19,394 results match your criteria Abdominal Abscess

Ultrasound-Guided Percutaneous Drainage of Abdominal Abscess in a Patient With Crohn's Disease: A Case Report.

Front Surg 2021 4;8:616586. Epub 2021 Jun 4.

International School "Medicine of the Future", I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

The autoimmune process in Crohn's disease exacerbates destructive changes in the intestinal wall and leads to complications such as bleeding (21. 9%), strictures (21.6%), and abscesses (19. Read More

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Sevelamer crystals-an unusual cause of large bowel obstruction.

J Surg Case Rep 2021 Jun 16;2021(6):rjab228. Epub 2021 Jun 16.

Surgical Clinic Associates, Mississippi Baptist Hospital, Jackson, MS, USA.

Sevelamer is a common phosphate binder used to manage hyperphosphatemia in end-stage renal disease. The medication has a well-documented gastrointestinal side-effect profile including nausea, vomiting and abdominal pain. There are few case reports of Sevelamer crystal deposition causing gastrointestinal mucosal injury, pseudotumor or obstruction. Read More

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Acute appendicitis and retroperitoneal abscess: rare complications of sigmoid diverticulitis.

Radiol Case Rep 2021 Aug 8;16(8):1961-1964. Epub 2021 Jun 8.

Department of Surgery, North Middlesex University Hospital, Sterling Way, London, N18 1QX, UK.

Diverticulitis is a common cause of an acute surgical abdomen and computed tomography has become an essential part of work up particularly to identify complications that commonly include intraperitoneal perforation, abscess and fistula formation. We report the case of an 81-year-old male who presented to the emergency department with acute lower abdominal pain and was found to have sigmoid diverticulitis with the rare complications of a diverticular abscess that had formed a sinus tract and perforated into the retroperitoneum and secondary acute appendicitis. Initial management was with intravenous antibiotics, a Hartmann's procedure and appendicectomy. Read More

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Effect of hyaluronate-based bioresorbable membrane (Seprafilm) on outcomes of abdominal surgery: a meta-analysis and trial sequential analysis of randomised controlled trials.

Updates Surg 2021 Jun 20. Epub 2021 Jun 20.

Department of General Surgery, Hereford County Hospital, Wye Valley NHS Trust, Hereford, UK.

We aimed to evaluate comparative outcomes of abdominal surgery with and without hyaluronate-based bioresorbable membrane (Seprafilm).We conducted a systematic search of electronic databases and bibliographic reference lists with application of a combination of free text and controlled vocabulary search adapted to thesaurus headings, search operators and limits. Small bowel obstruction, anastomotic leak, surgical site infections, ileus, and severity of adhesions were the evaluated outcome measures. Read More

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in Peritoneal Dialysis-related Peritonitis Diagnosed by Matrix-assisted Laser Desorption/ionization Time-of-flight Mass Spectrometry.

Saudi J Kidney Dis Transpl 2021 Jan-Feb;32(1):245-248

Department of Internal Medicine; Department of Nephrology Service, University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.

Fungal peritonitis (FP) is a rare complication of peritoneal dialysis (PD). Candida tropicalis infections are rarely reported in literature. The authors present the first case of FP with peritoneal abscess due to C. Read More

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A rare case of accessory liver lobe torsion in a pediatric patient who showed recurrent epigastralgia and who was treated by elective laparoscopic resection.

Surg Case Rep 2021 Jun 15;7(1):143. Epub 2021 Jun 15.

Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan.

Background: Accessory liver lobe (ALL) is a rare liver malformation. An ALL develops due to malformation of the endodermal caudal foregut and segmentation of the hepatic bud in the third week of gestation. Most ALLs are asymptomatic and are detected incidentally during abdominal surgery. Read More

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Whole jejunoileal diverticulosis with recurrent inflammation and perforation: A case report.

Int J Surg Case Rep 2021 May 27;84:106020. Epub 2021 May 27.

Department of Surgery, Hoshigaoka Medical Center, 4-8-1 Hoshigaoka, Hirakata, Osaka, Japan. Electronic address:

Introduction: Jejunoileal diverticulitis is uncommon and poorly understood. We report a case of whole jejunoileal diverticulosis with recurrent inflammation and perforation.

Case Presentation: A 72-year-old man with hemodialysis presented with fever and abdominal pain. Read More

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Importation of Entamoeba histolytica and predominance of Klebsiella pneumoniae in liver abscesses: a 7-year retrospective cohort study from the United Arab Emirates.

Trop Dis Travel Med Vaccines 2021 Jun 12;7(1):17. Epub 2021 Jun 12.

Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.

