scholarly journals Curative lobectomy without a preoperative tissue diagnosis in a tuberculosis endemic country: A case report and discussion

2021 ◽  
pp. 201010582110521
Author(s):  
Aimie Razali ◽  
Muhammad Amin Ibrahim ◽  
Mohammed Fauzi Abdul Rani ◽  
Adli Azam Mohammad Razi
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Lung Nodule ◽  
High Morbidity ◽  
Clinical Decisions ◽  
Endemic Country ◽  
Curative Surgery ◽  
Tissue Diagnosis

Curative surgery for a localized tumour at the early and pre-symptomatic stage is the main aim of lung nodule assessment. As part of the process, pre-operative tissue diagnosis is a key step in making appropriate clinical decisions and avoiding unnecessary invasive surgical intervention which is associated with high morbidity. In this case report, we describe a patient who had a curative lobectomy for a growing nodule without a preoperative tissue diagnosis although the initial discussion deemed it mandatory, and we dissected the arguments supporting it in the setting of a tuberculosis endemic country.

scholarly journals Appendiceal Mucocele - A Review of Literature with a Case Report

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Berislav Vekic ◽  
Rade Markovic ◽  
Aleksandar Cvetkovic ◽  
Bojan Stojanovic ◽  
Marko Spasic ◽  
...  
Keyword(s):  
Case Report ◽  
Pseudomyxoma Peritonei ◽  
Surgical Intervention ◽  
Good Clinical Practice ◽  
High Morbidity ◽  
Review Of Literature ◽  
Palpable Mass ◽  
Surgical Department ◽  
Mortality Case ◽  
Rare Diagnosis

Abstract Background: Appendiceal mucoceles represent neoplastic and non-neoplastic, dilatated, mucus filled appendix vermiformix. Appendectomy is obligatory due to a possible malignancy. It is crucially important to avoid rupturing of the mucocele because it can result in pseudomyxoma peritonei, with high morbidity and mortality. Case Report: We presented a 52-year-old man with pain and palpable mass in the lower right quadrant of the abdomen. The mucocele was removed without a rupture, and the patient was discharged from the surgical department one day after the surgery without a complication. Discussion: The resection must be done very carefully, because the rupture of a mucocele can cause pseudomyxoma peritonei, a very dangerous and often lethal condition. Due to the concern of rupture, we performed the classical resection through laparotomy. Conclusion: It is very important, especially for young, inexperienced surgeons to be aware of this rare diagnosis and perform a surgical intervention according to the guidelines of good clinical practice.

scholarly journals Ruptured Emphysematous Liver Abscess: An Unusual Presentation in Kochs

2021 ◽  
Vol 11 (2) ◽  
pp. 200-204
Author(s):  
Girish D. Bakhshi ◽  
Gurpreet Singh ◽  
Jessica Shah ◽  
Dinesh Pawar ◽  
Srinivas Ram ◽  
...  
Keyword(s):  
Case Report ◽  
Liver Abscess ◽  
Surgical Intervention ◽  
Unusual Presentation ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Review Of Literature ◽  
Image Guided ◽  
Liver Abscesses ◽  
Image Guided Intervention

Gas forming liver abscess (GFLA) though rare is seen in diabetic patients. Rupture of such abscesses usually requires surgical intervention. These cases are associated with high morbidity and mortality due to sepsis. Tuberculous liver abscesses are more often silent in presentation. GFLA formed in the background of a tuberculous liver abscess is rare. We present a case of ruptured GFLA with underlying tuberculous pathology in a normoglycemic patient. The abscess was managed by image guided intervention. A brief case report along with review of literature is presented.

scholarly journals Accident and vascular injury with stingray in the Alto Juruá, Acre, Brazil: a case report

2019 ◽  
Vol 29 (3) ◽  
pp. 427-432
Author(s):  
Marlon Negreiros de Holanda ◽  
Ozianndeny Ferreira Câmara ◽  
Delcio Damasceno da Silva ◽  
Paulo Sérgio Bernarde ◽  
Ageane Mota da Silva ◽  
...  
Keyword(s):  
Case Report ◽  
South America ◽  
Lower Extremity ◽  
Vascular Injury ◽  
Surgical Intervention ◽  
Great Saphenous Vein ◽  
High Morbidity ◽  
Case Presentation ◽  
Left Lower Extremity ◽  
Freshwater Stingray

