Surgical case report—acalculous hemorrhagic cholecystitis

Abstract Haemorrhagic cholecystitis is a seldom seen cause of right upper quadrant pain that can result in gallbladder rupture, massive intraperitoneal haemorrhage and death if untreated. Haemorrhagic cholecystitis is usually seen in the presence of cholelithiasis, malignancy, trauma and coagulopathies. Here, we present the unusual case of an elderly man presenting with acalculous haemorrhagic cholecystitis, who was successfully treated with laparoscopic cholecystectomy. We review the radiological and laparoscopic findings of haemorrhagic acalculous cholecystitis. This case highlights the importance of prudent use of radiological imaging to differentiate haemorrhagic cholecystitis from alternate pathology and early surgical intervention to avoid massive intraperitoneal haemorrhage and the high mortality with which it is associated.

Download Full-text

Isolated Gallbladder Rupture Due to Blunt Abdominal Trauma

HPB Surgery ◽

10.1155/1989/95937 ◽

1989 ◽

Vol 1 (4) ◽

pp. 359-362 ◽

Cited By ~ 7

Author(s):

P. Schachter ◽

A. Czerniak ◽

E. Shemesh ◽

I. Avigad ◽

G. Lotan ◽

...

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Clinical Presentation ◽

Surgical Intervention ◽

Traumatic Injury ◽

Biliary System ◽

High Morbidity ◽

Delay In Diagnosis ◽

Early Surgical Intervention ◽

Gallbladder Rupture

Traumatic injury to the extrahepatic biliary system is rare and usually diagnosed at laparotomy when it is associated with other visceral injuries. Isolated gallbladder rupture due to blunt abdominal trauma is even rarer. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. Awareness to the possibilty of trauma to the extrahepatic biliary system enables early surgical intervention and eliminates the high morbidity associated with delated diagnosis.A 5 year old child with isolated gallbladder rupture caused by blunt abdominal trauma is presented.

Download Full-text

Early Surgical Intervention in Non-specific Pleural Empyema

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2007-1014081 ◽

1985 ◽

Vol 6 (01) ◽

pp. 41-43 ◽

Cited By ~ 5

Author(s):

P. Frimodt-Møller ◽

H. Vejlsted

Keyword(s):

Surgical Intervention ◽

Pleural Empyema ◽

Early Surgical Intervention

Download Full-text

Early surgical intervention for active thoracic spinal tuberculosis patients with paraparesis and paraplegia

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04078-y ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Weiwei Li ◽

Zheng Liu ◽

Xiao Xiao ◽

Zhenchao Xu ◽

Zhicheng Sun ◽

...

Keyword(s):

Blood Loss ◽

Surgical Intervention ◽

Spinal Tuberculosis ◽

Thoracic Spinal ◽

Cobb’S Angle ◽

Perioperative Complication ◽

The Mean ◽

Early Surgical Intervention ◽

Thoracic Spinal Tuberculosis

Abstract Background To explore the therapeutic effect of early surgical intervention for active thoracic spinal tuberculosis (TB) patients with paraparesis and paraplegia. Methods Data on 118 active thoracic spinal TB patients with paraparesis and paraplegia who had undergone surgery at an early stage (within three weeks of paraparesis and paraplegia) from January 2008 to December 2014 were retrospectively analyzed. The operation duration, blood loss, perioperative complication rate, VAS score, ASIA grade and NASCIS score of neurological status rating, Erythrocyte Sedimentation Rate (ESR), C-reactive protein (CRP), kyphotic Cobb’s angle, and duration of bone graft fusion were analyzed to evaluate the therapeutic effects of surgery. Results The mean operating time was 194.2 minutes, and the mean blood loss was 871.2 ml. The perioperative complication rate was 5.9 %. The mean preoperative VAS score was 5.3, which significantly decreased to 3.2 after the operation and continued decreasing to 1.1 at follow up (P<0.05). All cases achieved an increase of at least one ASIA grade after operation. The rate of full neurological recovery for paraplegia (ASIA grade A and B) was 18.0 % and was significantly lower than the rate (100 %) for paraparesis (ASIA grade C and D) (P<0.05). On the NASCIS scale, the difference in the neurological improvement rate between paraplegia (22.2 % ± 14.1 % in sensation and 52.2 % ± 25.8 % in movement) and paraparesis (26.7 % ± 7.5 % in sensation and 59.4 % ± 7.3 % in movement) was remarkable (P<0.05). Mean preoperative ESR and CRP were 73.1 mm /h and 82.4 mg/L, respectively, which showed a significant increase after operation (P>0.05), then gradually decreased to 11.5 ± 1.8 mm/h and 2.6 ± 0.82 mg/L, respectively, at final follow up (P<0.05). The mean preoperative kyphotic Cobb’s angle was 21.9º, which significantly decreased to 6.5º after operation (P<0.05) while kyphotic correction was not lost during follow up (P>0.05). The mean duration of bone graft fusion was 8.6 ± 1.3 months. Conclusions Early surgical intervention may be beneficial for active thoracic spinal TB patients with paraparesis and paraplegia, with surgical intervention being more beneficial for recovery from paraparesis than paraplegia.

