scholarly journals Acute intussusception in adults; study of two observations at the Friendship Hospital Sino-Guinean in Kipe

2021 ◽  
Vol 2 (1) ◽  
pp. 01-06
Author(s):  
Camara Naby
Keyword(s):  
Clinical Presentation ◽  
Intestinal Segment ◽  
Ileal Resection ◽  
Surgical Department ◽  
Republic Of Guinea ◽  
Operative Specimen ◽  
Friendship Hospital ◽  
Glove Finger ◽  
End To End ◽  
Intestinal Invagination

Aim The study aim to make our contribution to the study of intussusception in adults, rare pathology in adults, acute intussusception also called (AII) refers to penetration of an intestinal segment into the underlying segment, by turning into a glove finger (invagination roll). The aim of this work is to report two cases of acute intussusception in adults in the surgical department of the Sino-Guinean friendship hospital in kipe. Republic of Guinea. Material and Method This is a prospective two-year study, running from October 1, 2018 to September 30, 2020 Inclusive. All patients admitted for operated for acute intestinal invagination, whose age is between 25 and 50 years were included in our study. The operative specimen was analyzed anatomo pathologically after fixation with 10 percent formalin. Clinical presentation It concerned a man and a woman, in both cases the localization was ileal. Treatment was surgical and consisted of ileal resection followed by end-to-end ileoileale anastomosis in two planes. The operative consequences were simple. Conclusion Acute intussusception in adults is rare, the symptoms are noisy.

Surgical treatment of rapidly advancing active ulcerative colitis: a case report

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (3) ◽  
Author(s):  
Sławomir Glinkowski ◽  
Daria Marcinkowska
Keyword(s):  
Ulcerative Colitis ◽  
Clinical Presentation ◽  
Histopathological Examination ◽  
Vacuum Therapy ◽  
Active Ulcerative Colitis ◽  
Packed Red Blood Cells ◽  
Surgical Department ◽  
Bacterial Aetiology ◽  
Good General Condition ◽  
Impaired Immune Response

Ulcerative colitis is an inflammatory bowel disease with various clinical presentation. Due to an impaired immune response, diffuse inflammation develops in the intestinal tissue, which leads to bleeding and diarrhoea. The basis for diagnosis is the clinical presentation and the result of colonoscopy which confirms the presence of inflammatory lesions in the colon. The authors present the case of a patient admitted to their department following two previous hospitalisations at other centres who was suffering from active ulcerative colitis. After bacterial aetiology of the disease was excluded and conservative treatment was attempted at a gastroenterology ward, the patient was referred to a surgical department. During the previous hospitalisation colonoscopy was performed in which a lesion was observed in the splenic flexure, which precluded the visualisation of the further part of the colon. A colonoscopy performed at the surgical department did not confirm the presence of that lesion; however, it did reveal multiple pseudopolyps. Due to rapidly progressing cachexia and anaemia and a lack of improvement following attempted pharmacological treatment, a decision was made to perform an urgent colectomy with end ileostomy. After a week-long preparation of the patient (parenteral nutrition, packed red blood cells transfusion), pancolectomy was performed. Histopathological examination confirmed acute phase ulcerative colitis. In the postoperative period massive wound infection developed, which was treated for 14 days with vacuum therapy (VAC). The patient was treated for 30 days at the surgical department. He was discharged in a good general condition and instructed to report to his outpatient care centre.

scholarly journals Abdominal Paragangliomas: Analysis of Surgeon's Experience

2011 ◽  
Vol 3 (2) ◽  
pp. 55-58 ◽  
Author(s):  
SC FitzGerald ◽  
Gingell Littlejohn M ◽  
CN Parnaby ◽  
JM Connell ◽  
PJ O'Dwyer
Keyword(s):  
Clinical Presentation ◽  
Hormone Secretion ◽  
Endocrine Tumor ◽  
Capsular Invasion ◽  
Urinary Catecholamine ◽  
Surgical Department ◽  
Common Presentation ◽  
Genetic Abnormalities

ABSTRACT Abdominal paraganglioma is a rare endocrine tumor associated with genetic mutations, however, the ability to predict long-term risk of metastasis has not been clarified. The aim of this study was to examine the clinicopathological features and outcomes in patients undergoing surgery for an abdominal paraganglioma. A retrospective analysis was performed for all patients undergoing surgery for abdominal paragangliomas from one surgical department between 1998 and 2010. Clinical presentation, hormone secretion and clinical outcomes were examined. A total of 23 patients underwent surgery for abdominal paraganglioma with the most common presentation being hypertension. Median time to metastasis was 32 months with all patients developing disease progression having a rise in urine catecholamines. Patients with capsular invasion or predisposing genetic conditions are at a higher risk of having more aggressive disease. All patients with a diagnosis of paraganglioma should be screened for predisposing genetic abnormalities and postoperative follow-up must include routine urinary catecholamine assessment.

scholarly journals Use of the Coupler Microanastomotic Device for the Treatment of a Distal Posterior Inferior Cerebellar Artery Aneurysm Via Excision and End-to-End Anastomosis—A Case Report