Introduction: Fish accidents, called ichthyism, are common and considered a neglected health problem with high morbidity and low lethality. Noteworthy are the poisonings by freshwater stingrays, which are considered very serious and one of the most important injuries caused by aquatic animals in South America. Case Presentation: To describe an accident and vascular injury with venomous stingray animals in the Alto do Juruá, Acre, Brazil. Male patient admitted due to stingray in the left lower extremity 20 days ago. Conclusion: The freshwater stingray, due to its sharp characteristics, injured the great saphenous vein, requiring surgical intervention. The situation presented negative evolution due to the lack of necessary procedures in the first attendance, such as the proper cleaning of the wound and the removal of the sting.

scholarly journals Recurrent Diverticulitis in a Neutropenic Patient: A Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 7-10
Author(s):  
Mahmoud El Hussein ◽  
Cima Hamieh ◽  
Elie Zaghrini
Keyword(s):  
Case Report ◽  
Myeloid Leukemia ◽  
Surgical Intervention ◽  
Neutropenic Patient ◽  
High Morbidity ◽  
Efficient Management ◽  
Recurrent Diverticulitis ◽  
Increased Risk ◽  
Neutropenic Patients ◽  
Acute Myeloid

Background: Neutropenic patients are at an increased risk of infections. These infections can originate from several sites including the respiratory, urinary or gastrointestinal systems. Diverticulitis is one such infection, that carries a high morbidity and mortality risk in such patients. The management remains controversial and involves deciding between a conservative medical approach and surgical intervention. Regardless, these patients should be closely monitored due to a high risk of developing complications including septic shock. Case Report: In this article, we discuss the case of a patient with acute myeloid leukemia (AML) presenting with neutropenic fever and found to have a recurrent episode of diverticulitis. The patient was quickly managed with medical therapy, and surgery was therefore deferred. Conclusion: In conclusion, physicians should always maintain diverticulitis as a differential diagnosis in neutropenic patients who present with abdominal pain, especially in those who have had a previous episode. This allows for rapid and more efficient management.

Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

2019 ◽  
Vol 98 (4) ◽  
pp. 167-173
Keyword(s):  
Case Report ◽  
Echinococcus Multilocularis ◽  
Alveolar Echinococcosis ◽  
Lymphatic System ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Safety Margin ◽  
Surgical Removal ◽  
Single Centre Experience ◽  
Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

scholarly journals Brain Abscess Caused by Nocardia: Case Report and Literature Review

2020 ◽  
Author(s):  
Guilherme Finger ◽  
Maria Eduarda Conte Gripa ◽  
Tiago Paczko Bozko Cecchini ◽  
Tobias Ludwig do Nascimento
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Clinical Signs ◽  
Occipital Lobe ◽  
High Morbidity ◽  
Rare Clinical Entity ◽  
Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

scholarly journals First reported case of penile prosthesis infection from brucellosis: case report

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Nabil Nabil Moohialdin ◽  
Ahmad Shamsodini ◽  
Steven K. Wilson ◽  
Osama Abdeljaleel ◽  
Ibrahim Alnadhari ◽  
...  
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Surgical Intervention ◽  
Penile Prosthesis ◽  
Raw Milk ◽  
Prosthesis Infection ◽  
Case Presentation ◽  
First Case ◽  
Milk Ingestion

Abstract Background Infection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences. After introduction of antibiotic-coated implants, the rate of infection has dramatically decreased, but still we see uncommon organisms causing infection. We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. To our knowledge, this is the first reported case of brucellosis penile prosthesis infection. Case presentation We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. A 75-year-old, diabetic male patient presented with penile prosthesis infection 5 months post-penile exchange surgery due to mechanical malfunctioning of 2-piece penile prosthesis which was inserted 11 years ago. The initial treatment with broad spectrum antibiotics did not subside the infection. After diagnosis of brucellosis, the antibiotic was changed to anti-brucellosis (Rifampicin + Tetracycline). The patient improved dramatically and was discharged home with smooth follow-up course. Conclusion Brucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating surgical intervention and removal of prosthesis.

Sign in / Sign up

Export Citation Format

Share Document