Database : MEDLINE
Search on : Subphrenic and Abscess [Words]
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[PMID]: 27142499
[Au] Autor:Hesius EA; Kok B; Mattijssen EJ
[Ad] Address:Rijnstate Ziekenhuis, afd. Interne Geneeskunde, Arnhem.
[Ti] Title:Een gynaecologische oorzaak van bovenbuikpijn: Het Fitz-Hugh-Curtis-syndroom. [A gynaecological cause of upper abdominal pain: Fitz-Hugh-Curtis syndrome].
[So] Source:Ned Tijdschr Geneeskd;160:A9349, 2015.
[Is] ISSN:1876-8784
[Cp] Country of publication:Netherlands
[La] Language:dut
[Ab] Abstract:A 19-year-old woman was admitted to our hospital because of unexplained pain in the right upper abdomen and fever. Her medical history noted a recent uncomplicated pregnancy and birth of a healthy child. Our differential diagnosis included pyelonephritis, pulmonary embolism, pneumonia causing pleural pain, a gastrointestinal cause, or a subphrenic abscess. A vaginal culture was taken as part of a second opinion by a gynaecologist. However, after a few days PCR on the vaginal sample was positive for Chlamydia trachomatis, indicating a case of Fitz-Hugh-Curtis syndrome. This syndrome is a complication of pelvic inflammatory disease caused by a bacterial infection, most frequently Gonococcal or Chlamydia species. The patient was treated with doxycycline and recovered quickly. As a result of ignoring a possible gynaecological cause in this patient, the time to diagnosis and treatment was delayed. Left untreated, this disease might result in infertility and in complications in the newborn. A broad differential diagnosis is therefore important.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1605
[Js] Journal subset:IM
[St] Status:In-Process

  2 / 1208 MEDLINE  
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[PMID]: 27303454
[Au] Autor:Reginelli A; Liguori P; Perrotta V; Annunziata G; Pinto A
[Ti] Title:Computed Tomographic Detection of Toothpick Perforation of the Jejunum: Case Report and Review of the Literature.
[So] Source:Radiol Case Rep;2(1):17-21, 2007.
[Is] ISSN:1930-0433
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:Foreign body ingestion is commonly encountered in the emergency department. Although in most cases, the ingested object will pass uneventfully in the feces [1], ingestion of sharp foreign bodies such as dental plates, sewing needles, toothpicks, fish bones and chicken bones carries increased risk of gastrointestinal perforation [2, 3, 4]. The use of toothpicks as both tooth-clearing implements and eating utensils increase the likelihood of toothpick unintentional ingestion [5]. Toothpicks account for 9% of reported foreign bodies ingested [6]. These pointed wooden bodies when accidentally swallowed are associated with higher risk of complications, such as gastric, small bowel or colonic perforation, obstruction, colonic impaction, gastrointestinal bleeding, subphrenic abscess, fistula formation, sepsis and/or death due to the damaged caused by the sharp pointed ends [7, 8, 9]. Unfortunately, many patients who ingested such objects fail to remember the mis-swallowing event when symptoms of perforation develop, making diagnosis problematic. We present a case of jejunal perforation secondary to an ingested wooden toothpick correctly diagnosed with Computed Tomography (CT).
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Cu] Class update date: 160621
[Lr] Last revision date:160621
[Da] Date of entry for processing:160615
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.2484/rcr.v2i1.52

