17,908 results match your criteria Abdominal Abscess


Red flags for appropriate referral to the gastroenterologist & rheumatologist of patients with inflammatory bowel disease & spondyloarthritis.

Clin Exp Immunol 2018 Dec 15. Epub 2018 Dec 15.

IBD Unit, Presidio Columbus, Fondazione Policlinico Universitario A. Gemelli IRCCS Università Cattolica del Sacro Cuore, Rome, Italy.

Collaboration between gastroenterologists and rheumatologists is recommended for correct management of patients with associated spondyloarthritis (SpA) and inflammatory bowel disease (IBD). We aimed to establish the appropriateness of several red flags for a prompt specialist referral. A systematic review of the literature was performed using the GRADE method to describe the prevalence of coexisting IBD-SpA and the diagnostic accuracy of red flags proposed by a steering committee. Read More

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http://dx.doi.org/10.1111/cei.13246DOI Listing
December 2018

Laparoscopic versus open appendectomy for complicated appendicitis.

Medwave 2018 Dec 11;18(8):e7370. Epub 2018 Dec 11.

Proyecto Epistemonikos, Santiago, Chile; Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile; Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. Email: Address: Centro Evidencia UC, Pontificia Universidad Católica de Chile, Diagonal Paraguay 476, Santiago, Chile.

Introduction: The treatment of acute appendicitis using laparoscopy reduces the risk of wound infection, hospitalization time and return to normal activity. However, it increases the risk of intra-abdominal abscess, which is one the main complications of complicated appendicitis.

Methods: We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. Read More

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December 2018
2 Reads

Addressing the empty pelvic syndrome following total pelvic exenteration: does mesh reconstruction help?

Colorectal Dis 2018 Dec 7. Epub 2018 Dec 7.

Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia.

Aim: Perineal wound complications and pelvic abscesses remain a major source of morbidity after total pelvic exenteration. The void created in the pelvis after these multi-visceral resections leads to fluid accumulation and translocation of bowel within the pelvic cavity, which may increase the risk of pelvic abscess, perineal fluid discharge with perineal wound dehiscence and prolonged ileus. This study describes a novel technique using degradable synthetic mesh with overlying omentum to preclude small bowel and fill the empty space after total pelvic exenteration, and aimed to investigate the rate of pelvic abscess and perineal wound-related complications in this group. Read More

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http://dx.doi.org/10.1111/codi.14523DOI Listing
December 2018
1 Read

Laparoscopic Roux-En-Y Fistulo-Jejunostomy, a Preferred Technique after Failure of Endoscopic and Radiologic Management of Fistula Post Sleeve Gastrectomy.

Obes Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Digestive Surgery, Archet II Hospital, University of Nice-Sophia-Antipolis, 151 Route de Saint-Antoine, 06200, Nice, France.

Background: Laparoscopic sleeve gastrectomy represents the most performed bariatric procedure in France. Staple line leak is the major short-term complication of the procedure. Patients with persistent fistula after sleeve gastrectomy, after failure of endoscopic and radiological treatment, are candidates for salvage surgery. Read More

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http://dx.doi.org/10.1007/s11695-018-03644-zDOI Listing
December 2018

An Uncommon Presentation of Leiomyoma Cecum as a Subcutaneous Abscess of the Right Flank.

Cureus 2018 Oct 9;10(10):e3432. Epub 2018 Oct 9.

Otolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cecal leiomyomas are rare benign tumors of smooth muscle arising from the colonic muscularis mucosa or muscularis propria. They are usually asymptomatic in nature and, if symptomatic, may present as pain in the abdomen, intestinal obstruction, or bleeding. In some cases, leiomyoma can cause free perforation leading to peritonitis. Read More

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https://www.cureus.com/articles/10120-an-uncommon-presentati
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http://dx.doi.org/10.7759/cureus.3432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289561PMC
October 2018
2 Reads

Double collecting system with ectopic ureterocele masquerading as an ovarian torsion.

Taiwan J Obstet Gynecol 2018 Dec;57(6):867-870

Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsin-Chu Br, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Objective: Ureterocele in a duplex system is rare and commonly presented with urinary tract infection at neonatal age, infant or childhood. Symptomatic ureterocele in reproductive-age is a diagnostic challenge and should be highly awarded to avoid miss-diagnosis.

Case Report: An adolescent girl with right ectopic ureterocele presented as acute abdomen that mimicked ovarian torsion received emergent laparoscopic surgery. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.10.018DOI Listing
December 2018

Intra-Cavitary Contrast-Enhanced Ultrasound: a Novel Radiation-Free Method to Detect Abscess Associated Penetrating Disease in Crohn's Disease.

