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periodic fever and abdominal perforation

Jalal Vahedian, Sepideh Jahanian, Behrouz Banivaheb, Nima Hemmati, Mehrnaz Ghavamipour, Majid Chegini, Mahdi Alemrajabi
BACKGROUND: As the challenge for finding the best abdominal incision closure technique continues, surgeons are aiming to minimize postoperative wound complications such as wound dehiscence and hernia as an acute or late manifestation. In order to achieve this goal, several abdominal opening and closure techniques have been tried. In this article, we describe a method in which we used a nasogastric tube (NGT) in mass closure for patients with fascial dehiscence. METHODS: In this case-series study, a total number of 25 patients participated...
April 6, 2018: World Journal of Surgery
Mark D Stringer
Acute appendicitis is the most common reason for abdominal surgery in children. Luminal obstruction of the appendix progresses to suppurative inflammation and perforation, which causes generalised peritonitis or an appendix mass/abscess. Classical features include periumbilical pain that migrates to the right iliac fossa, anorexia, fever, and tenderness and guarding in the right iliac fossa. Atypical presentations are particularly common in preschool children. A clinical diagnosis is possible in most cases, after a period of active observation if necessary; inflammatory markers and an ultrasound scan are useful investigations when the diagnosis is uncertain...
November 2017: Journal of Paediatrics and Child Health
S Ouedraogo, E Ouangre, M Zida
The aim of this study was to describe the epidemiological, clinical, and therapeutic features of ileal perforation due to typhoid fever at the regional hospital of Tenkodogo (Burkina Faso). This cross-sectional study examined the records over a 5-year period of all patients treated for typhoid ileal perforation. Ileal perforation was diagnosed intraoperatively, and its typhoid origin determined according to the following criteria : background signs of typhoid fever, location of the perforation on the antimesenteric edge of the terminal ileum, and a positive Widal-Felix serology...
February 1, 2017: Médecine et Santé Tropicales
Ramazan Karabulut, Zafer Turkyilmaz, Kaan Sonmez, Abdullah Can Basaklar
Background The effectiveness of nonoperative treatment of esophageal perforation (EP) in children with octreotide is highlighted. Methods Records of nine patients (seven boys and two girls with an average age of 5.83 ± 5.35 years) with EP were reviewed. Results EP developed in six patients during dilation of esophageal stenosis (five of six caused by caustic burns). In the other three patients, EP developed after nasogastric placement, after endotracheal intubation, and during endoscopy for foreign body...
March 24, 2017: Thoracic and Cardiovascular Surgeon
William Bonadio, Miriam Langer, Julie Cueva, Astrid Haaland
BACKGROUND: Perforated appendicitis can result in potentially serious complications requiring prolonged medical care. The optimal approach to successfully managing this condition is controversial. METHODS: Review of 80 consecutive cases of pediatric acute perforated appendicitis with intra-abdominal infection (IAI) medically managed with parenteral antibiotics and percutaneous drainage (PD) during a 7-year period. RESULTS: All patients received broad spectrum parenteral antibiotic therapy...
October 2017: Pediatric Infectious Disease Journal
Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim
PURPOSE: Spontaneous colon perforations are usually encountered as necrotizing enterocolitis in the neonatal period, but occur rarely in infants and children without pathological conditions. This study was conducted to describe its clinical implication beyond the neonatal period. METHODS: Cases of spontaneous colon perforation confirmed after the operation were reviewed retrospectively and the clinicopathological characteristics were analyzed. Clinical data were compared according to the presence of pneumoperitoneum as initial findings...
September 2016: Pediatric Gastroenterology, Hepatology & Nutrition
Ting-Chia Yeh
BACKGROUND: Duodenum diverticulum is the most common site for diverticular disease of small intestine. Most of duodenal diverticulum are asymptomatic, but complicated or perforated duodenal diverticulum is rare. Nonoperative management is attractive in selected patients, because of higher surgical complications. We suggest the use of a minimally invasive operative method as an alternative approach for the management of complicated duodenal diverticulum, especially when conservative treatment has failed...