Download Full-text

Early Surgical Intervention for Infective Endocarditis

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230201000403 ◽

2002 ◽

Vol 10 (4) ◽

pp. 298-301 ◽

Cited By ~ 1

Author(s):

Hong Sheng Zhu ◽

Pei Yan Yao ◽

Jia Hao Zheng ◽

A Thomas Pezzella

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Heart Disease ◽

Infective Endocarditis ◽

Complex Disease ◽

Surgical Intervention ◽

Elective Surgery ◽

Postoperative Bleeding ◽

Arterial Embolization ◽

Early Surgical Intervention

Infective endocarditis remains a serious and complex disease with significant morbidity and mortality. Sixty cases of infective endocarditis were retrospectively reviewed, consisting of 41 males and 19 females aged 7 to 50 years (mean, 30 years). Congenital heart disease was diagnosed in 19 of the patients and rheumatic heart disease in 41. Congestive heart failure occurred in 36 and systemic embolism in 8 cases. Blood cultures were positive in only 21.7% of the cases, while vegetations were detected by 2-dimensional echocardiography in 70%. Elective surgery was performed in 57 patients and emergent operation for systemic arterial embolization and/or intractable congestive heart failure in 3 patients. Two patients required reoperation for postoperative bleeding. All but 2 patients had been followed up for 6 to 160 months with no evidence of reinfection. Three patients with mechanical valve implantation later died of intracranial bleeding due to over-anticoagulation. The remaining 55 resumed normal activity. The encouraging outcomes were the result of an aggressive diagnostic approach and early surgical intervention.

Download Full-text

Correction to: Early surgical intervention for structural infantile spasms in two patients under 6 months old: a case report

Acta Epileptologica ◽

10.1186/s42494-021-00050-4 ◽

2021 ◽

Vol 3 (1) ◽

Author(s):

Haiyan Yang ◽

Zhiquan Yang ◽

Jing Peng ◽

Yehong Huang ◽

Zhuanyi Yang ◽

...

Keyword(s):

Case Report ◽

Surgical Intervention ◽

Infantile Spasms ◽

Early Surgical Intervention

Download Full-text

Mycobacterium mageritense infection following mastectomy and breast reconstruction requiring triple antibiotic therapy and surgical debridement

BMJ Case Reports ◽

10.1136/bcr-2020-237618 ◽

2021 ◽

Vol 14 (2) ◽

pp. e237618 ◽

Cited By ~ 1

Author(s):

Christie Alyce Joya ◽

Cara Deegan ◽

Todd D Gleeson

Keyword(s):

Antibiotic Therapy ◽

Surgical Intervention ◽

Treatment Guidelines ◽

Perforator Flap ◽

Published Data ◽

Gastrointestinal Distress ◽

Deep Inferior Epigastric Perforator ◽

Infectious Disease Specialists ◽

Systemic Symptoms ◽

Early Surgical Intervention

A 40-year-old woman was referred to infectious disease specialists for a Mycobacterium mageritense skin infection following mastectomy and bilateral reconstruction with deep inferior epigastric perforator flap. Her case demonstrates the difficulty in treating non-tuberculosis mycobacterial infections, especially the rarely seen species. She failed to respond to dual antibiotic therapy containing imipenem-cilastin despite reported sensitivity. Additionally, her course was complicated by intolerance to various regimens, including gastrointestinal distress, a drug rash with eosinophilia and systemic symptoms, and tendinopathy. With few published data, no treatment guidelines, and limited medications from which to choose for M. mageritense, her treatment posed a challenge. She ultimately required aggressive surgical intervention and a triple therapy antibiotic regimen. The duration of our patient’s treatment and the extent of her complications suggest a potential need for early surgical intervention in postsurgical wounds infected with M. mageritense that do not respond to conventional treatment.

