scholarly journals Ileal strangulation around mesovarium in a newborn foal

2019 ◽  
Vol 75 (08) ◽  
pp. 6288-2019
Author(s):  
ROLAND KUSY ◽  
BEATA NOWICKA ◽  
BEATA ŻYLIŃSKA ◽  
MARIOLA BOCHNIARZ ◽  
ROMAN DĄBROWSKI
Keyword(s):  
Small Intestine ◽  
Acute Abdominal Pain ◽  
Postoperative Recovery ◽  
Tube Placement ◽  
Oxygen Supplementation ◽  
Intratracheal Administration ◽  
Somatic Development ◽  
Endotracheal Tube Placement ◽  
The Right ◽  
Observation Period

The article presents a case of a newborn foal (32 hours of life) with an acute abdominal pain. The foal was sent to the clinic after 24 hours of conservative treatment in the field. Physical examination revealed acute obstruction of the small intestine. The patient was admitted for emergency surgery. General multimodal anaesthesia with endotracheal tube placement and oxygen supplementation was performed. During medial laparotomy, about one meter of necrotic small intestine was resected, and the right ovary was removed. This surgical procedure was performed under general infusion multimodal anaesthesia with intratracheal administration of a mixture of oxygen and air. Postoperative recovery was uneventful, and no complications were observed. During the 5-month observation period, no disturbances in the somatic development and general condition of the patient were found.

Suspected Iatrogenic Seeding of Oral Melanoma Secondary to Endotracheal Intubation in a Dog

2019 ◽  
Vol 55 (4) ◽  
Author(s):  
Jeanne Lane ◽  
Canny Fung ◽  
Emily Gould ◽  
Isabella Pfeiffer ◽  
Olufemi Fasina ◽  
...  
Keyword(s):  
Treatment Options ◽  
Tube Placement ◽  
Tracheal Resection ◽  
Thoracic Inlet ◽  
Tumor Seeding ◽  
Oral Melanoma ◽  
Endotracheal Tube Placement ◽  
Hypofractionated Radiation ◽  
The Right ◽  
Resection And Anastomosis

ABSTRACT A 10 yr old castrated male pug was presented with a 3 day history of intermittent dyspnea, cough, inappetence, and inability to breathe while sleeping. He had previously received hypofractionated radiation therapy for an amelanotic oral malignant melanoma (OMM) 7 mo prior to presentation. At presentation, the dog was gasping and dyspneic. Oral examination identified the OMM on the right hard palate. Thoracic radiographs revealed an angular soft-tissue opacity within the trachea just distal to the thoracic inlet. No evidence of pulmonary metastatic disease was seen. Tracheoscopy identified a pedunculated, nonpigmented mass within the lumen of the distal trachea near the carina. Treatment options were presented to the owners and included tracheal stenting or tracheal resection and anastomosis. Because of the poor prognosis, the owners elected humane euthanasia. Postmortem examination confirmed the presence of melanoma in the distal trachea; no other sites of OMM metastasis were identified. The cause of OMM development in the distal trachea in this case is suspected to have resulted from mechanical tumor cell seeding during endotracheal tube placement for general anesthesia 7 mo prior to presentation. Despite the reported rarity of mechanical tumor seeding, this potential complication warrants consideration in dogs with OMM.

DETERMINANTS OF ORAL ENDOTRACHEAL TUBE PLACEMENT: A CROSS SECTIONAL STUDY

2021 ◽  
pp. 66-68
Author(s):  
Pankaj Kumar ◽  
Sudha Singh ◽  
Aditya Prakash
Keyword(s):  
Endotracheal Tube ◽  
Pearson Correlation ◽  
Orotracheal Intubation ◽  
Cross Sectional Study ◽  
Tube Placement ◽  
Vocal Cords ◽  
Cross Sectional ◽  
Endotracheal Tube Placement ◽  
The Mean ◽  
The Right

Introduction: Finding the best depth of endotracheal tube (ET) placement has been a challenge because of the complications caused due to its malposition. Aims: To nd the best depth of placement of oral ET in Indian adult patients. Methods And Design: This study was conducted in 125 ASA I and II patients requiring general anaesthesia and orotracheal intubation. Methods: After placing the ET with the designated black mark at vocal cords, various airway distances were measured from the right angle of mouth using a bre optic bronchoscope. Statistical Analysis: Mean (SD) and median (range) of various parameters and Pearson correlation coefcient was calculated. Results: The mean lip-carina distance, i.e., total airway length was 23.52±1.72 cm and 22.11±1.26 cm in males and females, respectively. With black mark of ET between vocal cords, the mean ET tip-carina distance of 4.19±1.60 cm in males and 2.78±1.52 cm females was found to be less than the recommended safe distance. Conclusions: Height has the best correlation to lip to carina distance. Fixing the tube at recommended distances in both male and female will lead to carinal stimulation or endobronchial placement in many Indian patients. The formula “(Height in cm/7) -2.5.” gives us an idea about the approximate depth of ET placement.

