Database : MEDLINE Search on : Subphrenic and Abscess [Words] References found : 1173 [refine] Displaying: 1 .. 10   in format [Detailed]

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[PMID]: 23463114 [Au] Autor: Liu L; Goh ZW; Rhodes B [Ti] Title: Empyema and psoas abscess in a previously undiagnosed diabetic patient. [So] Source: N Z Med J;126(1369):79-82, 2013 Feb 15. [Is] ISSN: 1175-8716 [Cp] Country of publication: New Zealand [La] Language: eng [Ab] Abstract: A 48-year-old man presented with a 2-month history of polyuria, polydypsia, chest pain, fever, cough and extreme weight loss. He was diagnosed with diabetic ketoacidosis and investigations revealed widespread infection with an empyema complicated by bronchopleural fistula, and iliopsoas, suprapubic and periarticular abscesses. Streptococcus milleri was cultured from all sites. A multidisciplinary medical and surgical approach was required for treatment. This case highlights the immunosuppression, and life-threatening complications arising from undiagnosed diabetes mellitus. [Mh] MeSH terms primary: Diabetes Mellitus, Type 2/complications Empyema, Pleural/etiology Psoas Abscess/etiology Subphrenic Abscess/etiology [Mh] MeSH terms secundary: Diabetes Mellitus, Type 2/diagnosis Diabetes Mellitus, Type 2/therapy Empyema, Pleural/diagnosis Empyema, Pleural/therapy Humans Male Middle Aged Prognosis Psoas Abscess/diagnosis Psoas Abscess/therapy Subphrenic Abscess/diagnosis Subphrenic Abscess/therapy [Pt] Publication type: CASE REPORTS; LETTER [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 130306 [St] Status: MEDLINE

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[PMID]: 23569442 [Au] Autor: Hadimeri U; Hultman P; Larsson R; Melander S; Mölne J; Hadimeri H [Ad] Address: Department of Radiology, Kärnsjukhuset, Skövde, Linköping University, Linköping, Göteborg, Sweden. [Ti] Title: Membranoproliferative glomerulonephritis and inflammatory pseudotumour of the spleen. [So] Source: Case Rep Oncol;6(1):84-9, 2013 Jan. [Is] ISSN: 1662-6575 [Cp] Country of publication: Switzerland [La] Language: eng [Ab] Abstract: Inflammatory pseudotumour is a rare condition that can affect various organs. The clinical and histologic appearance of the pseudotumour may mimic haematological, lymphoproliferative, paraneoplastic or malignant processes. A previously healthy 39-year-old man presented with nephrotic syndrome. He had a history of headaches, nausea and swollen ankles. Computed tomography of the abdomen revealed a 6-cm mass in the spleen. Following a renal biopsy, a diagnosis of membranoproliferative glomerulonephritis (MPGN) type I was made. Splenectomy was performed and the examination revealed a mixed population of lymphocytes with predominantly T-cells, B-cells and lymphoplasmacytoid cells. Immunostaining confirmed that the small cells were mostly T-cells positive for all T-cell markers including CD2, CD3, CD4, CD5, CD7 and CD8. A diagnosis of inflammatory pseudotumour was established. The removal of the spleen was followed by remission of glomerulonephritis, but it was complicated by a subphrenic abscess and pneumonia. This association between an inflammatory pseudotumour of the spleen and MPGN has not been previously described. Abnormal immune response due to the inflammation leading to secondary glomerulonephritis might be the main pathogenic mechanism. [Pt] Publication type: JOURNAL ARTICLE [Em] Entry month: 1304 [Cu] Class update date: 130411 [Lr] Last revision date: 130411 [Da] Date of entry for processing: 130409 [St] Status: PubMed-not-MEDLINE [do] DOI: 10.1159/000347229

