scholarly journals Intraluminal Bowel Erosion: A Rare Complication of Retained Gallstones after Cholecystectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Alex B. Blair ◽  
Nathaniel McQuay
Keyword(s):  
United States ◽  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
The United States ◽  
Initial Operation ◽  
Mechanical Bowel Obstruction ◽  
Potential Risks ◽  
Potential Impact

Laparoscopic cholecystectomy for acute cholecystitis and cholelithiasis is one of the most common operations performed in the United States. Inadvertent perforation and spillage of gallbladder contents are not uncommon. The potential impact of subsequent retained gallstones is understated. We present the case of an intraperitoneal gallstone retained from a previous cholecystectomy eroding into the bowel and leading to intraluminal mechanical bowel obstruction requiring operative intervention. This case illustrates the potential risks of retained gallstones and reinforces the need to diligently collect any dropped stones at the time of initial operation.

scholarly journals Gallbladder perforation with liver abscess; laparoscopic cholecystectomy converted to open: a case report

2021 ◽  
Vol 9 (12) ◽  
pp. 3685
Author(s):  
Edgar Salvador Salas Ochoa ◽  
Maria Eugenia Dominguez Gutierrez ◽  
Alfredo Lopez Rocha ◽  
Edilia Naraleth Arce Sanchez ◽  
Karla Itzel Altamirano Moreno ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Liver Abscess ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Laparoscopic Approach ◽  
Abdominal Ultrasound ◽  
The United States ◽  
Gallbladder Perforation ◽  
Public Care

Gallbladder disease affects more than 20 million people in the United States. Acute cholecystitis is a clinic entity characterized by the inflammation of the vesicular wall that is usually manipulated by abdominal pain, right hypochondrial sensitivity and fever. The technique of choice for the diagnosis of cholecystitis is abdominal ultrasound; gallbladder perforation is a rare complication of acute cholecystitis (2%-11%). The presence of perivesicular abscesses is infrequent, its prevalence varies between 2.1% and 19.5%. Clinical record was reviewed of a 73 years old woman who attended a second level public care unit, with a clinical picture of acute chronic lithiasis cholecystitis, who underwent surgery consisting of open converted laparoscopic cholecystectomy with a finding of vesicular perforation with liver abscess, it was initiated with laparoscopic approach, it was not possible to identify anatomical structures, so it was decided to convert to open surgery. Cholecystectomy and abdominal lavage are usually sufficient in the treatment of gallbladder perforation.

Current Status of Surgical Management of Acute Cholecystitis in the United States

2008 ◽  
Vol 32 (10) ◽  
pp. 2230-2236 ◽  
Author(s):  
Nicholas Csikesz ◽  
Rocco Ricciardi ◽  
Jennifer F. Tseng ◽  
Shimul A. Shah
Keyword(s):  
United States ◽  
Acute Cholecystitis ◽  
Surgical Management ◽  
The United States ◽  
Current Status

The Google Settlement: a Brief Overview

2010 ◽  
Vol 10 (3) ◽  
pp. 181-183 ◽  
Author(s):  
Chris Holland
Keyword(s):  
United States ◽  
The United States ◽  
History Of ◽  
Potential Impact

AbstractGoogle's plan to digitise huge numbers of books from over 40 libraries has been controversial from the start with court actions still taking place in the United States. Chris Holland traces the history of the project and discusses its potential impact on copyright issues.

Antiepileptic Medication Use in Neurosurgical Patients

2019 ◽  
pp. 74-87
Author(s):  
Megan Margiotta ◽  
Timothy Ambrose
Keyword(s):  
United States ◽  
Antiepileptic Drugs ◽  
Medication Use ◽  
The United States ◽  
Inpatient Setting ◽  
Risks And Benefits ◽  
Antiepileptic Medication ◽  
Neurosurgical Patients ◽  
Potential Risks ◽  
Antiepileptic Medications

When caring for neurosurgical patients, many will either be started on a new antiepileptic medication or will be continued on a regimen that had been started prior to hospitalization. Because of this, it is important for a hospitalist to be familiar with the potential risks and benefits of these medications, even though they may be initiated by a neurosurgeon or neurologist. This chapter discusses several common antiepileptic drugs and their uses in the inpatient setting. This is not intended to be an exhaustive discussion; as of this writing, there are at least 27 unique antiepileptic medications available in the United States alone, with more being studied and produced.

