Database : MEDLINE
Search on : Subphrenic and Abscess [Words]
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[PMID]: 24886112
[Au] Autor:Salústio R; Nabais C; Paredes B; Sousa FV; Porto E; Fradique C
[Ti] Title:Association of intestinal malrotation and Bochdalek hernia in an adult: a case report.
[So] Source:BMC Res Notes;7:296, 2014.
[Is] ISSN:1756-0500
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Late presentations of congenital diaphragmatic hernia are rare and differ from the classic neonatal presentation. The association with other congenital malformations in children, mainly intestinal malrotation, is well documented. The diagnosis of this association in adults is very rare, and depends on a high degree of suspicion. CASE PRESENTATION: We report a case of a 50-year-old female Caucasian patient with a previous history of intestinal malrotation diagnosed in adolescence and treated conservatively. She was referred to the hospital with signs and symptoms of intestinal obstruction. The patient undertook computed tomography that confirmed small bowel obstruction with no obvious cause, and a right subphrenic abscess with right empyema was also present. An exploratory laparotomy was performed that revealed an intestinal malrotation associated with a right gangrenous and perforated Bochdalek hernia. Resection of the affected small bowel, closure of the Bochdalek foramen and the Ladd procedure were carried out. CONCLUSION: This case shows a rare association of two rare conditions in adults, and highlights the challenge in reaching the diagnosis and management options.
[Mh] MeSH terms primary: Hernias, Diaphragmatic, Congenital/complications
Intestinal Volvulus/complications
[Mh] MeSH terms secundary: Adult
Female
Hernias, Diaphragmatic, Congenital/radiography
Hernias, Diaphragmatic, Congenital/surgery
Humans
Intestinal Obstruction/complications
Intestinal Obstruction/radiography
Intestinal Obstruction/surgery
Intestinal Volvulus/radiography
Intestinal Volvulus/surgery
Tomography, X-Ray Computed
Young Adult
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1501
[Js] Journal subset:IM
[Da] Date of entry for processing:140604
[St] Status:MEDLINE
[do] DOI:10.1186/1756-0500-7-296

  2 / 1188 MEDLINE  
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[PMID]: 24287016
[Au] Autor:Godinho AR; Tomé E; Vaz A; Gomes A; Vaz P
[Ad] Address:Serviço de Cardiologia, Hospital de São João, Porto, Portugal. Electronic address: rita_biscaia_godinho@hotmail.com....
[Ti] Title:Endocardite por Gemella: uma entidade agressiva. [Gemella endocarditis: an aggressive entity].
[So] Source:Rev Port Cardiol;32(12):1027-30, 2013 Dec.
[Is] ISSN:2174-2030
[Cp] Country of publication:Portugal
[La] Language:por
[Ab] Abstract:The authors present a rare case of subacute endocarditis caused by Gemella morbillorum. A 72-year-old man, with a history of hypertension, aortic valve disease and upper and lower endoscopy six months previously, was admitted due to fever and abdominal pain. He also complained of long-standing dyspnea on exertion and petechiae on his lower limbs. Imaging scans showed a consolidation in the lower left lung field, a splenic infarct and a left subphrenic abscess. Transthoracic echocardiogram findings were highly suggestive of endocarditis affecting three valves, with destruction of the mitral valve anterior leaflet. G. morbillorum was identified in three blood cultures and was considered the etiologic pathogen. Due to the patient's worsening condition, he underwent cardiac surgery, aiming to control the infection and to resolve the associated mechanical complications. This case highlights the need for a complete and thorough history to arrive at likely diagnostic hypotheses that, together with complementary exams, will lead to correct diagnosis and the prompt institution of appropriate therapy.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1312
[Js] Journal subset:IM
[St] Status:In-Process

  3 / 1188 MEDLINE  
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[PMID]: 23364107
[Au] Autor:Hensey N; Ahmed S; Minchin J; Athavale N; Abdelhafiz A
[Ad] Address:Rotherham General Hospital, UK. nikkihensey@doctors.org.uk
[Ti] Title:Intra-abdominal abscess in older patients: two atypical presentations to the Acute Medical Unit.
[So] Source:Acute Med;11(4):226-30, 2012.
[Is] ISSN:1747-4892
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:An abscess is a localised collection of necrotic tissue, white cells and bacteria, collectively forming pus. Intra-abdominal abscesses can occur viscerally (e.g. hepatic abscess), retroperitoneally (e.g. psoas abscess) or intraperitoneally (e.g. subphrenic abscess).(1, 2) Clinical presentation is variable and largely depends on the site of abscess. Fever and abdominal pain are the classic symptoms although in older people presentation can be non-specific. Prompt diagnosis and early intervention are vital for good outcomes.(3) We present two cases of older women whose presentation with atypical symptoms resulted in a delay in diagnosis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1301
[Js] Journal subset:IM
[St] Status:In-Data-Review

