18,779 results match your criteria Abdominal Abscess


Pediatric appendectomy in developing countries: How does it differ from international experience?

Int J Pediatr Adolesc Med 2020 Jun 2;7(2):70-73. Epub 2019 Jul 2.

Faculty of Medicine, University of Balamand, Lebanon.

Introduction: A review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country's experience in the field is not available yet. This study presents our experience in LA versus OA over the last 7 years in one university hospital in Lebanon and compares our results to the international ones.

Method: A single center retrospective study was done including all patients aged less than 15 years who underwent appendectomy. Read More

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http://dx.doi.org/10.1016/j.ijpam.2019.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335814PMC

Appropriate traction can help identify the optimal dissectable layer for infrapyloric lymph node dissection in laparoscopic gastrectomy.

Asian J Endosc Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Surgery, Osaka Red Cross Hospital, Osaka, Japan.

Introduction: Appropriate dissection of the infrapyloric lymph nodes (no. 6 LNs) is important in gastric cancer surgery. In laparoscopic surgery, dissection of the no. Read More

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http://dx.doi.org/10.1111/ases.12820DOI Listing

Transcervical drainage of abdominal-pelvic abscess after laparoscopic sacrocolpopexy.

Int Urogynecol J 2020 Jul 8. Epub 2020 Jul 8.

Department of Obstetrics and Gynecology, Valladolid University Clinical Hospital, Av. Ramón y Cajal, 3, 47003, Valladolid, Spain.

Introduction And Hypothesis: Abdominopelvic abscess is a serious, but infrequent, postoperative complication of sacrocolpopexy, which a priori requires a second surgery to debride the affected tissue and dry out the infected mesh in addition to a prolonged broad-spectrum antibiotic therapy.

Methods: We present two cases of post-surgical abdominopelvic abscesses, treated with conservative management using ultrasound-guided transcervical drainage and prolonged antibiotic therapy. Both patients underwent a favorable evolution without needing the removal of the mesh. Read More

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http://dx.doi.org/10.1007/s00192-020-04366-6DOI Listing

[Textual research on traditional application of Moringa].

Zhongguo Zhong Yao Za Zhi 2020 Jun;45(12):2800-2807

China Academy of Chinese Medical Sciences Beijing 100700, China.

Moringa has a long history of edible and medicinal use in foreign countries, this paper collected and sorted out the traditional application of Moringa recorded in the ancient medical books and historical materials of countries and regions along the ancient Silk Road. According to preliminary research, the earliest record of Moringa in China can be traced back to The Bower Manuscript(volume Ⅱ)(about the 4 th-6 th century A.D. Read More

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http://dx.doi.org/10.19540/j.cnki.cjcmm.20200401.101DOI Listing

Outcomes of Gender Affirming Peritoneal Flap Vaginoplasty Using the Da Vinci Single Port Versus Xi Robotic Systems.

Eur Urol 2020 Jul 2. Epub 2020 Jul 2.

Department of Urology, New York University Langone Medical Center, New York, NY, USA. Electronic address:

Background: Robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV) with the da Vinci Xi system has been reported to be a safe alternative to traditional penile inversion vaginoplasty. Utilizing the Single Port (SP) robot system, our surgical approach has evolved.

Objective: To describe a step-by-step technique for RPGAV using the SP robot and to compare outcomes between Xi and SP systems. Read More

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http://dx.doi.org/10.1016/j.eururo.2020.06.040DOI Listing

Standardized Discharge Antibiotics May Reduce Readmissions in Pediatric Perforated Appendicitis.

J Surg Res 2020 Jun 29;255:388-395. Epub 2020 Jun 29.

Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Center for Surgical Trials and Evidence-Based Practice (C-STEP), McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas. Electronic address:

Background: Based on limited evidence, the American Pediatric Surgical Association recommends 5-7 d of postoperative antibiotics in perforated appendicitis for preventing intra-abdominal abscess (IAA). In 2015, our institutional clinical practice guideline was modified to standardize prescription for 7 additional days of oral antibiotics after discharge. We hypothesized that prescribing oral antibiotics after discharge would be associated with fewer complications in perforated appendicitis. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.086DOI Listing

Patient satisfaction with continuous epidural analgesia after major surgical procedures at a Swedish University hospital.