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Oded Goren ◽  
Raghuram Sampath ◽  
Akshal S Patel ◽  
Christoph J Griessenauer ◽  
Clemens M Schirmer ◽  
...  
Keyword(s):  
Case Report ◽  
Intracranial Aneurysms ◽  
Clinical Presentation ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Parent Vessel ◽  
First Case ◽  
Cerebellar Artery ◽  
End To End ◽  
Coupler Device

ABSTRACT BACKGROUND AND IMPORTANCE The Coupler microanastomotic device (Medical Companies Alliance, Birmingham, Alabama) aims at facilitating safe and efficient end-to-end reconstruction of the native vessel ends following resection of intracranial aneurysms. CLINICAL PRESENTATION We report the first case of the Coupler device used to treat a ruptured posterior inferior cerebellar artery (PICA) aneurysm. Following aneurysmal trapping and excision, the native parent vessel ends were connected in an end-to-end fashion. CONCLUSION The microanastomotic Coupler device is an acceptable option for end-to-end anastomosis and was successfully applied in the management of a ruptured fusiform PICA aneurysm.

scholarly journals Surgical treatment of the small intestine atresia under conditions of different postoperative follow-up

2020 ◽  
pp. 7-12
Author(s):  
O. Bodnar ◽  
◽  
L. Vatamanesku ◽  
B. Bodnar ◽  
M. Khoma ◽  
...  
Keyword(s):  
Small Intestine ◽  
Surgical Treatment ◽  
Small Bowel ◽  
Parenteral Nutrition ◽  
Surgical Department ◽  
Significant Difference ◽  
End To End ◽  
The Difference ◽  
Bowel Atresia ◽  
The City

Introduction. Small intestine atresia is one of the most common causes of low bowel obstruction in newborns. Mortality in this pathology ranges from 5 to 60%, depending on the country. Modern views about surgical correction are rather contradictory. Purpose. To analyze the surgical treatment of small intestine atresia in the surgical department of the City Children’s Hospital No. 1 ССH) (Chernivtsi, Ukraine) and the surgical department Saint Damien Pediatric Hospital NPH (SDH) (Port-o-Prence, Haiti). To determine the best methods of surgery. Materials and methods. The surgical treatment of 15 children under the conditions of SDH (Haiti) and 12 children under conditions of the city children’s clinical hospital (CCH, Chernivtsi) with atresia of the small intestine was analyzed. Determined the effectiveness of closed (oblique «end-to-end» anastomosis, taping with «end-to-end» anastomosis, Denis-Brown and Louw anastomoses), discharging (U- and T-shaped, taping with anostomosing and suspended proximal enterostoma), anastomoses and stomas (end, double, according to Mikulich). Mortality with limited parenteral nutrition was 40% (SDH), with the presence of parenteral nutrition – 33.33% (ССH, Chernivtsi). Results. According to the analyzed data, we believe that the use of the method of surgical treatment should correspond to the type of atresia, the distance of the blind proximal end from the Treitz ligament, the difference in the diameters of the adducting and abducting sections, the possibility of parenteral nutrition, and the threat of short bowel syndrome (SCS). Conclusions. Y-shaped discharging anastomosis «side-to-side» with the removal of the proximal area in the form of a stoma, can be the method of choice in case of significant difference between the intestinal diameters. It provides a wide area of the small bowel junction, chyme abduction until the fistula heals, and can be used for different types of small bowel atresia. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. Keywords: small intestine atresia, surgical treatment, children.

scholarly journals Difficulties of diagnosing acute intermittent porphyria in clinical practice

2016 ◽  
Vol 97 (6) ◽  
pp. 975-978 ◽  
Author(s):  
K L Zagidullina ◽  
N A Popova ◽  
E E Astashina
Keyword(s):  
Clinical Presentation ◽  
Epigastric Pain ◽  
Acute Intermittent Porphyria ◽  
Health Care Facilities ◽  
General Situation ◽  
Surgical Department ◽  
Care Facilities ◽  
Vegetative Regulation ◽  
Autosomal Dominant Inheritance Pattern ◽  
Made In

Acute intermittent porphyria is an inherited metabolic disease with autosomal dominant inheritance pattern. The pathogenesis of the disease includes disturbed function of vegetative regulation. Attacks of acute intermittent porphyria are rare, sometimes are fatal, but in practice they often remain undiagnosed. Significant difficulties are attributed to unspecific clinical manifistations of acute intermittent porphyria. The patients initially visit surgeons with a clinical presentation of acute abdomen. As a result porphyrinogenic diagnostic and remedial procedures are administered including anesthetics and laparoscopy with anesthesia, which worsen the attack and prognosis. Porphyria being an orphan disease and polymorphism of clinical presentation, absence of medications for its treatment in health care facilities in Russian Federation cause challenges for physicians. The article deals with clinical observation of two patients with a diagnosis of acute intermittent porphyria first made in the neurology department. A 53-year old female was brought in to the neurology department by an ambulance in obtundation after a series of generalized tonoclonic spasms with hyperthermia. A 21-year old female was admitted to the surgical department due to intensive epigastric pain, nausea, repeated episodes of vomiting, an episode of diarrhea and significant general fatigue causing impossibility to move. Presented clinical cases reflect a general situation when for a long period of time the patients were wrongfully admitted to different departments, and cover a problem of late and untimely diagnosis of the disease.

