scholarly journals Case report of a successful non-operative management of postoperative bleeding from pseudoaneurysm of the gastroduodenal artery, following gastric surgery

2021 ◽  
Vol 78 ◽  
pp. 54-57
Author(s):  
Georgios Stravodimos ◽  
Vasileios Komporozos ◽  
Antonia Papazoglou
Keyword(s):  
Case Report ◽  
Postoperative Bleeding ◽  
Operative Management ◽  
Gastric Surgery ◽  
Gastroduodenal Artery ◽  
Non Operative Management

scholarly journals Non‐operative management of primary omental torsion, a case report and literature review

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Mohammed S. Foula ◽  
Mohammed Sharroufna ◽  
Zahra H. Alshammasi ◽  
Omar S. Alothman ◽  
Bayan A. Almusailh ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Operative Management ◽  
Omental Torsion ◽  
Non Operative Management

scholarly journals Incidence, aetiology and outcomes of major postoperative haemorrhage after pulmonary lobectomy

2019 ◽  
Author(s):  
Brooks V Udelsman ◽  
Monica Soni ◽  
Maria Lucia Madariaga ◽  
Florian J Fintelmann ◽  
Till D Best ◽  
...  
Keyword(s):  
Red Blood Cells ◽  
Blood Cells ◽  
Postoperative Bleeding ◽  
Median Sternotomy ◽  
Length Of Hospital Stay ◽  
Operative Management ◽  
Complication Rates ◽  
Packed Red Blood Cells ◽  
Postoperative Haemorrhage ◽  
Non Operative Management

Abstract OBJECTIVES Post-lobectomy bleeding is uncommon and rarely studied. In this study, we aimed to determine the incidence of post-lobectomy haemorrhage and compare the outcomes of reoperation and non-operative management. METHODS We conducted a single-institution review of lobectomy cases from 2009 to 2018. The patients were divided into two groups based on the treatment for postoperative bleeding: reoperation or transfusion of packed red blood cells with observation. Transfusion correcting intraoperative blood loss was excluded. One or more criteria defined postoperative bleeding: (i) drop in haematocrit ≥10 or (ii) frank, sustained chest tube bleeding with or without associated hypotension. Covariates included demographics, comorbidities and operative characteristics. Outcomes were operative mortality, complications, length of hospital stay and readmission within 30 days. RESULTS Following 1960 lobectomies (92% malignant disease, 8% non-malignant), haemorrhage occurred in 42 cases (2.1%), leading to reoperation in 27 (1.4%), and non-operative management in 15 (0.8%). The median time to reoperation was 17 h. No source of bleeding was identified in 44% of re-explorations. Patients with postoperative haemorrhage were more often male (64.3% vs 41.2%; P < 0.01) and more likely to have preoperative anaemia (45.2% vs 26.5%; P = 0.01), prior median sternotomy (14.3% vs 6.0%; P = 0.04), an infectious indication (7.1% vs 1.8%; P = 0.01) and operative adhesiolysis (45.2% vs 25.8%; P = 0.01). Compared with non-operative management, reoperation was associated with fewer units of packed red blood cells transfusion (0.4 vs 1.9; P < 0.001), while complication rates were similar and 30-day mortality was absent in either group. CONCLUSIONS Haemorrhage after lobectomy is associated with multiple risk factors. Reoperation may avoid transfusion. A prospective study should optimize timing and selection of operative and non-operative management.

scholarly journals Successful non-operative management of traumatic extrahepatic portal venous injury without intraperitoneal hemorrhage: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Kunio Hamanaka ◽  
Yuusuke Hirokawa ◽  
Tsuyoshi Itoh ◽  
Mitsuhiro Fujino ◽  
Kenichi Kano ◽  
...  
Keyword(s):  
Case Report ◽  
Operative Management ◽  
Intraperitoneal Hemorrhage ◽  
Venous Injury ◽  
Non Operative Management

scholarly journals Post Endoscopic Retrograde Cholangiopancrea-Togram (ERCP) Perforation Managed Successfully Conservatively: A Case Report

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Abdul Malek Mohamad ◽  
Azrin Waheedy Ahmad ◽  
Junaini Kasian
Keyword(s):  
Case Report ◽  
Early Recognition ◽  
Hepatic Duct ◽  
Operative Management ◽  
Free Fluid ◽  
Contrast Extravasation ◽  
Distal Common Bile Duct ◽  
Cbd Stone ◽  
The Right ◽  
Non Operative Management

