scholarly journals Our experiences with liver abscesses in hospitals attached to Bangalore Medical College and Research Institute, India

2018 ◽  
Vol 5 (10) ◽  
pp. 3292 ◽  
Author(s):  
Kemparaj T. ◽  
Archit Muralidhar ◽  
Narasimhamurthy K. N.
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Case Series ◽  
Amoebic Liver Abscess ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Average Hospital ◽  
Medical College ◽  
Gram Staining ◽  
Upper Abdominal

Background: Liver abscess is a common problem in India and is associated with high morbidity and mortality. Broadly they can be divided into two types- Pyogenic and Amoebic. Amoebic in particular has a very high burden on society in India, believed to be secondary to poor sanitation and hygiene in the population.Methods: We performed a prospective, descriptive case series assessing demographic characteristics, presentation patterns, etiological factors, microbiological etiology, and management for patients treated for liver abscess at our centres between 2016 and 2018. 70 patients were identified and diagnosed on the basis of ultrasound and gram staining and culture of the pus aspirate.Results: Amoebic liver abscess was in majority (75%), with males being more affected than females (90%). Alcoholic and diabetic males between 30 and 50 years of age were most affected. Most presented with abdominal pain (96%). 53% needed Pigtail catheter drainage. Average duration of stay was 8 days, and 72% of the total patients showed relief of symptoms within 3 days.Conclusions: Most cases were found to be due to amoebic etiology rather than pyogenic. Both amoebic and pyogenic abscesses are noted to be more common in young men between the ages of 20 - 50, with a higher incidence noted among the alcoholic and diabetic patients. Most patients present with Upper abdominal pain and ultrasound is a useful tool in diagnosing the condition and providing valuable information about the site and volume of the abscess. Majority of patients needed Ultrasound guided drainage of the abscess. Average hospital stay was 8 days.

scholarly journals Acute Pancreatitis: An Atypical Presentation

2017 ◽  
Vol 11 (2) ◽  
pp. 359-363 ◽  
Author(s):  
Omar Nadhem ◽  
Omar Salh
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Reports ◽  
Case Series ◽  
Normal Serum ◽  
Intravenous Fluids ◽  
Serum Enzyme ◽  
Serum Lipase ◽  
Upper Abdominal ◽  
Symptoms And Signs

Acute pancreatitis is an important cause of acute upper abdominal pain. Because its clinical features are similar to a number of other acute illnesses, it is difficult to make a diagnosis only on the basis of symptoms and signs. The diagnosis of acute pancreatitis is based on 2 of the following 3 criteria: (1) abdominal pain consistent with pancreatitis, (2) serum lipase and/or amylase ≥3 times the upper limit of normal, and (3) characteristic findings from abdominal imaging. The sensitivity and specificity of lipase in diagnosing acute pancreatitis are undisputed. However, normal lipase level should not exclude a pancreatitis diagnosis. In patients with atypical pancreatitis presentation, imaging is needed. We experienced two cases of acute pancreatitis associated with normal serum enzyme levels. Both patients were diagnosed based on clinical and radiological evidence. They were successfully treated with intravenous fluids and analgesics with clinical and laboratory improvement. The importance of this case series is the unlikely presentation of acute pancreatitis. We believe that more research is needed to determine the exact proportion of acute pancreatitis patients who first present with normal serum lipase, since similar cases have been seen in case reports.

scholarly journals A case series on post-covid deadly fungal infection: mucormycosis

2021 ◽  
Vol 7 (9) ◽  
pp. 1503
Author(s):  
Kalpana G. ◽  
Amol A. Patil ◽  
Manohar Shaan ◽  
Mitusha Verma ◽  
Gayatri Harshe
Keyword(s):  
Fungal Infection ◽  
Opportunistic Infection ◽  
Surgical Intervention ◽  
Case Series ◽  
Medical Intervention ◽  
Morbidity And Mortality ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Per Se

