scholarly journals Abdominal tuberculosis in urgent surgery

2019 ◽  
Vol 18 (4) ◽  
pp. 796-800
Author(s):  
Vladimir A Beloborodov ◽  
Elena A Kelchevskaya ◽  
Aleksandr P Frolov ◽  
Darizhab B Tsoktoev ◽  
Igor Y Oleynikov ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Medical Science ◽  
Abdominal Tuberculosis ◽  
Hiv Positive ◽  
Surgical Department ◽  
Urgent Surgery ◽  
Number Of Patients ◽  
History Of ◽  
Medical University ◽  
Overall Mortality

Objective: This article presents retrospective analysis conducted on the basis of the General Surgery Clinic of the Irkutsk State Medical University (ISMU). Materials and methods: 165 cases of abdominal tuberculosis (AT) were detected and analyzed. The sample was made from the total number of patients who were treated in the surgical department for urgent reasons from 2009 to 2018. Results and Discussion: Proportion of hospitalized AT cases from the total number increases every year and slightly decreases only after 2013. The largest number of hospitalizations in 2013 was 29 cases or 2.1%. General characteristics are as follows: 95% of patients were 30–35 years old, 93% used drugs, 80% were HIV positive, and 88.3% suffered abdominal pain. Tuberculosis of the gastrointestinal tract with ulcer perforation was more common (53.7%). 140 (84.5%) patients had history of operation. Overall mortality was 57.6%. Conclusion: The main cause of mortality was generalized tuberculosis. The contribution of these cases to the overall mortality over the period taken was not possible to estimate. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.796-800

scholarly journals Foreign Body in abdomen

2015 ◽  
Vol 14 (2) ◽  
pp. 210-212
Author(s):  
Md Zakirul Alam ◽  
Mohibul Aziz
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Medical Science ◽  
X Ray ◽  
Diagnostic Center ◽  
History Of ◽  
Upper Abdominal ◽  
Married Female

A 19 years old married female presented with severe upper abdominal pain, repeated vomiting having history of swallowing a knife 7 months ago was admitted in Mordern Clinic and Diagnostic center, Joypurhat, Bangladesh. USG abdomen & X-ray (fig-1) abdomen were done when presence of a large foreign body (knife fig-3) in abdomen was made which latter on confirmed by Endoscopy of upper GIT (fig-2). Surprisingly the patient kept it in her abdomen for 7 months without any symptoms until the symptoms got worse and compelled her to seek medical help. The knife was removed by laparotomy, gastrotomy with uneventful recovery.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.210-212

scholarly journals Double Perforated Kissing Ulcers of Duodenum: A Brief Report

2019 ◽  
Vol 103 (1-2) ◽  
pp. 36-39
Author(s):  
Tania Triantafyllou ◽  
Kokoroskos Nikolaos ◽  
Papailiou Joanna ◽  
Linardoutsos Dimitrios ◽  
Zografos Georgios ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Case Reports ◽  
Duodenal Ulcers ◽  
Ulcer Disease ◽  
Surgical Department ◽  
Helicobactor Pylori ◽  
Urgent Surgery ◽  
First Case ◽  
Chest X Ray

Helicobactor pylori infection has been associated with peptic ulcer disease and is currently treated with proton pump inhibitors (PPIs), which have reduced the complications of the disease. Perforation of either a gastric or duodenal ulcer is rarely treated with surgery. We report the case of double-perforated synchronous duodenal ulcers, which is an extremely infrequent condition. To our knowledge, no English case reports have yet been published. Therefore, awareness of the physician in the field of diagnosis and treatment of this peptic ulcer is required. We report the case of a 46-year-old male patient who presented with acute abdominal pain at the emergency surgical department of our hospital. According to patient history, smoking, alcohol consumption, and frequent postprandial abdominal pain were noted. A physical examination revealed a rigid abdomen and tachycardia, and the temperature was 37.8°C. Laboratory testing showed increased levels of leukocytes, and free subdiaphragmatic air was found in the chest X-ray. Due to rapid deterioration of his clinical condition, the patient underwent urgent surgery. An explorative laparotomy showed 2 perforated kissing ulcers at the first segment of the duodenum, in the anterior and posterior walls. A peripheral gastrectomy was performed. Postoperative follow-up did not result in any complications. In regard to this case we present, simultaneous perforation of two synchronous duodenal ulcers is an uncommon but possible incident of which the clinician should be aware. To our knowledge, this is the first case published in the literature.

scholarly journals Documentary archives of the Museum of History of Kazan state medical university as historical source