  3 / 1208 MEDLINE  
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[PMID]: 27193968
[Au] Autor:Patrizi A; Jezequel C; Sulpice L; Meunier B; Rayar M; Boudjema K
[Ad] Address:Service de chirurgie hépatobiliaire et digestive, Hôpital Pontchaillou, Université de Rennes 1, Rennes, France. andrea.patrizi@chu-rennes.fr....
[Ti] Title:Disposable bipolar irrigated sealer (Aquamantys(®)) for liver resection: use with caution.
[So] Source:Updates Surg;68(2):171-7, 2016 Jun.
[Is] ISSN:2038-3312
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:The disposable bipolar irrigated sealer has been demonstrated to reduce perioperative bleeding, but its role in preventing postoperative cut-surface complications has not been evaluated to date. A prospective observational study was performed between January and September 2013 to evaluate a disposable bipolar irrigated sealed (Aquamantys(®)) on a continuous series of 51 first liver resections without biliary reconstruction. Primary end-point was the occurrence of cut-surface complications during the postoperative period. Secondary endpoints were postoperative complications and the 1-year overall survival rate. The results were compared to a propensity score matched group of 153 liver resections performed with conventional monopolar cautery. A cut-surface complication occurred in 13/51 (25.5 %) resected patients. Bleeding, bile leakage and subphrenic abscess occurred in 7.8, 11.8 and 11.8 % patients, respectively. Compared to the matched group, the resected group had a higher rate of cut-surface complications (25.5 vs. 14.7 %, p < 0.01) and a higher rate of Clavien-Dindo type ≥3 postoperative complications (29.5 vs. 17.2 %, p < 0.01). In the multivariate analysis, preoperative chemotherapy (p = 0.03, 95 % CI 1.09-5.9, OR 2.53), blood transfusion (p = 0.02, 95 % CI 1.78-6.55, OR 2.78) and Aquamantys(®) use (p = 0.02, 95 % CI 1.21-6.7, OR 2.85) were independent of cut-surface complications within the first 90 postoperative days. The overall 1-year survival rates were not different between the two groups (p = 0.078). Aquamantys(®) use is associated with an increased rate of postoperative complications compared to classical monopolar cautery, and we recommend that it should be used with caution in this type of surgery.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1007/s13304-016-0367-y

  4 / 1208 MEDLINE  
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[PMID]: 27278410
[Au] Autor:Matsuda M; Watanabe G; Hashimoto M; Udagawa H; Okuda C; Takeuchi K
[Ad] Address:Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan....
[Ti] Title:Sonographic features of intra-abdominal abscess caused by spilled stones during laparoscopic cholecystectomy.
[So] Source:J Med Ultrason (2001);30(4):233-9, 2003 Dec.
[Is] ISSN:1346-4523
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:Spillage of stones into the abdominal cavity resulting from perforation of the gallbladder is one of the common complications of laparoscopic cholecystectomy. Although many surgeons know that stones left in the abdominal cavity can cause late visceral abscess requiring surgical treatment, the sonographic features of such abscesses have not yet to be thoroughly investigated. We investigated the sonographic features of intra-abdominal abscesses caused by spilled stones after laparoscopic cholecystectomy using Hitachi Model EUB-525 (3.5 MHz) and Aloka Model SSD-5500 (3.75 MHz) ultrasound systems. Two thousand thirty-six laparoscopic cholecystectomy procedures were carried out at this institution from 1990 through 2001. During this period, we encountered seven cases of intra-abdominal abscess. Three of these cases were symptomatic, but abscess, granulation, or both, were found incidentally by ultrasonography in the other four patients during routine annual health examinations. Laparotomy and open drainage of pus and gallstones from the intra-abdominal abscess were necessary in five cases. Ultrasonography revealed a mass in six of the seven patients. The abscesses were located in either the right subphrenic or subhepatic space on the surface of the liver and were sometimes difficult to distinguish from liver tumors. Ultrasound showed the abscesses as oval, low-echoic, solid masses with posterior enhancement. They ranged from 20 to 58 mm in diameter, had clear margins and highly echoic peripheral rims, and showed lateral shadowing. The lesions also contained several highly echoic spots with acoustic shadows that were thought to be the spilled stones. We conclude that visceral abscess should be considered after laparoscopic cholecystectomy, and that careful observation using ultrasonography is required, especially when the gallbladder is perforated and bile and stones have spilled out.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Da] Date of entry for processing:160609
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1007/BF02481286

