Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
BMJ Case Rep ; 20172017 Jun 08.
Article in English | MEDLINE | ID: mdl-28596200

ABSTRACT

We report a case of chronic infection caused by Salmonella and cured by a laparoscopic cholecystectomy after Roux-en-Y gastric bypass (RYGB) surgery for obesity. This patient presented with a 2-year history of chronic abdominal pain, loose stools and excessive weight loss. Her stool and urine cultures were positive for Salmonella Despite multiple courses of antibiotics, she remained positive.After undergoing a laparoscopic cholecystectomy, the patient became asymptomatic and stools remained negative. In chronic carriers for Salmonella, the gall bladder is the common reservoir for the bacteria and removing it is usually curative.The possibility that the source of the may be in the biliary limb of her bariatric procedure and not in the gall bladder remained a concern.In patients who have had a RYGB, cholecystectomy is an effective treatment.All patients presenting with abdominal symptoms following RYGB should have stool and urine cultures taken as part of their work up.


Subject(s)
Cholecystectomy, Laparoscopic/methods , Gallbladder Diseases/microbiology , Gastric Bypass/adverse effects , Salmonella Infections/complications , Salmonella Infections/surgery , Abdominal Pain/etiology , Diagnosis, Differential , Feces/chemistry , Female , Gallbladder Diseases/pathology , Gallbladder Diseases/surgery , Humans , Middle Aged , Salmonella/isolation & purification , Salmonella Infections/microbiology , Treatment Outcome , Weight Loss
2.
BMJ Case Rep ; 20152015 Mar 11.
Article in English | MEDLINE | ID: mdl-25762576

ABSTRACT

Endometriosis is a common clinical presentation for gynaecologists. Occasionally it can present to general surgeons as a swelling in the groin or abdominal wall. This condition should be included in the differential diagnosis in female patients. A 32-year-old woman with a 2-year history of a painful persistent lump in her right groin was referred to the general surgeons by her general practitioner. She was referred with a diagnosis of a suspected inguinal hernia. MRI excluded a hernia and exploration of the groin and subsequent histology confirmed the lesion to be an endometrial deposit.


Subject(s)
Endometriosis/diagnosis , Groin/pathology , Hernia, Inguinal/diagnosis , Adult , Diagnosis, Differential , Endometriosis/surgery , Female , Humans , Magnetic Resonance Imaging
SELECTION OF CITATIONS
SEARCH DETAIL
...