Panperitonitis Caused by Gangrene of the Urinary Bladder: Report of a Successfully Treated Case

2008 ◽  
Vol 74 (4) ◽  
pp. 302-304
Author(s):  
Shozo Fujiwara ◽  
Tsuyoshi Noguchi ◽  
Takuya Noguchi ◽  
Akio Emoto ◽  
Yoshihisa Tasaki
Keyword(s):  
Past History ◽  
Abdominal Cavity ◽  
Antibiotic Administration ◽  
Urinary Frequency ◽  
Bladder Preservation ◽  
Abdominal Drainage ◽  
The Third ◽  
Total Hysterectomy ◽  
Neck Fracture ◽  
History Of

The patient was a 74-year-old woman with Parkinson's disease who had a past history of total hysterectomy for uterine myoma. She was admitted for a femoral neck fracture and treated conservatively. From the third day of the illness, the patient experienced increased urinary frequency and constant urge to urinate. On the seventh day, the patient developed peritonitis and underwent emergency surgery. Laparotomy confirmed a dark greenish malodorous abscess in the abdominal cavity. The bladder was necrotic and perforated, and the patient was accordingly diagnosed with panperitonitis caused by bladder gangrene. Because almost the entire bladder exhibited full-layer necrosis, it was determined that bladder preservation would not be possible, and total cystectomy, bilateral ureterocutaneostomy, and abdominal drainage were performed. Postoperatively, residual intra-abdominal abscess was present, but this resolved with drainage and antibiotic administration. Here, we present this patient who survived extremely rare pan-peritonitis caused by bladder gangrene.

An Evaluation of a Clinical Method to Assess Malunion of Little Finger Metacarpal Fractures

2007 ◽  
Vol 32 (6) ◽  
pp. 641-646 ◽  
Author(s):  
A. P. WESTBROOK ◽  
T. R. C. DAVIS
Keyword(s):  
Past History ◽  
Normal Subjects ◽  
The Other ◽  
Limits Of Agreement ◽  
Clinical Method ◽  
Metacarpal Shaft ◽  
Neck Fracture ◽  
History Of ◽  
Clinical Measurements ◽  
Little Finger

This study assessed the reliability, responsiveness and validity of two clinical measurements for the assessment of malunion of little finger metacarpal neck and shaft fractures. Both compared the relative lengths of the ring and little fingers in the injured and contralateral hands. One measurement was taken with the metacarpophalangeal joints extended (straight-MCP), and the other with them flexed to 90° (90-MCP). Ninety-five percent of the differences between the relative lengths of the ring and little fingers in the two hands of 50 normal subjects were less than 3 mm and the 95% limits of agreement for repeat measurements (intra-observer reproducibility) was ±1 mm for both measurements. Both measurements were significantly altered in a group of 218 patients with a past history of a metacarpal shaft or neck fracture. Although both measurements correlated with the patient’s assessment of the cosmetic result ( p = 0.01), neither measurement correlated with the severity of palmar angulation of the fracture at presentation. It is concluded that these measurements are reliable and responsive, but their validity is uncertain.

scholarly journals Evaluation of the optimal values of cholesterol of high density lipoproteins in a cohort of men aged 40-59 with myocardial infarction (according to 30-year monitoring of the status of life)

2019 ◽  
Vol 18 (1) ◽  
pp. 82-89
Author(s):  
V. V. Belov ◽  
A. A. Menshchikov
Keyword(s):  
Myocardial Infarction ◽  
Cox Regression ◽  
Past History ◽  
High Density ◽  
High Density Lipoproteins ◽  
Survival Curves ◽  
The Third ◽  
The Status ◽  
History Of ◽  
Survival Differences

Aim. To establish connection between the functions of 30-year survival rate and concentration of cholesterol high density lipoproteins (C-HDL) in men aged 40-59 years with a past history of a myocardial infarction (MI) and relying on the obtained data to determine the optimal level of C-HDL for the specified cohort.Material and methods. The study includes 141 patients who have had MI more than 6 months ago and observed in clinics of Metallurgical district of the city of Chelyabinsk within the third group of dispensary register. Specified MI cases refer to types 1, 2 of the Third universal definition of MI. The initial stage of study of the target group of men who have a past history of MI lasted from 03.06.1974 to 24.11.1975. Observation points were 0 and 30 years. The endpoint was death. Information about the dead established during the annual monitoring of the status of life. During the observation period 130 persons/92,2% died. Evaluation of survival was carried out according to the method of Kaplan-Meier, based on which a Cox regression model was built with the inclusion of successively higher minimum level of C-HDL, so that survival curves were significantly different. 95% confidence intervals were determined. The confidence bands of survival functions were built on the basis of on non-parametric Kolmogorov-Smirnov test.Results. The analysis of the function of 30-year survival in men aged 40-59 with past history of MI, depending on the level of HDL-C showed: the presence of statistically significant relationships between survival and levels of HDL-C. Optimal concentrations of HDL cholesterol for survival were the values of HDL-C ≥2,0 mmol/l. Statistically significant periods of survival differences are shown on survival curves at different levels of HDL-C. The possibility of prediction of survival of each patient to a certain time depending on the level HDL-C is determined. Initial levels of HDL-C determine the beginning, duration, end of periods of statistically significant survival differences on survival curves.Conclusion. The analysis of 30-year monitoring of the life status of cohort of men aged 40-59 with past history of MI showed a statistically significant dependence of survival on the initial level of HDL-C. The initial concentration of HDL-C are optimal for survival of indicated cohorts of men. HDL-C levels of 2,0-2,9 mmol/l can serve as a therapeutic target for men aged 40-59 with a past history of MI. The functions of 30-year survival in the cohort of middle-aged men who underwent MI, allow to determine the probability of survival of patients with this level of HDL-C to certain time.