PLoS One 2020 2;15(7):e0235636. Epub 2020 Jul 2.

Department of Surgical Sciences, Unit for Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.

Objective: The use of epidural analgesia after major surgery is a well-established analgesia method. Epidural analgesia for postoperative pain relief needs to be monitored regularly in order to evaluate patient satisfaction and avoid side effects. However, due to the new available regional techniques, the role of epidural analgesia is being questioned and data about patient satisfaction is lacking. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235636PLOS

Intestinal Perforation due to Neutropenic Enterocolitis in a Patient Treated with Bevacizumab for Ovarian Cancer.

Case Rep Oncol Med 2020 16;2020:7231358. Epub 2020 Jun 16.

Department of Breast and Medical Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.

Intestinal perforation is a rare adverse event of antineoplastic therapy. However, once it occurs, it is potentially fatal. This report describes a case of intestinal perforation caused by bevacizumab in a patient with ovarian cancer who concurrently developed neutropenic enterocolitis. Read More

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http://dx.doi.org/10.1155/2020/7231358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317333PMC

A case of ultrasound diagnosis of retroperitoneal lesion caused by unnoticed foreign body ingestion.

J Ultrason 2020 15;20(81):e151-e153. Epub 2020 Jun 15.

Gastroenterology Ward, L. Rydygier Provincial Hospital , Suwałki , Poland.

We report the case of a 52-year-old patient who was initially admitted to the District Hospital's Surgery Ward with strong abdominal pain. The patient's medical history before the hospitalization was unremarkable. The man did not recall any worrisome situations before the onset of pain. Read More

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http://dx.doi.org/10.15557/JoU.2020.0024DOI Listing

Colonic diverticulitis following open-heart surgery: a case report of an unusual postoperative gastrointestinal complication.

J Surg Case Rep 2020 Jun 22;2020(6):rjaa186. Epub 2020 Jun 22.

Icahn School of Medicine at Mount Sinai, NY, NY.

Diverticulitis, though a common gastrointestinal disease, is rare following open-heart surgery. There is insufficient data regarding its incidence and management post-cardiac surgery. Especially in patients with atypical presentation, diagnosis and management can be challenging. Read More

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http://dx.doi.org/10.1093/jscr/rjaa186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310676PMC

[Analysis of clinical characteristics and drug treatment of inflammatory bowel disease in children: a single center study].

Zhonghua Er Ke Za Zhi 2020 Jul;58(7):570-575

Department of Gastroenterology, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China.

To analyze the clinical characteristics and efficacy of drug treatment in children with inflammatory bowel disease (IBD) at different ages of onset. The clinical data of 87 children with IBD admitted to Department of Gastroenterology in Children's Hospital, Capital Institute of Pediatrics from January 2009 to December 2018 were collected. The patients were divided into four groups according to the age of onset: 0 -<2 years old group (36 cases), 2 -<6 years old group (10 cases), 6 -<10 years old group (12 cases) and 10 -<18 years old group (29 cases). Read More

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http://dx.doi.org/10.3760/cma.j.cn112140-20200504-00468DOI Listing

Role of Laparoscopic Appendectomy Radix Ligation Techniques on the Formation of Inner Abdomen Abscess.

Sisli Etfal Hastan Tip Bul 2018 5;52(3):164-168. Epub 2018 Sep 5.

Department of General Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Objectives: Our aim was to study whether laparoscopic appendectomy radix ligation techniques were eutrophic in the development of intra-abdominal abscess.

Methods: Between September 2009 and April 2017, all emergency cases admitted to our surgery polyclinic were reviewed, and the results of the patients who underwent laparoscopic appendectomy were collected. Appendectomy radix ligation techniques were reviewed from surgical notes on discharge reports. Read More

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http://dx.doi.org/10.14744/SEMB.2017.92905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315095PMC
September 2018

Travel history can make the difference.

Acta Gastroenterol Belg 2020 Apr-Jun;83(2):334-336

Clinical Laboratory of Microbiology, OLVZ Aalst, Aalst, Belgium.

Entamoeba histolytica infections are rare in developed countries such as Belgium. A 53-year-old female patient presented with 10 days of fever and mild persisting pain in the right hypochondriac despite 6 days of antibiotic therapy. The anamnesis further revealed that the patient was born in Colombia and visits her native country on a regular basis. Read More

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Successfully endoscopic retrieval of ingested toothpicks in colorectum : a report of four cases.

