scholarly journals Pulmonary-pleural complications of pancreatitis

2017 ◽  
Vol 176 (3) ◽  
pp. 28-31
Author(s):  
L. P. Kotel’Nikova ◽  
S. A. Plaksin ◽  
P. L. Kudryavtsev ◽  
L. I. Farshatova
Keyword(s):  
Acute Pancreatitis ◽  
Ct Scan ◽  
Retrospective Analysis ◽  
Lung Tissue ◽  
Invasive Surgery ◽  
Amylase Activity ◽  
Invasive Procedures ◽  
Ct Examination ◽  
Medical Histories ◽  
Methods Of Treatment

OBJECTIVE. The authors investigated pulmonary-pleural complications of pancreatitis and evaluated results of CT examination in diagnostics and possibility of low invasive surgery in treatment of pancreaticogenic pleurisy. MATERIAL AND METHODS. A retrospective analysis was made of 156 medical histories of patients with acute pancreatitis and their results. An ultrasound examinations of the chest and CT scan were applied in order to determine lung tissue condition and presence of fluid in pleural cavities. RESULTS. The application of CT in diagnostics of pulmonary-pleural complications allowed doctors to identify an effusion in pleural cavities in 3,5-50 % patients with acute pancreatitis. The number and localization of effusions were defined more precisely. CONCLUSIONS. Mini-invasive procedures (puncture, videothoracoscopy) with examination of exudate on amylase activity and biopsy of pleura determined the causes of pleuritis. This was effective in pleritis elimination against a background of different methods of treatment of pancreatitis.

scholarly journals Splanchnic Vein Thrombosis in Acute Pancreatitis and Its Consequences

2021 ◽  
Vol 27 ◽  
pp. 107602962110102
Author(s):  
Łukasz Nawacki ◽  
Jarosław Matykiewicz ◽  
Ewa Stochmal ◽  
Stanisław Głuszek
Keyword(s):  
Acute Pancreatitis ◽  
Severe Disease ◽  
Vascular Complication ◽  
Strong Positive Correlation ◽  
Splanchnic Vein Thrombosis ◽  
Vein Thrombosis ◽  
Computed Tomography Scans ◽  
Negative Effect ◽  
Medical Histories ◽  
The Impact

Splanchnic vein thrombosis (SVT) is a serious vascular complication that can occur in patients with acute pancreatitis. We assessed the incidence of SVT and its relationship with acute pancreatitis (AP) and associated complications. We carried out a retrospective analysis of medical histories from patients hospitalized with AP in a single surgical center. Histories were acquired from patients with abdominal and pelvic computed tomography scans performed between the 2nd and 3rd day of hospitalization. We assessed the impact and extent of thrombosis over the disease course. We found a strong positive correlation (Cramer’s V coefficient = 0.34) between SVT and disease severity. Mortality in the study group was 7.2% (8 patients) of which 5 patients (62.5%) were diagnosed with SVT. We observed an increased incidence of death among patients with thrombosis, with results approaching significance ( P = 0.056). In our study, we found that SVT has a negative effect on the course of AP and is associated with more severe disease and increased mortality.

The value of endoscopic examination methods in infertile marriage

2021 ◽  
Vol 50 (3) ◽  
pp. 52-56
Author(s):  
I. E. Korneeva
Keyword(s):  
Medical Care ◽  
Retrospective Analysis ◽  
Reproductive Function ◽  
Endoscopic Examination ◽  
Female Infertility ◽  
Infertile Women ◽  
Important Stage ◽  
Examination Methods ◽  
Endoscopic Methods ◽  
Methods Of Treatment

To optimize the management of infertile women the estimation of efficacy of endoscopic methods of treatment (laparoscopy and hysteroscopy) in this category of patients was undertaken. With the method of retrospective analysis clinico- laboratory and endoscopic examination of2785 sterile pairs was carried out. The results of the study showed that endoscopic methods are not only the most important stage of diagnostics but also the first pathogenetically substantiated stage in treating female infertility. It became clear that half of the patients demonstrated from 2 till 5 factors in pathogenesis of reproductive function abnormalities that brings on the necessity of elaboratingthe algorithm of treatingparticular patients considering the disturbances revealed.So, to increase the effectiveness of treating the patients in question, distinct standards of medical care should be put into practice.

scholarly journals Perforating urinary bladder foreign body managed with minimally invasive surgery

