Nima Ahmadi, Praveen Ravindran, Taejun Kim, Salah E Ayoubi, Christopher M Byrne, Christopher J Young
BACKGROUND: C-reactive protein (CRP) is a useful marker for monitoring response to treatment in sepsis. The aim of this study was to examine the use of CRP trajectory in predicting the need for intervention in conservatively managed patients with acute diverticulitis (AD). METHODS: A retrospective review of patients with AD who were managed conservatively was performed. They were divided into four groups based on CRP relative to the median at day 0 and 2: 'Low rise' (levels below median at day 0 and 2), 'High rise' (levels above median at day 0 and 2), 'Rapid rise' (levels below median at day 0 but above median at day 2) and 'Decline' (levels above median at day 0 but below median at day 2)...
August 4, 2020: ANZ Journal of Surgery
Sakurako Mukai, Shunsuke Shinmei, Masayuki Muto, Tomoya Hatayama, Hiroyuki Shikuma, Shunsuke Miyamoto, Shinsuke Fujii, Kousuke Sadahide, Yohei Sekino, Keisuke Hieda, Shogo Inoue, Tetsutaro Hayashi, Jun Teishima, Akio Matsubara
Introduction: Refractory fistulas of the bladder are not rare, but they can rarely be closed naturally. Bladder fistulas can be treated in various ways. We report the case of an old woman who had a refractory fistula of the bladder that was able to be repaired with transurethral cystoscopic injection of N -butyl-2-cyanoacrylate. Case presentation: For decades after being treated for cervical cancer in 1970s, the woman frequently suffered from fevers. A computed tomography scan showed pelvic abscess at the left side of her bladder, and cystography showed urine leakage at the wall...
January 2020: IJU case reports
Jocelyn Compton, John Yanik, Nathan Hendrickson, Naina Bagrodia, Peter Nau, Andrew J Pugley
Background: Disconnection of the tubing between the port and LAGB is a well-known complication in general surgery and accounts for up to 17% of LAGB complications. Typically, when this complication occurs patients present with abdominal or pelvic complaints. A complication of spinal infection due to trans-foraminal migration has not been previously reported. The aim of this study is to highlight an unusual infection of the thoracolumbar spine due to laparoscopic adjustable gastric band (LAGB) intragastric erosion, and migration into the lumbar spine causing epidural abscesses, discitis, and osteomyelitis...
2020: Iowa Orthopaedic Journal
Laurie Bezjian Wallace, Patrick Wallace, Joel Herness
We report a case of acute urinary retention in an adolescent female secondary to hematocolpos. A 13-year-old female presented to the emergency department with acute urinary retention and suprapubic abdominal pain for 24 hours. She denied menstruation or sexual history. Bedside bladder ultrasound scan revealed 1.2 L of retained urine and a Foley catheter was placed. A formal renal ultrasound detected a debris-filled structure in the abdomino-pelvic cavity. Follow-up computed tomography of the abdomen and pelvis revealed an 8...
July 30, 2020: Military Medicine
Fady Michael Fahmy Ibrahim, Abd El-Rady Mahmoud Abd El-Rady
Iliopsoas abscess refers to collection of fluid in iliopsoas muscle compartment. It is well-known condition in medical history as a complication of tuberculous spine infection. Most of the cases now are due to pyogenic infection. Patient usually presents late due to delayed diagnosis. We aim to present a less invasive technique for surgical drainage of iliopsoas abscess. PATIENTS AND METHODS: It is a prospective study done between 2015 and 2018. The study included 28 patients with confirmed diagnosis of iliopsoas abscess...
July 26, 2020: International Orthopaedics
Anastasia Barnes, Avneet Kaur, Michael Augenbraun
Actinomyces is a rare cause of prostatic abscess. Most reported cases of abdominal and pelvic actinomycosis are a consequence of invasive procedures or abdominal infections. In this report, we present a previously healthy 53-year-old man with inguinal pain, fever and dysuria who was found to have a prostate abscess, secondary to Actinomyces turicensis and Peptostreptococcus, which was removed via transurethral resection of the prostate. This case was complicated by Peptostreptococcus bacteremia and a facial abscess...
