scholarly journals Synchronous Hepatic Cryotherapy and Resection of Colonic Primary is a High Risk Procedure

HPB Surgery ◽  
2000 ◽  
Vol 11 (6) ◽  
pp. 379-382 ◽  
Author(s):  
D. Cheung ◽  
D. L. Morris

Thirteen patients underwent hepatic cryotherapy and synchronous colonic resection. Two of the nine patients developed hepatic abscess – this is a rare complication of cryotherapy alone.

PEDIATRICS ◽  
1983 ◽  
Vol 71 (4) ◽  
pp. 595-598
Author(s):  
Mary Ellen Rimsza ◽  
Robert A. Berg

An infant with cutaneous amebiasis of the vulva and amebic liver abscess is described. Epidemiologic investigations and serologic studies were crucial in establishing the diagnosis. The vulvar amebic ulcers responded dramatically to metronidazole therapy. Cutaneous amebiasis is a rare complication of Entamoeba histolytica infection which should be considered in the differential diagnosis of perineovulvar or penile ulcers. Cutaneous amebiasis may also occur on the abdominal wall surrounding a draining hepatic abscess, colostomy site, or laparotomy incision.


2016 ◽  
Vol 30 (10) ◽  
pp. 1230-1235 ◽  
Author(s):  
Oskar Kornasiewicz ◽  
Wacław Hołówko ◽  
Michał Grąt ◽  
Zuzanna Gorski ◽  
Krzysztof Dudek ◽  
...  

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S720-S721
Author(s):  
Gregory Beck ◽  
Hyaehwan Kim ◽  
Drew Triplett

2019 ◽  
Vol 98 (5) ◽  
pp. 219-222

Introduction: Percutaneous endoscopic gastrostomy (PEG) is one of the most effective methods of providing long-term enteral nutrition in patients with the impossibility of oral intake. Complications are relatively common. The most common is peristomal wound infection at the site of the insertion and leakage along the cannula. Lesscommon complications are colo-cutaneous fistulas and peritonitis. A very rare complication is liver abscess. Case report: The authors describe a case of a 51-year-old man with a hepatic abscess with inoperable pharyngeal carcinoma with PEG. The patient was admitted to hospital with a developing septic condition due to a liver abscess. The liverabscess resulted from the buried bumper syndrome of the PEG and subsequent complete dislocation of the bumper into the left liver lobe area.. This condition was treated by a surgical review with abscess drainage and the construction of classical gastrostomy. Conclusion: Buried bumper syndrome with its complications, such as a liver abscess is a relatively rare complication, but challenges both the diagnosis and therapy of the syndrome itself. Its management requires a close cooperation between a gastroenterologist and a surgeon. Early recognition and treatment can prevent the progression of the condition to sepsis or a septic shock, which can lead to death.


2020 ◽  
Vol 116 (1) ◽  
pp. 222-223
Author(s):  
Jose Maria Lopez-Tobaruela ◽  
Francisco Valverde-Lopez ◽  
Mercedes Lopez de Hierro-Ruiz ◽  
Eduardo Redondo-Cerezo

2019 ◽  
Vol 26 (5) ◽  
pp. 1248-1253
Author(s):  
Adam C Robinson ◽  
Victoria R Nachar

Rituximab-induced acute thrombocytopenia (RIAT) is a relatively rare complication of rituximab treatment that has been infrequently reported in a number of patients with malignant lymphoma. Most commonly encountered in mantle cell lymphoma, the extent to which RIAT occurs in splenic marginal zone lymphoma is unknown. In this report, we describe a case of RIAT in a patient with splenic marginal zone lymphoma. Rituximab was safely rechallenged with increased premedications and slowed infusion rate. While the exact mechanism of this phenomenon has yet to be elucidated, diligent monitoring of platelet counts following rituximab infusion can be considered in high-risk patients to avoid potential adverse events. Split dose rituximab for high-risk patients may provide an alternative approach to improve patient safety.


2021 ◽  
Vol 14 (8) ◽  
pp. e240238
Author(s):  
Alexander Mimery ◽  
Nicolas Ramly ◽  
Amitabha Das ◽  
Kheman Rajkomar

A 73-year-old woman presented with fever and right flank pain. The admission was complicated by sepsis, myocardial ischaemia and an upper gastrointestinal bleed. A gastroscopy eventually demonstrated a large antral adenocarcinoma. Further imaging showed no evidence of metastasis, but demonstrated a large segment 3 hepatic abscess. At laparotomy, a hepatogastric fistula (HGF) was noted and a synchronous subtotal gastrectomy and left lateral liver sectionectomy was performed. Final histology showed complete resection of the gastric cancer (T4bN2) and confirmed the presence of the fistula. The patient was discharged 10 days later. She passed away 6 months later with local recurrence, hepatic and pulmonary metastasis. We include a review summarising the other causes of HGF in the literature.


1997 ◽  
Vol 25 (5) ◽  
pp. 1244-1245 ◽  
Author(s):  
Alex J. Mechaber ◽  
Carmelita U. Tuazon

2018 ◽  
Vol 6 ◽  
pp. 2050313X1876074 ◽  
Author(s):  
Ali Khalifeh ◽  
Tamara Khashab ◽  
Michael Huffner ◽  
Zahra N Rezvani ◽  
Justin Kwan ◽  
...  

Radial artery thrombosis is a rare complication of cannulation. There are no reported cases of acute thrombosis and severe acute neuropathy in the setting of cannula discontinuation. We report a case of acute radial nerve mono-neuropathy following thrombosis after radial arterial line removal. The thrombus was immediately evident on exam and diagnostic imaging after cannula discontinuation. The patient was consented and promptly taken to OR for immediate repair. Mild radial neuropathy persisted despite immediate repair. Immediate recognition of signs and symptoms is essential for diagnosis and management, especially in the high-risk population.


2019 ◽  
Vol 46 (4) ◽  
pp. 374-377 ◽  
Author(s):  
Hanya Mahmood ◽  
Melanie Stern ◽  
Simon Atkins

Inferior alveolar nerve (IAN) damage is a rare but recognised complication of dental procedures including third molar surgery, implant surgery, endodontic treatment and local anaesthetic injections. However, it is rarely caused by orthodontic tooth movement. This report highlights a case of temporary IAN anaesthesia to the right mental region, which was likely to have occurred secondary to the orthodontic uprighting of a lingually tilted molar using a high strength arch wire. Immediate deactivation of the appliance and an acute reducing dose of systemic steroids resulted in complete resolution of symptoms. To the best of the author’s knowledge, there have been seven previously described cases of IAN paraesthesia but no cases reporting IAN anaesthesia secondary to orthodontic fixed-appliance treatment. This case highlights the importance of dentists practising orthodontics to have an awareness of the clinical and radiographic signs that may indicate a high-risk case requiring appropriate referral for cone beam imaging and careful orthodontic planning. Furthermore, this case emphasises the need to warn high-risk patients of the symptoms of this rare complication and how it may be managed. This will ultimately help to minimise the risk of litigation and optimise patient experience and care.


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