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Sample records for abdomen

  1. Acute abdomen

    Directory of Open Access Journals (Sweden)

    Wig J

    1978-01-01

    Full Text Available 550 cases of acute abdomen have been analysed in detail includ-ing their clinical presentation and operative findings. Males are more frequently affected than females in a ratio of 3: 1. More than 45% of patients presented after 48 hours of onset of symptoms. Intestinal obstruction was the commonest cause of acute abdomen (47.6%. External hernia was responsible for 26% of cases of intestinal obstruction. Perforated peptic ulcer was the commonest cause of peritonitis in the present series (31.7% while incidence of biliary peritonitis was only 2.4%.. The clinical accuracy rate was 87%. The mortality in operated cases was high (10% while the over-all mortality rate was 7.5%.

  2. Abdomen abierto

    Directory of Open Access Journals (Sweden)

    Mario Sánchez Arias

    2000-06-01

    Full Text Available El manejo del paciente con condiciones abdominales que no se pueden resolver en una primera intervención, ha tenido una evolución progresiva desde inicios de siglo. Las intervenciones posibles van desde cerrarlos de inicio, hasta el manejo totalmente abierto, que permite reingresar al abdomen en forma repetida (incluso en la misma unidad de cuidado intensivo, de acuerdo a la condición del enfermo. Este tipo de manejo ha hecho que disminuya la mortalidad de estos pacientes de cifras tan altas como de 87% a 30% según la literatura. El objetivo de esta investigación fue evidenciar las indicaciones por las que se dejan los pacientes con abdomen abierto (AbAb, saber qué es lo que ocurre con un paciente a quién se trata de esta forma, que es lo que puede esperar un cirujano de su enfermo y como podemos mejorar nuestra práctica al respecto. De un total de 149 pacientes que se manejaron con AbAb en la Unidad de Cuidado Intermedio del Hospital Dr. R. A. Calderón Guardia entre los años 92-98, obtuvimos el expediente de 73 que cumplían todos los criterios a analizar. Los pacientes fueron de una edad promedio de 48 años (20-83. Un 65% de ellos fueron masculinos y el promedio de APACHE fue de 12.2 puntos al momento de dejarlos con AbAb. El diagnóstico más frecuente fue de sepsis abdominal y fuga anastomótica. Fueron manejados fundamentalmente con dos métodos (malla o bolsa plástica y tuvieron una mortalidad global de 35%. El promedio de cirugías fue de 4.2 operaciones por paciente, una estancia promedio en el hospital de 42 días, un manejo en cuidados intensivos de 24 días y un tiempo de abdomen abierto de 20 días. Los pacientes que fueron tratados por un solo cirujano tuvieron una mortalidad del 12.5% y los que fueron manejados por varios del 34%. Podemos concluir que este es un método válido en nuestro medio para tratar pacientes con esta clase de problemas abdominales, que de otro modo tendrían mortalidad de casi 100%, y se

  3. Abdomen abierto

    Directory of Open Access Journals (Sweden)

    Mario Sánchez Arias

    2000-06-01

    Full Text Available El manejo del paciente con condiciones abdominales que no se pueden resolver en una primera intervención, ha tenido una evolución progresiva desde inicios de siglo. Las intervenciones posibles van desde cerrarlos de inicio, hasta el manejo totalmente abierto, que permite reingresar al abdomen en forma repetida (incluso en la misma unidad de cuidado intensivo, de acuerdo a la condición del enfermo. Este tipo de manejo ha hecho que disminuya la mortalidad de estos pacientes de cifras tan altas como de 87% a 30% según la literatura. El objetivo de esta investigación fue evidenciar las indicaciones por las que se dejan los pacientes con abdomen abierto (AbAb, saber qué es lo que ocurre con un paciente a quién se trata de esta forma, que es lo que puede esperar un cirujano de su enfermo y como podemos mejorar nuestra práctica al respecto. De un total de 149 pacientes que se manejaron con AbAb en la Unidad de Cuidado Intermedio del Hospital Dr. R. A. Calderón Guardia entre los años 92-98, obtuvimos el expediente de 73 que cumplían todos los criterios a analizar. Los pacientes fueron de una edad promedio de 48 años (20-83. Un 65% de ellos fueron masculinos y el promedio de APACHE fue de 12.2 puntos al momento de dejarlos con AbAb. El diagnóstico más frecuente fue de sepsis abdominal y fuga anastomótica. Fueron manejados fundamentalmente con dos métodos (malla o bolsa plástica y tuvieron una mortalidad global de 35%. El promedio de cirugías fue de 4.2 operaciones por paciente, una estancia promedio en el hospital de 42 días, un manejo en cuidados intensivos de 24 días y un tiempo de abdomen abierto de 20 días. Los pacientes que fueron tratados por un solo cirujano tuvieron una mortalidad del 12.5% y los que fueron manejados por varios del 34%. Podemos concluir que este es un método válido en nuestro medio para tratar pacientes con esta clase de problemas abdominales, que de otro modo tendrían mortalidad de casi 100%, y se

  4. Point tenderness - abdomen

    Science.gov (United States)

    ... medlineplus.gov/ency/article/003273.htm Point tenderness - abdomen To use the sharing features on this page, ... over a certain part of the belly area (abdomen). Considerations The abdomen is an area of the ...

  5. Abscess - abdomen or pelvis

    Science.gov (United States)

    ... infected fluid and pus located inside the belly (abdominal cavity). This type of abscess can be located near ... abdominal abscesses: Abdominal x-ray Ultrasound of the abdomen and pelvis CT scan of the abdomen and ...

  6. Ultrasound: Abdomen (For Parents)

    Science.gov (United States)

    ... Feeding Your 1- to 2-Year-Old Ultrasound: Abdomen KidsHealth > For Parents > Ultrasound: Abdomen Print A A A What's in this article? ... Child If You Have Questions en español Ultrasonido: abdomen What It Is An abdominal ultrasound is a ...

  7. Ultrasound: Abdomen (For Parents)

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Ultrasound: Abdomen KidsHealth > For Parents > Ultrasound: Abdomen A A A What's in this article? ... español Ultrasonido: abdomen What It Is An abdominal ultrasound is a safe and painless test that uses ...

  8. CT angiography - abdomen and pelvis

    Science.gov (United States)

    Computed tomography angiography - abdomen and pelvis; CTA - abdomen and pelvis; Renal artery - CTA; Aortic - CTA; Mesenteric CTA ... belly or pelvis Masses and tumors in the abdomen or pelvis, including cancer, when needed to help ...

  9. Abdomen, digestive system; Abdomen, appareil digestif

    Energy Technology Data Exchange (ETDEWEB)

    Pradel, J. [Hopital Saint-Eloi, 34 - Montpellier (France); Siauve, N. [Hopital Laennec, 75 - Paris (France); Alexandre, M. [Centre Hospitalier Universitaire, 06 - Nice (France); Lorenzetti, J. [Centre Hospitalier Universitaire, 63 - Clermont Ferrand (France)

    1997-03-01

    The Radiological Society of North America (RNSA) ` 96 has devoted a broad part to abdomen and digestive imaging. we find hepatic pathology and comparative evaluation between computed tomography and NMR imaging. The question of contrast products and their advance in hepatic pathology are studied. The biliary tracts and MRI do not present any surprise. The pancreas with the computerized tomography and finally the digestive system, always with computerized tomography are exposed. (N.C.).

  10. Radiological aspects of acute abdomen; Aspectos radiologicos do abdomen agudo

    Energy Technology Data Exchange (ETDEWEB)

    Toledo, Renato Muller de; Lacerda, Jose Carlos Teixeira; Georg, Bruno Rigueira; Ramos, Alexandre Ferreira [Hospital Naval Marcilio Dias, Rio de Janeiro, RJ (Brazil). Servico de Radiodiagnostico

    1994-12-31

    This work demonstrates the main roentgen signs of the most common causes of acute abdomen, through some cases chosen from H.N.M.D. Roentgen Department-Learning Register. First, we will show the normal roentgen anatomy of the abdomen. Then, we will discuss about the basic roentgen routine of acute abdomen and some technical changes depending on the suspected illness, the clinical conditions of the patient and certain roentgen findings. Finally, we will show the most important roentgen signs of the most familiar effects accurate abdomen, putting emphasis on the next things: intestinal obstructions, peritonitis, acute cholecustitis, acute pancreatitis, acute appendicitis, subphrenic abscesses, toxic megacolon of ulcerative retocolitis, gastric or duodenal ulcer perforation and renal colic. (author) 4 refs., 13 figs.

  11. MDCT of the abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Aschoff, A.J. [Dept. for Diagnostic Radiology, Univ. Hospitals of Ulm (Germany)

    2006-01-10

    Multi-detector row computed tomography (MDCT) enables fast and thin acquisition of the abdominal anatomy. This allows multi-pass multi-planar studies that can be obtained during defined circulatory phases. When bolus timing is adequate, arterial phases with high contrast levels provide 'free lunch' CT angiographies eliminating the need for diagnostic angiographies in most cases. In addition to established clinical indications for abdominal CT such as preoperative MDCT of the liver or pancreas, MDCT of the abdomen is especially gaining ground in the work up for acute abdominal pain and abdominal trauma and is opening new indications for MDCT of the gastrointestinal tract. Indications for gastrointestinal MDCT include tumors, bleeding and ischemia of the small and large bowel as well as diverticulitis. The question of whether to use positive or negative contrast material for bowel distention for MDCT of the gastrointestinal tract is still a controversial issue. In selected cases, modifying the protocol to perform a 'CT enteroclysis' might improve sensitivity and specificity in depicting small bowel tumors or inflammatory changes such as in Crohn's disease. The most common gastrointestinal mesenchymal tumor is the gastrointestinal stromal tumor (GIST). MDCT may show hypervascular submucosal masses. Acute gastrointestinal (GI) bleeding is common with patients presenting with melena, hematemesis or hematochezia. In addition to the established initial work-up MDCT is beginning to establish itself for this indication. It may be especially helpful in the work up of obscure bleeding. Another relatively rare but important cause for acute abdominal pain is mesenteric ischemia. It may be caused by many conditions and may mimic various intestinal diseases. Bowel ischemia severity ranges from transient superficial changes of the intestinal mucosa to life-threatening transmural bowel wall necrosis. CT can demonstrate changes in ischemic bowel segments

  12. Abdomen X-Ray (Radiography)

    Science.gov (United States)

    ... Professions Site Index A-Z X-ray (Radiography) - Abdomen Abdominal x-ray uses a very small dose ... to produce pictures of the inside of the abdominal cavity. It is used to evaluate the stomach, liver, ...

  13. 49 CFR 572.197 - Abdomen.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Abdomen. 572.197 Section 572.197 Transportation..., Small Adult Female § 572.197 Abdomen. (a) The abdomen assembly is part of the upper torso assembly (180...). The abdomen test is conducted on the complete dummy assembly (180-0000) with the arm (180-6000) on...

  14. 49 CFR 572.186 - Abdomen assembly.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Abdomen assembly. 572.186 Section 572.186... Dummy, 50th Percentile Adult Male § 572.186 Abdomen assembly. (a) The abdomen assembly (175-5000) is...). When subjected to tests procedures specified in paragraph (b) of this section, the abdomen...

  15. Pharm GKB: Acute abdomen [PharmGKB

    Lifescience Database Archive (English)

    Full Text Available Overview Alternate Names: PharmGKB Accession Id: PA165109055 External Vocabularies MeSH: Abdomen, Acute... (D000006) SnoMedCT: Acute abdomen (9209005) UMLS: C0000727 (C0000727) MedDRA: Abdominal... syndrome acute (10000096) NDFRT: Abdomen, Acute [Disease/Finding] (N0000000260) Common Searches Search Medline Plus Search CTD Pharm GKB: Acute abdomen ...

  16. Electrical burns of the abdomen

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar Srivastava

    2013-01-01

    Full Text Available A 35-year-old male farmer came in contact with 11,000 volts high tension electric wire and sustained full thickness burn wounds over scapula, upper limb and anterior abdominal wall along with perforation of the intestine. Patient was initially managed conservatively in general surgery ward and was referred to us after 3 days with necrosis of the burned skin and muscles over the shoulder and abdomen. Patient was initially managed conservatively and then thorough debridement of the necrotic skin over the left shoulder and upper arm was done and the area was split skin grafted. Patient developed enterocutaneous fistula, which healed over a period of 8 weeks. The granulating wound over the abdomen was also skin grafted and patient was discharged after 18 days. About 4 months, after the discharge patient presented with ventral hernia. Repair of ventral hernia by synthetic mesh application and reconstruction of the abdominal wall with a free tensor fascia lata flap was done over the mesh, but the flap failed. Then after debridement two random pattern transposition skin flaps, one from the right upper and another from the left lower abdomen were transposed over the abdominal wound and donor area was skin grafted. Patient was discharged after 17 days.

  17. MRI of the fetal abdomen; MRT des fetalen Abdomens

    Energy Technology Data Exchange (ETDEWEB)

    Hoermann, M.; Brugger, P.C.; Witzani, L.; Prayer, D. [Medizinische Universitaet Wien (Austria). Universitaetsklinik fuer Radiodiagnostik

    2006-02-15

    Magnetic resonance imaging (MRI) is an important diagnostic component for central nervous system and thoracic diseases during fetal development. Although ultrasound remains the method of choice for observing the fetus during pregnancy, fetal MRI is being increasingly used as an additional technique for the accurate diagnosis of abdominal diseases. Recent publications confirm the value of MRI in the diagnosis of fetal gastrointestinal tract and urogenital system diseases. The following report provides an overview of MRI-examination techniques for the most frequent diseases of the abdomen. (orig.) [German] Die MRT ist ein wichtiger Bestandteil zur Diagnostik des zentralen Nervensystems und thorakaler Erkrankungen in der fetalen Entwicklung. Wenngleich der Ultraschall die Methode der Wahl zur Ueberwachung des Feten in der Schwangerschaft bleibt, bekommt die fetale MRT als zusaetzliche Untersuchungstechnik zur akkuraten Diagnostik abdomineller Erkrankungen immer groessere Bedeutung. Die neueren Publikationen bestaetigen v. a. den Stellenwert der MRT in der Diagnose von Erkrankungen des fetalen Gastrointestinaltrakts und des Urogenitalsystems. Im Folgenden soll ein Ueberblick ueber die MR-Untersuchungstechnik der haeufigsten Erkrankungen des Abdomens gegeben werden. (orig.)

  18. Management of the open abdomen.

    Science.gov (United States)

    Demetriades, Demetrios; Salim, Ali

    2014-02-01

    The open abdomen has become the standard of care in damage-control procedures, the management of intra-abdominal hypertension, and in severe intra-abdominal sepsis. This approach has saved many lives but has also created new problems, such as severe fluid and protein loss, nutritional problems, enteroatmospheric fistulas, fascial retraction with loss of abdominal domain, and development of massive incisional hernias. Early definitive closure is the basis of preventing or reducing the risk of these complications. The introduction of new techniques and materials for temporary and subsequent definitive abdominal closure has improved outcomes in this group of patients.

  19. How to deal with an open abdomen?

    LENUS (Irish Health Repository)

    De Waele, Jan J

    2015-01-01

    Appropriate open abdomen treatment is one of the key elements in the management of patients who require decompressive laparotomy or in whom the abdomen is left open prophylactically. Apart from fluid control and protection from external injury, fluid evacuation and facilitation of early closure are now the goals of open abdomen treatment. Abdominal negative pressure therapy has emerged as the most appropriate method to reach these goals. Especially when combined with strategies that allow progressive approximation of the fascial edges, high closure rates can be obtained. Intra-abdominal pressure measurement can be used to guide the surgical strategy and continued attention to intra-abdominal hypertension is necessary. This paper reviews recent advances as well as identifying the remaining challenges in patients requiring open abdomen treatment. The new classification system of the open abdomen is an important tool to use when comparing the efficacy of different strategies, as well as different systems of temporary abdominal closure.

  20. Echogeleide percutane drainage : toepassingen in het abdomen

    NARCIS (Netherlands)

    J.S. Laméris (Johan )

    1987-01-01

    textabstractDit proefschrift behandelt een aantal toepassingen van de echogeleide punctie en drainagetechniek in het abdomen, namelijk: - de percutane abcesdrainage - de percutane galblaasdrainage - de percutane galwegdrainage Abdominale abcessen zijn in de chirurgische praktijk altijd een groot pro

  1. 49 CFR 572.9 - Lumbar spine, abdomen, and pelvis.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Lumbar spine, abdomen, and pelvis. 572.9 Section... Percentile Male § 572.9 Lumbar spine, abdomen, and pelvis. (a) The lumbar spine, abdomen, and pelvis consist... minutes after the release. (d) When the abdomen is subjected to continuously applied force in...

  2. Treatment of Secondary Amenorrhea with Abdomen Acupuncture

    Institute of Scientific and Technical Information of China (English)

    韩燕

    2004-01-01

    @@ Abdomen acupuncture is a newly-emerged branch of body acupuncture, that has been used in clinic and gradually accepted by the patients. In recent years, the author has treated 33 cases of secondary amenorrhea with this art. The therapeutic results were satisfactory and reported as follows.

  3. 49 CFR 572.19 - Lumbar spine, abdomen and pelvis.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Lumbar spine, abdomen and pelvis. 572.19 Section 572.19 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY...-Year-Old Child § 572.19 Lumbar spine, abdomen and pelvis. (a) The lumbar spine, abdomen, and...

  4. Acute vascular abdomen. General outlook and algorithms.

    Science.gov (United States)

    Miani, S; Boneschi, M; La Penna, A; Erba, M; De Monti, M; Giordanengo, F

    1999-09-01

    Acute vascular abdomen is a severe and life-threatening pathology due to arterial degeneration, leading to hemorrhage or arterial occlusion leading to ischemia. Differential diagnosis of patients with severe abdominal pain and/or shock include several vascular and traumatic diseases, the most common being rupture of abdominal aortic aneurysm (AAA), or less frequently rupture of visceral artery aneurysm. Also acute aortic dissection, iatrogenic injury and acute mesenteric ischemia may lead to acute vascular abdomen. Clinical evaluation of the haemodynamic status of the patient may be very difficult, and may require airway maintenance and ventilation with a rapid treatment of hemorrhagic shock. In the stable patient with an uncertain diagnosis, CT scan, NMR and selective angiography may be helpful in diagnosis before vascular repair. On the contrary, the unstable patient, after hemodynamic resuscitation, must be operated on expeditiously. We present our vascular algorithms, to assess timing of diagnosis and treatment of this severe acute disease.

  5. Scrub typhus presenting as an acute abdomen

    Directory of Open Access Journals (Sweden)

    PP Abhilash Kundavaram

    2014-01-01

    Full Text Available Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi, which presents as an acute febrile illness with headache, myalgia, breathlessness, and an eschar, a pathognomonic sign, in a varying proportion of patients. However, this illness can present unusually with fever and severe abdominal pain mimicking acute abdomen. A careful search for an eschar in all patients with an acute febrile illness would provide a valuable diagnostic clue and avoid unnecessary investigations and surgical exploration.

  6. Scrub typhus presenting as an acute abdomen

    OpenAIRE

    PP Abhilash Kundavaram; Sohini Das; M Varghese George

    2014-01-01

    Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi, which presents as an acute febrile illness with headache, myalgia, breathlessness, and an eschar, a pathognomonic sign, in a varying proportion of patients. However, this illness can present unusually with fever and severe abdominal pain mimicking acute abdomen. A careful search for an eschar in all patients with an acute febrile illness would provide a valuable diagnostic clue and avoid unnecessary investigatio...

  7. Scrub typhus presenting as an acute abdomen.

    Science.gov (United States)

    Kundavaram, Abhilash Pp; Das, Sohini; George, Varghese M

    2014-01-01

    Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi, which presents as an acute febrile illness with headache, myalgia, breathlessness, and an eschar, a pathognomonic sign, in a varying proportion of patients. However, this illness can present unusually with fever and severe abdominal pain mimicking acute abdomen. A careful search for an eschar in all patients with an acute febrile illness would provide a valuable diagnostic clue and avoid unnecessary investigations and surgical exploration.

  8. A CLINICAL STUDY ON BLUNT INJURY ABDOMEN

    Directory of Open Access Journals (Sweden)

    G. Kishore Babu

    2016-10-01

    Full Text Available BACKGROUND Abdominal trauma continues to account for a large number of trauma-related injuries and deaths. Motor vehicle accidents and urban violence, respectively, are the leading causes of blunt and penetrating trauma to this area of the body. Unnecessary deaths and complications can be minimized by improved resuscitation, evaluation and treatment. The new techniques and diagnostic tools available are important in the management of abdominal trauma. These improved methods, however, still depend on experience and clinical judgment for application and determination of the best care for the injured patient. The aim of the study is to 1. Analyse the incidence, clinical characteristics, diagnosis, indications for laparotomy, therapeutic methods and morbidity & mortality rates. 2. To study nature of blunt abdominal trauma. 3. To assess patient for surgical intervention and to avoid negative laparotomy. 4. To assess morbidity rate in different organs injury. 5. To evaluate modalities of treatment, complications and prognosis. MATERIALS AND METHODS This study is a prospective study on 97 patients with Blunt injuries to the abdomen admitted in S.V.R.R.G.G. Hospital, Tirupati during October 2013-15. Inclusion Criteria Patients > 13 years, with Blunt injury to abdomen either by RTA, fall, object contact, assault giving written informed consent. Exclusion Criteria Patients <13 yrs. Blunt injuries due to blasts, patients with severe cardiothoracic and head injuries who are hemodynamically unstable. CONCLUSION Blunt Trauma to abdomen is on rise due to excessive use of motor vehicles. It poses a therapeutic and diagnostic dilemma for the attending surgeon due to wide range of clinical manifestations ranging from no early physical findings to progression to shock. So, the Trauma surgeon should rely on his physical findings in association with use of modalities like x-ray abdomen, USG abdomen and abdominal paracentesis. Hollow viscus perforations are

  9. Gynecologycal acute abdomen in an adolescent

    Directory of Open Access Journals (Sweden)

    Caroline Rosa Pellicciari

    2013-03-01

    Adnexial torsion is defined as a partial or complete rotation of the adnexial vascular pedicle, causing circulatory ischemia and future necrosis. It is rare, hard to diagnosis and therefore of commonly delayed treatment. Clinical symptoms are nonspecific and similar to acute abdomen what may lead to a delay in its identification, generally performed by ultrasound examination. Treatment is surgical and may include adnexial extraction. Such uncommon diagnosis should always be remembered in adolescents patients whose abdominal pain does not resolve after conventional clinical treatment. In this study we report a demonstrative case of this important pathology.

  10. Acute abdomen caused by brucellar hepatic abscess.

    Science.gov (United States)

    Ibis, Cem; Sezer, Atakan; Batman, Ali K; Baydar, Serkan; Eker, Alper; Unlu, Ercument; Kuloglu, Figen; Cakir, Bilge; Coskun, Irfan

    2007-10-01

    Brucellosis is a zoonotic infection that is transmitted from animals to humans by ingestion of infected food products, direct contact with an infected animal, or aerosol inhalation. The disease is endemic in many countries, including the Mediterranean basin, the Middle East, India, Mexico, Central and South America and, central and southwest Asia. Human brucellosis is a systemic infection with a wide clinical spectrum. Although hepatic involvement is very common during the course of chronic brucellosis, hepatic abscess is a very rare complication of Brucella infection. We present a case of hepatic abscess caused by Brucella, which resembled the clinical presentation of surgical acute abdomen.

  11. Basic interventional radiology in the abdomen.

    Science.gov (United States)

    Calero García, R; Garcia-Hidalgo Alonso, M I

    2016-05-01

    This article describes the different basic nonvascular interventional techniques in the abdomen that all general radiologists should be familiar with. It explains the indications and approaches for the different procedures (punctures, biopsies, drainage of collections, cholecystostomies, and nephrostomies). It also discusses the advantages and disadvantages of the different imaging techniques that can be used to guide these procedures (ultrasound, CT, and fluoroscopy) as well as the possible complications that can develop from each procedure. Finally, it shows the importance of following up patients clinically and of taking care of catheters.

  12. Surgical acute abdomen in elderly patients.

    Directory of Open Access Journals (Sweden)

    Itengré Ouédraogo

    2004-08-01

    Full Text Available Fundaments : The surgical acute abdomen usually is the most frequent cause of abdominal surgery of urgency in t he old one, with the high mortality in spite of the modern surgical technologies. Objective: To evaluate the surgery of the surgical acute abdomen in the old one. Method: Appears a prospectivo descriptive study that includes 102 patients of 60 years or more who underwent surgery at the ¨Dr Gustavo Aldereguía Lima¨ University Hospital of Cienfuegos with this diagnostic. The primary data were obtained from clinical cards of the patients and the daily clinical observation until the debit. Results: The patients presented an average age of 74 years, being the most frequent causes of the syndrome intestinal obstruction (32,4%, the biliary tract affections (22,5%, and acute appendicitis (21,6%. The most frequent symptom was abdominal pain (96,08%, and we noticed tachycardia in 80,4%. Postoperating complications in 47,06% of the patients appeared and was observed a mortality of 26,5% with statistically significant relation with the age, ASA classification, surgical risk, time of evolution and the surgical time. The peritonitis heads the direct causes of death.

  13. Localized Castleman disease of plasma cell type in the abdomen

    Institute of Scientific and Technical Information of China (English)

    LU Zhi-hua; WU Mei

    2011-01-01

    Castleman disease is a relatively rare entity,with the hyaline-vascular type the predominant form.Although the plasma cell type is uncommon,it still comprises approximately 10% of cases of localized diseases.In addition,the abdomen is a rare site for involvement and localized Castleman disease of the plasma cell type in the abdomen is rare.The radiologic features of localized plasma cell type in the abdomen are mostly limited to case reports.In addition to the conventional imaging findings,we present some new imaging findings of localized plasma cell type in the abdomen.

  14. [Pelvic actinomycosis and sub-acute abdomen].

    Science.gov (United States)

    Messalli, E M; Cobellis, L; Festa, B; Pecori, E; Stradella, L; Cobellis, G

    2002-12-01

    An interesting case of pelvic actinomycosis with paculiar clinical manifestation is presented. A 42 years-old patient came to our emergency service for an abdominal pelvic pain and fever. Past history showed IUD in situ for over 15 years. The patient was submitted to a ultrasonographic scan and a complete hematological screening was performed. The diagnosis was of subacute abdomen, and an exploratory laparotomy was carried out. During laparotomy an atypical reactive tissue and a suppurative cavity were found. The histological finding of tissue biopsy showed pelvic actinomycosis. On the basis of these findings the conclusion is drawn that a better prevention of pelvic actinomycosis is necessary of its diffusion in the last years due to sexual habit changes.

  15. Open abdomen management of intra-abdominal sepsis.

    Science.gov (United States)

    Adkins, Amy L; Robbins, James; Villalba, Mario; Bendick, Phillip; Shanley, Charles J

    2004-02-01

    Despite surgical advances, antimicrobial therapy, and intensive care, the morbidity and mortality of intra-abdominal sepsis remains high. The primary purpose of this study was to determine whether open abdomen management of intra-abdominal sepsis reduces intensive care unit (ICU) and hospital mortality. The records of 81 consecutive patients with open abdomen management for intra-abdominal sepsis admitted to the surgical ICU from January 1998 to April 2002 were retrospectively reviewed. Outcomes were compared to a historical control group with primary abdominal closure, also admitted to the surgical ICU with intra-abdominal sepsis and matched for sex, age, source of sepsis, and APACHE III score. ICU mortality for the open abdomen group was 25 per cent versus 17 per cent for the control group. Hospital mortality was 33 per cent and 25 per cent for the open abdomen patients and historical controls, respectively. Both ICU and hospital length of stay were significantly longer for the open abdomen group. An overall fistula rate of 14.8 per cent was demonstrated in the open abdomen patients. A significant difference in overall ICU and hospital mortality was not demonstrated between patients treated with open abdomen management and historical controls. A prospective randomized study accounting for extent of sepsis may define a role for open abdomen management in selected subgroups of patients.

  16. Does dragonfly's abdomen flexion help with fast turning maneuvers?

    Science.gov (United States)

    Liu, Geng; Li, Chengyu; Dong, Haibo; Flow Simulation Research Group Team

    2013-11-01

    Dragonflies are able to achieve fast turning maneuvers during take-off flights. Both asymmetric wing flapping and abdomen flexion have been observed during the fast turning. It's widely thought that the asymmetric wing beats are responsible of producing the aerodynamic moment needed for the body rotation. However, the dynamic effect of the abdomen flexion is not clear yet. In this study, an integrated experimental and computational approach is used to study the underlying dynamic effect of dragonfly abdomen flexion. It's found that dragonfly abdomen tended to bend towards the same side as the body reorienting to. Quantitative analysis have shown that during take-off turning maneuver the abdomen flexion can modulate the arm of force by changing the position of the center of mass relative to the thorax. As a result, roll and yaw moments produced by the wing flapping can be enhanced. This work is supported by NSF CBET-1313217. This work is supported by NSF CBET-1313217.

  17. Soporte nutricional en pacientes con abdomen abierto Nutricional support in patients with open abdomen

    Directory of Open Access Journals (Sweden)

    J. O. Velázquez G.

    2007-04-01

    Full Text Available Objetivos: El soporte nutricional es fundamental en los pacientes con trauma severo para disminuir los efectos de la respuesta inflamatoria sistémica y el hipermetabolismo. Se diseñó un protocolo para evaluar la tolerancia y eficacia y del soporte nutricional, así como la evolución clínica en los pacientes post-operados con abdomen abierto. Pacientes y métodos: Se realizó un estudio descriptivo, prospectivo de pacientes intervenidos quirúrgicamente a quienes se les dejó el abdomen abierto con bolsa de Bogotá y recibieron soporte nutricional. Fueron excluidos del estudio aquellos pacientes que permanecieron menos de 4 días con el abdomen abierto. Un grupo recibió nutrición parenteral total (NPT con mezclas tres en uno, otro grupo recibió nutrición enteral a través de yeyunostomía con aguja y catéter y un tercer grupo recibió soporte nutricional mixto. Ambiente: Servicio de Cirugía I del Hospital Universitario Ángel Larralde. IVSS Valencia (Venezuela. Período del estudio entre mayo del 2002 a mayo del 2005. Resultados: Ingresaron 24 pacientes al estudio, 46% recibió soporte nutricional mixto (enteral y parenteral, 33% exclusivamente NPT y 31% exclusivamente nutrición enteral. 75% evolucionaron favorablemente egresando al domicilio en buenas condiciones generales, 25% fallecieron debido a falla múltiple de órganos por sepsis severa. En relación al soporte nutricional, 66% de los pacientes no presentaron complicaciones, de los que recibieron nutrición parenteral 21% presentaron hiperglicemia y de los que recibieron nutrición enteral 13% presentaron diarrea. En cuanto a la eficacia de la nutrición enteral 69% de los pacientes alcanzaron el 80% de la meta calórica estimada entre el 4º y 5º día del inicio de la administración de la fórmula. Conclusión: El cuidado integral de los pacientes con abdomen abierto, sumado a un esquema de soporte nutricional que se ajuste las condiciones de cada paciente puede ayudar a

  18. Surgical acute abdomen in elderly patients. Abdomen agudo quirúrgico en el anciano.

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    Lidia Torres Ajá

    Full Text Available Fundaments : The surgical acute abdomen usually is the most frequent cause of abdominal surgery of urgency in t he old one, with the high mortality in spite of the modern surgical technologies. Objective: To evaluate the surgery of the surgical acute abdomen in the old one. Method: Appears a prospectivo descriptive study that includes 102 patients of 60 years or more who underwent surgery at the ¨Dr Gustavo Aldereguía Lima¨ University Hospital of Cienfuegos with this diagnostic. The primary data were obtained from clinical cards of the patients and the daily clinical observation until the debit. Results: The patients presented an average age of 74 years, being the most frequent causes of the syndrome intestinal obstruction (32,4%, the biliary tract affections (22,5%, and acute appendicitis (21,6%. The most frequent symptom was abdominal pain (96,08%, and we noticed tachycardia in 80,4%. Postoperating complications in 47,06% of the patients appeared and was observed a mortality of 26,5% with statistically significant relation with the age, ASA classification, surgical risk, time of evolution and the surgical time. The peritonitis heads the direct causes of death.

    Fundamento : El abdomen agudo quirúrgico suele ser la causa más frecuente de cirugía abdominal de urgencia en el anciano, se asocia con una alta mortalidad a pesar de las tecnologías quirúrgicas modernas. Objetivo : Evaluar la cirugía del abdomen agudo quirúrgico en el anciano. Método : Estudio descriptivo prospectivo que incluye a 102 pacientes de 60 años o más operados en el Hospital Universitario ¨Dr. Gustavo Aldereguía Lima¨ de Cienfuegos entre agosto y diciembre del 2002 con el diagnóstico de abdomen agudo quirúrgico. Los datos primarios se obtuvieron de las fichas clínicas de los pacientes y de la observación clínica diaria hasta el egreso

  19. Acute Abdomen; Pre and Post-Laparotomy Diagnosis

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    Marjan Laal

    2009-07-01

    Full Text Available Background: Abdominal pain is a common presentation that requires almost immediate management. It is sometimes crucial to diagnose at the earliest and make a decision as to operate. Therefore it is necessary for the physician to be familiar both with the presentations of common causes of abdominal pain and the validity of diagnostic tests.  Diagnosis of acute abdomen before laparotomy is essential in reducing the morbidity and mortality while preventing from unnecessary operations especially where the diagnostic facilities are limited and clinical awareness plays an important role in the diagnosis and management. Objectives: This study attempted to compare pre and post-operative diagnosis in acute abdomen.Materials & Methods: This was an observational study, conducted from February to December 2005. The study included 139 consecutive patients referred to Sina hospital (Tehran, Iran presented with symptoms of acute abdomen, operated to see the negative laparotomy rate, the diagnostic accuracy and predictive values of different investigations in acute abdomen. Statistical analysis was performed using SPSS software version 11.5. P value of Results: All 139 patients with diagnosis of acute abdomen underwent emergency laparotomy. Acute abdomen was most common in the age group 20-29 years with male predominance. Acute appendicitis (57.6% was the most common cause of surgical condition, and then the most common causes of acute abdomen were peritonitis (14.4% and bowel obstruction (7.9% in male and ovarian cyst torsion (24.5% in female patients. The negative laparotomy rate was 12.2% (P value Conclusion: The decision to operate is based on the results of a good history and thorough physical examination(s with the guidance of investigative tools. Diagnostic modalities could guide the physician in confirming the diagnosis. An accurate diagnosis of acute abdomen can avoid from unnecessary operations so reduces the rate of negative laparotomies.

  20. MR imaging of the abdomen in pregnancy; MR-Diagnostik des Abdomens in der Schwangerschaft

    Energy Technology Data Exchange (ETDEWEB)

    Klasen, J.; Antoch, G.; Blondin, D. [Duesseldorf Univ. (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie

    2011-06-15

    Sonography is still the method of choice for imaging diseases in pregnant women. The changed physiognomy of the women increases the known limitations of sonography while the advantages of MRI (large field of view, excellent soft-tissue contrast, sensitive diagnosis of edema) are not affected. The available sequences allow the differentiation of various pathologies. Most of these can frequently be visualized without intravenous administration of contrast material. Although the significance of techniques like DWI and ASL has not yet been explored, initial descriptions are promising and MR imaging in pregnancy will be increasingly important in the future. Therefore, knowledge of the most frequent diseases in pregnancy and their image appearance is relevant to radiologists. The advantages of MRI in comparison to sonography and its important role in imaging pathologies of the acute abdomen in pregnancy are illustrated and discussed. (orig.)

  1. 49 CFR 572.75 - Lumbar spine, abdomen, and pelvis assembly and test procedure.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Lumbar spine, abdomen, and pelvis assembly and...) ANTHROPOMORPHIC TEST DEVICES 6-Year-Old Child § 572.75 Lumbar spine, abdomen, and pelvis assembly and test procedure. (a) Lumbar spine, abdomen, and pelvis assembly. The lumbar spine, abdomen, and pelvis consist...

  2. Imaging findings of acute abdomen with intraperitoneal tuberculosis

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    Joo, Ji Seon; Kim, Mi Young; Koo, Jin Hoi; Cho, Soon Gu; Suh, Chang Hae [Inha Univ. College of Medicine, Inchon (Korea, Republic of)

    2000-12-01

    Acute abdomen caused by abdominal tuberculosis is a rare manifestation, and includes bleeding of a gastric or ileal ulcer, obstruction of the small bowel by an adhesive band, perforation of the ileum, ileocolic intussusception and fistula, and mesenteric abscesses caused by necrotic lymph nodes. The clinical and radiologic features of these complicated tuberculosis may mimic other acute abdominal diseases. Although not definitive, careful evaluation of the radiologic findings of the bowel wall, mesenteric fat infiltration, and lymph node enlargement may provide useful diagnostic clues to the presence of acute abdomen due to tuberculosis.

  3. Diffusion-weighted magnetic resonance imaging of the abdomen; Diffusionsgewichtete Magnetresonanztomographie des Abdomens

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    Schmid-Tannwald, C.; Reiser, M.F.; Zech, C.J. [Klinikum der Ludwig-Maximilians-Universitaet Muenchen, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2011-03-15

    Diffusion-weighted magnetic resonance imaging (DW-MRI) provides qualitative and quantitative information of tissue cellularity and the integrity of cellular membranes. Since DW-MRI can be performed without ionizing radiation exposure and contrast media application, DW-MRI is a particularly attractive tool for patients with allergies for gadolinium-based contrast agents or renal failure. Recent technical developments have made DW-MRI a robust and feasible technique for abdominal imaging. DW-MRI provides information on the detection and characterization of focal liver lesions and can also visualize treatment effects and early changes in chronic liver disease. In addition DW-MRI is a promising tool for the detection of inflammatory changes in patients with Crohn's disease. (orig.) [German] Die diffusionsgewichtete (DW-)MRT ermoeglicht die Erfassung qualitativer und quantitativer Informationen bzgl. der Gewebezellularitaet und Membranintegritaet. Die DW-MRT ist insbesondere bei Patienten mit einer Allergie gegen gadoliniumhaltige Kontrastmittel oder eingeschraenkter Nierenfunktion attraktiv, da ihr Einsatz nicht mit Strahlenexposition oder Kontrastmittelgabe verbunden ist. Durch technische Weiterentwicklungen ist die robuste Anwendung der DW-MRI in der Bildgebung des Abdomens seit einiger Zeit moeglich geworden. In der Leberdiagnostik lassen sich Zusatzinformationen zur Detektion und Charakterisierung von Leberlaesionen gewinnen, aber auch Therapieerfolge dokumentieren und fruehe chronische Leberveraenderungen visualisieren. Neben ihrer Rolle bei hepatologischen und onkologischen Fragestellungen erscheint der Einsatz der DW-MRT zudem bei entzuendlichen Fragestellungen wie dem Morbus Crohn sehr viel versprechend. (orig.)

  4. Ascariasis presenting as acute abdomen during pregnancy and puerperium.

    Science.gov (United States)

    Gupta, Avantika; Rathore, Asmita Muthal; Manaktala, Usha

    2013-03-01

    Ascariasis can have various clinical presentations. We present three cases of ascariasis in pregnant or postpartum women, presenting with acute abdomen. The diagnosis of ascariasis was made clinically with the passage of ascaris worms in the vomitus or stool and was supported by ultrasonography. All three patients were treated successfully using anthelmintics. One patient underwent exploratory laparotomy.

  5. Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique

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    Ioannis D. Kyriazanos

    2015-01-01

    Full Text Available Wound dehiscence is a serious postoperative complication, with an incidence of 0.5–3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of “intentional open abdomen” was described and both clinical entities share common pathophysiological and clinical pathways (“postoperative open abdominal wall”. Although early reconstruction is the target, a significant proportion of patients will develop adhesions between abdominal viscera and the anterolateral abdominal wall, a condition widely recognized as “frozen abdomen,” where delayed wound closure appears as the only realistic alternative. We report our experience with a patient who presented with frozen abdomen after wound dehiscence due to surgical site infection and application of the “Coliseum technique” for its definitive surgical management. This novel technique represents an innovative alternative to abdominal exploration, for cases of “malignant” frozen abdomen due to peritoneal carcinomatosis. Lifting the edges of the surgical wound upwards and suspending them under traction by threads from a retractor positioned above the abdomen facilitates approach to the peritoneal cavity, optimizes exposure of intra-abdominal organs, and prevents operative injury to the innervation and blood supply of abdominal wall musculature, a crucial step for subsequent hernia repair.

  6. Pancreatic laceration and portal vein thrombosis in blunt trauma abdomen

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    Rastogi Rajul

    2008-01-01

    Full Text Available Injuries to the pancreas by blunt trauma are uncommon. The association of pancreatic injury with acute portal vein thrombosis secondary to blunt trauma abdomen is furthermore rare. The early diagnosis of the pancreas with injury to the portal vein is challenging and difficult. These injuries are associated with high morbidity and mortality, particularly if the diagnosis is delayed. Accurate and early diagnosis is therefore imperative and computed tomography plays a key role in detection. We present a case of child with a rare combination of pancreatic laceration and acute portal vein thrombosis following a blunt trauma to the abdomen. With extensive literature search we found no such cases has been described previously.

  7. Radiological diagnostics of abdomen and thorax. Image interpretation considering anatomical landmarks and clinical symptoms; Radiologische Diagnostik Abdomen und Thorax. Bildinterpretation unter Beruecksichtigung anatomischer Landmarken und klinischer Symptome

    Energy Technology Data Exchange (ETDEWEB)

    Krombach, Gabriele A. [Universitaetsklinikum Giessen (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie; Mahnken, Andreas H. (ed.) [Universitaetsklinikum Marburg (Germany). Diagnostische und Interventionelle Radiologie

    2015-07-01

    The book on radiological diagnostics of abdomen and thorax - image interpretation considering anatomical landmarks and clinical symptoms - includes three chapters: (1) imaging of different parts of the body: thorax and abdomen. (II) Thorax: head and neck; mediastinum; heard and pericardium; large vessels; lungs and pleura; mamma. (III) Abdomen: liver; gall bladder and biliary tract; pancreas; gastrointestinal tract; spleen and lymphatic system; adrenal glands; kidneys and urinary tract; female pelvis; male pelvis.

  8. [Huge cystic tumor in the left upper abdomen].

    Science.gov (United States)

    Dornbusch, J; Hasselmann, J

    2012-04-01

    ABTRACT: We report the case of a 71-year-old man with a cystic tumor in the left upper abdomen and a long-standing history of symptoms. After completing clinical tests and imaging studies a laparotomy was performed. The tumor was removed together with the first jejunal loop and bowel reconstruction was completed by hand-sewn anastomosis. Histopathological analysis revealed a gastrointestinal stromal tumor classified as high risk.

  9. Protein C and S deficiency presenting as acute abdomen

    Directory of Open Access Journals (Sweden)

    Amit A Bharadiya

    2015-01-01

    Full Text Available Protein C and S are essential in limiting the activation of coagulation in vivo. Their deficiencies predispose the patient to thrombophilia and leads to thrombosis, often at unusual sites. Arterial thrombosis is rarely observed. We report a case of a patient with abdominal arteriovenous thrombosis leading to multiorgan infarction secondary to deficiency of protein C and protein S and presenting as acute abdomen.

  10. Auscultation of the Chest and Abdomen by Athletic Trainers.

    Science.gov (United States)

    McChesney, John A.; McChesney, John W.

    2001-06-01

    OBJECTIVE: To present a practical overview of the methods and techniques of auscultation of the chest and abdomen for use during the physical examination of athletes. Our intent is to provide information on this clinical technique to assist athletic trainers in recognizing and referring athletes presenting with potentially serious internal organ conditions. BACKGROUND: Use of the stethoscope is a clinical skill increasingly necessary for athletic trainers. Given the expanding breadth of both the assessment techniques used by athletic trainers and the populations they care for and the fact that clinical instruction guidelines have changed in the newly adopted National Athletic Trainers' Association Educational Competencies, our goal is to provide a framework upon which future instruction can be based. DESCRIPTION: This review covers the use of a stethoscope for auscultation of the chest and abdomen. Auscultation of the heart is covered first, followed by techniques for auscultating the breath sounds. Lastly, auscultation of the abdomen describes techniques for listening for bowel sounds and arterial bruits. CLINICAL ADVANTAGES: During the assessment of injuries to and illnesses of athletes, knowledge of auscultatory techniques is valuable and of increasing importance to athletic trainers. Athletic trainers who do not know how to perform auscultation may fail to recognize, and therefore fail to refer for further evaluation, athletes with potentially serious pathologic conditions.

