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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

  2 / 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

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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

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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.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1406
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1186/1756-0500-7-296

  5 / 1188 MEDLINE  
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[PMID]: 23707144
[Au] Autor:Chivot C; Robert B; Lafaye N; Fuks D; Dhahri A; Verhaeghe P; Regimbeau JM; Yzet T
[Ad] Address:Department of Radiology, University of Picardie, place Victor-Pauchet, 80054 Amiens cedex 1, France.
[Ti] Title:Laparoscopic sleeve gastrectomy: imaging of normal anatomic features and postoperative gastrointestinal complications.
[So] Source:Diagn Interv Imaging;94(9):823-34, 2013 Sep.
[Is] ISSN:2211-5684
[Cp] Country of publication:France
[La] Language:eng
[Ab] Abstract:Morbid obesity is a public health problem in the United States and Europe and its prevalence is on the increase. Despite certain progress the efficacy of medical treatment remains limited. Bariatric surgery has consequently become an effective alternative for patients with morbid obesity. The bariatric operations most frequently performed are laparoscopic adjustable gastric banding (LAGB) and Roux-en-Y gastric bypass (LGB), but laparoscopic sleeve gastrectomy (LSG) is increasingly popular with both bariatric surgeons and patients due to its simplicity, rapidity and decreased morbidity. The purpose of this pictorial essay is to familiarize radiologists with the normal postoperative anatomic features and the imaging findings of postoperative gastrointestinal complications of laparoscopic sleeve gastrectomy because little literature exists on this subject.
[Mh] MeSH terms primary: Bariatric Surgery/methods
Gastroplasty/methods
Laparoscopy/methods
Postgastrectomy Syndromes/radiography
[Mh] MeSH terms secundary: Anastomotic Leak/radiography
Bronchial Fistula/radiography
Cutaneous Fistula/radiography
Diagnosis, Differential
Gastric Dilatation/radiography
Gastric Fistula/radiography
Gastric Outlet Obstruction/radiography
Humans
Postoperative Hemorrhage/radiography
Reference Values
Sensitivity and Specificity
Spleen/injuries
Subphrenic Abscess/radiography
Surgical Wound Infection/radiography
Tomography, X-Ray Computed
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1406
[Js] Journal subset:IM
[Da] Date of entry for processing:130923
[St] Status:MEDLINE

  6 / 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.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1310
[Js] Journal subset:IM
[St] Status:In-Process

  7 / 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

  8 / 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

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[PMID]: 23575554
[Au] Autor:Atlas H; Yazbek T; Garneau PY; Safa N; Denis R
[Ad] Address:Département de Chirurgie, Division de Chirurgie Bariatrique, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest Montréal, Québec, H4J 1C5, Canada. atlash@videotron.ca
[Ti] Title:Is there a future for Laparoscopic Gastric Greater Curvature Plication (LGGCP)? a review of 44 patients.
[So] Source:Obes Surg;23(9):1397-403, 2013 Sep.
[Is] ISSN:1708-0428
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Laparoscopic gastric greater curvature plication (LGGCP) is a new restrictive weight loss procedure. METHODS: Between February 2011 and June 2012, 57 patients underwent LGGCP. Thirteen had it associated with a lap band and were excluded from the study. Data was collected through routine follow-up. Demographics, complications, and percentage of excess weight loss (% EWL) were determined. RESULTS: Forty-four patients underwent LGGCP, 40 women and 4 men with a mean age of 40 years (range, 18-72), a mean body mass index of 38 kg/m(2) (range, 35-46). Comorbidities included 2 diabetes mellitus, 11 hypertension, 8 hyperlipidaemia, and 8 obstructive sleep apnea. The mean operative time was 106 min (range, 60-180) and mean duration of hospital stay was 18 h (range, 12-168). Operative complications included one subphrenic abscess, one gastrogastric hernia, and one acute respiratory distress syndrome. Thirty patients experienced strong restriction with nausea and vomiting for the first 10 days (79.5 %). Eleven patients (25.0 %) came back with intractable nausea and vomiting, and were hospitalized, or had their hospital stay prolonged. Four patients needed early reversal of gastric plication (9 %). There was no postoperative death. The mean postoperative % EWL was 30.6 % (n = 40), 57.0 % (n = 24), 50.7 % (n = 13) at 1, 6, and 12 months, respectively. CONCLUSIONS: LGGCP yields an acceptable weight loss compared to other restrictive procedures, but with a higher readmission rate for postoperative nausea and vomiting, or even reversal of plication. We advocate more studies to evaluate safety and effectiveness.
[Mh] MeSH terms primary: Gastroplasty
Laparoscopy
Obesity, Morbid/surgery
Postoperative Complications/surgery
Reoperation/statistics & numerical data
Weight Loss
[Mh] MeSH terms secundary: Adolescent
Adult
Aged
Canada/epidemiology
Diabetes Mellitus, Type 2/epidemiology
Female
Follow-Up Studies
Gastroplasty/adverse effects
Gastroplasty/methods
Gastroplasty/trends
Humans
Hyperlipidemias/epidemiology
Hypertension/epidemiology
Laparoscopy/adverse effects
Male
Middle Aged
Obesity, Morbid/epidemiology
Operative Time
Postoperative Complications/epidemiology
Postoperative Nausea and Vomiting/epidemiology
Prospective Studies
Sleep Apnea, Obstructive/epidemiology
Treatment Outcome
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1403
[Js] Journal subset:IM
[Da] Date of entry for processing:130730
[St] Status:MEDLINE
[do] DOI:10.1007/s11695-013-0934-y

  10 / 1188 MEDLINE  
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[PMID]: 18182732
[Au] Autor:Dai WD; Hu JX; Zhong DW; Miao XY; Wang QW
[Ad] Address:Department of Hepatobiliary Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
[Ti] Title:[Highly-selective regional vascular exclusion for large liver tumor resection].
[So] Source:Zhong Nan Da Xue Xue Bao Yi Xue Ban;32(6):1085-8, 2007 Dec.
[Is] ISSN:1672-7347
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To evaluate the highly-selective regional vascular exclusion in the risk hepatectomy for liver tumor. METHODS: Short hepatic veins were ligated and divided followed by the dissection, and isolation of the inflow and outflow vessels of the tumor-bearing lobe, which were completely devascularized after the occlusion of these vessels. The blood loss volume, postoperative recovering situation of the liver function and the incidence of complication were observed in 68 cases. RESULTS: Main hepatic veins were dissected and isolated exo-hepatically in 65 cases. In the other 3 cases, the main hepatic veins were blocked by Satin skin clamp applied longitudely along the inferior vena cava. Hepatic pedicle was routinely excluded.The amount of blood loss was from 400 to 1200 (600+/-200) mL and 26 (65%) cases didn't receive transfusion.There was no operative mortality and liver function failure. Surgical complications included subphrenic abscess in 2 cases and bile leakage in 2 cases, which were cured conservatively. CONCLUSION: Highly-selective regional exclusion of hepatic blood flow during the risk hepatectomy is safe and effective to prevent massive bleeding and to reduce the incidence of liver failure.
[Mh] MeSH terms primary: Hepatectomy/methods
Hepatic Veins/surgery
Liver Neoplasms/surgery
Liver/surgery
[Mh] MeSH terms secundary: Adult
Aged
Female
Humans
Liver/blood supply
Liver Neoplasms/pathology
Male
Middle Aged
Vena Cava, Inferior/surgery
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1403
[Js] Journal subset:IM
[Da] Date of entry for processing:080109
[St] Status:MEDLINE


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