18,000 results match your criteria Abdominal Abscess


Textiloma: 28 years of foreign body mimicking pancreatic mass Case Report.

Ann Ital Chir 2019 Feb 18;8. Epub 2019 Feb 18.

Problem of retained foreign bodies is still actual challenge at surgical practice at the present time. Retained surgical sponges (cotton or gauze pads), which can be mistakenly left behind during different surgical operations, represent a difficult diagnostic problem despite of using modern technologic procedures, such as US, CT, MRI and etc. These foreign materials may cause serious complications and may lead even to mortality. Read More

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February 2019

Variation in anti-microbial prescription and complications post emergency appendicectomy in Australia: do we follow recommended guidelines?

ANZ J Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia.

Background: This study aims to establish compliance levels to prescription guidelines among Australian surgeons in the use of antibiotics in the surgical management of appendicitis. The secondary outcomes are predictors of post-operative infective complications; surgical site infection (SSI) and intra-abdominal abscess (IAA) at 30 days.

Methods: A multi-centre, prospective, observational study was conducted over a period of 2 months with a 30-day follow-up. Read More

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http://dx.doi.org/10.1111/ans.15099DOI Listing
February 2019

A Validated Score Assessing the Risk for an Intra-Abdominal Abscess in Patients with Crohn's Disease Presenting at the Emergency Department.

J Crohns Colitis 2019 Feb 14. Epub 2019 Feb 14.

Institute of Gastroenterology and Liver Diseases, Department of Medicine, Hadassah - Hebrew University Medical Center, Jerusalem, Israel.

Background And Aims: A majority of acutely-ill Crohn's disease (CD) patients who present to Emergency Department (ED) will undergo an abdominal CT to rule out disease complications. We aimed to generate a simple non-invasive scoring model to predict the presence of an intra-abdominal abscess in CD patients in the ED.

Methods: We performed a retrospective case control study at four Israeli hospitals from January-1 st-2010 to May-30 th-2018. Read More

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http://dx.doi.org/10.1093/ecco-jcc/jjz043DOI Listing
February 2019

Endoscopic Ultrasound-Guided Transgastric Drainage of an IntraAbdominal Abscess following Gastrectomy.

Clin Endosc 2019 Feb 15. Epub 2019 Feb 15.

Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulas and intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastric drainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominal abscess following gastrectomy and underwent EUS-guided transgastric drainage. Read More

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http://dx.doi.org/10.5946/ce.2018.134DOI Listing
February 2019

Inflammatory Syndrome as the Initial Manifestation of Retroperitoneal Tuberculosis in a Pregnant Woman.

Eur J Case Rep Intern Med 2018 26;5(7):000865. Epub 2018 Jul 26.

Division of Pulmonary Diseases, Department of Internal Medicine Specialties, University Hospitals of Geneva, Switzerland.

A 20-year-old asylum seeker presented with vomiting and left thigh pain, with a biological inflammatory syndrome. Pregnancy was diagnosed. Investigations revealed a pseudo-cystic, 20-cm-long retroperitoneal abscess, biopsy of which confirmed the diagnosis of tuberculosis. Read More

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http://dx.doi.org/10.12890/2018_000865DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346775PMC
July 2018
1 Read

A rare case of miliary tuberculosis accompanying perihepatitis.

Clin Exp Emerg Med 2019 Feb 12. Epub 2019 Feb 12.

Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Perihepatic capsulitis is associated with various diseases, such as Fitz-Hugh-Curtis syndrome, systemic lupus erythematosus, perforated cholecystitis, perforated hepatic abscess, and tuberculous peritonitis. Miliary tuberculosis is present in about 2% of all reported cases of tuberculosis and is characterized by the widespread millet-like hematogenous dissemination of Mycobacterium tuberculosis. We describe a 24-year-old virgin patient presenting with right upper quadrant and costovertebral angle pain. Read More

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http://dx.doi.org/10.15441/ceem.18.017DOI Listing
February 2019
1 Read

Perforated appendicitis in the setting of a massive ventral hernia, morbid obesity, and multiple severe comorbidities: challenges in acute management.

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

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http://dx.doi.org/10.1136/tsaco-2018-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347851PMC
January 2019
1 Read

Meta-analysis of peritoneal lavage in appendicectomy.

BJS Open 2019 Feb 29;3(1):24-30. Epub 2018 Nov 29.

