Retrospective Study of 28 Cases of Cholecystoduodenostomy Performed Using Endoscopic Gastrointestinal Anastomosis Stapling Equipment

2008 ◽  
Vol 44 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Sean Morrison ◽  
Joseph Prostredny ◽  
Daren Roa
Keyword(s):  
Retrospective Study ◽  
Cause Of Death ◽  
Medical Records ◽  
Biliary Obstruction ◽  
Total Bilirubin ◽  
Clinical Signs ◽  
Respiratory Arrest ◽  
Gastrointestinal Anastomosis ◽  
Common Cause ◽  
Extrahepatic Biliary Obstruction

Medical records were reviewed of 24 dogs and four cats that underwent cholecystoduodenostomy to relieve extrahepatic biliary obstruction. These procedures had been performed using a 30-mm endoscopic gastrointestinal anastomosis stapler. At presentation, most animals had clinical signs of vomiting and anorexia, and total bilirubin was elevated in both dogs (n=21) and cats (n=4). Pancreatitis (n=13), cholangiohepatitis (n=7), and neoplasia (n=6) were the most common underlying conditions. Sixteen dogs and two cats survived to their 2-week reevaluation. The most common cause of death was euthanasia (n=9) secondary to neoplasia (n=4), peritonitis (n=3), or respiratory arrest (n=2).

Abdominal Ultrasonographic Findings Associated With Feline Infectious Peritonitis: A Retrospective Review of 16 Cases

2010 ◽  
Vol 46 (3) ◽  
pp. 152-160 ◽  
Author(s):  
Kristin M. Lewis ◽  
Robert T. O’Brien
Keyword(s):  
Retrospective Study ◽  
Peritoneal Cavity ◽  
Retrospective Review ◽  
Medical Records ◽  
Clinical Signs ◽  
Free Fluid ◽  
Academic Institutions ◽  
Feline Infectious Peritonitis ◽  
Clinicopathological Findings ◽  
Abdominal Lymphadenopathy

The feline infectious peritonitis virus (FIPV) is a mutated form of the feline enteric coronavirus (FeCV) that can present with a variety of clinical signs. The purpose of this retrospective study was to analyze abdominal ultrasonographic findings associated with cats with confirmed FIPV infection. Sixteen cases were included in the study from a review of medical records at two academic institutions; inclusion was based either on necropsy lesions (n=13) or a combination of histopathological, cytological, and clinicopathological findings highly suggestive of FIPV infection (n=3). The liver was judged to be normal in echogenicity in 11 (69%) cats, diffusely hypoechoic in three cats, focally hyperechoic in one cat, and focally hypoechoic in one cat. Five cats had a hypoechoic subcapsular rim in one (n=3) or both (n=2) kidneys. Free fluid was present in the peritoneal cavity in seven cats and in the retroperitoneal space in one cat. Abdominal lymphadenopathy was noted in nine cats. The spleen was normal in echogenicity in 14 cats and was hypoechoic in two. One cat had bilateral orchitis with loss of normal testicular architecture. Although none of these ultrasonographic findings are specific for FIPV infection, a combination of these findings should increase the index of suspicion for FIPV infection when considered along with appropriate clinical signs.

scholarly journals Postmortem examination protocol and systematic re-evaluation reduce the proportion of unexplained stillbirths

2020 ◽  
Vol 48 (8) ◽  
pp. 771-777
Author(s):  
Maria Pekkola ◽  
Minna Tikkanen ◽  
Mikko Loukovaara ◽  
Jouko Lohi ◽  
Jorma Paavonen ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Causes Of Death ◽  
Postmortem Examination ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Common Cause ◽  
Examination Protocol