<p class="abstract">The prevailing pandemic situation by SARS-CoV-2 infection is not only worrisome by the disease per se but also for the accompanying opportunistic infection are in the rise especially in diabetic patients. We presented a case series of post-covid rhino orbital cerebral mucormycosis infection in diabetic patients resulting in high morbidity. The need to present this was to emphasis on the timely surgical and medical intervention needed to reduce morbidity and mortality by the infection. The study highlighted the importance of surgical intervention in the deadly infection.</p>

scholarly journals Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

2020 ◽  
Vol 32 (1) ◽  
pp. 21-24
Author(s):  
ANM Saifullah ◽  
Madhu Sudan Saha ◽  
Bimal Chandra Shil ◽  
Ali Monsur Md Shariful Islam ◽  
Arifa Akhter ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Gall Stone ◽  
Clinical Profile ◽  
Medical Emergency ◽  
High Morbidity ◽  
Cross Sectional ◽  
Medical College ◽  
North East ◽  
Medicine Today

Introduction:Acute Pancreatitis is a medical emergency, which is one of the most common conditions for hospital admission. Very few studies have yet investigated in Bangladesh. Objective of this study was to define demographic characteristics, clinical profile & underlying etiologies. Materials and Methods: This hospital based cross sectional descriptive study was performed in Sir Salimullah Medical College Mitford Hospital, Dhaka & North East Medical College, Sylhet, Bangladesh from January 2015 to December 2017. One hundred and five consecutive patients of acute pancreatitis (AP) were enrolled for this study. Clinical features and investigations were systematically recorded. Diagnosis of acute pancreatitis was made by the presence of the two of the three following criteria: i. abdominal pain consistent with the disease ii. serum amylase and /or lipase greater than three times from the upper limit of normal, and/or iii. characteristic findings of abdominal imaging. Results: Total of 105 patients took part in the study, of them 65 were male. The mean age was 42.76 ±15.88. Abdominal pain & vomiting was the most common mode of presentation. Gall stone and hypertriglyceridaemia were responsible of 20% of acute pancreatitis. Ascariasis also causes acute pancreatitis in two patients. Conclusion: Acute pancreatitis is a condition associated with high morbidity and mortality. Ascariasis also causes acute pancreatitis in endemic area. Patients usually respond conservative treatment but endoscopic treatment is effective in few cases. Surgery is rarely required. Medicine Today 2020 Vol.32(1): 21-24

Causative agents of liver abscess in HIV-seropositive patients: a 10-year case series in Thai hospitalized patients

2005 ◽  
Vol 35 (2) ◽  
pp. 115-115 ◽  
Author(s):  
Viroj Wiwanitkit
Keyword(s):  
Liver Abscess ◽  
Case Series ◽  
Gastrointestinal Disorder ◽  
High Rate ◽  
Amoebic Liver Abscess ◽  
Case Review ◽  
Retrospective Case ◽  
Gram Negative ◽  
Positive Bacterial Culture ◽  
Hiv Seropositive

Liver abscess is an important tropical gastrointestinal disorder. HIV seropositive patients show relative immunosuppression and are more susceptible to infection, including liver abscess. This retrospective case review was made on 23 patients who were diagnosed as HIV seropositive with liver abscess in Bangkok, Thailand. We demonstrated the high rate of amoebic liver abscess in our series (17.4%) from fresh smear with five cases of tuberculosis and one case of Nocardosis. The rates of positive bacterial culture were 17.4% from blood and 47.8% from pus. Gram-negative aerobes were the major abscess pathogens in our series. Among Gram-negative aerobes, Klebsiella was the most significant microorganism, followed by Escherichia coli and Pseudomonas aeruginosa.

scholarly journals Clinical study of upper abdominal pain in hospitalised patients in medicine unites of a medical college in Dhaka City (Study of 104 cases)

2012 ◽  
Vol 20 (2) ◽  
pp. 124-133 ◽  
Author(s):  
MH Sardar ◽  
MAR Howdar ◽  
MU Malik ◽  
AM Appolo ◽  
MS Islam ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Clinical Study ◽  
Dhaka City ◽  
Medical College ◽  
Hospitalised Patients ◽  
Upper Abdominal