Department of General Surgery John Radcliffe Hospital Oxford UK.

Background: The use of peritoneal lavage to prevent postoperative intra-abdominal abscess (IAA) after appendicectomy has been debated widely.

Methods: A systematic review and meta-analysis of suction alone lavage for appendicitis was performed to determine the relative benefit of lavage. Primary outcomes were postoperative IAA and wound infection (WI). Read More

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http://dx.doi.org/10.1002/bjs5.50118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354188PMC
February 2019

Acute perforated appendicitis in adults: Management and complications in Lagos, Nigeria.

Ann Afr Med 2019 Jan-Mar;18(1):36-41

Department of Surgery, Faculty of Clinical Sciences, College of Medicine, General Surgery Unit, University of Lagos, Idi-Araba, Lagos, Nigeria.

Background: Acute perforation of the appendix is one of the complications of appendicitis that is associated with increased morbidity and mortality and hence regarded as a surgical emergency. Risk factors for perforated appencidicits include extremes of age, male sex, pregnancy, immunosuppression, comorbid medical conditions and previous abdominal surgery.

Objectives: This study focuses on the pattern of presentation, risk factors, morbidity and mortality of patients managed for perforated appendicitis in our centre. Read More

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http://dx.doi.org/10.4103/aam.aam_11_18DOI Listing
February 2019
1 Read

Pleural empyema in a patient with a perinephric abscess and diaphragmatic defect.

Respirol Case Rep 2019 Apr 29;7(3):e00400. Epub 2019 Jan 29.

Department of Respiratory Medicine Sir Charles Gairdner Hospital Nedlands Western Australia Australia.

Pleural infection as a complication of ascending urological infection is rare, and the mechanism often unclear. We report a complicated case of pleural infection and perinephric abscess in a patient who presented with a large right-sided pleural effusion. Pleural fluid culture yielded , an unusual pathogen in pleuro-pulmonary infections. Read More

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http://dx.doi.org/10.1002/rcr2.400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350234PMC
April 2019
1 Read

Successful surgical management of non-perforating acute appendicitis with septic disseminated intravascular coagulation: A case report and review of the literature.

Int J Surg Case Rep 2019 Jan 29;55:103-106. Epub 2019 Jan 29.

Department of Gastroenterological Surgery, Hiroshima City Asa Citizens Hospital, Japan.

Introduction: Perforating appendicitis and abscess-forming appendicitis may cause septic disseminated intravascular coagulation (DIC). However, non-perforating acute appendicitis with septic DIC is extremely rare.

Presentation Of Case: A 67-year-old man was referred to our hospital one day after starting oral antibiotic treatment for acute appendicitis. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360458PMC
January 2019
1 Read

Two-stage surgery for intraperitoneal and retroperitoneal multicentric liposarcoma causing hydronephrosis: a case report.

Surg Case Rep 2019 Feb 4;5(1):18. Epub 2019 Feb 4.

Department of Gastroenterological Surgery I, Hokkaido University Hospital, 060-8648, Nishi 5 chome, Kita 14 jyo, Kita-ku, Sapporo-shi, Japan.

Background: Liposarcoma is a soft tissue sarcoma of adipocyte origin. Liposarcoma represents 20-30% of adult soft tissue tumors, which was most frequently seen in the retroperitoneal space in 45% and abdominal space in only 5% of cases, but the multicentric case is unknown. Herein, we describe a rare case of multicentric, large, intra-abdominal and retroperitoneal liposarcoma, one of which had caused infection and pressing the right ureter causing hydronephrosis, which was resected by two-stage surgery. Read More

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http://dx.doi.org/10.1186/s40792-019-0576-yDOI Listing
February 2019
1 Read

[Efficacy analysis of neoadjuvant chemoradiotherapy combined with total pelvic exenteration in the treatment of primary T4b rectal cancer].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Jan;22(1):59-65

Department of General Surgery, Peking University First Hosiptal, Beijing 100034,China.

Objective: To investigate the value of neoadjuvant chemoradiotherapy (nCRT) combined with total pelvic exenteration (TPE) in the treatment of primary T4b rectal cancer.

Methods: A retrospective cohort study was conducted to analyze the clinicopathological data of 31 patients with primary T4b rectal cancer who underwent TPE from January 2008 to December 2015 at Peking University First Hospital.

