scholarly journals Immediate Postoperative Pain: An Atypical Presentation of Dropped Gallstones after Laparoscopic Cholecystectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Samba Binagi ◽  
Jason Keune ◽  
Michael Awad
Keyword(s):  
United States ◽  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
The United States ◽  
Sinus Tract ◽  
Atypical Presentation ◽  
Common Complication ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Laparoscopic Operation

Cholecystectomy is one of the most commonly performed surgical procedures in the United States. A common complication is dropped gallstones, and the diversity of their presentation poses a substantial diagnostic challenge. We report the case of a 58-year-old man presenting with chronic right upper quadrant hours status post cholecystectomy. Imaging demonstrated retained gallstones in the perihepatic space and symptoms remitted following their removal via laparoscopic operation. Gallstones are lost in roughly 1 in 40 cholecystectomies and are usually asymptomatic. The most common presentations are months or years status post cholecystectomy due to fistula, abscess, or sinus tract formation. We report this case hoping to bring light to a rare presentation for dropped gallstones and provide advice on the management of this common complication of cholecystectomy.

scholarly journals Metastatic Prostate Cancer Involving the Sphenoid Sinus and Mandible

2021 ◽  
pp. 014556132110060
Author(s):  
Fadlullah Ba’th ◽  
Tanisha Hutchinson ◽  
Annie Meares ◽  
David Hamlar
Keyword(s):  
Prostate Cancer ◽  
Sphenoid Sinus ◽  
Metastatic Prostate Cancer ◽  
The United States ◽  
Endoscopic Examination ◽  
Atypical Presentation ◽  
Rare Presentation ◽  
The Third ◽  
Pathological Evaluation ◽  
Low Threshold

Prostate cancer is the third most leading cause of cancer in men in the United States. Although expected metastatic spread to bone, liver, and lymph nodes are often monitored, there are other rare presentations that can occur. This case report demonstrates a rare presentation of prostate cancer spreading to the paranasal sinuses and orbit. Not only did this case have an atypical presentation mimicking infection, the diagnosis was also only achieved through pathological evaluation after an endoscopic examination and biopsy. This case demonstrates the importance of a low threshold for endoscopic examinations in uncertain sinonasal presentations, and consistent biopsies when performing endoscopic examinations.

scholarly journals Polyurethane-Coated Implants for Prevention of Double-Bubble Effect in Breast Augmentation

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110289
Author(s):  
Vitali Bagirov
Keyword(s):  
United States ◽  
Breast Augmentation ◽  
Cosmetic Surgery ◽  
The United States ◽  
Treatment Result ◽  
Lower Pole ◽  
Common Complication ◽  
Breast Volume ◽  
Double Bubble ◽  
Growing Body

Breast augmentation is the most frequently performed cosmetic surgery in the United States, with approximately 279,000 patients every year. The so-called double-bubble effect (DBE) is a common complication in breast augmentation. This complication is characterized by folds running along the lower pole of the breast, forming distinct bubble-like protrusions above and below the fold. Factors that increase the risk of DBE include bulbous breasts and a large native breast volume. There is evidence that polyurethane-coated (PU) implants may help to reduce the risk of DBE. We describe here the case of a 47-year old patient for whom DBE has recurred in each of 4 tandem breast surgeries. PU implants ultimately appeared to prevent the DBE, leading to an aesthetically satisfying treatment result for the patient. This case adds weigh to the growing body of evidence that supports the use of polyurethane implants to prevent DBE.

Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management

2021 ◽  
Author(s):  
Tyler Safran ◽  
Hillary Nepon ◽  
Carrie K. Chu ◽  
Sebastian Winocour ◽  
Amanda Murphy ◽  
...  
Keyword(s):  
United States ◽  
Breast Implant ◽  
Capsular Contracture ◽  
The United States ◽  
Current Paper ◽  
Common Complication ◽  
Implant Surgery ◽  
Inflammatory Cascade ◽  
Multiple Factors ◽  
Prevention And Treatment

AbstractOver 400,000 women in the United States alone will have breast implant surgery each year. Although capsular contracture represents the most common complication of breast implant surgery, surgeons continue to debate the precise etiology. General agreement exists concerning the inflammatory origin of capsular fibrosis, but the inciting events triggering the inflammatory cascade appear to be multifactorial, making it difficult to predict why one patient may develop capsular contracture while another will not. Accordingly, researchers have explored many different surgical, biomaterial, and medical therapies to address these multiple factors in an attempt to prevent and treat capsular contracture. In the current paper, we aim to inform the reader on the most up-to-date understanding of the pathophysiology, prevention, and treatment of capsular contracture.