Background: There is a dearth of information on liver abscesses in the United Arab Emirates. Herein, we describe the clinical features of liver abscesses and determine their incidence rates and clinical outcomes.

Methods: We retrospectively reviewed the clinical charts of adult patients with a primary diagnosis of liver abscess at a major hospital over a 7-year period. Read More

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Benign Colonic Strictures.

Dis Colon Rectum 2021 Jun 8. Epub 2021 Jun 8.

Division of General Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Case Summary: A 46-year-old male with no significant past medical or surgical history presented to the emergency department with a 1-week history of worsening constipation, abdominal distension, nausea, and non-bloody, non-bilious emesis. Workup included a computed tomography (CT) scan which was notable for a 5.3 x 3. Read More

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Gastrointestinal perforation secondary to COVID-19: Case reports and literature review.

Medicine (Baltimore) 2021 May;100(19):e25771

Department of Internal Medicine-College of Medicine-Imam Abdulrahman Bin Faisal University -King Fahd Hospital of the University-Khobar-Eastern Province-Saudi Arabia.

Introduction: Corona virus disease-2019 (COVID-19) presents primarily with respiratory symptoms. However, extra respiratory manifestations are being frequently recognized including gastrointestinal involvement. The most common gastrointestinal symptoms are nausea, vomiting, diarrhoea and abdominal pain. Read More

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Complicated acute appendicitis in pediatric patients with "empacho" and abdominal manipulation history: Case series.

Andes Pediatr 2021 Feb 24;92(1):86-92. Epub 2021 Feb 24.

Hospital Dr. Mario Catarino Rivas, San Pedro Sula, Honduras.

Introduction: According to Latin American popular culture, empacho is a gastrointestinal disease caused by ex cessive intake of cold or under-cooked food. Abdominal manipulation or sobada is one of the popular treatments used for empacho and consists of an abdominal massage, where the skin is rubbed and stretched, applying pressure on the abdomen.

Objectives: To characterize clinical evolution and complications secondary to diagnostic delay in pediatric patients with acute appendicitis, with history of empacho and abdominal manipulation. Read More

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February 2021

Retroperitoneal necrotizing fasciitis with the involvement of the anterior abdominal wall following perianal abscess.

J Surg Case Rep 2021 Jun 4;2021(6):rjab222. Epub 2021 Jun 4.

Department of Surgery, Saint Yared General Hospital, Addis Ababa, Ethiopia.

Necrotizing fasciitis (NF) is a life-threatening infection, which requires immediate debridement and broad-spectrum antibiotic treatment. Delay in prompt diagnosis and operative debridement is associated with significant morbidity and mortality. Retroperitoneal NF is a rare condition whereby the infection within the pelvis or retroperitoneum rapidly expands over the fascial planes to involve the anterior abdominal wall (AW), the thighs and the buttocks. Read More

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Small bowel diverticulitis - Spectrum of CT findings and review of the literature.

Clin Imaging 2021 May 6;78:240-246. Epub 2021 May 6.

Beaumont Health System, Oakland University William Beaumont School of Medicine, Department of Diagnostic Radiology and Molecular Imaging, 3601 W 13 Mile Rd, Royal Oak, MI, 48073. Electronic address:

Purpose: To review the CT findings and complications of small bowel diverticulitis (SBD) and discuss clinical presentations and outcomes.

Methods: A text search of radiology reports within our health system for cases of small bowel diverticulitis yielded 95 cases. All cases were reviewed by an abdominal radiologist with equivocal cases reviewed by a second abdominal radiologist for consensus. Read More

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Johan Forceps As a Knot Pusher for Extracorporeal Roeder Knot: An Inexpensive Alternative to an Endoloop Ligature in Laparoscopic Appendicectomy.

J Laparoendosc Adv Surg Tech A 2021 Jun 7. Epub 2021 Jun 7.

Department of General and Upper GI Surgery, Barnsley District General Hospital NHS Trust, South Yorkshire, United Kingdom.

Securing of the appendix stump is one of the key steps in performing laparoscopic appendicectomy (LA). This can be achieved by a variety of methods including endoloops, stapler, and clips. An alternative technique, previously described by authors, is the use of Johan forceps as a knot pusher, to deploy an extracorporeal Roeder knot at the base of appendix. Read More

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Prophylactic Intra-Peritoneal Drainage After Pancreatic Resection: An Updated Meta-Analysis.

Front Oncol 2021 20;11:658829. Epub 2021 May 20.

Department of General Surgery, Peking University First Hospital, Beijing, China.

