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Endosc Ultrasound 2021 May 6. Epub 2021 May 6.

Division of Gastroenterology, Hepatology and Endoscopy, Borland Groover Clinic, Jacksonville, FL, USA.

J Surg Case Rep 2021 Apr 29;2021(4):rjab042. Epub 2021 Apr 29.

General Surgery Department, Asser Central Hospital, Abha, Saudi Arabia.

Laparoscopic sleeve gastrectomy is currently a stand-alone bariatric procedure with a low complication profile. A rare complication of leak following sleeve gastrectomy was reported in this study. Its rareness and nonspecific clinical presentation could make the diagnosis difficult and could be easily confused with leak and subdiaphragmatic abscess. Read More

Clin Case Rep 2021 Apr 19;9(4):2498-2499. Epub 2021 Mar 19.

Department of General Surgery General University Hospital of Patras Achaia Greece.

Splenectomy is the gold standard for treating a splenic abscess, when percutaneous drainage fails or is less likely to be successful. Read More

J Glob Infect Dis 2021 Jan-Mar;13(1):52-55. Epub 2021 Jan 29.

Department of Microbiology, Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India.

Melioidosis is an endemic bacterial infection caused by soil saprophyte, . It infects adults with risk factors or immunosuppressed and exposed to moist soil. Its significance lies in its varied clinical presentation and high mortality (40%). Read More

Indian J Med Microbiol 2021 Apr 21;39(2):249-251. Epub 2021 Apr 21.

Department of Surgical Gastroenterology, Gleneagles Global Hospitals, Hyderabad, 500004, Telangana, India. Electronic address:

We report a case of melioidosis in an alcoholic and diabetic male patient presenting with multiple hepatic and splenic abscesses. Melioidosis is caused by an environmental bacterium Burkholderia pseudomallei. The clinical manifestations vary from asymptomatic infection to fulminant septic shock with abscesses in multiple internal organs. Read More

J Belg Soc Radiol 2021 Apr 6;105(1):19. Epub 2021 Apr 6.

Department of Radiology, University Hospitals Leuven, Leuven, Belgium.

Purpose: To assess the safety and efficacy of main splenic artery embolization. To assess the potential difference post-embolization of the residual splenic volume in patients embolized for trauma versus those embolized for (pseudo)aneurysms.

Materials And Methods: A retrospective analysis was performed on a cohort of 65 patients (36 males) who underwent pre- and post-embolization computed tomography. Read More

J Surg Case Rep 2021 Apr 13;2021(4):rjab048. Epub 2021 Apr 13.

Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece.

Splenic abscesses are rare, difficult to diagnose, difficult to treat and usually appear in immunosuppressed patients. We present the case of a 64-year-old patient with left pleuritic chest pain, anorexia and fever with rigors diagnosed with splenic abscess due to splenic flexure colon cancer. The abscess spontaneously ruptured and the patient was operated on for acute abdomen. Read More

Minerva Surg 2021 Apr 14. Epub 2021 Apr 14.

Unit of General and Digestive Surgery, Hospital Quironsalud Sagrado Corazón, Sevilla, Spain.

Background: Aim is to report our experience in the management of complications after laparoscopic left hemicolectomy (LLH) after the incorporation in our clinical practice of intraoperative indocyanine green (ICG) fluorescence angiography (FA).

Methods: In our last period after incorporation of ICG-FA, 277 unselected consecutive patients underwent laparoscopic colorectal surgery with this technology. Ninety-seven (35%) right hemicolectomy, 19 segmental resection of the splenic flexure (6. Read More

Cureus 2021 Mar 8;13(3):e13760. Epub 2021 Mar 8.

Children's Emergency, KK Women's and Children's Hospital, Singapore, SGP.

Melioidosis is an infectious disease most commonly found in places with tropical climates. Definitive diagnosis can be confirmed by culture or pathological results of blood or infected organ. However, imaging study is helpful in providing early provisional diagnosis and guiding therapy. Read More

SAGE Open Med Case Rep 2021 1;9:2050313X21991059. Epub 2021 Feb 1.

Division of Pediatric Infectious Diseases, Department of Pediatrics, British Columbia Children's Hospital, Vancouver, BC, Canada.

species are members of the oral microbiota and have been found to cause a wide spectrum of opportunistic infections. We describe the case of a previously healthy teenager with a large splenic abscess secondary to , successfully managed with percutaneous drainage and intravenous antibiotics. Identification of the organism was achieved using anaerobic culture of the aspirated fluid and matrix-assisted laser desorption/ionization time of flight, later confirmed by 16S ribosomal RNA metagenomic sequencing of the fluid. Read More

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

Endocrinology and Metabolism, Medical College and Hospital Kolkata, Kolkata, West Bengal, India.

