Database : MEDLINE
Search on : Subphrenic and Abscess [Words]
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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

  2 / 1204 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

  3 / 1204 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
[Js] Journal subset:IM
[Da] Date of entry for processing:150609
[St] Status:MEDLINE

  4 / 1204 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

  5 / 1204 MEDLINE  
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[PMID]: 26224373
[Au] Autor:Silva LB; Moon RC; Teixeira AF; Jawad MA; Ferraz ÁA; Neto MG; Ramos AC; Campos JM
[Ad] Address:Universidade Federal de Pernambuco, Rua Vigario Barreto 127/802-Gracas, 52020-140, Recife, PE, Brazil.
[Ti] Title:Gastrobronchial Fistula in Sleeve Gastrectomy and Roux-en-Y Gastric Bypass--A Systematic Review.
[So] Source:Obes Surg;25(10):1959-65, 2015 Oct.
[Is] ISSN:1708-0428
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Gastrobronchial fistula (GBF) is a rare surgical complication after bariatric surgery. We aimed to identify the clinical aspects of GBF and establish diagnostic and treatment strategies. A literature search was conducted in December 2013, in the PubMed electronic database. Eleven studies were selected, comprising a total of 36 patients. Most patients presented with a gastric leak prior to the diagnosis of GBF. Mean period until diagnosis was 7.2 months, and main presenting symptoms were productive cough (n = 13) and subphrenic abscess (n = 12). Endoscopic treatment was successful in 18 out of 20 patients, with minimal complication. Surgical treatment was successful in 17 cases with significant complications. GBF can be effectively treated with both endoscopic and surgical approach; however, surgical treatment can be associated with more complication.
[Mh] MeSH terms primary: Bariatric Surgery/adverse effects
Bronchial Fistula/diagnosis
Bronchial Fistula/therapy
Gastric Fistula/diagnosis
Gastric Fistula/therapy
Obesity, Morbid/surgery
[Mh] MeSH terms secundary: Bronchial Fistula/etiology
Gastrectomy/adverse effects
Gastric Bypass/adverse effects
Gastric Fistula/etiology
Humans
Retrospective Studies
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1602
[Js] Journal subset:IM
[Da] Date of entry for processing:150904
[St] Status:MEDLINE
[do] DOI:10.1007/s11695-015-1822-4

  6 / 1204 MEDLINE  
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[PMID]: 24871376
[Au] Autor:Georgiou GK; Gizas I; Papadopoulos C; Goussia AC; Michos G; Stefos T; Glantzounis GK
[Ad] Address:1 Department of Surgery, University Hospital of Ioannina , Ioannina, Greece .
[Ti] Title:Subphrenic abscess after appendiceal rupture in full-term pregnancy.
[So] Source:Surg Infect (Larchmt);16(2):204-5, 2015 Apr.
[Is] ISSN:1557-8674
[Cp] Country of publication:United States
[La] Language:eng
[Mh] MeSH terms primary: Appendicitis
Pregnancy Complications, Infectious
Subphrenic Abscess
[Mh] MeSH terms secundary: Adult
Female
Humans
Pregnancy
Rupture
Tomography, X-Ray Computed
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1602
[Js] Journal subset:IM
[Da] Date of entry for processing:150408
[St] Status:MEDLINE
[do] DOI:10.1089/sur.2013.234

  7 / 1204 MEDLINE  
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[PMID]: 26765231
[Au] Autor:Cornejo MÁ; 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-Data-Review