Acta Gastroenterol Belg 2020 Apr-Jun;83(2):319-321

Department of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.

Background: Toothpick ingestion is a rare event, but due to the low efficacy of radiographic examination, it can induce severe complications including perforation, abscess, and sepsis.

Case Report: Four patients with either defecation problems or abdominal/anal pain were admitted to our hospital. Colonoscopy showed all four cases had a toothpick impacted in the colorectal wall without perforation. Read More

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Cerebral venous sinus thrombosis in a patient with appendicular abscess: a case report.

World Neurosurg 2020 Jun 26. Epub 2020 Jun 26.

Department of Neurosurgery, Shengzhou People's Hospital (the First Affiliated Hospital of Zhejiang University Shengzhou Branch).

Background: Acute appendicitis is a common abdominal emergency, while cerebral venous sinus thrombosis (CVST) is a rare cerebral vascular disease. Cases of CVST in patients with appendicitis have not been reported in literature.

Case Description: Here we reported a case of CVST in a patient with appendicular abscess. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.183DOI Listing

Septic shock caused by Fusobacterium necrophorum following sexual intercourse during recovery from infectious mononucleosis in an adolescent: a case report.

J Pediatr Adolesc Gynecol 2020 Jun 26. Epub 2020 Jun 26.

Department of Obstetrics and Gynecology, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350-0495, Japan.

Background: Infectious mononucleosis (IM) develops following primary infection with Epstein-Barr virus. We report a case of septic shock in an adolescent from pelvic inflammatory disease caused by Fusobacterium necrophorum following sexual intercourse during recovery from IM.

Case: A 17-year-old girl with a 7-day history of fever was diagnosed with IM. Read More

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http://dx.doi.org/10.1016/j.jpag.2020.06.018DOI Listing

Tuberculosis Presenting as Hepatic and Splenic Microabscesses.

Cureus 2020 May 23;12(5):e8247. Epub 2020 May 23.

Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Tuberculosis (TB) is a major public health problem in developing countries. It can affect any organ of the body, and can have a multitude of clinical presentations. We present the case of a 22-year-old male who presented with fever, abdominal pain, and weight loss, and was found to have enlarged liver and spleen, both studded with multiple microabscesses. Read More

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http://dx.doi.org/10.7759/cureus.8247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308814PMC

The Genus : Gut Bacteria With Emerging Implications to Inflammation, Cancer, and Mental Health.

Front Immunol 2020 9;11:906. Epub 2020 Jun 9.

Division of Gastroenterology and Liver Disease, Case Western Reserve University School of Medicine, Cleveland, OH, United States.

is a relatively new genus of bacteria isolated primarily from medical clinical samples, although at a low rate compared to other genus members of the phylum, which are highly relevant in dysbiosis and disease. According to the taxonomy database at The National Center for Biotechnology Information, the genus consists of 13 species: , and and , and the subspecies subspecies vulgaris (vs. subsp. Read More

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http://dx.doi.org/10.3389/fimmu.2020.00906DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296073PMC

[Gallbladder Perforation after Transarterial Chemoembolization in a Patient with a Huge Hepatocellular Carcinoma].

Korean J Gastroenterol 2020 Jun;75(6):351-355

Departments of Radiology, Kosin University College of Medicine, Busan, Korea.

Transarterial chemoembolization (TACE) is a common treatment for unresectable hepatocellular carcinoma (HCC). The most common complications after TACE are non-specific symptoms called post-embolization syndrome, such as abdominal pain or fever. Rare complications, such as liver failure, liver abscess, sepsis, pulmonary embolism, cholecystitis, can also occur. Read More

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http://dx.doi.org/10.4166/kjg.2020.75.6.351DOI Listing

Pseudosarcomatous myofibroblastic proliferation of the appendix with an abdominal abscess due to diverticulum perforation: a case report.

Surg Case Rep 2020 Jun 22;6(1):144. Epub 2020 Jun 22.

Department of Surgery, Minami-Nara General Medical Center, 8-1 Oaza-Fukugami, Oyodo-cho, Yoshino-gun, Nara, 638-8551, Japan.

