ABSTRACT
A case of a 45-year-old lady presenting with symptoms suggestive of pancreatitis is described. Initially the findings on Imaging were ambiguous while the enzyme studies were against the diagnosis of pancreatitis. Recurrence of symptoms and with Increased intensity prompted repeated imaging and further investigations. Finally, by a combination of CT scan, MR imaging and muscle biopsy the rare diagnosis of pyomyositis was established. The fact that this case was difficult to diagnose because of its rarity and its mimicking pencreatitis is discussed.
Subject(s)
Abdominal Abscess/diagnosis , Abdominal Muscles/microbiology , Biopsy , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Pyomyositis/diagnosis , Tomography, X-Ray ComputedABSTRACT
Os autores relatam um caso de botriomicose com tumoração da parede abdominal anterior. Ela é de origem bacteriana e acomete tanto o tecido cutâneo quanto o visceral, e a áreas expostas como mãos e pés são as mais atingidas. No caso em questão se estendia por toda a parede abdominal anterior, com trajetos fistulosos, comprometendo o tecido subcutâneo, músculos, gordura pré-peritoneal, não havendo planos de clivagem com alças instestinais, atingindo região pancreática e bexiga. O diagnóstico final foi feito por exame histopatológico e bacteriológico da lesão.
Subject(s)
Humans , Male , Middle Aged , Staphylococcal Infections , Abdominal Muscles/microbiology , Diagnostic ImagingABSTRACT
La laparostomía contenida es una técnica quirúrgica de excepción indicada especialmente en sepsis abdominal y de pared cuyos objetivos son facilitar evacuación de focos sépticos residuales, minimizando así los efectos sistémicos de la sepsis y evitar el trauma y necrosis de la pared por cierres iterativos. Esta es una técnica aún vigente, pero que dada su alta morbimortalidad debe ser manejada en centros con recursos humanos y materiales adecuados para la gravedad de estos pacientes
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Abdominal Abscess/surgery , Laparotomy , Sepsis/surgery , Anti-Bacterial Agents/therapeutic use , Drainage , Indicators of Morbidity and Mortality , Laparotomy/adverse effects , Abdominal Muscles/microbiology , Peritonitis/surgeryABSTRACT
A rare case of sporotrichosis of abdominal wall has been described from high mountainous region of Himachal Pradesh. Its clinical importance has been discussed in the light of available literature.
Subject(s)
Abdominal Muscles/microbiology , Adolescent , Humans , Male , Sporothrix/cytology , Sporotrichosis/microbiologyABSTRACT
La complicación séptica parietal cuando hay peritonitis de origen colónico es frecuente. La antibioticoterapia sistemática preoperatoria no controlaría la incidencia de infección de pared postoperatoria en estas situaciones. Parece ser útil el empleo de antibióticos por vía sistémica desde el preoperatorio inmediato cuando la patología es obstructiva