scholarly journals Sparganosis: an under-recognised zoonosis in Australia?

2019 ◽  
Vol 12 (5) ◽  
pp. e228396
Author(s):  
Quoc (Ryan) Tran ◽  
My Co Tran ◽  
Daniel Mehanna
Keyword(s):  
Abdominal Pain ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
The Other ◽  
Night Sweats ◽  
Intestinal Worms ◽  
Upper Abdomen ◽  
Human Infections

Sparganosis is a rare zoonotic parasitosis that is sporadically reported worldwide. In Australia, the causative tapeworms are considered endemic in wildlife animals, however, there have been only five reported human infections. We present three additional cases of sparganosis, involving two Australian born gentlemen who have never travelled overseas and a woman who emigrated from Ethiopia. The first man presented with two unusual subcutaneous lumps that migrated along the anterior abdominal wall connected by a tunnel. The second man presented with two separate lumps, one on the thigh and the other on the left upper abdomen over a 4-week interval. The woman presented with 6 weeks of intermittent fevers, night sweats, abdominal pain and passing intestinal worms. This series of patients suggests that sparganosis is under-recognised in Australia and serves as a reminder for clinicians to the varied presentations that can be characteristic of this lesser known zoonosis.

scholarly journals Subcutaneous dirofilariasis caused by Dirofilaria (Nochtiella) repens in Sri Lanka: A potential risk of transmitting human dirofilariasis

2017 ◽  
Vol 5 ◽  
pp. 2050313X1770137 ◽  
Author(s):  
Nayana Gunathilaka ◽  
Shirom Siriwardana ◽  
Lakmini Wijesooriya ◽  
Gayana Gunaratne ◽  
Nilanga Perera
Keyword(s):  
Sri Lanka ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Parasitic Infection ◽  
Human Infection ◽  
Filarial Nematodes ◽  
Human Dirofilariasis ◽  
Proper Diagnosis ◽  
Human Infections ◽  
Controlling Measures

Objective: Dirofilariasis is a parasitic infection caused by filarial nematodes belonging to the genus Dirofilaria. Human dirofilariasis due to Dirofilaria repens has been widely reported from European countries. Sri Lanka is the most affected country in Asia with an infection rate of almost 60% in dog population. However, human infection of D. repens remains undiagnosed and many of the cases are not scientifically documented. Therefore, the objective of the present investigation is to document the presence of dirofilariasis infections in humans. Method: A 1 year and 10 months old boy from Ragama, Gampaha District, Western Province of Sri Lanka, was presented to a private hospital with a painless, non-pruritic and ill-defined subcutaneous nodule on his right hypochondrial region of the anterior abdominal wall for 1 week. On examination, there was a non-tender swelling measuring 2 cm × 2 cm in the anterior abdominal wall, with surrounding mild redness. The patient was referred for ultrasound confirmation. Results: The ultrasound scan revealed a hypoechoic nodular lesion measuring 11 mm × 6 mm in the anterior abdominal wall. Parasitological examination on the excised nodule confirmed the presence of D. repens measuring 10.5 cm in length having characteristic cuticle with longitudinal ridges. Conclusion: It is essential to record the human infections and increase the awareness about this infection, diagnostic tests and vector controlling measures, in order to reduce the disease prevalence through suppressing vector densities, proper diagnosis and patient care.

scholarly journals Su1586 - Prevalence of Anterior Abdominal Wall Pain in Patients Presenting to a Neurogastroenterology Clinic with Unexplained Chronic Abdominal Pain

2018 ◽  
Vol 154 (6) ◽  
pp. S-537
Author(s):  
Ron Fried ◽  
Ahmed Albusoda ◽  
Asma Fikree ◽  
Adam D. Farmer ◽  
Jayne Gallagher ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Chronic Abdominal Pain ◽  
Abdominal Wall Pain

scholarly journals CHRONIC NON-CANCER ABDOMINAL WALL PAIN AMELIORATION VIA PHENOL NEUROLYSIS BY TRANVERSUS ABDOMINIS PLANE APPROACH: A CASE REPORT

2019 ◽  
pp. 127-130
Author(s):  
Heath McAnally
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Case Reports ◽  
Tap Block ◽  
Abdominal Wall Pain ◽  
Chemical Denervation ◽  
Chronic Abdominal Wall Pain ◽  
Noncancer Pain