  5 / 1208 MEDLINE  
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[PMID]: 26055585
[Au] Autor:Sasegbon A
[Ad] Address:Northampton General Hospital, Northampton, UK.
[Ti] Title:When is pneumonia not pneumonia?
[So] Source:BMJ Case Rep;2015, 2015.
[Is] ISSN:1757-790X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:A 34-year-old man was admitted to hospital via the accident and emergency department with severe right-sided abdominal pain and raised inflammatory markers. His pain settled with analgaesia and he was discharged with a course of oral co-amoxiclav. He was readmitted to the hospital 7 days later reporting cough and shortness of breath. His chest X-ray showed a raised right hemi-diaphragm, presumed consolidation and a right-sided effusion. As a result, he was treated for pneumonia. Despite antibiotic therapy his C reactive protein remained elevated, prompting an attempt at ultrasound-guided drainage of his effusion. Finding only a small amount of fluid, a CT of the chest was performed, and this showed a subphrenic abscess and free air under the diaphragm. A CT of the abdomen was then carried out, showing a perforated appendix. An emergency laparotomy was performed, the patient's appendix was removed and the abscess drained.
[Mh] MeSH terms primary: Abdominal Pain/etiology
Appendectomy
Appendicitis/diagnosis
Cough/etiology
Pneumonia/diagnosis
Subphrenic Abscess/diagnosis
[Mh] MeSH terms secundary: Adult
Appendectomy/methods
Appendicitis/radiography
Appendicitis/surgery
Diagnostic Errors
Drainage/methods
Humans
Laparotomy
Male
Subphrenic Abscess/pathology
Subphrenic Abscess/surgery
Tomography, X-Ray Computed
Treatment Outcome
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1603
[Cu] Class update date: 160519
[Lr] Last revision date:160519
[Js] Journal subset:IM
[Da] Date of entry for processing:150609
[St] Status:MEDLINE

  6 / 1208 MEDLINE  
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[PMID]: 26765231
[Au] Autor:Cornejo Mde L; Priego P; Ramos D; Coll M; Ballestero A; Galindo J; García-Moreno F; Rodríguez G; Carda P; Lobo E
[Ad] Address:Cirugía General y Digestivo, Hospital Universitario Ramón y Cajal de Madrid, Espaa....
[Ti] Title:Duodenal fistula after gastrectomy: Retrospective study of 13 new cases.
[So] Source:Rev Esp Enferm Dig;108(1):20-6, 2016 Jan.
[Is] ISSN:1130-0108
[Cp] Country of publication:Spain
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Duodenal stump fistula (DSF) after gastrectomy has a low incidence but a high morbidity and mortality, and is therefore one of the most aggressive and feared complications of this procedure. MATERIAL AND METHODS: We retrospectively evaluated all DSF occurred at our hospital after carrying out a gastrectomy for gastric cancer, between January 1997 and December 2014. We analyzed demographic, oncologic, and surgical variables, and the evolution in terms of morbidity, mortality and hospital stay. RESULTS: In the period covered in this study, we performed 666 gastrectomies and observed DSF in 13 patients (1.95%). In 8 of the 13 patients (61.5%) surgery was the treatment of choice and in 5 cases (38.5%) conservative treatment was carried out. Postoperative mortality associated with DSF was 46.2% (6 cases). In the surgical group, 3 patients developed severe sepsis with multiple organ failure, 2 patients presented a major hematemesis which required endoscopic haemostasis, 1 patient had an evisceration and another presented a subphrenic abscess requiring percutaneous drainage. Six patients (75%) died despite surgery, with 3 deaths in the first 24 hours of postoperative care. The 2 patients who survived after the second surgical procedure had a hospital stay of 45 and 84 days respectively. In the conservative treatment group the cure rate was 100% with no significant complications and an average postoperative hospital stay of 39.5 days (range, 26-65 days). CONCLUSION: FMD is an unusual complication but it is associated with a high morbidity and mortality. In our experience, conservative management has shown better results compared with surgical treatment.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1601
[Js] Journal subset:IM
[St] Status:In-Process

  7 / 1208 MEDLINE  
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[PMID]: 25877665
[Au] Autor:Cascella M
[Ad] Address:Department of Anesthesia, Cardiology and Endoscopy, National Cancer Institute "G. Pascale" Foundation, Via Mariano Semmola, 80131, Naples, Italy. m.cascella@istitutotumori.na.it.
[Ti] Title:The Illness and Death of Enrico Caruso (1873-1921): A Medical Chorus Out of Tune?
[So] Source:J Relig Health;55(1):217-25, 2016 Feb.
[Is] ISSN:1573-6571
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The Italian opera singer Enrico Caruso is considered by many people the most famous opera singer of all time or "The Matchless Singer" for his unique and suggestive vocal timber. Although a man of humble origins, he managed to rise from poverty, thanks to his extraordinary intelligence and determination. From his debut in 1895 in Naples, until December 24, 1920, the tenor had a brilliant career with many performances and over 500 songs in his repertoire. This intense lifestyle went on until 1919, when the fortune that had always accompanied him began to fade and he entered a fast "descending parable." In this study, we analyze Caruso's medical history during his last year of life: Through the study of the newspapers from the period and the statements reported on the tenor's many biographies, we tried to offer a detailed evaluation of the complex pathogenic chain of events that led to his death, impeding him from keeping to alleviate the heart-breaking nostalgia of many emigrants that felt in his singing the warmth of a too distant land.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1601
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1007/s10943-015-0054-1

