Abstract
We feel that CTM cannot be recommended in general. However, in selected patients who are continuously bleeding at a low rate and in whom iv-CT was negative, CT mesentericography might be helpful.
© Georg Thieme Verlag KG Stuttgart · New York....
|
PMID: 20652852
PDF is available here.
Abstract
We present the following case of a patient who presented with signs and symptoms of diverticulitis. After failure of medical management, surgical intervention revealed a poorly differentiated adenocarcinoma with a component of large cell neuroendocrine carcinoma....
|
PMID: 21954656
PDF is available here.
Abstract
We systematically reviewed the literature regarding the epidemiology and clinical course of diverticulitis in immunosuppressed patients. Our goal was to develop recommendations regarding the care of this group of patients.
Using PubMed and Web of Knowledge we systematically reviewed all studies publ...
|
PMID: 21178867
PDF is available here.
Abstract
We present the case report of 43-years old woman, which underwent appendectomy some years sooner, and was accepted into the hospital because of 48-hours taking right iliac fossa pain. Local peritoneal irritation was present. During laparotomy resection of right colon with the toilette of abdominal c...
|
PMID: 20731317
PDF is available here.
Abstract
In a retrospective analysis, among a cohort of patients who were referred for outpatient treatment, we found that such treatment was effective for the vast majority (94%) of patients. Women and those with free fluid on CT scan appear to be at higher risk for treatment failure....
|
PMID: 20484998
PDF is available here.
Abstract
Two hundred and ninety-nine patients were admitted between 2000 and 2007. One hundred and seventy-eight patients underwent acute surgery and 121 patients received elective operations. The median age of the 121 patients was 69 years (range: 28-94 years), significantly higher in acute patients (P = 0....
|
PMID: 20380006
PDF is available here.
Abstract
A more focused utilisation of preoperative imaging in females of reproductive age and patients at the extremes of age is suggested. Long-term follow-up should be offered to patients with granulomatous appendicitis and neoplastic appendiceal diseases....
|
PMID: 20124568
PDF is available here.
Abstract
Jejunal diverticulosis is a rare clinical finding with possible serious complications. A case of acute abdomen due to a perforated jejunal diverticulum is discussed, followed by a literature review concerning aetiology, symptoms, complications, diagnosis and treatment is provided.
|
PMID: 20690527
PDF is available here.
Abstract
A man, aged 74, presented with a rare clinical entity of an acute surgical abdomen similar to acute appendicitis. This case showed a non-Meckel's ileal diverticulitis that was complicated with a diverticular perforation and associated peritonitis. This is a very rare but potential life-threatening s...
|
PMID: 20306919
PDF is available here.
Abstract
We describe the intriguing case of chronic anaemia in an infant, where concomitant endoscopic findings misled the diagnosis of jejunal duplication cyst as the cause of enterorrhagia....
|
PMID: 20098005
PDF is available here.
Abstract
We aimed to remind physicians that the clip assisted method is a safe and effective technique for pancreatic and/or biliary cannulation, and should be preferred in patients in whom cannulation is extremely difficult due to large periampullary diverticula.....
|
PMID: 20084573
PDF is available here.
Abstract
The indication for surgery follows the classification according to Hansen and Stock. The abdominal postoperative complications (wound infection, anastomotic leak, prolongated bowel atonia, and others) occurred by elective operated group in 9% and by acute operated group in 26.9%. The overall abdomin...
|
PMID: 20052939
PDF is available here.
Abstract
Colonic diverticulosis is a common, usually asymptomatic, entity of Western countries, with an incidence that increases with age. When these diverticula become infected and inflamed, patients can present with a wide variety of clinical manifestations. Management of acute, uncomplicated diverticuliti...
|
PMID: 19699411
PDF is available here.
Abstract
Abdominal pain visits accounted for 38.8 million encounters; 17.8% received a CT and 11.7% received an US. CT use increased from 10.1% in 2001 to 22.5% in 2005 (P < 0.001). US use increased from 11.1% in 2001 to 13.6% in 2005 (P = 0.002). During the same period, detection rates for appendicitis, div...
|
PMID: 19536032
PDF is available here.
Abstract
We report the fifth case of coloduodenal fistula secondary to colonic diverticulosis. Our patient, a 60-year-old man, presented with severe diarrhoea and recurrent severe hypokalaemia. A partial colectomy with en bloc excision of the fistula was performed, and the duodenal defect was closed primaril...
|
PMID: 19551302
PDF is available here.
Abstract
Probiotics are preparations containing viable microorganisms that confer potential health benefits for the host. Alteration of bacterial flora both in terms of specific content and concentration may be beneficial in many gastrointestinal disorders. Probiotics are widely used for the management of th...
|
PMID: 19403432
PDF is available here.
Abstract
Our patient was admitted with acute abdomen and exploratory laparotomy revealed two side-by-side perforations of the sigmoid colon. A Hartmann's procedure was performed. Macro- and microscopic evaluation confirmed the presence of two perforated sigmoid diverticula due to diverticulitis. Simultaneous...
|
PMID: 19562554
PDF is available here.
Abstract
We describe 2 interesting presentations of neonatal Meckel's diverticulum with review of the literature. Our first patient presented with massive bleeding per rectum in the first week of life, which is the only case reported so far. The second case presented with milk curd obstruction in the Meckel'...
|
PMID: 19444035
PDF is available here.