  11. Marfan syndrome with acute abdomen: a case report

    Directory of Open Access Journals (Sweden)

    Beyazit Zencirci

    2010-11-01

    Full Text Available Beyazit ZencirciKahramanmaras Sutcu Imam University Medical Faculty, Department of Anesthesiology and Reanimation Kahramanmaras, TurkeyIntroduction: Marfan syndrome is an autosomal dominant connective tissue disorder characterized by a combination of clinical manifestations in different organ systems. Patients with Marfan syndrome (MFS whose lifetimes are extended may be encountered as acute abdomen (appendicitis cases apart from the obligatory reasons and emergencies arising naturally out of their disease, as in the case reported.Case presentation: In a 28-year-old Turkish male, arachnodactyly, pectus excavatum, kyphoscoliosis and, according to pulmonary roentgenogram, a density increase in the left apical field were detected. In addition, according to the echocardiographic examination, Ebstein’s anomaly, mitral valve prolapse, pulmonary hypertension, and inferior deficiency of mitral, aorta, and tricuspid valves were present. The patient was planned to be operated on with the prediagnosis of acute abdomen.Conclusion: Taking into consideration the pathologies that may accompany MFS and the probable future complications, the patients must be closely monitored during anesthesia applications and required measures should be taken beforehand.Keywords: Marfan syndrome, acute abdomen

  12. High-speed seatbelt pretensioner loading of the abdomen.

    Science.gov (United States)

    Foster, Craig D; Hardy, Warren N; Yang, King H; King, Albert I; Hashimoto, Syuzo

    2006-11-01

    This study characterizes the response of the human cadaver abdomen to high-speed seatbelt loading using pyrotechnic pretensioners. A test apparatus was developed to deliver symmetric loading to the abdomen using a seatbelt equipped with two low-mass load cells. Eight subjects were tested under worst-case scenario, out-of-position (OOP) conditions. A seatbelt was placed at the level of mid-umbilicus and drawn back along the sides of the specimens, which were seated upright using a fixed-back configuration. Penetration was measured by a laser, which tracked the anterior aspect of the abdomen, and by high-speed video. Additionally, aortic pressure was monitored. Three different pretensioner designs were used, referred to as system A, system B and system C. The B and C systems employed single pretensioners. The A system consisted of two B system pretensioners. The vascular systems of the subjects were perfused. Peak anterior abdominal loads due to the seatbelt ranged from 2.8 kN to 10.1 kN. Peak abdominal penetration ranged from 49 mm to 138 mm. Peak penetration speed ranged from 4.0 m/s to 13.3 m/s. Three cadavers sustained liver injury: one AIS 2, and two AIS 3. Cadaver abdominal response corridors for the A and B system pretensioners are proposed. The results are compared to the data reported by Hardy et al. (2001) and Trosseille et al. (2002).

  13. [Acute abdomen secondary to spontaneous uterine rupture associated with pyometra].

    Science.gov (United States)

    Ortiz-Mendoza, Carlos Manuel

    2006-01-01

    A 71-year-old female with rheumatoid arthritis and chronic use of corticosteroids presented to the emergency room with 2 weeks of urinary symptoms, abdominal pain and a mass located in hypo-mesogastrium and both flanks. An X-ray film of the abdomen showed that bowels were displaced by the mass. Laboratory studies showed thrombocytosis (549,000/mm(3)) and leukocytosis (41,800/mm(3)). Several hours after her arrival the patient developed acute abdomen and surgery was indicated. A urinary catheter drained 2100 ml of urine and the abdominal mass was reduced in size but did not disappear. Surgery demonstrated that the urinary bladder covered the fundus and the anterior face of the uterus, where extensive necrosis and a 3-cm perforation were found; 400 ml of foul-smelling pus was drained from the uterine cavity. Due to necrosis, a hysterectomy was performed. The histopathological report indicated necrosis, atrophic cervicitis and endometritis; pus culture developed Escherichia coli and Proteus vulgaris. Despite administration of broad-spectrum antibiotics, the patient developed severe sepsis and died 11 days postoperatively. During a literature review, only one similar case was found. Acute abdomen due to uterine perforation secondary to pyometra and associated with chronic use of corticosteroids is a rare complication.

  14. Sonographic diagnosis of "acute abdomen" in children and adults

    Science.gov (United States)

    Vauth, Christoph; Englert, Heike; Fischer, Thomas; Kulp, Werner; Greiner, Wolfgang; Willich, Stephan N.; Stroever, Brigitte; Graf von der Schulenburg, Johann-Matthias

    2005-01-01

    Introduction The acute abdomen is the main term for an at first unclear emergency situation of the abdominal cavity. The acute abdomen belongs to the three most important reasons for the admission of patients into the emergency room. Further, this illness ranks 40% of all consultations in the ambulant care sector. The acute abdomen requires an early and direct diagnosis because of its potential of having a life threatening differential diagnosis. This HTA report aimed to assess the ultrasound diagnosis of the acute abdomen considering children and adults. This will be done from a medical and economic perspective. The differential diagnosis respectively the cause of the acute abdomen binds high direct treatment costs, especially in the stationary sector. Ultrasound diagnosis is a procedure that plays a big part in the differential diagnosis process and it is widely used in practise. Other research methods of diagnosing acute abdominal illness are: clinical examinations with inspection and palpation, surgical exploration and laparocopy as well as computer tomography and x-ray examination. Objectives The main objective of this HTA report is to assess what significance sonography should have within the examination strategy of the acute abdomen from the medical and economical view. Second, this HTA report will evaluate under which circumstances the ultrasonographic diagnosis of the acute abdomen, considering medical and economical quality classifications, is the alternative of choice to comparable diagnostic measures. Methods The target population this HTA report is aimed at are children and adults with acute abdomen or embedded differential diagnosis. A systematic literature search was conducted covering all relevant medical and HTA-databases. Furthermore, handsearch was conducted inside of the known data bases of HTA-institutions as well as from medical and economical journals. The following databases were searched in cooperation with DIMDI to identify relevant

  15. [Acute abdomen caused by eosinophilic enteritis: six observations].

    Science.gov (United States)

    Martínez-Ubieto, Fernando; Bueno-Delgado, Alvaro; Jiménez-Bernadó, Teresa; Santero Ramírez, María Pilar; Arribas-Del Amo, Dolores; Martínez-Ubieto, Javier

    2013-01-01

    Antecedentes: la enteritis eosinofílica es un padecimiento raro y los casos de abdomen agudo que origina suponen un mínimo porcentaje. Su etiología aún no está aclarada pero se asocia con enfermedades del colágeno, intolerancias alimentarias e infestaciones por parásitos, como anisakis, descubierto en una de las histologías de nuestros casos. Casos clínicos: de 1997 a 2011 se diagnosticaron seis casos de abdomen agudo; en tres de ellos la enteritis eosinofílica causó necrosis irreversible de un segmento intestinal y hubo que practicar una resección intestinal segmentaria. En dos de ellos había un segmento intestinal con aspecto inflamatorio, que fue el único hallazgo causante del cuadro agudo y en los que sólo se practicó biopsia y otro caso donde fue un hallazgo sin relación con el proceso agudo. Conclusiones: la enteritis eosinofílica puede ocasionar cuadros de abdomen agudo que requieren intervención quirúrgica urgente. El aspecto intraoperatorio es el de un segmento con aspecto inflamatorio que puede llegar a ser macroscópicamente irreversible y donde sólo la resección parcial es el tratamiento correcto, que puede hacerse por vía laparoscópica.

  16. Lassa fever presenting as acute abdomen: a case series.

    Science.gov (United States)

    Dongo, Andrew E; Kesieme, Emeka B; Iyamu, Christopher E; Okokhere, Peter O; Akhuemokhan, Odigie C; Akpede, George O

    2013-04-19

    Lassa fever, an endemic zoonotic viral infection in West Africa, presents with varied symptoms including fever, vomiting, retrosternal pain, abdominal pain, sore-throat, mucosal bleeding, seizures and coma. When fever and abdominal pain are the main presenting symptoms, and a diagnosis of acute abdomen is entertained, Lassa fever is rarely considered in the differential diagnosis, even in endemic areas. Rather the diagnosis of Lassa fever is suspected only after surgical intervention. Therefore, such patients often undergo unnecessary surgery with resultant delay in the commencement of ribavirin therapy. This increases morbidity and mortality and the risk of nosocomial transmission to hospital staff. We report 7 patients aged between 17 months and 40 years who had operative intervention for suspected appendicitis, perforated typhoid ileitis, intussuception and ruptured ectopic pregnancy after routine investigations. All seven were post-operatively confirmed as Lassa fever cases. Four patients died postoperatively, most before commencement of ribavirin, while the other three patients eventually recovered with appropriate antibiotic treatment including intravenous ribavirin. Surgeons working in West Africa should include Lassa fever in the differential diagnosis of acute abdomen, especially appendicitis. The presence of high grade fever, proteinuria and thrombocytopenia in patients with acute abdomen should heighten the suspicion of Lassa fever. Prolonged intra-operative bleeding should not only raise suspicion of the disease but also serve to initiate precautions to prevent nosocomial transmission.

  17. Clinical Study on Simple Obesity Treated with Abdomen Acupuncture

    Institute of Scientific and Technical Information of China (English)

    穆美君; 袁宜勤

    2008-01-01

    目的:观察腹针治疗单纯性肥胖症的临床疗效.方法:根据随机对照原则,将60例单纯性肥胖患者分为腹针组30例和体针组30例.治疗15次为1个疗程,共治疗2个疗程.以人体质量指数和体重下降情况来进行疗效评定.结果:第1个疗程后两组人体质量指数变化和疗效无统计学差异,两个疗程结束时两组人体质量指数和疗效有显着差异.结论:腹针治疗单纯性肥胖症效果较好,疗效持久稳定.%Objective: To observe the clinical effects of simple obesity treated with abdomen acupuncture. Methods: Sixty patients with simple obesity were allocated to abdomen acupuncture group and body acupuncture group based on the randomized and controlled principle, 30 patients in each group. Fifteen treatments made up one course. The cases were treated for 2 courses. The clinical effects were evaluated by body mass index (BMI) and the declining of body height. Result: The change of BMI and clinical effects were of no significant difference between two groups after 1 course, but there were significant differences after two courses. Conclusion: The clinical effect of abdomen acupuncture treating simple obesity is better, and the effect is persistent and stable.

  18. MELAS syndrome presenting as an acute surgical abdomen.

    Science.gov (United States)

    Dindyal, S; Mistry, K; Angamuthu, N; Smith, G; Hilton, D; Arumugam, P; Mathew, J

    2014-01-01

    MELAS (mitochondrial cytopathy, encephalomyopathy, lactic acidosis and stroke-like episodes) is a syndrome in which signs and symptoms of gastrointestinal disease are uncommon if not rare. We describe the case of a young woman who presented as an acute surgical emergency, diagnosed as toxic megacolon necessitating an emergency total colectomy. MELAS syndrome was suspected postoperatively owing to persistent lactic acidosis and neurological symptoms. The diagnosis was later confirmed with histological and genetic studies. This case highlights the difficulties in diagnosing MELAS because of its unpredictable presentation and clinical course. We therefore recommend a high index of suspicion in cases of an acute surgical abdomen with additional neurological features or raised lactate.

  19. Follicular Dendritic Cell Sarcoma of the Abdomen: the Imaging Findings

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Tae Wook; Lee, Soon Jin; Song, Hye Jong [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2010-04-15

    Follicular dendritic cell sarcoma is a rare neoplasm that originates from follicular dendritic cells in lymphoid follicles. This disease usually involves the lymph nodes, and especially the head and neck area. Rarely, extranodal sites may be affected, including tonsil, the oral cavity, liver, spleen and the gastrointestinal tract. We report here on the imaging findings of follicular dendritic cell sarcoma of the abdomen that involved the retroperitoneal lymph nodes and colon. It shows as a well-defined, enhancing homogenous mass with internal necrosis and regional lymphadenopathy.

  20. A Rare Acute Abdomen Reason: Perforated Jejunal Diverticulitis

    Directory of Open Access Journals (Sweden)

    Oktay Karakose

    2014-06-01

    Full Text Available Jejunal diverticulosis is a rare case that is diagnosed incidental. Although it is generally asymptomatic, it can cause non-spesific symptoms like stomachache, nausea, diarrhoea, malabsorption, bleeding, obstruction and / or perforation. Perforated jejunal diverticulitis is a very rare acute abdomen cause. The acute complications of jejunal diverticulosis can be cause of significant morbidity and mortality especially in old patients. In this text, we report a 81 year old woman case that was operated emergently because of perforated jejunal diverticulitis and was lost in postoperation term because of multiple organ failure.

  1. Guillain-Barre Syndrome Presenting as Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Faruk incecik

    2015-09-01

    Full Text Available Guillain-Barr and eacute; syndrome (GBS is the most common cause of acute flaccid paralysis in childhood. Symmetric weakness, headache, respiratory symptom, neuropathic pain, muscle pain, paresthesia, and facial palsy were the most common clinical presentations. We report 13-year-old boy with GBS who presented with acute abdominal pain. This is the first report, to our knowledge, first presented of acute abdomen of a pediatric patient with GBS. [Cukurova Med J 2015; 40(3.000: 601-603

  2. Diagnostics of vascular diseases as a cause for acute abdomen; Diagnostik vaskulaerer Erkrankungen als Ursache fuer das akute Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Juchems, M.S. [Universitaetsklinikum Ulm, Klinik fuer Diagnostische und Interventionelle Radiologie, Ulm (Germany); Aschoff, A.J. [Klinikum Kempten-Oberallgaeu, Abteilung fuer Radiologie, Kempten (Germany)

    2010-03-15

    Vascular pathologies are rare causes of an acute abdomen. If the cause is a vascular disease a rapid diagnosis is desired as vascular pathologies are associated with high mortality. A differentiation must be made between arterial and venous diseases. An occlusion of the superior mesenteric artery is the most common reason for acute mesenteric ischemia but intra-abdominal arterial bleeding is also of great importance. Venous pathologies include thrombotic occlusion of the portal vein, the mesenteric vein and the vena cava. Multi-detector computed tomography (MDCT) is predestined for the diagnostics of vascular diseases of the abdomen. Using multiphasic contrast protocols enables reliable imaging of the arterial and venous vessel tree and detection of disorders with high sensitivity and specificity. Although conventional angiography has been almost completely replaced by MDCT as a diagnostic tool, it is still of high importance for minimally invasive interventions, for example in the management of gastrointestinal bleeding. (orig.) [German] Vaskulaere Pathologien sind seltene Ursachen fuer den klinischen Zustand eines akuten Abdomens. Liegt eine vaskulaere Erkrankung vor, ist jedoch aufgrund der hohen Mortalitaet eine zuegige Diagnostik von grosser Wichtigkeit. Bei den Erkrankungen der abdominellen Gefaesse sind arterielle von venoesen Ursachen zu unterscheiden. Ein Verschluss der A. mesenterica superior ist die haeufigste Ursache fuer die akute Mesenterialischaemie, daneben sind Blutungen in den abdominellen Gefaessprovinzen des arteriellen Gefaessbaums von Bedeutung. Venoese Pathologien betreffen thrombotische Verschluesse der Pfortader, der V. mesenterica und der V. cava. Die Multidetektor-CT (MDCT) ist zur Diagnostik vaskulaerer Erkrankungen des Abdominalraums praedestiniert. Mit mehrphasigen Untersuchungsprotokollen gelingt es, den arteriellen und venoesen Gefaessbaum zuverlaessig darzustellen und Erkrankungen mit hoher Sensitivitaet und Spezifitaet zu

  3. Acute abdomen as atypical presentation of brucellosis: report of two cases and review of literature.

    OpenAIRE

    al Faraj, S

    1995-01-01

    Abdominal involvement in brucellosis is seen in the acute, subacute and chronic disease. It is not typical, however, that acute abdomen is the presenting feature of brucellosis. In this paper, two cases of serologically diagnosed brucellosis are reported, both presenting initially with acute abdomen and fever. In brucella-endemic regions of the world, brucellosis has to be considered in the differential diagnosis of acute abdomen and fever. With definitive diagnosis, unnecessary laparotomy ca...

  4. The larval abdomen of the enigmatic Nannochoristidae (Mecoptera, Insecta).

    Science.gov (United States)

    Fraulob, Maximilian; Wipfler, Benjamin; Hünefeld, Frank; Pohl, Hans; Beutel, Rolf G

    2012-03-01

    External and internal structures of the larval abdomen of Nannochorista are described in detail, with emphasis on the posterior segments. The results are compared with conditions found in other groups of Antliophora, especially the mecopteran subgroups Boreidae and Pistillifera. Like the entire postcephalic body, the larval abdomen of Nannochorista is extremely slender and nearly cylindrical. The anterior segments are largely unmodified. The surface is smooth and lacks any protuberances or prolegs. The term "cloaca" for the posterior membranous pouch of Nannochorista sp. is morphologically unjustified. A list of muscles of segments IX and X is presented. The abdominal musculature was partly homologized following Snodgrass. The muscles of segment X are highly modified. They move the membranous pouch, the anal papillae, and the terminal lobes. The presence of these structures is likely an adaptation to the specific aquatic life style of nannochoristid larvae. The anal papillae are possibly homologous to the 4-lobed terminal attachment apparatus of larvae of Caurinus (Boreidae) and Pistillifera (Panorpidae, Bittacidae, Choristidae) but this is uncertain. The specific condition in both groups, i.e. two retractile papillae with tracheae and Malpighian tubules in Nannochoristidae, and a 4-lobed exposed attachment device in Pistillifera + Boreidae (groundplan) are very likely autapomorphic for both groups, respectively. A slender abdomen with smooth surface is very likely plesiomorphic within Antliophora and Mecopterida. This condition is found in Trichoptera (partim), Nannochoristidae, Siphonaptera, and many basal groups of Diptera. An eruciform or scarabaeiform body shape with a soft, largely unsclerotised cuticle is probably a synapomorphy of Boreidae and Pistillifera. The presence of ventral protuberances resembling prolegs on the anterior segments is an autapomorphy of the latter group. The homology of paired or unpaired terminal appendages of segment X is

  5. Air gun injuries of the abdomen in children.

    Science.gov (United States)

    Morgan, J C; Turner, C S; Pennell, T C

    1984-12-01

    From July 18, 1978 to Sept 15, 1982, four boys were treated for air gun injuries of the abdomen at the North Carolina Baptist Hospital, Winston-Salem. Three patients had wounds of one or more of the hollow viscera, and one patient had an injury only of the liver. There was no morbidity or mortality following repair. Some present-day air (pneumatic) weapons have muzzle velocities that equal or exceed those of common civilian handguns, and they are frequently used by unsupervised children. These weapons are not restricted and regulated as are other firearms, and are believed to be incapable of serious injury other than to the eye. These cases and others in the literature dispute that belief.

  6. IDIOPATHIC OMENTAL INFARCTION : A RARE CAUSE OF ACUTE PAIN ABDOMEN

    Directory of Open Access Journals (Sweden)

    Narendra Nath

    2015-02-01

    Full Text Available Omental torsion leading on to omental infarction is an unusual cause of acute abdominal pain in adults. Often the condition mimics common causes of acute abdomen like acute cholecystitis, acute appendicitis or acute pancreatitis. A review of literature reveals that this enigmatic condition has been managed both non - operatively and by surgery in the past. We report the case of a 46 - year - old man who presented with a 4 - day history of severe right - sided abdominal pain mimicking acute cholecystitis. Abdominal CT scan revealed a right upper quadrant mass with a whirl - like appearance, suspicious for omental infarction. He was started on conservative management with analgesics and antibiotics. He improved symptomatically and was discharged

  7. [Abdomen pendulum and subcutaneous injections: the complications. Two case reports].

    Science.gov (United States)

    Benhaim, T; Sinna, R; Garson, S; Boloorchi, A; Crozet, C; Robbe, M

    2007-06-01

    The authors present the complications due to subcutaneous injections on two patients suffering from morbid obesity with an abdomen pendulum. In the first case, injections of heparin of low molecular weight at curative dose, for treatment of a pulmonary embolism, have been complicated with a giant abdominal wall haematoma, the biggest ever reported. The initial treatment was insufficient so we had to practice a dermolipectomy to take off the haematoma of four litters. In the second case, insulin injections were complicated with cellulitis of the abdominal wall and a surgical treatment has been practiced in emergency. The first case reminds us the importance to change the sites of injections and to accommodate the dose, surgical treatment staying as simple as possible. The second case allows us to report a rare complication, not often published but known with obese patients. These two cases illustrate the importance of therapeutic education of the patient and the fact that a simple injection can be life threatening.

  8. Case of choledochal cyst presenting as perforation abdomen

    Directory of Open Access Journals (Sweden)

    Gobbur RH, Baradol R RV, Nyammannavar

    2013-01-01

    Full Text Available Choledochal cyst is an uncommon congenital anomaly of Hepoatobiliary system. It is a case of choledocal cyst presenting as perforation and biliary ascites which is rare in infants. Clinical picture: An infant was admitted at BLDE hospital with history of convulsion and breathlessness, on examination child had abdominal distension. Investigations like erect X ray abdomen done which revealed ascites with features of peritonitis, so exploratory laparotomy done which showed a choledochal cyst with perforation causing biliary ascites. Treatment: Child was treated in the pediatric intensive care unit for convulsion. Exploratory laparotomy done and the perforated choledochal cyst was sutured and drain placed in situ. The child improved from 2nd post operative day. Conclusion: Choledochal cyst can present as perforation, biliary ascites and peritonitis in infants. Therefore treatment should be oriented to this aspect also.

  9. Non-contrast-enhanced MR angiography of the abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Miyazaki, Mitsue, E-mail: mmiyazaki@tmriusa.com [Toshiba Medical Research Institute, USA, 706N. Deerpath Dr., Vernon Hills, IL 60061 (United States); Isoda, Hiroyoshi [Toshiba Medical Research Institute, USA, 706N. Deerpath Dr., Vernon Hills, IL 60061 (United States); Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University, Kyoto (Japan)

    2011-10-15

    Non-contrast-enhanced magnetic resonance angiography (MRA) techniques have experienced a resurgence of interest in the MR community, in part because of safety concerns related to the possible link between gadolinium-based contrast agents and nephrogenic systemic fibrosis (NSF). In abdominal MRA, NSF is of particular concern, given that many of the patients may have renal disease. After introducing various non-contrast-enhanced MRA techniques, this article focuses on MRA applications in the abdomen, specifically the renal arteries and portal and hepatic veins. Developments on the horizon are discussed, including techniques that provide standardization of renal artery imaging, challenges in imaging of the hepatic arteries, and further advancement at 3 T.

  10. Desmoid tumor in Gardner's Syndrome presented as acute abdomen

    Directory of Open Access Journals (Sweden)

    Rizos Spiros

    2006-03-01

    Full Text Available Abstract Background Gardner's syndrome can occasionally be complicated with intra-abdominal desmoid tumor. These tumors usually remain asymptomatic but can exhibit symptoms due to intestinal, vascular and ureteral compression and obstruction. Case presentation A rare case of a 41-year-old male patient with Gardner's syndrome complicated with intra-abdominal desmoid tumor, which first presented as acute abdomen, is presented. Conclusion Extra-abdominal manifestations of Gardner's syndrome along with a palpable abdominal mass would raise suspicion for the presence of a desmoid tumor in the majority of cases. In life-threatening cases, surgical treatment should be considered as a palliative approach, though the extent of excision remains debatable

  11. Anatomical study of superficial fascia and localized fat deposits of abdomen

    Directory of Open Access Journals (Sweden)

    Pramod Kumar

    2011-01-01

    Full Text Available Background: The development of liposuction and abdominoplasty has renewed interest in the anatomy of the localized fat deposits (LFD areas of the abdomen. This study aims at ascertaining the gross anatomy of superficial fascia and the localized fat deposits of abdomen. Materials and Methods: Eight adult cadavers (four males and four females were dissected. Attachments, number of layers of fascia and colour, shape and maximum size of the fat lobules in loin, and upper and lower abdomen were noted. Thickness of deep membranous layer of superficial fascia of upper abdomen and lower abdomen were measured by metal casing electronic digital calipers, with resolution being 10 μm. The independent sample t-test, ANOVA for comparison and Pearson coefficient for correlation were used. Results: Superficial fascia of the abdomen was multilayered in the midline and number of layers reduced laterally. The shape, size, color, and arrangement of fat lobules were different in different locations. The thickness of the fascia of the lower abdomen in males (mean 528.336 ± SE38.48 was significantly (P < 0.041 more than that in females. (Mean 390.822 ± SE36.24. Pearson correlation between thickness of the membranous layer of the upper and lower abdomen revealed moderately positive correlation (r=0.718; P<0.045. Conclusions: The LFD in the central region of the abdomen corresponds to the area of multilayered fascia with smaller fat lobules. The relatively thinner supporting fascia of the lower abdomen in females may be responsible for excessive bulges of the lower abdomen. The fat lobule anatomy at different sites under study was different.

  12. Subperitoneal extension of disease processes between the chest, abdomen, and the pelvis.

    Science.gov (United States)

    Osman, Sherif; Moshiri, Mariam; Robinson, Tracy J; Gunn, Martin; Lehnert, Bruce; Sundarkumar, Dinesh; Katz, Douglas S

    2015-08-01

    The subserous space is a large, anatomically continuous potential space that interconnects the chest, abdomen, and pelvis. The subserous space is formed from areolar and adipose tissue, and contains branches of the vascular, lymphatic, and nervous systems. As such, it provides one large continuous space in which many disease processes can spread between the chest, abdomen, and the pelvis.

  13. Geographic variation in resource allocation to the abdomen in geometrid moths

    Science.gov (United States)

    Kivelä, Sami M.; Välimäki, Panu; Carrasco, David; Mäenpää, Maarit I.; Mänttäri, Satu

    2012-08-01

    A resource allocation trade-off is expected when resources from a common pool are allocated to two or more traits. In holometabolous insects, resource allocation to different functions during metamorphosis relies completely on larval-derived resources. At adult eclosion, resource allocation to the abdomen at the expense of other body parts can be seen as a rough estimate of resource allocation to reproduction. Theory suggests geographic variation in resource allocation to the abdomen, but there are currently no empirical data on it. We measured resource allocation to the abdomen at adult eclosion in four geometrid moths along a latitudinal gradient. Resource (total dry material, carbon, nitrogen) allocation to the abdomen showed positive allometry with body size. We found geographic variation in resource allocation to the abdomen in each species, and this variation was independent of allometry in three species. Geographic variation in resource allocation to the abdomen was complex. Resource allocation to the abdomen was relatively high in partially bivoltine populations in two species, which fits theoretical predictions, but the overall support for theory is weak. This study indicates that the geographic variation in resource allocation to the abdomen is not an allometric consequence of geographic variation in resource acquisition (i.e., body size). Thus, there is a component of resource allocation that can evolve independently of resource acquisition. Our results also suggest that there may be intraspecific variation in the degree of capital versus income breeding.

  14. [Errors and difficulties in the diagnosis and management of acute and chronic abdomen in children].

    Science.gov (United States)

    Sabetay, C; Singer, I; Zavate, A; Ciobanu, O; Cârstoiu, E; Stoica, A; Maloş, Anca; Farcaş, I; Kamel, J; Hams, I; Kastrati, A

    2002-01-01

    The authors are reviewing on a lot of 2844 cases between 1996 and 2000 the difficult problems of differential diagnosis between acute surgical abdomen in children and intestinal tuberculosis, abdominal tumors and inflammatory diseases such as acute osteomielitis. They are presenting 13 particular cases in which the acute abdomen diagnosis was difficult or even omitted.

  15. [Digestive bleeding and acute abdomen caused by jejunal diverticulosis. Case report].

    Science.gov (United States)

    Nari, Gustavo A; Azar, Ricardo; Feliu, Luis; Moreno, Eduardo; Bonaparte, Fernando

    2012-03-01

    We present a patient with acute abdomen and digestive bleeding caused by jejunal diverticulosis. Jejunal diverticulosis, mainly asymptomatic, when is symptomatic have a wide clinical spectrum, ranging from chronic anemic syndrome to acute abdomen. In this communication, we reviewed the clinical presentation, the pathogenesis and the treatment this infrequent pathology.

  16. Stereo Matching Based on Immune Neural Network in Abdomen Reconstruction

    Directory of Open Access Journals (Sweden)

    Huan Liu

    2015-01-01

    Full Text Available Stereo feature matching is a technique that finds an optimal match in two images from the same entity in the three-dimensional world. The stereo correspondence problem is formulated as an optimization task where an energy function, which represents the constraints on the solution, is to be minimized. A novel intelligent biological network (Bio-Net, which involves the human B-T cells immune system into neural network, is proposed in this study in order to learn the robust relationship between the input feature points and the output matched points. A model from input-output data (left reference point-right target point is established. In the experiments, the abdomen reconstructions for different-shape mannequins are then performed by means of the proposed method. The final results are compared and analyzed, which demonstrate that the proposed approach greatly outperforms the single neural network and the conventional matching algorithm in precise. Particularly, as far as time cost and efficiency, the proposed method exhibits its significant promising and potential for improvement. Hence, it is entirely considered as an effective and feasible alternative option for stereo matching.

  17. Endoluminal contrast for abdomen and pelvis magnetic resonance imaging.

    Science.gov (United States)

    Gupta, Mohit K; Khatri, Gaurav; Bailey, April; Pinho, Daniella F; Costa, Daniel; Pedrosa, Ivan

    2016-07-01

    Magnetic resonance (MR) imaging of the abdomen and pelvis can be limited for assessment of different conditions when imaging inadequately distended hollow organs. Endoluminal contrast agents may provide improved anatomic definition and detection of subtle pathology in such scenarios. The available routes of administration for endoluminal contrast agents include oral, endorectal, endovaginal, intravesicular, and through non-physiologic accesses. Appropriate use of endoluminal contrast agents requires a thorough understanding of the clinical indications, available contrast agents, patient preparation, and interaction of the contrast agent with the desired MR imaging protocol. For example, biphasic oral enteric contrast agents are preferred in MR enterography as their signal properties on T1- and T2-weighted imaging allow for evaluation of both intraluminal and bowel wall pathology. In specific situations such as with MR enterography, MR defecography, and accurate local staging of certain pelvic tumors, the use of an endoluminal contrast agent is imperative in providing adequate diagnostic imaging. In other clinical scenarios, the use of an endoluminal contrast agent may serve as an indispensable problem-solving tool.

  18. Hernia interna de Quain como causa de abdomen agudo

    Directory of Open Access Journals (Sweden)

    M. García-Oria

    2012-12-01

    Full Text Available Presentamos el caso de una paciente de 47 años de edad que consulta en urgencias por un cuadro de 8 horas de evolución, de dolor abdominal continuo y difuso, acompañado de vómitos alimentarios al inicio y biliosos después. La paciente presenta estabilidad hemodinámica permaneciendo afebril. El hemiabdomen inferior presenta signos de irritación peritoneal. En los análisis destaca la presencia de neutrofilia y leucocitosis, la radiología simple de abdomen es compatible con suboclusión de intestino delgado, y la TAC de urgencia sugiere la posibilidad de torsión intestinal. La cirugía urgente realizada aprecia una hernia interna de un segmento de ileon de unos 25cm, a través de un orificio patológico en el lado derecho del ligamento ancho del útero. Se realiza resección del asa herniada que sufre necrosis isquémica y se cierra el orificio herniario para evitar la recidiva. El día 11 tras el ingreso, es dada de alta sin complicaciones.

  19. Abdomen and spinal cord segmentation with augmented active shape models.

    Science.gov (United States)

    Xu, Zhoubing; Conrad, Benjamin N; Baucom, Rebeccah B; Smith, Seth A; Poulose, Benjamin K; Landman, Bennett A

    2016-07-01

    Active shape models (ASMs) have been widely used for extracting human anatomies in medical images given their capability for shape regularization of topology preservation. However, sensitivity to model initialization and local correspondence search often undermines their performances, especially around highly variable contexts in computed-tomography (CT) and magnetic resonance (MR) images. In this study, we propose an augmented ASM (AASM) by integrating the multiatlas label fusion (MALF) and level set (LS) techniques into the traditional ASM framework. Using AASM, landmark updates are optimized globally via a region-based LS evolution applied on the probability map generated from MALF. This augmentation effectively extends the searching range of correspondent landmarks while reducing sensitivity to the image contexts and improves the segmentation robustness. We propose the AASM framework as a two-dimensional segmentation technique targeting structures with one axis of regularity. We apply AASM approach to abdomen CT and spinal cord (SC) MR segmentation challenges. On 20 CT scans, the AASM segmentation of the whole abdominal wall enables the subcutaneous/visceral fat measurement, with high correlation to the measurement derived from manual segmentation. On 28 3T MR scans, AASM yields better performances than other state-of-the-art approaches in segmenting white/gray matter in SC.

  20. [Two women with a chronic process in the lower abdomen].

    Science.gov (United States)

    van de Lande, J; Spanjaard, L; Burger, M P

    2003-11-29

    Two women, aged 50 and 45 years, had a chronic process in the lower abdomen. The first presented with cough and progressive dyspnoea, and her chest X-ray raised the suspicion of a metastasis of a malignancy. The second patient had abdominal pain, frequent urination and irregular vaginal bleeding. She was initially treated for a urinary-tract infection. Diagnostic investigations showed pelvic actinomycosis in both patients. Both had used an intrauterine device (IUD). In the first patient a pelvic abscess was drained. Antimicrobial treatment consisted of penicillin i.v. for several weeks and orally for 6 months. Actinomycosis is a slowly progressive bacterial infection that characteristically expands through anatomic structures and can lead to fistulae and abscesses. The disease is caused by Actinomyces species. Diagnosis is often delayed because other diseases (e.g. malignancy) are considered more probable. Actinomycosis is associated with prolonged use of an IUD, but it is rare and removal of the IUD is not indicated unless symptoms of pelvic inflammatory disease are present. The mainstay of actinomycosis therapy is administration of an effective antibiotic (e.g. penicillin). Except for drainage of abscesses, surgical intervention is rarely necessary. When antimicrobial therapy is continued for 6-9 months, prognosis is favourable, as was the case in both patients.

  1. Síndrome de abdomen en ciruela pasa y dextrocardia, asociación infrecuente

    OpenAIRE

    2015-01-01

    Se describe un neonato con Síndrome de abdomen en ciruela pasa, de sexo masculino, nacido de 36 semanas de gestación y pesó 3 650 g al nacer. El examen clínico mostró un neonato con un abdomen globuloso, con redundancia de la piel que huelga a los costados rebosantes, la palpación del abdomen no descubre la tonalidad muscular. No se palpa visceromegalia y hay presencia normal de ruidos hidroaéreos. El examen físico del tórax y cardiovascular fueron aparentemente normales. Normocéfalo y facies...

  2. Improving abdomen tumor low-dose CT images using a fast dictionary learning based processing

    Science.gov (United States)

    Chen, Yang; Yin, Xindao; Shi, Luyao; Shu, Huazhong; Luo, Limin; Coatrieux, Jean-Louis; Toumoulin, Christine

    2013-08-01

    In abdomen computed tomography (CT), repeated radiation exposures are often inevitable for cancer patients who receive surgery or radiotherapy guided by CT images. Low-dose scans should thus be considered in order to avoid the harm of accumulative x-ray radiation. This work is aimed at improving abdomen tumor CT images from low-dose scans by using a fast dictionary learning (DL) based processing. Stemming from sparse representation theory, the proposed patch-based DL approach allows effective suppression of both mottled noise and streak artifacts. The experiments carried out on clinical data show that the proposed method brings encouraging improvements in abdomen low-dose CT images with tumors.

  3. The effect of the abdomen deformation on the longitudinal stability of flying insects

    Science.gov (United States)

    Choi, Sang-Yeon; Kim, Joong-Kwan; Han, Jong-seob; Han, Jae-Hung

    2015-03-01

    In this paper, we derive longitudinal nonlinear equations of motion of a hovering insect with deformable abdomen to investigate the effect of the abdominal motion to the longitudinal dynamics. The blade-element theory, which is based on experimentally obtained aerodynamic coefficients, is used for the periodic force and moment excitation to the system. Here, we focus on the role of the deformable abdomen to investigate whether or not the flexible body is a decisive factor to the longitudinal flight dynamic stability. Three cases: 1) rigid connection between the thorax and abdomen, 2) flexible connection, and 3) active connection with a feedback control, are compared to check the role of the abdomen deformation on the longitudinal flight dynamic stability, by examining eigenvalues of the linearized system model of each case. The results show that an active control of the abdominal angle can stabilize the longitudinal flight dynamics of the insect modeled in this study.

  4. [Acupuncture and tuina clinical thoughts of "treating the back from abdomen" for low back pain].

    Science.gov (United States)

    Liu, Jinlong; Li, Rui

    2015-07-01

    In clinical treatment, it is found that certain patients always have some positive reaction points those are relevant with low back pain in the abdomen area. When the simple treatment on the low back is ineffective, the efficacy could be significantly improved if acupuncture or tuina is performed at the abdomen areas, which is called "regulating yin to treat yang", or "treating the back from abdomen". In this paper, with the diagnosis and treatment method of "treating the back from abdomen" for low back pain as principal line, the detailed manipulation is explained for low back pain that is induced by TCM meridian diseases or modern anatomy, which could open the methods for clinical treatment of low back pain and enrich the therapeutic options.

  5. Front-end specialists reduce time to a treatment plan for patients with acute abdomen

    DEFF Research Database (Denmark)

    Schultz, Helen; Backer Mogensen, Christian; Pedersen, Birthe D

    2013-01-01

    Emergency departments (EDs) are replacing acute specialised wards in Denmark. The aim was to compare time to a treatment plan for patients with acute abdomen at a surgical assessment unit (SAU) and at an ED, respectively.......Emergency departments (EDs) are replacing acute specialised wards in Denmark. The aim was to compare time to a treatment plan for patients with acute abdomen at a surgical assessment unit (SAU) and at an ED, respectively....

  6. Open abdomen management: A review of its history and a proposed management algorithm

    Science.gov (United States)

    Kreis, Barbara Elize; de Mol van Otterloo, Johan Coenraad Alexander; Kreis, Robert Walter

    2013-01-01

    In this review we look into the historical development of open abdomen management. Its indication has spread in 70 years from intra-abdominal sepsis to damage control surgery and abdominal compartment syndrome. Different temporary abdominal closure techniques are essential to benefit the potential advantages of open abdomen management. Here, we discuss the different techniques and provide a new treatment strategy, based on available evidence, to facilitate more consistent decision making and further research on this complicated surgical topic. PMID:23823991

  7. Diseases of the hepatobiliary system as a cause of acute abdomen; Erkrankungen des hepatobiliaeren Systems als Ursache des akuten Abdomens

    Energy Technology Data Exchange (ETDEWEB)

    Schima, W.; Eisenhuber-Stadler, E. [Krankenhaus Goettlicher Heiland, Abteilung fuer Radiologie und bildgebende Diagnostik, Wien (Austria); Koelblinger, C.; Kulinna-Cosentini, C.; Ba-Ssalamah, A. [Medizinische Universitaet Wien, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    2010-03-15

    Diseases of the liver and biliary system are common causes of acute abdominal pain and gallstone disease predisposes to cholecystitis and cholangiolithiasis. Sonography is the method of choice for the assessment of cholecystitis, whereas magnetic resonance cholangiopancreaticography (MRCP) is the standard technique to detect stones in the common bile duct. Multi-detector computed tomography (MDCT) is ideal for detection of associated complications, including abscess formation and gall stone ileus. Pyogenic, amebic and fungal liver abscesses are reliably diagnosed with MDCT which can also be used for interventional radiologic therapy of liver abscesses by percutaneous aspiration or drainage procedures. The second most common cause of liver rupture after blunt trauma is spontaneous rupture of hypervascular liver tumors (i.e., HCC, adenoma, angiosarcoma) and due to medical procedures. Multi-phase contrast-enhanced MDCT can reliably detect active bleeding to guide further therapy in these cases. (orig.) [German] Die Cholezystitis ist eine der haeufigsten Ursachen fuer ein akutes Abdomen. Waehrend die Sonographie die Methode der Wahl zum Nachweis einer Cholezystolithiasis und Cholezystitis ist, steht bei der Entwicklung von Komplikationen die Multidetektorcomputertomographie (MDCT) diagnostisch im Vordergrund. Die Magnetresonanzcholangiopankreatikographie (MRCP) hat einen hohen Stellenwert bei der Abklaerung der Cholangiolithiasis, v. a. bei der Differenzialdiagnose zu anderen Ursachen einer Cholestase. Die Diagnose bakterieller, Amoeben- oder fungaler Leberabszesse kann mittels Sonographie oder MDCT rasch gestellt werden, wobei diese Methoden auch fuer die interventionelle radiologische Therapie von Leberabszessen (Punktion oder Drainage) gut geeignet sind. Die mehrphasige, kontrastmittelverstaerkte MDCT ist die Methode der Wahl fuer den Nachweis von Leberinfarkten oder -rupturen, da bei diesen Erkrankungen bzw. Verletzungsfolgen die Darstellung der

  8. Management of the open abdomen using combination therapy with ABRA and ABThera systems

    Science.gov (United States)

    Mukhi, Alfin N.; Minor, Samuel

    2014-01-01

    Background The open abdomen is an increasingly used technique that is applied in a wide variety of clinical situations. The ABThera Open Abdomen Negative Pressure Therapy System is one of the most common and successful temporary closure systems, but it has limited ability to close the fascia in approximately 30% of patients. The abdominal reapproximation anchor system (ABRA) is a dynamic closure system that seems ideal to manage patients who may not achieve primary fascial closure with ABThera alone. We report on the use of the ABRA in conjunction with the ABThera in patients with an open abdomen. Methods We retrospectively analyzed patients with an open abdomen managed with the ABThera and ABRA between January 2007 and December 2012 at the Halifax Infirmary, QEII Health Science Centre, Halifax, Nova Scotia. Results Sixteen patients had combination therapy using the ABRA and ABThera systems for treatment of the open abdomen. After removing patients who died prior to closure, primary fascial closure was achieved in 12 of 13 patients (92%). Conclusion We observed a high rate of primary fascial closure in patients with an open abdomen managed with the ABThera system in conjuction with the ABRA. Applying mechanical traction in addition to the ABThera should be considered in patients predicted to be at high risk for failure to achieve primary fascial closure. PMID:25265104

  9. Dosimetric assessments multi-slice CT of the chest and abdomen in pediatrics; Evaluaciones dosimetricas en TC multicorte de torax y abdomen en pediatria

    Energy Technology Data Exchange (ETDEWEB)

    Giner Sala, M.; Roch Gonzalez, M.; Rodriguez Martin, G.; Garcia Castanon, P.; Espana Lopez, M. L.