Inclusion Criteria: preoperative clinical stage (cTNM) was defined as cT4b primary rectal cancer with only front wall Invasion; the lower edge of tumor was within 10 cm from the anal margin; TPE was performed; R0 resection was confirmed by pathology. Read More

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January 2019
3 Reads

A Finding of Hepatic Abscess in a Teenager Presenting With Abdominal Pain.

Pediatr Emerg Care 2019 Feb;35(2):e34-e36

From the Department of Pediatric Emergency Medicine, Cooper University Hospital, Camden, NJ.

Pyogenic hepatic abscess is a rare infection, but it is an important diagnosis to consider because the current mortality is approximately 5%. We present a case of abdominal pain in a 16-year-old male patient whose presentation was initially concerning for appendicitis but was later diagnosed as having a pyogenic hepatic abscess. It is important to direct the patient to the proper treatment including source control with drainage and antibiotics to decrease morbidity and mortality. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001724DOI Listing
February 2019

Sertoliform Endometrioid Carcinoma of Ovary Presenting as Abdominal Wall Abscess.

J Midlife Health 2018 Oct-Dec;9(4):222-224

Department of Pathology, JIPMER, Puducherry, India.

Sertoliform endometrioid carcinoma (SEC) is a rare epithelial ovarian cancer which may be mistaken for sex cord tumour on microscopy. Immunohistochemistry and extensive sampling of tumour to look for areas of conventional endometrioid carcinoma are important to confirm the diagnosis of SEC. We report a case of SEC of ovary in a postmenopausal lady who presented to us with abdominal wall abscess in epigastric region. Read More

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http://dx.doi.org/10.4103/jmh.JMH_47_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332725PMC
January 2019
1 Read

[A Case of Appendiceal Cancer Wherein the Abdominal Abscess Ruptured into the Urinary Bladder Owing to Obstructive Appendicitis].

Gan To Kagaku Ryoho 2018 Dec;45(13):2458-2460

Dept. of Surgical Oncology, Osaka City University Graduate School of Medicine.

A 73-year-old woman presented to her doctor because of lower abdominal pain and distension. A neoplastic lesion in the lower abdomen was revealed, and she was referred to our department. Enhanced CT showed wall thickening in the urinary bladder and a 6 cm mass that extended to the appendix. Read More

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December 2018
1 Read

[A Case of Successful Drainage for Mediastinitis during Chemotherapy for Unresectable Advanced Esophageal Cancer].

Gan To Kagaku Ryoho 2018 Dec;45(13):2402-2404

Dept. of Surgery, Kansai Rosai Hospital.

A 78-year-old man complained of dysphagia. Gastrointestinal endoscopy showed a Type 2 tumor in the lower esophagus and a Type 0-Ⅱa lesion in the posterior wall of the upper gastric body. An enhanced CT scan showed several swollen abdominal and cervical lymph nodes as well as bilateral lung multiple nodules, suggesting distant metastasis. Read More

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December 2018
6 Reads

[A Case of GIST with Extensive Peritoneal Dissemination Controlled over Long-Term by Low-Dose, Intermittent Administration of Imatinib after Weight Loss Surgery].

Gan To Kagaku Ryoho 2018 Dec;45(13):2348-2350

Division of Digestive Surgery, Dept. of Surgery, Kyoto Prefectural University of Medicine.

A 67-year-old man presented with abdominal pain and fever. Many abdominal tumors were detected by enhanced computed tomography(CT). The largest tumor, measuring 20 cm, had perforated the ileum and formed an abscess. Read More

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December 2018

[Inflammatory Pseudotumor in the Cecum-A Case Report and Review of Literature].

Gan To Kagaku Ryoho 2018 Dec;45(13):2072-2074

Division of Digestive Surgery, Dept. of Surgery, Kyoto Prefectural University of Medicine.

A 42-year-old woman with complaints of fever and abdominal pain, was diagnosed to have perforative appendicitis, for which emergency surgery was performed. Marked thickening and edema around the cecum, ileum, and the mesentery was observed. Ileocecal resection was performed, as malignant disease could not be excluded. Read More

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December 2018

A rare case report of ascending colon perforation secondary to acute pancreatitis.

Int J Surg Case Rep 2019 Jan 21;55:62-65. Epub 2019 Jan 21.

