1/161. Recurrent abdominal abscess secondary to a dropped laparoscopic clip: CT imaging.Since being introduced in 1987, laparoscopic cholecystectomy has quickly become the treatment of choice for symptomatic gallstone disease. Computed tomography is an excellent method to evaluate the laparoscopic patient in whom postoperative complication is suspected.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
2/161. liver abscess secondary to fish bone penetration of the gastric wall: a case report.An unusual case of liver abscess caused by fish bone perforation of the stomach is presented in this report. A 65-year-old woman was admitted to the Far Eastern Memorial Hospital for abdominal pain, fever and chills. physical examination revealed anemia and tenderness in the epigastrium. Laboratory data showed leukocytosis and abnormal liver function. Computerized tomography of the abdomen disclosed a huge abscess in the left lobe of the liver. Exploratory laparotomy was performed and a fish bone, 3.7 cm in length, was found perforating the stomach with penetration into the left lobe of the liver, resulting in a hepatic abscess. drainage of the liver abscess with removal of the fish bone and simple closure of the gastric perforation were performed. The patient recovered uneventfully.- - - - - - - - - - ranking = 2keywords = abscess (Clic here for more details about this article) |
3/161. Hepatic abscess due to gastric perforation by ingested fish bone demonstrated by computed tomography.Perforation of the gastrointestinal tract by ingested foreign bodies is rare. Preoperative diagnosis of complications due to foreign bodies in the gastrointestinal tract can rarely be achieved because the conventional radiographic appearance is nonspecific. This report describes a 69-year-old woman who presented with vague clinical manifestations, intermittent abdominal pain, and low-grade fever. Hepatic abscess, secondary to a foreign body penetrating the gastric wall, was diagnosed preoperatively using computed tomography findings. On exploration, the foreign body turned out to be a fish bone. The abscess was confirmed and drained during surgery and a partial gastrectomy was performed. This case illustrates the value of CT in the evaluation of this condition.- - - - - - - - - - ranking = 1.5keywords = abscess (Clic here for more details about this article) |
4/161. Retrieval of a broken needle in the pterygomandibular space.BACKGROUND: Dental needle breakage can be a devastating experience for both practitioners and patients. The authors describe the surgical management for localizing a broken dental needle in the pterygomandibular space and how to prevent needle breakage. CASE DESCRIPTION: The authors present the case of a 35-year-old man who had a chief complaint of pain and the ability to feel a broken needle during mandibular movements after receiving an inferior alveolar nerve block from his general dentist before dental treatment. Surgical management involved localizing the broken needle using radiographs and removing the broken needle under general anesthesia. CLINICAL IMPLICATIONS: Preventing needle breakage is important, as it can be a traumatic experience for the patient. Practitioners should establish the patient's cooperation by explaining to him or her what to expect before injection. Practitioners also should routinely inspect dental needles before administering injections and minimize the number of repeated injections using the same needle.- - - - - - - - - - ranking = 0.0015287612093594keywords = alveolar (Clic here for more details about this article) |
5/161. CT features of a pericardial gossypiboma.We report a case of surgically retained pericardial sponge as a cause of paracardiac mass in a woman who had thoracotomy 3 weeks prior for replacement of mitral valve prosthesis. Computed tomography examination showed a thin-walled mass containing relatively high-density material in the central part with low-density rim at the periphery suggesting a haematoma with clot formation at first. Surgically removed mass was a retained sponge between right atrium and pericardium. Gossypiboma should be included in the differential diagnosis of an intrathoracic mass besides haematoma and abscess formation in any patient who has had previous thoracotomy.- - - - - - - - - - ranking = 0.25keywords = abscess (Clic here for more details about this article) |
6/161. Respiratory foreign bodies and eikenella corrodens brain abscess in two children.We report the coexistence of aspirated foreign bodies and brain abscess in two boys. One child had aspirated a metallic needle, and in the other boy partially embedded sunflower seeds were found in the bronchial wall. Both patients had growth of eikenella corrodens (oral gram-negative flora) from the abscess. Aspirated foreign body in the respiratory tract should be one of the diagnostic considerations if any of the normal oropharyngeal organisms such as E. corrodens is the causative organism of brain abscess.- - - - - - - - - - ranking = 1.75keywords = abscess (Clic here for more details about this article) |