    2013-07-01

    The objective of this study is the dosimetry evaluation in pediatric MSCT of thorax and abdomen, and the estimation of effective dose in the different ranges of age taking into account the new ICRP recommendations, by variations that may be involved in explorations that affect breast. (Author)

  10. LESIONES VASCULARES TRAUMÁTICAS DE CUELLO, TÓRAX Y ABDOMEN / Traumatic vascular injuries of the neck, thorax and abdomen

    Directory of Open Access Journals (Sweden)

    Luis Reinerio Rodríguez Delgado

    2010-03-01

    Full Text Available Introduction and Objectives: Vascular injuries have been described since the ancient times. They represent 3 percent of traumatisms; and the most worrisome aspect is their dangerousness, because more than half of the patients die within the first 24 hours due to the hemorrhages they cause. This investigation was carried out with the objective of determining the incidence of the different types of vascular injuries at the Arnaldo Milian Castro Hospital. Method: A retrospective study in 21 patients who were hospitalized with diagnoses of vascular injuries in the neck, thorax and abdomen was carried out. The medical histories of the patients were analyzed, as well as the surgery reports and the necropsy protocols in the case of the deceased. Results: There was a predominance of penetrating wounds in the abdomen (38.9 % and in the thorax (19.05 %, as well as thoracic and abdominal closed traumas. The accidental cause was present in 57.2 percent of the patients. The most affected anatomical region was the abdomen (42.86 %, and the most used surgical procedure was the exploratory laparotomy (76.2 %. An average of 1.21 procedures per patient was carried out. The hypovolemic shock was the complication with the highest incidence, because it appeared in 11 patients (52.38 %, this represents 68.75 percent of all complications. Eleven patients (52.38 % stayed less than 3 days in hospital. The lesions of the spleen and its vascular pedicle appeared in 23.81 percent of the patients. Conclusions: Penetrating wounds in the abdomen, accidents as a cause of them, and the exploratory laparotomy were predominant. The most affected anatomical area was the abdomen and the hypovolemic shock was the most common complication.

  11. 3D deformation and dynamics of the human cadaver abdomen under seatbelt loading.

    Science.gov (United States)

    Lamielle, Sophie; Vezin, Philippe; Verriest, Jean-Pierre; Petit, Philippe; Trosseille, Xavier; Vallancien, Guy

    2008-11-01

    According to accident analysis, submarining is responsible for most of the frontal car crash AIS 3+ abdominal injuries sustained by restrained occupants. Submarining is characterized by an initial position of the lap belt on the iliac spine. During the crash, the pelvis slips under the lap belt which loads the abdomen. The order of magnitude of the abdominal deflection rate was reported by Uriot to be approximately 4 m/s. In addition, the use of active restraint devices such as pretensioners in recent cars lead to the need for the investigation of Out-Of-Position injuries. OOP is defined by an initial position of the lap belt on the abdomen instead of the pelvis resulting in a direct loading of the abdomen during pretensioning and the crash. In that case, the penetration speed of the belt into the abdomen was reported by Trosseille to be approximately 8 to 12 m/s. The aim of this study was to characterize the response of the human abdomen in submarining and OOP. A total of 8 PMHS abdomens were loaded using a lap belt. In order to investigate the injury mechanisms, the abdominal deflection rate and the compression were imposed such that they were not correlated. The specimens were seated upright in a fixed back configuration. The lap belt was placed at the level of the mid-umbilicus, between the iliac crest and the 12th rib. The belt was pulled horizontally along the sides of the specimens causing a symmetrical loading of the abdomen. In addition to the local parameters such as the belt and back forces or the belt displacements, the 3D external deformation of the abdomen was recorded. The forces measured between the back of the cadaver and the seat showed that a mass effect should be taken into account in the abdominal behaviour in addition to viscosity. The back force was greater than the belt force in low speed (submarining like) tests while it was lower for high-speed (OOP like) tests. A lumped parameter model was developed to confirm the experimental results and

  12. Acute abdomen in a patient with paraesophageal hernia, resulting in acute compromised respiratory function

    DEFF Research Database (Denmark)

    Mekhael, Mira Rober; El-Hussuna, Alaa

    2017-01-01

    INTRODUCTION: We present a case of acute abdomen, causing increased intra-abdominal pressure, leading to further herniation of an existing paraesophageal hernia, and consequently acute compromised respiratory function. This acute respiratory complication to a paraesophageal hernia has not previou......INTRODUCTION: We present a case of acute abdomen, causing increased intra-abdominal pressure, leading to further herniation of an existing paraesophageal hernia, and consequently acute compromised respiratory function. This acute respiratory complication to a paraesophageal hernia has...... if complicated by acute abdomen. These patients could benefit from elective hernia repair, rather than watchful waiting, as it would eliminate pulmonary symptoms and prevent similar cases. Patients monitored using watchful waiting should be informed that acute abdomen could cause acute compromised respiratory...... function. CONCLUSION: Any case of acute abdomen causing high intra-abdominal pressure could potentially cause further herniation of an existing paraesophageal hernia, resulting in acute compromised respiratory function. In patients known to have a paraesophageal hernia, similar cases should be suspected...

  13. Abdomen-thigh contact during forward reaching tasks in obese individuals.

    Science.gov (United States)

    Singh, Bhupinder; Brown, Thomas D; Callaghan, John J; Yack, H John

    2013-10-01

    During seated forward reaching tasks in obese individuals, excessive abdominal tissue can come into contact with the anterior thigh. This soft tissue apposition acts as a mechanical restriction, altering functional biomechanics at the hip, and causing difficulty in certain daily activities such as bending down, or picking up objects from the floor. The purpose of the study was to investigate the contact forces and associated moments exerted by the abdomen on the thigh during seated forward-reaching tasks in adult obese individuals. Ten healthy subjects (age 58.1 ± 4.4) with elevated BMI (39.04 ± 5.02) participated in the study. Contact pressures between the abdomen and thigh were measured using a Tekscan Conformat pressure-mapping sensor during forward-reaching tasks. Kinematic and force plate data were obtained using an infrared motion capture system. The mean abdomen-thigh contact force was 10.17 ± 5.18% of body weight, ranging from 57.8 N to 200 N. Net extensor moment at the hip decreased by mean 16.5 ± 6.44% after accounting for the moment generated by abdomen-thigh tissue contact. In obese individuals, abdomen-thigh contact decreases the net moment at the hip joint during seated forward-reaching activities. This phenomenon should be taken into consideration for accurate biomechanical modeling in these individuals.

  14. A CASE REPORT OF GAINT JEJUNAL DIVERTICULOSIS PRESENTING AS RECURRENT ACUTE ABDOMEN

    Directory of Open Access Journals (Sweden)

    Rambabu

    2015-09-01

    Full Text Available The diverticulum of the small bowel may be congenital or acquired. 80% of diverticula occur in the jejunum, 15% in the ileum and 5% in both . (1,2,3,4 Although it is often asymptomatic, it can lead to severe complications including perforation, haemorrhage, enterolith formation, diverticulitis, and intestinal obstruction (5,6,7,8 and occur in 10% - 30% of patients. We have a male aged 30yrs old came with h/o recurrent colicky pain abdomen and bilious vomiting since past 6 months (9,10,11 o/e he is anaemic , malnourished and dehydrated. P/abdomen – gaseous distension present , no mass palpable and no free fluid , p/r – no abnormality , plain X - ray abdomen shows multiple air fluid levels. (12 On laparotomy there are multiple giant jenjunal diverticuli with bowel distension and there is a band found attached to the middle ileum. The band is excised and the jejunum which had giant diverticula has been resected and e nd to end anastomosis is done. Jejunal diverticula are rare and mostly asymptomatic. Patients may have nonspecific symptoms, such as chronic abdominal pain and change in bowel habits. However, the morbidity and mortality rates may increase due to perforati on, obstruction, and bleeding. If acute abdomen in jejunal diverticulosis is suspected, a laparotomy and resection & anastomosis is considered and TB abdomen must be considered in the differential diagnosis

  15. Non Obstetric Acute Abdomen in Pregnancy – An Experience from Kashmir

    Directory of Open Access Journals (Sweden)

    Ajaz Ahmad Rather

    2013-11-01

    Full Text Available Objectives: The objective of this study was to study the profile of pregnant patients who were managed by general surgical unit of a referral hospital in Kashmir valley for non obstetric causes of acute abdomen over a period of seven years. Methods: The study was done retrospectively after acquiring data from databank related to pregnant patients managed for acute abdomen over a period of seven years (from January 2006 to December 2012 in the general surgical department of the medical college of SK Institute of Medical Sciences, Srinagar, Kashmir. Results: 49 non obstetric acute abdomen were managed in pregnant females over a period of seven years. 23 (46.9% patients reported with a delay of more than 12 hours and 34 (69.4% cases underwent surgical interventions. Appendicitis was the commonest cause of acute abdomen and Ultrasonography was the only imaging modality utilized. Only 3 cases had preterm labor. Conclusions: Acute abdomen in pregnant females should be assessed with high level of suspicion .Delay in presentation and intervention leads to adverse outcomes.

  16. Abdominal wall muscle elasticity and abdomen local stiffness on healthy volunteers during various physiological activities.

    Science.gov (United States)

    Tran, D; Podwojewski, F; Beillas, P; Ottenio, M; Voirin, D; Turquier, F; Mitton, D

    2016-07-01

    The performance of hernia treatment could benefit from more extensive knowledge of the mechanical behavior of the abdominal wall in a healthy state. To supply this knowledge, the antero-lateral abdominal wall was characterized in vivo on 11 healthy volunteers during 4 activities: rest, pullback loading, abdominal breathing and the "Valsalva maneuver". The elasticity of the abdominal muscles (rectus abdominis, obliquus externus, obliquus internus and transversus abdominis) was assessed using ultrasound shear wave elastography. In addition, the abdomen was subjected to a low external load at three locations: on the midline (linea alba), on the rectus abdominis region and on lateral muscles region in order to evaluate the local stiffness of the abdomen, at rest and during "Valsalva maneuver". The results showed that the "Valsalva maneuver" leads to a statistically significant increase of the muscle shear modulus compared to the other activities. This study also showed that the local stiffness of the abdomen was related to the activity. At rest, a significant difference has been observed between the anterior (0.5N/mm) and the lateral abdomen locations (1N/mm). Then, during the Valsalva maneuver, the local stiffness values were similar for all locations (ranging from 1.6 to 2.2N/mm). This work focuses on the in vivo characterization of the mechanical response of the human abdominal wall and abdomen during several activities. In the future, this protocol could be helpful for investigation on herniated patients.

  17. Evaluation of dosimetry and image quality of computerized tomography abdomen protocols; Avaliacao de dose e qualidade da imagem em protocolos de abdomen em tomografia computadorizada

    Energy Technology Data Exchange (ETDEWEB)

    Maues, Nadine H.P.B.; Alves, Allan F.F.; Bacchim Neto, Fernando A.; Pina, Diana R. [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil)

    2016-07-01

    In this study, we evaluate the dosimetry and image quality of computed tomography multislice abdomen protocols for different tube current modulation techniques (ATCM). We used the 16-slice Toshiba Activion CT scanner with the 'SureExposure3D' ATCM system. Thermoluminescent dosimeters were placed inside the anthropomorphic phantom Alderson-Rando for dosimetric assessments. An analytical phantom was used for the objective evaluation of image quality. It is observed that the higher standard deviation technique (SD) has the lowest value of effective dose. The use of different tube current modulation techniques showed significant reduction of radiation doses for the abdomen exams in computed tomography. The ATCM protocols can be an excellent alternative to dose reduction in CT scans, since it does not impair the diagnostic image quality. (author)

  18. MUTUAL INFORMATION BASED 3D NON-RIGID REGISTRATION OF CT/MR ABDOMEN IMAGES

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    A mutual information based 3D non-rigid registration approach was proposed for the registration of deformable CT/MR body abdomen images. The Parzen Windows Density Estimation (PWDE) method is adopted to calculate the mutual information between the two modals of CT and MRI abdomen images. By maximizing MI between the CT and MR volume images, the overlapping part of them reaches the biggest, which means that the two body images of CT and MR matches best to each other. Visible Human Project (VHP) Male abdomen CT and MRI Data are used as experimental data sets. The experimental results indicate that this approach of non-rigid 3D registration of CT/MR body abdominal images can be achieved effectively and automatically, without any prior processing procedures such as segmentation and feature extraction, but has a main drawback of very long computation time. Key words: medical image registration; multi-modality; mutual information; non-rigid; Parzen window density estimation

  19. Foreign bodies in the abdomen: self-harm and personality disorders.

    Science.gov (United States)

    Dunphy, Louise; Syed, Farah; Raja, Mazhar

    2015-08-05

    A 52-year-old woman presented to the accident and emergency department 5 h after deliberately stabbing herself with two pens through her midline laparotomy scar. Her medical history included an emotionally unstable (borderline) personality disorder and she was currently an inpatient in a psychiatric hospital. She had multiple accident and emergency attendances with previous episodes of self-harm. Clinical examination revealed evidence of trauma to her midline laparotomy scar with congealed blood covering the puncture site. Her abdomen was soft and non-tender on palpation. A chest radiograph revealed no air beneath her diaphragm and her abdominal radiograph identified a radiopacity in her upper right abdomen and dilated loops of small bowel. CT of the abdomen and pelvis confirmed two pens, with the lower pen tip reaching the pancreas. A midline laparotomy was performed and both foreign bodies were extricated unremarkably. The patient's postoperative recovery was uneventful. The second case involves a 22-year-old woman, a psychiatric hospital resident, presenting to the accident and emergency department 5 h after deliberately inserting the metal nib and inner plastic ink containing tube of a pen through her umbilicus. Her medical history included an emotionally unstable (borderline) personality disorder and paranoid schizophrenia. She had multiple accident and emergency department attendances with previous episodes of self-harm. Clinical examination revealed a soft, non-tender abdomen. Her chest radiograph was unremarkable and her abdominal radiograph identified a radiopaque foreign body at the right upper quadrant of the abdomen. CT of the abdomen and pelvis confirmed a metallic foreign body in the small bowel mesentery. An exploratory laparotomy converted to a midline laparotomy was performed and the foreign body was extricated. The patient's postoperative recovery was uneventful.

  20. Experiencia en el cuidado de enfermería: herida de abdomen abierto en el adulto

    OpenAIRE

    Castro Becerra, Ricardo Alfonso; Rubiano Mesa, Yurian Lida

    2012-01-01

    Objetivo: estructurar un protocolo de cuidados de enfermería para la persona adulta con herida de abdomen abierto, en una empresa social del Estado de la ciudad de Bogotá.Método: estudio descriptivo transversal, cuya muestra se constituye por cuatro personas con herida de abdomen abierto y el aporte de la experiencia del enfermero profesional de la institución. La información se recolecta a partir de una guía de observación, del registro fotográfico de la evolución de cuatro personas adultas ...

  1. Effects of manual lymph drainage for abdomen on the brain activity of subjects with psychological stress

    Science.gov (United States)

    Shim, Jung-Myo; Yeun, Young-Ran; Kim, Hye-Young; Kim, Sung-Joong

    2017-01-01

    [Purpose] The present study investigated the effects of manual lymph drainage for abdomen on electroencephalography in subjects with psychological stress. [Subjects and Methods] Twenty-eight subjects were randomly allocated to undergo a 20-min session of either manual lymph drainage or abdominal massage on a bed. [Results] Analysis of electroencephalograms from the manual lymph drainage group showed a significant increase in relaxation, manifested as an increase in average absolute, relative alpha activity and a decrease in relative gamma activity. [Conclusion] Our results suggest that the application of manual lymph drainage from the abdomen provides acute neural effects that increase relaxation in subjects with psychological stress. PMID:28356638

  2. UNUSUAL PRESENTATION OF EXTRASKELETAL MESENCHYMAL CHONDROSARCOMA OF ABDOMEN IN 10 YR OLD GIRL- A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Ramani

    2013-01-01

    Full Text Available ABSTRACT: Mesenchymal chondrosarcoma (MSC is rare form of ch ondrosarcoma which usually arises in bone. Extraskeletal mesenchymal c hondrosarcomas are far less common and accounts approximately 30–50% of all mesenchymal chon drosarcomas. We report a rare case of intra-abdominal extraskeletal MSC in a 10 yr old gi rl who presented with biliary vomitings and abdominal pain. Ultrasound abdomen showed 42x24 mm h ypoechoic mass in right iliac fossa. CT abdomen showed calcified granulomas in spleen, Soft tissue dense lesion in right iliac fossa, suggestive of lymphadenopathy. Histopathology and immu nohistochemistry confirmed the diagnosis of MSC

  3. Das Akute Abdomen beim Kleintier aus chirurgischer Sicht : Eine retrospektive Studie von 2000- 2005

    OpenAIRE

    Günther, Charlotte Stefanie

    2011-01-01

    Das Akute Abdomen bezeichnet einen akut bedrohlichen Zustand mit starken (progredienten) Bauchschmerzen, der wegen der Tendenz zur raschen Verschlimmerung der unverzüglichen Abklärung bedarf. Bei der Diagnosestellung ist neben dem klinischen Bild die Bildgebung von größter Bedeutung. Das Röntgen und der Ultraschall zählen hier zu den wichtigsten Verfahren. Nach Kenntnis der Autorin ist diese Studie die erste in der veterinärmedizinischen Literatur, die die Gesamtheit aller akuten Abdomen ...

  4. Abdomen/pelvis computed tomography in staging of pediatric Hodgkin Lymphoma: is it always necessary?

    Science.gov (United States)

    Farruggia, Piero; Puccio, Giuseppe; Sala, Alessandra; Todesco, Alessandra; Terenziani, Monica; Mura, Rosamaria; D'Amico, Salvatore; Casini, Tommaso; Mosa, Clara; Pillon, Marta; Boaro, Maria Paola; Bottigliero, Gaetano; Burnelli, Roberta; Consarino, Caterina; Fedeli, Fausto; Mascarin, Maurizio; Perruccio, Katia; Schiavello, Elisabetta; Trizzino, Angela; Ficola, Umberto; Garaventa, Alberto; Rossello, Mario

    2016-09-01

    The purpose of the study was to determine if abdomen/pelvis computed tomography (CT) can be safety omitted in the initial staging of a subgroup of children affected by Hodgkin Lymphoma (HL). Every participating center of A.I.E.O.P (Associazione Italiana di Ematologia ed Oncologia Pediatrica) sent local staging reports of 18F-fluorodeoxyglucose positron emission tomography (PET) and abdominal ultrasound (US) along with digital images of staging abdomen/pelvis CT to the investigation center where the CT scans were evaluated by an experienced pediatric radiologist. The local radiologist who performed the US was unaware of local CT and PET reports (both carried out after US), and the reviewer radiologist examining the CT images was unaware of local US, PET and CT reports. A new abdominal staging of 123 patients performed on the basis of local US report, local PET report, and centralized CT report was then compared to a simpler staging based on local US and PET. No additional lesion was discovered by CT in patients with abdomen/pelvis negativity in both US and PET or isolated spleen positivity in US (or US and PET), and so it seems that in the initial staging, abdomen/pelvis CT can be safety omitted in about 1/2 to 2/3 of children diagnosed with HL.

  5. Medical Student Satisfaction in Learning the Physical Exam of the Abdomen.

    Science.gov (United States)

    Dalessandri, Kathie M.; Guernsey, James M.

    1990-01-01

    A study evaluated a teaching model in which contact between medical students, patients, and physicians was maximized. Each student (n=96) learned the physical examination of the abdomen and genitourinary system through contact with four patients, a plastic model, and five physicians. Students appreciated the interaction and physician role models.…

  6. 505 Effective Medicated Abdomen Wrapper Best External Care for Lingering Diseases Unconventional Product for Vigorous Health

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    505 Effective Medicated Abdomen Wrapper,a national patent product(patent num-ber 90202386.1),together with its serial products,has filled in the gaps in the field ofChina’s medical science and health care products.The development of the product wasbrought into line with the State Spark Programme by the State Commission for Science

  7. Outcome of Negative-Pressure Wound Therapy for Open Abdomen Treatment After Nontraumatic Lower Gastrointestinal Surgery

    DEFF Research Database (Denmark)

    Bertelsen, Claus Anders; Fabricius, Rasmus; Kleif, Jakob

    2014-01-01

    Few studies have focused on the risk factors for failure to achieve fascial closure after use of negative-pressure wound therapy (NPWT) in an open abdomen (OA). We aimed at analyzing possible risk factors for failure of fascial closure and the risk of fistulas after nontrauma lower gastrointestinal...

  8. Infarction of a polyp within a mesenteric cyst: An unusual presentation as an acute abdomen

    Directory of Open Access Journals (Sweden)

    Gon Sonia

    2010-01-01

    Full Text Available A case of mesenteric cyst in a five-year-old male child who presented with acute abdomen due to an infarcted polyp present within the cyst is reported. To the best of our knowledge, such an event has never been reported in the literature previously.

  9. miR-965 controls cell proliferation and migration during tissue morphogenesis in the Drosophila abdomen

    DEFF Research Database (Denmark)

    Verma, Pushpa; Cohen, Stephen M

    2015-01-01

    Formation of the Drosophila adult abdomen involves a process of tissue replacement in which larval epidermal cells are replaced by adult cells. The progenitors of the adult epidermis are specified during embryogenesis and, unlike the imaginal discs that make up the thoracic and head segments...

  10. Daily and seasonal patterns in abdomen color in Diaphoria citri (Hemiptera: Psyllidae)

    Science.gov (United States)

    Diaphorina citri Kuwayama, a psyllid vector of huanglongbing (citrus greening disease), exhibits three more or less distinct abdomen colors in the adult psyllid: gray/brown, blue/green, and orange/yellow. We explored the daily (in individuals in the laboratory) and seasonal (in a field population) p...

  11. Analysis of Acoustic Access to the Prostate Through the Abdomen and Perineum for Extracorporeal Ablation

    Science.gov (United States)

    Hall, Timothy L.; Hempel, Christopher R.; Sabb, Brian J.; Roberts, William W.

    2010-03-01

    As part of the development of a noninvasive treatment for BPH using histotripsy, this study aimed to measure acoustic access for extracorporeal ablation of the prostate. Both transabdominal and transperineal approaches were considered. The objective was to measure the size and shape of a transducer aperture that could target the prostate without obstruction. CT images obtained from 17 subjects >56 years of age were used to create 3D reconstructions of the lower abdomen and pelvis. Target locations on the urethra at the base, mid, and apex in the prostate were marked along with a transrectal imaging probe. Evenly space rays spanning were traced from each target location towards the perineum and separately towards the abdomen with the maximum x-ray density encountered along each path recorded. The overall free aperture through the perineum was found to be a triangular shaped region bounded by the lower bones of the pelvis and the transrectal probe varying significantly in size between subjects. The free aperture through the abdomen was wedge shaped limited by the pubis also with great subject to subject variability. Average unblocked fractions of an f/1 transducer to target base, veru, and apex through the perineum were 77.0%, 94.4%, and 99.6%, respectively. Averages targeting through the abdomen were 86.1%, 52.3%, and 11.0%. Acoustic access to the prostate for through the perineum was judged to be feasible.

  12. Spontaneous rupture of pyometra manifesting as an acute abdomen: a case report.

    Science.gov (United States)

    Singh, Alpana; Mundhra, Rajlaxmi; Agarwal, Tannavi; Radhakrishnan, Gita

    2015-07-01

    Spontaneous perforation of pyometra is a rare entity with a reported incidence in the range of 0.01-0.05%. The clinical picture is similar to peritonitis arising from intestinal perforation and commonly the correct diagnosis is only made perioperatively. We report a case in an elderly postmenopausal woman presenting with an acute abdomen.

  13. Underdiagnosis of Vertebral Collapse on Routine Multidetector Computed Tomography Scan of the Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Obaid, H.; Husamaldin, Z.; Bhatt, R. (Doncaster Royal Infirmary, Doncaster (United Kingdom))

    2008-09-15

    Background: Vertebral fractures are commonly associated with osteoporosis and have significant morbidity and mortality rates. Osteoporotic vertebral fractures are presently considered as a treatable and preventable condition, and early detection is vital for further management. The evaluation of vertebral compression on multidetector computed tomography (MDCT) scans of the abdomen has, to our knowledge, not been reported before. Purpose: To assess the prevalence of vertebral collapse on routine abdominal CT scans, and to evaluate the usefulness of the multiplanar reconstruction (MPR) capability of MDCT scans in accurately identifying vertebral abnormalities such as vertebral collapse, spondylolisthesis, and retrolisthesis. Material and Methods: A retrospective review of 307 MDCT scans of the abdomen was carried out at a university teaching hospital. Identifiable patient information was anonymized for data protection. All images were reviewed on a picture archiving and communications system (PACS) using sagittal MPR and bone window for the assessment of the vertebrae. Data were collected from the Computerized Radiology Information System (CRIS). Results: Vertebral collapse was seen in 42 (13.6%) of the 307 patients undergoing routine MDCT of the abdomen. Multilevel and single-level collapses were seen in 24 and 18 patients, respectively. Spondylolisthesis was identified in 5.5% (n=17), and retrolisthesis was seen in 0.6% (n=2). All patients with vertebral fracture were older than 50 years. Women were more commonly affected than men. Conclusion: A significant number of patients with vertebral collapse were diagnosed using MPR on MDCT routine scans of the abdomen

  14. A rare cause of acute abdomen: tumor rupture of nonpalpable testis

    Science.gov (United States)

    Yıldız, Turan; İlçe, Zekeriya; Gündüz, Yasemin; Çakırsoy, Gözde Çakar

    2016-01-01

    Undescended testicle is the most common congenital anomaly among males. Testicular tumor develops in 3–5% of the boys with a complaint of undescended testicle. The clinical presentation of malignant intra-abdominal testicular tumors ranges from asymptomatic cases to acute abdomen. In this study, we present a child with testicular tumor rupture which is observed very rarely. A 16-year-old boy presented 24 hours after the sudden onset of right lower quadrant pain, nausea, vomiting and fever. On physical examination, extensive tenderness in the abdomen and abdominal guarding were found. The right testicle was not palpable. The serum white blood cell count was elevated. Ultrasonography and abdominal computerized tomography scan demonstrated a perforated, hyperdense mass with free fluid in the abdomen. The preoperative alpha fetoprotein level was found to be increased. We performed surgery with laparoscopy and a perforated right intraabdominal testicle was found in the right iliac fossa. The mass was excised. Histopathological examination revealed a yolk sac tumor. Ruptured nonpalpable testicular tumors are very rare. To our knowledge, this is the first adolescent case reported so far. Testicular tumor rupture should be considered in patients with nonpalpable testicle and acute abdomen. Laparoscopy may be performed in differential diagnosis and treatment of these patients.

  15. A rare cause of acute abdomen: tumor rupture of nonpalpable testis.

    Science.gov (United States)

    Yıldız, Turan; İlçe, Zekeriya; Gündüz, Yasemin; Çakırsoy, Gözde Çakar

    2016-09-01

    Undescended testicle is the most common congenital anomaly among males. Testicular tumor develops in 3-5% of the boys with a complaint of undescended testicle. The clinical presentation of malignant intra-abdominal testicular tumors ranges from asymptomatic cases to acute abdomen. In this study, we present a child with testicular tumor rupture which is observed very rarely. A 16-year-old boy presented 24 hours after the sudden onset of right lower quadrant pain, nausea, vomiting and fever. On physical examination, extensive tenderness in the abdomen and abdominal guarding were found. The right testicle was not palpable. The serum white blood cell count was elevated. Ultrasonography and abdominal computerized tomography scan demonstrated a perforated, hyperdense mass with free fluid in the abdomen. The preoperative alpha fetoprotein level was found to be increased. We performed surgery with laparoscopy and a perforated right intraabdominal testicle was found in the right iliac fossa. The mass was excised. Histopathological examination revealed a yolk sac tumor. Ruptured nonpalpable testicular tumors are very rare. To our knowledge, this is the first adolescent case reported so far. Testicular tumor rupture should be considered in patients with nonpalpable testicle and acute abdomen. Laparoscopy may be performed in differential diagnosis and treatment of these patients.

  16. Spontaneous Spleen Rupture in a Teenager: An Uncommon Cause of Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Verroiotou Maria

    2013-01-01

    Full Text Available Spontaneous spleen rupture is a rare complication of infectious diseases and it can become a potentially life-threatening condition if not diagnosed in time. A 17-year-old Greek female presented to the ER due to acute abdominal pain, mainly of the left upper quadrant. She had no recent report of trauma. The patient was pale, her blood pressure was 90/70 mmHg, and her pulse was 120 b/min. Clinical examination of the abdomen revealed muscle contraction and resistance. The patient was submitted to an ultrasound of the upper abdomen and to a CT scanning of the abdomen that revealed an extended intraperitoneal hemorrhage due to spleen rupture. Due to the patient’s hemodynamic instability, she was taken to the operation room and splenectomy was performed. Following a series of laboratory examinations, the patient was diagnosed to be positive for current cytomegalovirus infection. The postoperative course was uneventful, and in a two year follow-up the patient is symptom-free. Spontaneous spleen rupture due to Cytomegalovirus infection is a rare clinical entity, described in few case reports in the world literature and should always be taken into consideration in differential diagnosis of acute abdomen, especially in adolescents with no recent report of trauma.

  17. [Giant appendiceal mucocele during laparotomy for acute abdomen. Report of a case and brief review].

    Science.gov (United States)

    Caiazzo, P; Comentale, A; Rampone, B; Di Lascio, P; Morlino, A; Pastore, M; Del Vecchio, G; Tramutoli, P R

    2010-01-01

    The authors describe a case of giant appendiceal mucocele, secondary to a mucinous neoplasm of the appendix, diagnosed during laparotomy for acute abdomen. By a review of the literature they stress the rarity of this lesion, the particular onset in their case as acute complication of appendiceal neoplasm with rupture of the intestinal wall, the difficulties of diagnosis and management in emergency.

  18. A rare cause of acute abdomen in adults: Parasitic infection-related acute appendicitis.

    Science.gov (United States)

    Küpeli, Aydın Hakan; Özdemir, Murat; Topuz, Sezgin; Sözütek, Alper; Paksoy, Tuğba

    2015-01-01

    Ascaris lumbricoides is a common parasitic disease all over the world, especially in less developed countries. Acute appendicitis related to parasitic infection is a rare condition. Parasitic infections should be kept in mind in patients who are admitted to the emergency department with acute abdomen, especially in endemic areas.

  19. Detection of Hyperechoic Inflammatory Fatty Tissue during Transabdominal Ultrasonography: Diagnostic Role in Acute Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Park, Seong Jin; Lee, Hae Kyung; Yi, Bum Ha [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of); Kim, Hyun Cheol [Soonchunhyang University Cheonan Hospital, Cheonan (Korea, Republic of)

    2005-12-15

    To assess the incidence and diagnostic role of hyperechoic inflammatory fatty tissue (HIFT) in transabdominal ultrasonography (TAUS) for acute abdomen. With TAUS, we examined 98 consecutive patients (68 women, 30 men: mean age, 32 years: age range, 4-84 years) having acute abdominal pain. We examined the abdomen and pelvis by TAUS to determine the cause of acute abdomen, to check for the presence of HIFT, and to investigate whether it was easier and earlier to find the main cause and HIFT presence. We also prospectively evaluated the shape, distribution, and diagnostic role of HIFT. Final diagnoses consisted of 47 cases of acute appendicitis, 14 of enterocolitis, 13 of PID, 7 of gynecological hemoperitoneum, 5 of colonic diverticulitis, 3 of ovarian torsion, 2 of colon perforation, 2 of only presence of non-specific HIFT, 1 of mesenteric lymphadenitis, and 4 of normal. HIFT were seen in 67 patients (68.4%), including 44/47(93.6%) of acute appendicitis, 2/14(14.3%) of enterocolitis, 11/13(84.6%) of PID, 0/7 of hemoperitoneum, 5/5 of colonic diverticulitis, 0/3 of ovarian torsion, 2/2 of colon perforation, and 1/1 mesenteric lymphadenitis. HIFT were detected earlier than the main cause in 17/44 of acute appendicitis, 6/11 of PID, and 4/5 of colonic diverticulitis. In acute appendicitis, the shape of HIFT appeared as fat thickening along the mesoappendix in 12/44, fat thickening along the mesoappendix and the opposite side in 13/44, fat encircled appendix in 6/44, fatty mass wrapping abscess in 10/44, and diffuse intraperitoneal fat thickening in 3/44. In PID, HIFT appeared as a single fatty mass in the pelvis and lower abdomen in 6/11, wrapping pelvic abscess in 2/11, and multiple fatty masses scattered in abdomen and pelvis in 3/11. In colonic diverticulitis, all 5 cases appeared as hyperechoic hemispheric mass covering the inflamed diverticulum. HIFT are a usual US finding in patients with acute abdomen, particularly on abdominal and pelvic inflammatory conditions

  20. Pharmacokinetics and metabolic effects of growth hormone injected subcutaneously in growth hormone deficient patients: thich versus abdomen

    DEFF Research Database (Denmark)

    Laursen, Torben; Jørgensen, Jens Otto Lunde; Christiansen, Jens Sandahl

    1994-01-01

    Abstract OBJECTIVE: The absorption of insulin following subcutaneous (s.c.) injection is faster in the abdomen than the thigh. We therefore studied the effect of changing the site of injection on the absorption and metabolic effects of human growth hormone. DESIGN AND MEASUREMENTS: In a cross......-over study human GH (Norditropin) was injected s.c. in the thigh or abdomen in random order. Ultrasonography of the thigh and abdomen was performed in order to evaluate the thickness of the s.c. tissue. After each treatment period (4 weeks), serum profiles of GH, IGF-I, IGF binding proteins 1 and 3 (IGFBP-1.......c. tissue (mm) was higher on the abdominal site (9.35 +/- 1.38 (thigh), and 22.61 +/- 2.19 (abdomen), P abdomen) (P = 0.91). AUC (m...

  1. FDG-PET/CT Limited to the Thorax and Upper Abdomen for Staging and Management of Lung Cancer

    Science.gov (United States)

    Postema, Jan W. A.; Schreurs, Wendy M. J.; Lafeber, Albert; Hendrickx, Baudewijn W.; Oyen, Wim J. G.; Vogel, Wouter V.

    2016-01-01

    Purpose This study evaluates the diagnostic accuracy of [F-18]-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) of the chest/upper abdomen compared to the generally performed scan from head to upper thighs, for staging and management of (suspected) lung cancer in patients with no history of malignancy or complaints outside the thorax. Methods FDG-PET/CT scans of 1059 patients with suspected or recently proven lung cancer, with no history of malignancy or complaints outside the thorax, were analysed in a retrospective multi-centre trial. Suspect FDG-avid lesions in the chest and upper abdomen, the head and neck area above the shoulder line and in the abdomen and pelvis below the caudal tip of the liver were noted. The impact of lesions detected in the head and neck area and abdomen and pelvis on additional diagnostic procedures, staging and treatment decisions was evaluated. Results The head and neck area revealed additional suspect lesions in 7.2%, and the abdomen and pelvis in 15.8% of patients. Imaging of the head and neck area and the abdomen and pelvic area showed additional lesions in 19.5%, inducing additional diagnostic procedures in 7.8%. This resulted in discovery of additional lesions considered malignant in 10.7%, changing patient management for lung cancer in 1.2%. In (suspected) lung cancer, PET/CT limited to the chest and upper abdomen resulted in correct staging in 98.7% of patients, which led to the identical management as full field of view PET in 98.8% of patients. Conclusion High value of FDG-PET/CT for staging and correct patient management is already achieved with chest and upper abdomen. Findings in head and neck area and abdomen and pelvis generally induce investigations with limited or no impact on staging and treatment of NSCLC, and can be interpreted accordingly. PMID:27556809

  2. [Clinical case--voluminous diaphragmatic hernia--surgically acute abdomen: diagnostic and therapeutical challenges].

    Science.gov (United States)

    Dumitrescu, D; Savlovschi, C; Borcan, R; Pantu, H; Serban, D; Gradinaru, S; Smarandache, G; Trotea, T; Branescu, C; Musat, L; Comandasu, M; Priboi, M; Baldir, M; Sandolache, B; Oprescu, S

    2011-01-01

    We present the case of a 58-year old male patient admitted in the surgery section of the University Emergency Hospital of Bucharest and diagnosed with acute abdomen. The minimal clinical-paraclinical investigation (i.e., thorax-pulmonary Xray, biological probes) raises questions as to the differentiated diagnosis and other associated diseases, also suggesting the existence of voluminous diaphragmatic hernia. The CT thorax-abdomen examination confirms the diaphragmatic hernia suspicion, with intra-thorax ascent of the colon up to the anterior C4 level, but does not explain the abdominal suffering; thus we suspected a biliary ileus or acute appendicitis. Medial laparotomy was imperative. Intrasurgically peritonitis was noticed located by gangrenous acute apendicitis, perforated, with coprolite, for which apendictomy and lavage-drainage pf the peritoneal cavity was performed. Post-surgical status: favourable to recovery.

  3. Definitive identification of magnetite nanoparticles in the abdomen of the honeybee Apis mellifera

    Energy Technology Data Exchange (ETDEWEB)

    Desoil, M [Biological Physics Department, University of Mons-Hainaut (Belgium); Gillis, P [Biological Physics Department, University of Mons-Hainaut (Belgium); Gossuin, Y [Biological Physics Department, University of Mons-Hainaut (Belgium); Pankhurst, Q A [London Centre for Nanotechnology, University College London, London WC1E 7HN (United Kingdom); Hautot, D [London Centre for Nanotechnology, University College London, London WC1E 7HN (United Kingdom); Institute for Science and Technology in Medicine, Keele University, Thornburrow Drive, Hartshill, Stoke-en-Trent, ST4 7QB (United Kingdom)

    2005-01-01

    The biogenic magnetic properties of the honeybee Apis mellifera were investigated with a view to understanding the bee's physiological response to magnetic fields. The magnetisations of bee abdomens on one hand, and heads and thoraxes on the other hand, were measured separately as functions of temperature and field. Both the antiferromagnetic responses of the ferrihydrite cores of the iron storage protein ferritin, and the ferrimagnetic responses of nanoscale magnetite (Fe{sub 3}O{sub 4}) particles, were observed. Relatively large magnetite particles (ca. 30 nm or more), capable of retaining a remanent magnetisation at room temperature, were found in the abdomens, but were absent in the heads and thoraxes. In both samples, more than 98% of the iron atoms were due to ferritin.

  4. Spontaneous perforation of pyometra presenting as acute abdomen: a rare condition with considerable mortality.

    Science.gov (United States)

    Yin, Wan-Bin; Wei, Yan-Hua; Liu, Guang-Wei; Zhao, Xiao-Tang; Zhang, Mao-Shen; Hu, Ji-Lin; Zhang, Nan-Yang; Lu, Yun

    2016-04-01

    Pyometra is an uncommon and potentially lethal disease that occurs mainly in postmenopausal women. Spontaneous perforation of pyometra presenting as acute abdomen is an extremely rare complication of pyometra, and the patients are always admitted to the emergency department. An additional case is reported herein. In addition, a literature review was performed between 1949 and 2015. A correct preoperative diagnosis was made in 21.05% of all the cases. Of all cases, 25.71% were associated with malignant disease. The mortality rate of spontaneous perforation of pyometra is 31.88%. Thus, it should be considered in the differential diagnosis of acute abdomen in elderly women. Total hysterectomy along with bilateral salpingo-oophorectomy is the preferred treatment. Administration of broad-spectrum antibiotics and postoperative intensive care support are essential to reduce the high mortality.

  5. Mechanical response of the herniated human abdomen to the placement of different prostheses.

    Science.gov (United States)

    Hernández-Gascón, Belén; Peña, Estefanía; Grasa, Jorge; Pascual, Gemma; Bellón, Juan M; Calvo, Begoña

    2013-05-01

    This paper describes a method designed to model the repaired herniated human abdomen just after surgery and examine its static mechanical response to the maximum intra-abdominal pressure provoked by a physiological movement (standing cough). The model is based on the real geometry of the human abdomen bearing a large incisional hernia with several anatomical structures differentiated by MRI. To analyze the outcome of hernia repair, the surgical procedure was simulated by modeling a prosthesis placed over the hernia. Three surgical meshes with different mechanical properties were considered: an isotropic heavy-weight mesh (Surgipro®), a slightly anisotropic light-weight mesh (Optilene®), and a highly anisotropic medium-weight mesh (Infinit®). Our findings confirm that anisotropic implants need to be positioned such that the most compliant axis of the mesh coincides with the craneo-caudal direction of the body.

  6. Nutrición enteral temprana, en pacientes con abdomen abierto

    Directory of Open Access Journals (Sweden)

    Mario Sánchez-Arias

    2006-03-01

    Full Text Available Objetivo: Observar la factibilidad de la nutrición enteral en el paciente crítico quirúrgico con abdomen abierto y valorar su avance y posibles complicaciones. Método: Estudio observacional descriptivo de los pacientes que ingresaron a la Unidad de Cuidado Intermedio Quirúrgico de la Sección de Cirugía del Hospital Dr. R.A. Calderón Guardia, con abdomen abierto, de junio de 2003 a noviembre de 2004, y en quienes se colocó una sonda de nutrición en yeyuno. Resultados: Se observaron 15 pacientes, con una edad promedio de 46 años, con abdomen abierto y acceso nasoyeyunal el 80% y yeyunal directo el 20%, a los cuales se les inició nutrición enteral temprana (36 hrs con una fórmula polimérica, a razón de 23cc/hr, que se avanzó a razón de 6.6cc/día, por un promedio de 9 días, alcanzando un 80% de ellos el 80% de sus requerimientos estimados, en 4.6, días. No hubo mortalidad en la serie, aunque sí intolerancia al régimen (33.3%, principalmente por persistencia de fístula; tales pacientes se pasaron a nutrición parenteral. Conclusiones: La nutrición enteral puede usarse en pacientes con abdomen abierto, si se les procura un acceso yeyunal y se les proporciona en volúmenes y aumentos discretos, de acuerdo con la condición del intestino.Ojective: To observe enteral nutrition feasibility in patients with "open abdomen" their evolution and complications. Methods: This is an observational study of patients with "open abdomen" who were admitted to the Intermediate Care Unit of the Surgical Service at the Calderón Guardia Hospital between june 2003 to November 2004, with a yeyunal access for nutrition. Results: Fifteen patients were studied with an average age of 36 years, all of them with open abdomen and jejunal access, who got early enteral nutrition (36 hrs with a polymeric formula, starting at 23 cc/hrs and were then advanced 6.6cc/ daly for 9 days, reaching 80% of the patients, 80% of threir requirements in 4.6 days. There

  7. Acute Abdomen Due to Penicillium marneffei: An Indicator of HIV Infection in Manipur State.

    Science.gov (United States)

    Ghalige, Hemanth Sureshwara; Sahoo, Biswajeet; Sharma, Sanjeeb; Devi, Khuraijam Ranjana; Singh Th, Sudhir Chandra

    2014-09-01

    Opportunistic infection in HIV disease often present to clinicians in an atypical manner testing clinical acumen. Here, we report a case of Penicilliosis marneffei (PM) infection presenting to surgical emergency as acute abdomen with undiagnosed HIV status in advanced AIDS, chief complaints being prolonged fever and diffuse abdominal pain. Radiologic imaging showed non-specific mesenteric and retroperitoneal lymphadenopathy. Fine needle aspiration cytology (FNAC) of the lymph node was done and subjected to direct microscopy, gram staining and culture on Sabouraud's dextrose agar (SDA) which showed Penicillium marneffei. He was then treated with intravenous amphotericin. This case is reported for its rarity and unusual presentation to sensitise clinicians and microbiologists to consider PM as an aetiology in acute abdomen in high risk individuals, more so, in patients from north-east India.

  8. Definitive identification of magnetite nanoparticles in the abdomen of the honeybee Apis mellifera

    Science.gov (United States)

    Desoil, M.; Gillis, P.; Gossuin, Y.; Pankhurst, Q. A.; Hautot, D.

    2005-01-01

    The biogenic magnetic properties of the honeybee Apis mellifera were investigated with a view to understanding the bee's physiological response to magnetic fields. The magnetisations of bee abdomens on one hand, and heads and thoraxes on the other hand, were measured separately as functions of temperature and field. Both the antiferromagnetic responses of the ferrihydrite cores of the iron storage protein ferritin, and the ferrimagnetic responses of nanoscale magnetite (Fe3O4) particles, were observed. Relatively large magnetite particles (ca. 30 nm or more), capable of retaining a remanent magnetisation at room temperature, were found in the abdomens, but were absent in the heads and thoraxes. In both samples, more than 98% of the iron atoms were due to ferritin.

