Ruptured Emphysematous Liver Abscess: An Unusual Presentation in Kochs

Gas forming liver abscess (GFLA) though rare is seen in diabetic patients. Rupture of such abscesses usually requires surgical intervention. These cases are associated with high morbidity and mortality due to sepsis. Tuberculous liver abscesses are more often silent in presentation. GFLA formed in the background of a tuberculous liver abscess is rare. We present a case of ruptured GFLA with underlying tuberculous pathology in a normoglycemic patient. The abscess was managed by image guided intervention. A brief case report along with review of literature is presented.

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Appendiceal Mucocele - A Review of Literature with a Case Report

Serbian Journal of Experimental and Clinical Research ◽

10.2478/sjecr-2021-0027 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Berislav Vekic ◽

Rade Markovic ◽

Aleksandar Cvetkovic ◽

Bojan Stojanovic ◽

Marko Spasic ◽

...

Keyword(s):

Case Report ◽

Pseudomyxoma Peritonei ◽

Surgical Intervention ◽

Good Clinical Practice ◽

High Morbidity ◽

Review Of Literature ◽

Palpable Mass ◽

Surgical Department ◽

Mortality Case ◽

Rare Diagnosis

Abstract Background: Appendiceal mucoceles represent neoplastic and non-neoplastic, dilatated, mucus filled appendix vermiformix. Appendectomy is obligatory due to a possible malignancy. It is crucially important to avoid rupturing of the mucocele because it can result in pseudomyxoma peritonei, with high morbidity and mortality. Case Report: We presented a 52-year-old man with pain and palpable mass in the lower right quadrant of the abdomen. The mucocele was removed without a rupture, and the patient was discharged from the surgical department one day after the surgery without a complication. Discussion: The resection must be done very carefully, because the rupture of a mucocele can cause pseudomyxoma peritonei, a very dangerous and often lethal condition. Due to the concern of rupture, we performed the classical resection through laparotomy. Conclusion: It is very important, especially for young, inexperienced surgeons to be aware of this rare diagnosis and perform a surgical intervention according to the guidelines of good clinical practice.

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Partial hepatectomy for treatment of multiple liver abscess in a calf: a case report

BMC Veterinary Research ◽

10.1186/s12917-021-02750-y ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Reiichiro Sato ◽

Kazutaka Yamada ◽

Taiki Yokoyama ◽

Koki Tanimoto ◽

Shoko Takeuchi ◽

...

Keyword(s):

Case Report ◽

Partial Hepatectomy ◽

Liver Abscess ◽

Bacterial Infections ◽

Umbilical Vein ◽

Abdominal Cavity ◽

Left Liver Lobe ◽

Vessel Sealing ◽

Liver Abscesses ◽

Sealing Device

Abstract Background Umbilical vein bacterial infections may cause liver abscesses during bacterial ascent. A single liver abscess can be surgically treated by marsupialization, but a risk of recurrence or non-healing remains. Moreover, there is no effective treatment for multiple abscesses. Case presentation A 17-day-old Holstein female calf exhibited reduced general condition, swelling and drainage of the umbilicus, and pressure sores in the area of the carpus, resulting in reluctance to stand up. The umbilicus showed pain at palpation; deep abdominal palpation indicated a swollen umbilical vein coursing from the umbilicus toward the liver. Ultrasonography confirmed a swollen umbilical vein with pus accumulation and multiple abscesses in the liver. Contrast-enhanced computed tomography (CT) examination confirmed that the swollen umbilical vein with fluid continued to the liver, and multiple unenhanced lesions, most likely abscesses, were confirmed in the liver. Partial hepatectomy was performed to remove as many abscesses as possible. For the resection, a vessel sealing device (LigaSureTM) was used to excise a part of the left liver lobe. As we could not remove all the abscesses in the liver during the operation, cefazolin sodium (5 mg/kg) was administered for 14 days after surgery. Post-operatively, blood accumulation was observed in the abdominal cavity, but no signs of peritonitis were found. The calf returned to the farm on day 38 after surgery. Follow-up information was obtained after 1 year, and complications were not reported. Conclusions To our knowledge, this is the first report of partial hepatectomy using a vessel sealing device for a calf with multiple liver abscesses. This case report suggests that the combination of partial hepatectomy and long-term administration of antibacterial drugs may restore the health of calves with multiple liver abscesses.

