scholarly journals “Adenomatous Polyps of the Gallbladder” Adenomas of the Gallbladder

HPB Surgery ◽  
1991 ◽  
Vol 3 (4) ◽  
pp. 251-258 ◽  
Author(s):  
Attilio Maria Farinon ◽  
Antonio Pacella ◽  
Francesco Cetta ◽  
Mario Sianesi
Keyword(s):  
Surgical Treatment ◽  
Rapid Growth ◽  
Gallbladder Disease ◽  
Rare Condition ◽  
Clinical Problem ◽  
Adenomatous Polyps ◽  
Rare Occurrence ◽  
Ultrasonographic Diagnosis ◽  
Made In

The finding of adenomatous polyps of the gallbladder is a rare occurrence and an unusual clinical problem.Among 2,145 patients who underwent cholecystectomy for gallbladder disease only 9 (0.4 per cent) presented with adenomatous polyps. There were 6 women and 3 men, aged 17 to 70 years. Preoperative ultrasonographic diagnosis was made in only 1 of 7 patients with gallstones, in contrast polypoid lesions within a gallbladder without stones were easily confirmed by both ultrasonography and oral cholecystography in the remaining 2 patients. All polyps were 1.0 cm or less in size and without histologic evidence of malignant change. The clinical significance of this rare condition is discussed, with particular reference to a possible role in development of gallbladder carcinoma. Surgical treatment should be advocated regardless of clinical manifestation when the polyp exceeds 1.0 cm in diameter or rapid growth of the lesion is seen on ultrasonographic follow-up examinations.

CONGENITAL TRUE COMPLETE SYMPHALANGISM OF ALL PROXIMAL INTERPHALANGEAL JOINTS OF HANDS WITH CARPAL ANOMALIES: A CASE REPORT

Hand Surgery ◽  
2001 ◽  
Vol 06 (02) ◽  
pp. 223-226 ◽  
Author(s):  
Ibrahim Tuncay ◽  
Fuat Akpinar ◽  
Nihat Tosun
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Clinical Problem ◽  
Carpal Bones ◽  
Skeletal Survey ◽  
Skeletal Deformities ◽  
Type Iii ◽  
Congenital Fusion

Symphalangism is a rare condition which manifests in either PIP or DIP joint congenital fusion. Symphalangism may be with some other skeletal deformities. In our case, all PIP joints of both hands were fused with bilateral hypoplasia of carpal bones and Minaar type III lunatotriquetral coalition congenitally. No motion was detected in PIP joints with absence of cutaneous creases over all PIP joints. Radiologically, carpal hypoplasia and lunatotriquetral coalition were seen in all fingers with the absence of PIP joints. The patient's skeletal survey revealed no other pathology. He had no complaints related to his hands. So, regular follow-up was recommended. This pathology was presented as rarely observed although clinical problem is usually not so much.

scholarly journals EXTENSIVE NECROTIC TROPHIC FOOT AND LEG ULCER IN THE PRESENCE OF ESSENTIAL THROMBOCYTHEMIA

2015 ◽  
Vol 1 (1) ◽  
pp. 41-45
Author(s):  
V. O. Tsvetkov ◽  
V. V. Malovichko ◽  
A. S. Stupin ◽  
S. O. Arkhireev
Keyword(s):  
Platelet Count ◽  
Surgical Treatment ◽  
Essential Thrombocythemia ◽  
Excellent Result ◽  
Skin Grafting ◽  
Blood Platelet ◽  
Ulcer Recurrence ◽  
Rare Occurrence ◽  
Blood Platelet Count

We are to present a rare occurrence of large limb-threatening ulcer of the leg and foot in patient with thrombocytosis. Essential thrombocythemia was diagnosed based on peripheral blood platelet count and gen test findings. The improving of platelet count was obtained by oral hydroxyurea. Complex surgical treatment, including free-skin grafting, was performed with the excellent result. Two-year follow-up was retraced without any sign of ulcer recurrence. 

scholarly journals Abdominal Viscera Migration Performing Hemodynamic Instability after Esophagectomy: A Case Report

2021 ◽  
pp. 1-6
Author(s):  
Ian Torres de Lima ◽  
Edno Tales Bianchi ◽  
Gabriel Lunardi Aranha ◽  
Beatriz Camargo Azevedo ◽  
Guilherme Naccache Namur ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Case Report ◽  
Minimally Invasive ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Hemodynamic Instability ◽  
Minimally Invasive Surgical ◽  
Late Postoperative Period ◽  
Made In

