scholarly journals A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Koji Yamanoi ◽  
Koji Yasumoto ◽  
Jumpei Ogura ◽  
Takahiro Hirayama ◽  
Koh Suginami
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Perinatal Period ◽  
Pelvic Abscess ◽  
Edwardsiella Tarda ◽  
Ileocecal Resection ◽  
Life Threatening Illness ◽  
Pelvic Hematoma ◽  
Life Threatening ◽  
The Right

Edwardsiella tarda (E. tarda) infections are rare and can be fatal. We report a case of an E. tarda abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one month before her admission, pelvic hematoma had developed derived from caesarean section. Followed by the failure of conservative management, she underwent laparoscopic surgery to remove the hematoma 6 days before her admission. On computed tomography examination, we found that the abscess with a diameter of 9 cm was located in the right pelvic space. We punctured the abscess and identified E. tarda in the abscess. We continued administering antibiotics, but her symptoms, including fever and abdominal pain, became worse, and the abscess enlarged. We performed laparotomy drainage and ileocecal resection on the 10th posthospitalization day. After drainage surgery, the patient’s condition improved gradually, and the patient was discharged uneventfully. There are no reports in patients of E. tarda infection during the perinatal period. E. tarda infection can be a life-threatening illness even in immunocompetent patients. In the case of E. tarda infection, intensive care and surgical procedures should be considered.

scholarly journals Unusual Presentation of Meckel’s Diverticulum: Gangrene due to Axial Torsion

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmet Rencuzogullari ◽  
Kubilay Dalci ◽  
Orcun Yalav
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Preoperative Diagnosis ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Life Threatening ◽  
Operative Findings ◽  
The Right

Meckel’s diverticulum is the most common congenital anomaly of the small bowel. The majority of cases are asymptomatic; however, life-threatening complications can also take place. We present a case of a 37-year-old male who was admitted with symptoms of acute, severe abdominal pain in the right iliac fossa. The patient was operated on with the preoperative diagnosis of acute appendicitis but the operative findings were consistent with torted Meckel’s diverticulum due to presence of mesodiverticular band and he was treated successfully with surgical resection.

scholarly journals Uterine Torsion Masquerading as Abruptio Placentae: Diagnosed on Laparotomy

2020 ◽  
Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla
Keyword(s):  
Caesarean Section ◽  
Acute Abdomen ◽  
Postoperative Period ◽  
Clinical Presentation ◽  
Diagnostic Dilemma ◽  
Abruptio Placentae ◽  
Obstetric Emergency ◽  
Uterine Torsion ◽  
Life Threatening ◽  
The Right

Uterine torsion is a rare, life-threatening and unexpected obstetric emergency. It is almost always diagnosed at caesarean section. Its ill-defined clinical presentation may pose a diagnostic dilemma. Here the authors present a case of 32-year-old, Primigravida, 36 weeks pregnancy with acute abdomen and intrauterine foetal demise. Clinical features resembled Abruptio Placentae. The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. A posterior hysterotomy was done to extract the baby which was followed by detorsion of the uterus. The postoperative period was uneventful.

Sacraments and the Pandemic

2020 ◽  
Vol 45 (5) ◽  
pp. 3-5
Author(s):  
Marie Hilliard ◽  
Keyword(s):  
Public Health ◽  
Canon Law ◽  
Communicable Diseases ◽  
Health Authorities ◽  
Life Threatening Illness ◽  
Public Health Authorities ◽  
Life Threatening ◽  
New Challenges ◽  
The Right ◽  
To Receive

It is the right of the Catholic faithful to receive the sacraments when appropriate. The COVID-19 pandemic has presented new challenges in dispensing the sacraments, particularly to the sick who often need them most. Canon law dictates who can dispense the sacraments as well as where this can happen. Many dioceses have sought to find creative ways to reach those in need of the sacraments while keeping to the guidelines laid out by Canon law and public health authorities. Anointing of the Sick presents particular challenges while also being vitally important to Catholics who suffer from a life-threatening illness. Special precautions must be taken to ensure that communicable diseases are not spread during the administering of this sacrament, but it is essential that it be administered at the appropriate time.

scholarly journals Life-threatening hemoptysis accompanied by internal thoracic artery aneurysms in a 28-year-old perinatal woman: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yujun Li ◽  
Yuyao Wang ◽  
Zhike Liang ◽  
Chuzhi Pan ◽  
Xiaomei Huang ◽  
...  
Keyword(s):  
Internal Thoracic Artery ◽  
Bronchial Artery ◽  
Main Bronchus ◽  
Treatment Options ◽  
Perinatal Period ◽  
Bronchial Arteries ◽  
Superior Mediastinum ◽  
Active Hemorrhage ◽  
Life Threatening ◽  
The Right