AbstractBackgroundStillbirth often remains unexplained, mostly due to a lack of any postmortem examination or one that is incomplete and misinterpreted.MethodsThis retrospective cohort study was conducted at the Department of Obstetrics and Gynecology, Helsinki University Hospital, Finland, and comprised 214 antepartum singleton stillbirths from 2003 to 2015. Maternal and fetal characteristics and the results of the systematic postmortem examination protocol were collected from medical records. Causes of death were divided into 10 specific categories. Re-evaluation of the postmortem examination results followed.ResultsBased on our systematic protocol, the cause of death was originally defined and reported as such to parents in 133 (62.1%) cases. Re-evaluation of the postmortem examination results revealed the cause of death in an additional 43 (20.1%) cases, with only 23 (10.7%) cases remaining truly unexplained. The most common cause of stillbirth was placental insufficiency in 56 (26.2%) cases. A higher proportion of stillbirths that occurred at ≥39 gestational weeks remained unexplained compared to those that occurred earlier (24.1% vs. 8.6%) (P = 0.02).ConclusionA standardized postmortem examination and a re-evaluation of the results reduced the rate of unexplained stillbirth. Better knowledge of causes of death may have a major impact on the follow-up and outcome of subsequent pregnancies. Also, closer examination and better interpretation of postmortem findings is time-consuming but well worth the effort in order to provide better counseling for the grieving parents.

scholarly journals Mortality in Via Ferrata Emergencies in Austria from 2008 to 2018

2019 ◽  
Vol 17 (1) ◽  
pp. 103 ◽  
Author(s):  
Mathias Ströhle ◽  
Matthias Haselbacher ◽  
Christopher Rugg ◽  
Alex Walpoth ◽  
Ricarda Konetschny ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Mortality Rate ◽  
Cause Of Death ◽  
European Alps ◽  
Limited Data ◽  
Fatal Accidents ◽  
Common Cause ◽  
Actual Incidence

Although the European Alps now have more than 1000 via ferratas, limited data exist on the actual incidence of fatal events in via ferratas and their causes. This retrospective study analysed data from a registry maintained by the Austrian Alpine Safety Board (n = 161,855, per 11 September 2019). Over a 10-year period from 1 November 2008 to 31 October 2018, all persons involved in a via ferrata-related emergency were included (n = 1684), of which 64% were male. Most emergencies were caused by blockage due to exhaustion and/or misjudgement of the climber’s own abilities. Consequently, more than half of all victims were evacuated uninjured. Only 62 (3.7%) via ferrata-related deaths occurred. Falling while climbing unsecured was the most common cause of death, and males had a 2.5-fold higher risk of dying in a via ferrata accident. The mortality rate was highest in technically easy-to-climb sections (Grade A, 13.2%/B, 4.9%), whereas the need to be rescued uninjured was highest in difficult routes (Grade D, 59.9%/E, 62.7%). Although accidents in via ferratas are common and require significant rescue resources, fatal accidents are rare. The correct use of appropriate equipment in technically easy-to-climb routes can prevent the majority of these fatalities.

scholarly journals Prevalence of cardiac lesions in cases of bovine clostridial myositis

2020 ◽  
Author(s):  
Kim Newkirk ◽  
Caitlin M. Culligan ◽  
Chika C. Okafor ◽  
Francisco A. Uzal
Keyword(s):  
Skeletal Muscle ◽  
Retrospective Study ◽  
Cause Of Death ◽  
Cardiac Involvement ◽  
Common Cause ◽  
Heart Involvement ◽  
Cardiac Lesions ◽  
Muscle Lesions ◽  
Clostridium Chauvoei

Abstract ObjectiveThe aim of this retrospective study was to determine the prevalence of cardiac lesions in cases of clostridial myositis. Clostridial myositis (blackleg) is a common cause of death in cattle and is caused by the bacterium Clostridium chauvoei. The characteristic lesions include hemorrhage, necrosis, edema, and emphysema within skeletal muscle and, less commonly, the heart.ResultsOf the 37 cases of blackleg identified, 26 animals (70.3%) had cardiac lesions, including 4 (10.8%) which had only cardiac involvement without skeletal muscle lesions. Cardiac lesions were characterized as necrotizing myocarditis (n=21), fibrinous to fibrinosuppurative pericarditis, epicarditis, or endocarditis (n=24), or both (n=19). These data demonstrate that, in cases of bovine clostridial myositis, cardiac lesions are common, while heart involvement in the absence of skeletal muscle lesions is uncommon.

scholarly journals A Retrospective Study of Small Animal Poisoning at the Veterinary Medical Teaching Hospital from South Region of Brazil