J Crohns Colitis 2018 Dec 13. Epub 2018 Dec 13.

Department of Medical Ultrasonics, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background And Aim: Penetrating disease is a common condition complicating Crohn's disease (CD). Establishing the presence of a fistula and the anatomical definition of the fistulous tracts are essential for deciding on appropriate treatment strategies. We aimed to assess the diagnostic accuracy of intra-cavitary contrast-enhanced ultrasound (IC-CEUS) for the detection of fistulous tract associated with abscesses in CD patients. Read More

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http://dx.doi.org/10.1093/ecco-jcc/jjy209DOI Listing
December 2018
6.234 Impact Factor

Risk of postoperative morbidity in patients having bowel resection for colonic Crohn's disease.

Tech Coloproctol 2018 Dec 12. Epub 2018 Dec 12.

Department of Surgery, Ålborg University Hospital, Ålborg, Denmark.

Background: The aim of the present multicenter study was to analyze the incidence and risk factors associated with postoperative morbidity in patients who had colorectal resection for colonic Crohn's disease.

Methods: Consecutive patients undergoing colorectal resection for colonic Crohn's disease at seven surgical units in 1992-2017 were included. Exclusion criteria were: proctectomy for perianal disease, surgery for cancer, previous colectomies, surgery before 1998. Read More

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http://dx.doi.org/10.1007/s10151-018-1904-0DOI Listing
December 2018

Primary Appendicular Malignancy Presenting as Abdominal Wall Abscess with Secondary Tuberculosis Infection: an Interesting Case Report.

Indian J Surg Oncol 2018 Dec 7;9(4):613-617. Epub 2018 Aug 7.

Parvarish Nursing Home, Andheri, Mumbai, Maharashtra India.

Cancers of the appendix are rare. Most of them are found accidentally on appendectomies performed for appendicitis. When reviewed, majority of the tumors were carcinoid, adenoma, and lymphoma. Read More

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http://dx.doi.org/10.1007/s13193-018-0804-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265167PMC
December 2018
1 Read

The efficacy and safety of tazobactam/ceftolozane in combination with metronidazole in Japanese patients with complicated intra-abdominal infections.

J Infect Chemother 2018 Dec 5. Epub 2018 Dec 5.

Japan Development, MSD K.K., Tokyo, Japan. Electronic address:

Tazobactam/ceftolozane, a novel antimicrobial therapy, is active against Pseudomonas aeruginosa and most extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae. We report the results of the efficacy and safety of tazobactam/ceftolozane in Japanese patients with complicated intra-abdominal infections (cIAI). A multicenter, open-label, noncomparative study (MK-7625A Protocol 013, ClinicalTrials. Read More

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http://dx.doi.org/10.1016/j.jiac.2018.10.012DOI Listing
December 2018

Efficacy of oral antibiotics in children with post-operative abscess from perforated appendicitis.

Pediatr Surg Int 2018 Dec 3. Epub 2018 Dec 3.

Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, 64108, Kansas City, MO, USA.

Background: Post-operative intra-abdominal abscess (PIAA) is the most common complication after appendectomy for perforated appendicitis (PA). Typically, intravenous antibiotics by a peripherally inserted venous catheter are utilized to treat the abscess. We sought to evaluate the role of oral antibiotics in this population. Read More

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http://dx.doi.org/10.1007/s00383-018-4424-0DOI Listing
December 2018
1 Read

Is abdominal drainage after open emergency appendectomy for complicated appendicitis beneficial or waste of money? A single centre retrospective cohort study.

Ann Med Surg (Lond) 2018 Dec 9;36:168-172. Epub 2018 Nov 9.

UCL Medical School, UCL, Research Department of Medical Education, Room GF/664, Royal Free Campus, Hampstead, London, NW3 2PR, UK.

Background: Appendicitis is a medical condition that causes painful inflammation of the appendix. For acute appendicitis, appendectomy is immediately required as any delay may lead to serious complications such as gangrenous or perforated appendicitis with or without localized abscess formation. Patients who had appendectomy for complicated appendicitis are more prone to develop post-operative complications such as peritoneal abscess or wound infection. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.10.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247409PMC
December 2018
1 Read

Retroperitoneal Abscess Associated With a Migrating Grass Awn in a Cat: Treatment With Omentalization and Grass Awn Removal.

Top Companion Anim Med 2018 Dec 29;33(4):97-99. Epub 2018 Aug 29.

Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

An 18-month-old domestic short hair male castrated cat presented with a history of fever of unknown origin of 1-year duration. Abdominal ultrasound revealed a mixed echogenicity mass. Cytological examination of the fluid obtained through fine needle aspiration was consistent with a retroperitoneal abscess. Read More

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http://dx.doi.org/10.1053/j.tcam.2018.08.007DOI Listing
December 2018
1 Read

Methods of Conservative Antibiotic Treatment of Acute Uncomplicated Appendicitis: A Systematic Review.

J Trauma Acute Care Surg 2018 Dec 3. Epub 2018 Dec 3.

Professor of Medicine and Emergency Medicine, Department of Emergency Medicine (and Department of Medicine, Division of Infectious Diseases), Olive View-UCLA Medical Center, 14445 Olive View Drive, North Annex, Sylmar, CA 91342.

Background: Meta-analyses and a recent guideline acknowledge that conservative management of uncomplicated appendicitis with antibiotics can be successful for patients who wish to avoid surgery. However, guidance as to specific management does not exist.

Methods: PUBMED and EMBASE search of trials describing methods of conservative treatment was conducted according to PRISMA guidelines. Read More

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http://dx.doi.org/10.1097/TA.0000000000002137DOI Listing
December 2018
1 Read

Intra-abdominal Hemorrhage Following 739 Consecutive Pancreaticoduodenectomy: Risk Factors and Treatments.

J Gastroenterol Hepatol 2018 Dec 4. Epub 2018 Dec 4.

Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

Background: Post-pancreaticoduodenectomy hemorrhage (PPH) is a potentially lethal complication. The objective of this study was to explore the risk factors of PPH, and to evaluate the treatment options.

Methods: Clinical data of 739 consecutive patients undergoing pancreaticoduodenectomy between 2009 and 2017 were collected from a prospectively maintained database. Read More

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http://doi.wiley.com/10.1111/jgh.14560
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http://dx.doi.org/10.1111/jgh.14560DOI Listing
December 2018
4 Reads

Long-Term Follow-Up of a Patient with Spondylodiscitis after Laparoscopic Sacrocolpopexy: An Unusual Complication with a Review of the Literature.

Urol Int 2018 Nov 28:1-5. Epub 2018 Nov 28.

Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.

Sacrocolpopexy is the gold standard treatment for apical compartment prolapse with reported success rates of 78-100%. Spondylodiscitis is a rare complication of sacrocolpopexy and includes a spectrum of spinal infections such as discitis, osteomyelitis, epidural abscess, meningitis, subdural empyema, and spinal cord abscess. Here we report a case of spondylodiscitis following laparoscopic sacrocolpopexy with long-term follow-up and discuss management of spondylodiscitis after abdominal sacrocolpopexy, with a review of the literature. Read More

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http://dx.doi.org/10.1159/000494370DOI Listing
November 2018
1 Read

[Diagnosis and therapeutic aspects of the amoebic liver abscesses in the surgery at point "G" Hospital].

Mali Med 2018 ;33(1):1-5

Service de chirurgie A CHU du Point G.

Aim: Our aim was to evaluate the diagnosis and therapeutic aspects of the amoebic liver abscesses in the surgery «A» department of the University hospital Point "G".

Patients And Methods: Were included in this study, patients admitted to the surgery «A» department for amoebic liver abscess confirmed by a positive amoebic serology and the chocolate appearance of bacteria-free pus. Bacterial liver abscesses were not included into this study. Read More

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January 2018

Early Laparoscopic Washout may Resolve Persistent Intra-abdominal Infection Post-appendicectomy.

World J Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Surgery, Nepean Hosptial, P. O. Box 67, Penrith, NSW, 2751, Australia.

Background: Intra-abdominal abscess (IAA) complicates 2-3% of patients having an appendicectomy. The usual management is prolonged antibiotics and drainage of the IAA. From 2006, our unit chose to use early re-laparoscopy and washout in patients with persistent sepsis following appendicectomy. Read More

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http://link.springer.com/10.1007/s00268-018-4871-8
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http://dx.doi.org/10.1007/s00268-018-4871-8DOI Listing
November 2018
5 Reads

Case Report of a Tubo-ovarian Abscess Caused by Candida kefyr.

J Obstet Gynaecol Can 2018 Nov;40(11):1466-1467

Department of Obstetrics and Gynecology, School of Medicine, Ege University, Izmir, Turkey. Electronic address:

Background: Candida species are harmless commensals of hosts, including humans, but they can cause infection when the immune system is compromised. Infections with non-albicans species can occur, ranging from urinary tract infections to sepsis, especially among patients in intensive care units.