Introduction: Prophylactic intra-peritoneal drainage has been considered to be an effective measure to reduce postoperative complications after pancreatectomy. However, routinely placed drainage during abdominal surgery may be unnecessary or even harmful to some patients, due to the possibility of increasing complications. And there is still controversy about the prophylactic intra-peritoneal drainage after pancreatectomy. Read More

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Tofacitinib Therapy in Children and Young Adults with Pediatric-Onset Medically-Refractory Inflammatory Bowel Disease.

J Pediatr Gastroenterol Nutr 2021 Jun 1. Epub 2021 Jun 1.

Division of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.

Objectives: Tofacitinib, a selective Janus kinase inhibitor, effectively induces and maintains remission in adults with inflammatory bowel disease (IBD), but data are limited in children. This study aimed to evaluate the efficacy and safety of tofacitinib for medically-refractory pediatric-onset IBD.

Methods: This single-center retrospective study included subjects aged 21 years and younger who started tofacitinib for medically-refractory IBD. Read More

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[Ascending colon cancer that infiltrates the abdominal wall. Report of a case of unusual presentation].

Rev Gastroenterol Peru 2020 Oct-Dec;40(4):351-354

Servicio de Cirugía de Colon y Recto, Departamento de Cirugía General y Digestiva, Hospital Nacional Edgardo Rebagliati Martins, EsSalud. Lima, Perú.

The case of a patient with ascending colon cancer and infiltration of the abdominal wall with a proliferative tumor on the skin is presented. This is an 83-year-old man who underwent surgery for an intra-abdominal abscess ten months before admission and develops a colocutaneous fistula. The patient presented a 10 cm diameter proliferative, multilobed, non-painful tumor on the flank and right iliac fossa; the biopsy revealed an adenocarcinoma. Read More

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Lactobacillus gasseri liver abscess and bacteremia: a case report.

BMC Infect Dis 2021 Jun 2;21(1):518. Epub 2021 Jun 2.

Department of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, 14080, Mexico City, Mexico.

Background: Lactobacillus is a genus of Gram-positive non-spore-forming rods usually found in the microbiota of the oral cavity, gastrointestinal tract, and female genitourinary tract. Also, they are commonly used in the food industry as supplements and probiotics. Lactobacilli are normally considered non-pathogenic to the human body, however, under certain circumstances such as immunosuppression, they can cause severe infections, with only a few cases of bacteremia, infective endocarditis, pneumonia, meningitis, and intra-abdominal infections reported. Read More

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A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report.

BMC Infect Dis 2021 Jun 2;21(1):517. Epub 2021 Jun 2.

U.O.C di Medicina Interna con Stroke Care, Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza "G. D'Alessandro", University of Palermo, Via del Vespro 129, 90127, Palermo, Italy.

Background: We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen.

Case Presentation: The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico "P. Giaccone" in Palermo because of the appearance of diarrhoea. Read More

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The "misfortune" of being a COVID-19 negative patient during the coronavirus pandemic.

J BUON 2021 Mar-Apr;26(2):303-305

4th Department of Surgery, Medical School, University of Athens, "Attikon" University Hospital, Athens, Greece.

COVID-19 pandemic has obviously affected patients' behavior towards seeking medical help as well as physicians' decision in the management of emergencies. Our recent experience as surgeons at a COVID-19 referral hospital revealed cases which share an alerting characteristic: the delay in appropriate management. Unfortunately for COVID-19 negative patients a "coronacentric" health system has been adopted. Read More

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Peroral versus intravenous post-operative antibiotics after surgery for complicated appendicitis: protocol for a cluster-randomised cluster-crossover non-inferiority study.

Dan Med J 2021 May 28;68(6). Epub 2021 May 28.

Introduction: Complicated appendicitis increases the risk of post-operative intra-abdominal abscess. Treatment of complicated appendicitis is usually a post-operative course of intravenous antibiotics. A study is needed to confirm the results of retrospective studies showing that a post-operative course of oral antibiotics is not inferior to intravenous antibiotics after laparoscopic surgery for complicated appendicitis. Read More

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Long-Term Clinical Outcomes of an Antibiotic-Coated Non-Cross-linked Porcine Acellular Dermal Graft for Abdominal Wall Reconstruction for High-Risk and Contaminated Wounds.

Am Surg 2021 May 29:31348211023392. Epub 2021 May 29.

Division of Hepatopancreaticobiliary Surgery, Department of Surgery, 22442Atrium Health-Carolinas Medical Center, Charlotte, NC, USA.

Background: Abdominal wall reconstruction in high-risk and contaminated cases remains a challenging surgical dilemma. We report long-term clinical outcomes for a rifampin-/minocycline-coated acellular dermal graft (XenMatrix™ AB) in complex abdominal wall reconstruction for patients with a prior open abdomen or contaminated wounds.