Caboolture Hospital, 120 McKean Street, 4510 Queenland, Australia. Electronic address:

Introduction: Severe acute pancreatitis is associated with high morbidity and mortality. This is a result of the development of pancreatic and extra-pancreatic necrosis with subsequent infection which can lead to multiorgan failure. Complications include localized ileus, abscess formation, mechanical obstruction, rupture and perforation into the gastrointestinal tract and fistula formation (Aldridge et al. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.12.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351346PMC
January 2019
1 Read

Antimicrobial treatment of Kocuria kristinae invasive infections: Systematic review.

J Chemother 2019 Jan 28:1-11. Epub 2019 Jan 28.

a Faculty of Medical Sciences, University of Kragujevac , Kragujevac , Serbia.

Objective of this systematic review was to establish whether and what invasive infections in humans were caused by Kocuria kristinae, and to evaluate outcomes of administered antibiotic treatment. MEDLINE, EBSCO, SCOPUS, SCINDEKS and GOOGLE SCHOLAR were systematically searched for primary case reports or case series describing invasive infections with K. kristinae. Read More

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http://dx.doi.org/10.1080/1120009X.2018.1542551DOI Listing
January 2019

Is the outpatient management of acute diverticulitis safe and effective? A systematic review and meta-analysis.

Tech Coloproctol 2019 Jan 25. Epub 2019 Jan 25.

Emergency Surgery Unit, Faculty of Medicine and Surgery, Torrette Hospital, Polytechnic University of Marche, Ancona, Italy.

Background: In Western countries, the incidence of acute diverticulitis (AD) is increasing. Patients with uncomplicated diverticulitis can undergo a standard antibiotic treatment in an outpatient setting. The aim of this systematic review was to assess the safety and efficacy of the management of acute diverticulitis in an outpatient setting. Read More

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http://dx.doi.org/10.1007/s10151-018-1919-6DOI Listing
January 2019
2 Reads

Endoscopic Treatment of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations.

J Laparoendosc Adv Surg Tech A 2019 Jan 24. Epub 2019 Jan 24.

3 Department of Gastroenterology, The First People's Hospital of Yuhang District, Hangzhou, Zhejiang Province, China.

Background: Endoscopic retrograde cholangiopancreatography (ERCP)-related duodenal perforation is a rare complication associated with significant morbidity and mortality. This study evaluated endoscopic management experience and outcomes of ERCP-related duodenal perforations.

Materials And Methods: Between March 2005 and March 2017, a total of 19,468 ERCP procedures were performed in three endoscopy units of three hospitals in China. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0617
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http://dx.doi.org/10.1089/lap.2018.0617DOI Listing
January 2019
3 Reads

Management of intra-abdominal abscess in Crohn's disease.

ANZ J Surg 2019 Jan 24. Epub 2019 Jan 24.

Discipline of Surgery, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ans.14977DOI Listing
January 2019
1.118 Impact Factor

Endoscopic Retrograde Biliary Drainage Causes Intra-Abdominal Abscess in Pancreaticoduodenectomy Patients: An Important But Neglected Risk Factor.

Ann Surg Oncol 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, National Taiwan University Hospital and National Taiwan Hospital, Taipei, Taiwan.

Background: Patients with periampullary cancer frequently suffer obstructive jaundice and commonly require preoperative biliary drainage (PBD) for relief and to avoid related complications. Although research has established a correlation between PBD and surgical wound infection, the impact of PBD on major infectious complications (intra-abdominal abscess [IAA]) and overall mortality remains debatable. We hypothesized that PBD could lead to IAA and mortality, and evaluated their correlation in patients undergoing pancreaticoduodenectomy (PD). Read More

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http://link.springer.com/10.1245/s10434-019-07189-y
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http://dx.doi.org/10.1245/s10434-019-07189-yDOI Listing
January 2019
4 Reads

Pain and Swelling after Percutaneous Endoscopic Gastrostomy Removal: An Unexpected Evolution.

GE Port J Gastroenterol 2018 Dec 7;26(1):59-63. Epub 2018 Mar 7.

Gastroenterology Department, Centro Hospitalar Universitário do Algarve, Faro, Portugal.

Gastrostomy site metastization is considered an uncommon complication of percutaneous endoscopic gastrostomy (PEG) placement in patients with head and neck tumours, but it is important to consider this possibility when evaluating gastrostomy-related symptoms. The authors present the case of a 40-year-old male with excessive alcohol consumption and active smoking, diagnosed with a stage IV oropharyngeal squamous cell carcinoma. The patient developed a paraneoplastic demyelinating motor polyneuropathy that, associated with tumour mass effect, caused dysphagia with need for nasogastric tube feeding. Read More

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https://www.karger.com/Article/FullText/487157
Publisher Site
http://dx.doi.org/10.1159/000487157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341374PMC
December 2018
10 Reads

Clinical Management of Appendicitis.

