Obstruction of the Ascending Colon in Cattle: I. Clinical Presentation and Surgical Management

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

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Surgical management of choke through oesophagotomy in a buffalo: A case report

THE INDIAN JOURNAL OF VETERINARY SCIENCES AND BIOTECHNOLOGY ◽

10.21887/ijvsbt.v12i3.7098 ◽

2017 ◽

Vol 12 (3) ◽

Author(s):

Devasee Borakhatariya ◽

A. B. Gadara

Keyword(s):

Case Report ◽

Surgical Management ◽

Clinical Presentation ◽

Clinical Signs ◽

Thoracic Inlet ◽

Cervical Oesophagus ◽

Foreign Objects ◽

History Of ◽

Oesophageal Obstruction ◽

Large Animals

Oesophageal disorders are relatively uncommon in large animals. Oesophageal obstruction is the most frequently encountered clinical presentation in bovine and it may be intraluminal or extra luminal (Haven, 1990). Intraluminal obstruction or “choke” is the most common abnormality that usually occurs when foreign objects, large feedstuff, medicated boluses, trichobezoars, or oesophageal granuloma lodge in the lumen of the oesophagus. Oesophageal obstructions in bovine commonly occur at the pharynx, the cranial aspect of the cervical oesophagus, the thoracic inlet, or the base of the heart (Choudhary et al., 2010). Diagnosis of such problem depends on the history of eating particular foodstuff and clinical signs as bloat, tenesmus, retching, and salivation

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Surgical Management of Pediatric Gastroesophageal Reflux Disease

Gastroenterology Research and Practice ◽

10.1155/2013/863527 ◽

2013 ◽

Vol 2013 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Hope T. Jackson ◽

Timothy D. Kane

Keyword(s):

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Surgical Management ◽

Reflux Disease ◽

Clinical Presentation ◽

Pediatric Population ◽

Treatment Options ◽

Failure To Thrive ◽

Solid Diet ◽

Esophageal Sphincter

Gastroesophageal reflux (GER) is common in the pediatric population. Most cases represent physiologic GER and as the lower esophageal sphincter (LES) matures and a solid diet is introduced, many of these patients (>65%) experience spontaneous resolution of symptoms by two years of age. Those who continue to have symptoms and develop complications such as failure to thrive, secondary respiratory disease, and others are classified as having gastroesophageal reflux disease (GERD). Goals of GERD treatment include the resolution of symptoms and prevention of complications. Treatment options to achieve these goals include dietary or behavioral modifications, pharmacologic intervention, and surgical therapy. This paper will review the clinical presentation of GERD and discuss options for surgical management and outcomes in these patients.

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Abdominal Tuberculosis

Medicine Today ◽

10.3329/medtoday.v28i1.30971 ◽

2017 ◽

Vol 28 (1) ◽

pp. 39-45

Author(s):

Md Ismail ◽

Golam Azam

Keyword(s):

Clinical Presentation ◽

Imaging Study ◽

Abdominal Tuberculosis ◽

Clinical Feature ◽

Ascending Colon ◽

Diagnostic Dilemma ◽

Mdr Tb ◽

Colon And Rectum ◽

Frequent Site ◽

High Index Of Suspicion

Abdominal tuberculosis constitute up to 12% of extrapulmonary TB and is sixth frequent site of extrapulmonary involvement. The most common sites of involvement is the ileocaecalregion. Other site of involvement in descending order are ascending colon jejunum, appendix, duodenum, stomach, esophagus, sigmoid colon and rectum. Abdominal TB has diagnostic dilemma due to its diverse and non-specific clinical presentation and has no single most specific, sensitive diagnostic test. A high index of suspicion, common and rare clinical feature, adequate imaging study, endoscopy, enteroscopy, laparoscopy, laparotomy, biopsy with histopathology, Mycobacterial isolation, Quantiferon-TB Gold, GeneXpert Assay, MULTIPLEX PCR and clinical response to anti TB therapy are considered for early diagnosis to reduce morbidity and mortality. Six month antiTB regime is effective as nine or 12month therapy. MDR TB and frequent interruption of therapy should considered in nonresponder to standard therapy. Surgery is required for minority cases that developed complications not responding to medical therpy.Medicine Today 2016 Vol.28(1): 39-45

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Laparoscopic management of an ascending colon hernia through the foramen of Winslow

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa283 ◽

2020 ◽

Vol 2020 (9) ◽

Author(s):

Cyrille Buisset ◽

Agathe Postillon ◽

Sandrine Aziz ◽

Florian Bilbault ◽

Guillaume Hoch ◽

...

Keyword(s):

Computed Tomography ◽

Internal Hernia ◽

Preoperative Diagnosis ◽

Clinical Presentation ◽

Absorbable Suture ◽

Ascending Colon ◽

Foramen Of Winslow ◽

Absorbable Sutures ◽

The Right ◽

Epigastric Abdominal Pain

Abstract Herniation through the foramen of Winslow is rare, with a non-specific clinical presentation and his diagnosis may be difficult. A 44-year-old female was admitted with an acute epigastric abdominal pain. A computed tomography showed an internal hernia of the colon in the lesser sac. Laparoscopic reduction of the herniated contents and the fixation of the ascending colon with several non-absorbable sutures were performed. Twenty months after surgery, the patient has not experienced any recurrence. Computed tomography helps practitioners to the preoperative diagnosis of herniation through the foramen of Winslow, to the viability of the herniated contents and presence of occlusion. In case of herniation through the foramen of Winslow favored by a mobile ascending colon with a misapposition of the right Told fascia, the fixation of the colon with a non-absorbable suture was safe and may prevent the risk of recurrent internal hernia and colonic volvulus.

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Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz392 ◽

2020 ◽

Vol 2020 (2) ◽

Author(s):

Dante C Dali ◽

Satvik Jhamb ◽

C Steven Powell ◽

Shahab A Akhter

Keyword(s):

Surgical Management ◽

Coronary Circulation ◽

Clinical Presentation ◽

Artery Bypass ◽

Combined Procedure ◽

Ischemic Disease ◽

Symptomatic Carotid ◽

Ischemic Complications ◽

Mesenteric Revascularization

Abstract The surgical management of advanced symptomatic atherosclerotic disease in multiple distributions including the coronary circulation presents unique challenges due to the high risk of perioperative ischemic complications in the setting of coronary artery bypass grafting. We present a novel case of the combined surgical management of symptomatic carotid, coronary and mesenteric ischemic disease. The patient underwent carotid endarterectomy followed by combined coronary and mesenteric revascularization using cardiopulmonary bypass during the same hospital admission. He had an uncomplicated post-operative course and was discharged to home on post-operative day 7 after the combined procedure. Ninety-day follow-up was also unremarkable with the patient having no recurrent symptoms of ischemia. This case demonstrates the feasibility and safety of our approach for this rare clinical presentation.

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Atrioventricular septal defects (AVSDs)

10.1093/med/9780199228188.003.0015 ◽

2011 ◽

Keyword(s):

Surgical Management ◽

Clinical Presentation ◽

Late Complications ◽

Atrioventricular Septal Defects ◽

Septal Defects

Definition 110Associations 110Incidence and recurrence 110Clinical presentation 112Investigation 112Surgical management 112Late complications post repair of AVSD 112• Key feature = common atrioventricular (AV) junction and AV valve ring.• The atrial component of an AVSD = ostium primum ASD....

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