Background: Pseudosarcomatous myofibroblastic proliferation is a rare proliferative lesion of the submucosal stroma characterized by myofibroblast proliferation and inflammatory cell infiltration, and is mainly reported in the urinary system.

Case Presentation: We report a 65-year-old male who was referred to our emergency room with right-side iliac fossa pain. The pain gradually worsened for approximately 2 months, and rebound tenderness was positive. Read More

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http://dx.doi.org/10.1186/s40792-020-00901-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310037PMC

Liver Abscess due to : A Clinical Rarity.

Case Rep Infect Dis 2020 2;2020:1572023. Epub 2020 Jun 2.

Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar-751019, Odisha, India.

We report a case of pyogenic liver abscess caused by a rare causative agent, . A 45-year-old man with underlying uncontrolled diabetes mellitus who had stopped taking his daily dose of insulin since the last 4 days, presented with pain in the abdominal area of one-day duration. Upon his admission to achieve diabetic control, a routine ultrasound examination of abdomen revealed incidentally, a large abscess in the left lobe of the liver with impending rupture. Read More

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http://dx.doi.org/10.1155/2020/1572023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288222PMC

Abdominal Manifestations of Sickle Cell Disease.

Curr Probl Diagn Radiol 2020 Jun 1. Epub 2020 Jun 1.

Department of Radiology and Imaging, Medical College of Georgia, Augusta, GA.

Sickle cell disease is a debilitating hematologic process that affects the entire body. Disease manifestations in the abdomen most commonly result from vaso-occlusion, hemolysis, or infection due to functional asplenia. Organ specific manifestations include those involving the liver (eg, hepatopathy, iron deposition), gallbladder (eg, stone formation), spleen (eg, infarction, abscess formation, sequestration), kidneys (eg, papillary necrosis, infarction), pancreas (eg, pancreatitis), gastrointestinal tract (eg, infarction), reproductive organs (eg, priapism, testicular atrophy), bone (eg, marrow changes, avascular necrosis), vasculature (eg, vasculopathy), and lung bases (eg, acute chest syndrome, infarction). Read More

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http://dx.doi.org/10.1067/j.cpradiol.2020.05.012DOI Listing

Weight Regain After Gastric Plication: Reoperative Sleeve Gastrectomy or Roux-en-Y Gastric Bypass?-Analysis of 116 Consecutive Cases.

Obes Surg 2020 Jun 17. Epub 2020 Jun 17.

Department of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, 78300, Poissy, France.

Purpose: In France, laparoscopic gastric plication (GP) has rarely been utilized as a weight loss procedure. Although relatively safe and efficient, its long-term results are still controversial. The goal of this study is to assess the indications and outcomes of revisional surgery post-GP. Read More

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http://dx.doi.org/10.1007/s11695-020-04767-yDOI Listing
June 2020
3.747 Impact Factor

Gastric tuberculosis mimicking liver abscess - A case report.

Indian J Tuberc 2020 Apr 1;67(2):274-276. Epub 2020 Feb 1.

Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Science, Raibareli Road, Lucknow 226014, India.

Tuberculosis of the stomach is quite rare, both as a primary or secondary infection. It has varied presentation ranging from non-specific abdominal pain and constitutional symptoms to hematemesis, gastric outlet obstruction and pyrexia of unknown origin. Here, we report a rare, interesting case of locally advanced gastric tuberculosis, which morphologically mimicked liver abscess initially in a young, immunocompetent patient presenting with fever and abdominal pain. Read More

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http://dx.doi.org/10.1016/j.ijtb.2020.01.012DOI Listing

Ozanimod induction therapy for patients with moderate to severe Crohn's disease: a single-arm, phase 2, prospective observer-blinded endpoint study.

Lancet Gastroenterol Hepatol 2020 Jun 15. Epub 2020 Jun 15.

Inflammatory Bowel Disease Center, Amsterdam University Medical Center, Amsterdam, Netherlands.

Background: Although treatment of Crohn's disease has improved with development of tumour necrosis factor antagonists, fewer than 50% of patients have sustained benefit. Durable maintenance therapy with orally administered alternative treatments remains an unmet need. We aimed to evaluate the effects of ozanimod, an oral agent selectively targeting sphingosine-1-phosphate receptor subtypes 1 and 5, on endoscopic disease activity in Crohn's disease. Read More

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http://dx.doi.org/10.1016/S2468-1253(20)30188-6DOI Listing

Pyogenic Liver Abscesses Caused by Acute Appendicitis: Frequency and Diagnostic and Therapeutic Recommendations.