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[PMID]: 23256010 [Au] Autor: Migaczewski M; Zub-Pokrowiecka A; Budzynski P; Matlok M; Budzynski A [Ad] Address: 2 Department of General Surgery, Medical College Jagiellonian University, Krakow, Poland. [Ti] Title: Prevention of early infective complications after laparoscopic splenectomy with the Garamycin sponge. [So] Source: Wideochir Inne Tech Malo Inwazyjne;7(2):105-10, 2012 Jun. [Is] ISSN: 1895-4588 [Cp] Country of publication: Poland [La] Language: eng [Ab] Abstract: INTRODUCTION: Surgical site infection (SSI) appear to be more frequent in splenectomized patients than might be expected and its incidence can be explained neither by the extent of surgery nor by the risk of bacterial contamination of the operating field. AIM: Evaluation the local antibiotic prophylaxis using a gentamicin surgical implant in order to reduce SSI, particularly subphrenic abscesses. MATERIAL AND METHODS: WE CONDUCTED A PROSPECTIVE, RANDOMIZED STUDY OF TWO GROUPS OF PATIENTS UNDERGOING LAPAROSCOPIC SPLENECTOMY WHO WERE CONSIDERED AT HIGH RISK OF INFECTIVE COMPLICATIONS: patients with idiopathic thrombocytopenic purpura (ITP) pre-treated chronically with systemic steroids and patients with non-Hodgkin lymphoma (NHL). Out of 98 laparoscopic splenectomies performed during the study period, 40 patients with ITP and 20 with NHL met the inclusion criteria and were enrolled in the study. In 20 randomly selected patients with ITP and 10 with NHL, a gentamicin-collagen implant was left in the splenic bed. RESULTS: Infective complications occurred in 4 (6.67%) among 60 patients from the entire study group; 2 in patients with ITP and a gentamicin implant who developed fever of unknown cause which resolved after systemic antibiotics, and 2 in patients with NHL and gentamicin prophylaxis who developed a subphrenic abscess. In all patients operated on without a gentamicin implant, the postoperative course was uncomplicated. CONCLUSIONS: Gentamicin surgical implants not only fail to reduce the risk of subphrenic abscesses in splenectomized patients, but may contribute to the increase in its incidence, which puts into question the possible benefits of this form of prophylaxis. [Pt] Publication type: JOURNAL ARTICLE [Em] Entry month: 1212 [Cu] Class update date: 130403 [Lr] Last revision date: 130403 [Da] Date of entry for processing: 121220 [St] Status: PubMed-not-MEDLINE [do] DOI: 10.5114/wiitm.2011.27151

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[PMID]: 22723035 [Au] Autor: Dencker D; Ewertsen C; Karstrup S [Ad] Address: Department of Diagnostic Imaging, Roskilde Sygehus, Roskilde, Denmark. dittedencker@gmail.com [Ti] Title: Drainage of air-containing cavities guided by image fusion involving ultrasound and electromagnetic needle tracking. [So] Source: Ultraschall Med;33(5):489-92, 2012 Oct. [Is] ISSN: 1438-8782 [Cp] Country of publication: Germany [La] Language: eng [Mh] MeSH terms primary: Abdominal Abscess/surgery Air Colectomy Drainage/instrumentation Electromagnetic Phenomena Image Enhancement/instrumentation Image Interpretation, Computer-Assisted/instrumentation Laparoscopy Point-of-Care Systems Postoperative Complications/surgery Software Subphrenic Abscess/surgery Surgery, Computer-Assisted/instrumentation Tomography, X-Ray Computed/instrumentation Ultrasonography, Interventional/instrumentation [Mh] MeSH terms secundary: Contrast Media/administration & dosage Female Humans Iohexol/diagnostic use Male Middle Aged Reoperation [Pt] Publication type: CASE REPORTS; JOURNAL ARTICLE [Nm] Name of substance: 0 (Contrast Media); 66108-95-0 (Iohexol) [Em] Entry month: 1304 [Js] Journal subset: IM [Da] Date of entry for processing: 121016 [St] Status: MEDLINE [do] DOI: 10.1055/s-0032-1312829

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[PMID]: 23196994 [Au] Autor: Moon R; Teixeira A; Potenza K; Jawad MA [Ad] Address: Department of Bariatric Surgery, Orlando Regional Medical Center, Bariatric and Laparoscopy Center, Orlando Health, 89 Copeland Ave, 1st Floor, Orlando, FL 32806, USA. [Ti] Title: Routine gastrostomy tube placement in gastric bypass patients: impact on length of stay and 30-day readmission rate. [So] Source: Obes Surg;23(2):216-21, 2013 Feb. [Is] ISSN: 1708-0428 [Cp] Country of publication: United States [La] Language: eng [Ab] Abstract: BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (RYGB) is an effective treatment for morbid obesity. Current average length of hospital stay (LOS) after RYGB is 2-3 days and 30-day readmission rate is 8-13 %. The aim of our study is to evaluate the effect of routine gastrostomy tube placement in perioperative outcomes of RYGB patients. METHODS: Between January 2008 and December 2010, a total of 840 patients underwent RYGB at our institution. All RYGB patients had gastrostomy tube placed, which was kept for 6 weeks. A retrospective review of a prospectively collected database was performed for all RYGB patients, noting the outcomes and complications of the procedure. RESULTS: Average LOS in our patient population was 1.1 days (range, 1-14 days), and 824 (98.3 %) patients were discharged on postoperative day 1. Readmissions within 30 days after the index RYGB was observed in 31 (3.7 %) patients. Reasons included abdominal pain (n = 14), nausea/vomiting (n = 6), gastrostomy tube-related complications (n = 5), chest pain (n = 3), allergic reaction (n = 1), urinary tract infection (n = 1), and dehydration (n = 1). Of these readmitted patients, nine (1.1 %) patients required reoperations due to small bowel obstruction (n = 5), perforated anastomotic ulcer (n = 1), anastomotic leak (n = 1), subphrenic abscess (n = 1), and appendicitis (n = 1). CONCLUSIONS: Routine gastrostomy tube placement in the gastric remnant at the time of RYGB seems to have contributed to our short LOS and low 30-day readmission rate. [Pt] Publication type: JOURNAL ARTICLE [Em] Entry month: 1302 [Js] Journal subset: IM [St] Status: In-Process [do] DOI: 10.1007/s11695-012-0835-5