Hiatal hernia is a rare postoperative complication of esophagectomy in the treatment of esophageal cancer. Although rare, its incidence increased after the establishment of minimally invasive surgical techniques. The patient is usually oligosymptomatic, and the diagnosis is made in the late postoperative period, during outpatient follow-up. The initial presentation of hiatus hernia with hemodynamic instability is a rare condition that has never been described in the literature before. In the following report, we address the clinical picture, diagnosis, and treatment for this condition, discussing the main nuances of the literature.

scholarly journals The surgical treatment of retroperitoneal echinococcosis: the experience of a single center

2020 ◽  
Author(s):  
Jingyu He ◽  
Chuang Yang ◽  
Yiwen Qiu ◽  
Wentao Wang
Keyword(s):  
Surgical Treatment ◽  
Radical Surgery ◽  
Rare Condition ◽  
Radical Resection ◽  
High Rate ◽  
Resection Group ◽  
Group A ◽  
Group B ◽  
Surgical Group

Abstract Background Echinococcosis refers to a worldwide epidemic of zoonotic parasites that commonly affect the human liver, lungs, and omentum and can be classified as cystic echinococcosis (CE) and alveolar echinococcosis (AE).Retroperitoneal echinococcosis (RE) is a rare condition that is associated with a high mortality and disability rate. Because RE manifests in a concealed and deep location, and can often involve several important organs, it is associated with a high rate of misdiagnosis, a high risk of surgery, and is extremely difficult to manage. Methods This was a retrospective analysis of the characteristics and surgical management of patients diagnosed with RE in our hospital between 2012 and 2019. Results Between 2012 and 2019, 1257 cases of echinococcosis and 121 cases of RE were diagnosed in our hospital. Of these, 68 cases involved surgical treatment, 53 involved non-surgical treatment, and 12 cases were lost to follow-up (four cases in the surgical group and eight cases in the non-surgical group). Thus, 109 cases were followed-up. RE cases were divided according to different treatment methods into a radical resection group (Group A, 31 cases), a non-radical resection group (Group B, 37 cases), and a non-surgical group (Group C, 53 cases). We carried out a detailed analysis of the 109 cases experiencing surgical intervention with effective follow-up; there were 31 cases of radical resection (Group A), 33 cases of non-radical resection (Group B). Conclusions Our analysis found that RE is rare and can occur at any age; the cystic form is common and often involves multiple organs. The liver is the most commonly affected organ and is associated with serious complications. The rate of radical resection for RE is low, and multiple organ resection is often required; there is a high incidence of postoperative complications. Radical resection is the first line of treatment of RE, although non-radical surgery can benefit most patients. It is important to emphasize the importance of the first round of surgery, particularly in cases involving hepatic echinococcosis. If the lesion can be removed radically during the first round of surgery, then radical surgery should be performed.

scholarly journals Incision and Drainage with Daily Irrigation for the Treatment of Auricular Pseudocyst

2019 ◽  
Vol 23 (02) ◽  
pp. 178-183 ◽  
Author(s):  
Hazem Abdel Tawab ◽  
Salim Tabook
Keyword(s):  
Surgical Treatment ◽  
Recurrence Rate ◽  
Efficient Method ◽  
Rare Condition ◽  
Incision And Drainage ◽  
Cosmetic Results ◽  
Good Cosmetic

Introduction Pseudocyst of the pinna is a rare condition that occurs when fluid accumulates in the intercartilagenous space of the auricle. The main goal when treating this condition is to keep acceptable cosmetic results with no recurrence rate. Objective To demonstrate the superior impact of incision and drainage of auricular pseudocysts with the insertion of a catheter drain and daily irrigation as the treatment of this condition. Methods A total of 42 patients with auricular pseudocysts were enrolled in the present study in the period between May 2011 and May 2017. All of the patients were treated with incision and drainage with compression. The average follow-up time reached ∼ 6 months in all of the cases. Results All of the patients had satisfactory cosmetic results with no recurrence and no complications. Conclusion Among the different methods of surgical treatment of pseudocyst of the pinna, incision and drainage with daily irrigation is a significantly efficient method both for the eradication of auricular pseudocysts and for good cosmetic results.

scholarly journals Delay in diagnosis and lessons learnt from a case of abdominal wall abscess caused by fishbone perforation

2015 ◽  
Vol 97 (3) ◽  
pp. e39-e42 ◽  
Author(s):  
A Hakeem ◽  
V Shanmugam ◽  
K Badrinath ◽  
M Dube ◽  
P Panto
Keyword(s):  
Small Bowel ◽  
Abdominal Wall ◽  
Close Contact ◽  
Iliac Fossa ◽  
Clinical Problem ◽  
Left Iliac Fossa ◽  
Delay In Diagnosis ◽  
History Of ◽  
Made In