  9. Nutrición enteral temprana, en pacientes con abdomen abierto

    Directory of Open Access Journals (Sweden)

    Mario Sánchez-Arias

    2006-03-01

    Full Text Available Objetivo: Observar la factibilidad de la nutrición enteral en el paciente crítico quirúrgico con abdomen abierto y valorar su avance y posibles complicaciones. Método: Estudio observacional descriptivo de los pacientes que ingresaron a la Unidad de Cuidado Intermedio Quirúrgico de la Sección de Cirugía del Hospital Dr. R.A. Calderón Guardia, con abdomen abierto, de junio de 2003 a noviembre de 2004, y en quienes se colocó una sonda de nutrición en yeyuno. Resultados: Se observaron 15 pacientes, con una edad promedio de 46 años, con abdomen abierto y acceso nasoyeyunal el 80% y yeyunal directo el 20%, a los cuales se les inició nutrición enteral temprana (36 hrs con una fórmula polimérica, a razón de 23cc/hr, que se avanzó a razón de 6.6cc/día, por un promedio de 9 días, alcanzando un 80% de ellos el 80% de sus requerimientos estimados, en 4.6, días. No hubo mortalidad en la serie, aunque sí intolerancia al régimen (33.3%, principalmente por persistencia de fístula; tales pacientes se pasaron a nutrición parenteral. Conclusiones: La nutrición enteral puede usarse en pacientes con abdomen abierto, si se les procura un acceso yeyunal y se les proporciona en volúmenes y aumentos discretos, de acuerdo con la condición del intestino.

  10. Development of a Deflection Measurement System for the Hybrid III Six-Year Old Biofidelic Abdomen

    OpenAIRE

    2012-01-01

    Despite advancements in automotive safety, motor vehicle collisions remain the leading cause of unintentional death for children ages 5 to 14. Enhancement of child occupant protection depends on the ability to accurately assess the effectiveness of restraint systems. Booster seat design and proper belt fit require evaluation using child anthropomorphic test devices, yet biofidelity of the abdomen and pelvis of the current anthropomorphic test device, the Hybrid III 6-year-old, needs improveme...

  11. INADEQUACY IN DIAGNOSIS OF BLUNT TRAUMA ABDOMEN - CAN ANAESTHESIOLOGIST BE BAFFLED BY CATASTROPHIC INTRAOPERATIVE FINDINGS?

    Directory of Open Access Journals (Sweden)

    Joyanta Kumar

    2015-08-01

    Full Text Available The magnitude of injury inflicted by Blunt trauma abdomen has varied manifestations ranging from minor single - system injury to devastating, multi - system injury .Blunt trauma abdomen alone or in association with polytrauma is a frequent presentation in the emergency department. High index of suspicion and clinical acumen is required during evaluation of blunt abdominal injuries because physical signs and symptoms indicating presence of visceral lesions may poorly correlate with clinical presentation. Diagnostic peritoneal tapping is considered safe initial option with high accuracy but carries possibility of significant false positive and false negative result. Ultrasonography (FAST ha s its own limitations; although CT findings can be conclusive it involves time for analysis and the patient should be cooperative. Blunt trauma abdomen may present with life threatening internal haemorrhage due to visceral or vascular injuries prompting em ergency surgical intervention at odd hours with limited investigations and resources, Pre anaesthetic optimization by maintenance of adequate tissue oxygenation with optimal blood volume replacement and judicious use of inotropes, determine outcome of such emergency procedures. Careful selection of anaesthetic techniques and drugs particularly the inducing agents can be life - saving. Agility of the attending anesthesiologist to handle unforeseen intra operative critical events plays a pivotal role in overall outcome. We are discussing Anaesthetic management of a 23 year old victim of road traffic accident, who sustained blunt trauma abdomen about 24 hrs. Back, was conscious, oriented and ambulatory till the time of shifting to the operating theatre but on exp loration sudden gush of blood from a preoperatively undetected 7 cms long tear of the sub diaphragmatic part of IVC, and lacerated liver almost exsanguinated the patient.

  12. An Experience in the Management of the Open Abdomen in Severely Injured Burn Patients

    Science.gov (United States)

    2012-07-01

    of abdominal operations undergone. • Outcomes: mortality, dehiscence, bowel necrosis, sepsis , adult respiratory distress syndrome, multi- system...643–50. 15. Schecter WP, Ivatury RR, Rotondo MF, Hirshberg A. Open abdomen after trauma and abdominal sepsis : a strategy for management. J Am Coll...491 Current surgical practice in the era of damage con- trol has led to the practice of planned relaparotomy to address intra- abdominal issues that

  13. Spontaneous Perforation of Pyometra Presented as an Acute Abdomen: A Case Report

    Science.gov (United States)

    Saha, Pradip Kumar; Gupta, Pratiksha; Mehra, Reeti; Goel, Poonam; Huria, Anju

    2008-01-01

    Spontaneous perforation of pyometra is a rare pathologic condition that presents as diffuse peritonitis. This report describes an interesting case of spontaneous uterine perforation that mimicked gut perforation clinically and was finally diagnosed at exploratory laparotomy. Although rare, perforation of pyometra should be kept as one of the differential diagnosis in an elderly woman with an acute abdomen. A high index of suspicion is required to make a correct preoperative diagnosis, which allows early intervention, thus reducing morbidity and mortality. PMID:18324325

  14. Perforated duodenal ulcer a rare cause of acute abdomen in infancy: A report of two cases

    Directory of Open Access Journals (Sweden)

    Kadian Yogender

    2008-01-01

    Full Text Available Duodenal ulcer perforation is very uncommon in infants and children, that is why it is not usually considered in the differential diagnosis of acute abdomen in this age group. Moreover, the diagnosis of this condition is usually overlooked because of vague and variable symptoms and low index of suspicion on the part of the treating physicians. In this brief report, we are reporting two cases of successfully managed perforated duodenal ulcer in infancy.

  15. A Case of Systemic Lupus Erythematosus Presenting with an Acute Abdomen: Successful Treatment with Steroid

    Directory of Open Access Journals (Sweden)

    Haruka Fukatsu

    2014-01-01

    Full Text Available Abdominal pain continues to pose diagnostic challenges for emergency clinicians. A 56-year-old Japanese woman was referred to our hospital due to severe abdominal pain which presented as occasional epigastric pain five months before and intermittent abdominal pain. She had a past history of ileus twice, for both of which laparotomy was performed without an alimentary tract resection. The wall thickening with marked three-wall structure from terminal ileum to sigmoid colon was seen and bladder wall was irregularly thick and enhanced irregularly. Among the differential diagnosis of the acute abdomen, autoimmune diseases were suspected, especially lupus erythematosus and Henoch-Schönlein purpura. On the second day of admission, abdominal pain worsened. The results of examinations of antinuclear antibody, anti-double-stranded DNA antibody, ANCA, and the complements were not obtained at that time; however, we started 1-g steroid pulse treatment for three days with success. With the results obtained later, the patient was given a diagnosis of probable systemic lupus erythematosus (SLE. The present case shows that SLE can present with acute abdomen and should be included in the wide range of the differential diagnosis of acute abdomen.

  16. A Regional Dose and Image Quality Survey for Chest, Abdomen and Pelvis Radiographs in Paediatrics

    Energy Technology Data Exchange (ETDEWEB)

    Lopez, M.; Morant, J.J.; Geleijns, K.; Calzado, A

    2000-07-01

    A dosimetric survey in paediatric radiology is currently being carried out, aiming at the assessment of patient dose and image quality for chest, abdomen and pelvis radiographs in some age categories at five hospitals in the Tarragona area. Entrance surface dose measurements were performed using homogeneous PMMA phantoms. Effective doses were assessed through the application of published conversion factors. The range of entrance doses averaged by sites was 75-729 {mu}Gy for pelvis radiographs of children aged 5 months, 813-1600 {mu}Gy for pelvis radiographs of children aged 5 years, 94-250 {mu}Gy for chest radiographs of children aged 5 years and 980-2300 {mu}Gy for abdomen radiographs of children aged 5 years. The reference dose values given in the European Guidelines on Quality Criteria for Diagnostic Radiographic Images in Paediatrics were exceeded at two or more hospitals for all projections. The range of average effective dose for the analysed examinations was 14-245 {mu}Sv. The maximum ratios of effective dose by sites varied between 2.2 and 11 for the analysed projections. By examination type, average values in the range 100 to 245 {mu}Sv were estimated for 5 year pelvis and abdomen examinations. (author)

  17. Proneural and abdominal Hox inputs synergize to promote sensory organ formation in the Drosophila abdomen.

    Science.gov (United States)

    Gutzwiller, Lisa M; Witt, Lorraine M; Gresser, Amy L; Burns, Kevin A; Cook, Tiffany A; Gebelein, Brian

    2010-12-15

    The atonal (ato) proneural gene specifies a stereotypic number of sensory organ precursors (SOP) within each body segment of the Drosophila ectoderm. Surprisingly, the broad expression of Ato within the ectoderm results in only a modest increase in SOP formation, suggesting many cells are incompetent to become SOPs. Here, we show that the SOP promoting activity of Ato can be greatly enhanced by three factors: the Senseless (Sens) zinc finger protein, the Abdominal-A (Abd-A) Hox factor, and the epidermal growth factor (EGF) pathway. First, we show that expression of either Ato alone or with Sens induces twice as many SOPs in the abdomen as in the thorax, and do so at the expense of an abdomen-specific cell fate: the larval oenocytes. Second, we demonstrate that Ato stimulates abdominal SOP formation by synergizing with Abd-A to promote EGF ligand (Spitz) secretion and secondary SOP recruitment. However, we also found that Ato and Sens selectively enhance abdominal SOP development in a Spitz-independent manner, suggesting additional genetic interactions between this proneural pathway and Abd-A. Altogether, these experiments reveal that genetic interactions between EGF-signaling, Abd-A, and Sens enhance the SOP-promoting activity of Ato to stimulate region-specific neurogenesis in the Drosophila abdomen.

  18. A rare cause of acute abdomen-Spontaneous rectus sheath hematoma

    Institute of Scientific and Technical Information of China (English)

    Hock Chin Chong; Feng Yih Chai; Yew Eng Tan; Sophia Si Ling Heng; Siti Asilah Mohd Desa

    2016-01-01

    Spontaneous rectus sheath hematoma (SRSH) is a rare entity that mimics acute abdomen. Rectus sheath hematoma is the accumulation of blood in rectus sheath due to muscle or epigastric vessel injury. However, SRSH without a trauma or anticoagulation is rare. It frequently mimics acute abdomen and it may lead to misdiagnosis and unnecessary laparotomy. In this article, we described two cases of SRSH with their diagnostic and therapeutic strategy. Both of our patients in report were neither consumed antiplatelet nor coagulopathy. They both had abdominal muscle straining before their symptoms pre-sentation. We hypothesized that the SRSH may be induced by rectus muscle injury secondary to inappropriate straining or posture. To diagnose SRSH, clinical findings are important but radiologic imaging such as computed tomography, can be diagnostic. In expanding SRSH, percutaneous arterial embolization of epigastric artery is useful to secure the bleeding. If embolization is not feasible, surgical exploration hemostasis is curative. In non-expanding SRSH, it can be managed nonoperatively. SRSH is an important initial differential for acute abdomen. Radiologic imaging helps in diagnosis. Stable SRSH can be managed conservatively with good outcome.

  19. Body vectoring technique with Radiesse® for tightening of the abdomen, thighs, and brachial zone

    Directory of Open Access Journals (Sweden)

    Cogorno Wasylkowski V

    2015-05-01

    Full Text Available Valeria Cogorno Wasylkowski Médico Estético Cosmetic Medicine, Clinic Novosalud, Madrid, Spain Background: The objective of this study was to investigate the efficacy, safety, and subject satisfaction of the calcium hydroxylapatite-based dermal filler Radiesse® in a novel body vectoring technique to correct skin flaccidity in the thighs, abdomen, and brachial zones.Methods: Female subjects with self-evaluated flaccidity scores ≥3 on a 6-point scale (0, no flaccidity; 5, very severe flaccidity in the zones of interest were included. Radiesse was injected according to predesigned vector maps (3 mL per thigh, 1.5 mL per hemiabdomen or brachial zone. Clinical assessments (skin density and thickness were made by an independent reviewer at an exact position before and 5 weeks after treatment using a cutometer and an ultrascan. Subjects rated skin flaccidity before and 5 weeks after treatment on the 6-point scale and performed a pinch test to self-assess changes in skin thickness. All adverse events were recorded.Results: Twenty females (aged 28–67 years were enrolled, contributing 36 treatment zones. Across all zones, 78% of flaccidity measurements improved after treatment. Improvements in skin flaccidity were most common in the thighs (82% of cases. An improvement in skin density versus baseline was observed in the majority across all zones, most frequently in the abdomen (88% of cases. Skin thickness in each zone also improved versus baseline for the majority, most frequently in the thighs (88% of cases. Mean self-assessed flaccidity scores at baseline were 3.6 (thighs, 3.7 (abdomen, and 3.8 (brachial zone, and 2.6, 2.7, and 3.0, respectively, posttreatment. All subjects reported a positive pinch test. In total, 47.0% of subjects had bruising after treatment, which resolved within a week. No serious adverse events were reported.Conclusion: Using this novel technique, Radiesse had notable results on skin flaccidity, density and thickness in

  20. Abdomen - swollen

    Science.gov (United States)

    ... your health care provider. When to Contact a Medical Professional Call your health care provider if: The abdominal swelling is getting worse and ... a physical exam and ask questions about your medical history, such as when the problem ... health care provider will also ask about other symptoms you may ...

  1. An unusual case of intraabdominal abscess and acute abdomen caused by axial torsion of a Meckel's diverticulum

    Directory of Open Access Journals (Sweden)

    İhsan Yıldız

    2016-03-01

    Conclusion: Although MD is known as a pediatric disease, it is likely to occur in adults as well. Axial torsion of Meckel's diverticulum should be kept in mind the adults presenting with symptoms of acute abdomen.

  2. Open abdomen procedure in managing abdominal compartment syndrome in a child with severe fungal peritonitis and sepsis after gastric perforation

    Directory of Open Access Journals (Sweden)

    Wei Lai

    2016-04-01

    Full Text Available Abdominal compartment syndrome with increased abdominal pressure resulted in multi-organ dysfunctions can be lethal in children. The open abdomen procedure intentionally leaves the abdominal cavity open in patients with severe abdominal sepsis and abdominal compartment syndrome by temporarily relieving the abdominal pressure. We reported our experience of open abdomen procedure in successfully treating a 4-year old boy with abdominal compartment syndrome caused by severe fungal peritonitis and sepsis after gastric perforation.

  3. Radiation dose for investigation of the chest and abdomen. Comparison of sequential, spiral and electron beam computed tomography; Strahlenexposition bei der CT-Untersuchung des Thorax und Abdomens. Vergleich von Einzelschicht-, Spiral- und Elektronenstrahlcomputertomographie

    Energy Technology Data Exchange (ETDEWEB)

    Becker, C.R.; Schaetzl, M.; Bruening, R.; Schoepf, U.J.; Reiser, M.F. [Klinikum Grosshadern, Muenchen (Germany). Inst. fuer Radiologische Diagnostik; Feist, H. [Muenchen Univ. (Germany). Radiologische Klinik und Poliklinik; Baeuml, A. [Bundesamt fuer Strahlenschutz, Oberschleissheim (Germany). Inst. fuer Strahlenhygiene

    1998-09-01

    Comparison of radiation exposure applied by different types of CT scanners for the investigation of the chest and abdomen. Determination of radiation exposure applied by multi-phase spiral CT. Estimation of the dose in air in the system axis of the scanner, the CT dose index (CTDI) and the effective dose for electron beam tomography (EBT) and two conventional CT scanners (sequence, SEQ; spiral, SCT). For EBT, dose in system axis for investigation of the abdomen was above 50 mGy. Effective dose for investigation of the chest and abdomen was higher with EBT (11 and 26 mSv, respectively), than with conventional CT (SEQ, 4 and 20 mSv; SCT, 2 and 7 mSv). The effective dose for a biphasic investigation (liver 5 mSv, kidney 4 mSv) was below, for a triphasic investigation of the abdomen (6 mSv). Investigation of the abdomen with the EBT should only be performed for certain indications. With spiral CT, effective dose is much lower than with EBT. (orig.) [Deutsch] Die Strahlenexposition bei der Untersuchung von Thorax und Abdomen mit verschiedenen CT-Scannertypen sollte verglichen werden. Zusaetzlich sollte die Exposition beim Mehrphasen-Spiral-CT ermittelt werden. Die Dosis in der Systemachse, gemessen in freier Luft, (Achsendosis), der Computertomographie-Dosis-Index (CTDI) und die effektive Dosis nach ICRP 60 wurden bei einem Elektronenstrahl-CT (EBT) und zwei konventionellen CT-Scannern (sequentiell=SEQ, spiral=SCT) bestimmt. Beim EBT liegt die Achsendosis bei der Untersuchung des Abdomens ueber 50 mGy. Die effektive Dosis fuer die Untersuchung von Thorax und Abdomen war bei der EBT (11 bzw. 26 mSv) hoeher als beim konventionellen CT (SEQ 4 bzw. 20 mSv; SCT 2 bzw. 7 Sv). Die effektive Dosis einer 2-Phasen-Untersuchung (Leber 5 mSv, Niere 4 mSv) liegt unter, die einer 3-Phasen-Untersuchung (Leber 7 mSv) ueber der effektiven Dosis einer Untersuchung des gesamten Abdomens (6 mSv). Die Untersuchung des Abdomens sollte mit dem EBT nur nach strenger Indikationsstellung

  4. Pattern and presentation of acute abdomen in a Nigerian teaching hospital

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    John Owoade Agboola

    2014-01-01

    Full Text Available Background: Abdominal pain of sudden onset is the hallmark of most non-traumatic emergency surgical presentations. This presents a scenario of urgency to the young surgeon who has to determine which of a myriad of disease conditions the patient is presenting with. Such a physician has to rely on experience and a sound knowledge of the local aetiological spectrum in making a clinical diagnosis. Objective: To determine the epidemiology and aetiological spectrum of diseases presenting as acute abdomen in the adult population at the hospital surgical emergency unit. Patients and Methods: Two hundred and seventy-six patients presenting at the University of Ilorin Teaching Hospital emergency unit and managed by the general surgeons between 1 st of May 2009 and 30 th of April 2010 were recruited and followed-up throughout the period of admission. The biodata and clinical information inclusive of diagnosis, investigations, treatment modality and outcome were entered in a structured questioner. Standardised treatment was given to all patients and difficulties encountered in their management were also noted. The data collected was evaluated using SPSS16. Results: Acute abdomen constituted 9.6% of total surgical emergency admissions with patients aged 16-45 years constituting 78.3%. The commonest cause of acute abdomen was appendicitis (30.3% followed by intestinal obstruction (27.9%, perforated typhoid ileitis 14.9% and peptic ulcer disease (7.6%, respectively. Conclusion: The result from the study is similar to what has been reported in other tropical settings with inflammatory lesions being the major problem. There is also a rising incidence of post-operative adhesions and gradual decline in incidence of obstructed hernia.

  5. Non Obstetric Causes and Presentation of Acute Abdomen among the Pregnant Women.

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    Monoarul Haque

    2014-09-01

    Full Text Available To identify the non-obstetric causes and presentation of acute abdomen among pregnant women.This was a cross sectional hospital-based study among 128 pregnant women by face to face interview using a semi-structured questionnaire. This study was conducted at the Gynecology & Obstetric Ward of 250 Bed General Hospital, Noakhali, Bangladesh, from January to August 2013. Data were analyzed by a software package used for statistical analysis (SPSS version 11.5 (SPSS, Inc., Chicago, IL, USA.Mean age of participants was 25±4 years. Our findings showed that 81% were Muslim, 67% were lower middle income group, as well as 47% completed primary level of education. The results revealed that 28% had biliary ascariasis, 24% had peptic ulcer disease and 10% had lower urinary tract infection. We also found that 6% had acute pyelonephritis, 6% had acute gastroenteritis, 6% had acute cholecystitis, 6% had acute appendicitis, 2% had acute pancreatitis, 3% had choledocolithiasis, 2% had ovarian solid mass, 2% had twisted ovarian cyst, 4% had renal colic, and 1% had renal calculus. In non-obstetrical presentation of acute abdomen, the study found that 84% of respondents complained their pain lasting more than 24 hours. Besides, half of respondents felt pain in epigastrium and right hypochondrium. Cramping, prickling and aching type of pain were more, while 66% suffered from continuous pain. Our results also showed that 73% did not explain any aggravating factor and relieving factor, and the rest said food, fasting state and position change aggravated pain as well as relieved pain.The study concludes that precise diagnosis of the acute abdomen in pregnant women by continual updating of abdominal assessment knowledge, and clinical skills is necessary in the management of abdominal pain in obstetric settings.

  6. CLINICAL STUDY AND MANAGEMENT OF BLUNT INJURY ABDOMEN PERTAINING TO SOLID ORGANS

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    Katta Srinivasa

    2015-09-01

    Full Text Available Blunt Abdominal trauma is one of the most common causes among injuries caused mainly due to road traffic accidents. 1 The rapid increase in number of motor vehicles and its aftermath has caused rapid increase in number of victims to blunt abdominal trauma. Motor vehicle accidents account for 75 to 80% of blunt abdominal trauma. 2 Blunt injury of abdomen is also a result of fall from height, assault with blunt objects, industrial mishaps, sport injuries, bomb blast and fall from riding bicycle. 2 In view of increasing number of vehicles and consequently road traffic accidents, this topic is chosen to study the cases of blunt abdominal trauma with reference to the patients presenting at Govt. General Hospital, attached to Guntur Medical College, Guntur. OBJECTIVES: The objectives of the study are: 1. To evaluate the impact of blunt abdominal trauma on solid viscera. 2. To evaluate etiology and various modes of presentation. 3. To evaluate various available investigations for the detection of solid organ injuries. 4. To evaluate various modalities of treatment available with aim to reduce the mortality and morbidity. 5. To evaluate common complications of solid organ injury in blunt trauma abdomen. MATERIALS AND METHODS: Patients admitted in Government General Hospital, Guntur, from November 2012 to October 2014 and studied 50 cases. This is a prospective study conducted over 2 years. RESULTS: Male patients were commonly affected (80%, Peak age group being 21 – 30 years (48%. The commonest mode of injury was road traffic accident (58%. The common organ injured was spleen (54% followed by liver. 70% of the patients were treated by surgery, 30% conservatively. The mortality in this study was 14%. CONCLUSIONS : Blunt injury abdomen forms considerable load and health care system, most common age group is youngsters in road traffic accidents , so efforts should be made to formulate and execute road traffic regulations. Well established trauma care

  7. Effective dose conversion coefficients for X-ray radiographs of the chest and the abdomen

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    Lima, F.R.A. [Centro regional de Ciencias Nucleares, CRCN/CNEN, Rua Conego Barata, 999, Tamarineira, Recife, PE (Brazil); Kramer, R.; Vieira, J.W.; Khoury, H.J. [Departamento de Energia Nuclear, DEN/UFPE, Cidade Universitaria, Recife, PE (Brazil)]. E-mail: falima@cnen.gov.br

    2004-07-01

    The recently developed MAX (Male Adult voXel) and the FAXht (Female Adult voXel) head and trunk phantoms have been used to calculate organ and tissue equivalent dose conversion coefficients for X-ray radiographs of the chest and the abdomen as a function of source and field parameters, like voltage, filtration, field size, focus-to-skin distance, etc. Based on the equivalent doses to twenty three organs and tissues at risk, the effective dose has been determined and compared with corresponding data for others phantoms. The influence of different radiation transport codes, different tissue compositions and different human anatomies have been investigated separately. (Author)

  8. Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus.

    Science.gov (United States)

    Atmaca, Rusen; Germen, Aysegul Tezcan; Burak, Feza; Kafkasli, Ayse

    2005-01-01

    Unicornuate uterus with a rudimentary horn is the rarest congenital anatomic anomaly of the female genital system, causing many obstetrical and gynecologic complications. The frequency of this pathology is approximately 1/100 000. A rudimentary horn usually develops following insufficient development of mullerian ducts. These patients present with dysmenorrhea, dyspareunia, and chronic pelvic pain because of endometriosis and rarely with acute abdominal symptoms following distention and torsion of the noncommunicating rudimentary horn. The case of a patient referred for acute abdomen after distention of a noncommunicating rudimentary horn is presented herein.

  9. A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia.

    Science.gov (United States)

    Mutreja, Deepti; Sivasami, Kartik; Tewari, Vanmalini; Nandi, Bhaskar; Nair, G Lakhsmi; Patil, Sunita D

    2015-01-01

    Diagnosis of Strongyloides stercoralis hyperinfection can be a challenge. The key to a timely diagnosis is to have a high index of suspicion. We present a rare case of a 36-year-old human immunodeficiency virus negative male patient, who was on multidrug therapy for lepromatous leprosy and was treated for type 2 lepra reactions with steroids in the past. The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia. He had features of malnutrition and had a rapid downhill course following admission. A diagnosis of S. stercoralis hyperinfection with sepsis and multiorgan failure, adrenal hemorrhage, and syndrome of inappropriate antidiuretic hormone secretion was established on a postmortem examination.

  10. Clinical Presentation of a Patient with Localized Acquired Cutis Laxa of Abdomen: A Case Report

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    Tugomir Gverić

    2010-01-01

    Objective. The aim of this case report was to present our patient suffering from CL, and to evaluate clinical presentation, diagnostic and therapeutic difficulties in this rare condition. Case Report. A 30-year-old female patient was admitted to our Hospital due to localized loose and sagging skin of abdomen, induced by prior cesarean section 6 years ago. CL has been diagnosed based on the clinical picture and pathohistological appearance. Conclusion. Reconstructive surgery provides a dramatic cosmetic improvement with significant psychosocial benefit. Repeated surgical procedures may be required to correct the lax skin, which worsens with age.

  11. Torsion theca lutein cyst in association with invasive mole presenting as acute abdomen: a rare case

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    Radhamani S.

    2015-08-01

    Full Text Available Gestational trophoblastic neoplasias (GTN are rare tumours that constitute less than 1% of all gynaecological malignancies. Invasive mole is a distinct subgroup of GTN, which if not diagnosed and treated early, can result in serious complications like uterine perforation and haemoperitoneum. We present a rare case of torsion theca lutein cyst in association with invasive mole of the uterus, which developed following the evacuation of a molar pregnancy with features of continued irregular vaginal bleeding, persistently high betaHcg levels along with acute abdomen. [Int J Reprod Contracept Obstet Gynecol 2015; 4(4.000: 1237-1240

  12. Use of chorioamniotic membrane instead of bogota bag in open abdomen:How I Do It?

    Institute of Scientific and Technical Information of China (English)

    Sakir Tekin; Ahmet Tekin; Tevfik Kücükkartallar; Murat Cakir; Adil Kartal

    2008-01-01

    It is one of the most important problems for general surgeons to decide which operation should be undertaken on patients with intra-abdominal infection,especially those with concomitant abdominal hypertension.Recentlly,closure techniques using prosthetic meshes in order to retain abdominal tension and to control sepsis have become very popular for patients with abdominal sepsis and hypertension.We used chorioamniotic membrane instead of plastic material to cover the open abdomen.We conclude that human chorioamniotic membrane prepared under sterile conditions may be an alternative to conventional plastic bags in daily practice,for preventing serosal erosion and fistulas in patients undergoing open abdominal surgery.

  13. [Efficacy of intestinal splinting in hostile abdomen secondary to postoperative flanges in pediatric patients].

    Science.gov (United States)

    Bracho-Blanchet, Eduardo; Langarica-Bulos, Mónica; Dávila-Pérez, Roberto; Fernández-Portilla, Emilio; Zalles-Vidal, Cristian; Nieto-Zermeño, Jaime

    2016-10-01

    Objetivo: Mostrar la eficacia de la FI para prolongar el tiempo libre de oclusión intestinal quirúrgica en niños con abdomen hostil secundario a bridas posquirúrgicas. Método: Análisis retrospectivo de FI por abdomen hostil de 2000 a 2011 y su seguimiento a largo plazo. Comparamos el tiempo libre de oclusión quirúrgica antes y después de la FI. Resultados: Se incluyeron 20 FI en 19 pacientes. Predominaron las causas congénitas, la mediana de edad en la cirugía fue de 6 meses, todos tenían cirugías previas con mediana de tres, y dos de ellas fueron por oclusión intestinal previa. La férula se quitó a los 28 días (mediana). Con un seguimiento de 1-183 meses, hubo una recurrencia de oclusión quirúrgica. El tiempo libre de oclusión quirúrgica posferulización fue significativamente mayor que el preferulización mediante la prueba de Wilcoxon, con un valor Z = -3.594; p = oclusión quirúrgica.

  14. Swordfish bill injury involving abdomen and vertebral column: case report and review

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    Drossos Charalambos

    2010-10-01

    Full Text Available Abstract Background Penetrating injuries of the abdomen and spinal canal that involve organic material of animal origin are extremely rare and derive from domestic and wild animal attacks or fish attacks. Case presentation In this case report we present the unique, as far as the literature is concerned, unprovoked woman's injury to the abdomen by a swordfish. There are only four cases of swordfish attacks on humans in the literature - one resulted to thoracic trauma, two to head trauma and one to knee trauma, one of which was fatal - none of which were unprovoked. Three victims were professional or amateur fishermen whereas in the last reported case the victim was a bather as in our case. Our case is the only case where organic debris of animal's origin remained in the spinal canal after penetrating trauma. Conclusions Although much has been written about the management of penetrating abdominal and spinal cord trauma, controversy remains about the optimal management. Moreover, there is little experience in the management of patients with such spinal injuries, due to the fact that such cases are extremely rare. In this report we focus on the patient's treatment with regard to abdominal and spinal trauma and present a review of the literature.

  15. The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper.

    Science.gov (United States)

    Sartelli, Massimo; Abu-Zidan, Fikri M; Ansaloni, Luca; Bala, Miklosh; Beltrán, Marcelo A; Biffl, Walter L; Catena, Fausto; Chiara, Osvaldo; Coccolini, Federico; Coimbra, Raul; Demetrashvili, Zaza; Demetriades, Demetrios; Diaz, Jose J; Di Saverio, Salomone; Fraga, Gustavo P; Ghnnam, Wagih; Griffiths, Ewen A; Gupta, Sanjay; Hecker, Andreas; Karamarkovic, Aleksandar; Kong, Victor Y; Kafka-Ritsch, Reinhold; Kluger, Yoram; Latifi, Rifat; Leppaniemi, Ari; Lee, Jae Gil; McFarlane, Michael; Marwah, Sanjay; Moore, Frederick A; Ordonez, Carlos A; Pereira, Gerson Alves; Plaudis, Haralds; Shelat, Vishal G; Ulrych, Jan; Zachariah, Sanoop K; Zielinski, Martin D; Garcia, Maria Paula; Moore, Ernest E

    2015-01-01

    The open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear. In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal. However, the OA may require multiple returns to the operating room and may be associated with significant complications, including enteroatmospheric fistulas, loss of abdominal wall domain and large hernias. Surgeons should be aware of the pathophysiology of severe intra-abdominal sepsis and always keep in mind the option of using open abdomen to be able to use it in the right patient at the right time.

  16. Ruptured Granulosa Cell Tumor of the Ovary as a Cause of Acute Abdomen in Postmenopausal Woman

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    Tufan Oge

    2012-01-01

    Full Text Available Acute abdomen with hemoperitoneum is a very rare entity in postmenopausal women due to gynecologic conditions. A 54-year-old, postmenopausal woman was brought to emergency department with severe abdominal pain. Physical examination revealed acute abdomen findings with 15 cm pelvic mass on the right adnexal region. Immediate exploratory laparotomy was performed. During laparotomy 1000 cc of bloodstained fluid, ruptured and actively bleeding large mass arising from right ovary was observed. Right salpingo-oopherectomy was performed in emergency conditions, and pathology report revealed an adult type of granulosa cell tumor. After this result, staging surgery was performed and patient was diagnosed as granulosa cell tumor stage 1 c. Cisplatin, etoposide, and bleomycin chemotherapy was given. Clinicians should be aware of granulosa cell tumors which may occur at any age and prone to rupture. Frozen section will be helpful in order to avoid incomplete surgeries especially in postmenopausal women presented with intra-abdominal bleeding.

  17. Abdomen disease diagnosis in CT images using flexiscale curvelet transform and improved genetic algorithm.

    Science.gov (United States)

    Sethi, Gaurav; Saini, B S

    2015-12-01

    This paper presents an abdomen disease diagnostic system based on the flexi-scale curvelet transform, which uses different optimal scales for extracting features from computed tomography (CT) images. To optimize the scale of the flexi-scale curvelet transform, we propose an improved genetic algorithm. The conventional genetic algorithm assumes that fit parents will likely produce the healthiest offspring that leads to the least fit parents accumulating at the bottom of the population, reducing the fitness of subsequent populations and delaying the optimal solution search. In our improved genetic algorithm, combining the chromosomes of a low-fitness and a high-fitness individual increases the probability of producing high-fitness offspring. Thereby, all of the least fit parent chromosomes are combined with high fit parent to produce offspring for the next population. In this way, the leftover weak chromosomes cannot damage the fitness of subsequent populations. To further facilitate the search for the optimal solution, our improved genetic algorithm adopts modified elitism. The proposed method was applied to 120 CT abdominal images; 30 images each of normal subjects, cysts, tumors and stones. The features extracted by the flexi-scale curvelet transform were more discriminative than conventional methods, demonstrating the potential of our method as a diagnostic tool for abdomen diseases.

  18. Severe acute abdomen caused by symptomatic Meckel's diverticulum in three children with trisomy 18.

    Science.gov (United States)

    Hayashi, Anri; Kumada, Tomohiro; Furukawa, Oki; Nozaki, Fumihito; Hiejima, Ikuko; Shibata, Minoru; Kusunoki, Takashi; Fujii, Tatsuya

    2015-10-01

    Meckel's diverticulum (MD) is the most prevalent congenital anomaly of the gastrointestinal tract and often presents a diagnostic challenge. Patients with trisomy 18 frequently have MD, but the poor prognosis and lack of consensus regarding management for neonates has meant that precise information on the clinical manifestations in infants and children with MD is lacking. We describe the cases of three children with trisomy 18 who developed symptomatic MD. Intussusception was diagnosed in Patient 1, intestinal volvulus in Patient 2, and gastrointestinal bleeding in Patient 3. All three patients underwent surgical treatment and only the Patient 1 died due to pulmonary hypertensive crisis. The other two patients experienced no further episodes of abdominal symptoms. In patients with trisomy 18, although consideration of postoperative complications and prognosis after surgical treatment is necessary, symptomatic MD should carry a high index of suspicion in patients presenting with acute abdomen.

  19. Delayed diagnosis of a heterotopic pregnancy as a cause of acute abdomen: A case report

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    Fatma Turkan Ayan

    2013-09-01

    Full Text Available Introduction: Heterotopic pregnancy is a life threating condition of intrauterine and extrauterine gestations which occur at the same time. We report a delayed diagnosed case of heterotopic pregnancy. Case: A 31 year-old primigravida was referred to our Emergency Gynaecology Service complicated by acute abdomen. She had been treated with clomiphene citrate and on admission intrauterine a missed abortus of about 8 weeks complicated by a large subchorionic hematoma was detected. Emergency laparotomy was performed because of diffuse intra-abdominal haemorrhage. A right-sided ectopic focus was recognized and excised, and dilatation - curettage was performed. Coclusion: Delay in diagnosing the condition can be fatal to both the mother and the intrauterine fetus. [J Contemp Med 2013; 3(3.000: 207-208

  20. Abdomen agudo por peritonitis tuberculosa. Presentación de un caso

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    Abraham Reyes Pérez

    2016-08-01

    Full Text Available Extrapulmonary tuberculosis is a bacterial infection that occurs outside the lung parenchyma. It is caused by different types of mycobacteria; the most common causative agent in humans is Mycobacterium tuberculosis. The case of a 17-year-old Angolan patient treated in a municipal hospital in Angola due to severe abdominal pain with generalized peritoneal reaction is presented. Several tests were performed, but they did not clarify the patient’s condition. Finally, she underwent surgery and an omental biopsy was taken. The histological study revealed the presence of tuberculoid granulomas, which led to the diagnosis of miliary tuberculosis. Cases of acute abdomen due to tuberculous peritonitis are very uncommon, in fact, this is the first case seen by the author of this report in forty years practicing as a surgeon.

  1. A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia

    Directory of Open Access Journals (Sweden)

    Deepti Mutreja

    2015-01-01

    Full Text Available Diagnosis of Strongyloides stercoralis hyperinfection can be a challenge. The key to a timely diagnosis is to have a high index of suspicion. We present a rare case of a 36-year-old human immunodeficiency virus negative male patient, who was on multidrug therapy for lepromatous leprosy and was treated for type 2 lepra reactions with steroids in the past. The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia. He had features of malnutrition and had a rapid downhill course following admission. A diagnosis of S. stercoralis hyperinfection with sepsis and multiorgan failure, adrenal hemorrhage, and syndrome of inappropriate antidiuretic hormone secretion was established on a postmortem examination.

  2. Torsion of a Giant Pedunculated Hemangioma of the Liver Presenting With Acute Abdomen: A Case Report

    Science.gov (United States)

    Darzi, Aliasghar; Taheri, Hassan; Kamali Ahangar, Sekineh; Mirzapour Shafiei, Alameh; Asghari, Yasser

    2016-01-01

    Introduction Hemangioma is the most common benign tumor of the liver. Most cases are asymptomatic and do not require treatment. A hemangioma can rarely be pedunculated; as a result, it may undergo torsion and infarction, which can make it symptomatic. Case Presentation We report the case of a 45-year-old woman with acute abdominal pain due to torsion of a giant pedunculated hepatic hemangioma around its vascular stalk. Conclusions Pedunculated hemangioma of the liver is an uncommon benign tumor, a rare differential diagnosis for a mass located in the upper abdomen. All incidentally detected pedunculated hemangiomas must be surgically managed, as these have a tendency to become torsioned, and there is also a risk of malignancy or rupture.

  3. Ferric ammonium citrate as a positive bowel contrast agent for MR imaging of the upper abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Kivelitz, D.; Taupitz, M.; Hamm, B. [Universitaetsklinikum Charite, Berlin (Germany). Inst. fuer Radiologie; Gehl, H.B. [Medizinische Univ. Luebeck (Germany). Inst. fuer Radiologie; Heuck, A. [Muenchen Univ. (Germany). Radiologische Klinik; Krahe, T. [Koeln Univ. (Germany). Inst. fuer Radiologische Diagnostik; Lodemann, K.P. [Bracco-Byk Gulden GmbH, Konstanz (Germany)

    1999-07-01

    Purpose: To evaluate the safety and diagnostic efficacy of two different doses of ferric ammonium citrate as a paramagnetic oral contrast agent for MR imaging of the upper abdomen. Material and methods: Ninety-nine adult patients referred for MR imaging for a known or suspected upper abdominal pathology were included in this randomized multicenter double-blind clinical trial. Imaging was performed with spin-echo (T1- and T2-weighted) and gradient-echo (T1-weighted) techniques before and after administration of either 1200 mg or 2400 mg of ferric ammonium citrate dissolved in 600 ml of water. Safety analysis included monitoring of vital signs, assessment of adverse events, and laboratory testing. Efficacy with regard to organ distension, contrast distribution, bowel enhancement and delineation of adjacent structures was graded qualitatively. Results: No serious adverse events were reported for either of the two concentrations. A total of 31 minor side effects were noted, of which significantly more occurred in the higher dose group (p<0.01). The diagnostic confidence in defining or excluding disease was graded as better after contrast administration for 48% of all images. Marked or moderate enhancement of the upper gastrointestinal tract was achieved at both doses in 69.5% of cases with no evident difference between the two doses. The higher dose tended to show better results in terms of the contrast assessment parameters. Conclusion: Ferric ammonium citrate is a safe and effective oral contrast agent for MR imaging of the upper abdomen at two different dose levels. The higher dose showed a tendency toward better imaging results while the lower dose caused significantly fewer side effects. Therefore, the 1200 mg dose can be recommended in view of the risk-to-benefit ratio. (orig.)

  4. SU-E-T-566: Comparison of VMAT and IMRT for Whole Abdomen Radiation Therapy (WART)

    Energy Technology Data Exchange (ETDEWEB)

    Briere, TM; Huh, WW; Hayes-Jordan, A; McAleer, MF [MD Anderson Cancer Ctr., Houston, TX (United States); Anderson, P [LCH - Pediatric Hematology and Oncology Center, Charlotte, NC (United States)

    2014-06-01

    Purpose: Whole Abdomen Radiation Therapy (WART) is used in the treatment of desmoplastic small round cell tumors as well as other tumors with peritoneal dissemination. Intensity modulated radiation therapy (IMRT) is conventionally used to cover the multiple planning target volumes (PTVs) while sparing nearby critical structures, but this approach often requires two isocenters and ≥20 individual treatment fields. Four-field volumetric arc therapy (VMAT) can produce clinically similar treatment plans with the potential to reduce treatment time substantially. Here we examine treatment times and plan robustness for patients undergoing WART. Methods: Twenty patients undergoing WART at our institution were included in this study. Twelve IMRT and 8 VMAT plans utilized upper and lower abdominal isocenters and met similar dose constraints. Treatment times were tabulated from start of daily kV imaging to beam delivery end. Daily treatment couch coordinates were also recorded. From these couch coordinates, difference between actual and planned separation between isocenters was computed. Plan robustness with regard to PTV coverage within the region of field overlap was analyzed for 3 VMAT and 3 IMRT plans assuming a 2σ deviation in isocenter location. Results: The average treatment time for VMAT was 15 minutes shorter than for IMRT (27 minutes vs. 42 minutes). The average deviation in isocenter separation was 0.0 – 0.1 cm in each direction, with a standard deviation of 0.2 – 0.3 cm. Compared with IMRT plans, VMAT plans showed similar loss in PTV coverage for increasing isocenter displacement and similar dose inhomogeneity with decreasing isocenter displacement. Conclusion: Use of VMAT results in substantial time-savings for 2-isocenter whole abdomen radiotherapy plans. VMAT plans show robustness similar to IMRT with respect to isocenter displacement. VMAT should be considered for these very complicated treatments to minimize risk of patient movement during therapy and

  5. Ovarian vein thrombosis mimicking acute abdomen: a case report and literature review

    Directory of Open Access Journals (Sweden)

    Arkadopoulos Nikolaos

    2011-12-01

    Full Text Available Abstract Background Ovarian vein thrombosis (OVT is a rare, but serious condition that affects mostly postpartum women. A high index of suspicion is required in order to diagnose this unusual cause of abdominal pain. Case presentation A 19-year-old woman at three days postpartum was admitted to our hospital because of severe right lower quandrant abdominal pain and fever 38.5'C. Physical examination revealed an acutely ill patient and right lower quadrant tenderness with positive rebound and Giordano signs. The patient underwent appendectomy which proved to be negative for acute appendicitis. Postoperatively fever and pain persisted and abdominal CT-scan with intravenous contrast agent demonstrated a thrombosed right ovarian vein. The patient was initiated on low-molecular weight heparin (LMWH and antibiotic treatment and a month later a new abdominal CT-scan showed a patent right ovarian vein. Discussion Pathophysiologically, OVT is explained by Virchow's triad, because pregnancy is associated with a hypercoagulable state, venous stasis due to compression of the inferior vena cava by the uterus and endothelial trauma during delivery or from local inflammation. Common symptoms and signs of OVT include lower abdomen or flank pain, fever and leukocytosis usually within the first ten days after delivery. The reported incidence of OVT ranges 0,05-0,18% of pregnancies and in most cases the right ovarian vein is the one affected. Anticoagulation and antibiotics is the mainstay of treatment of OVT. Complications of OVT include sepsis, extension of the thrombus to the inferior vena cava and renal veins, and pulmonary embolism. The incidence of pulmonary embolism is reported to be 13.2% and represents the main source of mortality due to OVT. Conclusions OVT is a rare condition, usually in the postpartum period. A high index of suspicion is required for the prompt diagnosis and management especially in cases that mimic acute abdomen.

