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https://www.readbyqxmd.com/read/29402607/conservative-treatment-for-cutaneous-fistula-resulted-from-abscess-formation-in-patients-with-tuberculous-cervical-lymphadenitis
#1
Bo Hae Kim, Yung Jin Jeon, Young Ju Jin, Woo-Jin Jeong, Sung Joon Park, Soon-Hyun Ahn
OBJECTIVE: This study describes the clinical characteristics and course of conservative treatment using anti-Tb medication and dressing in patients with tuberculous cervical fistula resulting from abscess formation, and to investigate factors prognostic of dressing and treatment duration. METHODS: The medical records of patients with tuberculous cervical lymphadenitis were reviewed, and 38 of these patients who presented with cutaneous fistula that resulted from abscess formation were included in the study...
February 2, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29384913/combing-a-novel-device-and-negative-pressure-wound-therapy-for-managing-the-wound-around-a-colostomy-in-the-open-abdomen-a-case-report
#2
Xiaofang Sun, Shaohan Wu, Ting Xie, Jianping Zhang
RATIONALE: An open abdomen complicated with small-bowel fistulae becomes a complex wound for local infection, systemic sepsis and persistent soiling irritation by intestinal content. While controlling the fistulae drainage, protecting surrounding skin, healing the wound maybe a challenge. PATIENT CONCERNS: In this paper we described a 68-year-old female was admitted to emergency surgery in general surgery department with severe abdomen pain. Resection part of the injured small bowel, drainage of the intra-abdominal abscess, and fashioning of a colostomy were performed...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29332920/aorto-cutaneous-fistula-after-surgical-treatment-of-stanford-type-a-aortic-dissection
#3
Chenyu Zhao, Zhicheng Zhu, Xiaomei Zheng, Kexiang Liu
An aorto-cutaneous fistula is a rare complication that occurs after aortic surgery. Due to its rarity, postoperative complications are not normally highlighted in most standard teaching. We report here a case of aorto-cutaneous fistula after surgical treatment of a Stanford type A aortic dissection (AD) in a 67-year-old Chinese male. The patient presented with severe right heart dysfunction and a mass was found in the upper-middle of his chest, which started bleeding in the next years. On admission, preoperative aortic computed tomography angiography (CTA) showed a huge hematoma located in the anterior superior mediastinum and a shunt between the embedding cavity of the aortic root and right atrium...
January 15, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29301065/pancreatic-necrosectomy-through-sinus-tract-endoscopy
#4
Mahesh Kumar Goenka, Usha Goenka, Md Yasin Mujoo, Indrajit Kumar Tiwary, Sanjay Mahawar, Vijay Kumar Rai
Background/Aims: Direct endoscopic pancreatic necrosectomy is increasingly being utilized to treat infected or symptomatic walled-off necrosis (WON) located close to the stomach or duodenum. Laterally-placed WON has traditionally been treated surgically. We evaluated a less utilized technique of sinus tract endoscopy (STE) for symptomatic laterally-placed WON. Methods: Two hundred seventy-six patients with acute pancreatitis admitted in our hospital, 32 had symptomatic or infected WON requiring intervention...
January 4, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29287855/branchial-anomalies-in-children-a-report-of-105-surgical-cases
#5
Wanpeng Li, Hongming Xu, Liming Zhao, Xiaoyan Li
BACKGROUND: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. METHODS: We conducted a retrospective analysis of 105 children who were referred to our hospital from June 2009 to December 2016 for the treatment of BAs...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29282392/diffuse-dermal-angiomatosis-of-the-breast-a-distinct-entity-in-the-spectrum-of-cutaneous-reactive-angiomatoses-clinicopathologic-study-of-two-cases-and-comprehensive-review-of-the-literature
#6
Jörg Galambos, Claudia Meuli-Simmen, Regula Schmid, Lisa S Steinmann, Werner Kempf
Diffuse dermal angiomatosis (DDA) is a rare reactive angioproliferation in the skin and considered to be a subtype in the group of cutaneous reactive angiomatoses. DDA is clinically characterized by livedoid patches and plaques with tender ulceration. Its histologic features are a reactive diffuse proliferation of bland endothelial cells and pericytes within the dermis, forming small capillary vessels. Previously described cases of DDA most commonly involved the limbs and were associated with a wide spectrum of predisposing comorbidities, especially advanced atherosclerotic vascular disease and arteriovenous fistula...
September 2017: Case Reports in Dermatology
https://www.readbyqxmd.com/read/29194891/utero-cutaneous-fistula-following-caesarean-section
#7
Ashraf F Hefny, Ritu Nambiar, Jagalpathy Jagdish, Masoud O Bashir
No abstract text is available yet for this article.
