Cases reported "Abscess"

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11/36. Percutaneous balloon dilatation in treatment of infected pyelocaliceal diverticulum.

    Abscess formation is a known complication of pyelocaliceal diverticulum. Although successful management of stones complicating pyelocaliceal diverticulum has been described utilizing percutaneous techniques, this is the first report to our knowledge of a percutaneous technique that simultaneously manages an acute abscess and provides for ablation of the diverticular cavity thus preventing future recurrences. The method involves placement of single or multiple stents spanning the diverticulum and the collecting system proper following percutaneous dilatation of the narrow isthmus that usually provides the communication with the main collecting system. The procedure offers an economical and tissue-sparing approach, which obviates the need for major abdominal or retroperitoneal operation.
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12/36. An unusual case infection following spinal surgery.

    A case of extensive subcutaneous inflammation infection four months after a spinal operation is presented. The patient had had an extensive laminectomy and foraminotomy for lumbar canal stenosis and protruded discs at L3/L4 and L4/L5 levels. Four months postoperatively, bilateral gluteal abscesses developed and were treated by surgical evacuation. Three months after the evacuation of the abscesses, extensive inflammation and purulent infiltration of the laminectomy wound together with recurrence of the gluteal abscesses were noticed. In spite of reevacuation of the abscesses the inflammation persisted. A syringography disclosed communication of the gluteal abscesses with the laminectomy wound. Eventually this complication was treated by surgical reexploration of the laminectomy wound, during which it was found that the inflammation, although longstanding, did not spread to the intervertebral spaces.
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13/36. The role of chlamydia trachomatis in Bartholin's gland abscess.

    chlamydia trachomatis is becoming increasingly known for its ability to cause severe injury to the female genital tract. Little investigation has been done in its role in diseases of bartholin's glands. We present what we believe to be the first case report of an abscess of a Bartholin's gland in which chlamydia trachomatis was a major pathogen. This communication also review the literature concerning the microbiology of Bartholin's gland abscess.
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14/36. Left ventricular to left atrial communication secondary to a paraaortic abscess: color flow Doppler documentation.

    Aortic root abscess occurs frequently in aortic prosthetic valve infective endocarditis. The present echocardiographic report documents a ruptured abscess that led to a direct communication between the left ventricular outflow tract and the left atrium confirmed by real-time (color flow) Doppler imaging.
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15/36. Pancreatic abscess due to infected hydatid disease.

    A 35-year-old man sought treatment for acute epigastric pain, mild jaundice, and high fever. The patient was alcoholic and had been treated for a week in another hospital, at which time the clinical findings and indirect laboratory test indicated an attack of acute pancreatitis. At admission to the surgical intensive care unit of Aretaieon Hospital, the patient was in a septic condition; a computed tomographic scan of the upper abdomen revealed an abscess at the head of the pancreas. Surgical exploration showed an infected hydatid cyst at the head of the pancreas and pancreatic edema. The cyst was evacuated and drained, which resulted in formation of an external pancreatic fistula. Fistulography showed a communication of the residual cavity with the main pancreatic duct. The patient was begun on a regimen of somatostatin infusion, and the fistula closed within 3 days. The patient was discharged on the sixteenth postoperative day and has remained in good health for a year.
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16/36. A case of pericholecystic abscess diagnosed by ultrasonography.

    Pericholecystic abscess is a serious complication of cholecystitis. Though preoperative diagnosis is easy by gray-scale ultrasonography, there has been no case reported in which the communication between pericholecystic abscess and the gallbladder was demonstrated ultrasonically. We experienced a case in which the communication route between a pericholecystic abscess and the gallbladder was successfully demonstrated by a real-time electric linear scanner. Furthermore, the abscess was successfully treated by percutaneous drainage following ultrasonically guided puncture. This success demonstrates that ultrasonography by a real-time scanner can be effective for diagnosis and treatment of acute cholecystitis and pericholecystic abscess.
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17/36. Percutaneous management of a pyelocaliceal diverticular abscess.

    A renal abscess secondary to obstruction and infection of a pyelocaliceal diverticulum was managed successfully percutaneously. The diverticulum spontaneously re-established communication with the renal collecting system. No surgery was required and the patient was well 2 years later.
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18/36. Interatrial abscess.

    A large abscess of the interatrial septum developed during the course of acute bacterial endocarditis affecting the aortic valve. Septic involvement of the cardiac conducting system produced atrioventricular dissociation, and subsequent abscess rupture resulted in an aorto-right atrial communication. The clinical presentation of this rare complication of acute bacterial endocarditis is correlated with the post-mortem findings.
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19/36. Abscess formation of a Gartner's duct cyst with cervical communication in a case of bicornuate uterus associated with an ipsilateral renal agenesis.

    One case of abscess formation of a Gartner's duct cyst communicating with the cervix of a bicornuate uterus is presented in a case of ipsilateral renal agenesis. The embryonic origin and the incidence of associated genital and urologic malformations are discussed. Marsupialization is recommended as an adequate method of treatment.
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20/36. epidural abscess complicating Swenson procedure: a case report and a review of the literature.

    A case is reported in which an anastomotic leak following the Swenson procedure for Hirschsprung's disease was complicated by the development of a pelvic abscess that communicated freely with the epidural space. The child presented with signs and symptoms of an epidural abscess, but his myelogram was normal. The diagnosis was made by urografin enema. The child was treated by defunctioning colostomy and drainage of the pelvic abscess by enlarging the defect at the anastomosis site digitally. The epidural space drained freely to the pelvis and therefore laminectomy was not required. The possible etiology of such a communication is discussed.
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