scholarly journals A Rare Cause of Acute Abdomen: Jejunal Diverticulosis with Perforation

2013 ◽  
Vol 3 ◽  
pp. 31 ◽  
Author(s):  
Ibrahim Aydin ◽  
Ahmet Pergel ◽  
Ahmet Fikret Yucel ◽  
Dursun Ali Sahin
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Acute Abdomen ◽  
Female Patient ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Jejunal Diverticulosis

Jejunal diverticulosis is generally asymptomatic and is associated with high morbidity and mortality secondary to complications, especially in elderly patients. We present a case report of a 74-year-old female patient with jejunal diverticulosis and perforation due to diverticulitis.

Morbidity and Mortality of C2 Fractures in the Elderly

Neurosurgery ◽  
2011 ◽  
Vol 70 (5) ◽  
pp. 1055-1059 ◽  
Author(s):  
Yi-Ren Chen ◽  
Maxwell Boakye ◽  
Robert T. Arrigo ◽  
Paul S. A. Kalanithi ◽  
Ivan Cheng ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Hospital Stay ◽  
Treatment Modality ◽  
The Elderly ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Complication Rates ◽  
Term Survival ◽  
Cord Injury

Abstract BACKGROUND: Closed C2 fractures commonly occur after falls or other trauma in the elderly and are associated with significant morbidity and mortality. Controversy exists as to best treatment practices for these patients. OBJECTIVE: To compare outcomes for elderly patients with closed C2 fractures by treatment modality. METHODS: We retrospectively reviewed 28 surgically and 28 nonsurgically treated cases of closed C2 fractures without spinal cord injury in patients aged 65 years of age or older treated at Stanford Hospital between January 2000 and July 2010. Comorbidities, fracture characteristics, and treatment details were recorded; primary outcomes were 30-day mortality and complication rates; secondary outcomes were length of hospital stay and long-term survival. RESULTS: Surgically treated patients tended to have more severe fractures with larger displacement. Charlson comorbidity scores were similar in both groups. Thirty-day mortality was 3.6% in the surgical group and 7.1% in the nonsurgical group, and the 30-day complication rates were 17.9% and 25.0%, respectively; these differences were not statistically significant. Surgical patients had significantly longer lengths of hospital stay than nonsurgical patients (11.8 days vs 4.4 days). Long-term median survival was not significantly different between groups. CONCLUSION: The 30-day mortality and complication rates in surgically and nonsurgically treated patients were comparable. Elderly patients faced relatively high morbidity and mortality regardless of treatment modality; thus, age alone does not appear to be a contraindication to surgical fixation of C2 fractures.

scholarly journals Erosive pustular dermatosis of the scalp successfully treated with oral prednisone and topical tacrolimus

2013 ◽  
Vol 88 (5) ◽  
pp. 796-798 ◽  
Author(s):  
Mariana Ribas Zahdi ◽  
Gabriela Bestani Seidel ◽  
Vanessa Cristina Soares ◽  
Camila Fernanda Novak Pinheiro de Freitas ◽  
Fabiane Andrade Mulinari-Brenner
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Female Patient ◽  
Oral Prednisone ◽  
Inflammatory Disorder ◽  
Parietal Region ◽  
Topical Tacrolimus ◽  
Elderly Female ◽  
Local Trauma ◽  
Progressive Enlargement

Erosive pustular dermatosis of the scalp is a rare inflammatory disorder of the scalp, affecting elderly patients after local trauma and leading to scarring or cicatricial alopecia. Case Report: An elderly female patient complained of painful pustules on the parietal region bilaterally with progressive enlargement and ulceration. A biopsy suggested erosive pustular dermatosis of the scalp and the patient was treated with prednisone 40 mg/day and 0.1% topical tacrolimus. After 10 weeks complete closure of the eroded areas was observed and a stable scarring alopecia developed.

scholarly journals An enigmatic triad of acute pancreatitis, diabetic ketoacidosis and hypertriglyceridaemia: who is the culprit?