Complications following foreign body (FB) ingestion are an uncommon clinical problem. A 59-year-old man presented with a 4-week history of left iliac fossa pain and 1 episode of dark red blood mixed with stools. Inflammatory markers were elevated, and computed tomography (CT) of the abdomen and pelvis showed an ill defined abdominal wall inflammatory collection in close contact with the small bowel loops. He was treated with antibiotics, and follow-up CT, colonoscopy and small bowel enema were mostly unremarkable. The patient presented again ten months later with left iliac fossa cellulitis and fever. Multiplanar CT (the patient’s fourth scan) demonstrated a 10cm abdominal wall collection with a linear hyperdense structure in the collection. The radiologists suspected a FB and on close scrutiny of the previous scans, they noted it to have been present on all of them. A targeted incision led to the removal of a 3cm fishbone from the collection. This case highlights the need to consider the possibility of a FB being the underlying cause in any unexplained intra-abdominal or abdominal wall inflammatory process so that the diagnosis is made in a timely manner.

scholarly journals 40 YEARS EXPERIENCE OF INTERLOCKING INTRAMEDULLARY METALLIC-POLYMERIC OSTEOSYNTHESIS IN TREATMENT OF 1200 PATIENTS WITH SHAFT FRACTURES

World Science ◽  
2019 ◽  
Vol 2 (8(48)) ◽  
pp. 4-10
Author(s):  
Vasiuk V. Le. ◽  
Kovalchuk P. Ye. ◽  
Zinchenko A. T. ◽  
Tulyulyuk S. V.
Keyword(s):  
Surgical Treatment ◽  
Critical Concentration ◽  
X Ray ◽  
Additional Operation ◽  
Three Generations ◽  
Shaft Fractures ◽  
Dynamic Loadings ◽  
Bone Fragments ◽  
Made In

The article comprises the main principles of interlocking intramedullary metallic-polymeric nailing (IIMPN) and the experience of its implementation in 1200 cases of shaft fractures during the period of 40 years. Three generations of metallic-polymeric nails and techniques for closed, semi-closed and open IIMPN were designed. The nails can successfully be interlocked with proximal and distal bone fragments without an intraoperative X-ray control. Therefore, the operation can be made in any hospital capable of surgical treatment of fractures. Unlike interlocking metallic nailing, the dynamic variant of IIMPN makes the additional operation of dynamization unnecessary. CMPN-3 and CMPN-2 nails have options of intraoperative axial and lateromedial compression between fragments, which is impossible in interlocking metallic nailing. The carving conjunction between screws and polymer, which flexibility is close to that of the bone, excludes critical concentration of tensions and considerable dynamic loadings, and therefore prevents fractures of the interlocking screws. Good follow-up results were obtained in 94.2% patients.

scholarly journals Symptomatic Parietal Intradiploic Encephalocele—A Case Report and Literature Review

2017 ◽  
Vol 78 (01) ◽  
pp. e40-e45 ◽  
Author(s):  
Chen Shi ◽  
Bruno Flores ◽  
Stephen Fisher ◽  
Samuel Barnett
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Rare Condition ◽  
Resonance Imaging ◽  
Traumatic Head Injury ◽  
Traumatic Head

AbstractEncephalocele is a rare condition that consists of herniation of cerebral matter through openings of dura and skull. A majority of encephaloceles are congenital and manifest in childhood. We present a case of a 45-year-old man presenting with contralateral hemiparesis and found to have an extremely rare phenomenon of a symptomatic posttraumatic parietal intradiploic encephalocele (IE) manifesting 36 years following pediatric traumatic head injury. Computed tomography and magnetic resonance imaging confirmed herniation of brain tissue into the intradiploic space. Surgical treatment with reduction of the encephalocele achieved near resolution of preoperative hemiparesis on follow-up. The pathogenesis and a literature review of IE are discussed.

Data Management in an Epidemiological Study : Experiences from the Iowa 500 Field Follow-up and Family Study

1980 ◽  
Vol 19 (01) ◽  
pp. 37-41
Author(s):  
R. F. Woolson ◽  
M. T. Tsuang ◽  
L. R. Urban
Keyword(s):  
Data Management ◽  
Epidemiological Study ◽  
Family Study ◽  
Data Sets ◽  
Data Handling ◽  
Management Decisions ◽  
Numerous Data ◽  
Made In

We are now conducting a forty-year follow-up and family study of 200 schizophrenics, 325 manic-depressives and 160 surgical controls. This study began in 1973 and has continued to the present date. Numerous data handling and data management decisions were made in the course of collecting the data for the project. In this report some of the practical difficulties in the data handling and computer management of such large and bulky data sets are enumerated.

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