Abstract
A total of 127 men and 21 women reported clinically diagnosed diverticular disease since baseline. The risk for incident diverticular disease decreased 6.2% per km x d(-1) run (P = 0.04). Relative to men and women who ran
8 km x d(-1) had 48% lower risk...
|
PMID: 19346983
PDF is available here.
Abstract
Laparoscopic sigmoid resections for diverticulitis can be performed with great safety and low conversion rate. Several adjustments in operation technique and perioperative management had to be done to achieve a complication rate and conversion rate at an acceptable low level....
|
PMID: 19390278
PDF is available here.
Abstract
Charts of 104 controls and 614 patients hospitalized with complicated diverticulitis were reviewed based on specified inclusion and exclusion criteria. There was no significant difference between groups by either gender (P = 0.066) or BMI (P = 0.648). There was a significant difference in age and LO...
|
PMID: 19279547
PDF is available here.
Abstract
Several embryopathies involve umbilicus including midgut herniation, omphaloceles, urachal and vascular anomalies. Although described earlier, hernia into umbilical cord has not found enough mention in the literature. Poor understanding of its clinical characteristics has made to miscategorization o...
|
PMID: 19347675
PDF is available here.
Vicente Navarro López,
José M Ramos,
Victoria Meseguer,
José Luis Pérez Arellano,
Regino Serrano,
Miguel Angel García Ordóñez,
Galo Peralta,
Vicente Boix,
Javier Pardo,
Alicia Conde,
Fernando Salgado and
Félix Gutiérrez
Abstract
We analyzed 124 cases of IPA collected from 1990 through 2004 in 11 hospitals in Spain. Twenty-seven (21.8%) patients had primary and 97 (78.2%) had secondary IPA. The main sources of infection were bone (50.5%), gastrointestinal tract (24.7%), and urinary tract (17.5%). A definitive microbial diagn...
|
PMID: 19282703
PDF is available here.
Abstract
We present the case of a 35-year-old active duty sailor who presented with a 24-hour history of worsening abdominal pain and nausea. His exam revealed lower abdominal peritonitis. An abdominal and pelvic CT scan revealed a fluid-filled structure in the pelvis adjacent to the distal small bowel with...
|
PMID: 19354104
PDF is available here.
Abstract
We report a case of jejunal diverticular disease, complicated by acute diverticulitis, in a 75-year-old male who was successfully treated with conservative approach. The non-surgical approach was enabled by early assessment with multislice CT and active close observation....
|
PMID: 19208318
PDF is available here.
Abstract
In most of the patients studied, ambulatory conservative management was safe and effective in the treatment of uncomplicated acute diverticulitis. Moreover, this approach reduces length of hospital stay and lowers costs....
|
PMID: 19231679
PDF is available here.
Abstract
We provide an illustrative presentation, emphasizing the difficulties in preoperative diagnosis of complicated Meckel's diverticulum and underlining the nonspecific nature of the subjective and objective findings. Both cases were admitted to our clinic with acute abdomen diagnoses--first case as a i...
|
PMID: 20187476
PDF is available here.
Abstract
Studies of obesity and diverticular complications are limited. We assessed the relationship between body mass index (BMI), waist circumference, and waist-to-hip ratio and diverticulitis and diverticular bleeding.
|
PMID: 18996378
PDF is available here.
Abstract
20 patients with the complicated forms of Meckel diverticulum are treated. The nosological forms were: acute diverticulitis (n=16), acute ileus (n=2), intestinal bleeding (n=1) and perforation of diverticular wall with foreign body n=1). All cases were diagnosed only intraoperatively. The majority o...
|
PMID: 19491757
PDF is available here.
Abstract
In the Netherlands approximately 14,000 patients are referred to hospital for diverticular disease each year. Overall controversy persists about four aspects of treatment of the different stages of diverticulitis, i.e. the role of antibiotics in the treatment of mild diverticulitis, the question of...
|
PMID: 19857313
PDF is available here.
Abstract
We discussed the management of the rare cases like this. The defined perforated sections, along with the entire distal colon including the sigmoid colon were removed on surgery. In our experience, asymptomatic patients in this situation are usually treated expectantly, with surgery reserved for acut...
|
PMID: 20214217
PDF is available here.
Abstract
LSR was associated with a 15.4% reduction in major complication rates, less pain, improved quality of life, and shorter hospitalization at the cost of a longer operating time....
|
PMID: 19106674
PDF is available here.
Abstract
Jejunal diverticulosis is a rare acquired-disease which courses asymptomatic in most cases. In spite of the fact that there are some publications of this entity in pediatric patients, most symptomatic cases have been found in adults. Reported herein is the case of a patient that presented to the eme...
|
PMID: 20550867
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
The aim of this study was to evaluate the epiploic appendages in patients with acute abdomen using multidetector computed tomography (MDCT) and to determine the incidence of primary and secondary epiploic appendagitis (EA).
A radiologist reviewed MDCT images from 1338...
|
PMID: 19132488
PDF is available here.
Abstract
We present here a case of a symptomatic KJD that was successfully treated with the flexible endoscopic diverticulotomy using two new devices. An isolated-tip needle-knife papillotome (Iso-Tome) was used for the dissection of the tissue bridge of the diverticulum. And a flexible overtube with a modif...
|
PMID: 19030220
PDF is available here.