2019 ◽  
Vol 12 (7) ◽  
pp. e217272 ◽  
Author(s):  
Umasankar Mathuram Thiyagarajan ◽  
Amirthavarshini Ponnuswamy ◽  
Alex Chung
Keyword(s):  
Acute Pancreatitis ◽  
Diabetic Ketoacidosis ◽  
Acute Abdomen ◽  
Causal Factor ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
The Real ◽  
Common Causes ◽  
Recent Diagnosis ◽  
The Common

Acute pancreatitis(AP) is one of the common causes of acute abdomen and known to be associated with high morbidity and mortality in severe cases. Though most common causes of AP are cholelithiasis and alcoholism, it has also been reported in association with diabetic ketoacidosis (DKA). Triad of AP, hypertriglyceridaemia (HTG) and DKA is rare co-association and here the causal factor of AP is still not fully established. We report a case of AP in a DKA patient with recent diagnosis of hyperlipidaemia and diabetes. Usually AP has been associated with severe HTG; interestingly, our patient showed only moderate raise in triglycerides but still suffered AP during DKA. Hence, it raises question about the real culprit in this enigmatic triad.

scholarly journals A CASE REPORT OF GAINT JEJUNAL DIVERTICULOSIS PRESENTING AS RECURRENT ACUTE ABDOMEN

2015 ◽  
Vol 2 (36) ◽  
pp. 5816-5819
Author(s):  
Rambabu V ◽  
Babji K ◽  
Dinesh Kumar Reddy N ◽  
Karthik Karthik
Keyword(s):  
Case Report ◽  
Acute Abdomen ◽  
Jejunal Diverticulosis

scholarly journals Rectal irrigation as rescue therapy for refractory and severe hemorrhagic radiation proctitis: a case report

2021 ◽  
Author(s):  
Sukit Pattarajierapan ◽  
Napapat Amornwichet ◽  
Supakij Khomvilai
Keyword(s):  
Case Report ◽  
Successful Treatment ◽  
Endoscopic Therapy ◽  
Rescue Therapy ◽  
Mortality Rates ◽  
Radiation Proctitis ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Chronic Radiation ◽  
Diverting Colostomy

Hemorrhagic chronic radiation proctitis (CRP) refractory to endoscopic therapy is rare. Because of its high morbidity and mortality rates, proctectomy is considered as the last resort. We report the successful treatment of severe hematochezia refractory to endoscopic therapy and diverting colostomy in a patient with CRP via rectal irrigation.

scholarly journals RETROPERITONEAL NECROTIZING FASCIITIS WITH ADNEXITIS PRESENTING AS ACUTE ABDOMEN IN A 40 YEAR UNMARRIED FEMALE PATIENT: A CASE REPORT

2014 ◽  
Vol 3 (68) ◽  
pp. 14698-14701 ◽  
Author(s):  
Sribatsa Kumar Mahapatra ◽  
Ashok Kumar Nayak ◽  
Dhirendra Nath Soren ◽  
Saroj Panda ◽  
Jyotirmay Jena
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Acute Abdomen ◽  
Female Patient

scholarly journals Legionella pneumonia complicated by rhabdomyolysis

2019 ◽  
Vol 12 (6) ◽  
pp. e229243 ◽  
Author(s):  
Bayu Sutarjono ◽  
Janeah Alexis ◽  
Jency Cynthia Sachidanandam
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Case Report ◽  
Renal Impairment ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Legionella Pneumonia ◽  
Legionnaires Disease

Legionnaires’ disease is a recognised but rare cause of rhabdomyolysis. It can be further complicated with renal impairment. In this case report, we describe a previously healthy, semiactive 50-year-old man who within days was reduced to having periods of dyspnea after minutes of walking in addition to near fatal acute renal failure. He was found to have the rare triad of Legionella pneumonia, renal failure and rhabdomyolysis, which is associated with high morbidity and mortality. He was treated according to guidelines with azithromycin monotherapy and aggressive fluid hydration. 20 days after admission, the patient was walking independently and discharged home.

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