Surg Infect (Larchmt) 2020 Jun 17. Epub 2020 Jun 17.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Tuebingen, Tuebingen, Germany.

Pyogenic liver abscesses (PLA) are caused by biliary diseases or hematogenous spreading of mostly intra-abdominal infections. Liver abscesses resulted in hematogenous spreading of infections via the portal vein, such as abscesses caused by acute appendicitis. Pyogenic liver abscesses associated with appendicitis have rarely been described in the literature, especially in adults. Read More

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http://dx.doi.org/10.1089/sur.2019.366DOI Listing

Anastomotic leakage with abscess after laparoscopic sleeve gastrectomy for obesity: report of a series and review of literature.

Ther Adv Gastrointest Endosc 2020 Jan-Dec;13:2631774520925963. Epub 2020 Jun 3.

Department of Oncology, West China Hospital of Sichuan University, Chengdu, China.

Anastomotic leakage with abscess is a rare but severe complication of bariatric surgery. However, there is currently a lack of attention regarding this complication. This study aimed to investigate the risk factors for this complication and relevant treatment strategies to call attention to this severe complication. Read More

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http://dx.doi.org/10.1177/2631774520925963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271277PMC

Abdominal abscess associated with salmonellosis case report.

Rozhl Chir 2020 ;99(5):232-235

Introduction: Although gastroenteritis is considered to be a non-surgical disease, rare complications necessitating surgical intervention may occur.

Case Report: We present a patient who underwent acute small bowel resection due to an abdominal abscess, which developed in association with Salmonella enteritis. Read More

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http://dx.doi.org/10.33699/PIS.2020.99.5.232-235DOI Listing
January 2020

Delayed bleeding complication due to internal mammary artery injury after ultrasound-guided percutaneous catheter drainage for liver cyst infection.

Acute Med Surg 2020 Jan-Dec;7(1):e512. Epub 2020 Jun 9.

Department of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.

Background: Ultrasound-guided percutaneous catheter drainage (PCD) is widely accepted as a primary treatment for pyogenic liver abscess. Severe PCD-related complications have been reported; however, delayed bleeding complications due to internal mammary artery injury are unknown.

Case Presentation: An 84-year-old man undergoing hemodialysis owing to chronic kidney disease due to focal segmental glomerulosclerosis was admitted to our hospital for liver cyst infection. Read More

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http://dx.doi.org/10.1002/ams2.512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283991PMC

Gastrocolic fistula in Crohn's disease detected by oral agent contrast-enhanced ultrasound: A case report of a novel ultrasound modality.

World J Gastroenterol 2020 May;26(17):2119-2125

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Fistulas are common complications of Crohn's disease (CD). Gastrocolic fistulas (GFs) are rare, occult and potentially life-threatening complications. Few cases of GFs have been reported. Read More

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http://dx.doi.org/10.3748/wjg.v26.i17.2119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267691PMC

Detection of spleen abscesses facilitates diagnosis of melioidosis in Malaysian children.

Int J Infect Dis 2020 Jun 11. Epub 2020 Jun 11.

Institute of Health and Community Medicine, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak, Malaysia; Department of Pediatrics, Sarawak General Hospital, Jalan Hospital, 93586 Kuching, Sarawak, Malaysia. Electronic address:

Objectives: Melioidosis is associated with extremely high case fatality ratios. The aim of this study was to determine whether detection of abdominal visceral abscesses can facilitate diagnosis of melioidosis in children.

Methods: We conducted a retrospective analysis of all children who had liver and/or spleen abscesses on abdominal ultrasonography admitted to Bintulu Hospital in Sarawak, Malaysia, from January 2014 until December 2018. Read More

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http://dx.doi.org/10.1016/j.ijid.2020.06.025DOI Listing
June 2020
2.330 Impact Factor

Intra-abdominal Abscess After Appendectomy-Are Drains Necessary in All Patients?

J Surg Res 2020 Jun 11;254:384-389. Epub 2020 Jun 11.