The Esophageal Detector Device: Accuracy and Reliability in Difficult Airway Settings

1996 ◽  
Vol 11 (1) ◽  
pp. 60-62 ◽  
Author(s):  
Christopher E. Kapsner ◽  
David C. Seaberg ◽  
Charles Stengel ◽  
Kaveh Ilkhanipour ◽  
James Menegazzi
Keyword(s):  
Emergency Medicine ◽  
Pulmonary Edema ◽  
Difficult Airway ◽  
Laboratory Investigation ◽  
Respiratory Arrest ◽  
Tube Placement ◽  
Mainstem Bronchus ◽  
Anatomic Location ◽  
The Right ◽  
Attending Physician

AbstractIntroduction:The esophageal detector device (EDD) recently has been found to assess endotracheal (ET) tube placement accurately. This study describes the reliability of the EDD in determining the position of the ET tube in clinical airway situations that are difficult.Methods:This was a prospective, randomized, single-blinded, controlled laboratory investigation. Two airway managers (an emergency-medicine attending physician and a resident) determined ET-tube placement using the EDD in five swine in respiratory arrest. The ET tube was placed in the following clinical airway situations: 1) esophagus; 2) esophagus with 1 liter of air instilled; 3) trachea; 4) trachea with 5 ml/kg water instilled; and 5) right mainstem bronchus. Anatomic location of the tube was verified by thoracotomy of the left side of the chest.Results:There was 100% correlation between the resident and attending physician's use of the EDD. The EDD was 100% accurate in determining tube placement in the esophagus, in the esophagus with 1 liter of air instilled, in the trachea, and in the right mainstem bronchus. The airway managers were only 80% accurate in detecting tracheal intubations when fluid was present.Conclusions:The EDD is an accurate and reliable device for detecting ET-tube placement in most clinical situations. Tube placement in fluid-filled trachea, lungs, or both, which occurs in pulmonary edema and drowning, may not be detected using this device.

scholarly journals Severe Hypertriglyceridemia-Induced Acute Pancreatitis

2021 ◽  
pp. 218-224
Author(s):  
Gyula Molnár ◽  
V. Anna Gyarmathy ◽  
Noémi Zádori ◽  
Péter Hegyi ◽  
Péter Kanizsai
Keyword(s):  
Acute Pancreatitis ◽  
Acute Abdominal Pain ◽  
Blood Cholesterol ◽  
Individual Factors ◽  
Lipid Levels ◽  
Human Monoclonal Antibodies ◽  
Pcsk9 Inhibitors ◽  
Severe Hypertriglyceridemia ◽  
The Right

The prevalence of familial hypercholesterolemia (FH) is about 1 in 200–500 in the general population, but approximately less than 1% of those affected are actually diagnosed. One of the most promising approaches to treat FH is utilizing human monoclonal antibodies. This is a case study describing a 47-year-old male patient who presented to the Emergency Department with acute abdominal pain caused by severe hypertriglyceridemia (HTG)-induced acute pancreatitis (AP). We report the steps necessary for establishing the right diagnosis and the management of HTG-induced AP, which are inevitable for the reduction of severity and mortality. This case study shows that hypercholesterolemia is an underdiagnosed and potentially lethal disease. Once diagnosed, all measures should be considered to control blood cholesterol and lipid levels. The decision to administer PCSK9 inhibitors should not be solely based on economical calculation, but rather individual factors should also be considered to weigh the risk/benefit ratio.

scholarly journals Minilaparotomy a Good Option in Specific Cases: A Case Report of Bilateral Ovarian Germ Cell Tumor

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
D. Bolla ◽  
N. Deseö ◽  
A. Sturm ◽  
A. Schöning ◽  
C. Leimgruber
Keyword(s):  
Acute Abdominal Pain ◽  
Adnexal Mass ◽  
Past History ◽  
Ovarian Tissue ◽  
Abdominal Cavity ◽  
Operating Time ◽  
Expectant Management ◽  
Small Incision ◽  
Risk Of Rupture ◽  
The Right