2014 ◽  
Vol 95 (4) ◽  
pp. 608-611
Author(s):  
R G Ivanova
Keyword(s):  
Medical Science ◽  
Medical Schools ◽  
Point Of View ◽  
Study Analysis ◽  
Historical Source ◽  
Documentary Sources ◽  
History Of ◽  
Source Study ◽  
Medical University ◽  
Written Sources

The aim of the research - to evaluate complex documentary archives stored in the Museum of History of Kazan State Medical University as a source providing evidence needed for the reconstruction of various historic events linked to high medical education in Kazan. Source-classification methods, as well as external and internal criticism of historical documentary sources were applied. The article discusses the features of the documentary sources study analysis of the documentary archives stored at the Museum of History of the Kazan State Medical University. Stages of forming of a number of documentary collections that became the product of faculties, institute and later university clinical and theoretical departments’ activities, are characterized. While structuring an array of written sources, the decision to allocate three fundamental stages that determined the particular characteristics of documentary collections creation was made. The features of numerous documents were considered; their value for reconstruction of separate aspects of national medical science development in general, as well as the activities of the Kazan medical schools in particular, were defined. As a result of the source-study analysis of the written sources deposited in the Museum of History of Kazan State Medical University five independent groups were allocated. These are collection of business documents; collection of state certification documents; collection of personal papers; collection of official documents reserving copyrights; collection of manuscripts of scientific researches of scientists-physicians. Results of research allow to determine the source value and information potential of documentary archives of the Museum of history of the Kazan State Medical University. Written sources fund is an important historical source for studying the history of the Kazan medical schools, in general, and individual medical scientists, in particular. From the source-study point of view, an extensive array of documents that were not previously included in the scientific examination and require comprehensive analysis, are of considerable interest. Among them there are documents of healthcare manager V.V. Treiman, internist V.F. Bogoyavlenskiy, neurologist L.I. Omorokov, etc. Thus, documentary collections contribute to the expansion of the source base for researches.

scholarly journals TO THE 100TH ANNIVERSARY OF THE NN BURDENKO VORONEZH STATE MEDICAL UNIVERSITY. THE HISTORY OF THE DEPARTMENT OF THE PROPAEDEUTIC OF INTERNAL DISEASES

2018 ◽  
Vol 73 (2) ◽  
pp. 135-140
Author(s):  
I. E. Esaulenko ◽  
A. V. Nikitin ◽  
L. V. Vasilieva ◽  
E. V. Gosteva ◽  
I. A. Starodubtseva ◽  
...  
Keyword(s):  
Medical Science ◽  
100Th Anniversary ◽  
Internal Organs ◽  
Ussr Council ◽  
Hydraulic Mechanism ◽  
History Of ◽  
The Russian Federation ◽  
Doctoral Dissertations ◽  
Council Of Ministers ◽  
Medical University

The article concerns the 100th anniversary of the Department of Propaedeutics of Internal Diseases at the NN Burdenko Voronezh State Medical University. There are several important stages in the formation of the department. The history of the development of the department of propaedeutics of internal diseases is inextricably linked with the formation of the Voronezh Medical University from the day of its foundation. During the last century, the department was headed by famous scientists-clinicians: Philosophov P.I., Kurshakov N.A., Gerke A.A., Ravich-Shcherbo V.A., and others. The national medicine owes to their work in the field of diagnosis and treatment of tuberculosis diseases of the lungs and pleura, the clinical course of adhesive pericarditis. During the postwar periods, the department was headed by professors Tumanovsky M.N., Kobyzev A.S., Safonov Yu.D. Their contribution to the development of medical science is difficult to overestimate. The doctrine of Professor Safonov Yu.D. on the bio-hydraulic mechanism of origin of heart sounds found resonance all over the world. Since 1987 to the present time the department of propaedeutics of internal diseases is headed by Professor Nikitin A.V. known as the founder of a new scientific direction in the field of non-drug treatment methods for diseases of internal organs. For his scientific contribution, Anatoly Vladimirovich was awarded the USSR Council of Ministers Prize, and was given an Honorary title «Honored Worker of the Higher School of the Russian Federation». Professor Nikitin A.V. is a famous scientist, a clinician, and a teacher who advised on 50 candidate and 5 doctoral dissertations defended afterward.

scholarly journals A Case of Isolated Cecal Necrosis Preoperatively Diagnosed with Perforation of Cecum