Department of Surgery, Children's Mercy, Kansas City, Missouri; University of Missouri-Kansas City School of Medicine, Kansas City, Missouri. Electronic address:

Background: Research has shown that patients who develop a postoperative intra-abdominal abscess (PIAA) after appendectomy have a greater number of health care visits with drain placement. Our institution developed an algorithm to limit drain placement for only abscesses with a size >20 cm. We sought to determine the adherence to and effectiveness of this algorithm. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.016DOI Listing

More than Just a Hole in the Wall: Evolving Management and Treatment Paradigms of Suppurative Gastritis.

Dig Dis Sci 2020 Jun 12. Epub 2020 Jun 12.

Division of Gastroenterology & Hepatology, Medical College of Georgia, Digestive Health Center, Augusta University, 1120 15th St., Augusta, GA, 30912, USA.

Suppurative gastritis is an uncommon lesion and often an occult cause of upper abdominal pain without florid signs of a septic focus. There are two main phenotypic forms: (1) localized, also referred to as gastric abscess; and (2) diffuse, in which the differential diagnosis includes a more diverse range of benign and malignant lesions. Cross-section imaging such as CT allows for rapid diagnosis and demonstrates the location and extent, but not the specific etiology, of the lesion. Read More

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http://dx.doi.org/10.1007/s10620-020-06356-6DOI Listing

The factors of pancreatic fistula development in patients who underwent classical pancreaticoduodenectomy.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Aim: Pancreatic fistula (PF) and anastomotic leakage are significant complications of the pancreaticoduodenectomy (PD). The PF is considered as the root cause of other major complications of PD. The aim of the study was to investigate the risk factors underlying PF that occurred after PD and the effects of the PF on postoperative morbidity. Read More

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Comparing the Safety and Cost of Image-Guided Percutaneous Gastrostomy Tube Placement in the Outpatient Versus Overnight Observation Setting in a Single-Center Retrospective Study.

Acad Radiol 2020 Jun 8. Epub 2020 Jun 8.

Emory University Department of Radiology, Emory University Hospital, 1364 Clifton Road NE, Suite D112, Atlanta, GA 30322.

Rationale And Objectives: Historically, patients undergoing image-guided percutaneous gastrostomy tube placement have been admitted overnight with feeds commencing 12-24 hours postprocedure. With new expedited feeding protocols starting 3-4 hours postprocedure, same-day discharge is now possible. The purpose of this study was to evaluate the safety and cost of image-guided percutaneous gastrostomy tube placement as an outpatient procedure. Read More

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http://dx.doi.org/10.1016/j.acra.2020.04.044DOI Listing

The surprise pathology-Primary squamous cell carcinoma of the colon-A case report.

Int J Surg Case Rep 2020 May 30;72:75-78. Epub 2020 May 30.

Bahrain Defence Force Hospital, Bahrain. Electronic address:

Introduction: Primary squamous cell carcinomas are rare in the colon. Identified as colonic growths causing obstructive or ulcerative features, they are treated like usual colonic adenocarcinomas until the surprise findings on histopathology. A thorough search for possible primary with colonic metastasis is warranted prior to confirmation of diagnosis. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.062DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283961PMC

Perforated duodenal diverticulum successfully treated with a combination of surgical drainage and endoscopic nasobiliary and nasopancreatic drainage: a case report.

Surg Case Rep 2020 Jun 8;6(1):129. Epub 2020 Jun 8.

Department of Radiology, Hino Municipal Hospital, Hino, Japan.

Background: Perforation of a duodenal diverticulum is a rare complication that may become fatal with a delay in appropriate treatment. However, the optimal treatment for perforated duodenal diverticulum remains controversial, ranging from conservative therapy to surgery including pancreatoduodenectomy.

Case Presentation: The patient was a 60-year-old woman with no particular medical history who visited our hospital with chief complaints of continuous fever and right dorsal pain. Read More

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http://dx.doi.org/10.1186/s40792-020-00891-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280391PMC

Safety of a new spray-type adhesion barrier (AdSpray ) in liver surgery.

J Hepatobiliary Pancreat Sci 2020 Jun 8. Epub 2020 Jun 8.

Hepato-Biliary-Pancreatic Surgery Division, Department of Gastroenterological Surgery, Toranomon Hospital, Minatoku, Japan.

Background: Although adhesion barriers are increasingly used in liver surgery, there are no sufficient data yet in support of their safety.