  6. Hereditary angioderma: an uncommon cause of acute abdomen. Abdominal computed tomography and ultrasound findings; Angioedema hereditario: una causa infrecuente de abdomen agudo. Hallazgos en la TC e ecografia abdominal

    Energy Technology Data Exchange (ETDEWEB)

    Cruz, R.A. de la; Oliver, J. M.; Bueno, A.; Albillos, J. C. [Fundacion Hospital Alcorcon. Madrid (Spain)

    2002-07-01

    We present an uncommon case of acute abdomen in a patient with hereditary angioderma. The ultrasound and CT findings described may suggest this diagnosis, thus avoiding useless surgical interventions in patients in whom the disease has not been previously diagnosed. (Author) 19 refs.

  7. An overview of systems for CT- and MRI-guided percutaneous needle placement in the thorax and abdomen

    NARCIS (Netherlands)

    Arnolli, Maarten M.; Hanumara, Nevan C.; Franken, Michel; Brouwer, Dannis M.; Broeders, Ivo A.M.J.

    2014-01-01

    Minimally invasive biopsies, drainages and therapies in the soft tissue organs of the thorax and abdomen are typically performed through a needle, which is inserted percutaneously to reach the target area. The conventional workflow for needle placement employs an iterative freehand technique. This a

  8. Evaluation of amylase and lipase levels in blunt trauma abdomen patients

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    Subodh Kumar

    2012-01-01

    Full Text Available Background: There are studies to prove the role of amylase and lipase estimation as a screening diagnostic tool to detect diseases apart from acute pancreatitis. However, there is sparse literature on the role of serum and urine amylase, lipase levels, etc to help predict the specific intra-abdominal injury after blunt trauma abdomen (BTA. Aim: To elucidate the significance of elevation in the levels of amylase and lipase in serum and urine samples as reliable parameters for accurate diagnosis and management of blunt trauma to the abdomen. Materials and Methods: A prospective analysis was done on the trauma patients admitted in Jai Prakash Narayan Apex Trauma Center, AIIMS, with blunt abdomen trauma injuries over a period of six months. Blood and urine samples were collected on days 1, 3, and 5 of admission for the estimation of amylase and lipase, liver function tests, serum bicarbonates, urine routine microscopy for red blood cells, and complete hemogram. Clinical details such as time elapsed from injury to admission, type of injury, trauma score, and hypotension were noted. Patients were divided into groups according to the single or multiple organs injured and according to their hospital outcome (dead/discharged. Wilcoxon′s Rank sum or Kruskal-Wallis tests were used to compare median values in two/three groups. Data analysis was performed using STATA 11.0 statistical software. Results: A total of 55 patients with median age 26 (range, 6-80 years, were enrolled in the study. Of these, 80% were males. Surgery was required for 20% of the patients. Out of 55 patients, 42 had isolated single organ injury [liver or spleen or gastrointestinal tract (GIT or kidney]. Patients with pancreatic injury were excluded. In patients who suffered liver injuries, urine lipase levels on day 1, urine lipase/amylase ratio along with aspartate aminotransferase (AST, alanine aminotransferase (ALT, and alkaline phosphatase (ALP on days 1, 3, and 5, were found to

  9. A STUDY OF POST-SURGICAL COMPLICATIONS IN ACUTE ABDOMEN CONDITIONS

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    Bhooma Reddy Muthyala

    2016-09-01

    Full Text Available BACKGROUND The most common causes of the acute abdomen are acute appendicitis which may be perforated, typhoid ileal perforation, acute intestinal obstruction, gastroduodenal perforations, nonspecific abdominal pain, abdominal injuries, and acute cholecystitis. A summary of all the acute complications taken together will be the fact that all are associated with post-surgical complications. A sincere effort has been made to study the post-operative complications that a surgeon encounters while treating the acute abdomen cases. This study is intended to help the practising surgeons who deal with such complications. It also is intended to help the doctors who practice to identify such complications and thus refer the patients for immediate intervention. METHODS This study was conducted in the Department of General Surgery, Government Medical College, Nizamabad, Telangana. This study was done from June 2013 to May 2016. One hundred sixty patients who were admitted in the hospital after surgery for acute abdominal conditions were considered for the study. Thorough clinical examination was conducted and the complications that were encountered were noted and the complications were treated as per the need of the hour. The complications faced by the treating surgeon in each and every entity that was discussed earlier was duly noted and statistical analysis was conducted. All the statistical analysis was done using the latest SPSS software 2015 (California. RESULT In our study, the mean age of the study population was found to be 29.8 years. That means the majority of the patients who turn up in the Department of Emergency is young and generally in the third decade of life. In Acute Intestinal Obstruction and blunt abdominal injuries, significance of mortality is high (p<0.05. CONCLUSION The study was successful in proving that abdominal injuries are the main factors of causing morbidity and mortality in the younger generation. The surgical mode of

  10. A study on the image quality and patient dose in erect simple abdomen radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jung Min [Korea Univ. College of Health Sciences, Seoul (Korea, Republic of)

    1998-06-01

    The purpose of simple abdomen erect projection is to see the fluid level which indicates gastrointestinal ileus or free air due to perforation. we do not have to insist on low kVp technique in simple abdomen erect position as long as we can detect the fluid level and free air shadow. Therefore, the author tried to decrease patient dose by high kVp technique and to improve the image quality due to motion artifact by reduction of exposure time. Experiment 1. *screen/flim : SRO1000/HRH *exposure factor : 140 kvp{+-}5 kv with added filters, 200 mA, 0.01 sec *phantom : Acryles : 15.0 cm(equivalent to 17 cm body thickness) 17.5 cm(equivalent to 21 cm body thickness) 20.0 cm(equivalent to 25 cm body thickness) With the exposure factor for same film density(D=0.8{+-}0.1) and with the materials above, we tried to find out entrance skin dose and gonad dose for both male and female. Experiment 2. Burger's phantom radiography were checked to see whether there was any change of image quality according to the kVp and the added filters. Experiment 3. Using rotating meter(self made), we examined the motion artifact and the exposure time limitation. [Results and conculution] 1. Using high voltage technique of 140 kVp with added filter, Skin dose, testicle dose and ovary dose decrease to 89.3%, 47% and 71.4% respectively compare to 70 kVp technique, 2. No great changes of Burger's phantom image has detected as from 70 kVp to 140 kVp and the air hole size of Burger's phantom over 0.028 cc(Diameter 3 mm, hight 4 mm) can be distinghished. 3. 0.01 sec(1 pulse) exposure time is possible in the single phase full wave rectification that why we can quitely reduce the unsharness caused by patient's movement.

  11. Granuloma a cuerpo extraño en abdomen secundario a sutura no absorbible

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    Marlyn González

    2016-08-01

    Full Text Available Los granulomas a cuerpo extraño son inducidos por cuerpos relativamente inertes, es típico que se formen alrededor de material como talco o suturas. Algunos estudios describen que las suturas no absorbibles especialmente la seda tiene mayor índice de complicaciones como son la formación de granuloma a cuerpo extraño y dolor postoperatorio. Se reporta el caso de una paciente femenino de 40 años de edad, quién consulta por presentar dolor abdominal de moderada intensidad a nivel de epigástrio, de dos meses de evolución acompañado de náuseas y vómitos, presenta como antecedente quirúrgico una miomectomía realizada hace dos meses. Al examen físico de ingreso abdomen globoso a expensas de panículo adiposo, ruidos hidroaéreos presentes, blando, depresible, doloroso a la palpación en epigástrico donde se evidencia tumoración móvil de 10 x 10 cm aproximadamente, sin signos de irritación peritoneal. Se realizó laparotomía exploradora con los siguientes hallazgos: tumoración de 10 x 15 cm a nivel de epigastrio formado por epiplón mayor adherido a colon transverso y colon sigmoides formando plastrón alrededor de sutura no absorbible.

  12. The application of nursing behavior intervention on the post-operation pain in abdomen

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    Xiao-fei WU

    2014-08-01

    Full Text Available Objective: To investigate the effect of behavioral intervention for the post-operation pain in abdomen. Methods: Forty patients from the county hospital during October 2013 to January 2014 were selected as the observation objects and randomly divided into two groups, intervention group and control groups with 20 patients in each.The control group received conventional general care and the intervention group received nursing behavior interventions,including, the effective evaluation of pain, improvement of health education, strengthening of physical intervention, psychological intervention and psychosocial intervention etc. Two sets of VAS scores and nursing intervention effects were analyzed with statistical methods. Results: After taking nursing behavior interventions,the intervention group had significantly lower VAS scores,and lower level was more significant than that in the control group,The difference has statistically significant P<0.05.The intervention group has higher satisfaction for nursing service. Conclusion: The implementation of nursing behavior interventions can significantly relieve the patient pain, improve the postoperative analgesic treatment effect, and raise the quality of nursing and the comfort and satisfaction of the patients. Thereby reducing the incidence of postoperative complications, and promoting the patient recover. 

  13. Acute abdomen in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

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    Petrić Aleksandra

    2008-01-01

    Full Text Available Background. Mayer-Rokitansky-Kuster-Hauser (MRKH syndrome is a malformation of female genital tract (incidence 1 in 4000 female newborn children. It appears as a result of a disorder in the development of Millerian cannals. Etiology is unknown. Syndrome MRKH is the most frequent cause of primary amenorrhoea (90%. Patients with MRKH have a normal female phenotype, with normal pubic hairness and thelarche, and female karyotype (46XX followed by primary amenorrhoea. Hormonal status corresponds to healthy women, where the appearance of ovarian tumors and tumors on rudiment parts of uterus is possible. Case report. We presented a case of acute abdomen in a patient with previously not diagnosed MRKH. The diagnosis was done during the operation. Small pelvis and an abdominal part were filled with torquated tumor lump, where ovaries, oviducts, uterus or something resembling rudiment of uterus were not recognized through careful examination. Furthemore, the patient had a short, dead-end vagina. Tumorectomy was done and hystopathological finding showed the presence of vascular leiomyoma. Conclusion. The diagnosis of complex syndromes, such as MRKH, can, despite modern diagnostics, be absent for non-medical and psycho-social reasons. We can expect ovarian and uterine pathology on hypoplastic structures in these patients, as well as in healthy women. Vascular leiomyoma in the patients with MRKH was not found in the available literature.

  14. Patient-specific dose calculations for pediatric CT of the chest, abdomen and pelvis

    Energy Technology Data Exchange (ETDEWEB)

    Kost, Susan D.; Carver, Diana E.; Stabin, Michael G. [Vanderbilt University, Physics and Astronomy Department, Nashville, TN (United States); Vanderbilt University Medical Center, Department of Radiology and Radiological Sciences, Nashville, TN (United States); Fraser, Nicholas D.; Pickens, David R.; Price, Ronald R.; Hernanz-Schulman, Marta [Vanderbilt University Medical Center, Department of Radiology and Radiological Sciences, Nashville, TN (United States)

    2015-11-15

    Organ dose is essential for accurate estimates of patient dose from CT. To determine organ doses from a broad range of pediatric patients undergoing diagnostic chest-abdomen-pelvis CT and investigate how these relate to patient size. We used a previously validated Monte Carlo simulation model of a Philips Brilliance 64 multi-detector CT scanner (Philips Healthcare, Best, The Netherlands) to calculate organ doses for 40 pediatric patients (M:F = 21:19; range 0.6-17 years). Organ volumes and positions were determined from the images using standard segmentation techniques. Non-linear regression was performed to determine the relationship between volume CT dose index (CTDI{sub vol})-normalized organ doses and abdominopelvic diameter. We then compared results with values obtained from independent studies. We found that CTDI{sub vol}-normalized organ dose correlated strongly with exponentially decreasing abdominopelvic diameter (R{sup 2} > 0.8 for most organs). A similar relationship was determined for effective dose when normalized by dose-length product (R{sup 2} = 0.95). Our results agreed with previous studies within 12% using similar scan parameters (e.g., bowtie filter size, beam collimation); however results varied up to 25% when compared to studies using different bowtie filters. Our study determined that organ doses can be estimated from measurements of patient size, namely body diameter, and CTDI{sub vol} prior to CT examination. This information provides an improved method for patient dose estimation. (orig.)

  15. Fine focal spot size improves image quality in computed tomography abdomen and pelvis

    Energy Technology Data Exchange (ETDEWEB)

    Goh, Yin P.; Low, Keat; Kuganesan, Ahilan [Monash Health, Diagnostic Imaging Department, 246, Clayton Road, Clayton, Victoria (Australia); Lau, Kenneth K. [Monash Health, Diagnostic Imaging Department, 246, Clayton Road, Clayton, Victoria (Australia); Monash University, Department of Medicine, Faculty of Medicine, Nursing and Health Sciences, Victoria (Australia); Buchan, Kevin [Philips Healthcare, Clinical Science, PO Box 312, Mont Albert, Victoria (Australia); Oh, Lawrence Chia Wei [Flinders Medical Centre, Division of Medical Imaging, Bedford Park South (Australia); Huynh, Minh [Swinburne University, Department of Statistics, Data Science and Epidemiology, School of Health Sciences, Faculty of Health, Arts and Design, Hawthorn (Australia)

    2016-12-15

    To compare the image quality between fine focal spot size (FFSS) and standard focal spot size (SFSS) in computed tomography of the abdomen and pelvis (CTAP) This retrospective review included all consecutive adult patients undergoing contrast-enhanced CTAP between June and September 2014. Two blinded radiologists assessed the margin clarity of the abdominal viscera and the detected lesions using a five-point grading scale. Cohen's kappa test was used to examine the inter-observer reliability between the two reviewers for organ margin clarity. Mann-Whitney U testing was utilised to assess the statistical difference of the organ and lesion margin clarity. 100 consecutive CTAPs were recruited. 52 CTAPs were examined with SFSS of 1.1 x 1.2 mm and 48 CTAPs were examined with FFSS of 0.6 x 0.7 mm. Results showed that there was substantial agreement for organ margin clarity (mean κ = 0.759, p < 0.001) among the reviewers. FFSS produces images with clearer organ margins (U = 76194.0, p < 0.001, r = 0.523) and clearer lesion margins (U = 239, p = 0.052, r = 0.269). FFSS CTAP improves image quality in terms of better organ and lesion margin clarity. Fine focus CT scanning is a novel technique that may be applied in routine CTAP imaging. (orig.)

  16. Diagnosis of acute surgical abdomen - The best diagnostic tool to reach a final diagnosiscin

    Institute of Scientific and Technical Information of China (English)

    Wong CS; Al-Ajami AK; Boshahri M; Naqvi SA

    2012-01-01

    Objective: To evaluate the best diagnostic tool (clinical, radiological, laboratory, or endoscopy) used to reach a final diagnosis of four most common presentations of acute abdomen to the surgical unit in the Limerick University Hospital, Limerick, Ireland. Methods: Data was analyzed retrospectively of prospective collected data of all patients who had been admitted at a single academic institution from July 2011 till September 2011. Radiology, operating theatre and histopathology, haematology and endoscopy databases were searched from the Hospital Inpatient Enquiry (HIPE) department for patients who had presented with acute abdominal pain. Patients’ charts were searched manually and final diagnosis of each patient was recorded. Results: Out of 30 confirmed final diagnosis of appendicitis or appendicular mass, 9/30 (30.0%) were diagnosed with radiological (either on ultrasonography or CT scan). The remaining 21 cases (70.0%) were diagnosed clinically. Majority cases of diverticulitis 16/22 (72.7%) was diagnosed radiologically compared to only 6/22 (27.3%) of those confirmed by endoscopy. All diagnosis of gallstone-related diseases (cholecytitis, biliary colic, or cholelithiasis and/or choledocholithiasis) and bowel obstruction were confirmed by radiological investigation. Conclusions: Appendicitis can be accurately diagnosed clinically based on history and clinical examination alone. Diagnosis of diverticular disease, gallstone disease, and bowel obstruction further requires radiology intervention to confirm the provisional diagnosis.

  17. Spontaneous perforation of pyometra presenting as acute abdomen and pneumoperitoneum mimicking those of gastrointestinal origin.

    Science.gov (United States)

    Yamada, Takahiro; Ando, Nanako; Shibata, Naoshi; Suitou, Motomu; Takagi, Hiroshi; Matsunami, Kazutoshi; Ichigo, Satoshi; Imai, Atsushi

    2015-01-01

    Gastrointestinal (GI) perforation accounts for over 90% of acute abdomen and pneumoperitoneum. The presence of pneumoperitoneum secondary to spontaneously perforated pyometra is an interesting yet confusing finding given the absence of gastrointestinal (GI) perforation, because pyometra is more common in postmenopausal women. We report an instructive case of diffuse peritonitis caused by spontaneous perforation of pyometra. A 70-year-old postmenopausal female was admitted to surgical emergency with signs of diffuse peritonitis. After resuscitation, an emergency laparotomy was performed because of suspicion of GI perforation. At laparotomy, about 2,000 mL of purulent fluid was found to be present in peritoneal cavity, while GI tract was intact. A rent with a diameter of 5 mm was found on anterior fundus of uterus. A total abdominal hysterectomy with a bilateral salpingo-oophorectomy was performed. Despite intensive care and a course of antibiotics, the patient died of multiple organ failure resulting from sepsis on postoperative day 16. Our case illustrates the importance of clinical knowledge of acute gynecological diseases, which are not uncommonly encountered by the general surgeon. Moreover, good appreciation of pelvic anatomy and close collaboration with gynecology and GI surgery colleagues is essential as operative intervention is often required.

  18. Spontaneous Perforation of Pyometra Presenting as Acute Abdomen and Pneumoperitoneum Mimicking Those of Gastrointestinal Origin

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    Takahiro Yamada

    2015-01-01

    Full Text Available Gastrointestinal (GI perforation accounts for over 90% of acute abdomen and pneumoperitoneum. The presence of pneumoperitoneum secondary to spontaneously perforated pyometra is an interesting yet confusing finding given the absence of gastrointestinal (GI perforation, because pyometra is more common in postmenopausal women. We report an instructive case of diffuse peritonitis caused by spontaneous perforation of pyometra. A 70-year-old postmenopausal female was admitted to surgical emergency with signs of diffuse peritonitis. After resuscitation, an emergency laparotomy was performed because of suspicion of GI perforation. At laparotomy, about 2,000 mL of purulent fluid was found to be present in peritoneal cavity, while GI tract was intact. A rent with a diameter of 5 mm was found on anterior fundus of uterus. A total abdominal hysterectomy with a bilateral salpingo-oophorectomy was performed. Despite intensive care and a course of antibiotics, the patient died of multiple organ failure resulting from sepsis on postoperative day 16. Our case illustrates the importance of clinical knowledge of acute gynecological diseases, which are not uncommonly encountered by the general surgeon. Moreover, good appreciation of pelvic anatomy and close collaboration with gynecology and GI surgery colleagues is essential as operative intervention is often required.

  19. Two Cases of Acute Abdomen after an Intravitreal Injection of Bevacizumab

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    Yasutaka Onoda

    2015-03-01

    Full Text Available We report on a patient with ischemic colitis and another with paralytic ileus, both of whom experienced an acute abdomen after intravitreal injection of bevacizumab (IVB. Case 1 was a 78-year-old woman. Her medical history included surgery for colon carcinoma 10 years earlier. The patient developed acute severe abdominal pain and nausea the day after IVB for retinal vein occlusion with macular edema, and massive lower gastrointestinal bleeding occurred. Ischemic colitis was diagnosed. Case 2 was a 64-year-old man who presented with neovascular glaucoma with proliferative diabetic retinopathy. We performed vitreous surgery on the 9th day after IVB, and we reperformed IVB at the end of the vitreous surgery. On the first postoperative day, severe abdominal distension, vomiting and abdominal pain were observed, and paralytic ileus was diagnosed. It is possible that gastrointestinal disorders are induced after IVB, depending on the patient's background, including for example severe diabetes or a history of surgery for gastrointestinal cancer. Thus, ophthalmologists should apply alternative therapies instead of IVB to patients with severe diabetes mellitus or a history of gastrointestinal cancer.

  20. Two Cases of Acute Abdomen after an Intravitreal Injection of Bevacizumab

    Science.gov (United States)

    Onoda, Yasutaka; Shiba, Tomoaki; Hori, Yuichi; Maeno, Takatoshi; Takahashi, Mao

    2015-01-01

    We report on a patient with ischemic colitis and another with paralytic ileus, both of whom experienced an acute abdomen after intravitreal injection of bevacizumab (IVB). Case 1 was a 78-year-old woman. Her medical history included surgery for colon carcinoma 10 years earlier. The patient developed acute severe abdominal pain and nausea the day after IVB for retinal vein occlusion with macular edema, and massive lower gastrointestinal bleeding occurred. Ischemic colitis was diagnosed. Case 2 was a 64-year-old man who presented with neovascular glaucoma with proliferative diabetic retinopathy. We performed vitreous surgery on the 9th day after IVB, and we reperformed IVB at the end of the vitreous surgery. On the first postoperative day, severe abdominal distension, vomiting and abdominal pain were observed, and paralytic ileus was diagnosed. It is possible that gastrointestinal disorders are induced after IVB, depending on the patient's background, including for example severe diabetes or a history of surgery for gastrointestinal cancer. Thus, ophthalmologists should apply alternative therapies instead of IVB to patients with severe diabetes mellitus or a history of gastrointestinal cancer. PMID:25960733

  1. Application of high-frequency ultrasound for the detection of surgical anatomy in the rodent abdomen.

    Science.gov (United States)

    Chen, J Y; Chen, H L; Wu, S H; Tsai, T C; Lin, M F; Yen, C C; Hsu, W H; Chen, W; Chen, C M

    2012-02-01

    Rats are used extensively in abdominal disease research. To monitor disease progress in vivo, high-frequency ultrasound (HFU) can be a powerful tool for obtaining high-resolution images of biological tissues. However, there is a paucity of data regarding the correlation between rat anatomy and corresponding HFU images. Twenty-four adult male Sprague-Dawley (SD) rats underwent abdominal scans using HFU (40 MHz) surgical procedures to identify abdominal organs and major vessels as well as in situ scanning to confirm the imaging results. The results were compared with those of human abdominal organs in ultrasonographic scans. The rat liver, paired kidneys, stomach, intestines, and major blood vessels were identified by HFU and the ultrasonic morphologies of the liver and kidneys showed clear differences between rats and humans. Clinically relevant anatomical structures were identified using HFU imaging of the rat abdomen, and these structures were compared with the corresponding structures in humans. Increased knowledge with regard to identifying the anatomy of rat abdominal organs by ultrasound will allow scientists to conduct more detailed intra-abdominal research in rodents.

  2. Rotura de aneurisma de aorta abdominal: su importancia como diagnostico diferencial en abdomen agudo

    Directory of Open Access Journals (Sweden)

    Vanessa Orellana-Villazón

    2008-01-01

    Full Text Available El aneurisma aórtico abdominal (AAA roto es una forma de presentación poco frecuente de los AAA. Presentamos un caso de rotura de aneurisma de aorta abdominal (AAAr de un paciente varón de 76 años de edad que ingresa al servicio de emergencias del Hospital Elizabeth Setón por presentar dolor abdominal punzante en región lumbar derecha de inicio súbito e intensidad creciente, llegando a perder el conocimiento. La impresión diagnóstica inicial incluye cólico ureteral e hipertensión arterial; sin embargo después realizar una ecografía abdominal y posteriormente una tomografía abdominal se concluye con el diagnostico de AAAr. El paciente es sometido a cirugía de emergencia, y después de permanecer tres días en terapia intensiva y tres días en sala, es dado de alta. Consideramos importante informar este caso clínico por la frecuencia con que se le confunde con patologías renales o abdomen agudo, pese a la sintomatología característica que presenta, que en muchos casos lleva a un diagnostico retrasado y posteriormente a la muerte.

  3. Ileum perforation due to accidental chicken bone ingestion a rare cause of the acute abdomen

    Directory of Open Access Journals (Sweden)

    Doklestić Krstina S.

    2012-03-01

    Full Text Available Ingestion of foreign bodies is not an uncommon occurrence, but most of them will pass through the gastrointestinal tract without consequences. Complication such as perforation is rare. We present a case of small bowel perforation secondary to the accidental ingestion of a chicken bone. The patient presented with abdominal pain, constipation and vomiting. Clinical examination confirmed generalized abdominal tenderness and rebound tenderness. Abdominal radiography showed multiple dilated loops of small bowel, and abdominal ultrasound (US showed inflammatory changes on small bowel loops, with free fluid and fluid collection around intestinal loops. The patient underwent an emergency laparotomy. Intra operative findings revealed diffuse fibro purulent peritonitis with abscess between central small bowels loops. At about 60 cm from Bauchini valve we found a perforation of ileum at the anti-mesenteric site caused by a sharp chicken wishbone. The patient was treated with resection of the ileum segment (10 cm and primary end-to-end anastomosis. Even that intestinal perforation by a foreign body is rare, physicians should consider possibility of intestinal perforation by a foreign body in the differential diagnosis of acute abdomen in patients presenting with abdominal pain.

  4. INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT

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    Jovanović Dušan

    2015-03-01

    Full Text Available Intra-abdominal infections are multifactorial and present an complex inflammatory response of the peritoneum to microorganisms followed by exudation in the abdominal cavity and systemic response Despite advances in management and critical care of patients with acute generalized peritonitis due to hollow viscus perforation, prognosis is still very poor, with high mortality rate. Early detection and adequate treatment is essential to minimize complications in the patient with acute abdomen. Prognostic evaluation of complicated IAI by modern scoring systems is important to assess the severity and the prognosis of the disease. Control of the septic source can be achieved either by nonoperative or operative means. Nonoperative interventional procedures include percutaneous drainages of abscesses. The management of primary peritonitis is non-surgical and antibiotic- treatment. The management of secondary peritonitis include surgery to control the source of infection, removal of toxins, bacteria, and necrotic tissue, antibiotic therapy, supportive therapy and nutrition. "Source control" is sine qua non of success and adequate surgical procedure involves closure or resection of any openings into the gastrointestinal tract, resection of inflamed tissue and drainage of all abdominal and pelivic collections.

  5. First identification of nanoparticles on thorax, abdomen and wings of the worker bee Apis dorsata Fabricius

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    Bhattacharyya Atanu

    2016-06-01

    Full Text Available The presence of nanoparticles on the body of the honeybee Apis dorsata Fabricius, was investigated for the first time to better understand the bee’s behaviour. These have been observed by using Scanning Electron Microscopy (SEM, Transmission Electron Microscopy (TEM and confirmed by Atomic Force Microscopy (AFM. Our study clearly denotes that the Indian rock honey bee Apis dorsata possess calcium silicate and calcium phosphate nanoparticles on its body surface of 5-50 nm in diameter. In particular, the nanoparticles on the abdomen and thorax of A. dorsata have an average diameter of about 10 nanometers and they are smaller than those found on wings of the same bees which are about 20 nanometers. The nanoparticles found are different of the ones previously observed on honey bees or other insects. The origin and role of these natural nanoparticles on the body of the Indian rock bee need to be to be further investigated; more research in the subject might raise important aspects in relation to the conservation of these unique pollinators.

  6. ROTURA DE ANEURISMA DE AORTA ABDOMINAL: SU IMPORTANCIA COMO DIAGNOSTICO DIFERENCIAL EN ABDOMEN AGUDO

    Directory of Open Access Journals (Sweden)

    Vanessa Orellana-Villazón

    2012-02-01

    Full Text Available El aneurisma aórtico abdominal (AAA roto es una forma de presentación poco frecuente de los AAA. Presentamos un caso de rotura de aneurisma de aorta abdominal (AAAr de un paciente varón de 76 años de edad que ingresa al servicio de emergencias del Hospital Elizabeth Setón por presentar dolor abdominal punzante en región lumbar derecha de inicio súbito e intensidad creciente, llegando a perder el conocimiento. La impresión diagnóstica inicial incluye cólico ureteral e hipertensión arterial; sin embargo después realizar una ecografía abdominal y posteriormente una tomografía abdominal se concluye con el diagnostico de AAAr. El paciente es sometido a cirugía de emergencia, y después de permanecer tres días en terapia intensiva y tres días en sala, es dado de alta. Consideramos importante informar este caso clínico por la frecuencia con que se le confunde con patologías renales o abdomen agudo, pese a la sintomatología característica que presenta, que en muchos casos lleva a un diagnostico retrasado y posteriormente a la muerte.

  7. A Rare Cause of Acute Abdomen: Urinary Bladder Rupture due to Foley Catheter

    Directory of Open Access Journals (Sweden)

    Ömer Engin

    2013-07-01

    Full Text Available Urinary bladder rupture is usually found due to blunt or penetrating traumas and iatrogenic injuries, and spontaneous intraperitoneal perforation is very rare. 57 years old male patient was consulted to general surgery department due to abdominal pain, nausia-vomiting and fever. He had Diabetes Mellitus, Multiple Sclerosis, Leriche Syndrome and operation for benign prostatic hypertrophy 5 years ago on his medical history which the case catheterised him urinary bladder himself frequently in nonsterile conditions. He did not care about sterility. On physical examination, suprapubic defence and rebound was noted more prominently on right lower quadrant. He was taken to operating room with the diagnosis of acute abdomen. On exploration, infection was seen on all layers of the whole urinary bladder, abscess formation and necrosis causing a microperforation which is detected by methylene blue was also present. Intraabdominal abscess drainage, cystostomy and primary suturing of the urinary bladder was performed. Patient died due to sepsis at the 9.th post operative day.

  8. Vivencia de la persona en el proceso de tener una herida crónica por abdomen abierto

    OpenAIRE

    Fuentes Ramírez, Alejandra

    2014-01-01

    Las personas sometidas a la técnica quirúrgica de abdomen abierto debido a la severidad de la infección, pueden permanecer con la herida abierta por más de seis semanas, necesitando de un cierre por segunda intención. Ello condiciona una lenta recuperación y cambios en la vida que aún no han sido descritos. Los objetivos fueron la descripción de los significados y la comprensión de la experiencia de tener una herida crónica por abdomen abierto, luego se planteó una propuesta teórica que de...

  9. The muscle pattern of the Drosophila abdomen depends on a subdivision of the anterior compartment of each segment

    OpenAIRE

    Krzemień, Joanna; Fabre, Caroline C. G.; Casal, José; Lawrence, Peter A

    2012-01-01

    In the past, segments were defined by landmarks such as muscle attachments, notably by Snodgrass, the king of insect anatomists. Here, we show how an objective definition of a segment, based on developmental compartments, can help explain the dorsal abdomen of adult Drosophila. The anterior (A) compartment of each segment is subdivided into two domains of cells, each responding differently to Hedgehog. The anterior of these domains is non-neurogenic and clones lacking Notch develop normally; ...

  10. Diagnostic Algorithm in the Management of Acute Febrile Abdomen in Patients with Autosomal Dominant Polycystic Kidney Disease

    OpenAIRE

    Neuville, Marie; Hustinx, Roland; Jacques, Jessica; Krzesinski, Jean-Marie; Jouret, François

    2016-01-01

    Background Acute febrile abdomen represents a diagnostic challenge in patients with autosomal dominant polycystic kidney disease (ADPKD). Although criteria have been proposed for cyst infection (CyI) and hemorrhage (CyH), there is a lack of comparative assessments. Furthermore, distinguishing cystic from non-cystic complications remains problematic. Design ADPKD patients presenting with abdominal pain and/or fever between 01/2005 and 06/2015 were retrospectively identified in a systematic com...

  11. Experience in Prehospital Emergency of Acute Abdomen%急腹症的院前急救体会

    Institute of Scientific and Technical Information of China (English)

    杨国成

    2015-01-01

    Objective:To explore the prehospital first-aid and effect of acute abdomen. Methods:78 cases of acute abdomen adopted prehospital emer-gency, and then sent to emergency room of hospital, observing the prognosis of patients. Results:75 patients were successfully rescued and cured, 3 patients died in the intensive care unit because of excessive hemorrhage. Conclusion:Timely and effective prehospital emergency measures can in-crease the successful rescue rate of acute abdomen, and improve the prognosis.%目的:探讨急腹症患者入院前的急救方法和效果。方法:78例急腹症患者进行院前急救后送医院急救室,观察患者预后。结果:75例患者抢救成功并治愈出院,3例患者在重症监护室抢救时因失血过多死亡。结论:及时有效的院前急救措施可提高急腹症患者的抢救成功率,改善其预后。

  12. Rare cause of acute surgical abdomen with free intraperitoneal air: Spontaneous perforated pyometra. A report of 2 cases

    Science.gov (United States)

    Lim, Siew Fung; Lee, Song Liang; Chiow, Adrian Kah Heng; Foo, Chek Siang; Wong, Andrew Siang Yih; Tan, Su-Ming

    2012-01-01

    Summary Background: The acute abdomen accounts for up to 40% of all emergency surgical hospital admissions and a large proportion are secondary to gastrointestinal perforation. Studies have shown the superiority of the abdominal CT over upright chest radiographs in demonstrating free intraperitoneal air. Spontaneous perforated pyometra is a rare cause of the surgical acute abdomen with free intraperitoneal air. Only 38 cases have been reported worldwide. Case Report: We report 2 cases of spontaneously perforated pyometra in our hospital’s general surgery department. Both underwent exploratory laparotomy: one had a total hysterectomy and bilateral salpingo-oophorectomy, while the other had an evacuation of the uterine cavity, primary repair of uterine perforation and a peritoneal washout. A literature search was conducted and all reported cases reviewed in order to describe the clinical presentations and management of the condition. Of the 40 cases to date, including 2 of our cases, the most common presenting symptoms were abdominal pain (97.5%), fever (37.5%) and vomiting (25.0%). The main indication for exploratory laparotomy was pneumoperitoneum (97.5%). Conclusions: Pyometra is an unusual but serious condition in elderly women presenting with an acute abdomen. A high index of suspicion is needed to make the appropriate diagnosis. PMID:23569488

  13. Comparison of exposure dose by using AEC mode of abdomen AP study in radiography

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    Kim, Ki Won [Dept. of Radiology, Gang-dong Kyung Hee Medical Center, Seoul (Korea, Republic of); Kwon, Yong Rak; Seo, Seong Won [Dept. of Radiology, Samsung Medical Center, Seoul (Korea, Republic of); Kwon, Kyung Tae [Dept. of Radiology, Dongnam Health University, Suwon (Korea, Republic of); Oh, Joo Young; Son, Soon Yong [Asan Medical Center, Seoul (Korea, Republic of); Min, Jung Whan [Dept. of Radiology, Shingu University, Sungnam (Korea, Republic of)

    2015-09-15

    We evaluated the effectiveness of TL (Time Limit) method by comparing with NTL (Non-time limit) method when it is used for examinations for abdomen Anterior Posterior (AP) in this paper. The evaluation was conducted based on the comparison of dose, and of signal to noise ratio (SNR) and contrast to ratio (CNR) on both methods. The experiments were conducted with XGEO GC 80 (Samsung, Korea), Unfors ThinX RAD (Unfors, Sweden) and Rando Phantom (Alderson research laboratories, USA) and shielding material with the size of 5.5 × 9 × 0.1 cm{sup 3}. It was set to activate only two upper ionization chambers in automatic exposure control (AEC) mode and the tube-voltage was set to 80kVp. When the exposure time was limited, it is limited to 51 msec. The images both by NTL AEC method and TL AEC method were acquired when with and without attachment of shielding material on the upper ionization chambers. The images were evaluated by SNR and CNR which are the image evaluation methods using ‘Image J’. The NTL AEC method showed increases in dose as much as 130.7% at maximum and 80% at minimum than other methods. The TL AEC method showed decreases in mAs and exposure dose than the NTL AEC method as much as 43.8% and 44.4% respectively. There were no significant differences in SNR or CNR for the experiments (p≥0.05). Therefore, it is suggested that the TLAEC mode is more effective when examining patients who have high BMI index or a patient with a metallic substance in the body after surgery.

  14. Diffusion-weighted imaging of the abdomen: Impact of b-values on texture analysis features.

    Science.gov (United States)

    Becker, Anton S; Wagner, Matthias W; Wurnig, Moritz C; Boss, Andreas

    2017-01-01

    The purpose of this work was to systematically assess the impact of the b-value on texture analysis in MR diffusion-weighted imaging (DWI) of the abdomen. In eight healthy male volunteers, echo-planar DWI sequences at 16 b-values ranging between 0 and 1000 s/mm(2) were acquired at 3 T. Three different apparent diffusion coefficient (ADC) maps were computed (0, 750/100, 390, 750 s/mm(2) /all b-values). Texture analysis of rectangular regions of interest in the liver, kidney, spleen, pancreas, paraspinal muscle and subcutaneous fat was performed on DW images and the ADC maps, applying 19 features computed from the histogram, grey-level co-occurrence matrix (GLCM) and grey-level run-length matrix (GLRLM). Correlations between b-values and texture features were tested with a linear and an exponential model; the best fit was determined by the smallest sum of squared residuals. Differences between the ADC maps were assessed with an analysis of variance. A Bonferroni-corrected p-value less than 0.008 (=0.05/6) was considered statistically significant. Most GLCM and GLRLM-derived texture features (12-18 per organ) showed significant correlations with the b-value. Four texture features correlated significantly with changing b-values in all organs (p GLCM features showed significant variability in the different ADC maps. Several texture features vary systematically in healthy tissues at different b-values, which needs to be taken into account if DWI data with different b-values are analyzed. Histogram and GLRLM-derived texture features are stable on ADC maps computed from different b-values.

  15. The abdomen of Drosophila: does planar cell polarity orient the neurons of mechanosensory bristles?

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    Fabre Caroline CG

    2008-04-01

    Full Text Available Abstract Background In the adult abdomen of Drosophila, the shafts of mechanosensory bristles point consistently from anterior to posterior. This is an example of planar cell polarity (PCP; some genes responsible for PCP have been identified. Each adult bristle is made by a clone of four cells, including the neuron that innervates it, but little is known as to how far the formation or positions of these cells depends on PCP. The neurons include a single dendrite and an axon; it is not known whether the orientation of these processes is influenced by PCP. Results We describe the development of the abdominal mechanosensory bristles in detail. The division of the precursor cell gives two daughters, one (pIIa divides to give rise to the bristle shaft and socket cell and the other (pIIb generates the neuron, the sheath and the fifth cell. Although the bristles and their associated shaft and socket cells are consistently oriented, the positioning and behaviour of the neuron, the sheath and the fifth cell, as well as the orientation of the axons and the dendritic paths, depend on location. For example, in the anterior zone of the segment, the axons grow posteriorly, while in the posterior zone, they grow anteriorly. Manipulating the PCP genes can reverse bristle orientation, change the path taken by the dendrite and the position of the cell body of the neuron. However, the paths taken by the axon are not affected. Conclusion PCP genes, such as starry night and dachsous orient the bristles and position the neuronal cell body and affect the shape of the dendrites. However, these PCP genes do not appear to change the paths followed by the sensory axons, which must, therefore, be polarised by other factors.

  16. Experiencia en el cuidado de enfermería: herida de abdomen abierto en el adulto Experiência no cuidado de enfermagem: ferida de abdômen aberto em adultos Nursing care experience: open abdomen wound in adults

    Directory of Open Access Journals (Sweden)

    Ricardo Alfonso Castro Becerra

    2011-12-01

    Full Text Available Objetivo: estructurar un protocolo de cuidados de enfermería para la persona adulta con herida de abdomen abierto, en una empresa social del Estado de la ciudad de Bogotá. Método: estudio descriptivo transversal, cuya muestra se constituye por cuatro personas con herida de abdomen abierto y el aporte de la experiencia del enfermero profesional de la institución. La información se recolecta a partir de una guía de observación, del registro fotográfico de la evolución de cuatro personas adultas con herida de abdomen abierto y de una entrevista semiestructurada realizada al profesional de enfermería de la Clínica de Heridas tomada como referencia, la cual sirve como guía y en la que se recomienda profundizar en investigaciones posteriores. Resultados: se estructura un protocolo de cuidados de enfermería, integrado por doce flujogramas agrupados y distribuidos en cuatro lineamientos básicos. Conclusiones: el protocolo es el resultado de la descripción y análisis de los procedimientos realizados por personal de enfermería que cuenta con una amplia experiencia en el manejo de personas con herida de abdomen abierto, confrontados a la luz de la literatura. Sin embargo, se requiere continuar la estructuración del mismo, teniendo en cuenta no solo la parte fisiológica del proceso de cicatrización, sino también las dimensiones psicosociales que intervienen en el cuidado de las personas adultas con herida abierta de abdomen.Objetivo: criar um protocolo de cuidados de enfermagem para adultos com feridas de abdômen abertas numa empresa social do Estado, na cidade de Bogotá. Método: estudo descritivo transversal, cuja amostra foi constituída por quatro (4 pessoas com feridas de abdômen abertas, e o aporte da experiência do enfermeiro profissional da instituição. A informação é arrecadada de um guia de observação, do registro fotográfico da evolução de quatro adultos com feridas de abdômen abertas e de uma entrevista semies

  17. Comparison of Outcomes between Early Fascial Closure and Delayed Abdominal Closure in Patients with Open Abdomen: A Systematic Review and Meta-Analysis

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    Yu Chen

    2014-01-01

    Full Text Available Up to the present, the optimal time to close an open abdomen remains controversial. This study was designed to evaluate whether early fascial abdominal closure had advantages over delayed approach for open abdomen populations. Medline, Embase, and Cochrane Library were searched until April 2013. Search terms included “open abdomen,” “abdominal compartment syndrome,” “laparostomy,” “celiotomy,” “abdominal closure,” “primary,” “delayed,” “permanent,” “fascial closure,” and “definitive closure.” Open abdomen was defined as “fail to close abdominal fascia after a laparotomy.” Mortality, complications, and length of stay were compared between early and delayed fascial closure. In total, 3125 patients were included for final analysis, and 1942 (62% patients successfully achieved early fascial closure. Vacuum assisted fascial closure had no impact on pooled fascial closure rate. Compared with delayed abdominal closure, early fascial closure significantly reduced mortality (12.3% versus 24.8%, RR, 0.53, P<0.0001 and complication incidence (RR, 0.68, P<0.0001. The mean interval from open abdomen to definitive closure ranged from 2.2 to 14.6 days in early fascial closure groups, but from 32.5 to 300 days in delayed closure groups. This study confirmed clinical advantages of early fascial closure over delayed approach in treatment of patients with open abdomen.

  18. Use of a furosemide drip does not improve earlier primary fascial closure in the open abdomen

    Directory of Open Access Journals (Sweden)

    Leland H Webb

    2012-01-01

    Full Text Available Background: The furosemide drip (FD, in addition to improving volume overload respiratory failure, has been used to decrease fluid in attempts to decrease intra-abdominal and abdominal wall volumes to facilitate fascial closure. The purpose of this study is to evaluate the FD and the associated rate of primary fascial closure following trauma damage control laparotomy (DCL. Materials and Methods: From January 2004 to September 2008, a retrospective review from a single institution Trauma Registry of the American College of Surgeons dataset was performed. All DCLs greater than 24 h who had a length of stay for 3 or more days were identified. The study group (FD+ and control group (FD- were compared. Demographic data including age, sex, probability of survival, red blood cell transfusions, initial lactate, and mortality were collected. Primary outcomes included primary fascial closure and primary fascial closure within 7 days. Secondary outcomes included total ventilator days and LOS. Results: A total of 139 patients met inclusion criteria: 25 FD+ and 114 FD-. The 25 FD+ patients received the drug at a median 4 days post DCL. Demographic differences between the groups were not significantly different, except that initial lactate was higher for FD- (1.7 vs 4.0; P=0.03. No differences were noted between groups regarding successful primary fascial closure (FD+ 68.4% vs FD- 64.0%; P=0.669, or closure within 7 days (FD+13.2% vs FD- 28.0%; P=0.066 of original DCL. FD+ patients suffered more open abdomen days (4 [2-7] vs 2 [1-4]; P=0.001. FD+ did not demonstrate an association with primary fascial closure [Odds ratio (OR 1.5, 95% confidence interval (CI 0.260-8.307; P=0.663]. FD+ patients had more ventilator days and longer Intensive Care Unit (ICU/hospital LOS (P<0.01. Conclusion: FD use may remove excess volume; however, forced diuresis with an FD is not associated with an increased rate of primary closure after DCL. Further studies are warranted to

  19. Towards the optimisation of acoustic fields for ablative therapies of tumours in the upper abdomen

    Science.gov (United States)

    Gélat, P.; ter Haar, G.; Saffari, N.