2016: International Journal of Surgery Case Reports
I A Magagi, H Adamou, O Habou, A Magagi, M Halidou, K Ganiou
The purpose of this study was to describe the epidemiologic, therapeutic, and prognostic aspects of surgical acute abdomen at the National Hospital of Zinder (HNZ). This was a prospective study of patients undergoing digestive surgical emergencies in HNZ over 24 months (January 2013-December 2014). During the study period, 622 digestive surgical emergencies were operated. The mean age was 22.91 ± 18.14 years old, with a sex-ratio of 3:1. The average admission time was 64.31 ± 57.90 h. Abdominal pain was the main reason for admission in 61...
June 14, 2016: Bulletin de la Société de Pathologie Exotique
Asma Azmatullah, Farah Naz Qamar, Durrane Thaver, Anita Km Zaidi, Zulfiqar A Bhutta
BACKGROUND: Children suffer the highest burden of enteric fever among populations in South Asian countries. The clinical features are non-specific, vary in populations, and are often difficult to distinguish clinically from other febrile illnesses, leading to delayed or inappropriate diagnosis and treatment. We undertook a systematic review to assess the clinical profile and laboratory features of enteric fever across age groups, economic regions, level of care and antibiotic susceptibility patterns...
December 2015: Journal of Global Health
Zelalem Assefa, Awetash G/yesuse
BACKGROUND: Acute appendicitis is the most common cause of acute abdomen in children. The rate of appendicular perforation may be related to duration from the onset of symptom presentation to treatment. OBJECTIVE: To describe the clinical characteristics and assess symptom duration as a risk factor for perforation in children with acute appendicitis. PATENTS AND METHODS: A retrospective analysis of medical records of 322 children under 15 years of ages with intraoperative diagnosis of acute appendicitis between the periods of September 2006 and August 2010...
October 2014: Ethiopian Medical Journal
Man-Wa Lui, Vincent Y T Cheung, Ting Chung Pun
OBJECTIVE: To review the clinical profiles and management outcomes of patients with pyometra. STUDY DESIGN: A retrospective review of all women admitted with a confirmed diagnosis of pyometra over an 8-year period (January 2003 to December 2010). The medical records, including operation notes, histological and microbiological results, were reviewed. RESULTS: A total of 57 patients accounting for 76 admissions were identified. The mean patient age was 82...
July 2015: Journal of Reproductive Medicine
Jiaoyang Lu, Taotao Jiao, Yanmei Li, Ying Liu, Yanan Wang, Yatian Wang, Minhua Zheng, Xuefeng Lu
BACKGROUND: The emerging submucosal tunneling and endoscopic resection (STER) technique provides definitive histological diagnosis as well as a therapeutic method for the gastric submucosal tumors (SMTs). We aim to present our experience and discuss key technical issues of STER. METHODS: 45 patients with gastric SMTs arising from MP received STER. First, a mucosal incision was made 3 cm proximal to the tumour, a submucosal tunnel was subsequently built from the incision to the tumor...
2015: PloS One
M Ozsoy, O V Unalp, M Sozbilen, M Alper, M Kilic, M Zeytunlu
BACKGROUND: Living donor liver transplantation has been a new light of hope for patients with end-stage liver failure on the cadaveric waiting list. However, living donor liver transplantation still has ethical problems which cannot be overcome. Exposure of healthy donor candidates to major surgery which can be fatal is the largest of these ethical problems. In this study, we aimed to determine our rate of complications associated with surgery in donors who underwent right lobe donor hepatectomy...
June 2014: Transplantation Proceedings
Maroya Spalding Walters, Janell Routh, Matthew Mikoleit, Samuel Kadivane, Caroline Ouma, Denis Mubiru, Ben Mbusa, Amos Murangi, Emmanuel Ejoku, Absalom Rwantangle, Uziah Kule, John Lule, Nancy Garrett, Jessica Halpin, Nikki Maxwell, Atek Kagirita, Fred Mulabya, Issa Makumbi, Molly Freeman, Kevin Joyce, Vince Hill, Robert Downing, Eric Mintz
BACKGROUND: Salmonella enterica serovar Typhi is transmitted by fecally contaminated food and water and causes approximately 22 million typhoid fever infections worldwide each year. Most cases occur in developing countries, where approximately 4% of patients develop intestinal perforation (IP). In Kasese District, Uganda, a typhoid fever outbreak notable for a high IP rate began in 2008. We report that this outbreak continued through 2011, when it spread to the neighboring district of Bundibugyo...