COMPLICATIONS OF SMALLPOX VACCINATION UNITED STATES 1963

PEDIATRICS ◽  
1967 ◽  
Vol 39 (6) ◽  
pp. 916-923
Author(s):  
John M. Neff ◽  
Ronald H. Levine ◽  
J. Michael Lane ◽  
Ernest A. Ager ◽  
Helen Moore ◽  
...  
Keyword(s):  
United States ◽  
High Frequency ◽  
Primary Vaccination ◽  
The United States ◽  
Smallpox Vaccination ◽  
First Year ◽  
Common Complication ◽  
More Care ◽  
First Year Of Life

Four thousand nine hundred physicians in four states, representing 4.8% of the population of the United States, were surveyed in order to assess the frequency and types of complications that occurred during 1963 in association with smallpox vaccination. Four hundred ninety-one physicians initially reported observing 810 complications during this year. On follow-up of these cases, many were not actually complications or were complications that occurred in a year other than 1963. Accidental infection was the most common complication. Generalized vaccinia and eczema vaccinatum occurred at a frequency of 238 and 80, respectively, per million primary vaccinations. Severe complications were infrequent. No deaths and only one case each of post-vaccinal encephalitis and vaccinia necrosum were detected. The high frequency of many preventable complications and the disproportionate frequency of complications in infants suggest that morbidity and mortality now associated with smallpox vaccination could be significantly reduced if primary vaccination could be deferred until after the first year of life and if more care were taken to detect individuals in whom complications can be expected to occur.

Differential Diagnosis of Benign and Malignant Mesothelial Proliferations on Pleural Biopsies

2005 ◽  
Vol 129 (11) ◽  
pp. 1421-1427 ◽  
Author(s):  
Philip T. Cagle ◽  
Andrew Churg
Keyword(s):  
United States ◽  
Differential Diagnosis ◽  
Malignant Mesothelioma ◽  
The United States ◽  
Diagnostic Challenge ◽  
Pleural Biopsy ◽  
Reliable Criterion ◽  
Tissue Invasion ◽  
Reactive Hyperplasia ◽  
Diffuse Malignant Mesothelioma

Abstract Context.—Although much of the pathology literature focuses on differential diagnosis of diffuse malignant mesothelioma from other types of cancer, the primary diagnostic challenge facing the pathologist is often whether a mesothelial proliferation on a pleural biopsy represents a malignancy or a benign reactive hyperplasia. Design.—Based on previous medical publications, extensive personal consultations, and experience on the United States–Canadian Mesothelioma Reference Panel and the International Mesothelioma Panel, salient information was determined about interpretation of benign versus malignant mesothelial proliferations on pleural biopsies. Results.—Differentiation of benign reactive mesothelial hyperplasia from diffuse malignant mesothelioma is often difficult. Benign reactive mesothelial hyperplasia may mimic many features ordinarily associated with malignancy, and diffuse malignant mesothelioma may be cytologically bland. Entrapment of benign reactive mesothelial cells within organizing pleuritis may mimic tissue invasion. Conclusions.—Various histologic clues favor a benign over a malignant mesothelial proliferation and vice versa. Invasion is the most reliable criterion for determining that a mesothelial proliferation is malignant. When there is any doubt that a pleural biopsy represents a malignancy, we recommend a diagnosis of atypical mesothelial proliferation.

scholarly journals Intraluminal Bowel Erosion: A Rare Complication of Retained Gallstones after Cholecystectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Alex B. Blair ◽  
Nathaniel McQuay
Keyword(s):  
United States ◽  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
The United States ◽  
Initial Operation ◽  
Mechanical Bowel Obstruction ◽  
Potential Risks ◽  
Potential Impact

Laparoscopic cholecystectomy for acute cholecystitis and cholelithiasis is one of the most common operations performed in the United States. Inadvertent perforation and spillage of gallbladder contents are not uncommon. The potential impact of subsequent retained gallstones is understated. We present the case of an intraperitoneal gallstone retained from a previous cholecystectomy eroding into the bowel and leading to intraluminal mechanical bowel obstruction requiring operative intervention. This case illustrates the potential risks of retained gallstones and reinforces the need to diligently collect any dropped stones at the time of initial operation.