    2013-08-01

    The efficacy of high intensity focused ultrasound (HIFU) for the non-invasive treatment of cancer has been demonstrated for a range of different cancers including those of the liver, kidney, prostate and breast. As a non-invasive focused therapy, HIFU offers considerable advantages over other techniques such as chemotherapy and surgical resection, in terms of its non-invasiveness and low risk of harmful side effects. There is, however, a number of significant challenges which currently hinder its widespread clinical application. One of these challenges is the need to transmit sufficient energy through the ribcage to induce tissue necrosis at the required foci whilst minimising the formation of side lobes and sparing healthy tissue. Ribs both absorb and reflect ultrasound strongly. As such, a common side effect of focusing ultrasound in regions located behind the rib cage is the overheating of bone and surrounding tissue, which can lead to skin burns. Successful treatment of a patient with tumours in the upper abdomen therefore requires a thorough understanding of the way acoustic and thermal energy are deposited. This is likely to rely on a treatment planning procedure in which optimal source velocity distributions are obtained so as to maximise a dose quantity at the treatment sites, whilst ensuring that this quantity does not exceed a specified threshold at other field locations, particularly on the surface of the ribs. Previously, a boundary element approach based on a Generalised Minimal Residual (GMRES) implementation of the Burton-Miller formulation was developed to predict the field of a multi-element HIFU array scattered by human ribs, the topology of which was obtained from CT scan data [1]. This work describes the reformulation of the boundary element equations as a least-squares minimisation problem with non-linear constraints. The methodology was subsequently tested at an excitation frequency of 100 kHz on a spherical multi-element array in the presence

  20. Temporary abdominal closure in the critically ill patients with an open abdomen.

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    Ghodratollah Maddah

    2014-05-01

    Full Text Available The emergent abdominal surgeries from either of traumatic or non traumatic causes can result in situations in which the abdominal wall cannot initially be closed. Many techniques have been reported for temporary coverage of the exposed viscera, but the result of various techniques remains unclear. During 94 months, 19 critically ill patients whit an open abdomen underwent surgery using plastic bags (Bogotá bag. The study population comprised of 11 (57.9% male and 8 (42.1% female with an average age of 32.26+14.8 years. The main indications for temporary abdominal coverage were as follows: planned reoperation in 11 (57.9% patients, subjective judgment that the fascia closure is too tight in 6 (31.6% patient's damage control surgery in one patient (5.3% and development of abdominal compartment surgery in one patient (5.3%. Surgical conditions requiring temporary abdominal closure was severe post operative peritonitis in 9 (47.4% patients, post operative intestinal fistula in 4 (21.1% patients, post traumatic intra abdominal bleeding in 3 (15.8% patients and intestinal obstructions in 3 (15.8% patients. Length of hospitalization was 45+23.25 days and the mean total number of laparotomies was 6.2+3.75 times per patient. Three bowel fistulas occurred due to a missed injury at the time of initial operation that was discovered during changing the plastic sheet. They were unrelated to coverage technique. All of them were treated by repair of the defect and serosal patch by adjacent bowel loop. Only one (10.0% patient underwent definitive closure within 6 months of initial operation. The remaining survivor has declined to have hernia repaired. There were 4 (%21.1 early postoperative deaths that were not related to the abdominal coverage technique. Also, there were 5 (26.3% late deaths that were due to dissemination of malignancy with a mean survival time of 20.8+13 (range 2-54 months. Currently 10 patients (52.6% are alive at a follow up of 45 (range 1

  1. Biomechanical response of the pediatric abdomen, part 1: development of an experimental model and quantification of structural response to dynamic belt loading.

    Science.gov (United States)

    Kent, Richard; Stacey, Stephen; Kindig, Matthew; Forman, Jason; Woods, William; Rouhana, Stephen W; Higuchi, Kazuo; Tanji, Hiromasa; Lawrence, Schuyler St; Arbogast, Kristy B

    2006-11-01

    The abdomen is the second most commonly injured region in children using adult seat belts, but engineers are limited in their efforts to design systems that mitigate these injuries since no current pediatric dummy has the capability to quantify injury risk from loading to the abdomen. This paper develops a porcine (sus scrofa domestica) model of the 6-year-old human's abdomen, and then defines the biomechanical response of this abdominal model. First, a detailed abdominal necropsy study was undertaken, which involved collecting a series of anthropometric measurements and organ masses on 25 swine, ranging in age from 14 to 429 days (4-101 kg mass). These were then compared to the corresponding human quantities to identify the best porcine representation of a 6-year-old human's abdomen. This was determined to be a pig of age 77 days, and whole-body mass of 21.4 kg. The sub-injury, quasistatic response to belt loading of this porcine model compared well with pediatric human volunteer tests performed with a lap belt on the lower abdomen. A test fixture was designed to produce transverse, dynamic belt loading on the porcine abdomen. A detailed review of field cases identified the following test variables: loading location (upper/lower), penetration magnitude (23%-68% of initial abdominal depth), muscle tensing (yes/no), and belt penetration rate (quasistatic, dynamic 2.9 m/s - 7.8 m/s). Dynamic tests were performed on 47 post-mortem subjects. Belt tension and dorsal reaction force were cross-plotted with abdominal penetration to generate structural response corridors. Subcutaneous stimulation of the anterior abdominal muscle wall stiffened the quasistatic response significantly, but was of negligible importance in the dynamic tests. The upper abdomen exhibited stiffer response quasistatically, and also was more sensitive to penetration rate, with stiffness increasing significantly over the range of dynamic rates tested here. In contrast, the lower abdomen was relatively

  2. Radiographic image quality and dose at thorax, abdomen and skull of patients at HC-FMB-UNESP

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez, Matheus; Giacomini, Guilherme; Bacchim Neto, Fernando A.; Alves, Allan F.F.; Velo, Alexandre F.; Miranda, Jose R.A., E-mail: matheus@ibb.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (IBB/UNESP), Botucatu, SP (Brazil). Inst. de Biociencias. Dept. de Fisica e Biofisica; Pina, Diana R. de, E-mail: drpina@fmb.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (FMB/UNESP), Botucatu, SP (Brazil). Inst. de Biociencias. Dept. de Doencas Tropicais e Diagnostico por Imagem

    2013-11-01

    ICRP 103 specifies reference dose levels to be used during radiographic exams. Usually, the radiographer qualitative determines the best radiographic technique (kV and mAs) in order to obtain better image quality with the lowest dose. The objective of this study was to evaluate the doses used in examination of the chest, abdomen and skull in patients of different physical sizes, and infer about the amount of dose required to maintain acceptable radiological contrast in patients of different physical sizes. Techniques used by experienced radiographers of HC-FMB-UNESP for examinations of the chest (PA), abdomen (AP) and skull (AP) for patients of different thickness (small, medium and thick body) were obtained. Dose measurements were performed referring to all kV/mAs combinations. PMMA phantoms were placed below the ionization chamber. The Signal Difference Noise Ratio (SDNR) of the images of the phantoms were calculated from an area of contrast and a region of normal tissue. The Figure of Merit (FoM) was calculated for each of the exam modality. Measured FoM decreased according to the thickness of the chest and abdomen, indicating the need to increase the dose level to maintain the same level of image contrast. Patients thicker usually end up getting more than twice the dose of lean patients. Required image quality levels for correct diagnosis should be obtained using dose levels as low as reasonably practicable examination. These factors highlight the need for a program of quality assurance and effective dose studies in actual service. (author)

  3. Automatic exposure control calibration and optimisation for abdomen, pelvis and lumbar spine imaging with an Agfa computed radiography system

    Science.gov (United States)

    Moore, C. S.; Wood, T. J.; Avery, G.; Balcam, S.; Needler, L.; Joshi, H.; Saunderson, J. R.; Beavis, A. W.

    2016-11-01

    The use of three physical image quality metrics, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and mean effective noise equivalent quanta (eNEQm) have recently been examined by our group for their appropriateness in the calibration of an automatic exposure control (AEC) device for chest radiography with an Agfa computed radiography (CR) imaging system. This study uses the same methodology but investigates AEC calibration for abdomen, pelvis and spine CR imaging. AEC calibration curves were derived using a simple uniform phantom (equivalent to 20 cm water) to ensure each metric was held constant across the tube voltage range. Each curve was assessed for its clinical appropriateness by generating computer simulated abdomen, pelvis and spine images (created from real patient CT datasets) with appropriate detector air kermas for each tube voltage, and grading these against reference images which were reconstructed at detector air kermas correct for the constant detector dose indicator (DDI) curve currently programmed into the AEC device. All simulated images contained clinically realistic projected anatomy and were scored by experienced image evaluators. Constant DDI and CNR curves did not provide optimized performance but constant eNEQm and SNR did, with the latter being the preferred calibration metric given that it is easier to measure in practice. This result was consistent with the previous investigation for chest imaging with AEC devices. Medical physicists may therefore use a simple and easily accessible uniform water equivalent phantom to measure the SNR image quality metric described here when calibrating AEC devices for abdomen, pelvis and spine imaging with Agfa CR systems, in the confidence that clinical image quality will be sufficient for the required clinical task. However, to ensure appropriate levels of detector air kerma the advice of expert image evaluators must be sought.

  4. Surgical acute abdomen in the elderly. Hospital Nacional Daniel Alcides Carrión - Callao - 1992-1996

    OpenAIRE

    Arrus Soldi, José; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    The aim of this descriptive and retrospective study was to assess the main causes leading to Surgical Acute Abdomen (S.A.A.) in the elderly, as well as their clinical manifestations and morbi-mortality. All individuals older than 60 years which were admitted with the diagnosis of S.A.A. and underwent surgery at the emergency room of the Hospital Nacional Daniel A. Carión (HNDAC) between january 1th, 1992 and december 31th, 1996, were considered. There were 317 cases of S.A.A. in elderly patie...

  5. Función del diafragma durante la colocación de cargas sobre el abdomen en sujetos normales

    Directory of Open Access Journals (Sweden)

    Sergio G. Monteiro

    2012-04-01

    Full Text Available Los efectos de las cargas en el abdomen con el objeto de producir entrenamiento del diafragma, no han sido suficientemente evaluados. Estudiamos la función del diafragma durante la colocación de cargas sobre el abdomen y con cambios en el patrón respiratorio. Se estudiaron 6 voluntarios normales. Se obtuvo flujo en la boca, presión gástrica (Pga, presión esofágica (Pes, movimiento torácico (TX y abdominal (AB, presión inspiratoria máxima (PImax y presión transdiafragmática media (Pdi y máxima (Pdimax. Se calculó la relación Pdi/Pdimax y el índice tensión-tiempo del diafragma (TTdi. Etapas: patrón normal (PN, patrón abdominal (PA y carga de 1, 2, 4 y 6 kg con PN y PA. El PA fue facilitado por las cargas sobre el abdomen. Solo con 6 kg (PN y PA la Pga a capacidad residual funcional aumentó significativamente (p 0.001. La Pdi siguió a las variaciones de la Pga y aumentó con todos los PA (p < 0.001. Con PA y carga el índice TTdi alcanzó un valor de 0.05 ± 0.02 (p < 0.001. Las cargas no aumentaron este índice más de lo que hizo el PA solo. Nuestros hallazgos sugieren que las cargas sobre el abdomen aumentan la propiocepción relacionada con los movimientos respiratorios y descenso del diafragma. Las cargas producen cambios leves en la mecánica del diafragma (en sujetos normales, 1/3 de la carga necesaria para desarrollar fatiga. En sujetos normales estos cambios parecen ser insuficientes para producir entrenamiento de los músculos respiratorios.

  6. RETROPERITONEAL NECROTIZING FASCIITIS WITH ADNEXITIS PRESENTING AS ACUTE ABDOMEN IN A 40 YEAR UNMARRIED FEMALE PATIENT: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Sribatsa Kumar

    2014-12-01

    Full Text Available Retroperitoneal Necrotizing Fasciitis is a rare variant of Necrotizing fasciitis (NF which is fulminant and potentially lethal. Although NF is a common occurrence in Indian Subcontinent due to low standard of living and poor hygiene Necrotizing fasciitis of retroperitoneum is extremely rare and only few cases have been reported till now. Herein we report a case of a 40yr unmarried female patient presenting to emergency department for acute abdomen and on exploratory laparotomy it was found out to be a case of extensive retroperitoneal necrotizing fasciitis with pregangrenous right ovary and adjacent fallopian tube.

  7. Blood flow response in small intestinal loops at different depths during negative pressure wound therapy of the open abdomen.

    Science.gov (United States)

    Lindstedt, Sandra; Hlebowicz, Joanna

    2013-08-01

    High closure rates of the open abdomen have been reported following negative pressure wound therapy (NPWT). However, the method has occasionally been associated with increased development of intestinal fistulae. We have previously shown that the application of NPWT to the open abdomen causes a decrease in microvascular blood flow in the small intestinal loop and the omentum adjacent to the visceral protective layer of the dressing. In this study we investigate whether the negative pressure affects only small intestinal loops lying directly below the dressing or if it also affects small intestinal loops that are not in direct contact with the dressing. Six pigs underwent midline incision and application of NPWT to the open abdomen. The microvascular blood flow was measured in four intestinal loops at different depths from the visceral protective layer, at two different locations: beneath the dressing and at the anterior abdominal wall, before and after the application of NPWT of -50, -70, -100, -120, -150 and -170 mmHg, using laser Doppler velocimetry. Negative pressures between -50 and -170 mmHg caused a significant decrease in the microvascular blood flow in the intestinal loops in direct contact with the visceral protective layer. A slight, but significant, decrease in blood flow was also seen in the intestinal loops lying beneath these loops. The decrease in microvascular blood flow increased with the amount of negative pressure applied. No difference in blood flow was seen in the intestinal loops lying deeper in the abdominal cavity. A decrease in blood flow was seen in the upper two intestinal loops located apically and anteriorly, but not in the lower two, indicating that this is a local effect and that pressure decreases with distance from the source. A long-term decrease in blood flow in the intestinal wall may induce ischaemia and secondary necrosis in the intestinal wall, which could promote the development of intestinal fistulae. We believe that NPWT of

  8. Perforated second trimester appendicitis with abdominal compartment syndrome managed with negative pressure wound therapy and open abdomen.

    Science.gov (United States)

    Turnock, Adam R; Fleischer, Brian P; Carney, Martin J; Vanderlan, Wesley B

    2016-06-14

    Abdominal compartment syndrome (ACS) is a known complication of laparotomy; however, the literature is lacking in regards to treatment of this entity in pregnant patients. We present a case of acute perforated appendicitis in a second trimester primagravida, complicated by gangrenous necrosis of the contiguous bowel with subsequent development of ACS and intra-abdominal sepsis. This was treated with a novel approach, using non-commercial negative pressure wound therapy and open abdomen technique. Gestational integrity was preserved and the patient went on to experience a normal spontaneous vaginal delivery. At 5 years post-delivery the patient has had no surgical complications and her baby has met all developmental milestones.

  9. In vitro dose measurements in a human cadaver with abdomen/pelvis CT scans

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Da; Padole, Atul; Li, Xinhua; Singh, Sarabjeet; Khawaja, Ranish Deedar Ali; Lira, Diego; Shi, Jim Q.; Otrakji, Alexi; Kalra, Mannudeep K.; Liu, Bob, E-mail: bliu7@mgh.harvard.edu [Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts 02114 (United States); Liu, Tianyu; Xu, X. George [Nuclear Engineering Program, Rensselaer Polytechnic Institute, Troy, New York 12180 (United States)

    2014-09-15

    Purpose: To present a study of radiation dose measurements with a human cadaver scanned on a clinical CT scanner. Methods: Multiple point dose measurements were obtained with high-accuracy Thimble ionization chambers placed inside the stomach, liver, paravertebral gutter, ascending colon, left kidney, and urinary bladder of a human cadaver (183 cm in height and 67.5 kg in weight) whose abdomen/pelvis region was scanned repeatedly with a multidetector row CT. The flat energy response and precision of the dosimeters were verified, and the slight differences in each dosimeter's response were evaluated and corrected to attain high accuracy. In addition, skin doses were measured for radiosensitive organs outside the scanned region with OSL dosimeters: the right eye, thyroid, both nipples, and the right testicle. Three scan protocols were used, which shared most scan parameters but had different kVp and mA settings: 120-kVp automA, 120-kVp 300 mA, and 100-kVp 300 mA. For each protocol three repeated scans were performed. Results: The tube starting angle (TSA) was found to randomly vary around two major conditions, which caused large fluctuations in the repeated point dose measurements: for the 120-kVp 300 mA protocol this angle changed from approximately 110° to 290°, and caused 8% − 25% difference in the point dose measured at the stomach, liver, colon, and urinary bladder. When the fluctuations of the TSA were small (within 5°), the maximum coefficient of variance was approximately 3.3%. The soft tissue absorbed doses averaged from four locations near the center of the scanned region were 27.2 ± 3.3 and 16.5 ± 2.7 mGy for the 120 and 100-kVp fixed-mA scans, respectively. These values were consistent with the corresponding size specific dose estimates within 4%. The comparison of the per-100-mAs tissue doses from the three protocols revealed that: (1) dose levels at nonsuperficial locations in the TCM scans could not be accurately deduced by simply scaling

  10. Comportamiento Inusual de Sarcoma de alto grado de malignidad en abdomen. Reporte de un caso

    Directory of Open Access Journals (Sweden)

    Maryem Seco Meza

    2014-03-01

    Full Text Available Los sarcomas de tejidos blandos aparecen en cualquier localización y abarcan más de 50 tipos histológicos; se originan del tejido mesodérmico embrionario y del ectodermo o neuroectodermo. Son pocos frecuentes y representan el 1 % de tumores sólidos abdominales de alta agresividad en adultos. Los más agresivos y con mayor capacidad metastásica son los de alto grado, mientras que los de bajo grado son agresivos pero de forma local. Al respecto, se presenta el caso de una paciente femenina de 52 años, del área rural, con 3 meses de evolución del cuadro clínico, quien presentó aumento progresivo de volumen abdominal, sensación de peso y masa palpable, concomitantemente emesis, adinamia, pérdida de peso y edema en miembros inferiores. Se realizó ultrasonografía abdominal que evidenció tumoración ecomixta de 16 x 20 cm en línea media. La Tomografía Axial Computarizada abdominal reportó lesión ocupante de espacio heterogénea, ovalada, de bordes irregulares de 15 x 10 cm que desplaza asas delgadas. La laparotomía exploradora media mostró ausencia de implantes peritoneales y carcinomatosis, tumor muy vascularizado, encapsulado de contextura lisa, consistencia firme, con bordes definidos de 15 x 20 cm. Después de la resección, no se observaron adenopatías ni metástasis locales y a distancia. El reporte histopatológico identificó un sarcoma de alto grado. A dos años de la operación no se encontró metástasis. Contrario a lo que la literatura reporta, se mantuvo un comportamiento “benigno” a pesar de su histología, lo cual es inusual considerando la historia natural de la enfermedad. Unusual Behavior of High-grade sarcoma malignancy in abdomen. A case report Abstract Soft tissue sarcomas appear in any location and include more than 50 histological types; they originate from mesodermal embryonic tissue, ectoderm or neuroectoderm. They are infrequent and represent 1% of highly aggressive abdominal solid tumors in adults

  11. Acute Abdomen in the 17th Week of Twin Pregnancy due to Ovarian Torsion – A Late Complication of IVF

    Science.gov (United States)

    Habek, D.; Bauman, R.; Rukavina Kralj, L.; Hafner, T.; Turudic, T.; Vujisic, S.

    2016-01-01

    Background: A 32-year-old woman with tubal factor infertility due to bilateral laparoscopic salpingectomy conceived twins with in vitro fertilization (IVF). She developed moderate ovarian hyperstimulation syndrome which was treated with anticoagulant therapy. The subsequent course of the twin pregnancy was normal until the 17th week of gestation when she presented to hospital because of a sharp pain in the right lower abdomen which ceased after admission. Case: Except for a single incident of vomiting, patient had no other subjective symptoms. The clinical examination showed tenderness of the lower right abdominal segment on palpation. The surgeon and the urologist found no signs of an acute surgical or urologic condition, and laboratory findings were within normal reference ranges for pregnant women. Two days after admission the pain reappeared; it was now much stronger and colic-like. The pain was initially located supraumbilically but subsequently spread diffusely across the lower abdomen. Abdominal guarding was present and laboratory findings showed an increase in inflammatory parameters. An enlarged and edematous right ovary was found on transvaginal ultrasound. Conclusion: Exploratory laparotomy via a vertical midline abdominal transection revealed a torqued necrotic right ovary with elements of inflammation and inflammatory adhesions involving the entire pelvis. The patient underwent right-sided ovariectomy and adhesiolysis. Recovered was normal and the patient was delivered of healthy twins in the 37th week of gestation. PMID:28017976

  12. SU-E-P-11: Comparison of Image Quality and Radiation Dose Between Different Scanner System in Routine Abdomen CT

    Energy Technology Data Exchange (ETDEWEB)

    Liao, S; Wang, Y; Weng, H [Chiayi Chang Gung Memorial Hospital of The C.G.M.F, Puzi City, Chiayi County, Taiwan (China)

    2015-06-15

    Purpose To evaluate image quality and radiation dose of routine abdomen computed tomography exam with the automatic current modulation technique (ATCM) performed in two different brand 64-slice CT scanners in our site. Materials and Methods A retrospective review of routine abdomen CT exam performed with two scanners; scanner A and scanner B in our site. To calculate standard deviation of the portal hepatic level with a region of interest of 12.5 mm x 12.5mm represented to the image noise. The radiation dose was obtained from CT DICOM image information. Using Computed tomography dose index volume (CTDIv) to represented CT radiation dose. The patient data in this study were with normal weight (about 65–75 Kg). Results The standard deviation of Scanner A was smaller than scanner B, the scanner A might with better image quality than scanner B. On the other hand, the radiation dose of scanner A was higher than scanner B(about higher 50–60%) with ATCM. Both of them, the radiation dose was under diagnostic reference level. Conclusion The ATCM systems in modern CT scanners can contribute a significant reduction in radiation dose to the patient. But the reduction by ATCM systems from different CT scanner manufacturers has slightly variation. Whatever CT scanner we use, it is necessary to find the acceptable threshold of image quality with the minimum possible radiation exposure to the patient in agreement with the ALARA principle.

  13. 胎儿腹部MRI诊断进展%Application of MRI in evaluation of fetal abdomen

    Institute of Scientific and Technical Information of China (English)

    丁立; 伍兵

    2015-01-01

    There are many special MRI sequences can be used to improve diagnosis accuracy of fetal abdominal diseases. Compared with ultrasound, MRI is superior in diagnosis of obstruction of the digestive tract, lesions in liver, gallbladder and urinary system. As a newly emerged technique, prenatal function-MRI now plays important role in evaluation of fetal abdomen, especially in the situation of low amniotic fluid. Prenatal MRI can make a greater contribution for prenatal and postnatal care by providing important information of fetal abdomen physiological functions.%MRI 技术用于腹部成像,有许多特殊序列可以帮助完善诊断,对于胃肠道梗阻、肝胆系统占位病变及泌尿系统异常的诊断均优于超声。随着胎儿腹部MRI诊断逐渐转向功能性研究,其在羊水偏少时更能发挥作用。 MRI有望在未来用于评价胎儿腹部系统生理功能,对优生优育的作用更大。

  14. Meckel’s Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management

    Directory of Open Access Journals (Sweden)

    Ivilina Pandeva

    2015-01-01

    Full Text Available Introduction. Meckel’s diverticulitis is an extremely rare cause of an acute abdomen in pregnancy. Its clinical presentation tends to be rather unusual and therefore commonly delaying diagnosis. The surgical method of exploration can be either by laparoscopy or through an open incision. Case Report. We report a case of a 34-year-old, P1 with previous Caesarean section, who presented at 20 weeks with worsening right-sided abdominal pain, distention, and peritonism. Ultrasound scan showed an area of a possibly thickened loop of bowel inconsistent with an appendicitis. The findings at laparoscopy were purulent fluid in the pelvis, a congested appendix, and inflamed Meckel’s diverticulum. An appendectomy and excision of the diverticulum was performed using stapler technique. Discussion. Meckel’s diverticulitis in pregnancy can have nonspecific presentation and poses difficulties for preoperative diagnosis. Delay in diagnosis and management poses significant maternal and fetal risks. The use of laparoscopy if the gestational age and uterine size permit its use allows a thorough exploration of the abdominal cavity and management of rarer and unexpected pathology. Laparoscopic management of acute abdomen in the midtrimester of pregnancy has been found to be safe and effective.

  15. Effective dose evaluation of head and abdomen CT exams in adult patients at the Instituto de Radiologia of Faculdade de Medicina of University of Sao Paulo, SP, Brazil; Estimativa de dose efetiva em exames de tomografia de cranio e abdomen em pacientes adultos do Instituto de Radiologia da Faculdade de Medicina da USP (INRAD/FM/USP)

    Energy Technology Data Exchange (ETDEWEB)

    Nersissian, Denise Y.; Scolastici, Eric F.; Doro, Renato B.; Furquim, Tania A.C., E-mail: yanikian@if.usp.br, E-mail: ericfs@if.usp.br, E-mail: rbdoro@if.usp.br, E-mail: tfurquim@if.usp.br [Universidade de Sao Paulo (IF/USP), SP (Brazil). Instituto de Fisica. Departamento de Fisica Nuclear. Laboratorio de Dosimetria

    2013-11-01

    This paper presents an estimate of the effective dose from CTDI{sub vol} for exams of skull and abdomen in adult patients. Thereafter, measurements were taken of CTDI using an ionization chamber type pencil (Radcal Corportation, model 10 x 5 - 3CT) and cylindrical phantom of PMMA equivalent to regions of the skull (diameter = 16 cm) and abdomen (diameter = 32 cm). The results of effective dose for abdomen varied between 7,3 and 12,1 mSv and for skull between 1,4 and 5,0 mSv. Comparing with the literature data, for abdomen exams between 5 and 7 mSV and skull exams between 1 and 2 mSv, it is shown that it is possible to optimize these protocols, aiming to reduce the doses to patients.

  16. 急腹症中血管疾病的诊断与治疗%Diagnosis and treatment of vascular diseases in the acute abdomen

    Institute of Scientific and Technical Information of China (English)

    陆清声; 陈燕青

    2015-01-01

    Acute abdominal pain is a major clinical symptom of acute abdomen,and vasogenic acute abdomen caused by vascular diseases is rare and difficult to diagnose at its early stage with atypical clinical symptom and high mortality.Therefore,there is an urgent need to strengthen and improve the knowledge of surgeons about vasogenic acute abdomen.%急腹症是以急发腹痛为主要表现的常见外科疾病,而由血管疾病导致的急腹症,即血管源性急腹症却很少见.血管源性急腹症因其临床表现不典型,早期缺乏特异性体征而诊断困难.一旦发生,病情危重,病死率高.故临床医师亟须加强对该疾病的认识.

  17. Diffusion-weighted MR imaging of the abdomen with pulse triggering; Kardiale Triggerung zur verbesserten abdominellen MR-Diffusionsbildgebung

    Energy Technology Data Exchange (ETDEWEB)

    Muertz, P.; Pauleit, D.; Traeber, F.; Kreft, B.P.; Schild, H.H. [Bonn Univ. (Germany). Radiologische Klinik; Gieseke, J.; Brink, J.S. van den [Philips Medical Systems, Eindhoven (Netherlands)

    2000-07-01

    Purpose: The aim of this work was to reduce the influence of motion on diffusion-weighted MR images of the abdomen by pulse triggering of single-shot sequences. Methods: Five healthy volunteers were examined both without and with finger pulse-triggering of a diffusion-weighted single-shot echo planar MR imaging sequence at 1.5 T. Series of diffusion-weighted images were acquired at different phases of the cardiac cycle by varying the time delay between finger pulse and sequence acquisition. The measurements were repeated three times. The diffusion weighted images were analysed by measuring the signal intensities and by determining the ADC values within the spleen, kidney and liver. Results: The magnitude of motion artifacts on diffusion weighted images shows a strong dependence on the trigger delay. The optimum trigger delay is found to be between 500 and 600 ms. For these values the abdominal organs appear homogeneous on all diffusion weighted images and the strongest signal intensities are detected. At optimum triggering the accuracy of the apparent diffusion coefficients is up to 10 times better than without triggering. Moreover, the standard deviation of the repeated measurements is smaller than 12% for all volunteers and for all organs. Without triggering the standard deviation is larger by a factor of 4 on average. Conclusion: Pulse triggering of single-shot sequences leads to significant reduction of motion related artifacts on diffusion weighted images of the abdomen and provides more accurate and reproducible ADC values. (orig.) [German] Ziel: In dieser Arbeit ist die Frage untersucht worden, ob sich die stoerenden Bewegungseinfluesse bei der Diffusionsbildgebung des Abdomens durch Pulstriggerung der Single-Shot-Sequenzen reduzieren lassen. Methoden: Fuenf Probanden wurden sowohl ohne als auch mit Fingerpulstriggerung einer Single-Shot-SE-EPI-Diffusionssequenz bei 1,5 T untersucht, wobei Diffusionsbildserien in verschiedenen Herzphasen durch Variation der

  18. Transplantation of an eight-organ multivisceral graft in a patient with frozen abdomen after complicated Crohn's disease

    Institute of Scientific and Technical Information of China (English)

    Andreas Pascher; Jochen Klupp; Sven Kohler; Jan M Langrehr; Peter Neuhaus

    2006-01-01

    To report an extended multivisceral transplantation (MVTx) including right kidney and ascending colon in a patient with complicated Crohn's disease (CD).A 36-year old female suffering from short bowel syndrome and frozen abdomen due to fistulizing CD after multiple abdominal operations underwent MVTx of eight organs including stomach, pancreatoduodenal complex, liver, intestine, ascending colon, right kidney,right adrenal gland, and greater omentum in November 2003. Immunosuppression consisted of alemtuzumab,tacrolimus and steroids. The patient was off parenteral nutrition by postoperative wk 3. She experienced one episode of pneumonia. The patient recovered completely and discharged 2.5 mo and was doing well 30 mo after MVTx. This is one of the very rare cases in which a complete mulitivisceral graft of eight abdominal organs was transplanted orthotopically.

  19. Use of a device that applies external kneading-like force on the abdomen for treatment of constipation

    Institute of Scientific and Technical Information of China (English)

    Konstantinos Mimidis; David Galinsky; Efraim Rimon; Vassilios Papadopoulos; Yehuda Zicherman; Dimitrios Oreopoulos

    2005-01-01

    AIM: To evaluate the efficacy of a recently developed device that applies kneading-like motion on the abdomen in improving constipation in elderly long-term care patients.METHODS: Thirty constipated elderly patients were randomly selected from two nursing homes. They were instructed to use the device once daily for 20 min. Rate of bowel movements, volume and consistency of stool and the use of laxantia were all recorded during a 3-wk baseline period and for 12-wk treatment period. Colonic transit time (CTT) was measured in 13 patients by radiopaque markers during the baseline and at the end of treatment.RESULTS: Bowel movement rate (BM/week) increased from 1.4±0.4 BM/wk during baseline to 3.9±0.8 BM/wk during treatment (P<5.0×10-7). Stool amount that was "low" in 30 patients during baseline increased in 21 patients at the end of the study period (χ2 = 19.048-P =1.3×10-5). Stool consistency, that was "hard" in 25 patients and "soft" in 5 patients during baseline, ameliorated in 23 patients at the end of the study (only 2 patients referred "hard" stool) (χ2= 21.043-P = 4.0×10-6). The mean baseline CTT measured was 92.3±32.3 h at baseline and decreased to 49.4±31.3 h during the study period (P = 0.000208). No side effects were observed during the study period.CONCLUSION: External mechanical vibration of the abdomen reduced CTT and helped to relieve severe constipation in elderly constipated patients.

  20. Influence of image registration on ADC images computed from free-breathing diffusion MRIs of the abdomen

    Science.gov (United States)

    Guyader, Jean-Marie; Bernardin, Livia; Douglas, Naomi H. M.; Poot, Dirk H. J.; Niessen, Wiro J.; Klein, Stefan

    2014-03-01

    The apparent diffusion coefficient (ADC) is an imaging biomarker providing quantitative information on the diffusion of water in biological tissues. This measurement could be of relevance in oncology drug development, but it suffers from a lack of reliability. ADC images are computed by applying a voxelwise exponential fitting to multiple diffusion-weighted MR images (DW-MRIs) acquired with different diffusion gradients. In the abdomen, respiratory motion induces misalignments in the datasets, creating visible artefacts and inducing errors in the ADC maps. We propose a multistep post-acquisition motion compensation pipeline based on 3D non-rigid registrations. It corrects for motion within each image and brings all DW-MRIs to a common image space. The method is evaluated on 10 datasets of free-breathing abdominal DW-MRIs acquired from healthy volunteers. Regions of interest (ROIs) are segmented in the right part of the abdomen and measurements are compared in the three following cases: no image processing, Gaussian blurring of the raw DW-MRIs and registration. Results show that both blurring and registration improve the visual quality of ADC images, but compared to blurring, registration yields visually sharper images. Measurement uncertainty is reduced both by registration and blurring. For homogeneous ROIs, blurring and registration result in similar median ADCs, which are lower than without processing. In a ROI at the interface between liver and kidney, registration and blurring yield different median ADCs, suggesting that uncorrected motion introduces a bias. Our work indicates that averaging procedures on the scanner should be avoided, as they remove the opportunity to perform motion correction.

  1. Morfologia comparada do abdome das espécies sulbrasileiras de Morphinae (Lepidoptera, Nymphalidae Compared abdomen morphology of South brazilian Morphinae species (Lepidoptera, Nymphalidae

    Directory of Open Access Journals (Sweden)

    Ivana Gavassi Bilotta

    1994-01-01

    Full Text Available A detailed study of the morphology of abdomen and genitalia of adults, males and females, of the following south Brazilian Morphinae species (Lepidoptera, Nymphalidae is presented: Morpho helenor violacetis Fruhstorfer. 1912. Iphimedeia hercules (Daiman, 1823. Iphixibia anaxibia (Esper, 1801. Cytheritis portis thamyris (C. Felder & R. Felder, 1867, Cytheritis aega (Huebner, 1822, Pessonia catenaria (Perry, 1811, Grasseia menelaus nestira (Huebner, 1821.

  2. Diagnosis and treatment of acute abdomen and analysis of its misdiagnosis%急腹症的诊治和误诊分析

    Institute of Scientific and Technical Information of China (English)

    赵一奇; 郭桂刚; 焦峰; 王发恒

    2012-01-01

    目的:探讨急腹症的诊断、治疗及误诊情况.方法:回顾性分析我院2001-02-2010-02收治的1 629例急腹症患者的临床资料.结果:急腹症患者临床表现复杂、病情重、确诊困难,本组误诊36例,死亡21例,其中因误诊死亡9例.结论:急腹症的明确诊断,对于患者的预后具有十分重要的意义.%Objective:To study the diagnosis and treatment of acute abdomen, and to analyze its misdiagnosis. Method:The clinical data of 1 629 patients with acute abdomen admitted to our hospital between February 2001 and February 2010 were analyzed retrospectively. Result:The clinical manifestations of acute abdomen were complicated, the conditions were severe and the diagnoses were difficult in some cases. Among these cases, 36 were misdi-agnosed, and 21 died, in which 9 were due to misdiagnoses. Conclusion: Accurate diagnosis and management play an important role in the prognosis of patients with acute abdomen.

  3. Study of dosimetric quantities and image quality in pediatric examinations of chest and abdomen computed tomography; Estudo das grandezas dosimetricas e da qualidade da imagem em exames pediatricos de torax e abdomen por tomografia computadorizada

    Energy Technology Data Exchange (ETDEWEB)

    Jornada, Tiago da Silva

    2013-08-01

    This work had the objective to achieve the knowledge of the dosimetric quantities related to chest and abdomen computed tomography (CT) examinations of pediatric patients, in Belo Horizonte city. The reason of this work is based on the fact that the probability of health detriment in children, which it may be caused by radiation, is higher than in adults. Besides, although in many countries the knowledge and control of patient doses is a normal procedure, this safety culture does not exist in Brazil. Another objective of this work was to compare the dosimetric quantity values with the Diagnostic Reference Levels (DRLs); when it was needed, an optimization process was applied and the quality of the diagnostic image obtained with the optimized technical parameters was analyzed. This study was carried out in five hospitals, where the weighted air kerma index (Cw), the volumetric air kerma index (Cvol), the air kerma - length product (PKL,CT), the Effective Dose (E) and the Normalized Effective Dose (En) were determined; three methods were adopted for measurements: the ionization chamber inside a chest pediatric phantom, radiochromic films and the CT-EXPO software. The optimization process was applied to a single hospital through variations in the current (mA) and voltage (kV) of the x-ray tube for the protocols used for abdomen CT examinations. The analysis of the quality of the diagnostic image was done by Normal Distribution and ROC analysis; spatial resolution analysis was used through MTF determination and the noise level was judged in terms quantitative and qualitative. Results of the dosimetric quantities showed that they significantly differed between single-slice and multi-slice tomography units, but their values were always below the recommended DRLs. The optimized values of the dosimetric quantities obtained after the optimization process showed that it was possible to reduce the radiation exposure of pediatric patient without losing the image quality

  4. Clinical characteristics and management stratege of acute abdomen in elderly patients%老年急腹症临床特点与治疗对策

    Institute of Scientific and Technical Information of China (English)

    孙宏

    2012-01-01

    Objective To investigate the clinical characteristics and management stratege of acute abdomen in elderly patients. Methods The clinical data of 375 cases of acute abdomen in elderly patients between January 2000 and March 2011 in surgery department of Wuhu the fifth people's hospital were analyzed retrospectively. Results The incidence of actue abdomen is high in elderly patients and with multiple complications. Early diagnosis is difficult,so misdiagnosis happening easily. 363 cases (96. 8% ) were cured, and 12 cases(3. 2% ) died. Conclusion Acute abdomen is not contraindication for operation in elderly patients. Early diagnosis,active preparation before operation,good clinical decision and prevention of postoperative complications are the key for acute abdomen in elderly patients.%目的 探讨老年急腹症的临床特点及治疗策略.方法 回顾性分析我院普外科2000年1月~2011年3月收治的375例老年急腹症临床资料.结果 老年急腹症发病率高,早期诊断困难,易发生误诊,且并发症多.治愈363例(96.8%),死亡12例(3.2%).结论 老年急腹症并不是手术的绝对禁忌.早期诊断,积极的术前准备,及时恰当的临床决策,预防并发症的发生是老年急腹症治疗的关键.

  5. 70岁以上老年人急腹症诊治对策%Strategies for diagnosis and treatment of acute abdomen in elderly patients

    Institute of Scientific and Technical Information of China (English)

    孙宏

    2012-01-01

    目的 总结70岁以上老年人急腹症早期诊断和治疗体会.方法 回顾性分析和总结芜湖市第五人民医院院普外科2000年1月~2011年7月收治82例70岁以上老年人急腹症临床资料.结果 70岁以上老年人急腹症,病情危重、合并症多、变化快,早期诊断困难;痊愈79例(96.3%),死亡3例(3.7%).结论 70岁以上老年人急腹症不是手术绝对禁忌证.早期诊断、早期手术、重视围手术期处理和积极预防并发症,是70岁以上老年人急腹症治疗的关键.%Objective To summarize the experience in early diagnosis and treatment of acute abdomen in elderly patients aged 70 years and over. Methods The clinical data of 82 cases of acute abdomen in elderly patients between January 2000 and July 2011 in surgery department of Wuhu Fifth People' s Hospital were analyzed retrospectively. Results The acute abdomen in elderly patients was serious, with much complications and faster change,so early diagnosis was difficult. 79 cases( 96. 3% ) were cured, and 3 cases( 3. 7% )died. Conclusion Acute abdomen is not contraindication for operation in elderly patients. Early diagnosis and operation, good perioperative management and prevention of postoperative complications are the key for acute abdomen in elderly patients.

  6. 超声检查对妇科急腹症的诊断价值%The Diagnostic Value of Ultrasonography in Gynecologic Acute Abdomen

    Institute of Scientific and Technical Information of China (English)

    孝文娜; 姜艳娜

    2015-01-01

    Objective: The value of ultrasonography in the diagnosis of gynecologic acute abdomen were discussed. Methods: 80 cases in our hospital gynecological acute abdomen patients as objects, implementing ultrasound for all patients for ultrasound imaging characteristics and to analyze the value of gynecologic acute abdomen. Results: 80 cases of gynecological acute abdomen types include acute pelvic inflammatory disease, ectopic pregnancy, ruptured corpus luteum and ovarian cyst torsion, ultrasonography were detected 73 patients, the diagnostic accuracy was 91.3%. Conclusion: Ultrasonography of the abdomen in patients with gynecological examination, diagnosis accuracy, safe and noninvasive, help clinicians diagnose and provide more evidence for the treatment, it is worth popularization and application.%目的:对超声检查对妇科急腹症的诊断价值进行探讨。方法选取我院收治的80例妇科急腹症患者为对象,对所有患者实施超声检查,对妇科急腹症的影像学特点以及超声检查价值进行分析。结果80例妇科急腹症的疾病类型主要包括急性盆腔炎、异位妊娠、黄体破裂以及卵巢囊肿蒂扭转,超声检查共检出73例患者,诊断准确率为91.3%。结论采用超声检查对妇科急腹症患者进行检查,诊断准确率高,安全无创,有利于临床医师的诊断,为治疗提供更多依据,值得普及和应用。

  7. Expression and Significance of Toll-like Receptor 2, 4 of Peripheral Blood Mononuclear Cells in Acute Abdomen Patients Associated with Systemic Inflammatory Response Syndrome

    Institute of Scientific and Technical Information of China (English)

    XIONG Jing; WANG Yang; ZHU Zhonghua; LIU Jianshe

    2006-01-01

    The changes of Toll-like receptor (TLR) 2, 4 of peripheral blood mononuclear cells (PBMCs) in the acute abdomen patients associated with systemic inflammatory response syndrome (SIRS) and their potential significance were explored. A clinical study was performed on 103 acute abdomen patients in whom 65 were associated with SIRS. Forty healthy individuals served as normal controls. The mRNA expression of TLR2, 4 was detected by RT-PCR, and the expression of TNF-αand IL-6 by ELISA. The level of plasma endotoxin, hospital stay and mortality were measured. It was found that the endotoxin level was increased to varying degrees in all the acute abdomen patients, and the endotoxin level was and hospital stay longer in SIRS group than in non-SIRS group (P<0.01).TLR2 mRNA, TLR4 mRNA, IL-6 and TNF-α could be detected with low value in normal controls,but they were up-regulated markedly on the 1 st day after admission. Then TLR4 mRNA, IL-6 and TNF-α were decreased gradually, but TLR2 mRNA maintained at a high level till the 5th day. These indexes above in SIRS group were higher than those in non-SIRS group (P<0.01). The results of correlation analysis revealed the expression of TLR2, 4 mRNA was positively correlated with the levels of TNF-α and IL-6, and the hospital stay. The results of Logistic regression demonstrated that overexpression of TLR2, 4 mRNA might result in higher risk of multiple organ dysfunction syndrome (MODS). It was concluded that in the acute abdomen patients associated with SIRS, the expression of TLR2, 4 in PBMCs was increased markedly, suggesting that TLR might play an important role in the pathogenesis of acute abdomen associated with SIRS.