7/161. incidence of intracranial bullet fragment migration.Migration of retained bullets or bullet fragments may present as a complication of gunshot wounds to the head. This phenomenon has been reported in cases of abscess formation or retained copper fragments. Management of such migratory fragments is controversial. The purpose of this study is to determine the incidence of fragment migration in a population of neurosurgical patients treated for gunshot wounds to the head. Two-hundred and thirteen cases treated at Detroit Receiving Hospital between 1985 and 1987 were reviewed. Each patient treated had initial and one week follow-up imaging studies. Nine cases of documented migratory intracranial bullet fragments were identified. Thus, the incidence in this population is 4.2%. The fragments in eight cases were composed of copper, and in the remaining case, lead. No case was associated with an abscess. Fragments in the anterior fossa were found to migrate towards the sella turcica, while those of the middle fossa and posterior hemispheres migrate towards the confluence of sinuses (Torcula Herophili). Fragment migration was documented as early as 36 h post-injury. Based on this study, we recommend serial imaging studies to look for migrating bullet fragments and surgical removal aided by intra-operative ultrasound to localize the fragment when possible.- - - - - - - - - - ranking = 0.5keywords = abscess (Clic here for more details about this article) |
8/161. Successful treatment of a hepatic abscess that formed secondary to fish bone penetration by percutaneous transhepatic removal of the foreign body: report of a case.We describe herein the case of a hepatic abscess that developed secondary to fish bone penetration which was successfully treated without laparotomy. A 61-year-old man was admitted to our hospital with a high fever that had persisted for 2 weeks in spite of medication. Abdominal ultrasonography (AUS) and computed tomography (CT) of the abdomen revealed a hepatic abscess with a linear calcified foreign body and gas. Percutaneous abscess drainage was performed under ultrasonographic guidance. After drainage, the patient became afebrile, and AUS and CT findings demonstrated that the abscess cavity had decreased in size, but still contained the foreign body. Under ultrasonographic guidance and fluoroscopy, we inserted endoscopic forceps into the sinus tract and succeeded in removing the foreign body from the liver. It was found to be a fish bone that was 2.8 cm long and 0.3 cm wide.- - - - - - - - - - ranking = 2keywords = abscess (Clic here for more details about this article) |
9/161. An unusual complication of minitracheostomy.A 72-year-old woman had a minitracheostomy inserted for sputum retention. This was undertaken by a relatively junior resident who opted to use an early model minitracheostomy kit Minitrach II. The following day the patients condition deteriorated and intubation was warranted, at which time it was apparent to senior staff that the minitracheostomy had been malpositioned. Ten days later, formal tracheostomy was performed under general anaesthesia. After incision, an abscess in the thyroid gland was found. histology subsequently revealed a Hurthle cell tumour of the thyroid. Thyroid abscess is exceedingly rare. It typically occurs in abnormal thyroid tissue and with a focus on infection. The combination of Hurthle cell adenoma and a foreign body (the minitracheostomy) was evidently causative in this instance. This complication of minitracheostomy insertion has not to our knowledge, previously been reported.- - - - - - - - - - ranking = 0.5keywords = abscess (Clic here for more details about this article) |
10/161. Asymptomatic gastric perforation by a toothpick. A case report.BACKGROUND: Many cases of gastric perforation with peritonitis, pylephlebitis, hepatic abscesses, or lethal bleeding, caused by ingested long and sharp objects, are reported in the literature. methods: During a right hepatectomy for a giant hemangioma, a wooden toothpick was found between the two layers of the hepatogastric ligament. It was not possible to find the passage of the foreign body through the gastric wall. The patient did not report any correlated symptoms. RESULTS: There was no sign of inflammation around the toothpick, which was enveloped in thin scar tissue. The removal of the foreign body was performed without complications. CONCLUSIONS: The peculiarity of our case is the total absence of symptoms during and after the perforation. Despite the benign evolution of our case, toothpicks must be considered as potentially dangerous, like other pointed objects, and, therefore, removed immediately. copyright copyright 1999 S. Karger AG, Basel- - - - - - - - - - ranking = 0.25keywords = abscess (Clic here for more details about this article) |
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