  8 / 1208 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.
[Mh] MeSH terms primary: Abdominal Abscess
Psoas Abscess
[Mh] MeSH terms secundary: Fever
Humans
Liver Abscess
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:130131
[St] Status:MEDLINE

  9 / 1208 MEDLINE  
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[PMID]: 26653832
[Au] Autor:Levin DC; Eschelman D; Parker L; Rao VM
[Ad] Address:Department of Radiology, Center for Research on Utilization of Imaging Services (CRUISE), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; HealthHelp, Inc, Houston, Texas. Electronic address: david.levin@jefferson.edu....
[Ti] Title:Trends in Use of Percutaneous Versus Open Surgical Drainage of Abdominal Abscesses.
[So] Source:J Am Coll Radiol;12(12 Pt A):1247-50, 2015 Dec.
[Is] ISSN:1558-349X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: To compare recent trends in the use of percutaneous and surgical approaches to treating abdominal abscesses in a large population. METHODS: The nationwide Medicare Physician/Supplier Procedure Summary Master Files for 2001 through 2013 were searched. Current Procedural Terminology-4 codes were selected for the four types of abdominal abscesses that had distinct codes for both open surgical and percutaneous drainage-appendiceal, peritoneal, subphrenic, and liver. Medicare specialty codes were used to determine if the procedures were performed by radiologists or other nonradiologist physicians. Trends in use of the two approaches were compared. RESULTS: In 2001, a total of 14,068 abdominal abscesses were drained percutaneously. This volume increased progressively every year thereafter, reaching 28,486 in 2013 (+102%). Open surgical drainage volume was 8,146 in 2001, decreasing progressively to 6,397 in 2013 (-21%). In 2001, 63% of all abdominal abscesses had been drained percutaneously; by 2013, this figure had risen to 82%. In 2001, radiologists had performed 90% of all percutaneous abdominal abscess drainages; this percentage share increased to 97% in 2013. Of all abdominal abscesses treated in 2013 in Medicare patients, 79% were treated by radiologists. CONCLUSIONS: Use of percutaneous drainage of abdominal abscesses has steadily increased, whereas use of open surgical drainage has declined. The vast majority of these abscesses are now treated percutaneously. Radiologists are a strong majority of those performing the procedures. Although this database does not provide information on outcomes, percutaneous drainage is another good example of radiology-related value.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1512
[Js] Journal subset:IM
[St] Status:In-Process

  10 / 1208 MEDLINE  
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[PMID]: 26638925
[Au] Autor:Cabibi D; Lo Iacono G; Raffaele F; Dioguardi S; Ingrao S; Pirrotta A; Fatica F; Cajozzo M
[Ad] Address:Department of Pathology, Piazza delle Cliniche, Universita, Palermo, Italy....
[Ti] Title:Nodular histiocytic/mesothelial hyperplasia as consequence of chronic mesothelium irritation by subphrenic abscess.
[So] Source:Future Oncol;11(24 Suppl):51-5, 2015.
[Is] ISSN:1744-8301
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:PURPOSE: Pleural nodular histiocytic/mesothelial hyperplasia is a nodular histiocytic/mesothelial proliferation, often delimiting cystic cavities, due to irritation by a pulmonary noxa. Case report results: The patient had right pleural parietal and diaphragmatic thickness, with pleural effusion, without lung alterations. He previously underwent left hemicolectomy and liver resection, due to a diverticulitis and a liver histiocytes-rich abscess. Video-assisted thoracoscopy biopsy showed a double population of reactive mesothelial cells and histiocytes. CONCLUSION: Nodular histiocytic/mesothelial hyperplasia represents a potential pitfall for pathologists. Immunohistochemistry is crucial for the differential diagnosis with some malignancies. We suggest that in our patient, a chronic mesothelium inflammation happened by transdiaphragmatic involvement as a consequence of the liver abscess. Some pathogenetic mechanisms are hypothesized.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1512
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.2217/fon.15.287


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