scholarly journals Peritoneal Pseudocyst Causing Acute Abdomen as a Complication of Cronh’s Disease

2021 ◽  
Vol 64 (1) ◽  
pp. 55-59
Author(s):  
Christos Damaskos ◽  
Nikolaos Garmpis ◽  
Anna Garmpi ◽  
Aliki Liakea ◽  
Dimitrios Mantas

Peritoneal pseudocysts (PPs) in patients who are diagnosed with Crohn’s disease (CD), is a rarely diagnosed entity with unknown epidemiology, etiology and pathogenesis. We present the case of a 30-year old male with known CD who presented with an acute abdomen because of a PP. PPs are developed as a complication caused in patients, suffering from mainly thee conditions. Firstly, PPs appear in patients with continuous ambulatory peritoneal dialysis (CAPD), they are also developed in patients with peritoneal trauma and finally in CD patients. Our case belongs to these three reported cases in our literature review, since it refers to a CD patient that developed PPs. He underwent emergency laparotomy and excision of the cyst, with good postoperative results. A literature review of 22 publications show that PPs often represent a diagnostic and therapeutic problem as it has a variable presentation and there are no data on what the best treatment option is – surgical excision or aspiration.

1995 ◽  
Vol 56 (12) ◽  
pp. 2716-2720 ◽  
Author(s):  
Yasushi TAKENOUCHI ◽  
Koji ODA ◽  
Hiroshi KANDA ◽  
Takashi IKEYAMA ◽  
Naomi KOBAYASHI ◽  
...  

1985 ◽  
Vol 5 (3) ◽  
pp. 171-174 ◽  
Author(s):  
Michael V. Rocco ◽  
William J. Stone

Of 1365 patients on continuous ambulatory peritoneal dialysis (CAPD) identified by a literature review, 174 (12.7%) developed one or more abdominal hernias. Twenty-three per cent of these hernias were inguinal, 19.1% developed at the site of catheter insertion, 18.6% were umbilical, 8.3% were ventral, 9.8% were at other incisional sites, 7.4% were at other sites, and 13.7% were unclassified. Twenty-seven (13.2%) of the hernias were strangulated or incarcerated. The incidence of abdominal hernias in 827 CAPD patients was one per 104.2 cathetermonths, with a range among dialysis centers of one hernia per 47.4 to 779.0 catheter-months. Among 436 patients on intermittent peritoneal dialysis, 12 (2.8%) developed an abdominal hernia, four times less frequently than in CAPD patients (P < 0.001).


2010 ◽  
Vol 40 (2) ◽  
pp. 104-105 ◽  
Author(s):  
Santosh Varughese ◽  
Madhivanan Sundaram ◽  
Gopal Basu ◽  
Veerasamy Tamilarasi ◽  
George Tharayil John

Continuous ambulatory peritoneal dialysis (CAPD) as a modality of renal replacement therapy in patients with chronic kidney disease stage 5 (CKD 5) has the advantage of being a home-based therapy and is a preferred option in patients with inadequate access to haemodialysis and transplantation facilities and in those infected with HIV and other blood-borne viruses. While open surgical CAPD catheter placement has been the conventional mainstay of access placement, percutaneous techniques are being increasingly used with similar success rates. We report our experience over the past two years with blind insertion of the swan neck percutaneous double-cuffed Tenckhoff CAPD catheter using a trocar. There was considerable decrease in hospital stay and surgical costs. There was only one major complication of injury to the jejunal mesenteric artery requiring emergency laparotomy in one patient. In three patients, drain of peritoneal fluid was inadequate, presumably due to omental wrapping around the in-dwelling catheter, and required surgical removal of the omentum.


2021 ◽  
Vol Volume 13 ◽  
pp. 639-644
Author(s):  
Zatul Akmar Ahmad ◽  
Fathi Ramly ◽  
Akmal Zulayla Mohd Zahid ◽  
Bahiyah Abdullah ◽  
Muhammad Iqbal Abdul Hafidz

Author(s):  
William J. Lamoreaux ◽  
David L. Smalley ◽  
Larry M. Baddour ◽  
Alfred P. Kraus

Infections associated with the use of intravascular devices have been documented and have been reported to be related to duration of catheter usage. Recently, Eaton et al. reported that Staphylococcus epidermidis may attach to silastic catheters used in continuous ambulatory peritoneal dialysis (CAPD) treatment. The following study presents findings using scanning electron microscopy (SEM) of S. epidermidis adherence to silastic catheters in an in vitro model. In addition, sections of polyvinyl chloride (PVC) dialysis bags were also evaluated by SEM.The S. epidermidis strain RP62A which had been obtained in a previous outbreak of coagulase-negative staphylococcal sepsis at local hospitals was used in these experiments. The strain produced surface slime on exposure to glucose, whereas a nonadherent variant RP62A-NA, which was also used in these studies, failed to produce slime. Strains were grown overnight on blood agar plates at 37°C, harvested from the surface and resuspended in sterile saline (0.85%), centrifuged (3,000 rpm for 10 minutes) and then washed twice in 0.1 M phosphate-buffered saline at pH 7.0. Organisms were resuspended at a concentration of ca. 106 CFU/ml in: a) sterile unused dianeal at 4.25% dextrose, b) sterile unused dianeal at 1.5% dextrose, c) sterile used dialysate previously containing 4.25% dextrose taken from a CAPD patient, and d) sterile used dialysate previously containing 1.5% dextrose taken from a CAPD patient.


Mycoses ◽  
2002 ◽  
Vol 45 (3-4) ◽  
pp. 120-122 ◽  
Author(s):  
S. Cinar ◽  
A. Nedret Koc ◽  
H. Taskapan ◽  
A. Dogukan ◽  
B. Tokgoz ◽  
...  

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