The Call: Anticipatory Guidance for the Death of a Family's Newborn

1987 ◽  
Vol 8 (7) ◽  
pp. 196-199
Author(s):  
Martin J. Drell
Keyword(s):  
Past History ◽  
Phone Call ◽  
Anticipatory Guidance ◽  
Delivery Time ◽  
Third Trimester ◽  
The Third ◽  
Short Period ◽  
History Of ◽  
The One

When I arrived home, my wife told me to call a personal friend of ours who needed some advice. All my wife knew was that our friend, Mary, had just found out that the baby she was about to deliver was deformed and might not live. Mary wanted to talk with me about how to handle the matter with Barry, her son who was nearly 4 years old. Calls like this are always difficult ones, and it was with some trepidation that I called. Mary answered. Her voice quivered as she talked. The history unfolded piecemeal throughout the one-half hour phone call. From the beginning, Mary believed that something was wrong with her pregnancy, that somehow it had not "felt right" From a medical stadpoint, however, there were only minor problems. At the beginning of the third trimester, she had a short period of spotting. The obstetrician had Mary lie down and not exert herself. During this period of rest, Barry was told specifically not to jump on his mother, because it might hurt the baby. The spotting did not recur and the pregnancy progressed, supposedly without a hitch. As the delivery time approached, sonography was done to check on the health of the fetus. The test was done because of the mother's past history of having delivered Barry prematurely and having had a subsequent miscarriage.

scholarly journals H D. Ingraham. A brief report of three cases of ectopic pregnancy (New-York Medical Journal, 1892, December 31). A brief report on 3 cases of extrauterine pregnancy

2020 ◽  
Vol 7 (5) ◽  
pp. 420
Author(s):  
V. Kaplyanskiy
Keyword(s):  
New York ◽  
Medical Journal ◽  
Ectopic Pregnancy ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
Extrauterine Pregnancy ◽  
The Third ◽  
First Case ◽  
History Of

In the first case, the patient deliberately concealed the history of her illness, deliberately gave inconsistent data and thereby made it extremely difficult to diagnose. When the rupture of the fetal beetle in the abdominal cavity was clear, the patient resisted any surgical intervention and died. In the second case, the rupture of the fetal baby also occurred in the abdominal cavity, blood poured out, accumulated in the Douglas space, and the evacuation of the blood cyst per vaginam ended in the patient's recovery. In the third, an accidental fetus ruptured in the broad ligament and the egg now died.

scholarly journals Spontaneous rupture of an unscarred uterus during pregnancy: an interesting case report

2017 ◽  
Vol 6 (12) ◽  
pp. 5642
Author(s):  
Durga K.
Keyword(s):  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Past History ◽  
Abdominal Cavity ◽  
Interesting Case ◽  
Emergency Laparotomy ◽  
History Of ◽  
Uterine Curettage ◽  
Rupture Of Uterus ◽  
Uterine Scar

Uterine rupture in pregnancy is very rare and potentially catastrophic for both mother and foetus. The most common cause of uterine rupture is giving away of previous caesarean uterine scar. Spontaneous rupture of an unscarred uterus during pregnancy is a rare occurrence. We hereby present a rare case of a spontaneous complete uterine rupture in a non-labouring unscarred uterus of a 33-year-old nulliparous woman at 35 weeks of gestation. She presented with lower abdomen pain and decreased foetal movements at Institute of Obstetrics and Gynaecology, Chennai. Even before getting into labour, patient suddenly collapsed, and emergency laparotomy was proceeded in view of suspicious concealed abruption. There was frank hemoperitoneum along with a dead baby in the abdominal cavity. There was rupture of uterine fundus extending from one cornual end to the other and closure of uterine rent proceeded. Spontaneous rupture of uterus occurs when there is an upper segment uterine scar. She had a past history of eventful uterine curettage which was the risk factor for uterine rupture. 