November 30, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29184738/nasal-duplication-combined-with-cleft-lip-and-palate-surgical-correction-and-long-term-follow-up
#8
Kanharith Long, Kazuaki Yamaguchi, Daniel Lonic, Vanna Long, Vuthy Chhoeurn, Lun-Jou Lo
Background: Diprosopus dirrhinus, or nasal duplication, is a rare entity of partial craniofacial duplication. Methods: The case we present is the first report of diprosopus dirrhinus associated with complete cleft lip and palate. The baby was born in Cambodia at full term by normal vaginal delivery with no significant perinatal and family history. Physical examination revealed significant facial deformity due to the duplicated nose and the left complete cleft lip/palate on the right subset...
October 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29182901/surgery-for-post-operative-entero-cutaneous-fistulas-is-bowel-resection-plus-primary-anastomosis-without-stoma-a-safe-option-to-avoid-early-recurrence-report-on-20-cases-by-a-single-center-and-systematic-review-of-the-literature
#9
A Lauro, R Cirocchi, N Cautero, A Dazzi, D Pironi, F M Di Matteo, A Santoro, S Faenza, L Pironi, A D Pinna
BACKGROUND: A review was performed on entero-cutaneous fistula (ECF) repair and early recurrence, adding our twenty adult patients (65% had multiple fistulas). METHODS: The search yielded 4.098 articles but only 15 were relevant: 1.217 patients underwent surgery. The interval time between fistula's diagnosis and operative repair was between 3 months and 1 year. A bowel resection with primary anastomosis was performed in 1.048 patients, 192 (18.3%) underwent a covering stoma: 856 patients (81...
July 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29159469/-acne-inversa-hidradenitis-suppurativa-an-update
#10
REVIEW
R Sabat, A Tsaousi, J Rossbacher, H Kurzen, T Fadai, U Schwichtenberg, S Schneider-Burrus, G Kokolakis, K Wolk
Acne inversa (AI)/hidradenitis suppurativa is a chronic, recurrent, immune-mediated dermatosis characterized by deep inflammatory nodules, abscesses, fistulas, and undermined scars in skin areas bearing apocrine glands. In addition to the cutaneous manifestation, numerous AI patients show metabolic changes, spondyloarthritis, and depression. AI leads to a strong reduction in the quality of life and an impairment of the sexual life of affected individuals and often culminates in social withdrawal, stigmatization, unemployment, and suicidal thoughts...
November 20, 2017: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/29148009/preoperative-ultrasound-for-runoff-venous-decompression-of-peripheral-nerves-for-arteriovenous-access-related-pain-in-the-upper-limb
#11
Hiroaki Matsuda, Yoshinari Oka, Ryuichi Yoshida, Yuki Katsura, Hidemi Takeuchi, Yasuo Fujimoto, Shigeko Takatsu, Masashi Miyazaki
INTRODUCTION: Arteriovenous access (AVA)-related pain treated successfully with runoff-venous decompression of the causative nerve, following ultrasound (US)-assisted preoperative evaluation, has never been reported. CASE PRESENTATION: A 57-year-old man suffering from constant exhausting pains along the outflow cephalic vein of the radiocephalic arteriovenous fistula at the wrist and the antecubital fossa, was treated surgically after the diagnosis of AVA-related pain derived from cephalic vein compression on two peripheral cutaneous nerves, the superficial radial nerve (SRN) and the lateral antebrachial cutaneous nerve (LACN)...
November 9, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/29127136/tuberculosis-epididymitis-complicated-by-a-cutaneous-fistula
#12
Scott A Weisenberg, Qingwei Robert Yan
A 63-year-old man developed scrotal swelling that became bilateral over 2 months. His symptoms persisted after treatment for epididymitis, and he developed a scrotal fistula with drainage. Mycobacterium tuberculosis grew from the urine and fistula. His symptoms resolved and fistula closed with medical therapy. His case highlights the importance of early recognition, diagnosis and treatment of this form of extrapulmonary tuberculosis.
November 9, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29118701/nevus-comedonicus-case-report
#13
Renata Pinto Fernandes Timbó, Maria Kátia Gomes, Eduardo Mastrangelo Marinho Falcão, Marcia Ramos-E-Silva
Nevus comedonicus is a rare cutaneous anomaly, characterized by the clustering of papules with firm, blackened horny buffers. It in general has a zosteriform pattern and affects both genders equally. In some patients, there is formation of cysts, abscesses, and fistulas, aggravating its psychosocial impact. The association with extracutaneous lesions characterizes the nevus comedonicus syndrome. Despite several therapeutic options, the result is unsatisfactory in most cases. We report the case of a man with an exuberant congenital lesion, affecting the left suprascapular region, arm, and forearm...
