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https://www.readbyqxmd.com/read/27855712/blood-pressure-and-heart-rate-during-ovariohysterectomy-in-pyometra-and-control-dogs-a-preliminary-investigation
#1
Odd Viking Höglund, Johanna Lövebrant, Ulf Olsson, Katja Höglund
BACKGROUND: Surgery causes a stress response, a physiologic response to trauma. The intraoperative surgical stress response in dogs diagnosed with pyometra has not previously been described. The aim of this study was to investigate the intraoperative surgical stress response, assessed by blood pressure and heart rate measurements, in dogs diagnosed with pyometra and healthy controls. All dogs were premedicated with acepromazine and methadone, anaesthesia was induced with propofol and maintained with isoflurane, where after the dogs were subjected to ovariohysterectomy...
November 17, 2016: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/27721201/idiopathic-omental-hemorrhage-a-case-report-and-review-of-the-literature
#2
Jiro Kimura, Kenji Okumura, Hideki Katagiri, Alan Kawarai Lefor, Ken Mizokami, Tadao Kubota
INTRODUCTION: Omental hemorrhage results from rupture of the omental vessels. There are many causes of omental hemorrhage including trauma, aneurysm, and vasculitis. Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life-threatening. We report a patient with idiopathic omental hemorrhage, which may have been caused by overeating. CASE PRESENTATION: A 29-year-old man without a history of trauma, bleeding disorders, or other significant medical history, presented with left upper quadrant pain, which began after overeating the previous evening...
October 4, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27614337/strangulated-transmesosigmoid-hernia-as-a-late-complication-of-a-fall-from-a-height-a-case-report
#3
Shigehiro Kojima, Tsuguo Sakamoto, Masayuki Honda, Dal Ho Kim
INTRODUCTION: A transmesosigmoid hernia is defined as small bowel herniation through a complete defect involving both layers of the sigmoid mesentery. Blunt trauma injury to the sigmoid mesocolon has been reported only rarely. We herein report a case of a strangulated transmesosigmoid hernia associated with a history of a fall from a height. PRESENTATION OF CASE: A 43-year-old woman presented to our hospital for evaluation of vomiting. She had no history of abdominal surgery but had sustained a complete spinal cord injury and pelvic fracture secondary to a fall from a height 25 years earlier...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27584084/thoracic-splenosis-report-of-a-case-and-review-of-the-diagnostic-workup
#4
Walter Bugiantella, Federico Crusco, Nicola Avenia, Rondelli Fabio
UNLABELLED: Splenosis is the autoimplantation of splenic tissue to ectopic sites after spleen injury. Although splenosis most commonly occurs in the abdomen, it may occur in the thorax in case of diaphragm rupture. Thoracic splenosis (TS) is often asymptomatic and is diagnosed incidentally in the course of chest examination. We describe the case of a man, with a history of thoracoabdominal trauma, undergoing routine chest radiography with the evidence of radio-opaque images close to the inferior left curvature of the cardiac shadow, which resulted to be nodules of TS at the contrast enhanced CT scan...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27547961/management-of-the-open-abdomen-clinical-recommendations-for-the-trauma-acute-care-surgeon-and-general-surgeon
#5
Luis G Fernández
Traditionally, the surgical approach to managing abdominal injuries was to assess the extent of trauma, repair any damage and close the abdomen in one definitive procedure rather than leave the abdomen open. With advances in medicine, damage control surgery using temporary abdominal closure methods is being used to manage the open abdomen (OA) when closure is not possible. Although OA management is often observed in traumatic injuries, the extension of damage control surgery concepts, in conjunction with OA, for the management of the septic patient requires that the general surgeon who is faced with these challenges has a comprehensive knowledge of this complex subject...
September 2016: International Wound Journal
https://www.readbyqxmd.com/read/27328580/idiopathic-pneumatosis-intestinalis-requiring-decompressive-laparotomy
#6
Andrew McGregor, Khaldoun Bekdache, Laura Choi
INTRODUCTION: Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are radiographic signs of questionable bowel ischemia. Pneumatosis intestinalis can be associated with possible benign conditions such as obstructive airway disease. We present a patient who demonstrated clinical signs of overt sepsis with corresponding radiological findings of PI and HPVG concering for possible small or large bowel ischemia. However at exploration, no sign of small or large bowel injury or ischemia could be detected...
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27077468/a-case-of-suggested-ibuprofen-induced-acute-pancreatitis
#7
Maitham A Moslim, Thomas C Sodeman, Ali T Nawras
Drug-induced acute pancreatitis (DIP) is uncommon and may account for 2%-5% of cases, although the incidence may be increasing nowadays. DIP has been documented for more than 160 drugs in the literature. The most common nonsteroidal anti-inflammatory drugs (NSAIDs) that have been reported to cause pancreatitis are sulindac and salicylates. In this report, we present a case of probable ibuprofen-induced pancreatitis. A 60-year-old white woman presented with the sudden onset of mild acute pancreatitis (AP) 5 hours following the ingestion of 6 tablets of ibuprofen (Advil) 200 mg (equivalent to 20...
