RESUMEN
A case of suspected chronic cholecystitis who underwent laparotomy, was found to have agenesis of gall bladder. Standard investigative modalities which are done for chronic cholecystitis might be fallacious and baffling. Agenesis of gall bladder should be kept in mind whenever the gall bladder is improperly visualised in routine imaging methods.
Asunto(s)
Colangiografía , Colecistitis/diagnóstico , Enfermedad Crónica , Anomalías Congénitas/diagnóstico por imagen , Errores Diagnósticos , Femenino , Vesícula Biliar/anomalías , Humanos , Persona de Mediana Edad , Monitoreo IntraoperatorioRESUMEN
A lymphangioma of the chest wall, hitherto unreported is described here.
Asunto(s)
Adolescente , Fibrosis , Estudios de Seguimiento , Humanos , Linfangioma/diagnóstico , Masculino , Músculos Pectorales/patología , Neoplasias Torácicas/diagnóstico , Resultado del TratamientoRESUMEN
Thyroid abscess arising from Acute Suppurative Thyroiditis (AST) is a rare clinical disorder. The ability of the thyroid gland to resist infection is well known and infection in the thyroid gland is rare, particularly so with the advent of widespread usage of antibiotics. An internal pharyngeal fistula (Pyriform sinus fistula) is the most common underlying abnormality in patients with AST. We report a case of an adult male who presented with a thyroid abscess. The causal organism was found to be Staphylococcus aureus. Intravenous antibiotics and, incision and drainage of the abscess led to an uncomplicated recovery.
Asunto(s)
Absceso/diagnóstico , Adulto , Antibacterianos/administración & dosificación , Drenaje , Estudios de Seguimiento , Humanos , Masculino , Infecciones Estafilocócicas/diagnóstico , Staphylococcus aureus/aislamiento & purificación , Enfermedades de la Tiroides/diagnóstico , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
OBJECTIVE: Immunosuppression associated with deranged hepatic function and sepsis results in poor surgical outcome in extrahepatic obstructive jaundice. The effect of an ayurvedic agent, Tinospora cordifolia (TC), which has been shown to have hepatoprotective and immunomodulatory properties in experimental studies, on surgical outcome in patients with malignant obstructive jaundice was evaluated. METHODS: Thirty patients were randomly divided into two groups, matched with respect to clinical features, impairment of hepatic function (as judged by liver function tests including antipyrine elimination) and immunosuppression (phagocytic and killing capacities of neutrophils). Group I received conventional management, ie vitamin K, antibiotics and biliary drainage; Group II received Tinospora cordifolia (16 mg/kg/day orally) in addition, during the period of biliary drainage. RESULTS: Hepatic function remained comparable in the two groups after drainage. However, the phagocytic and killing capacities of neutrophils normalized only in patients receiving Tinospora cordifolia (28.2 +/- 5.5% and 29.47 +/- 6.5% respectively). Post-drainage bactobilia was observed in 8 patients in Group I and 7 in Group II, but clinical evidence of septicemia was observed in 50% of patients in Group I as against none in Group II (p < 0.05). Post-operative survival in Groups I and II was 40% and 92.4% respectively (p < 0.01). CONCLUSION: Tinospora cordifolia appears to improve surgical outcome by strengthening host defenses.