1/9. Acute abdomen due to late retroperitoneal extravasation from a femoral venous catheter in a newborn.CONTEXT: The use of parenteral nutrition via a central venous catheter is a common practice in the neonatal intensive care setting. Extravasation of the infusate leading to an acute abdomen is a complication that has only rarely been documented. This report describes the case of a premature infant with a femoral catheter placed in the inferior vena cava, who developed an acute abdomen as a result of late retroperitoneal extravasation of parenteral nutrition. CASE REPORT: A pre-term infant receiving total parenteral nutrition via a femoral venous catheter developed an acute abdomen five days after the catheter placement. Extravascular catheter migration to the retroperitoneal space and extravasation of the infusate was diagnosed by contrast injection. Withdrawal of the catheter was followed by prompt cessation of the signs and full recovery from the acute abdomen, without the need for surgery. A review of the literature is presented, emphasizing the clinical and therapeutic aspects of this unusual complication from femoral venous catheterization and parenteral nutrition.- - - - - - - - - - ranking = 1keywords = aspect (Clic here for more details about this article) |
2/9. Primary ruptured ovarian pregnancy in a spontaneous conception cycle: a case report and review of the literature.Ovarian pregnancy is an uncommon presentation of ectopic gestation, where the gestational sac is implanted within the ovary. Usually, it ends with rupture, which occurs before the end of the first trimester. Its presentation often is difficult to distinguish from that of tubal ectopic pregnancy and hemorrhagic ovarian cyst. We describe a case of primary ovarian pregnancy in a 31-year-old patient who presented to the emergency room with symptoms and signs of peritonism and positive urine hCG test. The gestation sac was demonstrated in the right ovary by transvaginal sonography. MSD (mean sac diameter) was 15 mm corresponding to the sixth gestational week. Free fluid was found in the Douglas pouch. Culdocentesis was positive for hemoperitoneum. Henceforth, emergency laparotomy and wedge resection of the ovary was perfomed. Aetiological, clinical and therapeutical aspects of this rare extrauterine pregnancy are described. Also, the problems of its differential diagnosis are discussed.- - - - - - - - - - ranking = 1keywords = aspect (Clic here for more details about this article) |
3/9. It is not always appendicitis.BACKGROUND: patients who are suspected of having acute appendicitis usually undergo surgery in order to avoid life-threatening complications such as perforation and peritonitis. However, acute appendicitis is difficult to distinguish from other sources of right-sided abdominal pain. The clinical picture is almost indistinguishable from appendiceal diverticulitis, which is a rare entity and remains a difficult diagnostic problem. patients AND methods: We describe the case of a 39-year-old male with perforated appendiceal diverticulitis. The patient was admitted to our surgical unit with acute appendicitis-like symptoms and underwent surgery with a diagnosis of suspected acute appendicitis. RESULTS: The patient was found to have perforated appendiceal diverticulitis and standard appendectomy with abdominal lavage was carried out. DISCUSSION: Most patients presenting with acute right-sided peritonitic pain are diagnosed and managed as cases of acute appendicitis. acute pain in the lower right side of the abdomen caused by appendiceal diverticulitis is very rare and clinically indistinguishable from acute appendicitis. Inflammatory complications of appendiceal diverticula mimic acute appendicitis. CONCLUSION: Every surgeon should be aware of the possibility of diverticulitis of the appendix in the operating room, even if this does not change the operative management. As diverticula of the cecum can be found as solitary lesions, as multiple lesions confined to the right colon, or as part of a generalized disease of the entire colon, postoperative barium enema examination may be useful.- - - - - - - - - - ranking = 1.0270136424295keywords = standard (Clic here for more details about this article) |
4/9. Polymicrobial bacteremia caused by escherichia coli, edwardsiella tarda, and shewanella putrefaciens.edwardsiella tarda, a member of enterobacteriaceae, is found in freshwater and marine environments and in animals living in these environments. This bacterium is primarily associated with gastrointestinal diseases, and has been isolated from stool specimens obtained from persons with or without clinical infectious diseases. shewanella putrefaciens, a saprophytic gram-negative rod, is rarely responsible for clinical syndromes in humans. Debilitated status and exposure to aquatic environments are the major predisposing factors for E. tarda or S. putrefaciens infection. A 61-year-old woman was febrile with diarrhea 8 hours after ingesting shark meat, and two sets of blood cultures grew escherichia coli, E. tarda and S. putrefaciens at the same time. She was successfully treated with antibiotics. We present this rare case of polymicrobial bacteremia caused by E. coli, E. tarda and S. putrefaciens without underlying disease, which is the first found in taiwan. This rare case of febrile diarrhea with consequent polymicrobial bacteremia emphasizes that attention should always be extended to these unusual pathogens.- - - - - - - - - - ranking = 4.3247629455871keywords = living (Clic here for more details about this article) |
5/9. Abdominal compartment syndrome in a newly diagnosed patient with burkitt lymphoma.We present the radiological and clinical aspects of a patient with advanced-stage burkitt lymphoma who presented with an acute abdomen complicated by abdominal compartment syndrome.- - - - - - - - - - ranking = 1keywords = aspect (Clic here for more details about this article) |
6/9. intestinal perforation caused by larval Eustrongylides (nematoda: Dioctophymatoidae) in new jersey.Two large living nematodes were removed from the peritoneal cavity of a 17-year-old youth complaining of intense abdominal pain in the right lower quadrant. The worms measured 55 and 59 mm in length and were identified as fourth-stage larvae of Eustrongylides. The patient gave a history of swallowing live minnows while fishing.- - - - - - - - - - ranking = 4.3247629455871keywords = living (Clic here for more details about this article) |
7/9. diagnosis of alimentary tract perforation by CT.The roentgenologic diagnosis of digestive tract perforation is based primarily on evidence of free air shown on a standard abdominal film. However, this finding may not be present, especially during the first hours following trauma. This retrospective study of 10 patients shows that the anatomical precision of computed tomography can help greatly in detecting small collections of free air, in addition to other abdominal changes. Although CT is commonly requested for a cause of acute abdomen other than suspected perforation, the radiologist must also look carefully for a small collection of free air or other signs that may indicate free air.- - - - - - - - - - ranking = 1.0270136424295keywords = standard (Clic here for more details about this article) |
8/9. Acute abdomen in systemic vasculitides.A presentation is made of abdominal vasculitis in the course of systemic lupus erythematosus (SLE) and polyarteritis nodosa (PAN). The disease is not yet completely known and therefore it is often incorrectly diagnosed as acute abdomen requiring surgery. An accurate diagnosis of this disease is essential for the choice of the correct therapeutic attitude. Some theoretical aspects of the disease are discussed and the personal experience of the authors resulting from the study of some cases hospitalized in the Institute of internal medicine, are discussed.- - - - - - - - - - ranking = 1keywords = aspect (Clic here for more details about this article) |
9/9. Eustrongylidiasis--a parasitic infection acquired by eating live minnows.The objective of this study was to heighten physician awareness of eustrongylidiasis by investigating the epidemiology of this parasitic infection. The nematode Eustrongylides ignotus was recovered surgically from our patient, in whom eustrongylidiasis simulated acute appendicitis. The patient had consumed two live minnows obtained from Big Timber Creek of Belmawr, NJ. The authors determined the E ignotus infestation rate of free-living minnows at this creek. With this data, they approximate the probability of human infection with E ignotus after eating live minnows and attempt to evaluate the hypothesis that eating live minnows may lead to eustrongylidiasis.- - - - - - - - - - ranking = 4.3247629455871keywords = living (Clic here for more details about this article) |