2021 ◽  
pp. 44-46
Author(s):  
Ishita Laha ◽  
Shahid Hameed ◽  
Swapnil Sen ◽  
Kalyan Kumar Sarkar
Keyword(s):  
Minimally Invasive Surgery ◽  
Foreign Body ◽  
Urinary Bladder ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Foreign Bodies ◽  
Bladder Wall ◽  
Clinical Impact ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures

Foreign bodies are occasionally reported in the urinary bladder, especially in females. The consequences and clinical impact depend on the route of insertion and the patient’s hemodynamic condition, and their removal may include minimally invasive procedures to open cystostomy. In most cases, foreign bodies are removed through transurethral approach. Here, we report one such case of a foreign body in the urinary bladder, which was self-inserted and had perforated through the bladder wall, yet could be successfully managed by cystoscopic removal without any complications.

scholarly journals Pancreatic window and open necrosectomy; a surgical alternative for walled-off pancreatic necrosis in a second level hospital in Mexico

2020 ◽  
Vol 8 (11) ◽  
pp. 4158
Author(s):  
Pedro A. Alvarado-Bahena ◽  
Enrique Chavez-Serna ◽  
Jonatan Salgado-Vives ◽  
Uraik F. Hernandez-Bustos ◽  
Dante A. Saldivar-Vera ◽  
...  
Keyword(s):  
Developing Countries ◽  
Acute Pancreatitis ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Late Complication ◽  
Late Complications ◽  
Open Approach ◽  
Invasive Procedures ◽  
Open Necrosectomy ◽  
Level Hospital

Walled-off pancreatic necrosis is defined as a necrotic collection with a defined wall, which generally occurs in 15% of patients in the fourth week after acute pancreatitis. Actually, open surgery is reserved for selected cases, with minimally invasive treatments such as image-assisted percutaneous drainage or endoscopic ultrasound being the procedures of choice. However, in developing countries the open approach continues to be an effective therapeutic alternative. We present the case of a 47-year-old male patient with no significant history who developed severe acute pancreatitis secondary to hypertriglyceridemia and who later developed walled-off pancreatic necrosis as a late complication. As a treatment, a debridement of the necrotic tissue with marsupialization was performed using the bradley III technique, secondary to the procedure, a pancreatic fistula was developed. After 8 weeks of hospitalization, in which he had a favourable response to surgical treatment, with spontaneous closure of the fistula without complications. Surgical management of late complications of acute pancreatitis remains controversial. Although minimally invasive procedures are the first option nowadays, in developing countries, open necrosectomy remains a good option for the treatment of these types of complications.

scholarly journals PREVALENCE AND CHARACTER OF POLYTRAUMATIC INJURIES IN CHILDREN IN UZBEKISTAN FROM 1995 TO 2015

2018 ◽  
Vol 19 (1) ◽  
pp. 59-66
Author(s):  
Z. J. Mutalova ◽  
H. P. Alimova ◽  
V. H. Sharipova
Keyword(s):  
Retrospective Analysis ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Medical ◽  
Methods Of Treatment

Current retrospective analysis contains detailed information on prevalence, character and methods of treatment of polytraumatic injuries in children in Uzbekistan from 1995 to 2015. Analysis of mortality, disability and total number of injuries are given in accordance to three separate phases development and establishment of Emergency Medical Service in Uzbekistan.

scholarly journals Gouty arthritis: decision-making following dual-energy CT scan in clinical practice, a retrospective analysis

2018 ◽  
Vol 37 (7) ◽  
pp. 1879-1884 ◽  
Author(s):  
M. Gamala ◽  
S. P. Linn-Rasker ◽  
M. Nix ◽  
B. G. F. Heggelman ◽  
J. M. van Laar ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Ct Scan ◽  
Retrospective Analysis ◽  
Gouty Arthritis ◽  
Dual Energy ◽  
Dual Energy Ct

(Washington University case conference): acute pancreatitis, hyperlipemia, and normal amylase.

1978 ◽  
Vol 24 (5) ◽  
pp. 815-820 ◽  
Keyword(s):  
Acute Pancreatitis ◽  
Serum Amylase ◽  
Amylase Activity ◽  
Normal Serum ◽  
Case Conference ◽  
Diagnosis And Management ◽  
Serum Amylase Activity ◽  
Washington University

Abstract This case focuses on the biochemical findings in acute pancreatitis and the role of the laboratory in the diagnosis and management of such patients. It also illustrates a major unappreciated problem in the use of amylase determinations in patients with acute pancreatitis: normal serum amylase activity in the presence of hyperlipemia.

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