Abdominal pain is common and has multiple etiologies. We present a case of chronic abdominal wall pain that was treated with phenol neurolysis via a tranversus abdominis plane (TAP). To date, only 4 case reports utilizing TAP neurolysis have been reported and all were performed in the context of malignancy-related pain. The TAP block has become an integral component of the regional anesthesiologist’s perioperative anesthesia and analgesia arsenal. In summary, chemical denervation of the anterior abdominal wall is feasible and efficacious in palliating chronic non-cancer pain via a TAP block technique. Key words: TAP, transversus abdominal plane, phenol, abdominal wall pain, neurolytic, noncancer pain

scholarly journals TO THE QUESTION OF THE OPERATION "HYSTEROPEXIA ABDOMINALIS ANTERIOR"

2020 ◽  
Vol 5 (5) ◽  
pp. 445-451
Author(s):  
S. V. Ter-Mikaelyants
Keyword(s):  
Abdominal Wall ◽  
Ovarian Cyst ◽  
Anterior Abdominal Wall ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
The Other ◽  
Abdominal Wound ◽  
The Right ◽  
Methods Of Treatment

Hysteropexia abdominalis anterior - suturing of the uterus to the anterior abdominal wall is a relatively new operation. Although it was first adopted by Koeberl) back in 1869, it was forgotten until the 80s. The free Coeberl suffered from strong constipation, which did not give in to any cure, the cause of which Koeberl saw in the pressure on the rectum of the bent back of the uterus. The patient reached such a state that energetic intervention was necessary. In view of these indications, Koeberl decided to make the womb and to strengthen the uterus in the abdominal wound in such a position that its body could not be thrown backwards. Opening the abdominal cavity, the operator removed the healthy ovary; the resulting leg, i.e. broad ligament, tube and lig. ovarii sewed it into the abdominal wound. The result was satisfactory. Ten years later, Schroeder) performed this operation on a patient with a posterior bend of the uterus and a small ovarian cyst, accompanied, in addition, by the dance of St. Witt. After removing the cyst, he sewed the leg to the anterior abdominal wall. In 1880, L. Tait) performed two operations, one in February, the other in April. In both cases, it was about the backward bends; In addition, the patients suffered from ovarian inflammation, which did not respond to any other methods of treatment. The operator removed the inflamed, slightly enlarged ovaries, lifted the uterus and, when suturing the abdominal wound, passed the needle so that it captured part of the tissue in the area of ​​the fundus of the uterus and, thus, sewed the fundus of the uterus to the abdominal wall. In both cases, the results were satisfactory, at least until 1883. In 1881, he also, in one case of persistent retroflexio uteri, performed a blanching and a ligament of the right ovary and a left wide ligament in the belly. This case is cited by Snger in Centr. f.Gyn. 1888, No. 2.

scholarly journals A case of incarcerated spigelian hernia causing small bowel obstruction

2020 ◽  
Vol 7 (12) ◽  
pp. 4238
Author(s):  
Ravi Kumar Sabu Murugesan ◽  
Kannan Ross ◽  
Joyce Prabakar
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Physical Examination ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Spigelian Hernia ◽  
Obese Patients ◽  
Rectus Abdominis Muscle ◽  
Semilunar Line

Spigelian hernias are rare anterior abdominal wall hernias in which the defect occur at the semilunar line lateral to rectus abdominis muscle. It mostly occurs in the lower half as posterior sheath is deficient in that region. Spigelian hernias are rare and moreover it is difficult to diagnose clinically. It constitutes about 0.12% of abdominal wall hernias. Even though it is rare, it is more prone for complications. It affects both sexes and sides equally. It is a diagnostic difficulty especially in obese patients as in our case where physical examination will often be inconclusive. Majority of the spigelian hernias are diagnosed intra operatively. Here in this case report, we present a case of obese 48 years old female who presented with abdominal pain and signs of intestinal obstruction which was found out to be an incarcerated spigelian hernia. Recently laparoscopic repair has been found to be safe and effective.

scholarly journals Anterior abdominal wall ‘peritoneal recess’: cause for pseudoherniation of small bowel resulting in chronic abdominal pain

2013 ◽  
Vol 95 (2) ◽  
pp. e23-e25 ◽  
Author(s):  
K Siddique ◽  
K Slaven ◽  
A Samad
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Rectus Sheath ◽  
Chronic Abdominal Pain ◽  
Aged Patient ◽  
Middle Aged ◽  
Abdominal Symptoms

A middle-aged patient presented with intermittent chronic abdominal pain without any obvious cause. Computed tomography detected a hernia (presumed to be the cause of the patient’s symptoms) without any obvious lump on examination. A laparoscopy was performed to repair the hernia. This revealed a left-sided unilateral ‘peritoneal recess’ at the level of the arcuate line extending medial to the linea semilunaris. No extraperitoneal sac or defect was noted in the rectus sheath or in the muscle, nor were any contents present in the recess at the time of the laparoscopy. We believe the bowel was being trapped intermittently in this space, causing the abdominal symptoms.

