RESUMEN
Acute mesenteric ischemia is an abdominal catastrophe. This has been described as a complex of diseases rather than a single clinical entity. The incidence in United States is 1 in 1000 hospital admissions. The objective of this descriptive study was to determine the clinical presentations and out come after surgery of patients with acute mesenteric ischemia. It was conducted at Dubai Hospital, Dubai, United Arab Emirates. All patients having per operative or histopathological diagnosis of acute mesenteric ischemia from 2002 to 2006 were included. There were 16 patients in all. Their mean age was 51 years, 12 were male and 4 were female. Abdominal pain was present in 16 patients, vomiting in 12 and anorexia in 9 patients. Abdominal tenderness was present in 16 patients, abdominal distension and rebound tenderness in 12 patients. Five patients had hypertension, 4 had myocardial infarction and 4 had diabetes mellitus as risk factors. X-Ray abdomen was done in 13 patients, Ultrasound in 9 and CT Scan in one patient. Resection of bowel was done in 14 patients. Post operatively 5 patients developed pneumonia, 3 had wound dehiscence, 3 had sepsis, and 3 had Lower GI bleeding. Five patients were expired after surgery in the hospital. Four patients were lost to follow up. We should have a high index of suspicion for mesenteric ischemia in patients with unexplained abdominal pain. Early diagnosis and prompt surgical intervention improves the outcome
RESUMEN
A case report of a 19-years-old mentally retarded girl, presented with abdominal pain, nausea and vomiting of two days duration. Physical examination revealed abdominal tenderness with guarding and rigidity. Exploratory laparotomy revealed the presence of magnets in the jejunum with perforation of jejunum and a resultant gastro jejunal fistula. The procedure involved enterotomy for removal of magnets, resection of the segment of the bowel with fistula and perforation and end-to-end anastomosis. The association of ingested magnets, leading to dual complications, is a rare case ever reported in Dubai
Asunto(s)
Humanos , Femenino , Cuerpos Extraños/cirugía , Enfermedades del Yeyuno , Perforación Intestinal , Dolor Abdominal , Náusea , Vómitos , Laparotomía , Fístula Intestinal , MagnetismoRESUMEN
This is a case report of a 44 year old male, who presented with upper abdominal pain, vomiting, and fever for two days. On examination, he was jaundiced and febrile. His abdomen was tender in epigastrium and right hypochondrium. CT scan and MRCP revealed a cyst in the region of head of pancreas, extending toward liver. ERCP was not successful. He was operated, and cholecystectomy, excision of the cyst and biliary enteric anastomosis were done. The presence ofcholedochal cyst associated with heterotopic pancreatic tissue in the cyst is a rare association