Case: The patient, a 37-year-old woman, presented with severe abdominal pain, fever, and vomiting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183035
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http://dx.doi.org/10.1016/j.jogc.2018.04.025DOI Listing
November 2018
4 Reads

A case of intrasplenic displacement of an endoscopic double-pigtail stent as a treatment for laparoscopic sleeve gastrectomy leak.

Int J Surg Case Rep 2018 13;53:367-369. Epub 2018 Nov 13.

Department of Surgery, University of L'Aquila, L'Aquila, Italy.

Introduction: The most frequent and severe complication after laparoscopic sleeve gastrectomy is gastric leak. Nowadays, there is no specific standard recommendation for its management, but the endoscopic placement of a double-pigtail drain across the leak has been proven to be effective and minimally invasive. Stent displacement into the abdominal cavity is not common and intrasplenic migration is even more rare. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183051
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http://dx.doi.org/10.1016/j.ijscr.2018.11.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257903PMC
November 2018
1 Read

Diverting stoma-related complications following colorectal endometriosis surgery: a 163-patient cohort.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 6;232:46-53. Epub 2018 Nov 6.

Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis, Rouen University Hospital, Rouen, France; Clinique Tivoli-Ducos, Bordeaux, France. Electronic address:

Objective: Deep endometriosis may simultaneously infiltrate the vagina and the rectosigmoid, which associated resection may increase the risk of postoperative complications. Among these complications, rectovaginal fistula is one of the worst. To reduce the risk of rectovaginal fistula and related complications, surgeons may employ diverting stoma. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.11.008DOI Listing
January 2019
4 Reads

Isolated ovarian tuberculosis in an Immuno- competent woman in the post partum period: case report.

Authors:
Wondimu Gudu

J Ovarian Res 2018 Nov 22;11(1):97. Epub 2018 Nov 22.

Department of Obstetrics & Gynecology, Saint Paul's Hospital Millennium Medical College, P.O.Box 1271, Addis Ababa, Ethiopia.

Background: Pelvic tuberculosis is a rare form of extrapulmonary tuberculosis. It commonly involves the fallopian tubes and the uterus from a lympho-hematogeneous spread. The presentation of pelvic tuberculosis as an isolated ovarian abscess is extremely rare and is reported only twice. Read More

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http://dx.doi.org/10.1186/s13048-018-0472-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249878PMC
November 2018
3 Reads

Laparoscopic Repair for Perforated Peptic Ulcer Disease Has Better Outcomes Than Open Repair.

J Gastrointest Surg 2018 Nov 21. Epub 2018 Nov 21.

The Whiteley-Martin Research Centre, Discipline of Surgery, Nepean Hospital, The University of Sydney, Level 5, South Block, P.O. Box 63, Penrith, NSW, 2751, Australia.

Purpose: Over the last 3 decades, laparoscopic procedures have emerged as the standard treatment for many elective and emergency surgical conditions. Despite the increased use of laparoscopic surgery, the role of laparoscopic repair for perforated peptic ulcer remains controversial among general surgeons. The aim of this study was to compare the outcomes of laparoscopic versus open repair for perforated peptic ulcer. Read More

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http://dx.doi.org/10.1007/s11605-018-4047-8DOI Listing
November 2018
6 Reads

Does Imaging Before Percutaneous Drain Removal Affect Rates of Intra-abdominal Abscess Recurrence?

J Surg Res 2018 Dec 19;232:408-414. Epub 2018 Jul 19.

Division of General Surgery, Department of Surgery, McMaster University, Hamilton, ON. Electronic address:

Background: Intra-abdominal abscesses account for a large proportion of surgical complications and carry high mortality if not promptly controlled. Image-guided percutaneous drainage is standard of care. The objective of the study was to identify factors that predict abscess recurrence after percutaneous drain (PD) removal and determine if imaging before drain removal effects recurrence. Read More

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http://dx.doi.org/10.1016/j.jss.2018.06.062DOI Listing
December 2018
6 Reads

Outcomes After Laparoscopic Gastrostomy Suture Techniques in Children.

J Surg Res 2018 Dec 30;232:26-32. Epub 2018 Jun 30.

Division of Pediatric Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah. Electronic address:

Background: There are various suture techniques used during laparoscopic gastrostomy to secure the stomach to the anterior abdominal wall. However, it remains unclear whether temporary fixation or subcutaneous absorbable sutures predispose pediatric patients to fewer postoperative complications. Our goal was to determine if a particular suture technique resulted in an increased risk for the development of postoperative complications. Read More

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http://dx.doi.org/10.1016/j.jss.2018.05.022DOI Listing
December 2018
2 Reads

Comparison of Short-Term Clinical and Pathological Outcomes after Transanal versus Laparoscopic Total Mesorectal Excision for Low Anterior Rectal Resection Due to Rectal Cancer: A Systematic Review with Meta-Analysis.