Medicina ◽  
2019 ◽  
Vol 55 (1) ◽  
pp. 9 ◽  
Author(s):  
Atsushi Kohga ◽  
Kiyoshige Yajima ◽  
Takuya Okumura ◽  
Kimihiro Yamashita ◽  
Jun Isogaki ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Previous History ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Ileocecal Resection ◽  
Urgent Surgery ◽  
Ischemic Change ◽  
History Of ◽  
Laparoscopic Assisted

Isolated cecal necrosis (ICN) is a rare condition which is developed under decreased mesenteric perfusion. Only a few dozen cases of ICN have been reported previously. The patient was a 59-year-old male with a previous history of atrial fibrillation. He presented to our emergency room with the chief complaint of lower abdominal pain. Computed tomography imaging revealed a dilated cecum and presence of free air. With a preoperative diagnosis of perforation of the cecum; an urgent surgery was conducted. Intraoperative findings revealed an ischemic change of the cecum and a laparoscopic-assisted ileocecal resection was performed. The pathological findings showed transmural ischemic change on the anti-mesenteric side of the cecum, and the diagnosis of ICN was achieved. Preoperative diagnosis of ICN is difficult because of its non-specific radiological features. In patients with right lower abdominal pain, ICN should be considered as a differential diagnosis especially if the patient has a comorbidity causing hypotension attack.

scholarly journals Diagnosis Pattern and Outcome of Adolescents Admitted with Recurrent Abdominal Pain in a Tertiary Care Hospital

2017 ◽  
Vol 41 (1) ◽  
pp. 4-8
Author(s):  
Hossain Sahid Kamrul Alam ◽  
Mohammed Rizwanul Ahsan ◽  
Md Aynal Hoque ◽  
Abm Mahfuz Hassan Al Mamun ◽  
Syed Shafi Ahmed
Keyword(s):  
Abdominal Pain ◽  
Inflammatory Diseases ◽  
Tertiary Care ◽  
Abdominal Tuberculosis ◽  
Recurrent Abdominal Pain ◽  
Care Hospital ◽  
Functional Abdominal Pain ◽  
Management Protocol ◽  
History Of ◽  
The Cost

Background: Abdominal pain is very common among children and adolescents. There are many causes of recurrent abdominal pain in children, but parents may find it surprising that it is very common for there to be no clear cause identified for childhood abdominal pain even though examinations and tests have been done.Objective: This study was carried out to identify the demographic profile, causes and outcomes of adolescents admitted with recurrent abdominal pain.Methods: This Retrospective descriptive study was carried out at the Adolescent Unit of Dhaka Shishu (Children) Hospital during the period from 1st October 2015 to 31st March 2017 among 102 adolescents with history of recurrent abdominal pain after following the inclusion and exclusion criteria. Collected data were statistically analyzed with the use of the Statistical Package for Social Science (SPSS) program version 15.Results: Out of 1080 total 102 (9.44%) adolescents were admitted with recurrent abdominal pain of which majority subjects were male (57%). Urban were 61.76% and rest were rural (38.24%). The specific diagnosis pattern revealed that majority had Functional abdominal pain (44.12%) followed by Urinary tract infection (UTI) (20.59%), Peptic ulcer diseases (13.73%), Gastroesophagial reflux diseases (GERD) (11.76%), Abdominal tuberculosis (5.88%), Pelvic inflammatory diseases (4.90%), Cholecystitis (1.96%) and Abdominal migraine (0.98%).Conclusion: Recurrent abdominal pain is common among adolescents. Functional abdominal pain is the most common cause of recurrent abdominal pain. An uniform management protocol should be developed for proper investigations to minimize the cost and for judicious use of drugs in order to help these adolescents with recurrent abdominal pain.Bangladesh J Child Health 2017; VOL 41 (1) :4-8

scholarly journals Impact of Family History on Acute Appendicitis – An Iraqi Study at Baghdad Teaching Hospital

2018 ◽  
Vol 6 (2) ◽  
pp. 47-51
Author(s):  
Tabarek Yaseen ◽  
Zahraa Qais ◽  
Zahraa Abass
Keyword(s):  
Abdominal Pain ◽  
Family History ◽  
Acute Appendicitis ◽  
Acute Abdominal Pain ◽  
Positive Family History ◽  
Primary Analysis ◽  
Surgical Department ◽  
History Of ◽  
The Impact ◽  
Diagnostic Setting