scholarly journals “Fatal Gastrointestinal and Peritoneal Ischemic Disease” of Unknown Cause at Arba Minch Hospital, Southern Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Jilcha Diribi Feyisa ◽  
Melka Kenea ◽  
Efrem Gashaw ◽  
Eskezyiaw Agedew Getahun ◽  
Barry Leon Hicks ◽  
...  
Keyword(s):  
Preoperative Diagnosis ◽  
Clinical Presentation ◽  
Case Analysis ◽  
Southern Ethiopia ◽  
Unknown Etiology ◽  
Fatal Disease ◽  
Ischemic Disease ◽  
Surgical Department ◽  
History Of Disease ◽  
History Of

Gastrointestinal and peritoneal ischemic disease due to unknown etiology present with intestinal obstruction and/or peritonitis otherwise in healthy patient emerged as fatal disease at Arba Minch General Hospital. This disorder was diagnosed based on intraoperative finding. Clinical presentation and natural history of disease progression were similar. It is estimated that about 6–10 lives are being claimed each year at Arba Minch Hospital with this disease of unidentified cause accounting for the largest figure of surgical department. Here we report case analysis and literature review illustrating clinical presentation, workup, preoperative diagnosis, intraoperative diagnosis, and final outcome of fatal gastrointestinal and peritoneal ischemic disease.

scholarly journals Pseudoaneurysm Trapping and Reanastomosis of the Posterior Inferior Cerebellar Artery After Prior Microvascular Decompressions for Hemifacial Spasm

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Joshua S Catapano ◽  
Soren Jonzzon ◽  
Fabio A Frisoli ◽  
Candice L Nguyen ◽  
Mohamed A Labib ◽  
...  
Keyword(s):  
Hemifacial Spasm ◽  
Clinical Presentation ◽  
Treatment Options ◽  
Posterior Inferior Cerebellar Artery ◽  
Pseudoaneurysm Formation ◽  
Cerebellar Artery ◽  
History Of ◽  
End To End ◽  
Pica Aneurysms ◽  
New Onset

ABSTRACT BACKGROUND AND IMPORTANCE Posterior inferior cerebellar artery (PICA) aneurysms are uncommon, and PICA pseudoaneurysms are even rarer. Endovascular treatment options exist for such lesions but usually require arterial sacrifice. This case report describes the successful treatment of a PICA pseudoaneurysm by trapping and end-to-end PICA reanastomosis. CLINICAL PRESENTATION A 70-yr-old woman with a history of multiple microvascular decompressions for hemifacial spasm presented with new-onset facial droop caused by an enlarging, unruptured left PICA pseudoaneurysm. It was treated with trapping and end-to-end PICA reanastomosis, which is the first reported case of this technique for a PICA pseudoaneurysm. The bypass was patent, the pseudoaneurysm occluded, and the patient recovered well from her surgery. CONCLUSION Pseudoaneurysm formation and growth after microvascular decompression is unusual. Albeit a deep and challenging bypass, trapping and an end-to-end PICA reanastomosis excluded the pseudoaneurysm, prevented further growth and/or rupture, and alleviated the patient's compressive symptoms.

Jansky-Bielschowsky syndrome, a lysosomal disease: First diagnosed cash in Oman

1992 ◽  
Vol 50 (1) ◽  
pp. 632-633
Author(s):  
Line Buhl ◽  
David Muirhead
Keyword(s):  
Mental Retardation ◽  
Clinical Picture ◽  
Neurological Disorder ◽  
Clinical Presentation ◽  
Neuronal Ceroid Lipofuscinosis ◽  
Infantile Form ◽  
Lysosomal Disease ◽  
Juvenile Form ◽  
Progressive Encephalopathy ◽  
Lysosomal Diseases

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.

An Overview of Dementias

2012 ◽  
Vol 21 (3) ◽  
pp. 75-84
Author(s):  
Venkata Vijaya K. Dalai ◽  
Jason E. Childress ◽  
Paul E Schulz
Keyword(s):  
Clinical Presentation ◽  
Treatment Options ◽  
Current Treatment ◽  
Great Variability ◽  
Health Concern ◽  
Public Health Concern ◽  
Life Threatening ◽  
The Common ◽  
Neurodegenerative Dementias ◽  
Made In

Dementia is a major public health concern that afflicts an estimated 24.3 million people worldwide. Great strides are being made in order to better diagnose, prevent, and treat these disorders. Dementia is associated with multiple complications, some of which can be life-threatening, such as dysphagia. There is great variability between dementias in terms of when dysphagia and other swallowing disorders occur. In order to prepare the reader for the other articles in this publication discussing swallowing issues in depth, the authors of this article will provide a brief overview of the prevalence, risk factors, pathogenesis, clinical presentation, diagnosis, current treatment options, and implications for eating for the common forms of neurodegenerative dementias.

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