Abstract Background Life-threatening hemoptysis presents an immediate diagnostic and therapeutic challenge, especially during the perinatal period. Case presentation A 28-year-old perinatal woman with no significant past medical or surgical history presented with repeating hemoptysis and respiratory failure. Computed tomography revealed a 2.1 × 3.2  cm2 inhomogeneous tumorous lesion in the right superior mediastinum and a right main bronchus obstruction along with atelectasis of the right lung. Bronchoscopy showed a tumorous protrusion blocking the right main bronchus with active hemorrhage, and malignancy was suspected. Bronchial artery embolization (BAE) was performed to control the bleeding. The arteriogram revealed tortuosity, dilation and hypertrophy of the right bronchial arteries and aneurysms of the internal thoracic artery (ITA). The bleeding completely stopped after BAE. Bronchoscopy was performed again to remove residual blood clots. The patient recovered soon after the procedure and was discharged. Conclusions Life-threatening hemoptysis concomitant with ITA aneurysms, which may have a misleading clinical diagnosis and treatment options, has not been reported previously in perinatal women. BAE could be used as a first-line treatment irrespective of the underlying causes.

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.

Ovarian vein thrombosis: a potential clinical consequence of ruptured ectopic pregnancy

2021 ◽  
Vol 14 (4) ◽  
pp. e240940
Author(s):  
David Elliot Teytelbaum ◽  
Josh Dean Meade ◽  
Jennifer Swanson
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Clinical Consequence ◽  
Ovarian Vein ◽  
Timely Manner ◽  
Vein Thrombosis ◽  
Life Threatening ◽  
The Right ◽  
Ovarian Vein Thrombosis

A healthy 32-year-old G3P3 woman with an unknown last menstrual period presented to the emergency department with intense abdominal pain and pain in the right chest that radiated down the right arm. Further workup showed that she had a ruptured ectopic pregnancy with significant haemoperitoneum. After successful laparoscopic evacuation of the ectopic pregnancy and haemoperitoneum, the patient subsequently developed a right ovarian vein thrombosis 4 weeks after the procedure. She was treated with anticoagulation, and further haematological studies did not show any significant findings. Postpartum ovarian vein thrombosis is extremely rare and can be life- threatening if not accurately diagnosed and treated with anticoagulation or surgical management in a timely manner.

Upper abdominal pain

2018 ◽  
Vol 11 (8) ◽  
pp. 428-434
Author(s):  
Rodrick Babakhanlou
Keyword(s):  
General Practice ◽  
Abdominal Pain ◽  
Hospital Admission ◽  
Wide Range ◽  
Life Threatening ◽  
Upper Abdominal ◽  
The Right

Abdominal pain is a frequent presentation to general practice; it comprises a wide range of different abdominal and extra-abdominal causes. Upper abdominal pain can be located in the epigastrium, the right and left upper quadrants, and renal angles. It may be associated with back or shoulder tip pain. Causes of abdominal pain can be benign or malignant, and may be life-threatening. Patients with upper abdominal pain may need urgent hospital admission, but many patients can be managed in the community. This article gives an overview of the important causes of upper abdominal pain, their assessment and management.

scholarly journals Rectus sheath hematoma: a potentially life threatening complication following caesarean delivery

2018 ◽  
Vol 7 (10) ◽  
pp. 4289
Author(s):  
Sonal Dube ◽  
Meenakshi Dube ◽  
Saumitra Dube
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Acute Abdominal Pain ◽  
Rectus Sheath ◽  
Present Patient ◽  
Acute Presentation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rectus Sheath Hematoma

Rectus sheath hematoma (RSH) is a rare but potentially life threatening complication of caesarean delivery. The nonspecific nature of entity, lower incidence of disorder and acute presentation may posses’ difficulty in timely recognizing this. Present patient presented as acute abdominal pain 38 hours post caesarean section. This is an attempt to increase the awareness of this rare but potentially grave condition, as timely diagnosis and fast intervention saved present patient.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

Review of Adapting to Life-Threatening Illness.

1987 ◽  
Vol 32 (10) ◽  
pp. 906-906
Author(s):  
No authorship indicated
Keyword(s):  
Life Threatening Illness ◽  
Life Threatening
Sign in / Sign up

Export Citation Format

Share Document