scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

scholarly journals Spontaneous Cervical Epidural Hematoma with Hemiparesis Mimicking Cerebral Stroke

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet Tiryaki ◽  
Recep Basaran ◽  
Serdar Onur Aydin ◽  
Mustafa Efendioglu ◽  
Ece Balkuv ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Epidural Hematoma ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Cerebral Stroke ◽  
Normal Limits ◽  
Cranial Mri ◽  
Spinal Mri ◽  
The Right ◽  
Loss Of Strength

Aim.Spontaneous cervical epidural hematoma (SCEH) is defined as an epidural hematoma that does not have an etiological explanation. The most common site for SCEH is cervicothoracic area. Early diagnosis and treatment are important for prognosis and good results. In this paper, we aimed to present a case who complains of sudden weakness on right extremities imitating cerebral stroke and that neuroimaging reveals spontaneous cervical epidural hematoma.Case.A 72-year-old woman was admitted to our hospital with acute neck pain and loss of strength on right extremities. On neurological examination, the patient had right hemiparesis. PT, aPTT, and INR results were 50.5, 42.8, and 4.8, respectively. Cranial MRI was in normal limits. Spinal MRI revealed a lesion that extends from C4 to C7 located on the right side and compatible with epidural hematoma. The patient was operated after normalization of INR values.Conclusion.Even though SCEH is a rare condition, it can cause severe morbidity and mortality. Early diagnosis and treatment are quiet important for prognosis. SCEH can easily be mistaken for stroke as with other pathologies and this diagnosis should come to mind especially in patients who have diathesis of bleeding.

scholarly journals Large papillary fibroelastoma of right atrium, an unusual case of respiratory distress in a young man

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yan Le Ho ◽  
Pui Fong Ng ◽  
Sotheenathan Krishinan ◽  
Basheer Ahamed Abdul Kareem
Keyword(s):  
Right Atrium ◽  
Clinical Manifestations ◽  
Clinical Information ◽  
Interatrial Septum ◽  
Papillary Fibroelastoma ◽  
Case Presentation ◽  
Intracardiac Masses ◽  
The Right ◽  
Embolic Risk

Abstract Background Papillary fibroelastomas are rare but benign cardiac tumour that are often found on cardiac valvular surfaces. Their clinical manifestations ranging from clinically asymptomatic to substantial complications that are usually secondary to systemic embolism. Multiple theories have been proposed to explain the pathophysiology of its formation. Case presentation We reported a rare case of large papillary fibroelastoma in the right atrium of a young gentleman which was complicated with pulmonary embolism. Transthoracic echocardiography identified a large pedunculated mass measuring 3.4cmX3.4cmX2cm in right atrium with stalk attached to interatrial septum. The intracardiac mass was resected surgically, which revealed papillary fibroelastoma in histology examination. Conclusion Differential diagnosis of intracardiac masses requires clinical information, laboratory tests and imaging modalities including echocardiography. Incidentally discovered papillary fibroelastomas are treated on the basis of their sizes, site, mobility and potential embolic complications. Due to the embolic risk inherent to intraacardiac masses, surgical resection represents an effective curative protocol in treating both symptomatic and asymptomatic right sided and left sided papillary fibroelastomas, with excellent long term postoperative prognosis.

scholarly journals Fuke Qianjin Combined with Antibiotic Therapy for Pelvic Inflammatory Disease: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yu Chen ◽  
Shaobin Wei ◽  
Li Huang ◽  
Mei Luo ◽  
Yang Wu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Meta Analysis ◽  
Lower Abdominal Pain ◽  
Effective Rate ◽  
Chinese Patent ◽  
Meta Analyses