Methods: Patients undergoing abdominal wall reconstruction at our institution at high risk for surgical site occurrence and reconstructed with XenMatrix™ AB with intent-to-treat between 2014 and 2017 were included. Read More

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Isolated spleen tuberculosis in an immunocompetent patient, a rare case report.

Int J Surg Case Rep 2021 May 12;83:105966. Epub 2021 May 12.

Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat 10430, Indonesia. Electronic address:

Introduction: Tuberculosis (TB), as a major public health concern, is affecting almost 10 million people globally. At present, diagnostic and screening efforts mainly focus on positive smear results. Therefore, the number of extra pulmonary and negative sputum TB is rising and hampering the diagnosis and treatment process due to the large number of false negatives. Read More

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Acute appendicitis in elderly during Covid-19 pandemic.

Int J Colorectal Dis 2021 May 27. Epub 2021 May 27.

Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy.

Purpose: During the past months, the Italian Government has reduced the restrictions and access to hospitals. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the pandemic, it is useful to assess how the current situation is influencing the management of elderly with acute appendicitis. Read More

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Endoscopic ultrasound-guided drainage of intra-abdominal diverticular abscess. A case series.

J Minim Access Surg 2021 May 1. Epub 2021 May 1.

Department of Surgical, General and Laparoscopic Surgery Unit, Lilavati Hospital and Research Center, Mumbai, India.

Aim: Diverticular disease is widespread worldwide. Mainstay approach is non-operative treatment with bowel rest and broad-spectrum intravenous antibiotics. However, extra-colic abscess larger than 4 cm may require percutaneous trans-abdominal drainage. Read More

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Peripancreatic Fluid Collections After Pancreas Transplant: Safety and Efficacy of Percutaneous Drainage.

AJR Am J Roentgenol 2021 May 26:1-7. Epub 2021 May 26.

Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI.

The purpose of this study was to evaluate the safety and efficacy of percutaneous drainage of peripancreatic fluid collections after pancreas transplant and to determine factors predicting a successful clinical outcome. This single-center retrospective study included 28 patients who underwent percutaneous drainage for peripancreatic collections after transplant between January 2008 and December 2018. Clinical success was defined as drainage resulting in resolution of symptoms. Read More

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Risk of metachronous peritoneal metastases in patients with pT4a versus pT4b colon cancer: An international multicentre cohort study.

Eur J Surg Oncol 2021 May 15. Epub 2021 May 15.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Cancer Centre Amsterdam, Amsterdam, the Netherlands. Electronic address:

Introduction: With evolving treatment strategies aiming at prevention or early detection of metachronous peritoneal metastases (PM), identification of high-risk colon cancer patients becomes increasingly important. This study aimed to evaluate differences between pT4a (peritoneal penetration) and pT4b (invasion of other organs/structures) subcategories regarding risk of PM and other oncological outcomes.

Materials And Methods: From eight databases deriving from four countries, patients who underwent curative intent treatment for pT4N0-2M0 primary colon cancer were included. Read More

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Timing of Complication and Failure to Rescue after Hepatectomy: Single-Institution Analysis of 28-Years of Hepatic Surgery.

J Am Coll Surg 2021 May 21. Epub 2021 May 21.

Division of Hepatopancreatobiliary, Department of Surgery, Memorial Sloan Kettering Cancer Center, NY, NY.

Background: Morbidity after hepatectomy remains a significant, potentially preventable outcome. Understanding the pattern of complications and rescue pathways is critical for the development of targeted initiatives intended to salvage patients after operative morbidity.

Study Design: Patients undergoing liver resection from 1991-2018 at a single institution were analyzed. Read More

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Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant.

Surg Case Rep 2021 May 24;7(1):128. Epub 2021 May 24.

Department of Thoracic Surgery, University of Yamanashi, Chuo, Japan.

Background: Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. However, there are few reports of the sequestration associated with the pancreas derived from the foregut. We describe the history and pathophysiology of BPFM including pancreatic tissue in a male infant with respiratory distress. Read More

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Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever.

IDCases 2021 12;24:e01159. Epub 2021 May 12.

Centro Hospitalar Universitário do Porto EPE, Internal Medicine Department, Alameda Prof. Hernâni Monteiro, Porto, PT 4200-319, Portugal.

A 70-year-old woman presented to the emergency department with a 3-week history of prolonged fever, asthenia and anorexia, denying other symptoms. Physical examination was unremarkable and the patient admitted for further investigation. Initial laboratory testing showed leucocytosis, elevated C-reactive protein and cholestasis, without hyperbilirubinemia or cytolysis. Read More

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