scholarly journals Presentation and Risk Factors of Ischaemic Stroke Patients

2018 ◽  
Vol 28 (2) ◽  
pp. 40-43
Author(s):  
MN Islam ◽  
MN Huda ◽  
SKM Afzal ◽  
MK Rahman ◽  
MMR Khan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischaemic Stroke ◽  
Past History ◽  
Previous History ◽  
Facial Weakness ◽  
Stroke Patients ◽  
College Hospital ◽  
Medical College ◽  
The Third ◽  
History Of

Stroke is the third most common cause of death and is the main cause of neurological disability today. This is an observational study conducted at the department of Medicine, Rajshahi Medical College Hospital, Rajshahi, to observe the risk factors of ischaemic stroke and their presentation during hospital admission. Fifty patients of stroke with cerebral infarction confirmed by CT scan of brain were included. Hypertension (74%), diabetes (42%), overweight (22%), alcoholic (12%), past history of stroke (10%), previous history of TIA (16%), Carotid bruit (20%) and hypercholesterolemia (48%) were found as risk factors. Hemiplegia (96%), facial weakness (34%), deglutition problem (38%), speech difficulty (60%) and coma (14%) were observed during hospitalization.TAJ 2015; 28(2): 40-43

A Universe of Societies

2018 ◽  
Author(s):  
Didier Debaise
Keyword(s):  
Spatial Relations ◽  
The Third ◽  
The Status ◽  
History Of ◽  
Temporal And Spatial

Which kind of relation exists between a stone, a cloud, a dog, and a human? Is nature made of distinct domains and layers or does it form a vast unity from which all beings emerge? Refusing at once a reductionist, physicalist approach as well as a vitalistic one, Whitehead affirms that « everything is a society » This chapter consequently questions the status of different domains which together compose nature by employing the concept of society. The first part traces the history of this notion notably with reference to the two thinkers fundamental to Whitehead: Leibniz and Locke; the second part defines the temporal and spatial relations of societies; and the third explores the differences between physical, biological, and psychical forms of existence as well as their respective ways of relating to environments. The chapter thus tackles the status of nature and its domains.

The Origins of Gritty Realism on British Television: Euston Films and Special Branch

2014 ◽  
Vol 11 (1) ◽  
pp. 23-40 ◽  
Author(s):  
Max Sexton
Keyword(s):  
Cultural Discourse ◽  
Technological Changes ◽  
Television Drama ◽  
The Third ◽  
Fourth Series ◽  
History Of

Euston Films was the first film subsidiary of a British television company that sought to film entirely on location. To understand how the ‘televisual imagination’ changed and developed in relationship to the parent institution's (Thames Television) economic and strategic needs after the transatlantic success of its predecessor, ABC Television, it is necessary to consider how the use of film in television drama was regarded by those working at Euston Films. The sources of realism and development of generic verisimilitude found in the British adventure series of the early 1970s were not confined to television, and these very diverse sources both outside and inside television are well worth exploring. Thames Television, which was formed in 1968, did not adopt the slickly produced adventure series style of ABC's The Avengers, for example. Instead, Thames emphasised its other ABC inheritance – naturalistic drama in the form of the studio-based Armchair Theatre – and was to give the adventure series a strong London lowlife flavour. Its film subsidiary, Euston Films, would produce ‘gritty’ programmes such as the third and fourth series of Special Branch. Amid the continuities and tensions between ABC and Thames, it is possible to discern how economic and technological changes were used as a cultural discourse of value that marks the production of Special Branch as a key transformative moment in the history of British television.

Displace of Documentary Heritage from the Soviet Union to Poland during the Third Decade of the XXth Century

2014 ◽  
Vol 3 ◽  
pp. 127-137
Author(s):  
Tatsiana Hiarnovich
Keyword(s):  
Soviet Union ◽  
International Agreements ◽  
Peace Treaty ◽  
Actual Process ◽  
Xxth Century ◽  
The Third ◽  
The Soviet Union ◽  
History Of ◽  
Selection Of

The paper explores the displace of Polish archives from the Soviet Union that was performed in 1920s according to the Riga Peace Treaty of 1921 and other international agreements. The aim of the research is to reconstruct the process of displace, based on the archival sources and literature. The object of the research is those documents that were preserved in the archives of Belarus and together with archives from other republics were displaced to Poland. The exploration leads to clarification of the selection of document fonds to be displaced, the actual process of movement and the explanation of the role that the archivists of Belarus performed in the history of cultural relationships between Poland and the Soviet Union. The articles of the Treaty of Riga had been formulated without taking into account the indivisibility of archive fonds that is one of the most important principles of restitution, which caused the failure of the treaty by the Soviet part.

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