September 2017: Case Reports in Dermatology
https://www.readbyqxmd.com/read/29071039/laser-assisted-treatment-of-extra-oral-cutaneous-sinus-tract-of-endodontic-origin-a-case-report
#14
Mohammad Asnaashari, Sajedeh Ghorbanzadeh, Saranaz Azari-Marhabi, Seyed Masoud Mojahedi
Introduction: Sinus tract (or fistula) is a common manifestation of pulpal necrosis with periapical pathosis that requires conventional or rarely surgical- endodontic treatment in order to heal. It is mainly identified intraorally and in rare cases manifestation is extra orally, which may frequently be misdiagnosed with cutaneous lesion and incorrectly treated. New technologies such as lasers have been developed as adjuncts to standard endodontic antimicrobial procedures in order to increase the success rate of endodontic therapy while complying with the desire of saving a natural tooth...
2017: Journal of Lasers in Medical Sciences
https://www.readbyqxmd.com/read/29049168/sialocutaneous-fistula-to-the-external-auditory-canal-repaired-with-superficial-parotidectomy-and-temporoparietal-flap-a-case-report
#15
Benjamin D van der Woerd, Stephanie Danielle MacNeil
RATIONALE: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. PATIENT CONCERNS: Gustatory, left-sided clear otorrhea with acutely increased volume over 8 months causing social disruption...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29024832/somatic-second-hit-mutation-of-rasa1-in-vascular-endothelial-cells-in-capillary-malformation-arteriovenous-malformation
#16
Philip E Lapinski, Abbas Doosti, Valerie Salato, Paula North, Patricia E Burrows, Philip D King
Capillary malformation-arteriovenous malformation (CM-AVM) is an autosomal dominant vascular disorder that is associated with inherited inactivating mutations of the RASA1 gene in the majority of cases. Characteristically, patients exhibit one or more focal cutaneous CM that may occur alone or together with AVM, arteriovenous fistulas or lymphatic vessel abnormalities. The focal nature and varying presentation of lesions has led to the hypothesis that somatic "second hit" inactivating mutations of RASA1 are necessary for disease development...
October 9, 2017: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/28981186/the-use-of-singapore-flaps-for-vaginal-reconstruction-in-women-with-vaginal-stenosis-with-obstetric-fistula-a-surgical-technique
#17
Rachel J Pope, Rodger H Brown, Ennet Chipungu, Larry H Hollier, Jeffrey P Wilkinson
Gynecologic and plastic surgeons collaborate to improve vaginal reconstruction for women with vaginal stenosis and obstetric fistula. As these cases are typically in low-resource settings, the Singapore flap is a useful technique given its reliability, safety, ease of dissection, and minimal need for additional supplies. The fasciocutaneous flap maintains cutaneous innervation and vasculature and does not require stenting. The surgical collaboration has made it possible to provide functional vaginal reconstruction as a part of the overall care of obstetric fistula patients...
October 5, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28979632/-staphylococcal-toxic-shock-syndrome-at-a-chronic-hemodialysis
#18
Hassan Alaoui, Ayoub Belhadj, Younes Aissaoui, Rachid Seddiki, Mohamed Zoubir, Mohamed Bougalem
Staphylococcal toxic shock syndrome is an acute and systemic infectious syndrome associated with the super-antigenic activity of staphylococcal toxins. It is a pathology that is rather rare but remains burdened with a considerable mortality despite the therapeutic management. The gateway is usually cutaneous with secondary bacteremic spread could be subject to preventive measures. We report the case of a rapidly fatal staphylococcal toxic shock, developed in a chronic hemodialysis whose entry from the arteriovenous fistula was suspected...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28957324/broncho-pleuro-cutaneous-fistula-and-pneumothorax-rare-challenging-complications-of-chest-wall-eumycetoma
#19
Eiman Siddig Ahmed Saad, Ahmed Hassan Fahal
No abstract text is available yet for this article.
September 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28953152/secondary-maxillary-and-orbital-floor-reconstruction-with-a-free-scapular-flap-using-cutting-and-fixation-guides-created-by-computer-aided-design-computer-aided-manufacturing
#20
Daiki Morita, Toshiaki Numajiri, Shoko Tsujiko, Hiroko Nakamura, Ryo Yamochi, Yoshihiro Sowa, Makoto Yasuda, Shigeru Hirano
Computer-aided design/computer-aided manufacturing (CAD/CAM) guides are now widely used in maxillofacial reconstruction. However, there are few reports of CAD/CAM guides being used for scapular flaps. The authors performed the secondary maxillary and orbital floor reconstruction using a free latissimus dorsi muscle, cutaneous tissue, and scapular flap designed using CAD/CAM techniques in a 72-year-old man who had undergone partial maxillectomy four years previously. The patient had diplopia, the vertical dystopia of eye position, and a large oral-nasal-cutaneous fistula...
November 2017: Journal of Craniofacial Surgery
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