2018 ◽  
Vol 46 (1) ◽  
pp. 7 ◽  
Author(s):  
Luciana Zang ◽  
Rafaela Scheer Bing ◽  
Ana Cristina Pacheco De Araujo ◽  
Marcio Poletto Ferreira
Keyword(s):  
Retrospective Study ◽  
Teaching Hospital ◽  
Medical Records ◽  
Clinical Signs ◽  
Small Animal ◽  
Medical Teaching ◽  
Specific Patient ◽  
Cleaning Product ◽  
Number Of Patients ◽  
Antiparasitic Drugs

Background: Poisoning cases are a challenge for the veterinary practitioner, since many agents can be involved. The incomplete patient history associated with advanced poisoning stage often leads to death. Since lacking information is common, it is essential to be aware of principal poisoning agents and their associated symptomatology. The aim of this study is to describe the major agents involved in small animal poisoning, the causative agent, poisoning route, time to search veterinary care, clinical signs and ancillary tests of canine and feline patients treated at the Veterinary Medical Teaching Hospital from January 2010 to June 2016.Materials, Methods & Results: Forty-four medical records with poisoning history were found and reviewed, but only 30 medical records had complete data to be evaluated. There were 24 dogs and 6 cats, 17 female and 13 male. Six females were spayed. Poisoning agent identification was possible in 29 cases and was food, molluscicide, cleaning product, ornamental plants, medication, rodenticide and antiparasitic drugs. Fourteen poisonings were caused by the owner and 16 were accidental. There was a higher poisoning incidence in dogs than cats. Most of the patients were young and unneutered/unspayed.Discussion: In this study there was a higher poisoning prevalence in dogs than cats, as occurred in other studies published in Europe, Belgium, France, Greece, Italy, Spain, Austria and other Brazilian regions. Most of the patients were young, which is in agreement with previous studies in which young animals were more affected. Domestic antiparasitic drugs were the most common poisoning agents (33%), as reported in studies from France and Spain. In southern Brazil, the most common poisoning agent was medication, whereas in southeast Brazil, organophosphates were the most prevalent poisoning agent. Considering this, the geographic localisation seems to influence the poisoning agent. It is known that many owners give unprescribed medication to their pets and this also happened in this study, as 46% of the poisoning cases were caused by the owner. The most common clinical signs were gastrointestinal (76%, emesis and anorexia) and neurological (63%, depression). This is in agreement with another study that showed a high number of patients poisoned by medications leading to severe gastrointestinal clinical signs. Despite a history of eating spiced food, our food-poisoned patient did not show clinical signs compatible with pepper poisoning. In fact, clinical signs were more compatible with salt or onion and garlic poisoning, but there was no history to support that our patient had eaten these foods. The patient who ate fern and busy Lizzie (Impatiens walleriana) did not show clinical signs compatible with these agents but showed gastrointestinal clinical signs that could have occurred due to plant indigestion. This fact emphasises the need for more studies in this area. One dog with rodenticide poisoning presented with normal blood test results, but the blood sample was collected a few hours after exposure. This can occur after brodifacoum poisoning, which has a longer half-life than warfarin. In brodifacoum poisoning cases, clinical signs can appear days after exposure. In one dog, it was not possible to indentify the poisoning agent and this specific patient case exemplifies the challenge to diagnose the exact poisoning agent and concomitant diseases when the history is incomplete. This retrospective study shows the heterogeneity of the causative agents and the associated symptomatology, which highlights the need for further studies in this area. In this study, antiparasitic drugs were the most common poisoning agents, especially pyrethroids. Dogs were more affected than cats. Most of the patients were young and unneutered/unsprayed, indicating these characteristics could be a risk factor in this study.