  8. Whole abdomen radiation therapy in ovarian cancers: a comparison between fixed beam and volumetric arc based intensity modulation

    Directory of Open Access Journals (Sweden)

    Clivio Alessandro

    2010-11-01

    Full Text Available Abstract Purpose A study was performed to assess dosimetric characteristics of volumetric modulated arcs (RapidArc, RA and fixed field intensity modulated therapy (IMRT for Whole Abdomen Radiotherapy (WAR after ovarian cancer. Methods and Materials Plans for IMRT and RA were optimised for 5 patients prescribing 25 Gy to the whole abdomen (PTV_WAR and 45 Gy to the pelvis and pelvic nodes (PTV_Pelvis with Simultaneous Integrated Boost (SIB technique. Plans were investigated for 6 MV (RA6, IMRT6 and 15 MV (RA15, IMRT15 photons. Objectives were: for both PTVs V90% > 95%, for PTV_Pelvis: Dmax Results IMRT and RapidArc resulted comparable for target coverage. For PTV_WAR, V90% was 99.8 ± 0.2% and 93.4 ± 7.3% for IMRT6 and IMRT15, and 98.4 ± 1.7 and 98.6 ± 0.9% for RA6 and RA15. Target coverage resulted improved for PTV_Pelvis. Dose homogeneity resulted slightly improved by RA (Uniformity was defined as U5-95% = D5%-D95%/Dmean. U5-95% for PTV_WAR was 0.34 ± 0.05 and 0.32 ± 0.06 (IMRT6 and IMRT15, 0.30 ± 0.03 and 0.26 ± 0.04 (RA6 and RA15; for PTV_Pelvis, it resulted equal to 0.1 for all techniques. For organs at risk, small differences were observed between the techniques. MU resulted 3130 ± 221 (IMRT6, 2841 ± 318 (IMRT15, 538 ± 29 (RA6, 635 ± 139 (RA15; the average measured treatment time was 18.0 ± 0.8 and 17.4 ± 2.2 minutes (IMRT6 and IMRT15 and 4.8 ± 0.2 (RA6 and RA15. GAIIMRT6 = 97.3 ± 2.6%, GAIIMRT15 = 94.4 ± 2.1%, GAIRA6 = 98.7 ± 1.0% and GAIRA15 = 95.7 ± 3.7%. Conclusion RapidArc showed to be a solution to WAR treatments offering good dosimetric features with significant logistic improvements compared to IMRT.

  9. Gastrointestinal tract labeling for MDCT of abdomen: Comparison of low density barium and low density barium in combination with water

    Energy Technology Data Exchange (ETDEWEB)

    Gulati, Kavita; Shah, Zarine K.; Sainani, Nisha; Uppot, Raul; Sahani, Dushyant V. [Massachusetts General Hospital and Harvard Medical School, Department of Abdominal Imaging and Intervention, Boston, MA (United States)

    2008-05-15

    The purpose of the study was to compare the quality of stomach and small bowel marking/labeling using 1,350 ml of low-density barium alone (Volumen) with 900 ml of low-density barium and 450 ml of water for 16-MDCT scans of the abdomen and pelvis and assess cost benefits with the two protocols. In this IRB approved study, 80 consecutive patients scheduled for routine CECT (contrast-enhanced CT) of the abdomen-pelvis were studied. Patients were randomized into two groups and were administered either 1,350 ml of VoLumen (two bottles at 20-min intervals, one half bottle at 50 min and the last half on the table) or 900 ml of Volumen (two bottles at 20-min intervals and 450 ml water on the table). Portal venous phase scanning (detector collimation = 0.625 mm, speed = 18.75 mm, thickness = 5 mm) was subsequently performed. Images were reconstructed in axial and coronal plane at the CT console. Two blinded readers used a pre-designed template to assess distension and wall characteristics of the stomach and small bowel on a 5-point scale. Median scores with the two protocols were compared using the Wilcoxon rank sum test. The stomach and small bowel labeling was rated fair to optimal in all patients and did not differ significantly in the two protocols. The mean scores for distension of the small bowel and stomach were comparable. Inter-observer agreement for bowel labeling was found to be excellent (k 0.81). With the use of coronal images there was increased reader confidence in tracing the small bowel with both protocols. Acceptance for two bottles of Volumen and water was greater among patients as compared to three bottles of VoLumen. Use of two bottles of Volumen and water combination cost less than three bottles of Volumen. Stomach and small bowel labeling with administration of 900 ml of Volumen followed by 450 ml of water is cost effective and compares well to 1,350 ml of Volumen alone. (orig.)

  10. Study on exposure dose according to change of source to image distance and additional filter using abdomen phantom

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Won [Dept. of Radiology, Kyung Hee University Hospital at Gang-dong, Seoul (Korea, Republic of); Son, Jin Hyun [Dept. of Radiological Science, Shingu University, Sungnam (Korea, Republic of)

    2016-09-15

    This study is to minimize the patient dose and maintain the image quality according to change of source to image receptor distance and applying additional filter. In this study, we used the DR system, the tissue-equivalent abdomen phantom and the aluminium filter. The exposure conditions were set to 80 kVp using AEC mode. The collimation size was 16 x 16 inch. The exposure dose were measured 10 times when the SID was changed with 100, 110, 120 and 130 cm, respectively. The pirana 657 for dosimeter was located on center of radiation irradiation. The acquired images were analyzed by using the image J. In the results, the tube current was increased with increasing the SID but ESD was decreased with increasing the SID. The decrease of ESD attribute to use of filter that remove the photon of lower energy. In the histogram results using image J, there were differences between the ESD and the exposure conditions according to change of SID. However, there were not differences in histogram. Therefore, the exposure dose could reduced when set the longer SID. For pediatric exam, the exposure dose could reduced when used the aluminium filter.

  11. Abdomen agudo quirúrgico en el adulto mayor. Hospital Vladimir Ilich Lenin. Enero 2005 a enero 2008

    Directory of Open Access Journals (Sweden)

    Pavel Sánchez Reynaldo

    2010-01-01

    Full Text Available Aborda un estudio descriptivo prospectivo en 388 adultos mayores operados de abdomen agudo en el Hospital Vladimir Ilich Lenin, enero 2005 a enero 2008, a fin de caracterizar el comportamiento de las afecciones que provocan esta entidad intraabdominal. La tercera edad y el sexo masculino resultaron los más afectados. El factor de riesgo quirúrgico más asociado fue la hipertensión arterial. El diagnóstico preoperatorio más frecuente fue la oclusión intestinal mecánica. No se indicaron adecuadamente las investigaciones diagnósticas imprescindibles. Predominó el tiempo de evolución preoperatoria de 24 a 48 horas. El tiempo quirúrgico superior a 2 horas fue el más frecuente. Las complicaciones mediatas y el íleo paralítico predominaron. Fue más frecuente la estadía hospitalaria de 4 a 6 días. La letalidad fue de 15,72% y la causa de muerte predominante fue el shock séptico.

  12. Respiratory-Gated MRgHIFU in Upper Abdomen Using an MR-Compatible In-Bore Digital Camera

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    Vincent Auboiroux

    2014-01-01

    Full Text Available Objective. To demonstrate the technical feasibility and the potential interest of using a digital optical camera inside the MR magnet bore for monitoring the breathing cycle and subsequently gating the PRFS MR thermometry, MR-ARFI measurement, and MRgHIFU sonication in the upper abdomen. Materials and Methods. A digital camera was reengineered to remove its magnetic parts and was further equipped with a 7 m long USB cable. The system was electromagnetically shielded and operated inside the bore of a closed 3T clinical scanner. Suitable triggers were generated based on real-time motion analysis of the images produced by the camera (resolution 640×480 pixels, 30 fps. Respiratory-gated MR-ARFI prepared MRgHIFU ablation was performed in the kidney and liver of two sheep in vivo, under general anaesthesia and ventilator-driven forced breathing. Results. The optical device demonstrated very good MR compatibility. The current setup permitted the acquisition of motion artefact-free and high resolution MR 2D ARFI and multiplanar interleaved PRFS thermometry (average SNR 30 in liver and 56 in kidney. Microscopic histology indicated precise focal lesions with sharply delineated margins following the respiratory-gated HIFU sonications. Conclusion. The proof-of-concept for respiratory motion management in MRgHIFU using an in-bore digital camera has been validated in vivo.

  13. Evaluation of entrance surface-skin doses in animals submitted on exams of abdomen in veterinary radiology using Tl dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Veneziani, G. R.; Matsushima, L. C.; Campos, L. L. [Instituto de Pesquisas Energeticas e Nucleares, Gerencia de Metrologia das Radiacoes / CNEN, Av. Lineu Prestes 2242, Cidade Universitaria, 05508-000 Sao Paulo (Brazil); Filho, A. M., E-mail: venezianigr@gmail.com [Centro Universitario de Rio Petro - UNIRP, Rodovia Br 153 (Transbrasiliana), Km. 69 Sao Jose do Rio Preto, Sao Paulo (Brazil)

    2014-08-15

    The radiation protection has recently gained considerable attention in human medicine. In veterinary medicine has been some advances in radiodiagnostic and therapy for domestic animal like dogs and cats. It is notable the increase of the costs with domestic animals that are considered, by many people in the whole world, like members of family. However, an important parameter that must be taken into account is the increasing use of computed tomography and other equipment s that uses ionizing radiation, which may lead to comparatively high exposure of critical organs. The radiation dose is determined by the balance between therapeutic benefit and possible damage to surrounding normal tissues. This study aimed the evaluation of entrance surface-skin doses in dogs submitted to radiodiagnostic procedures of abdomen using the technique of thermoluminescent dosimetry (TLD). The radiation doses were measured using thermoluminescent dosimeters of LiF:Mg,Ti (TLD 100) and a dog phantom made with a plastic container, proportional to the dog size, fulfilled with water. (Author)

  14. Clinical experience of diagnosis and treatment for 8 cases with acute abdomen caused by mesenteric vascular lesions

    Institute of Scientific and Technical Information of China (English)

    CHEN Qi-long; Hanipa; YE De-cun

    2002-01-01

    Objective: To recognize diagnostic factors of acute abdomen and investigate the control methods. Methods: A total of 8 patients caused by mesenteric vascular lesions were treated, followed up and analyzed on. Results: Six patients were operated on and confirmed pathologically; of two cases being superior mesenteric arterial embolism with abdominal aorta straddle and arterial embolism in both lower extremities (1 case died of whole bowel gangrene in 5 hours postoperatively, another one was recovered smoothly by resection of 60cm necrotic jejunum, removal of emboli in both iliofemoral artery, thrombolysis, and anticoagulatant therapy postoperatively); one patient with mesenteric artery thrombosis; of two cases with mesenteric venous thrombosis (1 case was removal of emboli and thrombolysis, anticoagulatant therapy postoperatively, another one was resection of 95% small intestine), one case with false aneurysm in superior mesenteric artery, resection of aneurysm and permutation of artificial blood vessel was performed successfully. The remained 2 cases with mesenteric vascular insufficiency were recovered by anticoagulatant and antispasmodic therapy. Seven cases cured. Conclusions: Mesenteric vascular diseases were relatively uncommon, symptoms and signs showed to be rather nonspecific, therefore, one should not merely rely on them for accurate diagnosis. Uhrasonography, CT are the sensitive examinations and benefit to diagnosis. Early interventions such as resecting bowel gangrene involved their mesentery and anticoagulant therapy may be essential to reduce the fatality and recurrence.

  15. Abdomen agudo en pacientes con VIH/SIDA atendidos en un hospital nacional de Lima, Perú

    Directory of Open Access Journals (Sweden)

    Leonor Montoya

    Full Text Available El objetivo del estudio fue describir las características en la presentación y el manejo del abdomen agudo (AA en pacientes con el virus de la inmunodeficiencia humana (VIH. Se revisaron las historias clínicas de 97 pacientes portadores del VIH que cursaron con un cuadro de AA y que fueron atendidos en el período 2006-2011 en el Hospital Nacional Cayetano Heredia en Lima, Perú. Se encontró que el 1,6% de los pacientes inmunosuprimidos ingresó a sala de operaciones. La apendicectomía fue el procedimiento quirúrgico más frecuentemente (33,3%. La morbilidad fue de 28,1%, y la mortalidad posoperatoria de 9,4%. La infección por Mycobacterium tuberculosis fue la causa más común de dolor abdominal agudo con el 26,8%. Los datos sugieren que una pronta decisión quirúrgica frente a un cuadro compatible con AA en pacientes con VIH podría evitar una importante morbimortalidad.

  16. Indium-111 leukocyte scanning of the abdomen. Analysis of its value for diagnosis and management of inflammatory bowel disease

    Energy Technology Data Exchange (ETDEWEB)

    Poitras, P.; Carrier, L.; Chartrand, R.; Gagnon, M.; Graveline, R.; Lahaie, R.G.; Martin, F.; Mheir, H.; Picard, D.

    1987-08-01

    Indium-111 leukocyte scanning of the abdomen (IAS) was performed in 10 patients with ulcerative colitis and in 39 patients with Crohn's disease involving the small intestine (in 25 occasions) and/or the colon (17 cases). Radionuclide uptake by the gut was seen in 84% of the patients with active inflammation. We compared the extent of the disease displayed by IAS with the findings obtained by either radiological or endoscopic studies or at surgery. In two-thirds of the patients, the IAS gave an accurate evaluation of the extent of the disease (sensitivity 68%). False-positive IASs were not seen in small bowel disease (specificity 100%), but were observed on 4 occasions on the colon (specificity 86%). The intensity of the radionuclide uptake could not be correlated with the clinical activity of the disease as evaluated by the Crohn's disease activity index. These results suggest that IAS is not superior to the standard procedures used to detect and localize inflammatory bowel disease and that IAS cannot replace these techniques. However, the simplicity of IAS and the complete lack of complications associated with its use render it useful in the evaluation of the extent and distribution of inflammation in some patients, mainly those with severe disease in whom standard diagnostic procedures would be contraindicated.

  17. Acute abdomen caused by bladder rupture attributable to neurogenic bladder dysfunction following a stroke: a case report

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    Court Fiona

    2011-06-01

    Full Text Available Abstract Introduction Spontaneous bladder rupture is a rare and serious event with high mortality. It is not often considered in the patient presenting with peritonitis. This often leads to delays in diagnosis. There are very few case reports of true spontaneous rupture in the literature. This is the first such reported case in which bladder rupture was attributable to neurogenic bladder dysfunction following a stroke. Case presentation We report the case of a 67-year-old Caucasian man who presented with lower abdominal pain and a peritonitic abdomen. He had a long-term urethral catheter because of urinary retention following a previous stroke. He was treated conservatively with antibiotics before a surgical opinion was sought. Exploratory laparotomy confirmed the diagnosis of spontaneous bladder rupture. After repair of the defect, he eventually made a full recovery. Conclusion In this unusual case report, we describe an example of a serious event in which delays in diagnosis may lead to increased morbidity and mortality. To date, no unifying theory explaining why rupture occurs has been postulated. We conducted a thorough literature search to examine the etiological factors in other published cases. These etiological factors either increase intra-vesical pressure or decrease the strength of the bladder wall. We hope that by increasing awareness of these etiological factors, spontaneous bladder rupture may be diagnosed earlier and appropriate therapy started.

  18. Spontaneous large renal pelvis hematoma in ureteropelvic junction obstruction presenting as an acute abdomen: Rare case report.

    Science.gov (United States)

    Sawant, Ajit; Kasat, Gaurav; Pawar, Prakash; Tamhankar, Ashwin

    2016-01-01

    Patients with ureteropelvic junction (UPJ) obstruction can present with flank pain or hematuria. We present 20-year-old male presenting with acute pain in lumbar and right fossa with tenderness and guarding, this case was clinically mimicking general surgical emergency. On computed tomography with urography and angiography, there was 15 cm × 11 cm × 10 cm size non-enhancing hyperdense lesion (average Hounsfield units - +64) in right renal pelvis suggestive of hematoma. Patient's diethylenetriaminepentaacetic acid diuretic renography was suggestive of right kidney glomerular function rate of 48.4 ml/min with the relative function of 43%, Peak to half peak was not achieved. The patient was managed by retrograde ureteropyelography and double J stenting. After 1 month, clot size decreased to 4 cm × 3 cm × 2 cm. The patient had undergone open reduction Anderson hynes dismembered pyeloplasty with the removal of pelvis clot after 6 weeks. We report the first case of UPJ obstruction presenting as an acute abdomen and spontaneous hematuria with large pelvis clot without rupture of the renal pelvis.

  19. Spontaneous large renal pelvis hematoma in ureteropelvic junction obstruction presenting as an acute abdomen: Rare case report

    Directory of Open Access Journals (Sweden)

    Ajit Sawant

    2016-01-01

    Full Text Available Patients with ureteropelvic junction (UPJ obstruction can present with flank pain or hematuria. We present 20-year-old male presenting with acute pain in lumbar and right fossa with tenderness and guarding, this case was clinically mimicking general surgical emergency. On computed tomography with urography and angiography, there was 15 cm × 11 cm × 10 cm size non-enhancing hyperdense lesion (average Hounsfield units - +64 in right renal pelvis suggestive of hematoma. Patient's diethylenetriaminepentaacetic acid diuretic renography was suggestive of right kidney glomerular function rate of 48.4 ml/min with the relative function of 43%, Peak to half peak was not achieved. The patient was managed by retrograde ureteropyelography and double J stenting. After 1 month, clot size decreased to 4 cm × 3 cm × 2 cm. The patient had undergone open reduction Anderson hynes dismembered pyeloplasty with the removal of pelvis clot after 6 weeks. We report the first case of UPJ obstruction presenting as an acute abdomen and spontaneous hematuria with large pelvis clot without rupture of the renal pelvis.

  20. Aromatherapy Massage on the Abdomen for Alleviating Menstrual Pain in High School Girls: A Preliminary Controlled Clinical Study

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    Myung-Haeng Hur

    2012-01-01

    Full Text Available This study investigated the alleviating effects of aromatherapy massage and acetaminophen on menstrual pain in Korean high school girls. Subjects were divided into two groups: the aromatherapy massage (treatment group (=32 and the acetaminophen (control group (=23. Aromatherapy massage was performed on subjects in the treatment group. The abdomen was massaged once using clary sage, marjoram, cinnamon, ginger, and geranium in a base of almond oil. The level of menstrual pain was assessed using a visual analogue scale at baseline and twenty-four hours afterward. The reduction of menstrual pain was significantly higher in the aromatherapy group than in the acetaminophen group. Using multiple regression, aromatherapy massage was found to be more highly associated with reduction in the level of menstrual pain than acetaminophen. These finding suggest that aromatherapy massage may be an effective treatment for menstrual pain in high school girls. However, it could not be verified whether the positive effects derived from the aromatherapy, the massage, or both. Further rigorous studies should be conducted using more objective measures.

  1. 多层螺旋CT在急腹症诊断中的应用%Application of Multislice Spiral Computed Tomography in the Diagnosis of Acute Abdomen

    Institute of Scientific and Technical Information of China (English)

    付子文

    2016-01-01

    目的:探讨多层螺旋CT(MSCT)在急腹症诊断中的应用效果。方法分析237例于2012年6月~2014年5月间在本院疑诊急腹症患者的多层螺旋CT结果,与临床诊断结果进行比较,统计多层螺旋CT诊断急腹症的灵敏度、特异度、准确度、阳性预测值和阴性预测值。结果MSCT诊断的灵敏度为86.2%,特异度为67.6%,准确度为83.5%,阳性预测值为94%,阴性预测值为45.1%。结论MSCT诊断急腹症具有较高的灵敏度、准确度以及阳性预测值,能够实现对急腹症的快速成像,可为病因诊断提供有价值的参考信息,值得临床推广。%Objective To discuss the application effect of multi-slice spiral computed tomography (MSCT) in the diagnosis of acute abdomen. Methods 237 cases of patients with suspected acute abdomen were selected as research subjects in the hospital from June 2012 to May 2014. In comparison with clinical diagnosis, statistical analysis was made by results obtained by MSCT diagnosis in categories of acute abdomen sensitivity, specificity, accuracy, positive predictive value and negative predictive value. Results MSCT diagnostic sensitivity was 86.2%;diagnostic specificity was 67.6%and accuracy was 83.5%;positive predictive value was 94%and negative predictive value was 45.1%. Conclusion The use of MSCT in diagnosis of acute abdomen was characterized by high sensitivity, accuracy, and a high positive predictive value, which could realize rapid imaging of the abdomen, and provide valuable reference information for the diagnosis of the causes of acute abdomen. It was worthy of clinical promotion.

  2. Monte carlo simulation of pregnant female phantoms and dose assessment of fetus and pregnant female from diagnostics x-ray at abdomen examination

    Energy Technology Data Exchange (ETDEWEB)

    Kim, W. R.; Lee, C. S.; Lee, J. K. [Hanyang Univ., Seoul (Korea, Republic of)

    2001-10-01

    Mathematical phantoms of representing the adult female at 0,3,6 and 9 months of gestation were constructed, and organ doses and effective doses were calculated in standard irradiation environment and abdomen X-ray examination. Phantoms were based on the data set of ORNL and MCNP4B, a general-purposed Monte Carlo code was used for dose calculation. Firstly, organ doses and effective doses of pregnant female and fetus for 0.4 and 0.8MeV broad parallel beam incident from AP and PA direction were calculated. Then, the same calculations were performed in abdomen AP X-ray examination. As gestation period went by, effective doses of pregnant woman decreased because major organs were shielded by expanded uterus. Fetus of 9 month is lower than that of 6 month because of shielding effect of placement for AP irradiation.

  3. Relación entre detección temprana y evolución del abdomen agudo quirúrgico de origen ginecológico Hospital Luis Vernaza, 2012.

    OpenAIRE

    Aguilar Mero, Wilson Ronald

    2014-01-01

    El abdomen agudo ginecológico ocurre entre7 y 20%; puede ser hemorrágico, infeccioso, mecánico o traumático. Requiere un tratamiento rápido, precoz para disminuir las complicaciones postoperatorias. Los cuadros de abdomen agudo ginecológico hemorrágico son los más frecuentes, y el embarazo ectópico complicado es el más común con un porcentaje de 90%. Objetivo: Demostrar que el diagnóstico oportuno del abdomen agudo quirúrgico de origen ginecológico disminuye las complicaciones y mejora la exp...

  4. When and why use unenhanced computed tomography in patients with acute abdomen; Tomografia computadorizada sem contraste intravenoso no abdome agudo: quando e por que usar

    Energy Technology Data Exchange (ETDEWEB)

    Freire Filho, Edison de Oliveira; D' Ippolito, Giuseppe; Szejnfeld, Jacob [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Dept. de Diagnostico por Imagem]. E-mail: eofilho@ig.com.br; Jesus, Paulo Eduardo Marinho de [Clinica Radiologica de Anapolis, GO (Brazil)

    2006-01-15

    The use of unenhanced computed tomography has been frequently recommended for the initial assessment of patients with clinical suspicion of acute abdomen instead of other diagnostic methods. The authors present a review of the literature on the main aspects, advantages, limitations and efficacy of unenhanced computed tomography for the diagnosis of acute appendicitis, renal colic, diverticulitis, acute pancreatitis, primary epiploic appendicitis, pneumoperitoneum and small bowel obstruction. The advantages and limitations of this technique are also discussed. (auth0008.

  5. Abdome agudo: ruptura espontânea de bexiga como um importante diagnóstico diferencial Acute abdomen: spontaneous bladder rupture as an important differential diagnosis

    Directory of Open Access Journals (Sweden)

    Carlos Augusto Gomes

    2009-08-01

    Full Text Available A case of spontaneous perforation of the bladder in a diabetic female patient is reported. It is a rare clinical condition, that should be suspected in patients with a past history of radiotherapy to the pelvis, enterocystoplasty and those suspected of having a tumor in the bladder. A general surgeon should be aware of this possibility in the differential diagnosis of an acute abdomen.

  6. HIGH-INTENSITY FOCUSED ULTRASOUND FOR TREATMENT OF UNRESECTABLE TUMORS LOCATED IN THE WALLS OF CHEST AND ABDOMEN IN 10 PATIENTS

    Institute of Scientific and Technical Information of China (English)

    郑国强; 郭峰; 霍苓; 李正

    2003-01-01

    Objective: To present our results of high-intensity focused ultrasound (HIFU) treatment in 10 patients with unresectable tumors involved in the walls of chest and abdomen. Methods: Tumors located in the walls of the chest and abdomen in 10 patients were treated by HIFU, including local recurrence of fibrosarcoma in 1 case and local invasion or metastases in 9 cases. All of the 10 patients had received anti-cancer treatments before HIFU, 3 patients were complicated with intercostal neuralgia. Results: Partial responses were obtained in 2 patients, minor response in 1 patient, stable disease in 4, progressive disease in 2 after HIFU treatments. All the intercostal neuralgia in 3 patients was disappeared after HIFU. Bone scan showed that site of rib metastasis before HIFU became normal after HIFU in one patient. Conclusion: Our preliminary results showed that HIFU could get good results for patients with malignant tumors located in the walls of chest and abdomen if they are focal tumors, even if they are complicated with rib metastasis.

  7. Application of Ultrasonography in Diagnosis of Acute Abdomen%超声在急腹症诊断中的应用价值

    Institute of Scientific and Technical Information of China (English)

    闫研

    2011-01-01

    目的探讨超声在急腹症诊断中的应用价值.方法回顾性分析285例急腹症的超声表现,并与手术病理及临床随访结果进行对照.结果285例急腹症中以急性胆囊炎、胆石症、胰腺炎、阑尾炎、泌尿系结石、妇科急症常见.其中235例经手术和病理证实,50例经临床随访证实.超声符合率94%,%Objective To analyse the application of ultrasonography in diagnosis of acute abdomen. Methods 285 patients with acute abdomen were diagnosed by ultrasonograph.The ultrasonic diagnosis were compared with surgical pathology or clinical follow-up results.Results The incidence of acute cholecystitis, cholelithiasis, pancreatitis, appendicitis,urinary stones, gynecological emergency are higher than others in the 285 acute abdomen patients, of which 235 cases were confirmed by surgery and pathology, and 50 cases were confirmed by clinical diagnosis.The ultrasonic diagnosis results were consistent with the final clinical results(94%).

  8. 腹腔镜在普外急腹症的临床应用%Clinical application of laparoscopy in acute abdomen of general surgery

    Institute of Scientific and Technical Information of China (English)

    丁爱民

    2013-01-01

    Objective To investigate the effect of the laparoscopic technology in the treatment of acute abdomen. Methods 86 acute abdomen patients were diagnosed and treated by the laparoscopic technology.Results 85 patients underwent the laparoscopic surgery successfuly, the success rate was 98.8%, 1 patient was converted to laparotomy, no serious complications occurred.Conclusion There are obviously advantage and effect for the application of the laparoscopic techbology in diagnosis and treatment of acute abdomen in general surgery.%  目的观察普外科急腹症采用腹腔镜手术治疗的效果.方法选择86例急腹症患者采用腹腔镜技术诊断和治疗.结果85例患者在腹腔镜下完成手术,成功率98.8%,1例中转开腹,无严重并发症.结论普外科急腹症采用腹腔镜技术探查、诊断及治疗有优势且效果好.

  9. 急腹症手术30例的麻醉处理%The Anesthesia Treatment of 30 Cases of Acute Abdomen Surgeries

    Institute of Scientific and Technical Information of China (English)

    于晓玲

    2014-01-01

    目的:探讨急腹症手术的麻醉处理。方法对2013年1月~2014年6月收治的急腹症手术患者30例,麻醉前准备,麻醉实施方法资料进行分析。结果所有急腹症患者经手术治疗均恢复良好,无麻醉并发症。结论根据急腹患者的具体情况,选择适合的麻醉方式进行操作,有效降低和避免手术中不良反应的发生,提高手术效果。%Objective The anesthesia treatment of abdomen surgeries to be investigated. Methods Analyzing the pre-anesthesia prepare work and anesthesia treatment data selected from 30 cases of patients with acute abdomen who are treated in hospital from January 2013 to June 2014.Results All of patients with acute abdomen have improved health state after surgery and no complications relapsed. Conclusion Choosing proper anesthesia way to cure patients based on their personal condition in order to reduce the side-effects of surgery and improve the surgical efficacy.

  10. The muscle pattern of the Drosophila abdomen depends on a subdivision of the anterior compartment of each segment.

    Science.gov (United States)

    Krzemien, Joanna; Fabre, Caroline C G; Casal, José; Lawrence, Peter A

    2012-01-01

    In the past, segments were defined by landmarks such as muscle attachments, notably by Snodgrass, the king of insect anatomists. Here, we show how an objective definition of a segment, based on developmental compartments, can help explain the dorsal abdomen of adult Drosophila. The anterior (A) compartment of each segment is subdivided into two domains of cells, each responding differently to Hedgehog. The anterior of these domains is non-neurogenic and clones lacking Notch develop normally; this domain can express stripe and form muscle attachments. The posterior domain is neurogenic and clones lacking Notch do not form cuticle; this domain is unable to express stripe or form muscle attachments. The posterior (P) compartment does not form muscle attachments. Our in vivo films indicate that early in the pupa the anterior domain of the A compartment expresses stripe in a narrowing zone that attracts the extending myotubes and resolves into the attachment sites for the dorsal abdominal muscles. We map the tendon cells precisely and show that all are confined to the anterior domain of A. It follows that the dorsal abdominal muscles are intersegmental, spanning from one anterior domain to the next. This view is tested and supported by clones that change cell identity or express stripe ectopically. It seems that growing myotubes originate in posterior A and extend forwards and backwards until they encounter and attach to anterior A cells. The dorsal adult muscles are polarised in the anteroposterior axis: we disprove the hypothesis that muscle orientation depends on genes that define planar cell polarity in the epidermis.

  11. 孕妇针织托腹裤结构处理技巧%Structure Processing Skills of Abdomen Supporting Knitted Pants for Maternity

    Institute of Scientific and Technical Information of China (English)

    薛嘉雯

    2016-01-01

    The change in size of pregnant women will increase the difficulty of the structural design of abdomen supporting knitted pants. Based on the change in size of pregnant women and the features of the important parts, this paper explores the design method of abdomen supporting knitted pants for maternity. And it expounds the structure design elements of abdomen supporting knitted pants including quantity of margin, side seam, waist-hip circumference, crotch length,anterior crotch length, crotch width, back crotch seam tilt angle, inside leg length and so on. In addition, combining with the characteristics of styles, specification design and structural optimization, the structure drawing of abdomen supporting knitted pants has been completed. By analyzing the somatotype charac-teristics of pregnant women in mid-late pregnancy and combing the structural relationships between the body lower extremity and trousers, the structure processing skills of abdomen supporting knitted pants for maternity has been put forward, which can be used in research and development of maternity bottoms.%孕妇体型变化将增加针织托腹裤结构设计的难度,根据孕妇体型变化及重要部位特征,探讨孕妇针织托腹裤的设计方法。在此基础上,阐述托腹裤的结构设计要素,主要包括放松量、侧缝线、前后腰臀围、立裆长、前立裆长、裆宽、后上裆缝倾斜角、落裆量等,并结合款式特点、规格设计、结构优化完成托腹裤的结构制图。通过对孕妇中后期的体型特点进行分析,结合人体下肢与裤装的结构关系,提出孕妇针织托腹裤的结构处理方法,可用于孕妇下装产品的研究与开发。

  12. Value of Spiral CT in Diagnosis of Causes of Acute Abdomen%螺旋CT在诊断急腹症病因中的价值

    Institute of Scientific and Technical Information of China (English)

    王波

    2016-01-01

    目的:探讨螺旋CT在诊断急腹症病因中的价值。方法整群选取回顾性分析2010年3月—2015年10月间共267例急腹症患者资料,226例行CT扫描,腹部平片检查191例,以临床治疗或手术结果作为诊断标准。结果在267例患者中,CT、腹部平片分别明确诊断急腹症病因213例、96例,正确诊断率分别为94.2%、50.2%,比较这两种方法差异有统计学意义(P<0.05)。结论螺旋CT可以作为诊断急腹症病因的首选检查方法,对临床治疗方法选择具有重要意义。%Objective To study the value of spiral CT in diagnosis of causes of acute abdomen. Methods The data of 267 cases of patients with acute abdomen from March 2010 to October 2015 were retrospectively analyzed, 226 cases underwent CT scanning, 191 cases underwent abdominal plain film examination, and the clinical treatment and operative results were used as the diagnostic standards. Results Of 267 cases of patients, the causes of acute abdomen of 213 cases were definite-ly diagnosed by CT, and the causes of acute abdomen of 96 cases were definitely diagnosed by abdominal plain film, the accurate diagnostic rates were respectively 94.2% and 50.2%, the difference had statistical significance by comparison(P<0.05). Conclusion Spiral CT can be used as the preferred examination method of diagnosis of causes of acute abdomen, which is of important significance to the choice of clinical treatment methods.

  13. Diagnosis and Management of Acute Abdomen in Primary Hospital%基层医院急腹症临床诊治体会

    Institute of Scientific and Technical Information of China (English)

    宋进军

    2015-01-01

    Objective:To improve the acute abdomen's treatment level of grass -roots medical professionals by comprehensive analysis to diagnose and treatment of common acute abdomen from primary hospital.Method:Retrospectively analyzed diagnose and treatment of patients with acute abdomen collected in the hospital in recent years.Results:By detailed analysis of clinical history from patients,and by taking both physical and laboratory examination to patients,as well as cooperation consultation with other departments,to make a definite diagnose in time,reduce the misdiagnosed,and win the best treatment time,alleviate the suffering of patients.Conclusion:Primary hospital should increase the acute abdomen cure rate,pay attention to detailed clinical history of patients and take reasonable check carefully,follow the treatment principles of acute abdomen in order to reduce the missed diagnosis and misdiagnosis.%目的:对基层医院常见急腹症的诊断与治疗进行综合分析,以提高基层医务人员对急腹症的救治水平。方法:对本院近几年内收治的急腹症患者的诊断、治疗进行回顾性分析研究。结果:通过对患者详尽病史分析、全面的体格检查及辅助检查,以及他科合作会诊,及时确诊,减少误诊,为患者赢得最佳治疗时间,减轻患者痛苦。结论:基层医院要提高急腹症救治率,必须重视对患者进行病史综合分析及认真仔细合理的检查,掌握急腹症的救治处理原则,才能减少的误诊、漏诊。

  14. Ultrasonography in the Diagnosis of Acute Abdomen in the Value%超声检查在急腹症诊断中的应用价值

    Institute of Scientific and Technical Information of China (English)

    杜喜莲

    2013-01-01

    Objective:To evaluate ultrasound in diagnosis of acute abdomen in the application.Method:268 cases of acute abdomen in patients with ultrasound and with surgical and pathological findings of non-surgical cases were followed up to observe the effect.Result:68 cases of gynecologic acute abdomen,acute appendicitis,67 cases,gallstones,cholecystitis,64 cases of traumatic rupture of internal organs in real terms in 40 cases,17 cases of acute pancreatitis,gastrointestinal perforation in 14 cases,6 cases of intussusception,ultrasound diagnostic accuracy rate was 97.0%,94.0%, 96.9%,90.0%,88.2%,85.7%,83.3%.Conclusion:Ultrasound diagnosis of acute abdomen with high accuracy,check the quick,convenient operation,can be used as routine examination of acute abdomen.%  目的:探讨超声检查在急腹症诊断中的应用价值.方法:对268例急腹症患者进行超声检查,并与手术及病理结果对照,对非手术的病例进行随访观察其疗效.结果:妇科急腹症68例,急性阑尾炎67例,胆结石、胆囊炎64例,外伤性实质脏器破裂40例,急性胰腺炎17例,胃肠穿孔14例,肠套叠6例,超声诊断准确率为97.0%、94.0%、96.9%、90.0%、88.2%、85.7%、83.3%.结论:超声检查对急腹症诊断准确率高,检查迅速,操作方便,可作为急腹症常规检查.

  15. Critique of Sew it Up! A Western Trauma Association Multi-Institutional Study of Enteric Injury Management in the Postinjury Open Abdomen

    Directory of Open Access Journals (Sweden)

    Nuri Abdurraheim

    2013-03-01

    Full Text Available Background: Use of damage control surgery techniques has reduced mortality in critically injured patients but at the cost of the open abdomen. With the option of delayed definitive management of enteric injuries, the question of intestinal repair/anastomosis or definitive stoma creation has been posed with no clear consensus. The purpose of this study was to determine outcomes on the basis of management of enteric injuries in patients relegated to the postinjury open abdomen.Methods: Patients requiring an open abdomen after trauma from January 1, 2002 to December 31, 2007 were reviewed. Type of bowel repair was categorized as immediate repair, immediate anastomosis, delayed anastomosis, stoma and a combination. Logistic regression was used to determine independent effect of risk factors on leak development.Results: During the 6-year study period, 204 patients suffered enteric injuries and were managed with an open abdomen. The majority was men (77% sustaining blunt trauma (66% with a mean age of 37.1 years±1.2 years and median Injury Severity Score of 27 (interquartile range=20-41. Injury patterns included 81 (40% small bowel, 37 (18% colonic, and 86 (42% combined injuries. Enteric injuries were managed with immediate repair (58, immediate anastomosis (15, delayed anastomosis (96, stoma (10, and a combination (22; three patients died before definitive repair. Sixty-one patients suffered intra-abdominal complications: 35 (17% abscesses, 15 (7% leaks, and 11 (5% enterocutaneous fistulas. The majority of patients with leaks had a delayed anastomosis; one patient had a right colon repair. Leak rate increased as one progresses toward the left colon (small bowel anastomoses, 3% leak rate; right colon, 3%; transverse colon, 20%; left colon, 45%. There were no differences in emergency department physiology, injury severity, transfusions, crystalloids, or demographic characteristics between patients with and without leak. Leak cases had higher 12-hour

  16. 腹腔镜在妇科急腹症诊治中的应用%Application of laparoscopy in the diagnosis and treatment of gynecological acute abdomen

    Institute of Scientific and Technical Information of China (English)

    焦薇

    2012-01-01

    目的 探讨腹腔镜手术在妇科急腹症诊治中的应用价值.方法 回顾分析应用腹腔镜诊断和治疗妇科急腹症353例(A组)的临床资料,并与同期开腹手术297例(B组)比较,分析腹腔镜手术应用于妇科急腹症的应用价值.结果 A组353例顺利完成手术,包括异位妊娠286例,黄体破裂29例,巧克力囊肿破裂18例,卵巢囊肿蒂扭转12例,盆腔炎性疾病8例;中转开腹3例,未出现并发症.与B组比较,A组的手术时间短、术中出血量少、术后疼痛程度轻、肠道功能恢复早、住院时间短,无切口感染病例.结论 腹腔镜技术应用于妇科急腹症创伤小,在可明确诊断的同时,又能实施治疗.%Objective To investigate the role of laparoscopy in the diagnosis and treatment of gynecological acute abdomen. Methods Data of 353 patients (group A) with gynecological acute abdomen underwent laparoscopy were analyzed retrospectively. The results were compared to those in 297 patients (group B) with gynecological acute abdomen underwent open surgery. Results The diagnosis and surgery in group A were successfully performed, which included ectopic pregnancy in 286 cases,corpus luteum rupture in 29 cases,chocolate cyst burst in 18 cases,ovarian cyst Wendy turn in 12 cases,and pelvic inflammatory disease in 8 cases. Laparoscopy in group A had to be changed to open surgery in 3 cases. Compared to group B, laparoscopic surgery for gynecological acute abdomen had the advantages of shorter operation time, less blood loss and postoperative pain,early recovery of bowel function, and shorter hospital stay. Conclusion Compared to open operation, laparoscopic surgery for gynecological acute abdomen has minimal injury, and the diagnosis and surgery can be carried out simultaneously.

  17. Lump in the abdomen

    Science.gov (United States)

    ... Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery . 19th ed. Philadelphia, PA: Elsevier ... Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery . 19th ed. Philadelphia, PA: Elsevier ...

  18. Modelo teórico práctico de atención médica al adulto mayor con abdomen agudo quirúrgico

    OpenAIRE

    Rodríguez Pascual, Yazmín

    2011-01-01

    En los 100 últimos años ha transcurrido una revolución silenciosa e inusitada: la de la longevidad. Fenómeno demográfico mundial que provoca un incremento de adultos mayores, eleva la asistencia a los servicios de urgencias hospitalarios de este grupo de edad, aumenta el número de operados de esta afección, aumentan las complicaciones y muertes, es un problema de salud. La investigación tuvo como objetivo un modelo teórico práctico de atención médica al adulto mayor con abdomen ag...

  19. Management of a Septic Open Abdomen Patient with Spontaneous Jejunal Perforation after Emergent C/S with Confounding Factor of Mild Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Fahri Yetisir

    2016-01-01

    Full Text Available Introduction. We report the management of a septic Open Abdomen (OA patient by the help of negative pressure therapy (NPT and abdominal reapproximation anchor (ABRA system in pregnant woman with spontaneous jejunal perforation after emergent cesarean section (C/S with confounding factor of mild acute pancreatitis (AP. Presentation of Case. A 29-year-old and 34-week pregnant woman with AP underwent C/S. She was arrested after anesthesia induction and responded to cardiopulmonary resuscitation (CPR. There were only ash-colored serosanguinous fluid within abdomen during C/S. After C/S, she was transferred to intensive care unit (ICU with vasopressor support. On postoperative 1st day, she underwent reoperation due to fecal fluid coming near the drainage. Leakage point could not be identified exactly and operation had to be deliberately abbreviated due to hemodynamic instability. NPT was applied. Two days later source control was provided by conversion of enteroatmospheric fistula (EAF to jejunostomy. ABRA was added and OA was closed. No hernia developed at 10-month follow-up period. Conclusion. NPT application in septic OA patient may gain time to patient until adequate source control could be achieved. Using ABRA in conjunction with NPT increases the fascial closure rate in infected OA patient.

  20. Abdomen surgery and intestinal bacterial translocation and endogenetic infection%腹部手术与肠道细菌移位和内源性感染

    Institute of Scientific and Technical Information of China (English)

    姜秀菊; 闫阳

    2013-01-01

    Objective The intestine of human body is colonized with a lot of bacteria.Under normal circumstances,intestinal flora and the body maintain an ecological balance.When stimulation and wound of abdomen surgery cause damage to the normal flora and barrier function of the intestine,the number and proportion or the location of various bacteria will be changed,resulting in endogenetic infection and eventually leading to various body dysfunctions.We analysed the affection of abdomen surgeries on intestinal flora and barrier function,in order to provide theoretical evidences for the prevention and treatment of infection.%目的 人体肠道定植着大量的细菌,正常情况下肠道菌群与机体处于动态平衡,腹部外科手术的刺激和创伤可以破坏肠道正常的菌群结构和屏障功能,使细菌的数量、比例发生改变或空间上发生移位,引发内源性感染,最终导致机体各种功能障碍.研究分析腹部外科手术对肠道细菌及屏障功能的影响,为今后预防和治疗提供理论依据.