Visc Med 2018 Dec 24;34(6):453-458. Epub 2018 Nov 24.

Medizinische Klinik II, Diakonissenkrankenhaus Mannheim, Mannheim, Germany.

Background: Ever since the first appendectomy has been performed, surgery has been the standard of care for acute appendicitis, with antibiotic therapy being reserved for special situations. Recent studies have shown the feasibility of antibiotic therapy for uncomplicated appendicitis.

Methods: This clinical therapeutic review is based both on author expertise and a selective literature survey in PubMed based on the term 'appendicitis', combined with the terms 'acute', 'complicated', 'conservative', 'non-operative', 'therapy', 'surgery', and 'strategy'. Read More

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http://dx.doi.org/10.1159/000494883DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341313PMC
December 2018

Novel approach to intraoperative peritoneal lavage with an extracorporeal stirring method in laparoscopic surgery for generalized peritonitis: Preliminary results.

Asian J Endosc Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Division of Gastroenterological Surgery, Aichi Medical University, Nagakute, Japan.

Introduction: The primary concern with laparoscopic intraoperative peritoneal lavage (IOPL) for generalized peritonitis relates to the difficulty and uncertainty in ensuring adequate washout of contaminated fluid. Here, we describe a new method of laparoscopy-assisted IOPL.

Methods: We performed emergency surgery in 10 patients with generalized peritonitis necessitating IOPL. Read More

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http://dx.doi.org/10.1111/ases.12685DOI Listing
January 2019

Retroperitoneal Abscess Formation Extending to the Lumbar Area After Extracorporeal Shock Wave Lithotripsy.

J Endourol Case Rep 2018 21;4(1):206-208. Epub 2018 Dec 21.

Department of Urology, Thriassion General Hospital, Athens, Greece.

Renal rupture and retroperitoneal abscess formation after extracorporeal shock wave lithotripsy (SWL) is a rare and potentially life-threatening complication if left untreated with a high morbidity rate. In this study, we present a rare case of renal rupture after SWL, with formation of an extensive retroperitoneal abscess extending to the left abdominal and lumbar area. A 48-year-old Caucasian woman presented to the outpatient department with left abdominal and lumbar redness and swelling caused by renal rupture and massive perinephric abscess formation, 10 days after SWL treatment of her left renal pelvic stones. Read More

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http://dx.doi.org/10.1089/cren.2018.0072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340375PMC
December 2018

Enterourachal Fistula as an Initial Presentation in Crohn Disease.

Pediatr Gastroenterol Hepatol Nutr 2019 Jan 10;22(1):90-97. Epub 2019 Jan 10.

Division of Pediatric Gastroenterology, Department of Pediatrics, UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, United States.

Crohn disease has a wide spectrum of clinical presentations and rarely can present with complications such as a bowel stricture or fistula. In this case report, we describe a 17-year-old male who presented with a history of recurrent anterior abdominal wall abscesses and dysuria. He was diagnosed with Crohn disease and also found to have a fistulous communication between the terminal ileum and a patent urachus. Read More

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http://dx.doi.org/10.5223/pghn.2019.22.1.90DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333586PMC
January 2019
6 Reads

Hypervirulent Klebsiella pneumoniae (hypermucoviscous and aerobactin positive) infection over 6 years in the elderly in China: antimicrobial resistance patterns, molecular epidemiology and risk factor.

Authors:
Chao Liu Jun Guo

Ann Clin Microbiol Antimicrob 2019 Jan 21;18(1). Epub 2019 Jan 21.

Department of Respiratory Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 102218, China.

Background: The definition of hypervirulent Klebsiella pneumoniae (hvKp), traditionally regarded as hypermucoviscosity, is controversial. However, data based on both phenotype (hypermucoviscous) and genetic (aerobactin) criteria are limited.

Methods: A retrospective study was conducted in 175 geriatric patients between January 2008 and January 2014. Read More

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http://dx.doi.org/10.1186/s12941-018-0302-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341648PMC
January 2019
2 Reads

Spontaneous perforation of pyometra: A rare cause of acute abdomen and sepsis.