J Clin Med 2018 Nov 19;7(11). Epub 2018 Nov 19.

2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland.

Background: Transanal total mesorectal excision (TaTME) is a new technique that is designed to overcome the limits of the open and laparoscopic approach for rectal resections.

Objective: This study is designed to compare TaTME with standard laparoscopic TME (LaTME).

Methods: We searched Medline, Embase, and Scopus databases covering a up to October 2018. Read More

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http://dx.doi.org/10.3390/jcm7110448DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262322PMC
November 2018
2 Reads

Dual-center randomized clinical trial exploring the optimal duration of antimicrobial prophylaxis in patients undergoing pancreaticoduodenectomy following biliary drainage.

Ann Gastroenterol Surg 2018 Nov 17;2(6):442-450. Epub 2018 Sep 17.

Department of Gastroenterological Surgery (Surgery II) Nagoya University Graduate School of Medicine Nagoya Japan.

Objectives: The aim of this dual-center randomized controlled trial was to determine the optimal duration of antimicrobial prophylaxis in patients treated with pancreaticoduodenectomy (PD) who underwent preoperative biliary drainage (PBD) but were without cholangitis.

Background: Some reports showed that PBD in patients undergoing pancreatectomy increased the rate of perioperative complications. However, no clinical trial has evaluated the optimal duration of antimicrobial prophylaxis with a focus on patients who underwent PD following PBD. Read More

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http://dx.doi.org/10.1002/ags3.12209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236101PMC
November 2018
4 Reads

Spinal-epidural Abscess Presenting as an Acute Abdomen in a Child: A Case Report and Review of the Literature.

Asian J Neurosurg 2018 Oct-Dec;13(4):1247-1249

Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria.

Abdominal presentations in patients with spinal-epidural abscess (SEA) are not uncommon. However, it needs to be continually emphasized that the atypical presentations of these diseases could delay the timely diagnosis and consequently prompt management, which threatens spinal cord, leading to potential to paralysis or even death. We report a case of a young girl who presented with abdominal pain and fever. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_177_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208252PMC
November 2018
6 Reads

Multiple spontaneous small bowel perforations due to clozapine-Case report.

Int J Surg Case Rep 2018 1;53:262-264. Epub 2018 Nov 1.

General Surgery Department of Centro Hospitalar do Oeste, Portugal.

Introduction: Spontaneous free perforation of the small bowel is unusual. There are many causes of spontaneous small bowel free perforation such as: immune-mediated or inflammatory, infections, drugs and biological agents, congenital, metabolic, vascular and neoplasm. A severe adverse effect of antipsychotic drugs is intestinal ischemia, which could lead to perforation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240700PMC
November 2018
6 Reads

Intraperitoneal abscess formation spreading to the liver after endoscopic ultrasound-guided fine-needle aspiration for abdominal lymphadenopathy.

Clin J Gastroenterol 2018 Nov 16. Epub 2018 Nov 16.

Department of Gastroenterology, Mito Saiseikai General Hospital, 3-3-10 Hutabadai, Mito, Ibaraki, 311-4198, Japan.

A 75-year-old woman was admitted to our hospital because of anemia and appetite loss. She had rheumatoid arthritis and was taking 1 mg of prednisolone and 150 mg of peficitinib orally. She was detected with lymphadenopathy, 18 mm in diameter, around the common hepatic artery with abdominal ultrasonography and abdominal computed tomography. Read More

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http://link.springer.com/10.1007/s12328-018-0921-x
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http://dx.doi.org/10.1007/s12328-018-0921-xDOI Listing
November 2018
5 Reads

Risk factors and post-operative complications after gastrectomy for cancer.

Rozhl Chir 2018 ;97(8):384-393

Introduction: Gastric resections due to carcinoma belong to the most demanding procedures in visceral surgery. This is due to the requirements for the extent of resection and lymphadenectomy, coupled with the need for functional reconstruction of the digestive tract. The procedure is associated with 18-46% morbidity, which delays administration of adjuvant therapy and worsens oncological results. Read More

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January 2018
3 Reads

STROBE-anastomotic leakage after pull-through procedure for Hirschsprung disease.