June 17, 2020: Curēus
Pierre Lecoanet, Guillaume Pascal, Abderrahmane Khaddad, Nicolas Hubert, Jean-Louis Lemelle, Nicolas Berte, Grégoire Capon
PURPOSE: To assess the outcomes of continent urinary diversion according to the Mitrofanoff principle by robot-assisted laparoscopic surgery in terms of continence, catheterization and repeat surgery. METHODS: All adult patients who underwent procedures for continent urinary diversion via a robot-assisted laparoscopic route between October 2014 and November 2018 were enrolled retrospectively. Abdominal continence and clean intermittent catheterization ability were noted, as well as patient characteristics, details of the technique, intra- and perioperative parameters, and complications...
July 20, 2020: World Journal of Urology
Yiyu Yin, Zhenfang Qin, Xiaobing Xu, Peng Lu, Xu Liu, Huaxin Zou, Junhua Cao
The purpose of this study was to investigate and analyze the difficulties and influencing factors in the laparoscopic surgery for appendiceal abscess in children. 46 patients with appendiceal abscess receiving laparoscopic surgery (laparoscopic surgery group) in Xuzhou Children's Hospital from January 2012 to March 2017 were retrospectively analyzed. The surgery was performed using the 3-hole method, the 30° lens was placed in umbilical region, and the left lower abdomen and superior pubis were the operating holes...
July 20, 2020: Minerva Pediatrica
Yong-Qian Liu, Wei-Feng Yuan, Xin-Yi Liu, Xin-Xiang Zhao
After primary dissemination of Mycobacterium tuberculosis bacillus infection that is localized in liver, disease progression and changes to immune function in the body occur. Various forms of tuberculosis, including granuloma, caseous necrosis, liquefactive necrosis, fibrosis, and calcification, occur that could be presented at different stages, and imaging examination shows findings that are consistent with these stages. Not all liver tuberculosis patients are suitable for liver resection, and preoperative imaging examination and pathological immunohistochemical results could be used to determine whether tuberculosis was active, avoid unnecessary liver resection, and prevent the postoperative spread of tuberculosis...
July 2020: Journal of International Medical Research
Simone Ferrero, Cesare Stabilini, Fabio Barra, Roberto Clarizia, Giovanni Roviglione, Marcello Ceccaroni
Over the last twenty years, segmental resection (SR) has been the technique most frequently used to treat bowel endometriosis. Nowadays, it is most commonly performed by laparoscopy; however, there is evidence that it can be safely performed by robotic-assisted laparoscopic surgery. Rectovaginal fistula and anastomotic leakage are the two major complications of SR; other complications include pelvic abscess, postoperative bleeding, ureteral damage, and anastomotic stricture. Several studies showed that SR causes improvement in pain and intestinal symptoms; nerve-sparing SR may improve the functional outcomes...
June 9, 2020: Best Practice & Research. Clinical Obstetrics & Gynaecology
E García García, S de Miguel Manso, J Gobernado Tejedor, B de Andrés Asenjo, V Pascual Escudero, J I González Martín
INTRODUCTION AND HYPOTHESIS: Abdominopelvic abscess is a serious, but infrequent, postoperative complication of sacrocolpopexy, which a priori requires a second surgery to debride the affected tissue and dry out the infected mesh in addition to a prolonged broad-spectrum antibiotic therapy. METHODS: We present two cases of post-surgical abdominopelvic abscesses, treated with conservative management using ultrasound-guided transcervical drainage and prolonged antibiotic therapy...
July 8, 2020: International Urogynecology Journal
Zi Xi Poo, Grace Ng, Shahul Hameed Mohamed Siraj
BACKGROUND There is growing evidence suggesting that Filshie clip migration is a rare but significant late complication following tubal sterilization. Although most women are asymptomatic, clip migration can result in serious morbidity such as abscess formation and be a source of sepsis years later. CASE REPORT A 51-year-old woman presented with 2-week history of worsening right flank pain with fever and chills, unresponsive to oral antibiotics. CT imaging showed a 4-cm anterior bladder wall mass with a tubal ligation clip within, initially suspicious for a tumor, with secondary infection...
July 7, 2020: American Journal of Case Reports
Geolani W Dy, Min Suk Jun, Gaines Blasdel, Rachel Bluebond-Langner, Lee C Zhao
BACKGROUND: Robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV) with the da Vinci Xi system has been reported to be a safe alternative to traditional penile inversion vaginoplasty. Utilizing the Single Port (SP) robot system, our surgical approach has evolved. OBJECTIVE: To describe a step-by-step technique for RPGAV using the SP robot and to compare outcomes between Xi and SP systems. DESIGN, SETTING, AND PARTICIPANTS: A total of 145 transgender women underwent RPGAV between September 2017 and December 2019...