Turk J Surg 2018 Dec 1;34(4):342-345. Epub 2018 Dec 1.

Clinic of General Surgery, Health Science University Dışkapı Yıldırım Beyazıt Research and Training Hospital, Ankara, Turkey.

Pyometra, the accumulation of purulent material in the uterine cavity, is a rare gynecological condition whose etiology is impaired drainage of the uterine cavity. It is uncommon in premenopausal age and occurs mainly in older and postmenopausal women. Clinical signs of pyometra are vaginal discharge, postmenopausal bleeding, and lower abdominal pain. Read More

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http://dx.doi.org/10.5152/turkjsurg.2017.3203DOI Listing
December 2018
2 Reads

[COMPLETE RESECTION OF URACHAL CARCINOMA WITH SIGMOID COLON INVASION AFTER FOLFOX CHEMOTHERAPY: A CASE REPORT].

Nihon Hinyokika Gakkai Zasshi 2018 ;109(1):35-39

Department of Urology, Iwate Medical University.

A 45-years-old man presented discharge of abscess from the umbilicus with lower abdominal pain. CT scan showed huge tumor from the bladder to the umbilical part with sigmoid colon invasion. He was diagnosed as urachal carcinoma, which was confirmed by pathological examination. Read More

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http://dx.doi.org/10.5980/jpnjurol.109.35DOI Listing
February 2019
3 Reads

Epidemiology, Pathophysiology, and Treatment of Diverticulitis.

Gastroenterology 2019 Jan 17. Epub 2019 Jan 17.

S-SPIRE Center and Department of Surgery, Stanford University, Stanford California, 1070 Arastradero Rd, Ste 217, CA 94305.

Diverticulitis is a prevalent gastrointestinal disorder that is associated with significant morbidity and health care costs. Approximately 20% of patients with incident diverticulitis have at least 1 recurrence. Complications of diverticulitis, such as abdominal sepsis, are less likely to occur with subsequent events. Read More

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http://dx.doi.org/10.1053/j.gastro.2018.12.033DOI Listing
January 2019
1 Read

Impact of Intra-Operative Adverse Events on the Risk of Surgical Site Infection in Abdominal Surgery.

Surg Infect (Larchmt) 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Background: Intra-operative adverse events (iAEs) recently were shown to correlate independently with an increased risk of post-operative death, morbidity, re-admissions, and length of hospital stay. We sought to understand further the impact of iAEs on surgical site infections (SSIs) in abdominal surgical procedures and delineate which patient populations are most affected. We hypothesized that all patients with iAEs have an increased risk for SSI, especially those with pre-existing risk factors for SSI. Read More

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https://www.liebertpub.com/doi/10.1089/sur.2018.157
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http://dx.doi.org/10.1089/sur.2018.157DOI Listing
January 2019
5 Reads

A rare case of a prostatic abscess, bacteremia and chronic granulomatous disease associated with Klebsiella pneumoniae.

J Infect Chemother 2019 Jan 11. Epub 2019 Jan 11.

Department of Infectious Diseases, The University of Tokyo; Department of Infection Control and Prevention, The University of Tokyo.

Chronic granulomatous disease (CGD) is a primary immunodeficiency disease characterized by severe recurrent infections such as pneumonia, liver and skin infections. However, prostatic abscesses are rare as only two cases have been reported thus far. We present the case of a 41-year-old patient with CGD who was admitted to the hospital with fever and subsequently, Klebsiella pneumoniae was identified on blood culture. Read More

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http://dx.doi.org/10.1016/j.jiac.2018.11.015DOI Listing
January 2019
1 Read
1.384 Impact Factor

Diagnosis and Treatment in a Tertiary Hospital of a Series of Complex Genital Malformations Corresponding to Double Uterus with Obstructed Hemivagina and Ipsilateral Renal Agenesis.

Int J Reprod Med 2018 2;2018:3806856. Epub 2018 Dec 2.

PhD, Professor, Department of Obstetrics and Gynecology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

Aim: To evaluate the clinical features, diagnostic routine, treatment, and prognosis of patients with double uterus with obstructed hemivagina and ipsilateral renal agenesis at a University Hospital.

Methods: A retrospective study analyzing the medical charts of outpatients with similar complex genital malformations seen at the University Hospital of the Ribeirão Preto Medical School from 1994 to 2015.