  4 / 1188 MEDLINE  
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[PMID]: 25114817
[Au] Autor:Caravaca F; Burguera V; Fernández-Lucas M; Teruel JL; Quereda C
[Ad] Address:Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain....
[Ti] Title:Subphrenic abscess as a complication of hemodialysis catheter-related infection.
[So] Source:Case Rep Nephrol;2014:502019, 2014.
[Is] ISSN:2090-6641
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:We describe an unusual case of subphrenic abscess complicating a central venous catheter infection caused by Pseudomonas aeruginosa in a 59-year-old woman undergoing hemodialysis. The diagnosis was made through computed tomography, and Pseudomonas aeruginosa was isolated from the purulent drainage of the subphrenic abscess, the catheter tip and exit site, and the blood culture samples. A transesophageal echocardiography showed a large tubular thrombus in superior vena cava, extending to the right atrium, but no evidence of endocarditis or other metastatic infectious foci. Catheter removal, percutaneous abscess drainage, anticoagulation, and antibiotics resulted in a favourable outcome.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1408
[Cu] Class update date: 140815
[Lr] Last revision date:140815
[Da] Date of entry for processing:140812
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1155/2014/502019

  5 / 1188 MEDLINE  
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[PMID]: 24848834
[Au] Autor:Preece SR; Nelson RC; Bashir MR; Jaffe TA; Kim CY; Haystead CM
[Ad] Address:1 Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.
[Ti] Title:Safety of an intercostal approach for imaging-guided percutaneous drainage of subdiaphragmatic abscesses.
[So] Source:AJR Am J Roentgenol;202(6):1349-54, 2014 Jun.
[Is] ISSN:1546-3141
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: The objective of our study was to test the hypothesis that an intercostal approach to imaging-guided percutaneous subdiaphragmatic abscess drainage is as safe as a subcostal approach. MATERIALS AND METHODS: A cohort of 258 consecutive patients with one or more subdiaphragmatic abscesses referred for imaging-guided (CT or ultrasound) percutaneous drainage was identified. Demographic characteristics and clinical outcomes were compared between patients who underwent drainage catheter placement via an intercostal approach versus those who underwent drainage catheter placement via a subcostal approach. RESULTS: Percutaneous drainage was performed for 441 abscesses in 258 patients in 409 separate procedures (214 via an intercostal approach, 186 by a subcostal approach, and nine by a combined approach). The total number of pleural complications was significantly higher in the intercostal group (56/214 [26.2%]) than the subcostal group (15/186 [8.1%]; p < 0.001). These complications included a significantly higher pneumothorax rate in the intercostal group than the subcostal group (15/214 [7.0%] vs 0/186 [0%], respectively; p < 0.01) and a higher incidence of new or increased pleural effusions (38/214 [17.8%] vs 14/186 [7.5%]; p < 0.01). The incidence of empyema was low and similar between the two groups (intercostal vs subcostal, 3/214 [1.4%] vs 1/186 [0.5%]; p = 0.63). A few of the complications in the patients who underwent an intercostal-approach drainage were clinically significant. Four of the 15 pneumothoraces required thoracostomy tubes and eight of 38 (21.1%) pleural effusions required thoracentesis, none of which was considered infected. CONCLUSION: An intercostal approach for imaging-guided percutaneous drainage is associated with a higher risk of pleural complications; however, most of these complications are minor and should not preclude use of the intercostal approach.
[Mh] MeSH terms primary: Drainage/statistics & numerical data
Empyema/epidemiology
Pneumothorax/epidemiology
Postoperative Complications/epidemiology
Subphrenic Abscess/therapy
Surgery, Computer-Assisted/methods
[Mh] MeSH terms secundary: Causality
Comorbidity
Drainage/methods
Empyema/prevention & control
Female
Humans
Incidence
Male
Middle Aged
North Carolina/epidemiology
Postoperative Complications/prevention & control
Retrospective Studies
Ribs/radiography
Ribs/surgery
Ribs/ultrasonography
Risk Factors
Subphrenic Abscess/diagnosis
Subphrenic Abscess/epidemiology
Surgery, Computer-Assisted/statistics & numerical data
Treatment Outcome
[Pt] Publication type:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Entry month:1407
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:140522
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.13.10712

