scholarly journals Colonic Diaphragm Disease in a Patient Receiving Long Term Diclofenac Therapy

1995 ◽  
Vol 9 (7) ◽  
pp. 413-416
Author(s):  
Alan A Weiss ◽  
David A Owen
Keyword(s):  
Abdominal Pain ◽  
Rare Complication ◽  
Right Hemicolectomy ◽  
Right Colon ◽  
Short Segment ◽  
Barium Enema Examination ◽  
Inflammatory Agent ◽  
The Right ◽  
Mucosal Folds

A 65-year-old woman who had been taking diclofenac for five years developed cramping central abdominal pain. Barium enema examination was negative, but colonoscopy revealed prominent mucosal folds in the right colon with areas of ulceration. Because of continued symptoms, a right hemicolectomy was performed, which showed four separate short segment strictures or diaphragms. This case demonstrates a rare complication of nonsteroidal anti-inflammatory agent therapy that should be considered in the differential diagnosis of unexplained abdominal pain.

scholarly journals Synchronous robotic right hemicolectomy and subtotal gastrectomy

2020 ◽  
Vol 72 (4) ◽  
pp. 1273-1277
Author(s):  
Fabio Carbone ◽  
Ugo Pace ◽  
Vittorio Albino ◽  
Maddalena Leongito ◽  
Paolo Delrio
Keyword(s):  
Cancer Diagnosis ◽  
Minimal Invasive Surgery ◽  
Subtotal Gastrectomy ◽  
Right Hemicolectomy ◽  
Minimal Invasive ◽  
Right Colon ◽  
Minimal Invasiveness ◽  
Synchronous Colorectal Cancer ◽  
The Right ◽  
Robotic Resection

AbstractAbout 4% of patients with stomach cancer diagnosis have synchronous colorectal cancer and some of these patients may require a synchronous surgical resection. So far, only few minimally invasive series of synchronous resections have been described. We investigated the feasibility and safety of the synchronous robotic resection of the right colon and stomach malignancies, trying to identify a standardised and reproducible technique. It is essential to carefully plan the operation and the trocars positioning to minimise the number of robotic dockings and be able to operate comfortably. Herein, we describe our approach, which is safe and effective in terms of minimal invasiveness and oncological radicality. Robotic surgery could be used with even more advantage in complex multi-organ resections, providing the surgeon with a better vision, a more accurate dissection and longer instruments, to offer the patient all the benefits of a minimal invasive surgery.

Is Laparoscopic CME Right Hemicolectomy an Optimal Indication for NET of the Right Colon and Terminal Ileum?

2020 ◽  
Author(s):  
C. Pedrazzani ◽  
C. Conti ◽  
A. Valdegamberi ◽  
M. V. Davì ◽  
S. Cingarlini ◽  
...  
Keyword(s):  
Terminal Ileum ◽  
Right Hemicolectomy ◽  
Right Colon ◽  
The Right

scholarly journals Migration of the Anterior Spinal Rod to the Right Thigh, a Rare Complication of Anterior Spinal Instrumentations: A Case Report and a Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Camino Willhuber Gaston ◽  
Taype Zamboni Danilo ◽  
Carabelli Guido ◽  
Barla Jorge ◽  
Sancineto Carlos
Keyword(s):  
Rare Complication ◽  
Spinal Instrumentation ◽  
Unusual Complication ◽  
Anterior Fusion ◽  
Long Term Follow Up ◽  
The Right ◽  
Rod Migration ◽  
Surgical Treatments

Posterior and anterior fusion procedures with instrumentation are well-known surgical treatments for scoliosis. Rod migration has been described as unusual complication in anterior spinal instrumentations; migration beyond pelvis is a rare complication. A 32-year-old female presented to the consultant with right thigh pain, rod migration was diagnosed, rod extraction by minimal approach was performed, and spinal instrumentation after nonunion diagnosis was underwent. A rod migration case to the right thigh is presented; this uncommon complication of spinal instrumentation should be ruled out as unusual cause of sudden pain without any other suspicions, and long-term follow-up is important to prevent and diagnose this problem.