Results: Fourteen patients were included in this retrospective study, all presenting with double uterus with obstructed hemivagina and ipsilateral renal agenesis. Read More

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https://www.hindawi.com/journals/ijrmed/2018/3806856/
Publisher Site
http://dx.doi.org/10.1155/2018/3806856DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304653PMC
December 2018
5 Reads

Retrospective cohort study comparing endoscopic ultrasound-guided and percutaneous drainage of upper abdominal abscesses.

Dig Endosc 2019 Jan 10. Epub 2019 Jan 10.

Department of Gastroenterology, Hospital Universitario Río Hortega, Valladolid, Spain.

Background And Aim: Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) has become the standard treatment for peripancreatic fluid collections. Its use in other intra-abdominal abscesses has been reported, although there is limited evidence.

Methods: We carried out a single-center retrospective cohort study comparing percutaneous drainage (PCD) and EUS-D of upper abdominal abscesses between January 2012 and June 2017. Read More

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http://dx.doi.org/10.1111/den.13342DOI Listing
January 2019
1 Read

Heart failure due to aorto-right atrial fistula and successful treatment with percutaneous closure.

Turk Kardiyol Dern Ars 2019 01;47(1):60-62

Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey.

Aorto-atrial fistula is a rare anomaly of the heart that may be the result of congenital or acquired conditions, such as bacterial endocarditis, paravalvular abscess, aortic dissection, or a complication of cardiac surgery. A 50-year-old female patient presented at the clinic with the complaint of dyspnea and abdominal distention due to ascites. On admission, her functional capacity was New York Heart Association (NYHA) class III. Read More

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http://dx.doi.org/10.5543/tkda.2018.88399DOI Listing
January 2019
1 Read

Acute Appendicectomy or Conservative Treatment for Complicated Appendicitis (Phlegmon or Abscess)? A Systematic Review by Updated Traditional and Cumulative Meta-Analysis.

J Clin Med Res 2019 Jan 3;11(1):56-64. Epub 2018 Dec 3.

Department of Colorectal Surgery, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, UK.

Background: The existing evidence on the treatment of complicated appendicitis favors conservative treatment rather than acute appendicectomy. Update traditional meta-analysis and consequently cumulative meta-analysis was performed to track the accumulation of evidence over time.

Methods: Studies were identified by a systematic literature search of the EMBASE, PubMed, Cochrane Library and Google Scholar databases. Read More

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http://www.jocmr.org/index.php/JOCMR/article/view/3672
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http://dx.doi.org/10.14740/jocmr3672DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306138PMC
January 2019
8 Reads

Colon Visualization on Bone Scan Due to Recto-abscess Fistula From Urinoma.

Clin Nucl Med 2019 Mar;44(3):246-248

Department of Nuclear Medicine, Landseed Hospital, Taoyuan, Taiwan, Republic of China.

The accumulation of the bone-seeking agent in the bowel during a bone scan is rare. A 68-year-old man with colon cancer underwent bone scintigraphy for staging. Whole-body images revealed an abnormal accumulation of hot radioactivity in the abdominal cavity and the colon. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002446DOI Listing
March 2019
1 Read

Feasibility of robotic surgery in a developing country, a public sector Perspective.

J Pak Med Assoc 2019 Jan;69(1):44-48

Dow University of Health Sciences.

Objective: To assess the clinical feasibility of robotic platform and to calculate cost for sustaining it..

Methods: The study was conducted at Sindh Government Qatar Hospital and Civil Hospital Karachi from October 11, 2011, to August 30, 2017. Read More

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January 2019
7 Reads

Post-appendectomy pelvic abscess with extended-spectrum beta-lactamase producing : A case report and review of literature.

World J Clin Cases 2018 Dec;6(16):1175-1181

Department of Surgery, St George Public Hospital, Kogarah NSW 2217, Australia.

Background: Appendicitis, the inflammation of the appendix, is the most common abdominal surgical emergency requiring expedient surgical intervention. Extended-spectrum beta-lactamases (ESBLs) are bacterial enzymes that catalyse the degradation of the beta-lactam ring of penicillins and cephalosporins (but without carbapenemase activity), leading to resistance of these bacteria to beta-lactam antibiotics. Recent increases in incidence of ESBL-producing bacteria have caused alarm worldwide. Read More

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http://dx.doi.org/10.12998/wjcc.v6.i16.1175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306643PMC
December 2018
1 Read

Clinical impact and cost-effectiveness of noncontrast MRI in the evaluation of suspected appendiceal abscesses in children.