  6 / 1188 MEDLINE  
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[PMID]: 24142435
[Au] Autor:Heute C; Jaeger FO; Heyer CM
[Ti] Title:Postoperativer Nachweis subphrenischer Flüssigkeit mit Gaseinschlüssen--nicht immer ein Abszess. [Postoperative subphrenic evidence of liquid with gas bubbles -- not always an abscess].
[So] Source:Rofo;186(3):281-2, 2014 Mar.
[Is] ISSN:1438-9010
[Cp] Country of publication:Germany
[La] Language:ger
[Mh] MeSH terms primary: Cholecystectomy/adverse effects
Gastrectomy/adverse effects
Splenic Infarction/etiology
Splenic Infarction/radiography
Subphrenic Abscess/etiology
Subphrenic Abscess/radiography
Tomography, X-Ray Computed/methods
[Mh] MeSH terms secundary: Diagnosis, Differential
False Positive Reactions
Humans
Male
Middle Aged
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1404
[Js] Journal subset:IM
[Da] Date of entry for processing:140218
[St] Status:MEDLINE
[do] DOI:10.1055/s-0033-1355500

  7 / 1188 MEDLINE  
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[PMID]: 24129251
[Au] Autor:Szijártó A; Lévay B; Kupcsulik P
[Ad] Address:a1st Department of Surgery, Semmelweis University bDepartment of Head and Neck Surgery, National Institute of Oncology, Budapest, Hungary.
[Ti] Title:Unusual consequences of 'incomplete' laparoscopic cholecystectomy.
[So] Source:Eur J Gastroenterol Hepatol;26(3):357-60, 2014 Mar.
[Is] ISSN:1473-5687
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:In recent years, laparoscopic cholecystectomy (LC) has become the standard surgical practice for the treatment of cholecystolithiasis. As a recognized technical difficulty, it may be associated with the mechanical injury of the gallbladder and/or spilling some of the gallstones into the abdominal cavity. The actual incidence of the latter complication is ~10%. The removal of lost stones from the abdominal cavity is rather elaborate if not infeasible. There is little information about the behaviour of retained gallstones in the free abdominal cavity. Publications report on subsequent intraperitoneal abscesses and fistulas or on the extreme localization of the impacted gallstones. This paper presents two cases with late complications of the abandoned gallstones or gallbladder. Case 1: A 56-year-old female patient underwent an LC 7 years ago. She was recently admitted with a chronic septic condition and suspected autoimmune disease. Preoperative examinations indicated hepatic abscess. Surgery showed gallstones impacted in the gallbladder bed. Case 2: A 59-year-old male patient underwent an LC a year before his admission. His operation was followed by the development of a septic condition and a subphrenic abscess was identified. During his reoperation, a remnant gallbladder containing bile stones was found and removed. Special attention should be paid to careful revision of residual stones during LC.
[Mh] MeSH terms primary: Cholecystectomy, Laparoscopic/adverse effects
Cholelithiasis/surgery
[Mh] MeSH terms secundary: Abdominal Abscess/etiology
Chronic Disease
Female
Gallstones/complications
Gallstones/diagnosis
Humans
Male
Middle Aged
Reoperation
Sepsis/etiology
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1410
[Js] Journal subset:IM
[Da] Date of entry for processing:140127
[St] Status:MEDLINE
[do] DOI:10.1097/MEG.0000000000000006

  8 / 1188 MEDLINE  
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[PMID]: 24738210
[Au] Autor:Mosiagin VB; Ryl'kov VF; Klechikov VZ; Karpatskii IV
[Ti] Title:[Successful treatment of patients with idiopathic necrosis of the forestomach].
[So] Source:Vestn Khir Im I I Grek;172(6):80-2, 2013.
[Is] ISSN:0042-4625
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Mh] MeSH terms primary: Anastomotic Leak
Cardia
Gastrectomy
Stomach Diseases/surgery
Subphrenic Abscess
[Mh] MeSH terms secundary: Adult
Anastomotic Leak/etiology
Anastomotic Leak/physiopathology
Anastomotic Leak/surgery
Cardia/pathology
Cardia/surgery
Female
Gastrectomy/adverse effects
Gastrectomy/methods
Humans
Necrosis
Reoperation
Severity of Illness Index
Stomach Diseases/diagnosis
Stomach Diseases/physiopathology
Subphrenic Abscess/etiology
Subphrenic Abscess/physiopathology
Subphrenic Abscess/surgery
Treatment Outcome
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1405
[Js] Journal subset:IM
[Da] Date of entry for processing:140417
[St] Status:MEDLINE

