ABSTRACT
We report a rare case of spinal cord compression caused by primary multiple extradural hydatid cysts.
Subject(s)
Adult , Echinococcosis/pathology , Epidural Space/parasitology , Female , Humans , Lumbar Vertebrae/parasitology , Magnetic Resonance ImagingSubject(s)
Diagnosis, Differential , Foreign Bodies/etiology , Foreign-Body Migration/etiology , Humans , Male , Middle Aged , Prostatectomy , Prostatic Hyperplasia/diagnosis , Urinary Bladder/diagnostic imaging , Urinary Bladder Calculi/diagnosis , Urinary Catheterization/adverse effects , Urinary Retention/diagnosisABSTRACT
The management of appendicular mass seems to be taking turn with the availability of better antibiotics, care and anaesthesia. Quite a few workers turned to the other extreme of traditional conservative approach and reported acceptable results with immediate intervention during phlegmonous stage. But practically, surgeons still continue to adopt the same old regime. To alleviate this fear and circumvent the disadvantages of immediate intervention a midpath regime called early appendicectomy has been clinically evaluated. With this new approach in the present study preventing misdiagnosis (15%), no chance of recurrence as also of missing in the follow-up and shorter overall hospital stay with economy are some strong reasons to adopt this regime.
Subject(s)
Acute Disease , Appendectomy/adverse effects , Appendicitis/diagnosis , Female , Humans , India , Length of Stay , Male , Prospective Studies , Time Factors , Treatment OutcomeSubject(s)
Adult , Cystoscopy , Foreign Bodies/complications , Humans , Male , Urethra , Urinary Retention/etiologyABSTRACT
BACKGROUND: Due to lack of reliable biochemical/radiological markers, the diagnosis of acute appendicitis is based only on clinical features. METHODS: We estimated plasma serotonin levels in 48 patients with acute appendicitis (histologically proven), 27 patients with abdominal pain of other etiologies, and 20 healthy controls. RESULTS: The plasma serotonin levels were (mean +/- SD) 36.6 +/- 12.5 nmol/L, 12.5 +/- 3.6 nmol/L and 10.4 +/- 3.5 nmol/L in the three groups, respectively. The levels in patients with acute appendicitis were significantly higher (p < 0.001) than in the other groups, giving 93.8% sensitivity and 95.7% specificity to the test. CONCLUSION: Plasma serotonin level is a reliable marker of acute appendicitis, especially in the first 48 hours.
Subject(s)
Abdominal Pain/diagnosis , Acute Disease , Appendicitis/diagnosis , Biomarkers/blood , Diagnosis, Differential , Humans , Predictive Value of Tests , Sensitivity and Specificity , Serotonin/analysisABSTRACT
We report a 30-year-old man was involved in a road accident and had a gastric lesser curve tear and multiple splenic tears near the short gastric vessels. We believe that these resulted from sudden deceleration of a full stomach with sudden rise in intragastric pressure.