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[PMID]: 22580871 [Au] Autor: Corcione F; Pirozzi F; Aragiusto G; Galante F; Sciuto A [Ad] Address: Department of Laparoscopic and Robotic Surgery, Azienda Ospedaliera dei Colli-Monaldi Hospital, Via Leonardo Bianchi, 80131, Naples, NA, Italy. francesco.corcione@ospedalemonaldi.it [Ti] Title: Laparoscopic splenectomy: experience of a single center in a series of 300 cases. [So] Source: Surg Endosc;26(10):2870-6, 2012 Oct. [Is] ISSN: 1432-2218 [Cp] Country of publication: Germany [La] Language: eng [Ab] Abstract: BACKGROUND: Laparoscopic splenectomy (LS) has gradually become the technique of choice for surgical removal of the spleen. The aim of this study was to evaluate the efficacy of LS in a large cohort of patients from a single center. METHODS: From March 1992 to June 2010, 300 patients underwent LS at our hospital for predominantly hematologic disorders. The first 92 cases were performed using an anterior approach, whereas in the remaining 208 cases a lateral approach with a four-trocar technique was used. Patient demographics, diagnosis, and outcomes were reviewed. RESULTS: Spleen volume was similar between the anterior (350 ml) and the lateral (370 ml) approaches. The lateral approach was associated with shorter operative time (60 vs. 80 min), less blood loss (30 vs. 110 ml), and no conversion (0 vs. 2.2 %) compared to the anterior approach. Reoperations were required in three patients (1.0 %) because of bleeding, subphrenic abscess, and intestinal ischemia. Postoperative complications were significantly fewer for the lateral (4.8 %) than for the anterior (31.5 %) approach and the hospital stay was shorter (3.1 vs. 5.2 days) and there was less postoperative pain. Splenectomy for hematologic malignancies resulted in a higher morbidity rate, more postoperative pain, and longer hospital stay. Overall mortality rate was 0.3 %. No late complications were observed during the 1-5-year follow-up. CONCLUSIONS: LS using the lateral approach with the placement of four trocars can be considered the procedure of choice for both benign and malignant diseases affecting the spleen. Extensive experience and technical standardization help to avoid surgical pitfalls, providing an adequate control of hemostasis, the excision of accessory spleens (AS), and the avoidance of parenchymal rupture. [Mh] MeSH terms primary: Laparoscopy/methods Splenectomy/methods Splenectomy/statistics & numerical data [Mh] MeSH terms secundary: Adolescent Adult Aged Child Child, Preschool Cohort Studies Female Humans Length of Stay Male Middle Aged Splenectomy/mortality Splenic Diseases/surgery Splenic Diseases/ultrasonography Survival Rate Young Adult [Pt] Publication type: EVALUATION STUDIES; JOURNAL ARTICLE [Em] Entry month: 1302 [Js] Journal subset: IM [Da] Date of entry for processing: 120924 [St] Status: MEDLINE

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[PMID]: 23364107 [Au] Autor: Hensey N; Ahmed S; Minchin J; Athavale N; Abdelhafiz A [Ad] Address: Rotherham General Hospital, Moorgate Road Rotherham S60 2UD. [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

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[PMID]: 23102483 [Au] Autor: Singh S; Khardori NM [Ad] Address: Division of Infectious Diseases, Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, VA 23507, USA. [Ti] Title: Intra-abdominal and pelvic emergencies. [So] Source: Med Clin North Am;96(6):1171-91, 2012 Nov. [Is] ISSN: 1557-9859 [Cp] Country of publication: United States [La] Language: eng [Ab] Abstract: The diversity in intra-abdominal/pelvic infections is more than any other organ system. Several clinical scenarios can end up in intra-abdominal infections. The common causes include penetrating abdominal trauma, abdominal surgery, diverticulitis, appendicitis, pancreatitis, biliary disease, perforated viscus, and primary peritonitis. Intra-abdominal infections can masquerade as fever of obscure origin or as dysfunction of neighboring organs, such as lower lobe pneumonia related to a subphrenic abscess or an abscess causing small bowel obstruction. An urgent surgical intervention is the mainstay of the management of serious intra-abdominal infections. [Mh] MeSH terms primary: Critical Illness Emergency Treatment Intraabdominal Infections/diagnosis Intraabdominal Infections/therapy [Mh] MeSH terms secundary: Abdominal Abscess/diagnosis Abdominal Abscess/therapy Anti-Bacterial Agents/therapeutic use Digestive System/microbiology Digestive System Surgical Procedures/methods Drainage/methods Drug Resistance, Microbial Humans Intraabdominal Infections/drug therapy Intraabdominal Infections/surgery Peritonitis/drug therapy Peritonitis/therapy [Pt] Publication type: JOURNAL ARTICLE; REVIEW [Nm] Name of substance: 0 (Anti-Bacterial Agents) [Em] Entry month: 1301 [Js] Journal subset: AIM; IM [Da] Date of entry for processing: 121029 [St] Status: MEDLINE

