scholarly journals Perforated pyometra misdiagnosed as generalized peritonitis caused by an ileal perforation

2021 ◽  
Vol 8 (4) ◽  
pp. 340-341
Author(s):  
Seokyoun Lee ◽  
Junhee Lee ◽  
Nurhee Hong
Keyword(s):  
Ileal Perforation ◽  
Generalized Peritonitis

Causes of acute peritonitis in 1188 consecutive adult patients in Ghana

2005 ◽  
Vol 35 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Michael Ohene-Yeboah
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Communicable Diseases ◽  
Adult Patients ◽  
Emergency Unit ◽  
Ileal Perforation ◽  
Acute Peritonitis ◽  
Generalized Peritonitis ◽  
Previous Series

In a five-year prospective study,1188 consecutive adult patients were admitted and treated for acute generalized peritonitis at the Surgical Emergency Unit of the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively. Other conditions (gastroduodenal perforations, ruptured abscesses, traumatic bowel perforations and amoebic colonic perforations) accounted for fewer than 25% of cases. This paper notes that acute appendicitis and typhoid perforation remain the leading causes of peritonitis in Ghana. Compared with previous series, the importance of appendicitis in acute peritonitis has diminished. The complications of communicable diseases now cause peritonitis more commonly than 35 years ago. This may reflect deteriorating conditions of sanitation and housing during the intervening period.

scholarly journals Antithrombotic drugs have a minimal effect on intraoperative blood loss during emergency surgery for generalized peritonitis: a nationwide retrospective cohort study in Japan

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Tadashi Matsuoka ◽  
Nao Ichihara ◽  
Hiroharu Shinozaki ◽  
Kenji Kobayashi ◽  
Alan Kawarai Lefor ◽  
...  
Keyword(s):  
Cohort Study ◽  
Propensity Score ◽  
Blood Loss ◽  
Emergency Surgery ◽  
Retrospective Cohort ◽  
Confounding Factors ◽  
Intraoperative Blood Loss ◽  
Antithrombotic Drugs ◽  
Generalized Peritonitis ◽  
Blood Loss Volume

Abstract Background The effect of antithrombotic drugs on intraoperative operative blood loss volume in patients undergoing emergency surgery for generalized peritonitis is not well defined. The purpose of this study was to investigate the effect of antithrombotic drugs on intraoperative blood loss in patients with generalized peritonitis using a nationwide surgical registry in Japan. Method This retrospective cohort study used a nationwide surgical registry data from 2011 to 2017 in Japan. Propensity score matching for the use of antithrombotic drugs was used for the adjustment of age, gender, comorbidities, frailty, preoperative state, types of surgery, surgical approach, laboratory data, and others. The main outcome was intraoperative blood loss: comparison of intraoperative blood loss, ratio of intraoperative blood loss after adjusted for confounding factors, and variable importance of all covariates. Results A total of 70,105 of the eligible 75,666 patients were included in this study, and 2947 patients were taking antithrombotic drugs. Propensity score matching yielded 2864 well-balanced pairs. The blood loss volume was slightly higher in the antithrombotic drug group (100 [10–349] vs 70 [10–299] ml). After adjustment for confounding factors, the use of antithrombotic drugs was related to a 1.30-fold increase in intraoperative blood loss compared to non-use of antithrombotic drugs (95% CI, 1.16–1.45). The variable importance revealed that the effect of the use of antithrombotic drugs was minimal compared with surgical approach or type of surgery. Conclusion This study shows that while taking antithrombotic drugs is associated with a slight increase in intraoperative blood loss in patients undergoing emergency surgery for generalized peritonitis, the effect is likely of minimal clinical significance.

INCREASED MORTALITY AND ALTERED IMMUNITY IN NEONATAL SEPSIS PRODUCED BY GENERALIZED PERITONITIS

Shock ◽  
2007 ◽  
pp. 1 ◽  
Author(s):  
James L. Wynn ◽  
Philip O. Scumpia ◽  
Matthew J. Delano ◽  
Kerri A. O'Malley ◽  
Ricardo Ungaro ◽  
...  
Keyword(s):  
Neonatal Sepsis ◽  
Generalized Peritonitis

scholarly journals Abdominal angiostrongyliasis: report of two cases with different clinical presentations

2008 ◽  
Vol 50 (6) ◽  
pp. 339-341 ◽  
Author(s):  
Rubens Rodriguez ◽  
Roberta Martins Dequi ◽  
Lucas Peruzzo ◽  
Paulo Moacir Mesquita ◽  
Errol Garcia ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Acute Abdomen ◽  
Mesenteric Ischemia ◽  
Liver Involvement ◽  
Surgical Specimen ◽  
Ileal Perforation ◽  
Clinical Forms ◽  
Serum Igg ◽  
First Case ◽  
Clinical Presentations

Abdominal angiostrongyliasis is a sporadic infectious disease caused by the nematode Angiostrongylus costaricensis. It usually presents as acute abdomen, secondary to mesenteric ischemia, and pronounced eosinophilia. In some cases its course is insidious and transient, and the diagnosis is suspicious. The disease is confirmed by the detection of A. costaricensis elements in surgical specimen. The treatment is supportive, with avoidance of antihelminthic administration due to a possible erratic migration followed by worsening of the disease. We report two cases, both with intense eosinophilia and serum IgG-ELISA positive to A. costaricensis. The first case presented ileal perforation and was surgically treated. The second one showed hepatic nodules at ultrasound and was only symptomatically treated, evolving to an apparent protracted resolution. These two cases exemplify different clinical forms of the disease, one of them with liver involvement.

scholarly journals Fatal typhoid intestinal perforation in post tubal ligation death with an alleged medical negligence: a rare case report

2018 ◽  
Vol 7 (2) ◽  
pp. 755
Author(s):  
Pankaj Suresh Ghormade ◽  
Ajay Narmadaprasad Keoliya
Keyword(s):  
Typhoid Fever ◽  
Intestinal Perforation ◽  
Rare Case ◽  
Tubal Ligation ◽  
Medical Negligence ◽  
Free Perforation ◽  
Ileal Perforation ◽  
Rare Case Report ◽  
History Of ◽  
Difficult Challenge

Worldwide tubal sterilization is commonly used procedure for family planning method. Tubal ligation by minilaparotomy under local anaesthesia is most commonly used method of female sterilization in India. The death rate after tubal sterilizations is 72/100000 for all procedures and mainly due to general anaesthesia or vascular injuries. Iatrogenic injury to bowel can occur in minilaparotomy tubal ligations if there are dense adhesions of intestines or history of previous surgery. In the present case of interval post tubal ligation by minilaparotomy, fatal ileal perforation due to typhoid fever was detected on autopsy which was confirmed after complete histological and lab investigations. Atypical complications of typhoid fever were also noted. In developing countries, typhoid fever is the leading cause of non-traumatic free perforation of intestine and its incidence ranges from 0.9% to 39%, with a high mortality rate. This is rare case of an alleged medical negligence after surgery; in which deciding factor was cause of intestinal perforation i.e. iatrogenic or natural and it posed a difficult challenge.

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