Gangrene of the right colon: A rare complication of trauma-related systemic hypotension

1987 ◽  
Vol 74 (2) ◽  
pp. 149-149 ◽  
Author(s):  
M. M. W. Parry ◽  
J. H. M. Nieuwoudt ◽  
D. Stein
Keyword(s):  
Rare Complication ◽  
Right Colon ◽  
Systemic Hypotension ◽  
The Right

Calcified thrombus in the right atrium: A rare complication of long-term parenteral nutrition in a child

1991 ◽  
Vol 26 (1) ◽  
pp. 91-93 ◽  
Author(s):  
Michael D. Tarantino ◽  
M.Andre Vasu ◽  
Terry H. Von Drak ◽  
C.Peter Crowe ◽  
John N. Udall
Keyword(s):  
Parenteral Nutrition ◽  
Right Atrium ◽  
Rare Complication ◽  
The Right ◽  
Calcified Thrombus

scholarly journals Colonic Ulcerations Associated with Diclofenac Treatment

1992 ◽  
Vol 6 (1) ◽  
pp. 15-17 ◽  
Author(s):  
Bernd Schönberger ◽  
Stephan Nickl ◽  
Franzjosef Schweiger
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Slow Release ◽  
Diclofenac Sodium ◽  
Gastrointestinal Mucosa ◽  
Right Colon ◽  
Inflammatory Drugs ◽  
The Right ◽  
Release Form ◽  
Upper Gastrointestinal

Nonsteroidal anti-inflammatory drugs frequently exert toxic effects on the upper gastrointestinal mucosa. However, inflammation and ulcerations in the colon secondary to these agents have been increasingly recognized in recent years. A patient presenting with abdominal pain, weight loss and diarrhea while taking a slow release form of diclofenac sodium (Voltaren SR; Ciba-Geigy) is described. Extensive ulcerations in the right colon and healing upon discontinuation of the drug are documented by colonoscopy.

scholarly journals Appendiceal fat stranding on CT: a red herring in a post-caesarean section woman with Ogilvie’s syndrome (OS)

2019 ◽  
Vol 12 (5) ◽  
pp. e229228
Author(s):  
Kay Tai Choy ◽  
Heng-Chin Chiam
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Exploratory Laparotomy ◽  
Right Hemicolectomy ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
X Ray ◽  
Intravenous Antibiotics ◽  
The Right ◽  
Fat Stranding

A 30-year-old woman was referred for a surgical review with abdominal pain and distension 2 days post-caesearean section. Abdominal X-ray showed dilated bowel loops. CT of her abdomen however showed fat stranding around a thickened appendix, suggesting a differential diagnosis of acute appendicitis on top of a postoperative ileus. Failure to respond to intravenous antibiotics led to an emergent surgical exploratory laparotomy, by which time the progressive caecal dilatation had led to patchy necrosis and perforation of the right hemicolon intra-operatively. The patient required a right hemicolectomy and histological examination of the excised bowel supported the diagnosis of Ogilvie’s syndrome. This case highlights the red herrings that one can encounter when faced with a woman with post-caesarean section abdominal pain and aims to raise awareness among clinicians of this condition—where timely diagnosis and management is key.

Multicenter Controlled Study of Intracorporeal Mechanical Side-to-Side Isoperistaltic Anastomosis versus Extracorporeal Anastomosis in Laparoscopic Right Hemicolectomy: HEMI-D-TREND-Study

2019 ◽  
Vol 37 (4) ◽  
pp. 271-274 ◽  
Author(s):  
Xavier Serra-Aracil ◽  
Mireia Pascua-Solé ◽  
Laura Mora-López ◽  
Helena Vallverdú ◽  
Anna Serracant ◽  
...  
Keyword(s):  
Right Hemicolectomy ◽  
Controlled Study ◽  
Western World ◽  
Right Colon ◽  
Trend Study ◽  
Right Colon Cancer ◽  
Randomized Controlled Studies ◽  
Extracorporeal Anastomosis ◽  
The Right ◽  
Laparoscopic Anastomosis

