, leukocytosis, and mild hyper-bilirubinemia. Chest imaging revealed a loculated, left-sided pleural effusion; diagnostic thoracentesis identified Clostridia perfringens , consistent with an empyema. Video-assisted thoracic left lung decortication was performed; tissue culture also speciated Clostridia perfringens ...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38479884/investigation-of-preinguinal-approach-for-removal-of-urachal-abscess-in-three-japanese-black-cattle-older-than-18-months-of-age
#19
JOURNAL ARTICLE
Reiichiro Sato, Jun Hayashi, Naoyuki Fuke, Eren Saito, Kanako Hidaka, Hideki Saka, Hiroyuki Satoh, Adrian Steiner
This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is too great to perform the procedure under direct vision in adult cows. Therefore, a novel preinguinal approach was used for access in cows with urachal abscesses after 18 months. Access was successfully achieved in all the three cows through a preinguinal incision to the urachal abscess at the apex of the bladder...
March 13, 2024: Journal of Veterinary Medical Science
https://read.qxmd.com/read/38473027/a-unique-case-of-appendiceal-intussusception-inversion-a-case-in-bloom
#20
JOURNAL ARTICLE
Stylianos Mantalovas, Eleni Paschou, Ismini Kountouri, Christina Sevva, Konstantinos Papadopoulos, Panagiota Roulia, Marios Dagher, Styliani Laskou, Vasileios Lagopoulos, Charilaos Koulouris, Fedra Louloudopoulou, Periklis Kopsidas, Konstantinos Sapalidis, Isaak Kesisoglou, Christoforos Kosmidis
A 40-year-old female patient presented to a secondary facility with dull lower abdominal pain and a persistent low-grade fever. Her laboratory results showed elevated inflammation markers. A CT scan revealed two abscesses in the lesser pelvic region in direct contact with the apex of the appendix, the posterior wall of the uterus, and the right-side appendages. The patient responded well to intravenous antibiotics, and an MRI scan revealed the cause to be an appendiceal rupture. The patient was scheduled for an appendectomy...
March 6, 2024: Diagnostics
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