Background. Pelvic inflammatory disease (PID) without timely and proper treatment can cause long-term sequelae; meanwhile, patients will be confronted with the antimicrobial resistance and side effects. Chinese patent medicine as a supplement is used to treat PID with satisfactory clinical efficacy. This study evaluated the efficacy and safety of Fuke Qianjin (FKQJ) combined with antibiotics in the treatment of PID. Methods. Eight electronic databases and other resources were searched to make a collection of the randomized controlled trials (RCTs) from 1990 to 2019. The RCTs contrasting the effect of FKQJ combined with antibiotics regimens and antibiotics alone in reproductive women with PID were included. The antibiotics regimens are all recommended by the guidelines. Two reviewers independently screened the studies, extracted the data, and assessed the methodological quality of the included studies. Then, the meta-analyses were performed by RevMan 5. 3 software if appropriate. Results. Twenty-three RCTs (2527 women) were included in this review. The evidence showed that FKQJ combined with antibiotics improved the markedly effective rate compared to antibiotics alone group (RR = 1.38, 95% CI 1.27 to 1.49, I2 = 42%), shortened the improvement time of low abdominal pain (MD = −1.11, 95% CI −1.39 to −0.84, I2 = 38%), and increased the rate of lower abdominal pain improvement (RR = 1.35, 95% CI 1.19 to 1.55, I2 = 0). The implementation of adjuvant reduced the recurrent rate compared with antibiotics alone (RR = 0.27, 95% CI 0.13 to 0.56, I2 = 0%). Conclusions. Based on available evidence, FKQJ combined with antibiotics therapy have certain outcomes on increasing the markedly effective rate, decreasing the recurrent rate compared with antibiotics alone group. This therapy appears to improve lower abdominal pain and curtail the relief time. Due to the low quality and the risk of bias, any high-quality evidence or longer follow-up period should be advisable and necessary in the future.

scholarly journals Do short-term markers of treatment efficacy predict long-term sequelae of pelvic inflammatory disease?

2008 ◽  
Vol 198 (1) ◽  
pp. 30.e1-30.e7 ◽  
Author(s):  
Gail M. Trautmann ◽  
Kevin E. Kip ◽  
Holly E. Richter ◽  
David E. Soper ◽  
Jeffrey F. Peipert ◽  
...  
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Treatment Efficacy ◽  
Short Term

scholarly journals A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Francisco Cueva ◽  
Andrés Caicedo ◽  
Paula Hidalgo
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Outpatient Clinic ◽  
Inflammatory Disease ◽  
Medical Records ◽  
Clinical Manifestations ◽  
Disease Diagnosis ◽  
Diagnosis And Treatment ◽  
Transvaginal Sonography ◽  
Microbiological Agents ◽  
Cervical Motion

Background. Pelvic inflammatory disease (PID) diagnosis is often challenging as well as its treatment. This study sought to characterize the diagnostic and therapeutic trend among physicians at the outpatient level, in Quito, Ecuador, where currently no nationwide screening or specific clinical guideline has been implemented on PID or its main microbiological agents. Methods. A retrospective analysis of medical records with pelvic inflammatory disease diagnosis in an outpatient clinic was performed. Electronic medical records from 2013 to 2018 with any pelvic inflammatory disease-related diagnoses were retrieved. Information with regard to age, sexually related risk factors, symptoms and physical exam findings, ancillary tests, method of diagnosis, and antibiotic regimens was extracted. Results. A total of 186 records were included. The most frequent clinical manifestations were vaginal discharge (47%) and pelvic pain (39%). In the physical examination, leucorrhea was the most frequent finding (47%), followed by lower abdominal tenderness (35%) and cervical motion tenderness in 51 patients (27%). A clinical diagnosis was established in 60% of patients, while 37% had a transvaginal sonography-guided diagnosis. Antibiotic treatment was prescribed with standard regimens in 3% of cases, while other regimens were used in 93% of patients. Additionally, an average of 1.9 drugs were prescribed per patient, with a range from 1 to 5, all in different combinations and dosages. Conclusions. No standardized methods of diagnosis or treatment were identifiable. These findings highlight the need for standardization of the diagnosis and treatment of PID attributed to chlamydial and gonococcal infections.