Obes Surg 2021 Jun 1;31(6):2753-2761. Epub 2021 Apr 1.

Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands.

Background: Splenic abscess is a rare complication following sleeve gastrectomy.

Methods: We performed a systematic review to clarify its clinical significance, presentation, and management. PubMed, Embase, MEDLINE, Google Scholar, and the Cochrane Library were searched up to the 19th of July 2020. Read More

Case Rep Infect Dis 2021 12;2021:6623834. Epub 2021 Mar 12.

Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Infectious mononucleosis (IM) due to Epstein-Barr virus (EBV) infection is usually self-limited. It presents with fever, pharyngitis, fatigue, and cervical lymph node enlargement. It is common among adolescents and young adults. Read More

Med J Malaysia 2021 03;76(2):251-253

Hospital Queen Elizabeth, Infectious Disease Unit, Kota Kinabalu, Sabah, Malaysia.

Melioidosis is endemic in the State of Sabah, Malaysia. We report a case of a 34-year-old man with one-week history of fever and cough, three days history of diarrhoea and vomiting, which was associated with a loss of appetite and loss of weight for one-month. Clinically, he had hepatosplenomegaly and crepitation over his right lower zone of lung. Read More

Cureus 2021 Feb 11;13(2):e13295. Epub 2021 Feb 11.

Surgery, Hamad Medical Corporation, Doha, QAT.

Aeroportia is the presence of gas in the portal vein. It is considered an ominous radiological sign with poor outcomes. Historically, it was associated with bowel necrosis, and surgery was mandated in all cases. Read More

J Minim Access Surg 2021 Apr-Jun;17(2):226-229

Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

Background: Laparoscopic-Warshaw technique (lap-WT) may be selected as a function-preserving operation for malignant border lesions in the tail region of the pancreas. However, previous reports showed that there are complications such as infection and abscess formation due to lack of blood flow to the spleen after surgery. To overcome the problems, we have performed real-time vessel navigation by using indocyanine green (ICG) fluorescence during lap-WT. Read More

Front Immunol 2021 25;12:625320. Epub 2021 Feb 25.

Department of Pediatric Hematology and Oncology, Kanchi Kamakoti Child Trust Hospital, Chennai, India.

Background: Chronic granulomatous disease (CGD) is an inherited defect in phagocytic respiratory burst that results in severe and life-threatening infections in affected children. Single center studies from India have shown that proportion of autosomal recessive (AR) CGD is more than that reported from the West. Further, affected patients have high mortality rates due to late referrals and difficulties in accessing appropriate treatment. Read More

World J Gastroenterol 2021 Feb;27(8):751-759

Department of Pathology, Chonnam National University Hospital, Gwangju 61469, South Korea.

Background: Endoscopic ultrasound-guided fine needle aspiration or biopsy (EUS-FNA or FNB) has become a popular method for diagnosing various lesions of the gastrointestinal tract and surrounding tissue due to the accuracy and safety. To the best of our knowledge, no case report of severe infection after EUS-FNB of a solid lesion in the spleen has been described. Herein, we report a rare case of septic shock after EUS-FNB of a splenic mass. Read More

Am Surg 2021 Mar 11:3134821991971. Epub 2021 Mar 11.

Ashford and St. Peter`s NHS Foundation Trust, Surrey, UK.

Introduction: Bariatric surgery has become one of the most rapidly growing subspecialty performed globally, and it has been well reported to be associated with low morbidity and mortality rates. Splenic abscess is a rare but serious complication of bariatric surgery that has not been previously systematically reviewed in the literature.

Methods: The authors have performed a systematic review of the evidence that has looked into the pathophysiology, clinical presentation, and the management options of splenic abscess complicating bariatric surgery. Read More

Inflamm Bowel Dis 2021 Mar 9. Epub 2021 Mar 9.

Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Ann R Coll Surg Engl 2021 Apr 8;103(4):e131-e135. Epub 2021 Mar 8.

Lausanne University Hospital and University of Lausanne, Switzerland.

Fungal infections are generally observed in immunosuppressed patients only, with a diagnostic challenge due to non-specific symptoms. For this reason, appropriate management may be delayed. This case report concerns a 36-year-old man with history of pancreas and kidney transplantation. Read More

Hinyokika Kiyo 2021 Feb;67(2):63-66

The Department of Urology,Kinki University Faculty of Medicine.