Download Full-text

The importance of periodontal screening in children. A case report

Dental Update ◽

10.12968/denu.2021.48.6.474 ◽

2021 ◽

Vol 48 (6) ◽

pp. 474-476

Author(s):

Francesca Capaldi ◽

Eleni Besi ◽

Elizabeth M Roebuck

Keyword(s):

Case Report ◽

Secondary Care ◽

Unusual Case ◽

Surgical Intervention ◽

Multidisciplinary Care ◽

Paediatric Dentistry ◽

British Society ◽

General Dental Practitioner ◽

Permanent Molars ◽

First Permanent Molars

The British Society of Periodontology, in collaboration with the British Society of Paediatric Dentistry, published guidelines in 2012 for the periodontal screening of children and adolescents. The guidelines recommended a simplified Basic Periodontal Examination (BPE) of six teeth for children aged 7–17 years. This is further modified for ages 7–11, using codes 0–2 from the 0–4 BPE adult chart. An unusual case of an 11-year-old boy who attended his general dental practitioner for a check-up is reported. Periodontal screening led to the detection of 13-mm pockets associated with the two mandibular first permanent molars that required surgical intervention and multidisciplinary care. CPD/Clinical Relevance: This case report highlights the importance of paediatric periodontal screening in both primary and secondary care.

Download Full-text

Ruptured Petrous Carotid Pseudoaneurysm Due to Tuberculous Otitis: Endovascular Treatment

Interventional Neuroradiology ◽

10.1177/159101990601200110 ◽

2006 ◽

Vol 12 (1) ◽

pp. 53-56 ◽

Cited By ~ 3

Author(s):

A.B. Yagci ◽

F.N. Ardiç ◽

I. Oran ◽

F. Bir ◽

N. Karabulut

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Endovascular Treatment ◽

Unusual Case ◽

Internal Carotid ◽

Surgical Intervention ◽

Imaging Findings ◽

Parent Vessel ◽

Detachable Balloon ◽

Artery Pseudoaneurysm

We report the imaging findings and endovascular treatment in an unusual case of petrous internal carotid artery pseudoaneurysm due to primary tuberculous otitis. The aneurysm was recognized and ruptured during a surgical intervention for otitis. Successful endovascular treatment of the aneurysm was performed by occlusion of the parent vessel using detachable balloon and coils.

Download Full-text

Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia

European Journal of Pediatric Surgery Reports ◽

10.1055/s-0037-1606288 ◽

2017 ◽

Vol 05 (01) ◽

pp. e51-e54

Author(s):

Zbyněk Straňák ◽

Karel Pýcha ◽

Simona Feyereislova ◽

Jaroslav Feyereisl ◽

Michal Rygl

Keyword(s):

Birth Weight ◽

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Intestinal Perforation ◽

Surgical Repair ◽

Very Low Birth Weight ◽

Surgical Intervention ◽

Multiple Organ ◽

Stabilization Period ◽

Early Surgical Intervention

Background Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant with prenatally diagnosed left-sided CDH and unexpected transmural bowel perforations developing within the postnatal stabilization period. Case Report A neonate born at 31st week of gestation with a birth weight of 1,470 g with antenatally diagnosed left-sided CDH presented with bowel dilation leading to transmural bowel perforations on the 2nd day of life. Meconium pleuroperitonitis resulted in severe systemic inflammatory response syndrome, pulmonary hypertension, multiple organ failure, and death. Conclusion In neonates with CDH deteriorating under standard postnatal management, intestinal perforation, and early surgical intervention should be considered.

Download Full-text