RESUMO
We report a rare case of spinal cord compression caused by primary multiple extradural hydatid cysts.
Assuntos
Adulto , Equinococose/patologia , Espaço Epidural/parasitologia , Feminino , Humanos , Vértebras Lombares/parasitologia , Imageamento por Ressonância MagnéticaAssuntos
Diagnóstico Diferencial , Corpos Estranhos/etiologia , Migração de Corpo Estranho/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prostatectomia , Hiperplasia Prostática/diagnóstico , Bexiga Urinária/diagnóstico por imagem , Cálculos da Bexiga Urinária/diagnóstico , Cateterismo Urinário/efeitos adversos , Retenção Urinária/diagnósticoRESUMO
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.
Assuntos
Doença Aguda , Apendicectomia/efeitos adversos , Apendicite/diagnóstico , Feminino , Humanos , Índia , Tempo de Internação , Masculino , Estudos Prospectivos , Fatores de Tempo , Resultado do TratamentoAssuntos
Adulto , Cistoscopia , Corpos Estranhos/complicações , Humanos , Masculino , Uretra , Retenção Urinária/etiologiaRESUMO
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.
Assuntos
Dor Abdominal/diagnóstico , Doença Aguda , Apendicite/diagnóstico , Biomarcadores/sangue , Diagnóstico Diferencial , Humanos , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Serotonina/análiseRESUMO
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.