Introduction: We aim to report an uncommon case of post ERCP perforation that effectively managed conservatively in non-hepatobiliary surgery centre. Case report: A 46-year-old man diagnosed to have obstructive jaundice secondary to distal common bile duct (CBD) stone. He underwent ERCP at a private centre, sphincterotomy was performed, but, the operator had failed to insert the stent and complicated with post ERCP perforation evidenced by contrast extravasation beyond 1/3rd of the CBD and referred to our centre. Patient was subjected for re ERCP. There were difficulties in cannulating the CBD and stent was inserted. Cholangiogram revealed contrast leak around the pancreatic duct and bifurcation of hepatic duct. There was no evidence of CBD stone. Computed Tomography (CT) of the abdomen revealed extensive subcutaneous emphysema on the right side of the abdomen to right inguinal region, extensive retroperitoneal free air and pneumoperitoneum, but there were no free fluid or contrast extravasation. The patient subjected for non-operative management (NOM) for the complication and kept fasting with total parenteral nutrition and intravenous antibiotic. He recovered well with the opted management. Patient was programmed with Gastrograffin study after 10 days that showed no evidence of contrast leak to suggest free bowel injury. He was allowed orally after that and was discharged well after 15 days with stent in situ. During follow up, he was well, and the stent removed after 3 months. Patient planned for laparoscopic cholecystectomy and on table cholangiogram. Conclusion:  Post ERCP perforation is uncommon but lethal. Early recognition of the complication is crucial hence appropriate management can be arranged to avoid death. To date, surgery is not the only choice available to manage this complication.

scholarly journals Successful Non-operative Management of Grade IV Penetrating Renal Injury: A Case Report

2011 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Mohsen Kalhor ◽  
S. Ameneh Sabzi ◽  
Mehdi Molaei
Keyword(s):  
Case Report ◽  
Renal Injury ◽  
Operative Management ◽  
Non Operative Management

scholarly journals Non operative management of proximal posterior gastric injury in a trauma patient: A case report

2020 ◽  
Vol 77 ◽  
pp. 862-865
Author(s):  
Norah Alsubaie ◽  
Bushr Mrad ◽  
Abdullah Albdah ◽  
Nadia Aljomah ◽  
Thamer Nouh
Keyword(s):  
Case Report ◽  
Trauma Patient ◽  
Operative Management ◽  
Gastric Injury ◽  
Non Operative Management

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

2016 ◽  
Vol 25 (1) ◽  
pp. 109-114 ◽  
Author(s):  
Roshan Razik ◽  
Gary R. May ◽  
Fred Saibil
Keyword(s):  
Operative Management ◽  
Gastroduodenal Artery ◽  
Pancreatic Pseudocysts ◽  
Gallstone Pancreatitis ◽  
Endoscopic Retrograde ◽  
Pancreaticoduodenal Artery ◽  
Edematous Pancreatitis ◽  
Walled Off Necrosis ◽  
Non Operative Management ◽  
Guided Therapy

Pancreatic pseudocysts and foci of walled-off necrosis (WON) are well-known complications of acute pancreatitis. We present a case of severe gallstone pancreatitis complicated by WON, fistulization to the bowel and gastrointestinal bleeding. Bleeding was localized to a pseudoaneurysm of the gastroduodenal artery within the WON using imaging and endoscopy. Angiography and image-guided therapy were then used to control bleeding with coil-embolization. To our knowledge, this is the first report of non-operative management of a patient with severe pancreatitis complicated by WON and a bleeding pseudoaneurysm with multiple communications to the hollow viscera. Therapeutic options are discussed and a thorough literature review is included. Abbreviations: EGD: esophagogastroduodenoscopy; ERCP: endoscopic retrograde cholangiopancreatography; GDA: gastroduodenal artery; GI: gastrointestinal; IEP: interstitial edematous pancreatitis; IPDA: inferior pancreaticoduodenal artery; WON: walled-off necrosis.

scholarly journals Case report: Non-operative management for grade V kidney injury

2015 ◽  
Vol 26 (4) ◽  
pp. 306
Author(s):  
Chye-Yang Lim ◽  
Chun-Hao Chen ◽  
Kun-Hung Shen
Keyword(s):  
Case Report ◽  
Kidney Injury ◽  
Operative Management ◽  
Non Operative Management
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