Subject(s)
Parotid Diseases/diagnosis , Tuberculosis, Oral/diagnosis , Abscess/microbiology , Adolescent , Antitubercular Agents/therapeutic use , Biopsy , Chemotherapy, Adjuvant , Humans , Male , Parotid Diseases/complications , Parotid Diseases/surgery , Tuberculosis, Oral/complications , Tuberculosis, Oral/surgeryABSTRACT
An 8-year-old male presented with an acute abdomen. Exploration revealed bilious ascites, oedematous pancreatitis with areas of necrosis, and omentum showing patches of fat necrosis. The common bile duct and almost all of the common hepatic duct were gangrenous and had sloughed, with bile leaking from the junctional stump of the right and left hepatic ducts. The patient was managed successfully by Roux-en-Y hepaticojejunostomy. This is a rare case showing necrosis and sloughing of the extrahepatic bile ducts in acute pancreatitis.
Subject(s)
Common Bile Duct/pathology , Hepatic Duct, Common/pathology , Pancreatitis/complications , Acute Disease , Anastomosis, Roux-en-Y , Child , Fat Necrosis , Humans , Male , Necrosis , Omentum/pathology , Radiopharmaceuticals , Technetium Tc 99m DisofeninABSTRACT
A case of hydatid disease of lung and liver is described. The patient was investigated because of a circumscribed shadow in the right lung on chest skiagram. Another cystic shadow was picked up in the right lobe of liver on ultrasound examination. Both the cysts in right lung and liver were removed simultaneously through a right thoracophrenotomy. Emphasis is being laid on the utilization of single stage thoracotomy as an operative procedure of choice for hydatid cysts of right lung and liver.
Subject(s)
Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/diagnosis , Echinococcosis, Pulmonary/surgery , Thoracotomy/methods , Adult , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Pulmonary/diagnostic imaging , Female , Humans , Tomography, X-Ray Computed , Treatment OutcomeSubject(s)
Choriocarcinoma/diagnostic imaging , Intestinal Neoplasms/diagnostic imaging , Intestine, Small/diagnostic imaging , Adult , Choriocarcinoma/pathology , Choriocarcinoma/surgery , Female , Humans , Intestinal Neoplasms/pathology , Intestinal Neoplasms/surgery , Intestine, Small/pathology , Intestine, Small/surgery , Photomicrography , UltrasonographyABSTRACT
A rare case of primary vaginal calculus is presented. The case is unusual since it occurred after abdominoperineal resection for carcinoma rectum. The mechanism of stone formation in the patient has been discussed.
Subject(s)
Adenocarcinoma/surgery , Postoperative Complications/diagnosis , Rectal Neoplasms/surgery , Urinary Calculi/etiology , Vaginal Diseases/etiology , Female , Humans , Middle Aged , Postoperative Complications/etiology , Urinary Calculi/diagnosis , Vaginal Diseases/diagnosisABSTRACT
OBJECTIVE: To determine the effect of sedation using diazepam on hemoglobin oxygen saturation (SpO2) in patients undergoing esophagogastroduodenoscopy (EGD). METHOD: 100 consecutive patients scheduled for EGD were randomly allocated to receive 0.03 mL/Kg of either diazepam (5 mg/mL solution) or normal saline intravenously after topical oropharyngeal anesthesia immediately before the procedure. SpO2 was continuously monitored throughout the procedure by an anesthetist who was unaware of the drug received. RESULTS: Fall in SpO2 exceeding 4% was noted in 78% of patients in the diazepam group and in 38% of patients in the placebo group (p < 0.001). Fall in SpO2 to suboptimal level (89%) was seen in 20% of patients in the diazepam group and in 10% patients in the placebo group (p < 0.001). The duration of suboptimal SpO2 was similar (means +/- SD being 2.47 +/- 0.10 min in diazepam group and 2.86 +/- 0.32 min in placebo group). CONCLUSION: Intravenous diazepam administration before EGD produces a significant fall in SpO2 during the procedure, and so should be avoided; continuous monitoring of SpO2 should be done during EGD.
Subject(s)
Conscious Sedation/adverse effects , Diazepam/adverse effects , Endoscopy, Digestive System , Hypnotics and Sedatives/adverse effects , Oxygen/blood , Adult , Hemoglobins/metabolism , Humans , Middle AgedSubject(s)
Meningomyelocele/surgery , Female , Humans , Infant , Infant, Newborn , Male , Postoperative Complications , Retrospective StudiesSubject(s)
Infant, Newborn, Diseases/etiology , Intestinal Obstruction/etiology , Intestine, Small/abnormalities , Diagnosis, Differential , Humans , Infant, Newborn , Infant, Newborn, Diseases/pathology , Infant, Newborn, Diseases/surgery , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Intestine, Small/pathologyABSTRACT
Diverticulosis of the jejunum is an uncommon condition. We found four patients with such diverticula among 40,341 hospital admissions. All four patients presented with acute volvulus of the small bowel. It is suggested that the diverticula bearing segment becomes heavier due to the diverticula and the semisolid jejunal contents consisting of roughage, millet and cereals in the staple diet of our patients. Both factors contribute to small bowel volvulus. Jejunal diverticula may be missed because they are buried between the leaves of mesentery or adherent loops of jejunum. With a patient has vague abdominal symptoms, the possibility of jejunal diverticula should be considered.