  9 / 1188 MEDLINE  
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[PMID]: 24215711
[Au] Autor:Camera L; Calabrese M; Romeo V; Scordino F; Mainenti PP; Clemente M; Rapicano G; Salvatore M
[Ad] Address:Department of Radiology, University 'Federico II', Via S, Pansini 5, 80131 Naples, Italy. camera@unina.it.
[Ti] Title:Perforated duodenal ulcer presenting with a subphrenic abscess revealed by plain abdominal X-ray films and confirmed by multi-detector computed tomography: a case report.
[So] Source:J Med Case Rep;7:257, 2013.
[Is] ISSN:1752-1947
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Peptic ulcer disease is still the major cause of gastrointestinal perforation despite major improvements in both diagnostic and therapeutic strategies. While the diagnosis of a perforated ulcer is straightforward in typical cases, its clinical onset may be subtle because of comorbidities and/or concurrent therapies. CASE PRESENTATION: We report the case of a 53-year-old Caucasian man with a history of chronic myeloid leukemia on maintenance therapy (100mg/day) with imatinib who was found to have a subphrenic abscess resulting from a perforated duodenal ulcer that had been clinically overlooked. Our patient was febrile (38.5°C) with abdominal tenderness and hypoactive bowel sounds. On the abdominal plain X-ray films, a right subphrenic abscess could be seen. On contrast-enhanced multi-detector computed tomography, a huge air-fluid collection extending from the subphrenic to the subhepatic anterior space was observed. After oral administration of 500cm3 of 3 percent diluted diatrizoate meglumine, an extraluminal leakage of the water-soluble iodinated contrast media could then be appreciated as a result of a perforated duodenal ulcer. During surgery, the abscess was drained and extensive adhesiolysis had to be performed to expose the duodenal bulb where the ulcer was first identified by methylene blue administration and then sutured. CONCLUSIONS: While subphrenic abscesses are well known complications of perforated gastric or duodenal ulcers, they have nowadays become rare thanks to advances in both diagnostic and therapeutic strategies for peptic ulcer disease. However, when peptic ulcer disease is not clinically suspected, the contribution of imaging may be substantial.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1401
[Cu] Class update date: 140714
[Lr] Last revision date:140714
[Da] Date of entry for processing:140117
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1186/1752-1947-7-257

  10 / 1188 MEDLINE  
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[PMID]: 24127375
[Au] Autor:Whalley HJ; Remoundos DD; Webster J; Silva MA
[Ad] Address:Department of Hepatobiliary Surgery, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.
[Ti] Title:Shortness of breath, fever and abdominal pain in a 21-year-old student.
[So] Source:BMJ Case Rep;2013, 2013.
[Is] ISSN:1757-790X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:A 21-year-old patient presented with a 3-day history of shortness of breath, productive cough, fatigue, fevers and night sweats, associated with right upper quadrant pain. He had an appendicectomy 3 months previously. The CT images showed a right subphrenic collection, which was indenting the right lobe of the liver, with an appendicolith in the middle. He underwent laparoscopic surgery where the abscess was drained and the appendicolith was retrieved. The patient had an uncomplicated postoperative period and was discharged soon afterwards. Complications from spilled appendicoliths have been reported previously. Retained appendicoliths and gallstones can act as niduses for infection, and thus cause symptoms at a later stage. Surgical notes should include the findings of appendicoliths, and in the event where retrieval is not possible, a clear record of this must be made, and the patient along with the general practitioner need to be informed.
[Mh] MeSH terms primary: Abdominal Pain/etiology
Appendix
Cecal Diseases/complications
Dyspnea/etiology
Fever/etiology
Lithiasis/complications
[Mh] MeSH terms secundary: Appendicitis/complications
Cecal Diseases/diagnosis
Humans
Lithiasis/diagnosis
Male
Subphrenic Abscess/diagnosis
Subphrenic Abscess/etiology
Young Adult
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1410
[Js] Journal subset:IM
[Da] Date of entry for processing:131015
[St] Status:MEDLINE


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