April 12, 2016: American Journal of Therapeutics
https://www.readbyqxmd.com/read/27058153/inferior-hip-dislocation-after-falling-from-height-a-case-report
#8
Ali Çağrı Tekin, Haluk Çabuk, Cem Dinçay Büyükkurt, Süleyman Semih Dedeoğlu, Yunus İmren, Hakan Gürbüz
INTRODUCTION: Traumatic inferior hip dislocation is the least common of all hip dislocations. Adult inferior hip dislocations usually occur after high-energy trauma, very few cases are reported without fracture. PRESENTATION OF CASE: A 26-year-old female was brought to the emergency department with severe pain in the left hip, impaired posture and restricted movement following a fall from 15m height. The hip joint was fixed in 90° flexion, 15° abduction, and 20° external rotation...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27054636/staged-repair-of-severe-open-abdomens-due-to-high-energy-gunshot-injuries-with-early-vacuum-pack-and-delayed-tissue-expansion-and-dual-sided-meshes
#9
Doğan Alhan, İsmail Şahin, Serbülent Güzey, Andaç Aykan, Fatih Zor, Serdar Öztürk, Mustafa Nışancı, İsmail Hakkı Özerhan
BACKGROUND: Open abdomen is a salvage procedure that prevents catastrophes after severe intraabdominal traumas. However, following this life saving attempt, it is mostly not feasible to close the abdomen immediately after the recovery of intraabdominal injuries. Consequently, a staged reconstruction is required, and the first stage is usually a temporary closing approach. At the end of this stage, resulting giant "ventral hernia" is a burden for both the patient and the surgeon. Therefore a permanent repair is subsequently needed...
December 2015: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/26682843/ovarian-vein-thrombosis-in-a-polytrauma-patient
#10
Emma Toman, Alastair Beaven, Moji Balogun, Keith Porter
A young mother presented to a major trauma centre following a road traffic collision. Her admission CT traumagram demonstrated liver and renal lacerations, spinal and pelvic fractures with no abnormalities of the ovarian veins. Her inpatient course was uncomplicated other than a sustained, isolated raised C reactive protein. CT of the abdomen 1 week after injury demonstrated stable solid organ injuries and the additional, unexpected finding of a right ovarian vein thrombosis (OVT). A pragmatic approach was taken towards the management of the OVT given the haemorrhagic risk from her traumatic injuries...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26408935/treatment-of-delayed-jejunal-perforation-after-irreducible-femoral-hernia-repair-with-open-abdomen-management-and-delayed-abdominal-closure-with-skin-flap-approximation
#11
Fahri Yetişir, A Ebru Sarer, Hasan Zafer Acar, Omer Yazıcıoglu, Basar Basaran
INTRODUCTION: We show the management of a delayed jejunal perforation, after irreducible femoral hernia operation with the help of negative pressure therapy (NPT) and delayed abdominal closure (DAC) with skin flap approximation in an elderly woman for the first time in the literature. PRESENTATION OF CASE: A 76 year-old woman was admitted to the emergency department with irreducible femoral hernia and ileus. After examining the femoral hernia sac and noting the presence of viable intestine within the hernia sac, a femoral hernia repair with mesh was performed...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26312112/resuscitation-of-polytrauma-patients-the-management-of-massive-skeletal-bleeding
#12
Enrique Guerado, Maria Luisa Bertrand, Luis Valdes, Encarnacion Cruz, Juan Ramon Cano
The term 'severely injured patient' is often synonymous of polytrauma patient, multiply-injured patient or, in some settings, polyfractured patient. Together with brain trauma, copious bleeding is the most severe complication of polytrauma. Consequently hypotension develop. Then, the perfusion of organs may be compromised, with the risk of organ failure. Treatment of chest bleeding after trauma is essential and is mainly addressed via surgical manoeuvres. As in the case of lesions to the pelvis, abdomen or extremities, this approach demonstrates the application of damage control (DC)...
2015: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/26279673/iroa-the-international-register-of-open-abdomen-an-international-effort-to-better-understand-the-open-abdomen-call-for-participants
#13
Federico Coccolini, Fausto Catena, Giulia Montori, Marco Ceresoli, Roberto Manfredi, Gabriela Elisa Nita, Ernest E Moore, Walter Biffl, Rao Ivatury, James Whelan, Gustavo Fraga, Ari Leppaniemi, Massimo Sartelli, Salomone Di Saverio, Luca Ansaloni
Actually the most common indications for Open Abdomen (OA) are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is present, in order to prevent the development of an abdominal compartment syndrome. The mortality and morbidity rate in patients undergone to OA procedures is still high. At present many studies have been published about the OA management and the progresses in survival rate of critically ill trauma and septic surgical patients...
2015: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/26263649/-surgical-treatment-of-the-injured-persons-with-splenic-trauma-in-the-closed-combined-abdominal-trauma
#14
Ya L Zarutskiy, V M Kovalenko
The results of treatment of the injured persons, suffering splenic injury, in closed com- bined abdominal trauma, depending on its severity and the splenic injury degree, are presented.