Background: Appendicitis is one of the most common causes of the acute abdomen worldwide, but many patients present with atypical signs and symptoms. The study aimed to evaluate the impact of positive family history in the diagnosis of appendicitis in a limited diagnostic setting. Methods: Gender matched case control study of ratio (1:2) was carried out from July 2016 to September 2016 with a sample size of 300 patients. Cases were patients presented in surgical department with acute abdominal pain diagnosed as having appendicitis for whom appendectomy was performed, while controls were hospital based with other abdominal problems. Data was collected using a questionnaire. Primary analysis was a Chi square (χ2) test and the calculation of odds ratio (OR) for the association between final diagnosis of appendicitis and family history. Results: Females were 55% in both groups. Cases were younger than controls (27.05± 12.58 vs. 42.43±17.39 years). Positive family history of appendectomy was higher among cases (66%) than controls (31.5%). The diagnosis of acute appendicitis was 3.8 times higher among those with positive family history of appendectomy and abdominal pain, with a sensitivity of 66% and a specificity of 66.4%. Cases with more than one relative with family history of appendectomy, increased suspicion by 13 times when compared to those without family history. Conclusion: Positive family history of appendectomy in patients with acute abdominal pain and more than one relative with history of appendicitis can be considered as important parameters in the diagnosis of appendicitis in limited diagnostic setting.

scholarly journals Delayed Presentation Of A Girl With A Sour Plum Seed In The Trachea

2013 ◽  
Vol 12 (2) ◽  
pp. 231-234
Author(s):  
Wan Emelda Wan Mohamad ◽  
Norasnieda Mohd Shukri ◽  
Irfan Mohamad ◽  
Norhafiza Mat Lazim
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Alimentary Tract ◽  
Medical Science ◽  
Medical Attention ◽  
Delayed Presentation ◽  
Emergency Condition ◽  
Number Of Patients ◽  
History Of ◽  
Food Particles

Foreign body in the airway is very rare as compared to the alimentary tract. Food particles constitute among the commonest foreign body. The airway obstruction caused by foreign body dislodgement often present with acute emergency condition. The pathognomonic history includes history of choking and noisy breathing. It is an acute emergency and requires immediate medical attention. However in small number of patients the earliest symptom may be ignored leaving only mild neck discomfort. We report a case of comfortable girl with foreign body airway who finally sought treatment after presented with delayed sign and symptoms of partial airway obstruction. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 231-234 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14979

scholarly journals Scientific and expert school of ternopil region forensic-medical examiners and its contribution to the development of forensic-medical science and practice

2017 ◽  
pp. 99-102
Author(s):  
Valentyn Franchuk ◽  
Svitlana Trach-Rosolovska
Keyword(s):  
Forensic Medicine ◽  
Medical Science ◽  
60Th Anniversary ◽  
History Of ◽  
Academic School ◽  
Medical Examiners ◽  
Medical University ◽  
Scientific Achievements

In the article, dedicated to the 60th anniversary of the I. Horbachevsky Ternopil State Medical University, the history of department (course) of forensic medicine since its foundation is presented. The data of main scientific achievements of Ternopil region forensic-medical examiners, who made the greatest contribution to development of forensic medicine (science and practice) and became the founders of separate academic school are given.

scholarly journals Laparoscopy in acute abdomen between encouragement and inhibition

2019 ◽  
Vol 6 (10) ◽  
pp. 3507
Author(s):  
Mena Zarif Helmy ◽  
Ahmed Abdel Kahaar Aldardeer
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Past History ◽  
Abdominal Distension ◽  
X Ray ◽  
Main Complaint ◽  
Number Of Patients ◽  
History Of

Background: Laparoscopy has been a valuable technique in the treatment of acute abdominal diseases and can be considered either to diagnose or to treat selected cases.Methods: Here, we randomly select patients with acute abdominal pain in whom the diagnosis was not clear after ultrasonography and plain X-ray, we did diagnostic laparoscopy and according to its findings, we proceeded to surgical intervention. 50 cases with acute abdomen were included in this study in order to clarify the role of laparoscopy in the diagnosis and treatment of acute abdomen.Results: From the 50 patients, the main complaint was abdominal pain and presented in (100%) of patients, 38 of patients had vomiting, fever in 29 patients and 14 patients had abdominal distension, 7 patients had alteration in bowel habits and burning micturition in 6 patients. In this study, 10 patients had past history of previous surgery. By laparoscopy we could see the pathology in 46 patients and complete the management in all of patients but failed to reach the diagnosis in 2 cases and conversion to laparotomy in other 2 cases. Laparoscopic surgery mean was 47.9±12.4 minutes. Hospital stay mean was (1.851) days. Morbidity was 10%. No mortality was found in our study.Conclusions: Laparoscopy can be considered safe for diagnosis and effective in the treatment of patients with acute abdomen. It may be useful to avoid the unnecessary laparotomies in a large number of patients presented with acute abdominal pain.

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