Galactosaemia

1987 ◽  
Vol 5 (3-4) ◽  
pp. 175-188 ◽  
Author(s):  
L B. Sardharwalla ◽  
J. E. Wraith
Keyword(s):  
High Risk ◽  
Early Diagnosis ◽  
Mental Development ◽  
Diagnosis And Treatment ◽  
Early Age ◽  
Biochemical Genetics ◽  
Classical Galactosaemia ◽  
Eventual Outcome ◽  
Very High

This paper reviews galactosaemia and describes the experience of the Willink Biochemical Genetics Unit in the management of classical galactosaemia. Galactokinase and UDPgalactose-4-epimerase deficiency are dealt with briefly. The former disorder is readily treated with a galactose free diet and if this is started early in life, the only complication, cataracts, is avoided. Epimerase deficiency is a relatively ‘new’ disorder and little is known about the eventual outcome of affected patients. Early observations suggest that the prognosis is likely to be poor even in those patients diagnosed and treated soon after birth. Classical galactosaemia leads to a number of long term complications. The prognosis for normal mental development in affected patients is poor. Unfortunately this does not appear to be reversible by early diagnosis and treatment and whilst every effort should be made to establish an early diagnosis our experience suggests that there is no difference in the ultimate mental development between those who are detected within the first two weeks of life and those before the age of six weeks. In addition female homozygotes are at a very high risk of developing ovarian failure at an early age.

Role of indicators of hemodynamics and homeostasis in patients with acute gynecological diseases

2020 ◽  
pp. 64-67
Author(s):  
V.A. Terehov ◽  
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Blood Supply ◽  
Emergency Care ◽  
Inflammatory Disease ◽  
Uterine Bleeding ◽  
Comprehensive Treatment ◽  
Gynecological Diseases ◽  
Internal Genitalia ◽  
Intraperitoneal Bleeding

In recent years, there has been a significant increase in urgent conditions in gynecology. The use of inadequate and sometimes unjustified surgical interventions due to the peculiarities of the clinical course of the disease, the difficulties of early diagnosis, uncertainty of treatment tactics can lead to complications and even death of the patient. Therefore, improving early diagnosis and emergency care is one of the priorities of modern medicine. The objective: to improve the early diagnosis and comprehensive treatment of acute gynecological conditions to study the structure and features of urgent gynecological diseases in modern conditions; analyze indicators of hemodynamics and homeostasis (including immune) to reduce possible complications in patients with acute gynecological diseases. Materials and methods. A 5-year retrospective clinical and anamnestic analysis of 1261 case histories of patients with various acute gynecological diseases, the most common of which are acute pelvic inflammatory disease (PID), uterine and intraperitoneal bleeding, impaired blood supply to internal tumors. Patients in the comparative groups were comparable in age and course of the pathological process in the genitals. Results. The study found that among acute gynecological diseases dominated by acute PID (41.4%), uterine bleeding (31.6%), intra-abdominal bleeding (20.8%), impaired blood supply to tumors of the internal genitalia (6.2%), and in the last two groups the incidence increased. The age of patients varied significantly depending on the type of pathology. Clinical manifestations of acute PID and impaired blood supply to tumors of the internal genitalia in most cases were characterized by a predominance of pain and intoxication syndromes. Intra-abdominal and uterine bleeding was dominated by symptoms associated with hemodynamic disturbances and posthemorrhagic anemia. A high frequency of anemia of toxic genesis was observed in patients with acute PID and impaired blood supply to tumors of the internal genitalia. Conclusion. In modern conditions, the percentage of patients in need of emergency care is increasing, mainly due to an increase in the number of patients with intraperitoneal bleeding and impaired blood supply to tumors of the uterus and ovaries. The course of urgent gynecological diseases is accompanied by a violation of the adaptive-regulatory mechanisms of detoxification, indicators of homeostasis, immune system, hemodynamics, acid-base state of the blood. Given the clinical picture of the disease and the established diagnosis, it is necessary to develop individual management tactics for each patient. Keywords: emergency gynecology, acute abdomen, intraperitoneal bleeding, pelvic inflammatory disease, uterine bleeding, posthemorrhagic anemia, intoxication syndrome.

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