DOI: http://dx.doi.org/10.3329/jdmc.v20i2.10538 J. Dhaka Med. Coll. 2011; 20(2): 124-133

scholarly journals Liver abscess: presentation and an assesment of the outcome with various treatment modalities

2019 ◽  
Vol 6 (7) ◽  
pp. 2556 ◽  
Author(s):  
Sreeramulu P. N. ◽  
Srinivasan Dorai Swamy ◽  
Vikranth Suresh N. ◽  
Suma S.
Keyword(s):  
Liver Abscess ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Pyogenic Liver Abscess ◽  
Amoebic Liver Abscess ◽  
Treatment Modalities ◽  
Tertiary Care Centre ◽  
Continuous Drainage ◽  
Right Lobe ◽  
Upper Abdominal

Background: Liver abscess is a disease of frequent occurrence which is important in the differential diagnosis of upper abdominal and right lower respiratory tract diseases. Liver abscess are space occupying lesion in liver which has a higher incidence of mortality and morbidity. The aim is to study the clinical presentation and compare the outcomes of various treatment modalities.Methods: A Retrospective Study was conducted over a period of 3 years from November 2016 to October 2019, in tertiary care centre, R. L. Jalappa hospital, Tamaka, Kolar, Karnataka, India. 46 cases of liver abscesses were studied. Complete clinical details about the clinical presentation of the cases, investigative work up and treatment modalities adopted were collected. The associated morbidity and mortality of all patients were reviewed.Results: In our study, the mean age was 49.5 years which included male patients most commonly. Pyogenic liver abscess was more common than amoebic liver abscess. Right lobe of the liver was most commonly involved. The common treatment modality was continuous drainage of the abscess cavity by the percutaneous insertion of a pig tail catheter. Surgical intervention for the rupture was done in one patient.Conclusions: In our experience of managing liver abscess, pyogenic liver abscess involving right lobe of the liver was common with the presentation of upper abdominal pain, high grade fever with chills and tender hepatomegaly. Ultrasound abdomen is very useful investigative tool in diagnosis and also in intervention and in the follow up of the condition and to evaluate progression or resolution.

scholarly journals Primary Splenic Lymphoma (PSL): A Rare Presentation of Lymphoma

2018 ◽  
Vol 9 (2) ◽  
pp. 152-153
Author(s):  
Md Mahmudur Rahman Siddiqui ◽  
Md Mostafizur Rahman ◽  
Md Hasan Ali Masum ◽  
Abdul Wohab Khan ◽  
Md Ehteshamul Haque ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
B Cell ◽  
Rare Presentation ◽  
Medical College ◽  
Non Hodgkin Lymphoma ◽  
Splenic Lymphoma ◽  
Night Sweats ◽  
Upper Abdominal ◽  
Primary Splenic Lymphoma

Primary Splenic Lymphoma (PSL) is a rare neoplasm of the spleen. PSL is generally presented as B cell non-Hodgkin lymphoma. Primary involvement of the spleen by lymphoma is much less common than secondary involvement. It usually presents with nonspecific symptoms like left upper abdominal pain or discomfort due to splenomegaly, pyrexia, weight loss, night sweats and weakness. In this article, we are reporting a case of PSL in a 23 years old boy who presented with splenomegaly and non-specifc symptoms.Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 152-153

scholarly journals Unusual Differential Diagnosis of Upper Abdominal Pain

2009 ◽  
Vol 2009 ◽  
pp. 1-3
Author(s):  
Lanthaler Monika ◽  
Grissmann Thomas ◽  
Schwentner Lukas ◽  
Nehoda Hermann
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Gastric Perforation ◽  
Gastric Wall ◽  
Endoscopic Removal ◽  
Quadrant Pain ◽  
Anterior Gastric Wall ◽  
Upper Abdominal

