Cases reported "Suppuration"

Filter by keywords:



Filtering documents. Please wait...

1/8. Urethral fistula and sinus formation in hidradenitis suppurativa.

    Two patients with severe hidradenitis suppurativa are reported. In Case 2, with widespread and superficial disease without communication with internal organs, there was a good response to intensive surgical intervention. In the patient with hidradenitis suppurativa and urethral fistula formation adequate surgical treatment was not technically feasible and treatment had to be continued for at least 2 years without permanent cure in sight. A search of the literature confirms that this differentiation is important as the cases with fistulous involvement of internal organs tend to have a bad prognosis.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

2/8. uterus didelphys with obstructed hemivagina and pyocolpos, ipsilateral tubal occlusion and renal agenesis, and bilateral cervical hypoplasia. A case report.

    The diagnosis of uterus didelphys with an obstructed hemivagina and ipsilateral renal agenesis is uncommon prior to menarche. The rarity and unusual presentation of the condition may contribute to a diagnostic delay for months to years after menarche. We encountered such a patient, who also had a microscopic communication between the uterine horns, hypertrophy of the right uterine horn, apparent ipsilateral occlusion of the fallopian tube and bilateral cervical hypoplasia, a finding not previously noted in similar cases. The inability to utilize the cervix as a landmark, associated findings and the presence of chronic inflammation precluded definitive treatment during initial hysteroscopy and laparoscopy. laparotomy was performed to fully ascertain the status of the right uterine horn and to determine which structures to resect.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

3/8. pyomyositis in acute lymphocytic leukemia heralded by cutaneous vasculitis: brief communication.

    We have observed two cases of staphylococcal myositis in patients with acute lymphocytic leukemia which are distinguished from previously reported cases by a history of cutaneous vasculitis overlying the area of subsequent infection.
- - - - - - - - - -
ranking = 4
keywords = communication
(Clic here for more details about this article)

4/8. Purulent umbilical drainage from infection of left umbilical artery associated with open umbilicoperitoneal communication.

    This is a case report of a 20-day-old girl with persistent umbilical drainage due to infection of the left umbilical artery that ruptured at the base of the umbilicus and formed an open umbilicoperitoneal communication.
- - - - - - - - - -
ranking = 5
keywords = communication
(Clic here for more details about this article)

5/8. Surgical management of massive perianal hidradenitis suppurativa.

    hidradenitis suppurativa of the perineum and buttocks is a devastating disease often causing patients years of pain, discomfort, and eventual social isolation. The chronic form of the disease results from a lack of aggressive surgical intervention when the patient is first seen. It is characterized by a malodorous drainage from multiple sinus tracts encased in marked scarred and fibrotic tissue. In contrast to axillary involvement, the perianal form of hidradenitis suppurativa is associated with an increased frequency of anemia, fistulous communications with bowel and urinary tract, and the development of carcinomas. Several cases illustrating the debilitating nature of the disease and its optimal management are presented. This report illustrates that (1) a well-planned preoperative and postoperative bowel regimen can eliminate the need for a diverting colostomy, even in the most extensive forms of perianal disease, (2) radical excision is expedited and blood loss is minimized by the use of a Shaw hot knife (Oximetrix, Mountain View, CA), (3) the quilted application of meshed split-thickness skin grafts as a primary procedure provides rapid closure of the surgical defect and minimizes patient discomfort, and (4) aggressive surgical intervention in severe cases provides a chance for a rapid recovery from this crippling disease.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

6/8. The development of a pyogenic liver abscess following radical resection of cholangiocellular carcinoma with ligation of the right hepatic artery: report of a case.

    We present herein the case of a pyogenic liver abscess developing from hepatic ischemia caused by resection of the right hepatic artery when a left hemihepatectomy with caudate lobectomy and extrahepatic bile duct resection was performed for cholangiocellular carcinoma. Postoperative cholangiography revealed communication between the abscess cavity and the intrahepatic bile duct. The liver abscess was successfully treated by percutaneous transhepatic drainage. Thus, breakdown of the intrahepatic bile duct due to ischemia may play an important role in the development of a pyogenic liver abscess following hepatic arterial occlusion.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

7/8. Pyopneumothorax--a rare sequelae of retropharyngeal abscess.

    A case of massive pyopneumothorax as a rare sequelae of retropharyngeal abscess following fish bone ingestion is reported. An initial attempt at removal of the fish bone in the oesophagus using the fibroptic oesophagoscope was unsuccessful, causing failure of its removal and the development of this rare and potentially fatal complication. The intercommunication of the retropharyngeal space with other spaces of the neck and thorax that allow this and most other complications to occur is described. Rigid endoscopes are the instrument of choice in retrieving sharp foreign bodies in the oesophagus.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

8/8. Right hepatectomy for pyogenic liver abscesses with true multiloculation.

    We report the case of 61-year-old woman with cryptogenic liver abscesses who had been profoundly ill with severe upper abdominal pain, impaired consciousness, prostration, continuous high fever secondary to sepsis, and thrombocytopenia (platelets, 1-5 x 10(4)/mm3) since admission. Ultrasonograms and computed tomograms revealed two separate multiloculated lesions in the right lobe of the liver, consistent with the liver abscesses. Immediately after diagnosis, percutaneous abscess drainage was performed under ultrasonographic guidance; however, only a small amount of pus was drained, prompting continuous irrigation of the abscess cavity. Four days later, transcatheter hepatic arterial infusion of antibiotics was attempted. However, the abscesses had enlarged and her general condition had worsened. On hospital day 8, she underwent right hepatectomy because the multiloculated lesions were refractory to drainage. The operation was successful in terms of hepatectomy, although she continued to suffer from sepsis, secondary right subphrenic abscess formation, and prolonged thrombocytopenia with associated coagulation disorders for two months. Examination of multiple cross sections of the resected specimen disclosed that the lesions consisted of aggregations of multiple small locules. There was no communication between the locules and there were true septations, rather than multiloculated lesions with pseudoseptations. The patient has been well for 2 years without recurrent abscess of the liver or any infectious disease.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)


Leave a message about 'Suppuration'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.