March 2014: PLoS Neglected Tropical Diseases
Kevin S Smith, Tiffany C Wilson, LaToya Luces, Adrienne A Stevenson, Babak Hajhosseini, Suryanarayana M Siram
BACKGROUND AND OBJECTIVES: Postoperative pneumoperitoneum following laparoscopic surgery is self-limited, typically resolving within days. METHODS: We analyzed the case of a 48-y-old woman who presented with acute abdominal pain 48 d after a total laparoscopic hysterectomy. Imaging studies revealed free air under the diaphragm suggesting a perforated viscus. RESULTS: An exploratory laparotomy was performed, but no perforations or organic traumas were found intraoperatively...
October 2013: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Miroslav Z Dinić, Lidija Kandolf Sekulović, Lidija Zolotarevski, Rados D Zecević
INTRODUCTION: Granulomatosis Wegener is anti-neutrophil cytoplasmic antibodies (ANCAs)-associated systemic vasculitis of unknown etiology. It is manifested as granulomatous necrotizing inflammation of the upper and lower parts of the respiratory tract, glomerulonephritis and systemic vasculitis involving most frequently the skin and oral mucous membrane. Sera markers of this disease are c-ANCA and pANCA. CASE REPORT: We presented a female patient aged 52 years with purpuric spots that had appeared on the lower legs ten months before admission to our hospital...
September 2013: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Saeed Nadhim Younis
OBJECTIVES: To study the usefulness of abdominal ultrasound in the diagnosis of typhoid fever and to determine the common ultrasound findings early in the course of the disease. METHODS: Abdominal ultrasound examination was performed within the first week of initiation of symptoms in 350 cases with clinical diagnosis of typhoid fever. Subsequent ultrasound follow-up examination was done 15 days later (beginning of the third week). All the patients proved to have positive Widal test and Sallmonella culture...
March 2014: Travel Medicine and Infectious Disease
Ming Jiang, Xinchuan Chen, Zhihui Yi, Xue Zhang, Bo Zhang, Feng Luo, Yu Jiang, Liqun Zou
BACKGROUND: The gastrointestinal tract is the most common primary site of extranodal lymphomas, whereas gastrointestinal natural killer/T-cell (GINKT) lymphomas are relatively rare. To date, neither the prognostic characteristics nor the clinical features or optimal therapeutic approach for GINKT has yet been defined. PATIENTS AND METHODS: In this study, a retrospective analysis was carried out on clinical data obtained from 47 patients diagnosed with GINKT lymphoma between May 1999 and August 2011 at West China Hospital...
September 2013: Journal of Clinical Gastroenterology
Maciej Bagłaj, Jolanta Rysiakiewicz, Konrad Rysiakiewicz
AIM: Analysis of diagnostic and therapeutic problems in acute appendicitis in children below 3 years of age. MATERIAL AND METHODS: The analysis was based on medical data of 53 children under 3 years of age, treated in our department for acute appendicitis in the years 1988-2008. Among 53 children, 29 (53.7%) were admitted directly to the surgical department and 24 (45.3%) were transferred from the regional pediatric department. In the period of 1 month before admission to the surgical department 13 patients (24...
April 2012: Medycyna Wieku Rozwojowego
Z Z Sanogo, M Camara, M M Doumbia, L Soumaré, S Koumaré, S Keïta, A K Koïta, M A Ouattara, S Togo, S Yéna, D Sangaré
AIMS: To determine the most frequent causes of the digestive perforations and to evaluate the surgical procedures, the morbidity and mortality. PATIENTS AND METHODS: It was about a retrospective descriptive study, over 5 year's period in a visceral service of CHU du Point G, Bamako. Were included in the study all the patients operated for digestive perforation and hospitalized in the service of surgery "A". Were not included in the study patient operated not presenting a digestive perforation...
2012: Le Mali Médical
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