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[PMID]: 22968559 [Au] Autor: Silaev MA; Karagiulian SR; Shavlokhov VS; Tochenov AV; Grzhimolovskii AV; Panteleev IV; Verevkina NA; Danishian KI [Ti] Title: [Spleen removal in hematological patients with splenomegaly]. [So] Source: Khirurgiia (Mosk);(8):55-9, 2012. [Is] ISSN: 0023-1207 [Cp] Country of publication: Russia (Federation) [La] Language: rus [Ab] Abstract: By large and giant volume of the spleen the mainstay of the surgery remains the open splenectomy. Splenomegaly stipulates certain difficulties and dangers of the procedure, mainly because the lack of the free space in the abdominal cavity. The maximally wide access, preliminary preparation and ligation of the splenic artery in situ and thorough separation of the spleen and pancreatic tail provide the safety and success of the operation. 374 splenectomies on the reason of the splenomegaly were analyzed. The standardization of the technique allowed the 2.5 times reduction of the postoperative complication rate (from 26.9 to 10.8%); the 1.8 times reduction of the intraoperative complication rate and the 17% reduction of the intraoperative blood loss. The postoperative pancreatitis was registered 4 times rare; the intraabdominal bleeding - 2 times rare and the frequency of the subphrenic abscess was 1.5 times lesser. [Mh] MeSH terms primary: Hematologic Diseases/complications Splenectomy/methods Splenomegaly/surgery [Mh] MeSH terms secundary: Adolescent Adult Aged Aged, 80 and over Blood Loss, Surgical/prevention & control Female Follow-Up Studies Hematologic Diseases/diagnosis Humans Incidence Laparotomy Male Middle Aged Postoperative Hemorrhage/epidemiology Postoperative Hemorrhage/prevention & control Retrospective Studies Russia/epidemiology Severity of Illness Index Splenic Artery/surgery Splenomegaly/diagnosis Splenomegaly/etiology Treatment Outcome Young Adult [Pt] Publication type: COMPARATIVE STUDY; ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Entry month: 1212 [Js] Journal subset: IM [Da] Date of entry for processing: 120912 [St] Status: MEDLINE

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[PMID]: 23090829 [Au] Autor: Magalini S; Sermoneta D; Lodoli C; Vanella S; Di Grezia M; Gui D [Ad] Address: Department of Surgery, University Hospital Agostino Gemelli, Rome, Italy. sabina.magalini@rm.unicatt.it [Ti] Title: The new retained foreign body! Case report and review of the literature on retained foreign bodies in laparoscopic bariatric surgery. [So] Source: Eur Rev Med Pharmacol Sci;16 Suppl 4:129-33, 2012 Oct. [Is] ISSN: 1128-3602 [Cp] Country of publication: Italy [La] Language: eng [Ab] Abstract: The advent of laparoscopic surgery has created a set of peculiar morbidities. As the laparoscopic devices, also the type of retained foreign bodies has changed. We present a case of unusual, apparently isolated and recurrent lung abscess, pleural effusion and poorly evident subphrenic abscess after laparoscopic gastric bypass, due to a retained Endo-Catch bag. A 27-year-old obese female underwent an uneventful laparoscopic Roux-en-Y gastric bypass. After surgery she developed a left basal lung abscess, that resolved in two weeks with heavy antibiotic therapy, while radiological abdominal imaging was apparently normal. Patient was discharged on p.o. day 30. After two months, she presented with fever and dyspnoea and no gastrointestinal complaints. Chest and abdominal computer tomography showed a left recurrent abscess with effusion but this time a 3 cm subphrenic mass with metallic clips inside was demonstrated on CT scan. Patient was treated with an explorative laparoscopy that identified an Endo-Catch bag with the jejunal blind loop inside. Postoperative left lung abscess can be a warning of a suphrenic surgical complication. Laparoscopic surgery requires even more attention to retained foreign bodies due to the reduced visibility of the surgical field. The recommendation to enforce recording of laparoscopic maneuvers is mandatory. [Pt] Publication type: JOURNAL ARTICLE [Em] Entry month: 1210 [Js] Journal subset: IM [St] Status: In-Process

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