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At least 1,243 records · Page 69Linked to original sources
PubMed1993

[Dorsolateral approach to the left subphrenic area, to the bursa omentalis and to the cauda pancreatis].

We are reporting on a dorsolateral access left to the bursa omentalis and to the left subphrenium carried out in order to relieve infectious processes in this region. The access has proved a success above all in the later postoperative period, e.g. when the protecting conglutinations towards ventral isolate the process from the abdominal cavity. At the lying patient this access allows the drainage of the exsudation over the deepest point. The results of 23 surgical interventions are being demonstrated with references to possible complications caused by the intervention.

Adult↗
PubMed1977

Gastric rupture as a result of blunt trauma.

Six patients with gastric rupture secondary to blunt abdominal trauma are presented in detail. The salient features of each case are briefly discussed, along with a further analysis of the review by Yajko and colleagues. The aggressive operative treatment of these patients is emphasized along with the vigorous attention that must be given to postoperative intra-abdominal sepsis caused by the initial contamination leading to morbidity and mortality.

Abdominal Injuries↗
PubMed1977

[Surgical wound dehiscence after esophageal anastomosis in radical surgery of cancer of the cardia].

The authors have analysed 64 observations of suture incompetency of esophageal anastomosis after resection for cancer of the gastric cardiac portion. Three pathogenic phases and three variants of the clinical course are distinguished in the development of the complication. The successful treatment of the complication largely depends on its recognition and properly selected method of treatment with relation to a variant of the course, a phase of the process and terms of its diagnosis.

Cardia↗
PubMed1995

Splenic lymphoma: unusual case with exclusive red pulp involvement.

A case of Primary Malignant Lymphoma of the Spleen (PMLS) with exclusive red pulp involvement is described and discussed. Although the unusual topographic presentation the authors emphasize the physiologic arrangement of lymphoid cell in splenic red pulp cords that can give origin to the neoplasia. They moreover discuss problems of differential diagnosis with Malignant Histiocytosis (MH), Hairy Cell Leukemia (HCL) and Myeloid Process, both by morphology and immunohistochemistry.

Fatal Outcome↗
PubMed1997

Laparoscopic splenectomy for chronic idiopathic thrombocytopenic purpura.

Since October 1994, we have performed 15 laparoscopic splenectomies for idiopathic thrombocytopenic purpura. All the patients were women, aged 23 to 47 years. We used five ports (three 10-mm ports and two 5-mm ports) for the first eight cases, but we could save one 10-mm port after changing patient's position from supine to the right lateral kidney position. There was no case of conversion to exploratory laparotomy. The mean hospital stay was 6 days. No significant perioperative morbidity or mortality was associated with the surgery. Since undergoing laparoscopic splenectomy, 12 patients have been off steroids, two patients have been on small doses of steroids, and one patient has been on the same dose of steroid with no response. Laparoscopic splenectomy is a relatively safe and reasonable operative procedure for the patient with idiopathic thrombocytopenic purpura or normal-sized spleen.

Adult↗
PubMed1997

Diffuse fatty infiltration of the liver: pitfalls in computed tomography diagnosis.

The presence of a fatty liver often complicates the interpretation of abdominal computed tomography (CT). Abnormalities in or adjacent to the liver, including dilated bile ducts, liver masses and subphrenic collections, may be masked by the fatty liver. Furthermore, normal structures may simulate pathological conditions. Five cases are presented to illustrate some of these diagnostic pitfalls.

Aged↗
PubMed1998

Imaging evaluation of the diaphragm.

The diaphragm performs most of the physiologic work of inspiration, and forms an anatomic barrier between the thoracic and abdominal cavities. Disorders of the diaphragm can be related to impairment of either of these functions, and most have radiologic manifestations. Both intrathoracic and intra-abdominal disease processes can alter the normal radiologic appearance of the diaphragm. Abnormalities are usually first detected on chest radiographs, often incidentally in asymptomatic patients, and many require further characterization by other imaging studies for definitive diagnosis. Fluoroscopy, CT, and MR imaging are frequently the most useful additional studies, whereas ultrasonography, barium contrast studies, and liver-spleen scintigraphy are occasionally helpful. Selection of the most appropriate radiologic technique in a given clinical situation can greatly facilitate the diagnosis of diaphragm abnormalities.

Diagnostic Imaging↗
PubMed1980

Computed tomography in the diagnosis of abdominal abscess.

The CT features in 30 cases of suspected intra-abdominal abscesses are reviewed. The cases were grouped into proven (24), probable (4), and possible (2) abscess on clinical grounds, and were analyzed according to site within the abdomen. Two cases of carcinoma with fluid collections mimicking abscesses are also discussed. In the appropriate clinical context, abdominal abscess is identified on CT as a circumscribed low-density region within the abdomen. Subphrenic, hepatic, and splenic abscesses were readily recognized without contrast enhancement inthe majority of cases, although contrast enhancement consistently rendered loculation within hepatic abscesses more obvious. Aspiration and drainage under CT control were invaluable in diagnosis, permitting the identification of the causative organism in 18 cases. The precise anatomical detail provided by CT was important in achieving successful catheter placement for drainage.

Abscess↗
PubMed1982

Computed tomographic diagnosis of abdominal abscesses.

The CT signs of abdominal abscess are evaluated, based on experience gained with 41 abscesses in 38 patients. The majority of abscesses were located in the upper abdomen, the largest groups being 12 hepatic and 9 subphrenic. In 16 patients the abscesses were postoperative. The most common CT sign of an abdominal abscess was a homogenous low density lesion. Other primary signs were: well defined wall, mass effect and pathological extraintestinal gas. The role and types of contrast enhancement are discussed. Contrast enhancement are discussed. Contrast enhancement was not essential for the diagnosis of abdominal abscess in the majority of cases. The diagnosis of abdominal abscess by CT is compared to ultrasonography and conventional radiography.

Abscess↗
PubMed1990

[Percutaneous drainage of abdominal abscesses].

Percutaneous drainage has been widely accepted as the preferred treatment for abdominal abscess. Indications have been clarified recently and the absence of a secure route is the only absolute contraindication. We performed this procedure in 65 patients with abdominal abscess at different locations: liver 27, subphrenic 33, lesser cavity 3 and perirenal 3. Overall success rate was 85%, with 89% for liver and 88% for the subphrenic location. Six patients died of multisystemic failure even though the abscess was properly drained. Four patients were operated on for persistent abscess. A pancreatic fistula was shown in 1 and a peritoneal hydatid cyst was the original lesion in the other. Pneumothorax occurred in 5 patients requiring drainage in 2. Two other patients developed hydro-pneumothorax and empyema, that was drained. The overall complication rate was 14%. Thus, percutaneous drainage is a simple and highly successful treatment for abdominal abscess. Results are influenced by the accuracy of diagnosis and a proper selection of patients.

Abdomen↗