Medicine (Baltimore) 2018 Nov;97(46):e13140

Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

This study was undertaken to explore the causes, diagnosis, and treatment of anastomotic leakage after pull-through (PT) procedure for Hirschsprung disease (HD).A retrospective analysis of patients with anastomotic leakage after a PT procedure in the General Surgery Department of Beijing Children's Hospital from July 2013 to June 2016 was undertaken. The surgical characteristics, diagnosis, and treatment were retrospectively analyzed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201811160-0002
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http://dx.doi.org/10.1097/MD.0000000000013140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257430PMC
November 2018
3 Reads

Nonoperative Management of Uncomplicated Appendicitis Among Privately Insured Patients.

JAMA Surg 2018 Nov 14. Epub 2018 Nov 14.

Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Stanford University, Stanford, California.

Importance: Health care professionals have shown significant interest in nonoperative management for uncomplicated appendicitis, but long-term population-level data are lacking.

Objective: To compare the outcomes of nonoperatively managed appendicitis against appendectomy.

Design, Setting, And Participants: This national retrospective cohort study used claims data from a private insurance database to compare patients admitted with uncomplicated appendicitis from January 1, 2008, through December 31, 2014, undergoing appendectomy vs nonoperative management. Read More

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http://archsurg.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamasurg.2018.4282DOI Listing
November 2018
15 Reads

Necrotizing Fasciitis of the Breast: Case Report with Literature Review.

Case Rep Surg 2018 23;2018:1370680. Epub 2018 Oct 23.

Department of General Surgery, Al-Noor Specialist Hospital, Makkah, Saudi Arabia.

Necrotizing fasciitis is a life-threatening aggressive soft tissue infection which usually affects the extremities, abdominal wall, or perineum. Breasts are rarely affected, with most cases presenting after trauma or surgical intervention. It may be misdiagnosed as abscess or cellulitis, leading to treatment delays. Read More

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https://www.hindawi.com/journals/cris/2018/1370680/
Publisher Site
http://dx.doi.org/10.1155/2018/1370680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218748PMC
October 2018
3 Reads

Ertapenem non-susceptibility and independent predictors of the carbapenemase production among the Enterobacteriaceae isolates causing intra-abdominal infections in the Asia-Pacific region: results from the Study for Monitoring Antimicrobial Resistance Trends (SMART).

Infect Drug Resist 2018 17;11:1881-1891. Epub 2018 Oct 17.

Departments of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan,

Objectives: This study investigated the prevalence rates of carbapenemase positivity, antibiotic susceptibility, and independent predictors of carbapenemase producers among the Enterobacteriaceae isolates recovered from patients with intra-abdominal infections (IAI) in the Asia-Pacific region between 2008 and 2014.

Materials And Methods: Multiplex PCR was used for the detection of specific β-lactamases, while the broth microdilution method was used to determine the minimum inhibitory concentrations (MICs) of antibiotics among the IAI-related Enterobacteriaceae isolates. We studied the abovementioned parameters in 484 ertapenem-non-susceptible (Erta-NS) isolates and explored the independent predictors of carbapenemase-producing Enterobacteriaceae (CPE) isolates. Read More

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https://www.dovepress.com/ertapenem-non-susceptibility-and-i
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http://dx.doi.org/10.2147/IDR.S181085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203167PMC
October 2018
5 Reads

Trans-anal or trans-abdominal total mesorectal excision? A systematic review and meta-analysis of recent comparative studies on perioperative outcomes and pathological result.

Int J Surg 2018 Nov 9;60:113-119. Epub 2018 Nov 9.

Department of Gastrointestinal Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address:

Background: Trans-anal total mesorectal resection (TaTME) is a novel approach for rectal cancer. However, the perioperative and pathological outcomes of this procedure remain controversial.

Method: A systematic literature search was performed using PubMed, Embase, Wanfang (China) and the Cochrane Library databases without restriction to regions or languages. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.11.003DOI Listing
November 2018
2 Reads

Prediction of short-term surgical complications in women undergoing pelvic exenteration for gynecological malignancies.

Gynecol Oncol 2018 Nov 8. Epub 2018 Nov 8.

Division of Gynecologic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

Objective: Pelvic exenteration (PE) is an extensive surgery associated with high rates of postoperative morbidity and mortality. The absence of well-defined preoperative selection criteria to identify patients eligible for PE prompted the assessment of pre-operative predictors of 30-day major surgical complications.

Methods: Demographics and surgical characteristics of patients undergoing PE for gynecologic cancer in a single institution between 01/2004-12/2016 were reviewed. Read More

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http://dx.doi.org/10.1016/j.ygyno.2018.10.036DOI Listing
November 2018

Spontaneous perforation and intraabdominal abscess due to Meckel's diverticulum revealed on SPECT/CT with 99m-technetium pertechnetate: A case report.