Fatal Strongyloidiasis in Gibbons (Hylobates lar)

1978 ◽  
Vol 15 (1) ◽  
pp. 31-39 ◽  
Author(s):  
A. DePaoli ◽  
D. O. Johnsen
Keyword(s):  
Weight Loss ◽  
Retrospective Study ◽  
Gastrointestinal Tract ◽  
Cause Of Death ◽  
Adult Female ◽  
Paralytic Ileus ◽  
Clinical Signs ◽  
Wide Distribution ◽  
Hylobates Lar

A 6-year retrospective study of necropsy material from a colony of 200 gibbons showed strongyloidiasis to be the most frequent cause of death (24 cases). Clinical signs included diarrhea, constipation, weight loss, paralytic ileus and dyspnea. Lesions were most frequent in the gastrointestinal tract and lungs. In the gut there were erosive and ulcerative enteritis associated with adult female parasites and rhabditiform larvae and acute and granulomatous enterocolitis associated with invading filariform larvae. There was severe multifocal or diffuse hemorrhage associated with migrating larvae in the lungs of 23 gibbons. Filariform larvae and the lesions they caused also occurred in various tissues; this was commensurate with the wide distribution of these larvae when hyperinfection occurred.

Ultrasonographic evaluation of cholecystoduodenostomy sites in six cats

2020 ◽  
pp. 1098612X2092106
Author(s):  
Antonia A DeJesus ◽  
Dominique G Penninck ◽  
Cynthia RL Webster
Keyword(s):  
Bile Duct ◽  
Biliary Obstruction ◽  
Intrahepatic Bile Duct ◽  
Clinical Signs ◽  
Case Series ◽  
Biliary Tree ◽  
High Morbidity ◽  
Extrahepatic Biliary Obstruction ◽  
The Right ◽  
Ultrasonographic Appearance

Case series summary This case series describes the postoperative ultrasonographic findings in six cats that underwent a cholecystoduodenostomy as treatment for extrahepatic biliary obstruction. The surgery site was identified in all six cats, most often within the right cranial abdomen as a thick-walled gall bladder, with a broad-based connection to the descending duodenum. Postoperatively, the biliary tree often remained distended, similar to its preoperative appearance. Recurrent extrahepatic biliary obstruction was suspected in three cats with worsening hyperbilirubinemia. Common bile duct distension was progressive in one of these cats and unchanged in another, but improved in the third. Intrahepatic bile duct distension resolved in one cat following surgery but reappeared with suspected recurrent biliary obstruction. In two cats, progressive echogenic biliary contents were associated with locally aggressive cholangiocarcinoma. Our findings suggest that in cats with cholecystoduodenostomy and progressive increases in hyperbilirubinemia following surgery, progressive or recurrent biliary distension and/or progressive echogenic biliary contents should prompt further investigation. Relevance and novel information Biliary diversion surgery in cats is associated with high morbidity and mortality. The ultrasonographic appearance of a postoperative cholecystoduodenostomy site has not been described, making differentiation of the expected appearance from postoperative abnormalities difficult. The goal of this study was to determine the expected ultrasonographic appearance, in order to assist in managing cats with recurrent, persistent or worsening clinical signs and biochemical abnormalities following surgery.

scholarly journals Infectious disease is the most common cause of death among stroke patients: two-years of follow-up

2013 ◽  
Vol 71 (6) ◽  
pp. 371-375 ◽  
Author(s):  
Michel Ferreira Machado ◽  
Sonia Maria Dozzi Brucki ◽  
Catarina Falleiros Nogueira ◽  
Maria Sheila Guimaraes Rocha
Keyword(s):  
Infectious Disease ◽  
Ischemic Stroke ◽  
Cause Of Death ◽  
Medical Records ◽  
Stroke Patients ◽  
Common Cause ◽  
Risk Of Death ◽  
Stroke Etiology ◽  
Causes Of Mortality

Stroke represents the second common cause of death in adults. Objective It was to evaluate the incidence and causes of mortality after 30 days in a group of patients with an atherothrombotic ischemic stroke who were followed-up for a period of up to two years. Methods We analyzed retrospectively the medical records of patients with ischemic stroke, who did not undergo thrombolysis, of the Santa Marcelina Hospital. We applied a research protocol to obtain information about risk factors and the etiology of death. Results They were followed 337: mean age was 66.6 years (SD 9.05) and 43.9% were females. The mortality rate was 11.9% with most deaths (37.5%) occurring due to infectious causes. The age was correlated with the risk of death, which was five times higher in patients older than 80. Conclusion The most important cause of death after 30 days was infectious disease, and advanced age was predictor of mortality among patients with an atherothrombotic stroke etiology.