scholarly journals A Rare Cause of Abdominal Pain: Scar Endometriosis

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Banu Karapolat ◽  
Hatice Kucuk
Keyword(s):  
Abdominal Pain ◽  
Cesarean Section ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
The Body ◽  
Reproductive Age ◽  
Abdominal Ultrasonography ◽  
Scar Endometriosis ◽  
History Of

Introduction. Scar endometriosis (SE) is a rare pathology that develops in the scar tissue formed on the anterior abdominal wall usually after a cesarean section. There have been instances of women presenting to emergency or general surgery clinics with abdominal pain due to SE. Materials and Methods. This study retrospectively reviews 19 patients who were operated on in our clinic between January 2010 and January 2017 with a prediagnosis of SE and were reported to have SE based on their pathology results. Results. The mean age of the patients was 30.8 years (range: 20-49 years). The body mass indexes of 12 (63.2%) patients were ≥ 25. All patients had a history of cesarean section and 9 (47.4%) patients had undergone cesarean section once. With the exception of one patient who had her SE localized in her inguinal region, all patients had a mass localized on their anterior abdominal wall neighboring the incision and complained about cyclic pain starting in their premenstrual periods. The complaints began 2 years after their cesarean section in 10 (52.6%) patients. Mostly abdominal ultrasonography was used for diagnostic purposes. The lesions were totally excised and the SE diagnosis was made through a histopathological examination in all patients. No postoperative complications or recurrences were seen in any of the patients. Conclusion. Suspicion of SE is essential in women of reproductive age who have a history of cesarean section and complaints of an anterior abdominal wall mass and a pain at the scar site that is associated with their menstrual cycle. An accurate and early diagnosis can be established in such patients through a careful history and a good physical examination and possible morbidities can be prevented with an appropriate surgical intervention.

Determination of clinical efficiency of deproteinized dialysate from blood of milk-fed calves after endoprosthetics in patients with ventral hernias

2020 ◽  
Vol 28 (3) ◽  
pp. 323-333
Author(s):  
Sergej V. Ivanov ◽  
Ilya S. Ivanov ◽  
Evgenij G. Obyedkov ◽  
Liliya P. Popova
Keyword(s):  
Abdominal Wall ◽  
Inflammatory Reaction ◽  
Inflammatory Process ◽  
Anterior Abdominal Wall ◽  
Dynamic Change ◽  
Main Group ◽  
Control Group ◽  
Surgical Department ◽  
Regeneration Stage

Aim. To study the influence of deproteinized dialysate from blood of milk-fed calves on the type of exudative discharge and dynamics of inflammatory reaction after hernia repair with plastics of the anterior abdominal wall with hernioendoprosthesis of polypropylene. Materials and Methods. The study involved 59 patients being on stationary treatment in the surgical department of Kursk Regional Clinical Hospital. Patients were hospitalized for the herniation of small or medium dimension. The patients were divided to two groups: the main (n=30) and control (n=29) groups. After endoprosthetics, the patients of the control group were given complex conservative treatment. The patients of the main group, besides standard treatment, were administered deproteinized dialysate from blood of milk-fed calves intravenously in drips 10 ml + 200 ml of 0.9% sodium chloride solution within 7 days. For cytological examination and determination of the type of cytograms, the traumatic discharge was collected and analyzed using the method of M.F. Kamaev and M.A. Palthsev. Results. Cytomorphometric examination was conducted on the third, fifth and seventh day after endoprosthetics with the aim of studying dynamic changes. Determination of cell composition and also of its changes characteristic of each studied period, was necessary for obtaining further information characterizing inflammatory process in the region of placement of the endoprosthesis. After endoprosthetics in patients who were administered hemodialysate, the inflammatory reaction was less pronounced than in patients who did not receive the preparation. This was associated with a more dynamic change of stages of the inflammatory process. In patients of the main group who received deproteinized dialysate, regenerative type of inflammation first appeared on the fifth day and made 6.9%; by the seventh day the share of patients with the regenerative type rose to 17.5%, while in the patients of the control group no regeneration stage was observed in both periods. Conclusion. Analysis of the efficiency of influence of hemodialysate on the inflammatory reaction in plastics of the anterior abdominal wall with polypropylene endoprosthesis evidences faster course of all stages of inflammation and reduction of its intensity by 10%.

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