Résumé
Spontaneous perforation of the bile duct is rare. Bile duct perforation occurring during pregnancy is even rarer. We report a 21-year-old primipara with sealed bile duct perforation at 28 weeks of amenorrhea.
Sujets)
Adulte , Maladies du cholédoque/diagnostic , Femelle , Humains , Grossesse , Rupture spontanéeRésumé
A 38 years old female presented with pain in the epigastrium, jaundice and fever since one and half month. The computerised tomographic scan of the abdomen revealed a multiloculated abscess of the left lobe of liver. The pus drained from the liver abscess at laparotomy showed acid fast bacilli on microscopy. A detailed search failed to identify any other focus of tuberculous infection. The case has been reported for the rarity of isolated hepatic tuberculous abscess and its presentation with jaundice, a rare feature, and to highlight the importance of microscopic or culture diagnosis in a suspected case of pyaemic abscess.
Sujets)
Adulte , Femelle , Humains , Abcès du foie/diagnostic , Tomodensitométrie , Tuberculose hépatique/diagnosticRésumé
A rare case of gangrenous sigmoid volvulus in a pregnant woman causing intestinal obstruction is reported. The patient had intrauterine foetal death. Laparatomy for resection of sigmoid colon and hysterotomy for removal of dead foetus was carried out. Terminal iliac colostomy with closure of rectal stump was done in the first surgery. The patient underwent colorectal anastomosis 2 months after the first operation and recovered uneventfully.
Sujets)
Adulte , Femelle , Mort foetale , Gangrène , Humains , Occlusion intestinale/diagnostic , Grossesse , Complications de la grossesse/diagnostic , Maladies du sigmoïde/diagnosticRésumé
A case of massive rectal bleeding due to colonic tuberculosis in advanced pregnancy with intrauterine foetal death is reported. Patient was treated with resection of the left colon and left transverse end colostomy with closure of the rectal stump. Hysterotomy for the removal of the dead foetus was performed. The patient improved in health with antitubercular treatment. The colorectal anastomosis was performed after 4 months. Massive rectal bleeding in intestinal tuberculosis, though rare should be kept in mind.
Sujets)
Adulte , Maladies du côlon/complications , Femelle , Mort foetale , Hémorragie gastro-intestinale/étiologie , Humains , Maladies du jéjunum/complications , Grossesse , Complications de la grossesse/chirurgie , Rectum , Tuberculose gastro-intestinale/complicationsRésumé
Percutaneous endoscopic gastrostomy (PEG) was performed in 33 patient with head injury, one with laryngeal cancer, and one with gastric volvulus. The gastrostomy tube was prepared from 20 F Foley catheter and a plastic micropipette tip. The complications encountered included peritubal leak in three patients (9%) and abdominal wall hematoma in one patient (3%). There was no procedure-related mortality. We recommend PEG for tube enteral feeding in patients who have lost the swallowing reflex.
Sujets)
Adulte , Sujet âgé , Cathétérisme/méthodes , Traumatismes cranioencéphaliques/complications , Nutrition entérale , Femelle , Gastroscopie/méthodes , Gastrostomie/méthodes , Humains , Tumeurs du larynx/complications , Mâle , Adulte d'âge moyen , Volvulus gastrique/complicationsRésumé
Anti-gastric activity of metoclopramide was studied in guinea pigs using three different models of gastric ulceration. The effect of metoclopramide on gastric acidity was also studied. It was observed that metoclopramide affords protection against all types of experimentally induced gastric ulceration, without affecting the gastric acid secretion. The protective effect, therefore, is probably due to its ability to promote gastric drainage and to prevent the pyloric reflux, thus preventing corrosive effects of bile and acid on the stomach mucosa.