scholarly journals PREVALENSI AGE RELATED MACULAR DEGENERATION DI POLIKLINIK MATA BLU RSUP Prof. Dr. R. D. KANDOU MANADO PERIODE JANUARI 2013 – OKTOBER 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Clarissa E. Tany ◽  
Vera Sumual ◽  
J. S. M. Saerang
Keyword(s):  
Retrospective Study ◽  
Macular Degeneration ◽  
Medical Records ◽  
Vision Loss ◽  
Central Area ◽  
Age Related Macular Degeneration ◽  
Common Cause ◽  
Age Related ◽  
History Of ◽  
Male Patients

Abstract: Age–related macular degeneration (AMD) is a visual impairment in central area of the retina (macula) that tends to be progressive. In developing countries, AMD becomes the most common cause of irreversible vision loss in people aged ≥50 years. This study aimed to obtain the prevalence of AMD in Department of Opthalmology at Prof. Dr. R. D. Kandou Hospital Manado from January 2013 to October 2015. This was a descriptive retrospective study using medical records of Department of Opthalmology. The results showed that there were 41 patients diagnosed as AMD. Based on sexes, AMD occured more frequent in male patients as many as 28 paients (68.3%). This disease was dominated by patients aged 61-70 years old as many as 16 patients (39%). There were 10 patients (24.4%) that had history of hypertension.Keywords: prevalence, AMD  Abstrak: Age–related macular degeneration (AMD) adalah suatu gangguan penglihatan sentral retina (makula) yang bersifat progresif. Di negara berkembang AMD menjadi penyebab terbanyak hilangnya penglihatan yang ireversibel pada individu di atas 50 tahun. Penelitian ini bertujuan untuk mengetahui prevalensi AMD di Poliklinik Mata BLU RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2013-Oktober 2015. Jenis penelitian ini deskriptif retrospektif dengan memanfaatkan data rekam medik di Poliklinik Mata BLU RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan 41 pasien dengan diagnosis AMD. Berdasarkan jenis kelamin, AMD lebih banyak dialami oleh jenis kelamin laki-laki sebanyak 28 orang (68,3%), sedangkan untuk rentang umur didominasi oleh umur 61-70 tahun yaitu sebanyak 16 orang (39%). Terdapat 10 orang (24,4%) dengan riwayat hipertensi.Kata kunci: prevalensi, AMD

scholarly journals PATTERN OF MEDICOLEGAL AUTOPSIES CONDUCTED AT TIRUPATI, ANDHRA PRADESH: A 3-YEAR RETROSPECTIVE STUDY

2021 ◽  
pp. 123-125
Author(s):  
K. JYOTI PRASAD ◽  
B. VENKATESULU ◽  
M. ABDUL KHALID
Keyword(s):  
Retrospective Study ◽  
Cause Of Death ◽  
Rural Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Age Group ◽  
Manner Of Death ◽  
Female Ratio ◽  
Common Cause ◽  
Medical College

Objectives: Death of an individual is a grave loss to the family and community at large. Death may be natural or unnatural. Analysis of unnatural deaths helps in understanding the causes, manner, and modes of deaths, thereby formulate and implement a proper policy to reduce incidence. Methods: This is a retrospective study of autopsies conducted over 3 years (2018–2020) in the mortuary of Sri Venkateshwara Medical College, Tirupati. During this period, 2579 autopsies were performed. Required data were collected from the requisitions of police, inquest reports, case sheets, medicolegal register, and postmortem reports in a preformed pro forma. Results: Out of the 2579 cases, majority were in the age group of 21–30 years (34.62%) followed by 41–50 years (18.06%). Male-to-female ratio was 2.5:1. Majority were Hindus (83.52%) and most of the subjects belonged to the rural areas (62.89%). Majority were married (78.40%). The most common cause of death was road traffic accident (48.04%) followed by poisoning (15.82%). Accidental deaths were the most common manner of death (60.56%) followed by suicides (33.96%). Conclusion: The present study reveals that the most cases were in 21–30 years age group. Males outnumbered females and the subjects were mostly married and were from rural areas. Road traffic accidents were common cause of death in males and poisoning was the common cause of death in females.

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