Methods: Data of 104 consecutive patients in whom a spray-type adhesion barrier (AdSpray ) was used after hepatectomy were compared with those of 94 control subjects in whom no adhesion barriers were used, and the risk factors for major morbidity after hepatectomy were investigated.

Results: The incidence of major morbidity was not significantly different between the AdSpray group and the control group (17% vs 15%, P = . Read More

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http://dx.doi.org/10.1002/jhbp.786DOI Listing

Non-operative management of small post-appendicectomy intra-abdominal abscess is safe and effective.

ANZ J Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgery, Nepean Hospital, Sydney, New South Wales, Australia.

Background: Intra-abdominal abscess (IAA) post-appendicectomy occurs in 1.4-4.4% of cases. Read More

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http://dx.doi.org/10.1111/ans.16023DOI Listing

Hartmann's reversal: factors affecting complications and outcomes.

Int J Colorectal Dis 2020 Jun 5. Epub 2020 Jun 5.

Department of Surgery, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, 10128, USA.

Aim: Hartmann's procedure is commonly performed emergently for infectious, inflammatory, or malignant processes. Most patients historically do not undergo reversal, and those who do have been found to suffer significant morbidity. The aim of this study was to study factors associated with complications after Hartmann's reversal and to provide information and guidance to surgeons. Read More

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http://dx.doi.org/10.1007/s00384-020-03653-4DOI Listing

Radiotherapy in the treatment of aggressive fibromatosis: experience from a single institution.

Radiat Oncol 2020 Jun 5;15(1):143. Epub 2020 Jun 5.

Department of Radiation Oncology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Background: Desmoid-type fibromatosis is a rare, potentially locally aggressive disease. Herein we present our experience in the treatment with radiotherapy.

Methods And Materials: In total 40 patients who received 44 treatments from 2009 to 2018 at the Heidelberg University Hospital with photons (N = 28) as well as protons (N = 15) and carbon ions (N = 1) were investigated. Read More

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http://dx.doi.org/10.1186/s13014-020-01565-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275436PMC

Liver abscess caused by fish bone perforation of Meckel's diverticulum: a case report.

BMC Surg 2020 Jun 5;20(1):121. Epub 2020 Jun 5.

Department of Gastroenterological surgery, Osaka City University Graduate School of Medicine, 1-5-7 asahimachi, abeno-ku, osaka-shi, Osaka-fu, 545-8586, Japan.

Background: Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body.

Case Presentation: A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. Read More

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http://dx.doi.org/10.1186/s12893-020-00783-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275410PMC

Small Bowel Gastrointestinal Stromal Tumor as a Gateway for Causing Multiple Liver Abscesses.

World J Oncol 2020 Jun 14;11(3):116-121. Epub 2020 May 14.

Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ, USA.

Gastrointestinal stromal tumors (GISTs) are the most common type of mesenchymal neoplasm of the gastrointestinal tract but consist of only 1% of all primary gastrointestinal neoplasms. Differentiated from other spindle cell tumors, GISTs are uniquely positive for CD117 expression which allows for molecular targeting therapy with imatinib mesylate (Gleevec). Clinical presentations are variable, ranging from asymptomatic to vague symptoms of abdominal pain, early satiety, abdominal distention or gastrointestinal bleeding. Read More

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http://dx.doi.org/10.14740/wjon1270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239573PMC

Endoscopic Ultrasound Guided Pancreatic Pseudocyst drainage experience at a tertiary care unit.

Pak J Med Sci 2020 May-Jun;36(4):637-641

Dr. Jawwad Azeem, SMO. Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To evaluate the clinical success, technical success and complications related to Endoscopic ultrasound (EUS) guided Pancreatic pseudocyst (PPC) drainage.

Methods: This retrospective study was conducted on the patients with symptomatic PPC who presented over a period of three years, between January 2015 and September 2018, at Endoscopic Suite of Surgical Unit 4, Civil Hospital, Karachi. Record was analyzed for demographic data, indications for the procedure, complications and success related to EUS guided drainage. Read More

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http://dx.doi.org/10.12669/pjms.36.4.1442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260908PMC

Metastatic tuberculous chest wall and massive psoas abscesses in an immunocompetent patient.

Int J Mycobacteriol 2020 Jan-Mar;9(1):98-99

Department of Internal Medicine, MES Medical College, Perinthalmanna, Kerala, India.

