Acute Cholecystitis at Initial Presentation of Polyarteritis Nodosa

2011 ◽  
Vol 106 ◽  
pp. S219
Author(s):  
Sepideh Farzin Moghadam ◽  
Dilhana Badurdeen ◽  
Duane Smoot ◽  
Rahana Begum
2005 ◽  
Vol 24 (6) ◽  
pp. 625-627 ◽  
Author(s):  
Sandra Regina Muchinechi Fernandes ◽  
Adil Muhib Samara ◽  
Eduardo Paiva Magalhães ◽  
Zoraida Sachetto ◽  
Konradin Metze

1966 ◽  
Vol 45 (4) ◽  
pp. 468-471 ◽  
Author(s):  
Ira S. Schwartz ◽  
Harvey Mendelow ◽  
Lesther Winkler

1993 ◽  
Vol 28 (4) ◽  
pp. 632-634 ◽  
Author(s):  
H. Zehra Gündoǧdu ◽  
Gülsev Kale ◽  
F. Cahit Tanyel ◽  
Nebil Büyükpamukçu ◽  
Akgün Hiçsönmez

2015 ◽  
Vol 128 (9) ◽  
pp. e5-e7 ◽  
Author(s):  
César Pérez-Vega ◽  
Eduardo Rodríguez de Castro-Hurtado ◽  
María del Mar Barrio-Molina ◽  
Javier Narváez

1990 ◽  
Vol 51 (10) ◽  
pp. 2240-2245
Author(s):  
Haruhiko NAGAMI ◽  
Takayoshi HUKUDA ◽  
Katsuhiro TAMURA ◽  
Akira NAKASE ◽  
Hiroshi MIURA

2012 ◽  
Vol 94 (4) ◽  
pp. e163-e165 ◽  
Author(s):  
N Battula ◽  
D Tsapralis ◽  
M Morgan ◽  
D Mirza

Polyarteritis nodosa (PAN) is a systemic necrotising vasculitis that could result in multifocal aneurysms of visceral arteries. Isolated multiple aneurysms of the hepatic arteries in the setting of PAN is extremely rare. Patients are typically asymptomatic and, very rarely, spontaneous rupture with life threatening haemorrhage could be the initial presentation of an undiagnosed PAN. Accurate diagnosis, effective haemostasis and prompt initiation of immunosuppressive treatment with the help of a multidisciplinary team will improve the clinical outcomes.


2008 ◽  
Vol 90 (5) ◽  
pp. 394-397 ◽  
Author(s):  
Hanny A Anwar ◽  
Qamar A Ahmed ◽  
Howard A Bradpiece

INTRODUCTION Early operations for symptomatic gallstones are gaining favour as the complication rate is thought to be lower and it reduces the overall morbidity. This study was performed to clarify how frequently early operations were being performed and what benefits resulted. PATIENTS AND METHODS Case notes of 171 patients who underwent laparoscopic cholecystectomy at Princess Alexandra Hospital Harlow were retrospectively reviewed. They were grouped according to their initial diagnosis (cholelithiasis, acute cholecystitis) and the delay to surgery (early, interval). Forty-one cases were excluded as they either had incomplete notes or the initial diagnosis was a different manifestation of gallstones such as pancreatitis. Those receiving interval operations were then grouped according to the mode of their initial presentation. A total of 130 case notes were analysed. RESULTS The delay for an interval operation was 3–6 months compared with less than 2 weeks for early operations. Of patients with acute cholecystitis, 43% had early operations but only 12% of patients with cholelithiasis. Waiting for interval operations was associated with multiple re-admissions equivalent to an average of one extra presentation to accident and emergency per patient. This was particularly marked if the initial presentation was to accident and emergency rather than out-patients (P = 0.003). Complication rates were also higher in the interval group. CONCLUSIONS Early cholecystectomy on the next available list is likely to reduce morbidity and the long-term in-patient burden so should be recommended for all patients presenting as an emergency with symptomatic gallstones.


2012 ◽  
Vol 51 (9) ◽  
pp. 1073-1076 ◽  
Author(s):  
Abhishek Agarwal ◽  
Meghana Bansal ◽  
Richa Pandey ◽  
Sundararaman Swaminathan

2015 ◽  
Vol 15 (1) ◽  
pp. 121-122
Author(s):  
Osman Cagin Buldukoglu ◽  
Seyfettin Koklu ◽  
Hayretdin Koklu ◽  
Omer Uluoglu ◽  
Gamze Kulduk

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