Diffusion of Laparoscopic Cholecystectomy Among General Surgeons in the United States

Medical Care ◽  
1995 ◽  
Vol 33 (3) ◽  
pp. 256-271 ◽  
Author(s):  
Jos?? J. Escarace ◽  
Bernard S. Bloom ◽  
Alan L. Hillman ◽  
Judy A. Shea ◽  
J Sanford Schwartz
Keyword(s):  
United States ◽  
Laparoscopic Cholecystectomy ◽  
The United States ◽  
General Surgeons

scholarly journals TB Peritonitis Mistaken for Ovarian Carcinomatosis Based on an Elevated CA-125

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Joseph D. Boss ◽  
Christopher T. Shah ◽  
Oladoyin Oluwole ◽  
John N. Sheagren
Keyword(s):  
United States ◽  
Ovarian Cancer ◽  
Radical Resection ◽  
The United States ◽  
Reproductive Organs ◽  
Ca 125 ◽  
Diagnostic Challenge ◽  
Retrospective Case ◽  
Fluid Analysis ◽  
Low Prevalence

Background. In the United States, tuberculosis (TB) is of relatively low prevalence and most newly diagnosed patients are born outside of the United States. In addition, a large percentage (20.6%) of TB cases initially present with extrapulmonary manifestations (CDC, 2010). Cases of TB peritonitis are a diagnostic challenge in women due to the nonspecific clinical features overlapping with signs of ovarian cancer. (Kosseifi et al., 2009; Rashed et al., 2007; and Xi et al., 2010). We present a 27 year-old woman thought to have ovarian carcinomatosis based on elevated levels of CA-125 who was ultimately diagnosed with TB salpingitis, endometritis, and peritonitis.Methods. This brief report is a retrospective case report.Results. This case outlines the unfortunate consequences of the misdiagnosis of what probably was an antibiotic responsive illness, resulting in an unnecessarily aggressive surgical procedure. The delay in the diagnosis of tuberculous pertitonitis resulted in an unnecessary radical resection of the patient’s reproductive organs.Conclusions. Patients with TB peritonitis present with non-specific signs that may be misdiagnoses as ovarian cancer. In differentiating between ovarian carcinomatosis and peritoneal TB, it is vital to consider country of origin, age, CA-125, ascitic fluid analysis, and the use of intra-operative frozen sections.

scholarly journals The eyes have it: An unusual case of Escherichia coli ophthalmia neonatorum or a shifting landscape?

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774590
Author(s):  
Walid Mounir Maalouli ◽  
Michael Barclay Pitt
Keyword(s):  
United States ◽  
Escherichia Coli ◽  
Unusual Case ◽  
The United States ◽  
Term Infant ◽  
Eye Disease ◽  
Rare Presentation ◽  
Ophthalmia Neonatorum ◽  
Routine Prophylaxis ◽  
Neonatal Conjunctivitis

Despite dramatic declines in the incidence of ophthalmia neonatorum with universal prophylaxis, it remains a clinically important cause of eye disease in newborns. While clear guidelines exist for the treatment of the historically primary agents of ophthalmia neonatorum ( Chlamydia trachomatis and Neisseria gonorrhoeae), it is less clear how to manage newborns with conjunctivitis secondary to other bacterial organisms, particularly those also frequently implicated in neonatal sepsis. We present the case of a 3-day-old well-appearing term infant with unilateral purulent conjunctivitis. The eye culture grew Escherichia coli, an unusual cause of ophthalmia neonatorum. After a limited sepsis evaluation proved negative, the infant was switched to moxifloxacin ophthalmic drops and made a full recovery. This case highlights the challenge of managing a rare presentation with minimal guideline support, as well as the need to consider other bacterial causes of neonatal conjunctivitis which are emerging in the era of routine prophylaxis in the United States.

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