Extrapulmonary tuberculosis (TB) is rare in immunocompetent healthy adults. TB of the chest wall accounts for 1%-5% of all cases of musculoskeletal TB. Psoas abscess can be either primary or secondary to diseases like Pott's spine. Read More

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http://dx.doi.org/10.4103/ijmy.ijmy_183_19DOI Listing

Narrow- versus Broad-Spectrum Antibiotics for Simple Acute Appendicitis Treated by Appendectomy: A Post Hoc Analysis of EAST MUSTANG Study.

J Surg Res 2020 May 28;254:217-222. Epub 2020 May 28.

DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida.

Background: We sought to compare the effectiveness of narrow- versus broad-spectrum antibiotics (abx) in preventing infectious complications in adults with acute appendicitis treated with appendectomy.

Methods: In this post hoc analysis of a prospective multicenter observational study of appendicitis in adults (≥18 y) conducted from January 2017 to June 2018, we included only patients with simple appendicitis. Subjects were grouped based on receipt of broad-spectrum or narrow-spectrum abx before and/or after appendectomy. Read More

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http://dx.doi.org/10.1016/j.jss.2019.04.007DOI Listing
May 2020
1.936 Impact Factor

Post-operative morbidity following pancreatic duct occlusion without anastomosis after pancreaticoduodenectomy: a systematic review and meta-analysis.

HPB (Oxford) 2020 May 27. Epub 2020 May 27.

Division of HPB, Minimally Invasive and Robotic Surgery, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. Electronic address:

Background: Pancreatic duct occlusion (PDO) without anastomosis is a technique proposed to mitigate the clinical consequences of postoperative pancreatic fistulas (POPF) after pancreaticoduodenectomy. The aim of this study was to appraise the morbidity following PDO through a systematic review and meta-analysis.

Methods: A systematic search of MEDLINE, Embase, and Web Of Science identified studies reporting outcomes of PDO following pancreaticoduodenectomy. Read More

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http://dx.doi.org/10.1016/j.hpb.2020.04.014DOI Listing

: a rare cause of necrotising fasciitis.

BMJ Case Rep 2020 May 27;13(5). Epub 2020 May 27.

General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK.

Necrotising fasciitis is a life-threatening condition characterised by inflammation, affecting the soft tissues, which spreads within a fascial plane. Skin changes can be delayed and can often go unnoticed. The condition arises from a bacterial infection, commonly being of polymicrobial aetiology. Read More

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http://dx.doi.org/10.1136/bcr-2020-235115DOI Listing

Detection of multiple hypervirulent Klebsiella pneumoniae strains in a New York City hospital through screening of virulence genes.

Clin Microbiol Infect 2020 May 24. Epub 2020 May 24.

Department of Pathology & Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.

Objectives: The 'hypervirulent' variant of Klebsiella pneumoniae (hvKp) is a predominant cause of community-acquired pyogenic liver abscess in Asia, and is an emerging pathogen in Western countries. hvKp infections have demonstrated 'metastatic' dissemination in immunocompetent hosts, an unusual mode of infection associated with severe complications. Two cases alerted us to the possible presence of hvKp at our hospital, both involving elderly Hispanic males who presented with recurrent fever, bacteraemia, epigastric pain and liver abscesses/phlegmon, thus prompting an assessment of hvKp prevalence. Read More

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http://dx.doi.org/10.1016/j.cmi.2020.05.012DOI Listing

Geriatric patients undergoing appendectomy have increased risk of intraoperative perforation and/or abscess.

Surgery 2020 May 24. Epub 2020 May 24.

Department of Surgery, University of California, Irvine, Orange, CA. Electronic address:

Background: The number of geriatric patients is expected to grow 3-fold over the next 30 years, and as many as 50% of the surgeries done in the United States may occur in geriatric patients. Geriatric patients often have increased comorbidities and more often present in a delayed manner for acute appendicitis. The aim of this study was to evaluate outcomes between geriatric patients and younger patients undergoing appendectomy, hypothesizing that geriatric patients will have a higher risk of abscess and/or perforation, conversion to open surgery, postoperative intra-abdominal abscess, and 30-day readmission. Read More

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http://dx.doi.org/10.1016/j.surg.2020.04.019DOI Listing