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Post-thymectomy myasthenia gravis: a case report and systematic review of literature

BMJ Case Reports ◽

10.1136/bcr-2021-246005 ◽

2021 ◽

Vol 14 (12) ◽

pp. e246005

Author(s):

Louise Gurowich ◽

Gabriel Yiin ◽

Adam Maxwell ◽

Alexandra Rice

Keyword(s):

Systematic Review ◽

Case Report ◽

Myasthenia Gravis ◽

Early Onset ◽

Late Onset ◽

High Morbidity ◽

Review Of Literature ◽

Prompt Treatment ◽

Autoimmune Condition ◽

Anti Acetylcholine

Myasthenia gravis (MG) is an autoimmune condition affecting the neuromuscular junction characterised by weakness and fatiguability, carrying a high morbidity if treatment is delayed. A clear association with thymoma has led to management with thymectomy as a common practice, but MG presenting post-thymectomy has rarely been reported. We present a case of an 82- year-old woman developing fatigue, ptosis and dysarthria 3 months after thymectomy. After a clinical diagnosis of MG was made, she responded well to prompt treatment with prednisolone and pyridostigmine. Her anti-acetylcholine receptor antibody (anti-AChR) subsequently came back positive. Our systematic review reveals that post-thymectomy MG can be categorised as early-onset or late-onset form with differing aetiology, and demonstrated correlation between preoperative anti-AChR titres and post-thymectomy MG. The postulated mechanisms for post-thymectomy MG centre around long-lasting peripheral autoantibodies. Clinicians should actively look for MG symptoms in thymoma patients and measure anti-AChR preoperatively to aid prognostication.

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Machine-vision image guided C4-C5 unilateral cervical pedicle screw insertion: case report and review of literature

AME Case Reports ◽

10.21037/acr-21-62 ◽

2021 ◽

Vol 0 ◽

pp. 0-0

Author(s):

Tiffany Yeretsian ◽

Carolyn Lai ◽

Daipayan Guha ◽

Joel Ramjist ◽

Victor X. D. Yang

Keyword(s):

Case Report ◽

Machine Vision ◽

Pedicle Screw ◽

Review Of Literature ◽

Cervical Pedicle Screw ◽

Screw Insertion ◽

Pedicle Screw Insertion ◽

Image Guided ◽

Cervical Pedicle

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Giant criptogenic pyogenic gas containing left liver abscess

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0806292c ◽

2008 ◽

Vol 136 (5-6) ◽

pp. 292-294

Author(s):

Radoje Colovic ◽

Nikica Grubor ◽

Vladimir Radak

Keyword(s):

Escherichia Coli ◽

Liver Abscess ◽

Fever Of Unknown Origin ◽

Unknown Origin ◽

Diabetic Patients ◽

Surgical Drainage ◽

X Ray ◽

Left Liver ◽

Liver Abscesses ◽

The Right

INTRODUCTION Pyogenic gas containing liver abscesses are rare. Less than 50 cases seem to have been described so far. Most of them were localised within the right liver. The majority of those abscesses appear in diabetic patients. CASE OUTLINE The authors present a 64-year old diabetic male patient in whom the investigation (US, CT, plain X-ray) performed for fever of unknown origin confirmed a giant liver gas containing abscess that destroyed almost the entire left liver. Escherichia coli sensitive to several antibiotics was isolated from the abscess. The patient was cured by surgical drainage, limited debridement, lavage, drainage and antibiotics. CONCLUSION Pyogenic gas containing liver abscesses are easy to diagnose nowadays. The type of surgical drainage has to be adapted to a particular patient.

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

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20213287 ◽

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>

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Idiopathic Infected Hydrocele in a Toddler: A Case Report with Review

The Scientific World JOURNAL ◽

10.1100/tsw.2006.371 ◽

2006 ◽

Vol 6 ◽

pp. 2396-2398 ◽

Cited By ~ 2

Author(s):

Jayesh Sagar ◽

Suhas Kumar ◽

D. Mondal ◽

D.K. Shah

Keyword(s):

Case Report ◽

Surgical Intervention ◽

English Literature ◽

Review Of Literature ◽

First Time

Idiopathic infected hydrocele in infants is a rare, but well-documented, entity in English literature; however, occurrence of such a condition in a toddler is not yet documented. Here we report the case of an idiopathic infected hydrocele in a toddler for the first time in English literature. We also discuss a review of literature and demonstrate management of infected hydrocele by antibiotics without any surgical intervention, also for the first time in English literature.

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