scholarly journals Intestinal duplication in an elderly-male presented as sigmoid volvulus

2021 ◽  
Vol 54 (1) ◽  
pp. 32
Author(s):  
SamirRanjan Nayak ◽  
Veeranadha Reddy ◽  
Naveen Eemaraka ◽  
YendluriJerusha Jasmine

1997 ◽  
Vol 84 (1) ◽  
pp. 84-85
Author(s):  
R. FAROUK ◽  
M. ROGERS ◽  
P. W. R. LEE
Keyword(s):  


2016 ◽  
Vol 11 (3) ◽  
pp. 270-271 ◽  
Author(s):  
Hiral N. Golakiya ◽  
Hiren N. Hirapara ◽  
Sugnesh J. Parmar ◽  
Viren N. Naik ◽  
Chandrabhanu B. Tripathi


2020 ◽  
Vol 06 (03) ◽  
pp. e167-e170
Author(s):  
Hemanga K. Bhattacharjee ◽  
Shafneed Chaliyadan ◽  
Eshan Verma ◽  
Keerthi Kumaran ◽  
Priyank Bhargava ◽  
...  

Abstract Introduction The ongoing coronavirus disease-2019 (COVID-19) pandemic has disrupted health services throughout the world. It has brought in several new challenges to deal with surgical emergencies. Herein, we report two suspected cases of COVID-19 that were operated during this “lockdown” period and highlight the protocols we followed and lessons we learned from this situation. Result Two patients from “red zones” for COVID-19 pandemic presented with acute abdomen, one a 64-year male, who presented with perforation peritonitis and another, a 57-year male with acute intestinal obstruction due to sigmoid volvulus. They also had associated COVID-19 symptoms. COVID-19 test could not be done at the time of their presentation to the hospital. Patients underwent emergency exploratory laparotomy assuming them to be positive for the infection. Surgical team was donned with full coverall personal protective equipment. Sudden and uncontrolled egression intraperitoneal free gas was avoided, Echelon flex 60 staplers were used to resect the volvulus without allowing the gas from the volvulus to escape; mesocolon was divided using vascular reload of the stapler, no electrosurgical devices were used to avoid the aerosolization of viral particles. Colostomy was done in both the patients. Both the patients turned out to be negative for COVID-19 subsequently and discharged from hospital in stable condition. Conclusion Surgeons need to adapt to safely execute emergency surgical procedures during this period of COVID-19 pandemic. Preparedness is of paramount importance. Full precautionary measures should be taken when dealing with any suspected case.



2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.



2021 ◽  
pp. 1159-1167
Author(s):  
Zainab Al Maqrashi ◽  
Mary Sedarous ◽  
Avinash Pandey ◽  
Catherine Ross ◽  
Ahraaz Wyne

Lactate is a byproduct of anaerobic glycolysis, and hyperlactatemia is commonly seen in critically ill patients. We report a case of an elderly male presenting with undifferentiated constitutional symptoms, anemia, thrombocytopenia, severe lactic acidosis, refractory hypoglycemia, and a newly detected abdominal mass. A dedicated workup ruled out infectious etiologies and revealed metastatic non-Hodgkin’s lymphoma. This study explores etiologies of type B lactic acidosis in oncology patients, with a focus on Warburg’s effect, and its potential for prognostication.





JRSM Open ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 205427042098145
Author(s):  
Bindi Gaglani ◽  
Ian Logan ◽  
Faris Kubba

Reactive perforating collagenosis is commonly recognised as an unusual form of transepithelial elimination of collagen and elastin fibres which are extruded through the epidermis in patients with a genetic predisposition or underlying diseases, such as diabetes mellitus or renal diseases. We present the unusual case of an 87-year-old diabetic male with a giant form of reactive perforating collagenosis and review the available literature.



2020 ◽  
pp. 004947552098130
Author(s):  
Raj K Nagarajan ◽  
Balasubramanian Gopal ◽  
Muhamed Tajudeen ◽  
Sarath C Sistla ◽  
K Balamourougan

Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenomegaly and low-grade fever with no predisposing factors. Examination revealed a tender splenomegaly. Ultrasonography (US) showed a hypoechoic area within the spleen from which guided aspiration of pus grew Staphylococcus aureus and Klebsiella pneumoniae. Percutaneous drainage and culture-based antibiotics failed to resolve the abscess, obligating surgical drainage. Intraoperative biopsy from the abscess wall was reported as splenic marginal lymphoma. This unusual presentation of lymphoma needs to be considered in splenic abscess without known risk factors.



2021 ◽  
Vol 11 (15) ◽  
pp. 6966
Author(s):  
Hee-Jin Choi ◽  
Ji-Yeoun Lee

The objective of this study was to test higher-order statistical (HOS) parameters for the classification of young and elderly voice signals and identify gender- and age-related differences through HOS analysis. This study was based on data from 116 subjects (58 females and 58 males) extracted from the Saarbruecken voice database. In the gender analysis, the same number of voice samples were analyzed for each sex. Further, we conducted experiments on the voices of elderly people using gender analysis. Finally, we reviewed the standards and reference models to reduce sex and gender bias. The acoustic parameters were extracted from young and elderly voice signals using Praat and a time–frequency analysis program (TF32). Additionally, we investigated the gender- and age-related differences in HOS parameters. Young and elderly voice signals significantly differed in normalized skewness (p = 0.005) in women and normalized kurtosis (p = 0.011) in men. Therefore, normalized skewness is a useful parameter for distinguishing between young and elderly female voices, and normalized kurtosis is essential for distinguishing between young and elderly male voices. We will continue to investigate parameters that represent important information in elderly voice signals.



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