Caprica Energy and Its Choices

2017 ◽  
pp. 1-24
Author(s):  
Jared D. Harris ◽  
Samuel E. Bodily ◽  
Jenny Mead ◽  
Donald Adolphson ◽  
Brad Carmack ◽  
...  
Keyword(s):  
United States ◽  
Natural Gas ◽  
Coalbed Methane ◽  
The United States ◽  
Gas Production ◽  
Potential Harm ◽  
Natural Gas Development ◽  
Unconventional Natural Gas ◽  
Potential Risks ◽  
Different Parts

Jane Barrow, CEO of Caprica Energy, must recommend to the board which of three potential “unconventional ” natural-gas development sites in different parts of the United States the company should pursue. The case takes place in January 2011, when the “low-hanging fruit ” of natural-gas production in the United States had essentially been picked. All three of the potential sites (shale, coalbed methane, and tight sands) would require hydraulic fracturing, a process of removing gas that was formerly considered inaccessible by injecting water and chemicals into the ground. Because of emerging concerns about the potential harm “fracking ” can do to drinking water, Barrow must not only analyze which site might be most profitable but also what the potential risks to the environment and area residents might be.

scholarly journals Fusing subnational with national climate action is central to decarbonization: the case of the United States

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Nathan E. Hultman ◽  
Leon Clarke ◽  
Carla Frisch ◽  
Kevin Kennedy ◽  
Haewon McJeon ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Paris Agreement ◽  
Integrated Assessment Model ◽  
Assessment Model ◽  
Emissions Reductions ◽  
Climate Action ◽  
Nationally Determined Contributions ◽  
Potential Impact ◽  
Reduce Emissions

Abstract Approaches that root national climate strategies in local actions will be essential for all countries as they develop new nationally determined contributions under the Paris Agreement. The potential impact of climate action from non-national actors in delivering higher global ambition is significant. Sub-national action in the United States provides a test for how such actions can accelerate emissions reductions. We aggregated U.S. state, city, and business commitments within an integrated assessment model to assess how a national climate strategy can be built upon non-state actions. We find that existing commitments alone could reduce emissions 25% below 2005 levels by 2030, and that enhancing actions by these actors could reduce emissions up to 37%. We show how these actions can provide a stepped-up basis for additional federal action to reduce emissions by 49%—consistent with 1.5 °C. Our analysis demonstrates sub-national actions can lead to substantial reductions and support increased national action.

scholarly journals Nationwide trends of hospital admissions for acute cholecystitis in the United States

2016 ◽  
Vol 5 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Vaibhav Wadhwa ◽  
Yash Jobanputra ◽  
Sushil K Garg ◽  
Soumil Patwardhan ◽  
Dhruv Mehta ◽  
...  
Keyword(s):  
United States ◽  
Acute Cholecystitis ◽  
Hospital Admissions ◽  
The United States

Risk of Cold-Hardy Apple Cultivars for Injury From the Brown Marmorated Stink Bug (Hemiptera: Pentatomidae)

2019 ◽  
Author(s):  
Hailey N Shanovich ◽  
Eric C Burkness ◽  
Robert L Koch
Keyword(s):  
United States ◽  
The United States ◽  
Economic Losses ◽  
Brown Marmorated Stink Bug ◽  
Stink Bug ◽  
Cultivar Selection ◽  
Choice Tests ◽  
Apple Cultivars ◽  
Potential Impact ◽  
Cold Hardy

Abstract An invasive species, the brown marmorated stink bug, Halyomorpha halys (Stål) (Hemiptera: Pentatomidae), has emerged as a serious pest of orchard crops in the United States with the highest economic losses to date in Mid-Atlantic apple, Malus domestica Borkh. (Rosales: Rosaceae). If populations continue to grow and spread in the Midwest, H. halys has the potential to become a significant apple pest in the region. The purpose of this study was to assess the risk for injury from H. halys to several popular cold-hardy apple cultivars (Haralson, Honeycrisp, and Zestar!) grown in the Midwestern United States utilizing both field no-choice tests and laboratory choice tests at multiple timings. Results from the field no-choice tests revealed a greater risk for Honeycrisp from H. halys injury compared with Zestar! in mid-August. Results from the laboratory choice tests revealed a greater risk for injury by H. halys for Honeycrisp compared with Zestar! at all timings tested and a greater risk for Haralson compared with Honeycrisp at a later timing. These results echo previous findings in that relative maturity of the fruit seems to play a role in determining the risk of an apple cultivar to H. halys injury. These results also serve as the first assessment of the potential impact of H. halys on different cold-hardy apple cultivars, which will help guide growers in cultivar selection and identifying which apple cultivars should be prioritized for scouting and management efforts.

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