Colorectal cancer is the second most frequent cancer in the Western world. A third of colorectal tumors are located in the right colon, and right hemicolectomy is the treatment in nondisseminated right colon cancer. The most serious complication of this procedure is anastomotic leak, which occurs in 8.4% of cases. At present, there is no standardized technique for laparoscopic ileo-colic anastomosis. In previous observational studies, intracorporeal side-to-side ileo-colic laparoscopic anastomosis has shown better results than extracorporeal anastomosis in terms of morbidity and mortality. It is known that randomized studies provide higher levels of evidence, but multicenter randomized controlled studies may imply a learning curve bias due to the differences in technical experience acquired at each hospital. As a result, we propose to carry out a prospective, controlled, nonrandomized TREND-study design (Transparent Reporting of Evaluations with Non-randomized Designs-TREND) in a large sample of 416 patients (208 per group) in order to assess the use of intracorporeal side-to-side ileo-colic laparoscopic anastomosis as the gold standard in right hemicolectomy.

scholarly journals Diabetic Myonecrosis: A Diagnostic and Treatment Challenge in Longstanding Diabetes

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Lima Lawrence ◽  
Oscar Tovar-Camargo ◽  
M. Cecilia Lansang ◽  
Vinni Makin
Keyword(s):  
Diabetes Mellitus ◽  
Rare Complication ◽  
Acute Onset ◽  
Muscular Pain ◽  
Uncontrolled Diabetes ◽  
Long Term Prognosis ◽  
The Right ◽  
High Index Of Suspicion ◽  
Microvascular And Macrovascular Complications

Objective. Diabetes mellitus is associated with microvascular and macrovascular complications; the most commonly recognized ones include diabetic nephropathy, retinopathy, and neuropathy. Less well-known complications are equally important, as timely recognition and treatment are essential to decrease short- and long-term morbidity. Methods. Herein, we describe a case of a 41-year-old female with longstanding, uncontrolled type 2 diabetes, who presented with classical findings of diabetic myonecrosis. Results. Our patient underwent extensive laboratory and imaging studies prior to diagnosis due to its rarity and similarity in presentation with other commonly noted musculoskeletal conditions. We emphasize the clinical presentation, laboratory and imaging findings, treatment regimen, and prognosis associated with diabetic myonecrosis. Conclusion. Diabetic myonecrosis is a rare complication of longstanding, poorly controlled diabetes mellitus. The diagnosis requires a high index of suspicion in the right clinical setting: acute onset nontraumatic muscular pain with associated findings on clinical exam, laboratory studies, and imaging. While the short-term prognosis is good, the recurrence rate remains high and long-term prognosis is poor given underlying uncontrolled diabetes and associated sequelae.

scholarly journals En-bloc pancreatoduodenectomy and right hemicolectomy for treating locally advanced right colon cancer (T4): a series of five patients

2009 ◽  
Vol 46 (2) ◽  
pp. 151-153 ◽  
Author(s):  
Sergio Renato Pais Costa ◽  
Alexandre Cruz Henriques ◽  
Sergio Henrique Couto Horta ◽  
Jaques Waisberg ◽  
Manlio Basílio Speranzini
Keyword(s):  
Locally Advanced ◽  
Colon Adenocarcinoma ◽  
Multivisceral Resection ◽  
Right Hemicolectomy ◽  
Major Surgery ◽  
Right Colon ◽  
En Bloc ◽  
Term Survival ◽  
Right Colon Cancer

A series of five cases of right-colon adenocarcinoma that invaded the proximal duodenum is presented. All patients underwent successful en-bloc pancreatoduodenectomy plus right hemicolectomy by General Surgery Service of the Teaching Hospital of the ABC Medical School, Santo André, SP, Brazil. The study was conducted between 2000 and 2007. There were two major complications but no mortality. Three patients did not present any recurrence over the course of 15 to 54 months of follow-up. Multivisceral resection with en-bloc pancreatoduodenectomy should be considered for patients who are fit for major surgery but do not present distant dissemination. Long-term survival may be attained.

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