We here present an interesting unusual case of upper abdominal pain. The patient was a 38-year-old man, who was admitted to our hospital complaining of right upper quadrant pain caused by a toothpick that perforated the anterior gastric wall and penetrated segment I of the liver. After endoscopic removal and an initially uneventful course, computed tomography revealed a perigastric abscess that was treated by repeated gastroscopic rinsing via an endoscopically placed catheter. After another three uneventful weeks, a liver abscess with minor tendency to constrict the portal vein was diagnosed, and a segment I liver resection together with abscess drainage was performed. The peculiarity of this case is the rarity of toothpick ingestion and gastric perforation in a young and healthy white Caucasian followed by development of a liver abscess after primary uneventful endoscopic removal. In light of this case, gastric perforation due to ingested foreign bodies such as toothpicks can be considered a rare cause of upper abdominal pain.

scholarly journals Echinococcosis in Liver - a case report

2015 ◽  
Vol 22 (2) ◽  
pp. 223-224
Author(s):  
Kazi Monisur Rahman ◽  
Mst Habiba Khatun ◽  
Nasreen Fatema
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Free Fluid ◽  
Common Cause ◽  
Medical College ◽  
Loss Of Weight ◽  
Ultrasound Assessment ◽  
Right Lobe ◽  
Cystic Area ◽  
Upper Abdominal

The most common cause of hydatid disease in humans is infestation by the parasite Echinococcus granulousus. A 33 years old female patient with complaints of upper abdominal pain, discomfort, anorexia, nausea and loss of weight, was referred for ultrasound assessment of the whole of the abdomen. On ultrasound, her liver was enlarged in size. A fairly large cystic area measuring about (12 cm x 7.6 cm) having internal septations giving the appearance of cartwheel is noted in right lobe of liver. Intrahepatic biliary Channels and CBD were not dilated. Gall bladder, pancreas, spleen, both kidneys and other organs were found to be normal. No free fluid was seen in cul-de-sac. The patient was diagnosed as a case of echinococcosis in liver. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21548 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 223-224

scholarly journals AMEBIC LIVER ABSCESS

2010 ◽  
Vol 17 (04) ◽  
pp. 527-531
Author(s):  
RANA ASRAR AHMAD KHAN ◽  
FAKHAR Hameed ◽  
M. BADAR BASHIR ◽  
Mohamad Mohsin Rana ◽  
Hamed Raza Mazhar
Keyword(s):  
Liver Abscess ◽  
Case Series ◽  
Left Lobe ◽  
Amoebic Liver Abscess ◽  
High Grade Fever ◽  
Case Series Study ◽  
Common Diagnosis ◽  
Clinical Background ◽  
The Right

Amoebic liver abscess is a common infection in third world countries like ours due to poor sanitary arrangements. It presents with severe pain and high grade fever and if not diagnosed and treated promptly, may lead to complications and mortality. Objectives: To estimate the incidence, need for aspiration and treatment outcome. Design: Case series study. Setting: At respective consultations centers inFaisalabad. Period: From 1st, January, 2007 to 31st December 2008. Patients and Methods: All patients suspected of the diagnosis of liver abscess whether presenting to physicians or surgeon were referred for ultrasonography for the confirmation of the diagnosis. Basic biodata, coexisting medical or surgical diseases and relevant investigation were recorded, and patient was assessed for the need to aspirate the abscess. After initial treatment patients were reassessed for the need to aspirate the abscess on third, tenth and twentieth day both clinically and ultrasonically. Results: We had 188 cases in the study. There were 128(68 %) males and 60 (32%) females. Majority, 156 (76.6%), of the abscesses were single, 40(21%) had double and 4 (2%) had three abscesses.166 (83%) were situated in the right lobe, 28(15%) in the left lobe and 4 (2%) had abscess in both lobes. 16 (9%) were aspirated at presentation due to their size or position. Only 4 (2%) were aspirated at first follow-up on third day due to non resolution of pain or fever or increase in size. All the patients who were not lost from follow up responded to standard treatment of metronidazole. Discussion: Amoebic liver abscess is a common diagnosis in our setup. Patients presents with right upper quadrant pain and fever. Clinical background and ultrasonogram give a reasonable suggestion about amoebic etiology. If initial aspiration is not indicated due to size larger than 5cm. or proximity to surface or nonresolution of symptoms or lesion in left lobe, conservative treatment with oral or intravenous metronidazole is successful.

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