July 2, 2020: European Urology
Yesid Fabián Mantilla-Flórez, Tatiana Echeverry-Díaz, Laura Duarte de la Espriella, Eduardo Andrés Tuta-Quintero
Pyomyositis commonly presents with fever, muscle pain and abscess formation involving deep soft-tissue compartments. Staphylococcus aureus is the main causative organism and diagnosis is usually established clinically, supported by imaging, but confirmation may be achieved by histopathological examination. Broad-spectrum antibiotic therapy and surgical debridement are the cornerstone of treatment. Its prognosis is good but, as in all soft-tissue infections, it depends on early intervention, directed antibiotics and, if indicated, prompt surgery...
July 5, 2020: Tropical Doctor
Derrick Acheampong, Percy Boateng
Diverticulitis, though a common gastrointestinal disease, is rare following open-heart surgery. There is insufficient data regarding its incidence and management post-cardiac surgery. Especially in patients with atypical presentation, diagnosis and management can be challenging. This case outlines one such atypical diverticulitis case in which a 57-year-old female patient developed perforated diverticulitis with pelvic abscess accumulation following left ventricular aneurysm (LVA) repair. Diagnosis, appropriate management and treatment approaches are discussed...
June 2020: Journal of Surgical Case Reports
Nicolae Bacalbasa, Dragos Cretoiu, Ioana Halmaciu, Camelia Diaconu, Laura Iliescu, Simona Dima, Adrian Neacsu, Cristian Balalau, Ovidiu Gabriel Bratu, Irina Balescu
BACKGROUND/AIM: Malignant transformation of mature cystic ovarian teratoma is a scarce eventuality, only rare cases being reported so far. Furthermore, development of this transformation in the setting of an abscessed tumor is even scarcer. The aim of this study was to report the case of a 47-year-old patient submitted to surgery for such a lesion. CASE REPORT: The patient was investigated for diffuse pelvic pain and diagnosed with a 10×7×8 cm mass at the level of the left adnexa with imaging findings suggesting the presence of an ovarian teratoma...
July 2020: In Vivo
Yi-Ting Wang, Kun Zhang, Hui-Fang Wang, Jun-Fang Yang, Yao Ying, Jin-Song Han
INTRODUCTION AND HYPOTHESIS: The objective was to investigate the long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse. METHODS: This was a retrospective study of patients who underwent Le Fort colpocleisis from January 2007 to August 2018 in our hospital. Follow-up was conducted via outpatient visits or the telephone. Records were reviewed for anatomical recurrence, complications, urinary and intestinal symptoms post-operation, reoperation rate, patient satisfaction, Patient Global Impression of Improvement (PGI-I) score, regret rate etc...
June 29, 2020: International Urogynecology Journal
Saki Tamura, Seung Chik Jwa, Norihito Tarumoto, Osamu Ishihara
BACKGROUND: Infectious mononucleosis (IM) develops following primary infection with Epstein-Barr virus. We report a case of septic shock in an adolescent from pelvic inflammatory disease caused by Fusobacterium necrophorum following sexual intercourse during recovery from IM. CASE: A 17-year-old girl with a 7-day history of fever was diagnosed with IM. During follow-up, she developed lower abdominal pain and high fever following sexual intercourse and was transferred to our hospital...
June 26, 2020: Journal of Pediatric and Adolescent Gynecology
Min Young Son, Byung Hoon Han, Sang Uk Lee, Byung Cheol Yun, Kwang Il Seo, Jin Do Huh
Transarterial chemoembolization (TACE) is a common treatment for unresectable hepatocellular carcinoma (HCC). The most common complications after TACE are non-specific symptoms called post-embolization syndrome, such as abdominal pain or fever. Rare complications, such as liver failure, liver abscess, sepsis, pulmonary embolism, cholecystitis, can also occur. On the other hand, gallbladder perforation is quite rare. This paper reports a case of gallbladder perforation following TACE. A 76-year-old male with a single 9-cm-sized HCC underwent TACE...
June 25, 2020: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Mahnoor Zia, Nima Maghami
INTRODUCTION: Progression of inflammation in acute appendicitis can lead to appendiceal perforation, which is associated with higher morbidity and mortality. Bacteremia due to a perforated appendicitis can lead to distal bacterial seeding, resulting in further complications. PRESENTATION OF CASE: We present here a case of appendiceal perforation in a 32-year-old previously healthy male. Patient was conservatively managed with intravenous (IV) antibiotics and was discharged on hospitalization day-6...
June 11, 2020: International Journal of Surgery Case Reports
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