  8 / 1204 MEDLINE  
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[PMID]: 26166454
[Au] Autor:Ignee A; Jenssen C; Cui XW; Schuessler G; Dietrich CF
[Ad] Address:a 1 Medical clinic 2, Caritas-Krankenhaus Bad Mergentheim , Bad Mergentheim, Germany....
[Ti] Title:Intracavitary contrast-enhanced ultrasound in abscess drainage--feasibility and clinical value.
[So] Source:Scand J Gastroenterol;51(1):41-7, 2016 Jan.
[Is] ISSN:1502-7708
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To evaluate the usefulness of intracavitary-applied contrast-enhanced ultrasound (ICCEUS) with BR1 in ultrasound-guided puncture and drainage of abdominal and pelvic abscesses. MATERIAL AND METHODS: A total of 71 consecutive patients received ICCEUS after placement of a drainage catheter or a needle in abdominal or pelvic abscesses. Portions of 0.1 ml of BR1 and 20 ml of saline were injected through the drainage catheter or needle. Ultrasound recordings were evaluated to answer the following questions: correct placement of the catheter by showing enhancement in the cavity and the drain - ICCEUS findings suggesting incomplete enhancement in all abscess cavities - enhancement in non-abscess structures. RESULTS: About 52% of patients had liver, 14% of patients had intraperitoneal, 11% had subphrenic, 14% had retroperitoneal, 6% had splenic, and 4% had pelvic abscesses. The majority of the patients received drain placement with 10-F using trocar technique. Enhancement in the drain or needle was seen in all patients. In 2% of patients, during the initial approach, a dislodgment of the catheter from the abscess cavity was diagnosed. Due to non-enhancing abscess compartments, in 36% of the patients more than one drainage treatment was necessary at the time of the first approach. In 14% of the patients communication with surrounding structures was diagnosed. Additional treatment resulted in 4% of cases. CONCLUSION: ICCEUS was helpful in all patients to confirm correct placement of drain or puncture needle. In 40% of patients, as a consequence of ICCEUS, additional therapy was scheduled, either additional drainage or abscess puncture, endoscopic retrograde drainage of the biliary or pancreatic duct or thoracic intervention.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1510
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.3109/00365521.2015.1066423

  9 / 1204 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-Data-Review
[do] DOI:10.1007/s10943-015-0054-1

  10 / 1204 MEDLINE  
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[PMID]: 26256914
[Au] Autor:Kobayashi D; Iwata N; Tanaka C; Kanda M; Yamada S; Nakayama G; Fujii T; Koike M; Fujiwara M; Kodera Y
[Ad] Address:Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Japan....
[Ti] Title:Factors related to occurrence and aggravation of pancreatic fistula after radical gastrectomy for gastric cancer.
[So] Source:J Surg Oncol;112(4):381-6, 2015 Sep.
[Is] ISSN:1096-9098
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND AND OBJECTIVES: Pancreatic fistula (PF) and subsequent intra-abdominal abscess is a serious complication after gastrectomy for gastric cancer. The study aims to evaluate amylase concentration of drainage fluid (d-AMY) and serum C-reactive protein (CRP) as the predictive factors related to PF amounting to Clavien-Dindo (CD) grade III. METHODS: 448 patients who underwent gastrectomy for gastric cancer were analyzed. Closed drains were placed in the left subphrenic cavity and/or Winslow's cavity depending on the procedures. The cutoff values of d-AMY and CRP were determined, and their roles as predictive factors for CD grade III PF were evaluated. RESULTS: PF, diagnosed in 58 patients, was stratified according to the CD classification. Consequently, grade III PF which includes PF-related abscesses was observed in 32 patients. The cutoff value of d-AMY on the first postoperative day for predicting grade III PF was 1949 IU/l. The cutoff value of CRP on the third postoperative day for the same purpose was 20.44 mg/dl. Multivariate analysis demonstrated that d-AMY and CRP were significant predictive factors for grade III PF. CONCLUSIONS: The d-AMY on the first postoperative day and CRP on the third postoperative day might be useful for predicting CD grade III PF after gastrectomy.
[Mh] MeSH terms primary: Abdominal Abscess/pathology
Gastrectomy/adverse effects
Pancreatic Fistula/etiology
Pancreatic Fistula/pathology
Postoperative Complications
Stomach Neoplasms/surgery
[Mh] MeSH terms secundary: Adult
Aged
Aged, 80 and over
Drainage
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasm Staging
Prognosis
Risk Factors
Stomach Neoplasms/complications
Stomach Neoplasms/pathology
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1601
[Js] Journal subset:IM
[Da] Date of entry for processing:150925
[St] Status:MEDLINE
[do] DOI:10.1002/jso.24001


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