Medicine (Baltimore) 2018 Oct;97(43):e13004

The Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Rationale: Meckel's diverticulum (MD) is common congenital abnormality of gastrointestinal tract, only about 6.4% of patients become symptomatic. A smaller minority develop potential fatal complications such as hemorrhage, perforation, abscess, and bowel obstruction. Read More

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http://dx.doi.org/10.1097/MD.0000000000013004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221666PMC
October 2018
4 Reads

Diagnostic challenges in differentiating intramural gastric abscess from gastric cancer: Two case reports.

Medicine (Baltimore) 2018 Oct;97(43):e12756

Department of Gastroenterology, Zhejiang Provincial People's Hospital.

Rationale: Intramural gastric abscess is a rare clinical condition. It is frequently neglected because of the absence of specific clinical symptoms and misdiagnosed due to the difficulty in differentiating a benign lesion from a malignant one on the gastric wall. Several imaging techniques are helpful for identifying an intramural gastric abscess. Read More

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http://dx.doi.org/10.1097/MD.0000000000012756DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221696PMC
October 2018
24 Reads

Clinical signs of retroperitoneal abscess from colonic perforation: Two case reports and literature review.

Medicine (Baltimore) 2018 Nov;97(45):e13176

Department and Clinic of Gastrointestinal and General Surgery, Medical University, Wroclaw. Poland.

Rationale: Retroperitoneal colonic perforation is a rare cause of retroperitoneal abscess. It presents, more frequently in frail elderly patients, with heterogeneous signs and symptoms which hamper the clinical diagnosis. Subcutaneous emphysema with pneumomediastinum and iliopsoas muscle abscess are unusual signs. Read More

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http://dx.doi.org/10.1097/MD.0000000000013176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250550PMC
November 2018
5 Reads

Pneumocardia and septic pulmonary embolism due to nongas-forming liver abscess: A case report.

Medicine (Baltimore) 2018 Nov;97(45):e13096

Respiratory Medicine Department, Zhuji People's Hospital, No. 9 Jianmin Road, Zhuji, Shaoxin, Zhejiang Province, China.

Rationale: Pneumocardia and septic pulmonary embolism are uncommon complications of Klebsiella pneumoniae primary liver abscess (KPLA); however, they may lead to a poor clinical outcome.

Patient Concerns: A 67-year-old woman was admitted to our hospital with fever, chills, cough, and dyspnea for 4 days. She had a previous history of diabetes mellitus. Read More

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http://dx.doi.org/10.1097/MD.0000000000013096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250546PMC
November 2018
7 Reads

[Primary tuberculous abscess and pyogenic psoas abscess: an uncommon association].

Pan Afr Med J 2017 29;28:280. Epub 2017 Nov 29.

Laboratoire de Bactériologie, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc.

Psoas abscesses account for 5-10% of abdominal suppurations. They can be primary or secondary. Primary polymicrobic abscesses of the psoas muscle including, in particular, tuberculous abscesses and pyogenic abscesses, have never been reported in the literature. Read More

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http://www.panafrican-med-journal.com/content/article/28/280
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http://dx.doi.org/10.11604/pamj.2017.28.280.13796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211819PMC
November 2018
4 Reads

Isolated Biliary Fistula After Donor Right Hepatectomy and Its Novel Interventional Treatment: Isolated Liver-Punctured Drainage.

Transplant Proc 2018 Nov 16;50(9):2885-2888. Epub 2018 Mar 16.

Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University Graduate School of Medicine, Mie, Japan.

Isolated biliary leakage is difficult to manage, and afflicted patients often develop refractory fistula. The present case was a 43-year-old male donor whose wife developed acute fulminant liver failure. Computed tomography (CT) volumetry showed that the estimated remnant liver volume was only 394 mL (31%) if his right lobe would be harvested. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183036
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http://dx.doi.org/10.1016/j.transproceed.2018.03.032DOI Listing
November 2018
3 Reads

ACR Appropriateness Criteria Acute Nonlocalized Abdominal Pain.

J Am Coll Radiol 2018 Nov;15(11S):S217-S231

Specialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.