Mature cystic teratomas (MCTs) of the ovary represent 44% of ovarian neoplasmas. The surgical approach is important in young women especially for the cosmetic results. Nowadays most of the ovarian surgeries can be performed laparoscopically. An alternative between laparoscopy and laparotomy is the minilaparotomy (ML) which can be an interesting option, thanks to the small incision. We report a 39-year-old woman who was referred to our hospital with acute abdominal pain. In her past history the patient had an uncomplicated delivery. During pregnancy a 6 cm bilateral MCT was diagnosed and expectant management was followed. A left-sided ovarial torsion was postulated, and laparoscopic detorsion was performed. To avoid a rupture of the left MCT, the operation was interrupted. To remove the cyst, a ML was done two weeks later. A left-sided salpingo-oophorectomy was performed due to a large cyst including the entire ovary. On the other side, the right dermoid cyst was entirely removed. The advantage of a ML is not only shorter operating time with less learning curve compared to laparoscopy but also the possibility to extract the adnexal mass from the abdominal cavity with lower risk of rupture and in addition the possibility to preserve more ovarian tissue.

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

scholarly journals Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease

2014 ◽  
Vol 24 (1) ◽  
pp. 85
Author(s):  
Alexandra Damasio Todescatto ◽  
Felipe Ferreira Laranjeira ◽  
Júlia De Gasperi ◽  
Davyd Emaanuel Fin de Lehmann ◽  
Bruna Schmitt de Lacerda ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Acute Abdomen ◽  
Collateral Circulation ◽  
Acute Abdominal Pain ◽  
Clinical Status ◽  
Chronic Liver ◽  
Difficult Diagnosis ◽  
Atypical Presentations ◽  
The Right

AIMS: To expose a case of acute abdomen due to appendicitis whose diagnosis was difficult and complicated because of the patient's profile and his comorbidities. CASE DESCRIPTION: Male patient, 52 years old, superobese, smoker and with chronic liver disease, complaining of acute abdominal pain in the right hypochondrium, vomiting and low diuresis. Initially with no signs of peritoneal irritation, the patient was medically managed, but presented worsening of clinical status, progressing to shock and cardiac arrest. The investigation by laparotomy found acute appendicitis, collateral circulation and liver cirrhosis. CONCLUSIONS: Acute abdomen has great impact on emergency care and, since it comprises several clinical situations, knowing and suspecting its main causes and its atypical presentations becomes essential, mainly in cases of difficult diagnosis.

Assessment of gas flow waves for endotracheal tube placement in an ovine model of neonatal resuscitation

Resuscitation ◽  
2010 ◽  
Vol 81 (6) ◽  
pp. 737-741 ◽  
Author(s):  
G.M. Schmölzer ◽  
S.B. Hooper ◽  
K.J. Crossley ◽  
B.J. Allison ◽  
C.J. Morley ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Gas Flow ◽  
Neonatal Resuscitation ◽  
Tube Placement ◽  
Ovine Model ◽  
Endotracheal Tube Placement

scholarly journals Successful surgical rescue of delayed onset diaphragmatic hernia following radiofrequency ablation using a thoracoscopic approach for hepatocellular carcinoma: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Atsushi Morito ◽  
Shigeki Nakagawa ◽  
Katsunori Imai ◽  
Norio Uemura ◽  
Hirohisa Okabe ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Small Intestine ◽  
Radiofrequency Ablation ◽  
Diaphragmatic Hernia ◽  
Invasive Treatment ◽  
Thoracoscopic Approach ◽  
Case Presentation ◽  
Medial Segment ◽  
Liver Surface ◽  
The Right

Abstract Background Radiofrequency ablation (RFA) is widely used as a minimally invasive treatment for hepatocellular carcinoma (HCC). RFA has a low risk of complications, especially compared with liver resection. Nevertheless, various complications have been reported after RFA for HCC; however, diaphragmatic hernia (DH) is extremely rare. Case presentation A 78-year-old man underwent thoracoscopic RFA for HCC located at the medial segment adjacent to the diaphragm approximately 7 years before being transported to the emergency department due complaints of nausea and abdominal pain. Computed tomography revealed a prolapsed small intestine through a defect in the right diaphragm, and emergency surgery was performed. The cause of diaphragmatic hernia was the scar of RFA. We confirmed that the small intestine had prolapsed into the right diaphragm, and we resected the necrotic small intestine and repaired the right diaphragm. Herein, we report a case of ileal strangulation due to diaphragmatic hernia after thoracoscopic RFA. Conclusions Care should be taken when performing thoracoscopic RFA, especially for tumors located on the liver surface adjacent to the diaphragm. Patients should be carefully followed up for possible DH, even after a long postoperative interval.

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