A 67-year-old man underwent open radical left nephrectomy for left renal cell carcinoma [pT4N0M1 (right lower lobe of lung)] and thoracoscopic partial right lung resection for lung metastasis. The patient subsequently developed a solitary lung metastasis at 10 months and then at 26 months postoperatively. He underwent partial lung resection on each occasion. Read More

Semin Dial 2021 Feb 20. Epub 2021 Feb 20.

Department of Kidney Disease, Kawashima Hospital, Tokushima, Japan.

Peritoneal dialysis (PD)-related peritonitis is sometimes complicated with other infections; however, few cases of splenic abscess have been reported. We present the case of a 64-year-old PD patient with complicated splenic abscesses diagnosed following relapsing sterile peritonitis. After PD induction, he presented with turbid peritoneal fluid and was diagnosed with PD-related peritonitis. Read More

Digestion 2021 Feb 8:1-7. Epub 2021 Feb 8.

Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.

Introduction: Colonic diverticulosis increases with age, leading to a higher risk of colonic diverticular bleeding (CDB) in the elderly. As life expectancy continues to increase, the need for endoscopic hemostasis for CDB in the elderly can also be expected to increase. However, there have been no reports to date on the feasibility of endoscopic hemostasis for elderly CDB patients. Read More

Can Vet J 2021 02;62(2):154-159

Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan Ringgold Standard Institution, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5A2.

A 14-year-old, intact male, American cocker spaniel dog was presented with a 5-day history of lethargy, inappetence, loose stools, abdominal pain, and hematuria. The dog had a 4-year history of diabetes mellitus and was in remission for immune-mediated hemolytic anemia. Abdominal ultrasonography and computed tomography scan revealed diffuse left adrenomegaly, splenic nodules, prostatomegaly, bilateral testicular cysts, and a hepatic mass. Read More

BMJ Case Rep 2021 Feb 4;14(2). Epub 2021 Feb 4.

Endocrinology and Metabolism, Medical College and Hospital Kolkata, Kolkata, West Bengal, India

Diabetes mellitus, type 1 in particular, is a well-recognised risk factor for melioidosis, a disease caused by Melioidosis is endemic in Southeast Asia and in northern Australia and has a variety of clinical presentation, isolated splenic abscess being one of them. , however, is an uncommon aetiology of splenic abscess. The diagnosis of melioidosis is often overlooked unless the clinician and the microbiologist are suspicious of the condition. Read More

Med J Malaysia 2021 01;76(1):118-120

Hospital Queen Elizabeth, Department of Internal Medicine, Neurology Unit, Kota Kinabalu, Sabah, Malaysia.

Hodgkin lymphoma is a form of malignant lymphoid neoplasm. It can have various clinical presentations such as prolonged fever, night sweats, weight loss and asymptomatic lymphadenopathy. It has a distinct fever pattern known as Pel Ebstein fever. Read More

Int J Surg Case Rep 2021 Feb 15;79:160-163. Epub 2021 Jan 15.

General and Emergency Surgery Department, Garibaldi Hospital, Piazza Santa Maria di Gesù 5, 95100, Catania, Italy.

Introduction And Importance: Splenic abscess (SA) is an uncommon, life-threatening disease with about 600 reported cases in the literature. It is caused by various infective pathogens and generally occurs in immunocompromised patients. SA is a rare complication of non-typhoid Salmonella (NTS) infection. Read More

BMC Surg 2021 Jan 20;21(1):46. Epub 2021 Jan 20.

General Surgery Department, Regional Hospital of Jendouba, Jendouba, Tunisia.

Background: This study aims to describe the clinical features of the isolated primitive splenic hydatid cyst, discuss and compare the different surgical approaches of this uncommon disease.

Methods: This is a descriptive retrospective study carried out over a period of 7 years extending from January 2013 to December 2019 reporting eight cases of isolated primitive splenic hydatid cysts. Data were collected from the register of the general surgery department of the Jendouba regional hospital. Read More

Sci Rep 2021 Jan 12;11(1):700. Epub 2021 Jan 12.

Department of Radiology, Sant' Andrea University Hospital La Sapienza, Rome, Italy.

Endovascular management of small visceral artery aneurysms is an established treatment with satisfactory outcomes. However, when size exceeds 5 cm visceral aneurysms are considered as "giant" (giant visceral artery aneurysms or GVAAs) and management is significantly more complex. Between August 2007 and June 2019 eleven cases of GVAAs that were endovascularly treated were retrospectively reviewed and included in this single center study. Read More