The range of pathology in adults that can produce abdominal pain is broad and necessitates an imaging approach to evaluate many different organ systems. Although localizing pain prompts directed imaging/management, clinical presentations may vary and result in nonlocalized symptoms. This review focuses on imaging the adult population with nonlocalized abdominal pain, including patients with fever, recent abdominal surgery, or neutropenia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15461440183115
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http://dx.doi.org/10.1016/j.jacr.2018.09.010DOI Listing
November 2018
9 Reads

A Double Whammy: Lactobacillus acidophilus Bacteremia and Subsequent Lactobacillus rhamnosus Prosthetic Valve Infective Endocarditis in an Elderly Diabetic Patient.

R I Med J (2013) 2018 Nov 1;101(9):32-35. Epub 2018 Nov 1.

Assistant Professor of Medicine, The Warren Alpert Medical School of Brown University, Department of Infectious Diseases, Providence VA Medical Center.

The clinical significance of the relatively avirulent organ- ism, Lactobacillus, has been debated in the past. At times misdiagnosed as a contaminant, Lactobacillus has uncommonly been reported to cause intra-abdominal abscesses, peritonitis, meningitis, bacteremia, pneumonia and endocarditis, especially in the population of patients with underlying comorbid conditions including malignancy, diabetes, recent surgery or organ transplantation. We report a case of a 74-year-old male with Lactobacillus bacteremia leading to prosthetic valve infective endocarditis complicated by an aortic root abscess. Read More

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November 2018
1 Read

Dropped gallstones causing abdominal wall abscess and pleural empyema: a case series.

Scott Med J 2018 Oct 29:36933018807653. Epub 2018 Oct 29.

5 Consultant General Surgeon, Department of General Surgery, Forth Valley Royal Hospital, UK.

Introduction: Dropped gallstones are gallstones lost in the abdominal cavity during cholecystectomy. They are a rare occurrence and often cause minimal long-term issues. However, it is recognised that dropped stones can cause intra- or extra-abdominal sepsis. Read More

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http://dx.doi.org/10.1177/0036933018807653DOI Listing
October 2018
2 Reads

Clinical and microscopic predictors of Entamoeba histolytica intestinal infection in travelers and migrants diagnosed with Entamoeba histolytica/dispar infection.

PLoS Negl Trop Dis 2018 Oct 29;12(10):e0006892. Epub 2018 Oct 29.

Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.

Background: Amebiasis is a protozoal infection caused by Entamoeba histolytica, while the morphologically indistinguishable E. dispar is considered as non-pathogenic. Polymerase chain reaction (PCR) assays are necessary to differentiate both species. Read More

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http://dx.plos.org/10.1371/journal.pntd.0006892
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http://dx.doi.org/10.1371/journal.pntd.0006892DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233926PMC
October 2018
7 Reads

The lost stone - Laparoscopic exploration of abscess cavity and retrieval of lost gallstone post cholecystectomy: A case series and review of the literature.

Int J Surg Case Rep 2018 19;53:43-45. Epub 2018 Oct 19.

Department of General Surgery B, Emek Medical Center, Afula, Israel.

Background: Laparoscopic cholecystectomy (LC) is considered the gold standard operation for symptomatic gallstones. Gallbladder perforation occurs in 6-40% of operations. It can lead to spillage of gallstones into the abdominal cavity with possible consequences of long-term complications. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203240PMC
October 2018

A colonic amoebic abscess mimicking colonic carcinoma.

Med J Malaysia 2018 Oct;73(5):334-335

University of Malaya, Faculty of Medicine, Department of Parasitology, Kuala Lumpur, Malaysia.

Amebiasis is one of the major causes of diarrhea in the developing countries and it can present with a wide range of gastrointestinal symptoms depending on the phase of infection. We described a case of 50 year-old male patient who presented with abdominal pain, diarrhea and vomiting. After right hemicolectomy for appendicular abscess with tumour over the ileum, histopathological examinations revealed numerous trophozoites of Entamoeba histolytica in a background of inflammations (Figure 1). Read More

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October 2018
1 Read

Primary peritoneal carcinosarcoma arising from the Douglas pouch: A case report.

Mol Clin Oncol 2018 Nov 4;9(5):485-488. Epub 2018 Sep 4.

Department of Obstetrics and Gynecology, ASO Iizuka Hospital, Iizuka, Fukuoka 820-8505, Japan.

Primary peritoneal carcinosarcoma is extremely rare and only few cases have been reported in the literature to date. We herein present a case of carcinosarcoma of the Douglas pouch in a 73-year-old Japanese woman. The patient complained of fever and lower abdominal pain, and a large pelvic mass (>10 cm in diameter) was detected, with rectal invasion. Read More

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http://www.spandidos-publications.com/10.3892/mco.2018.1711
Publisher Site
http://dx.doi.org/10.3892/mco.2018.1711DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174426PMC
November 2018
12 Reads