April 2015: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/26248826/using-a-contradictory-approach-to-treat-a-wound-induced-by-hematoma-in-a-patient-with-antiphospholipid-antibody-syndrome-using-negative-pressure-wound-therapy-lessons-learnt
#15
Min Young Jang, Joon Pio Hong, Anca Bordianu, Hyun Suk Suh
A 48-year-old woman with antiphospholipid syndrome (APS) had multiple skin necrosis caused by massive bleeding and hematoma collection at the right lower leg, left thigh, and abdomen. During the first month, we did surgical debridement every 2 to 3 days with meticulous coagulation and applied negative pressure wound therapy (NPWT). Then as the base showed initial granulation, we changed the NPWT every 4 days. NPWT was used with lower pressure and cyclic mode (-40 to -75 mm Hg) to minimize trauma and to reduce the possibility of bleeding from the wounds...
September 2015: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/26241166/diaphragmatic-hernia-repair-more-than-four-years-after-severe-trauma-four-case-reports
#16
Tales Rubens de Nadai, José Carlos Paiva Lopes, Caio César Inaco Cirino, Maurício Godinho, Alfredo José Rodrigues, Sandro Scarpelini
INTRODUCTION: Diaphragmatic rupture is an infrequent complication of trauma, occurring in about 5% of those who suffer a severe closed thoracoabdominal injury and about half of the cases are diagnosed early. High morbidity and mortality from bowel strangulation and other sequelae make prompt surgical intervention mandatory. CASE PRESENTATION: Four Brazilian men with a delayed diagnosis of a rare occurrence of traumatic diaphragmatic hernia. Patient one had diaphragmatic rupture on the right side of thorax and the others three patients on the left thoracic side, all they had to approach by a laparotomy and some approach in the chest, either thoracotomy or VATS...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25992696/temporary-abdominal-closure-with-zipper-mesh-device-for-management-of-intra-abdominal-sepsis
#17
Edivaldo Massazo Utiyama, Adriano Ribeiro Meyer Pflug, Sérgio Henrique Bastos Damous, Adilson Costa Rodrigues-Jr, Edna Frasson de Souza Montero, Claudio Augusto Vianna Birolini
OBJECTIVE: to present our experience with scheduled reoperations in 15 patients with intra-abdominal sepsis. METHODS: we have applied a more effective technique consisting of temporary abdominal closure with a nylon mesh sheet containing a zipper. We performed reoperations in the operating room under general anesthesia at an average interval of 84 hours. The revision consisted of debridement of necrotic material and vigorous lavage of the involved peritoneal area...
January 2015: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/25917476/large-bowel-obstruction-complicating-a-posttraumatic-diaphragmatic-hernia
#18
Umer Hasan Bhatti, Surrendar Dawani
Posttraumatic diaphragmatic hernia is a rare cause of large bowel obstruction, and can present weeks or years after the initial trauma. Herein, we report the case of a 28-year-old man who presented with signs and symptoms of bowel obstruction nine months after he had a stab wound to his left chest. Chest radiography showed multiple air‑fluid levels in the right upper quadrant, an air-fluid level in the left thoracic cavity and significant free air under the diaphragm. Exploratory laparotomy revealed a contaminated abdomen with perforations in the caecum and proximal transverse colon, and a 4 cm × 4 cm defect in the left posterolateral (septal) aspect of the diaphragm, which was closed with a nonabsorbable suture...
April 2015: Singapore Medical Journal
https://www.readbyqxmd.com/read/25738033/small-bowel-obstruction-a-surprise
#19
Jeffrey Daniel Mathew, Ganesh Babu Cp, Balachandar M, Ramanathan M
Trans - omental hernia is very rare, accounting to 1-4% of all internal hernias which is an unusual cause of small bowel obstruction. Here we present a case report of a small bowel obstruction in a female due to trans - omental hernia presenting with central abdominal pain, distension and bilious vomiting. She had no previous history of trauma, surgery. Plain X-ray abdomen erect showed multiple air fluid levels with dilated small bowel loops. Emergency laparotomy revealed a segment of congested small bowel loop (ileum) through a defect in greater omentum...
January 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/25655300/blunt-abdominal-injury-with-rupture-of-giant-hepatic-cavernous-hemangioma-and-laceration-of-the-spleen
#20
Lung-Yun Kang, Fong-Dee Huang, Yuan-Yuarn Liu
A 41-year-old woman with blunt abdominal trauma due to a motor vehicle accident presented to our emergency department. The patient had a history of a giant hepatic cavernous hemangioma. Emergency exploratory laparotomy was performed for suspected intra-abdominal bleeding with abdominal compartment syndrome, and more than 4 liters of blood and blood clots were removed. An active bleeding laceration (5 cm) of a hepatic cavernous hemangioma was detected in segment III of the liver. The bleeding was controlled by sutures, Teflon patches and tamponade...
February 2015: Hepatobiliary & Pancreatic Diseases International: HBPD INT
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