J Magn Reson Imaging 2019 Jan 4. Epub 2019 Jan 4.

Department of Medical Imaging, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.

Background: Noncontrast MRI has been shown to be feasible in children with postappendectomy abscesses and helps guide clinical management, but its role in preoperative appendiceal abscesses is unclear.

Purpose: To determine the cost-effectiveness and impact on clinical management of noncontrast MRI in pediatric patients with suspected appendiceal abscess, both pre- and postappendectomy.

Study Type: Retrospective cohort study. Read More

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http://dx.doi.org/10.1002/jmri.26624DOI Listing
January 2019
2 Reads

Cured by Da Vinci Xi: meticulous dissection of an infected urachal cyst presenting with lower urinary tract symptoms in an adult.

J Surg Case Rep 2018 Dec 21;2018(12):rjy327. Epub 2018 Dec 21.

HCA, Coliseum Medical Centers, Macon, GA, USA.

An unusual finding in an adult patient with an infected urachal cyst, was treated surgically using the Da Vinci robot. A 26-year-old woman was admitted to our hospital with complaints of lower abdominal pain and burning sensation with urination. She was diagnosed with lower urinary tract infection, treatment did not help her symptoms and further evaluation of CT revealed complex enhancing mass superior to the urinary bladder. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy32
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http://dx.doi.org/10.1093/jscr/rjy327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302239PMC
December 2018
20 Reads

Does retrieval bag use during laparoscopic appendectomy reduce postoperative infection?

Surgery 2018 Dec 24. Epub 2018 Dec 24.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Appendectomy is the most commonly performed emergency operation in the United States, with approximately 370,000 patients undergoing the procedure every year. Although laparoscopic appendectomy is associated with decreased complications when compared with open appendectomy, the risk for infectious complications, including surgical site infection, intra-abdominal abscess, and sepsis, remains a significant source of postoperative morbidity and health care cost. The goal of this study is to determine whether the appendix retrieval technique during laparoscopic appendectomy affects risk of infectious complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183079
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http://dx.doi.org/10.1016/j.surg.2018.11.012DOI Listing
December 2018
4 Reads

[Analysis of high risk factors for acute complex appendicitis in adults].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1374-1379

Research Institute of General Surgery, General Hospital of Nanjing Military Command, Nanjing 210002,China,

Objective: To explore the high risk factors of adult complex appendicitis, and to provide a reference for the development of a reasonable treatment strategy for acute appendicitis.

Methods: A retrospective case-control study was conducted to collect clinical data of 312 adult patients with acute appendicitis confirmed by pathology undergoing appendectomy, including open and laparoscopic surgery, from May 2011 to August 2016 at Affiliated Hospital of Qingdao University. Age <14 years old, pregnant women, complicating abscess around the appendix, AIDS, blood system diseases, autoimmune diseases, inflammatory bowel disease or progressive cancer patients were excluded. Read More

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December 2018
2 Reads

[Chinese experts consensus on diagnosis and treatment of non-perianal fistulating Crohn disease].

Authors:
Jianan Ren

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1337-1346

Surgeon Committee of Gastrointestinal Fistula of Chinese College of Surgeons, Email:

Crohn disease (CD) is a chronic inflammatory disease involving the entire digestive tract and non-perianal fistula is the most serious surgical complication of CD. The goal of treatment is to cure intestinal fistula and intra-abdominal infection, restore the continuity of digestive tract, reduce postoperative recurrence, and improve the quality of life. Evaluation of nutritional status, especially during perioperative period, is important and nutrition support for malnutritional CD patients is necessary. Read More

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December 2018
12 Reads

Compliance with preoperative care measures reduces surgical site infection after colorectal operation.

J Surg Oncol 2019 Mar 24;119(4):497-502. Epub 2018 Dec 24.

Department of Surgery, Division of Surgical Oncology, Wexner Medical Center, James Cancer Hospital, Solove Research Institute, The Ohio State University, Columbus, Ohio.

Background: Surgical site infections (SSIs) are a major cause of morbidity complicating colorectal operations. Several evidence-based preoperative strategies are associated with decreased SSI rates. We hypothesize that compliance with multiple strategies is associated with lower incidence of SSI after the elective colorectal operation. Read More

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http://dx.doi.org/10.1002/jso.25346DOI Listing
March 2019
3 Reads