  1. 彩色多普勒超声在妇科急腹症中应用价值%Application Value of Color Doppler Ultrasound in Gynecological Acute Abdomen

    Institute of Scientific and Technical Information of China (English)

    吴春山; 苏丹萍

    2013-01-01

    Objective:To explore ultrasound diagnosis value in gynecologic acute abdomen. Methods :The application of ultrasonic diagnosis for gynecological acute abdomen in 157 cases were confirmed by clinical operation. Results:color Dopper flow ima ultrasonic accuracy rate was 94%.Conclusion:Color Doppler ultrasonic diagnostic occupies an important position in the gynecological acute abdomen.%  目的:探讨彩色多普勒超声在妇科急腹症的诊断价值,方法:应用超声对157例妇科急腹症进行诊断并经临床治疗或手术证实;结果:彩色多普勒超声诊断正确率为94%。结论:彩色多普勒超声诊断在妇科急腹症中占重要地位。

  2. Application Value of Ultrasound in the Diagnosis of Gynecological Acute Abdomen%探讨超声在妇产科急腹症临床诊断中的应用价值

    Institute of Scientific and Technical Information of China (English)

    孟秋霞; 腾晓亮; 石杨

    2015-01-01

    Objective To explore the abdomen combined transvaginal ultrasound in obstetrics and gynecology application value in clinical diagnosis of acute abdominal pain, aims to improve the diagnosis of gynecological acute abdomen. Methods Using the abdominal combined transvaginal ultrasound in our hospital 132 cases of patients with gynecological acute abdomen ultrasound, record the patient's operation or pathology results, with pathologic results as the"gold standard", compare the dif erences and ultrasound results. Results 132 patients with gynecological acute abdomen in 122 patients were of two kinds of results, accuracy of 92.42%. Conclusion The abdomen combined transvaginal ultrasound can fast accurate diagnosis of gynecological acute abdomen, is worth promoting.%目的:探讨经腹部联合经阴道超声在妇产科急腹症临床诊断中的应用价值,旨在提高妇产科急腹症的诊断率。方法运用腹部联合经阴道超声对我院132例妇产科急腹症患者行超声检查,记录患者的手术或者病理结果,以病理结果为“金标准”,比较其与超声结果的差异。结果本组132例妇产科急腹症患者中122例患者的两种结果相符合,准确率达92.42%。结论经腹部联合经阴道超声能快速准确诊断妇产科急腹症,值得推广。

  3. SU-E-I-29: Care KV: Dose It Influence Radiation Dose in Non-Contrast Examination of CT Abdomen/pelvis?

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, J; Ganesh, H [University of Kentucky, Lexington, KY (United States); Weir, V [Baylor University Medical Center, Plano, TX (United States)

    2015-06-15

    Purpose: CARE kV is a tool that automatically recommends optimal kV setting for individual patient for specific CT examination. The use of CARE kV depends on topogram and the user-selected contrast behavior. CARE kV is expected to reduce radiation dose while improving image quality. However, this may work only for certain groups of patients and/or certain CT examinations. This study is to investigate the effects of CARE kV on radiation dose of non-contrast examination of CT abdomen/pelvis. Methods: Radiation dose (CTDIvol and DLP) from patients who underwent abdomen/pelvis non-contrast examination with and without CARE kV were retrospectively reviewed. All patients were scanned in the same scanner (Siemens Somatom AS64). To mitigate any possible influences due to technologists’ unfamiliarity with the CARE kV, the data with CARE kV were retrieved 1.5 years after the start of CARE kV usage. T-test was used for significant difference in radiation dose. Results: Volume CTDIs and DLPs from 18 patients before and 24 patients after the use of CARE kV were obtained in a duration of one month. There is a slight increase in both average CTDIvol and average DLP with CARE kV compared to those without CARE kV (25.52 mGy vs. 22.65 mGy for CTDIvol; 1265.81 mGy-cm vs. 1199.19 mGy-cm). Statistically there was no significant difference. Without CARE kV, 140 kV was used in 9 of 18 patients, while with CARE KV, 140 kV was used in 15 of 24 patients. 80kV was not used in either group. Conclusion: The use of CARE kV may save time for protocol optimization and minimize variability among technologists. Radiation dose reduction was not observed in non-contrast examinations of CT abdomen/pelvis. This was partially because our CT protocols were tailored according to patient size before CARE kV and partially because of large size patients.

  4. Función del diafragma durante la colocación de cargas sobre el abdomen en sujetos normales Study of diaphragmatic muscle function during abdominal weight in normal subjects

    OpenAIRE

    Sergio G. Monteiro; Fernando A. Pessolano; Adrián A. Suárez; Eduardo L. De Vito

    2012-01-01

    Los efectos de las cargas en el abdomen con el objeto de producir entrenamiento del diafragma, no han sido suficientemente evaluados. Estudiamos la función del diafragma durante la colocación de cargas sobre el abdomen y con cambios en el patrón respiratorio. Se estudiaron 6 voluntarios normales. Se obtuvo flujo en la boca, presión gástrica (Pga), presión esofágica (Pes), movimiento torácico (TX) y abdominal (AB), presión inspiratoria máxima (PImax) y presión transdiafragmática media (Pdi) y ...

  5. Apendicitis epiploica. Causa poco común de abdomen agudo en niños. Presentación de un caso y revisión de la literatura

    OpenAIRE

    2016-01-01

    ANTECEDENTE: la apendicitis epiploica es el infarto hemorrágico de un apéndice epiploico cuando existe torsión u ocurre una trombosis espontánea de su drenaje venoso central. Generalmente su diagnóstico es incidental en estudios radiológicos de abdomen que se realizan por otras causas de dolor abdominal. Clínicamente puede simular un cuadro de abdomen agudo, principalmente quirúrgico en niños. Por ello, es importante conocer esta entidad, ya que su diagnóstico correcto hace innecesaria la hos...

  6. Cloth Structural Design for Different Raised Abdomen Body%不同凸腹体服装的结构设计

    Institute of Scientific and Technical Information of China (English)

    肖柳庆

    2012-01-01

    根据幼儿、中老年凸腹者、孕妇三种凸腹体的生活和体型特征,运用服装腰节线平衡原理,进行服装结构设计,比较不同凸腹体服装结构设计的异同。%According to the living and body characteristics of three typical raised abdomen grounps including baby,pregnant woman and middle-old aged person,it employed body cloth balance principal to design the structure of cloth,and compared the structural difference of the three different kinds of clothes.

  7. Clinical analysis of 749 cases with gynecological acute abdomen%妇科急腹症749例临床分析

    Institute of Scientific and Technical Information of China (English)

    杜洁; 徐英芳

    2013-01-01

    Objective To investigate the diagnosis,differential diagnosis and treatment of gynecological acute abdomen,and provide a basis for treatment.Methods The clinical data of 749 cases with gynecological acute abdomen in our hospital were retrospectively analyzed.Results The diagnostic accuracy was 100% of the preoperative uterine perforation,acute pelvic inflammatory disease,tubal ovarian abscess,ovarian cyst torsion and.ruptured ovarian cysts.19 cases with ovarian corpus luteum rupture were misdiagnosed for ectopic pregnancy,1 case with acute hemorrhagic salpingitis were misdiagnosed for ectopic pregnancy,1 case with IUD of ectopic pregnancy lead to pelvic abscess was misdiagnosed for ovarian cyst torsion secondary infection,the total misdiagnosis patients were 21 cases,and the misdiagnosis rate was 2.8%.217 cases with acute abdomen received the surgical treatment,532 cases were given non-surgical treatment.All patients were cured and discharged by the hospital treatment,the average hospitalization time was (8.2 ± 2.5) d.Conclusion In the diagnosis of gynecological acute abdomen,detailed ask the patients' medical history,symptoms,and comprehensive physical examination and collection of signs are important means.The understanding of acute hemorrhagic fallopian tubes,ovarian corpus luteum rupture and ovarian cyst torsion secondary infection should be further strengthened to reduce misdiagnosis rate.%目的 探讨妇科急腹症的诊断、鉴别诊断以及治疗经验,为临床治疗提供依据.方法 对在某院妇科治疗的749例经诊断为妇科急腹症患者的临床就诊资料进行回顾性分析.结果 术前子宫穿孔、急性盆腔炎、输卵管卵巢脓肿、卵巢囊肿蒂扭转、卵巢囊肿破裂的诊断正确率为100%;其中19例卵巢黄体破裂患者误诊为异位妊娠,1例急性出血性输卵管炎患者均被误诊为异位妊娠患者,1例宫内节育器异位妊娠患者导致盆腔脓肿被误诊为卵巢囊肿

  8. A cross-platform survey of CT image quality and dose from routine abdomen protocols and a method to systematically standardize image quality

    Science.gov (United States)

    Favazza, Christopher P.; Duan, Xinhui; Zhang, Yi; Yu, Lifeng; Leng, Shuai; Kofler, James M.; Bruesewitz, Michael R.; McCollough, Cynthia H.

    2015-11-01

    Through this investigation we developed a methodology to evaluate and standardize CT image quality from routine abdomen protocols across different manufacturers and models. The influence of manufacturer-specific automated exposure control systems on image quality was directly assessed to standardize performance across a range of patient sizes. We evaluated 16 CT scanners across our health system, including Siemens, GE, and Toshiba models. Using each practice’s routine abdomen protocol, we measured spatial resolution, image noise, and scanner radiation output (CTDIvol). Axial and in-plane spatial resolutions were assessed through slice sensitivity profile (SSP) and modulation transfer function (MTF) measurements, respectively. Image noise and CTDIvol values were obtained for three different phantom sizes. SSP measurements demonstrated a bimodal distribution in slice widths: an average of 6.2  ±  0.2 mm using GE’s ‘Plus’ mode reconstruction setting and 5.0  ±  0.1 mm for all other scanners. MTF curves were similar for all scanners. Average spatial frequencies at 50%, 10%, and 2% MTF values were 3.24  ±  0.37, 6.20  ±  0.34, and 7.84  ±  0.70 lp cm-1, respectively. For all phantom sizes, image noise and CTDIvol varied considerably: 6.5-13.3 HU (noise) and 4.8-13.3 mGy (CTDIvol) for the smallest phantom; 9.1-18.4 HU and 9.3-28.8 mGy for the medium phantom; and 7.8-23.4 HU and 16.0-48.1 mGy for the largest phantom. Using these measurements and benchmark SSP, MTF, and image noise targets, CT image quality can be standardized across a range of patient sizes.

  9. Negative predictive value of intravenous contrast-enhanced CT of the abdomen for patients presenting to the emergency department with undifferentiated upper abdominal pain.

    Science.gov (United States)

    Ham, Hyungjoo; McInnes, Matthew D F; Woo, Michael; Lemonde, Sylvie

    2012-01-01

    The purpose of this study is to calculate the negative predictive value (NPV) CT of the abdomen in patients presenting to the emergency department (ED) with undifferentiated upper abdominal pain. Approved by the hospital research ethics board, this retrospective study examined consecutive patients presenting to the ED with undifferentiated upper abdominal pain whose intravenous contrast-enhanced CT of the abdomen was reported as "normal" from June 2006-August 2010. Exclusion criteria included active malignancy, trauma, and known inflammatory bowel disease. True-negative (TN) vs. false-negative (FN) cases were categorized by consensus opinion of radiologist and emergency physician using a composite reference standard including clinical, laboratory, imaging, surgery, pathology, and patient self-reporting via phone questionnaire. The NPV was calculated with confidence intervals of 95%. The TN and FN groups were compared based on gender, age, site of pain, oral contrast use, and laboratory values. One hundred twenty-seven patients were included for analysis. The NPV was 64% (95% CI 55-72). The FN group had a higher proportion of patients with epigastric pain (p = 0.02) and a lower proportion of patients with left upper quadrant pain (p = 0.02). The WBC, lipase, and ALT were all higher in the FN group compared with the TN group. The most commonly missed pathologies were inflammatory conditions of the biliary tract and upper gastrointestinal systems. The NPV of CT for evaluation of undifferentiated upper abdominal pain in the ED was low at 64%. Physicians should consider this limitation and the commonly missed pathology when discharging patients with a "normal" CT report.

  10. 胸腹部局限性Castleman病的CT特征%CT Features of Localized Castleman Disease of the Chest and Abdomen

    Institute of Scientific and Technical Information of China (English)

    王洪洋

    2015-01-01

    Objective To analyze the CT features of thoracic and abdominal localized castleman disease and its clinical signiifcance. Methods Collected 80 patients with thoracoabdominal localized castleman disease, including 32 patients in chest, 48 cases in abdomen. All underwent CT scan, and analyzed by two physicians. Results All the patients underwent CT scanning, three types of CT appeared to have different types, type I in 48 cases, the lesion with clear edge accounted for 5 cases, mild leaf cases accounted for 43 of cases, type II in 25 cases,type III in 7 cases. Conclusion The CT features of localized castleman disease of the chest and abdomen and related pathology are closely linked to learning, CT features can provide a powerful imaging data for the clinical treatment of pretreatment.%目的:分析胸腹部局限性Castleman病的CT特征及临床意义。方法通过收集近年胸腹部局限性Castleman病的患者80例,其中胸部患者占32例、腹部患者占48例。所有患者都经过CT扫描后由两名医师进行分析。结果所有患者分别CT扫描后,CT的三种类型显现均有不同,I型有48例,其中病灶边缘清晰占5例,轻度分叶情况占43例;II型有25例;III型有7例。结论胸腹部局限性Castleman病的CT特征和相关病理学之间有密切联系,CT特征可以为临床治疗的预处理提供有力的影像学资料。

  11. Constitution and clinical characteristic analysis of adult non-traumatic acute abdomen disease%成年人非外伤性急腹症病种构成及临床特点分析

    Institute of Scientific and Technical Information of China (English)

    吴鹏程; 郑焕城; 陆品端

    2013-01-01

    Objective To explore constitution and the clinical features of adult non - traumatic acute abdomen disease, for purpose of providing reference for diagnosis and treatment about acute abdomen. Methods Totally 17 082 cases of a-dult non traumatic acute abdomen patients from June 1, 2011 to May 31, 2012 were collected by a retrospective analysis at emergency department of our hospital. According to the age, 17082 cases were divided into young group, middle age group, the older group, according to subject,the cases were divided into surgery acute abdomen, internal medicine acute abdomen and gynecology acute abdomen, According to the primary site of pain and disease relations respectively,the cases numbers were added up. Results The occurrence probability of young group, middle age group, the older group were 70. 17% , 21. 82% , 8% ; occurrence probability of internal medicine, surgery, gynecology acute abdomen were 72.46% , 22. 15% , 5. 39% ; research shows that every primary position of pain have relative diseases, the misdiagnosed rate of non traumatic acute abdomen was 0. 88% . Conclusions Adult non traumatic acute abdomen diseases are varied, different a-ges, different subjects, different positions of non traumatic acute abdomen in adult have different diseases, Clinicians need to grasp the characteristics of non traumatic acute abdomen in order to reduce the misdiagnosis and mistreatment.%目的 探讨成人非外伤性急腹症的病种构成及临床特点,为急腹症的诊断和治疗提供参考依据,降低误诊、漏诊的发生率,以减少医疗纠纷.方法 回顾性分析2011年6月1日至2012年5月31日17 082例成年人非外伤性急腹症患者的病例资料.按照年龄分为青年组、中年组、老年组;按学科划分为外科急腹症、内科急腹症、妇科急腹症,按初发疼痛部位与原发病对应关系分别统计例数.结果 青年、中年、老年发病分别为69.74%、22.29%、7.96%;内科、外科、妇产

  12. Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 10. Injuries of the Eye, Ear, Nose, Abdomen, Central Nervous System and Genitalia. Burns and Environmental Injuries. Revised.

    Science.gov (United States)

    Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

    This training manual for emergency medical technicians, one of 14 modules that comprise the Emergency Victim Care textbook, covers injuries of the eyes, ears, nose, abdomen, central nervous system (CNS), and genitalia; burns; and environmental injuries. Objectives stated for the two chapters are for the student to be able to describe procedures…

  13. Clinical results of the abdomen physical therapy for the infants with infantile diarrhea%腹部理疗佐治婴幼儿腹泻病疗效观察

    Institute of Scientific and Technical Information of China (English)

    蒋林海; 毛定安

    2012-01-01

    目的:了解腹部理疗佐治腹泻婴幼儿的疗效.方法:对本院儿科2010年9月~2011年10月住院的265例腹泻病人的大便性状、大便常规以及大便次数进行观察,分析腹部理疗对病人大便次数的影响.结果:腹部理疗对大便常规镜检无或有少许白细胞的病人以及大便外观为黄色水样便或蛋花汤样便的病人疗效最好,对大便外观为黄色或黄绿色糊状便的病人以及大便常规镜检白细胞2+~3+的病人疗效次之.结论:腹部理疗为佐治小儿腹泻的良好方法.%To evaluate the curative effect of the abdomen physical therapy for the infants with infantile diarrheaMethods The stool character,stool microscopy and stool number of 265 patients were observerd. The diagnoses were confirmed from September,2010 to October,2011 in The second affiliated hospital of central south university pediatrics.The change of stool number of the patients with the abdomen physical therapy was compared with the patients without the abdomen physical therapy.The results were supported by X examination. Results The abdomen physical therapy is the best for the patients whose stool microscopy no or a little leucocyte. The abdomen physical therapy is better for the patients whose stool look like water or paste.The abdomen physical therapy has no obvious curative effect for the patients whose stool microscopy has leucocyte 2+~3+.ConcIusion The abdomen physical therapy is a good assistant method for the infants with infantile diarrhea.

  14. 从腹论治腰椎间盘突出症的研究进展%Research Progress on Protrusion of the Lumbar Intervertebral Disc Treated from the Perspective of Abdomen

    Institute of Scientific and Technical Information of China (English)

    赵明宇; 黄桂成

    2012-01-01

    目的:总结从腹论治腰椎间盘突出症的研究进展.方法:总结、归纳、分析近年来的相关文献.结果:提出从腹论治腰椎间盘突出症的理论依据,采用腹部针灸和腹部手法治疗腰椎间盘突出症疗效显著.结论:腰椎间盘突出并不等于腰椎间盘突症,腰腿痛的发病原因并非单纯机械性压迫,从腹论治达到机体的前后平衡,对于腰椎间盘突出症的治疗扩展了治疗思路.%Objective;To summarize the research progress on protrusion of the lumbar intervertebral disc treated from the perspective of abdomen. Methods:The relative literature was summarized,concluded and analyzed in recent years. Results;The theoretical basis on the treatment of protrusion of the lumbar intervertebral disc from the perspective of abdomen was proposed. Acupuncture and moxibustion on the abdomen and abdomen technique were adopted and had remarkable curative effects in treating protrusion of the lumbar intervertebral disc. Conclusion;Protrusion of lumbar intervertebral disc is not equal to lumbar intervertebral disc hemiation and the pain in waist and legs is not caused merely by mechanical stress. The achievement of balance between the front and the back of the body from the differentiation and treatment of abdomen has expanded thoughts for the treatment of protrusion of the lumbar intervertebral disc.

  15. Basic idea of diagnosis and differential diagnosis of acute abdomen%浅谈外科急腹症诊断和鉴别诊断的基本思路

    Institute of Scientific and Technical Information of China (English)

    陈百励

    2014-01-01

    目的:深入探究外科急腹症的最优诊断和鉴别诊断方式。方法对2011年2月~2013年2月之间参与的132例外科急腹症患者的诊断和鉴别进行回顾性分析。结果132例外科急腹症通过诊断鉴别后,采取保守治疗84例,手术治疗48例,其中2例患者经保守治疗无效后进行手术治疗,最终痊愈131例,死亡1例。结论实施各种有效的辅助检查手段,对急腹症的临床特点进行分析总结,再加上采用合适的检测方式对于急腹症患者的正确诊断和有效治疗具有重大的临床意义。%Objective To delve into the best way of diagnosis and differential diagnosis of acute abdomen. Methods The differential diagnosis between participating from February 2011 to February 2013 132 Surgical patients with acute abdomen were retrospectively analyzed. Results 132 cases of surgical acute abdomen through the differential diagnosis, conservative treatment in 84 cases, 48 cases of surgical treatment, some patients after conservative treatment for surgical treatment, and ultimately cured 131cases, 1 deaths. Conclusion The implementation of a variety of effective means of laboratory examinations, clinical features of acute abdomen were analyzed and summarized, together with the use of appropriate testing methods for accurate diagnosis and effective treatment of acute abdomen in patients with significant clinical significance.

  16. The types and related conditions analysis of 637 cases of gynecological acute abdomen%妇科急腹症637例类型及相关情况分析

    Institute of Scientific and Technical Information of China (English)

    周雪梅; 吴羽; 廖芸

    2015-01-01

    ObjectiveTo investigate the types and related conditions change of gynecological acute abdomen in nearly 10 years.Methods637 cases of gynecologic acute abdomen during the years of 2004 to 2013 were retrospectively analyzed. ResultsBetween different period group,the age of gynecological acute abdomen patients,the proportion of unmarried women and the ratio of patients with uterine cavity operation history or inflammatory disease history was statistically significant(P0.05).ConclusionThe incidence of gynecologic acute abdomen rate decreases, however,the trend of incidence age of patients gradually gets younger,and the proportion of inflammatory disease leaded acute abdomen is rising year by year.%目的:探讨妇科急腹症的类型及相关情况变化。方法对2004年—2013年期间我院收治的637例妇科急腹症患者的临床资料进行回顾性分析。结果妇科急腹症患者年龄、患者中未婚女性比例以及有宫腔操作史或者炎性疾病史的比例在不同时间段组间比较差异均有统计学意义(P0.05)。结论妇科急腹症的发病率呈下降趋势,但是发病年龄有年轻化趋势,炎性疾病导致的急腹症比例正在逐年上升。

  17. A Case of Acute Budd-Chiari Syndrome Complicating Primary Antiphospholipid Syndrome Presenting as Acute Abdomen and Responding to Tight Anticoagulant Therapy

    Directory of Open Access Journals (Sweden)

    Naofumi Chinen

    2016-01-01

    Full Text Available A 34-year-old woman with primary antiphospholipid syndrome was admitted to the Gastroenterology Department of our hospital with fever, acute abdomen, watery diarrhea, and extremely high levels of inflammatory parameters. She had a history of left lower limb deep vein thrombosis and pulmonary embolism and was taking warfarin potassium. Acute gastroenteritis was suspected and an antibiotic was administered, but symptoms progressed. Abdominal ultrasonography showed occlusion of the left hepatic vein and the middle hepatic vein and her D-dimer level was high. Accordingly, Budd-Chiari syndrome was diagnosed and high-dose intravenous infusion of heparin was initiated. Her abdominal symptoms improved and the levels of inflammatory parameters and D-dimer decreased rapidly. It is known that antiphospholipid syndrome can be complicated by Budd-Chiari syndrome that usually occurs as subacute or chronic onset, but acute onset is rare. It is difficult to diagnose acute Budd-Chiari syndrome complicating antiphospholipid syndrome and this complication generally has a poor outcome. However, the present case can get early diagnosis and successful treatment with tight anticoagulant therapy.

  18. Perfusion measurement of the whole upper abdomen of patients with and without liver diseases: Initial experience with 320-detector row CT

    Energy Technology Data Exchange (ETDEWEB)

    Kanda, Tomonori, E-mail: k_a@hotmail.co.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Yoshikawa, Takeshi, E-mail: yoshikaw@med.kobe-u.ac.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Ohno, Yoshiharu, E-mail: yosirad@kobe-u.ac.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Fujisawa, Yasuko, E-mail: yasuko1.fujisawa@toshiba.co.jp [Toshiba Medical Systems Co., 1385 Shimoishigami, Otawara 324-0036 (Japan); Kanata, Naoki, E-mail: takikina12345@yahoo.co.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Yamaguchi, Masato, E-mail: masato03310402@yahoo.co.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Seo, Yasushi, E-mail: yseo@med.kobe-u.ac.jp [Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate, School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Yano, Yoshihiko, E-mail: yanoyo@med.kobe-u.ac.jp [Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate, School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Koyama, Hisanobu, E-mail: hkoyama@med.kobe-u.ac.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Kitajima, Kazuhiro, E-mail: kazu10041976@yahoo.co.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); Takenaka, Daisuke, E-mail: daisuket@med.kobe-u.ac.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuoku, Kobe 650-0017 (Japan); and others

    2012-10-15

    Objectives: To report initial experience of upper abdominal perfusion measurement with 320-detector row CT (CTP) for assessment of liver diseases and therapeutic effects. Materials and methods: Thirty-eight patients who were suspected of having a liver disease underwent CTP. There were two patients with liver metastases, two with hemangiomas, and four with cirrhosis (disease group). CTP was repeated for four patients with cirrhosis or hepatocellular carcinoma (HCC) after therapy. Hepatic arterial and portal perfusion (HAP and HPP) and arterial perfusion fraction (APF), and arterial perfusion (AP) of pancreas, spleen, stomach, and intra-portal HCC were calculated. For disease-free patients (normal group), the values were compared among liver segments and among pancreatic and gastric parts. The values were compared between groups and before and after therapy. Results: No significant differences were found in the normal group except between APFs for liver segments 3 and 5, and fundus and antrum. Mean HAP and APF for the disease group were significantly higher than for the normal group. APF increased after partial splenic embolization or creation of a transjugular intrahepatic portosystemic shunt. HPP increased and AP of intra-portal HCC decreased after successful radiotherapy. Conclusions: 320-Detector row CT makes it possible to conduct perfusion measurements of the whole upper abdomen. Our preliminary results suggested that estimated perfusion values have the potential to be used for evaluation of hepatic diseases and therapeutic effects.

  19. Tomografia computadorizada sem contraste intravenoso no abdome agudo: quando e por que usar When and why use unenhanced computed tomography in patients with acute abdomen

    Directory of Open Access Journals (Sweden)

    Edison de Oliveira Freire Filho

    2006-02-01

    Full Text Available A tomografia computadorizada sem contraste intravenoso tem sido freqüentemente proposta na avaliação inicial de pacientes com suspeita de abdome agudo, ocupando o espaço de outros métodos diagnósticos. Os autores apresentam uma revisão bibliográfica dos principais aspectos e eficácia da tomografia computadorizada sem contraste intravenoso no diagnóstico de apendicite aguda, cólica nefrética, diverticulite, pancreatite aguda, apendicite epiplóica, pneumoperitônio e obstrução intestinal. Discutem quais as vantagens e limitações desta técnica de exame, bem como seus aspectos práticos.The use of unenhanced computed tomography has been frequently recommended for the initial assessment of patients with clinical suspicion of acute abdomen instead of other diagnostic methods. The authors present a review of the literature on the main aspects, advantages, limitations and efficacy of unenhanced computed tomography for the diagnosis of acute appendicitis, renal colic, diverticulitis, acute pancreatitis, primary epiploic appendicitis, pneumoperitoneum and small bowel obstruction. The advantages and limitations of this technique are also discussed.

  20. Typhoid fever with severe abdominal pain: diagnosis and clinical findings using abdomen ultrasonogram, hematology-cell analysis and the Widal test.

    Science.gov (United States)

    Arjunan, Maripandi; Al-Salamah, Ali A

    2010-10-04

    A six-year-old boy with high-grade fever and abdominal pain in the epigastric region was examined with ultrasonogram of the abdomen. Hematology-cell analysis, serology (Widal test), urine analysis, and blood cultures were also performed. The ultrasonogram was helpful for the identification of multiple organ involvement with Salmonella typhi. The results revealed mild hepatosplenomegaly, minimal ascitis, and mesenteric lympoadenopathy. Hematological analysis showed a white blood count of 6,300 cells mL-1; a red blood cell count of 4.54 million/cu mm. The erythrocyte sedimentation rate (ESR) was 24 mm/1 hr; hemoglobin level of 11.5 g/dl; and a platelet count of 206,000 cells/mL. The patient's serum was agglutinated with lipopolysaccharide (TO), the titre value was 1:320 dilution, and flagellar antigen (TH) titre was 1:640. The patient was diagnosed with typhoid fever. Ceftriaxone was given intravenously for five days and the patient fully recovered.

  1. Computed tomography of the abdomen of calves during the first 105 days of life: II. Liver, spleen, and small and large intestines.

    Science.gov (United States)

    Braun, U; Schnetzler, C; Augsburger, H; Müller, U; Dicht, S; Ohlerth, S

    2014-05-01

    Computed tomography (CT) findings of the liver, spleen and intestines of five healthy calves during six examinations in the first 105 days of life were compared with corresponding cadaver slices. The liver was located in the right hemiabdomen adjacent to the diaphragm and right abdominal wall. The caudal vena cava was seen dorsomedially and the portal vein further ventrally. The umbilical vein was seen running from the navel to the liver in all calves in the first scan and in four calves in the second scan. The spleen ran dorsoventrally adjacent to the costal part of the left abdominal wall and appeared sickle-shaped on transverse images. Differentiation of small and large intestines was only possible when the former contained fluid content and the latter gaseous content. The small intestine was in the left hemiabdomen dorsal to the abomasum and caudodorsal to the rumen at the first two examinations. Growth of the forestomachs caused displacement of the small intestine to the right and toward the ventral abdomen caudal to the liver and adjacent to the right abdominal wall. The large intestine was located caudodorsally, and the typical features of the spiral colon were apparent in the dorsal plane. The location of the caecum varied from dorsal to the spiral colon to adjacent to the right abdominal wall with the apex always pointing caudally. The rectum was easily identified in the pelvic region. The size, volume and density of the described organs throughout the study are shown in several tables.

  2. Functional cine MRI of the abdomen for the assessment of implanted synthetic mesh in patients after incisional hernia repair: initial results

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Tanja [Ludwig-Maximilians-University Munich, Department of Clinical Radiology, Munich (Germany); Ludwig-Maximilians-University Munich, Department of Clinical Radiology, Klinikum Innenstadt, Munich (Germany); Ladurner, Roland; Mussack, Thomas [Ludwig-Maximilians-University Munich, Department of Surgery and Traumatology, Klinikum Innenstadt, Munich (Germany); Gangkofer, Alexander; Reiser, Maximilian; Lienemann, Andreas [Ludwig-Maximilians-University Munich, Department of Clinical Radiology, Munich (Germany)

    2007-12-15

    The aim of our study was to develop a method that allows the vizualiation and evaluation of implanted mesh in patients after incisional hernia repair with MRI. Furthermore, we assessed problems typically related with mesh implantation like adhesions and muscular atrophy. We enrolled 28 patients after incisional hernia repair. In 10 patients mesh implantation was done by laparoscopy (expanded polytetrafluoroethylene=ePTFE mesh) and in 18 by laparotomy (polypropylene mesh). Functional MRI was performed on a 1.5-T system in supine position. Sagittal and axial TrueFISP images of the entire abdomen were acquired with the patient repeatedly straining. Evaluation included: correct position and intact fixation of the mesh, furthermore visceral adhesions, recurrent hernia and atrophy of the rectus muscle. The ePTFE mesh was visible in all cases; the polypropylene mesh was not detectable. In seven of the ten ePTFE meshes the fixation was not intact; two recurrent hernias were detected. Twenty of 28 patients had intraabdominal adhesions. In 5 cases mobility of the abdominal wall was reduced, and 16 patients showed an atropy of the rectus muscle. Functional cine MRI is a suitable method for follow-up studies in patients after hernia repair. ePTFE meshes can be visualized directly, and typical complications like intestinal adhesions and abdominal wall dysmotility can be assessed reliably. (orig.)

  3. The Use of ~(99m)Tc-Scanning in Children with Acute Abdomen%~(99m)锝在小儿急腹症的选择应用

    Institute of Scientific and Technical Information of China (English)

    刘唐彬; 李伟龙; 李穗生; 莫家骢

    1988-01-01

    ~(99m)Tc-scanning is used extensively in the examination of the thyroid gland,salivary glands and stomach. The affinity of this isotope to the parietal cells of the gastric mucosa makes it useful in detecting the ectoic gastric mucosa.~(99m)Te has a half-life period of only six hours and is used in blood pool studies.Seven children with acute abdomen were examined with ~(99m)Tc-scanning,5 of them were positive,Discussed in the article are: (1) the general indication;(2)its use in acute gastrointestinal bleeding;(3)the diagnosis of Meckel's diverticulum and (4)the screening study of recurrent vomiting and abdominal pain.%文章利用~(99m)锝半衰期短,主要经胃粘膜壁细胞排泄,及可作为血池显像剂特点,对7例急腹症小儿进行筛选检查,核素诊断阳性者5例.指出~(99m)锝腹部扫描,不仅有助于美克耳氏憩室出血的诊断,也可作为鉴别消化道出血的一个方法,对反复腹痛、呕吐患儿的病因筛选检查研究具有一定的临床价值.

  4. Realtime or Delayed Tele-Echography Using (A) a Robotic Arm, ISDN or Satellite Lines, (B) a Volumic Echographic Capture Mode and Internet (Application to Abdomen and Fetus)

    Science.gov (United States)

    Arbeille, Ph.; Cloppet, F.; Boucher, A.; Capri, A.; Vincent, N.

    2008-06-01

    Objective: to test (a) the tele-echography in realtime based on the use of a robotic arm, (b) the delayed tele echography using a volumic echographic capture and delayed processing. Method: A dedicated robotic arm (ESTELE) holding a real ultrasound probe is remotely controlled from the expert site with a fictive probe, and reproduces on the real probe all the movements of the expert hand. A dedicated motorized probe holder (TILTER) was used for tilting a 2D probe from -45 to +45°. Results: During fetal robotized Tele-echography (n=50) the expert was able to visualize and measure the fetal structures in 95% of the cases, while during abdomen echography (n=87) the expert visualized the main organs and lesions in 87% of the cases. The mean duration of the robotized tele echography session for one patient was 20+/-10 min. The delayed echography using the TILTER was tested on 40 patients. The organs were adequately visualized in 85% of the cases after 3 capture per organ. The average time from the first capture until the diagnostic was delivered was 40+/-10 minutes. Conclusion: Realtime or delayed Tele-echography provide similar information as direct examination in at least 85% of the cases. No false diagnostic was reported.

  5. Analysis on theory of treatment from abdomen for athletic injury%运动损伤病症从腹部论治的理论探析

    Institute of Scientific and Technical Information of China (English)

    刘晓亭; 董宝强; 张文静; 王树东

    2013-01-01

    从中医学和现代运动解剖学两方面对循行于腹部的经络及与腹部相关的功能解剖、生物力学进行研究,探讨运动损伤与腹部经络、脏腑、气血及现代解剖生理、病理之间的关系,为运动损伤病症从腹部论治提供理论依据,从而为运动损伤病症的治疗开辟新的思路.%The purpose of this thesis is to work over the abdominal meridian,functional anatomy and biological force line in term of traditional Chinese medicine theory and modern sport anatomy,to discuss the relations of athletic injury with abdominal meridian,Zang-Fu,Qi and blood,and with modern anatomical physiology and pathology.In this way,it provides basis for treating athletic injury from abdomen,thus develops new ways for athletic injury treatment.

  6. Application of Optical Measurement Techniques During Stages of Pregnancy: Use of Phantom High Speed Cameras for Digital Image Correlation (D.I.C.) During Baby Kicking and Abdomen Movements

    Science.gov (United States)

    Gradl, Paul

    2016-01-01

    Paired images were collected using a projected pattern instead of standard painting of the speckle pattern on her abdomen. High Speed cameras were post triggered after movements felt. Data was collected at 120 fps -limited due to 60hz frequency of projector. To ensure that kicks and movement data was real a background test was conducted with no baby movement (to correct for breathing and body motion).

  7. Applied value of open abdomen technique in gastrointestinal surgery%腹腔开放技术在胃肠外科中应用的价值分析

    Institute of Scientific and Technical Information of China (English)

    李晓辉; 吴彪; 瞿紫微; 叶芳; 肖新波

    2011-01-01

    Objective To investigate the applied value of open abdomen technique in gastrointes-tinal surgery. Methods Six patients who received open abdomen therapy from 2006 to 2010 were analyzed retrospectively. Results In all 6 patients, early open abdomen technique was applied to control the ab-dominal infection, and the abdominal cavity was temporarily closed to protect the wound surface and later finally closed in secondary operation. All the patients recovered well without intestinal fistula, incisional hernia or abdominal abscess. Conclusion Open abdomen technique is safe, effective and convenient for patients with severe abdominal infection,severe abdominal trauma and intestinal fistula in gastrointestinal surgery.%目的 分析腹腔开放技术在胃肠外科中的应用价值.方法 回顾性分析2006年至2010年我院6例采用腹腔开放技术患者的临床资料.结果 6例患者均采用早期腹腔开放技术控制腹腔感染,暂时关腹保护创面,二期行确定性手术关闭腹腔,均恢复良好,无继发肠瘘、切口疝、腹腔脓肿的发生.结论 腹腔开放技术对于胃肠外科严重腹腔感染、严重创伤及肠瘘的治疗是安全可靠、方便应用的.

  8. Malignant schwannoma of the abdomen; Malignes Schwannom des Abdomens

    Energy Technology Data Exchange (ETDEWEB)

    Kraemer, S.C. [Abt. fuer Diagnostische Radiologie, Universitaetsklinikum Ulm (Germany); Kolokythas, O. [Abt. fuer Pathologie, Universitaetsklinikum Ulm (Germany); Aschoff, A.J. [Abt. fuer Diagnostische Radiologie, Universitaetsklinikum Ulm (Germany); Merkle, E. [Abt. fuer Diagnostische Radiologie, Universitaetsklinikum Ulm (Germany)

    1996-05-01

    A 63 year-old female patient presented herself because of abdominal distension, without being able to report specific complaints. Clinical examination found a well palpable, elastic and engorged abdominal tumour approximately of the size of a football. Conventional imaging of the small intestine according to Sellink with subsequent delayed film revealed in the first instance a displacement of intestinal loops and of the colon frame, with no signs of an onstruction. A similar diagnosis resulted from intraarterial angiography of the abdominal vessels, showing a displacement of the truncus coeliacus, and the A. mesenterica superior. There were no signs of vascular occlusions or pathologic tumour vessels. Surgery revealed a tumour of about 10 kg, with pathologic vascular connection and a broad area of contact to neighbouring intestinal loops. Control CT performed one year after surgery revealed newly developed, multiple, nodular formations, their structure and contrast signs being similar to those of the primary tumour. (orig./VHE) [Deutsch] Eine 63jaehrige Patientin stellte sich mit einer Zunahme des Bauchumfanges vor. Ausgepraegte Beschwerden waren nicht zu erfragen. Klinisch fiel ein gut palpabler, prall elastischer, etwa fussballgrosser Abdominaltumor auf. Die konventionelle Duenndarmdarstellung nach Sellink mit nachfolgenden Spaetaufnahmen zeigte in erster Linie eine Verlagerung der Darmschlingen und des Kolonrahmens ohne Nachweis einer Obstruktion. Einen aehnlichen Befund ergab die intraarterielle Angiographie der Bauchgefaesse mit einer Verlagerung des Truncus coeliacus und der A. mesenterica superior. Gefaessverschluesse oder pathologische Tumorgefaesse kamen jedoch nicht zur Darstellung. Intraoperativ wurde ein ca. 10 kg schwerer Tumor mit pathologischer Gefaessverbindung und breitem Kontakt zu benachbarten Darmschlingen gefunden. In der ein Jahr nach der Operation durchgefuehrten Kontrollcomputertomographie fanden sich erneut multiple nodulaere Formationen, welche in Struktur und Kontrastmittelverhalten dem Primaertumor glichen. (orig./VHE)

  9. 80岁以上患者外科急腹症的诊治特点%Characteristics in elderly patients over 80 years old with acute abdomen

    Institute of Scientific and Technical Information of China (English)

    郑亚民; 曹锋; 刘强; 刘东斌; 王悦华; 刘家峰; 李非

    2011-01-01

    目的 分析≥80岁外科急腹症住院患者的诊治特点.方法 将2002年1月1日至2009年12月31日外科急腹症入院治疗的5426例患者按年龄分为≥80岁组和<80岁组.观察≥80岁急腹症患者人数、所占比例、病种分布、伴发疾病等特点;统计分析手术比率、治疗效果、病死率、住院时间和住院花费.结果我院8年来纳入患者5426例,≥80岁患者420例,数量和所占百分比总体呈逐年增加趋势.患者从症状发作到就诊时间差2 h至21 d不等.常伴发多种疾病,以呼吸和心血管系统疾病居多.≥80岁组与<80岁组比较,急诊手术率下降(48.09% 比 64.19%,P<0.01),病死率增加(3.33% 比 1.38%,P<0.01),住院时间延长[(16.76±11.49)d 比 (14.50±16.08)d,P<0.01)],人均住院花费增加[(23 733.11±30 571.75)元比(18 530.83±29 637.46)元,P<0.01)].结论 根据≥80岁患者的发病特点制定个体化诊治方案;在制定卫生经济学政策和医疗保险制度时,注意考虑年龄对住院患者病死率、住院时间和治疗费用的影响.%Objective To evaluate the characteristics of diagnosis and treatment in elderly patients over 80 years old with acute abdomen. Methods 5426 elderly patients with acute abdomen were enrolled from January 1,2002 to December 31, 2009 in our hospital and were divided into two groups according age: one group with patients ≥ 80 years old(420 cases) and another group < 80 years old( 5006 cases). Data were analyzed include operability rate, mortality, lenght of stay and admission fee. Results More and more aged patients were treated in hospital. They went to hospital in from 2 h to 21 d after unfitness. They often have several complications including respiratory, cardiovascular system diseases. Compared with < 80 group, operability rate was lower (48.09% vs 64. 19%, P < 0. 01 ), mortality was higher ( 3.33% vs 1.38% ,P <0. 01 ) ,mean hospital length of stay was longer ( 16.76 ± 11.49 d vs 14. 50

  10. 182例急腹症的误诊原因分析与对策%Analysis of the Misdiagnose on 182 Cases Acute Abdomen and the Countermeasures

    Institute of Scientific and Technical Information of China (English)

    张国锦

    2016-01-01

    Objective In order to take preventive measures promptly against acute abdomen misdiagnose, the reasons of that on clinical cases were analyzed.Methods Retrospective analysis of the 182 cases of acute abdomen misdiagnosed by each hospitals in Xiangcheng and some of its’ township health hospitals, which happened during the years 2006-2012.Results 56 cases of them were appendicitis misdiagnosed, 27 cases were gastrointestinal perforation misdiagnosed, 14 cases were cholecystitis misdiagnosed, 6 cases were obstructive suppurative cholangitis misdiagnosed, 8 cases were liver abscess misdiagnosed, 3 cases were diaphragmatocele misdiagnosed, 4 cases were meckel diverticulitis misdiagnosed, 7 cases were torsion of the pedicle of ovarian cyst misdiagnosed, 29 cases were ectopic pregnancy misdiagnosed, 6 cases were pancreatitis misdiagnosed, 2 cases were colon cancer misdiagnosed, 12 cases were intestinal obstruction misdiagnosed, and 8 cases were Primary peritonitis misdiagnosed.Conclusion The misdiagnoses were caused by the accurate medical history collection, uncareful physical examination, believing too much in medical examination, being unfamiliar with the basic knowledge, the imperfect medical hardware facilities, the junior doctors lacking in experience, the incomprehensive analysis of patients’s condition is, and the specialist narrowing in knowledge.%目的:对临床工作中急腹症误诊的原因进行分析,及时采取防治措施,尽量减少误诊的发生。方法回顾性分析项城市级各医院及部分乡镇卫生院2006年~2012年发生的182例急腹症误诊的原因。结果阑尾炎误诊56例,消化道穿孔误诊27例,胆囊炎误诊14例,急性梗阻化脓性胆管炎误诊6例,肝脓肿误诊8例,膈疝误诊3例,麦克尔憩室炎误诊4例,卵巢囊肿蒂扭转误诊7例,异位妊娠误诊29例,胰腺炎误诊6例,结肠癌误诊2例,肠梗阻误诊12例,原发性腹膜炎误诊8例。结论病史采集不

  11. Abdome agudo perfurativo por corpo estranho em paciente com situs inversus totalis Perfurative acute abdomen due to foreign body in patient with situs inversus totalis

    Directory of Open Access Journals (Sweden)

    André Vitorio Câmara Oliveira

    2008-12-01

    dyspnea, dehydration (++/4++, blood pressure= 70X40mmHg, anicteric, tense abdomen, diffusely painful, distended and hypertympanic, hydroaerial sounds absent. The thorax X-ray evidenced cardiac dextroversion, pneumoperitoneum bilaterally with gastric bubble on the right. Due to the general serious condition and confirmed diagnosis of acute abdomen perforation, a hydroelectrolytic vein replacement was held and the patient was submitted to an exploratory celiotomy, observing fecaloid diffuse peritonitis and perforation of sigmoid colon for foreign body taken away followed by mechanical cleaning, washing peritoneal cavity, Hartmann retossigmoidectomy, and bilateral drainage. CONCLUSION: Although a rare entity, the diagnosis of situs inversus totalis must be suspected in a physical examination and confirmed through image examinations, since the anatomic variations can disrupt the performance of clinical surgery.

  12. The Effectiveness of four Motor Games for the Abdominal Conditioning Eficacia de cuatro juegos motores para el acondicionamiento de los músculos del abdomen

    Directory of Open Access Journals (Sweden)

    B. Flores

    2010-09-01

    Full Text Available

    The purpose of this study was to determine the effectiveness of four traditional motor games (“the tunnel”, “the chicken battle”, “the drunk” and “the wheelbarrow race” for strengthening the abdominal muscles. Electromyography (EMG was collected from rectus abdominis (RA, external oblique (EO, and internal oblique (IO from twelve healthy volunteers during the performance of the games and the trunk curl-up exercise. The EMG amplitude was averaged and normalized using maximal voluntary isometric contractions. A two-way ANOVA (muscle / task was used to compare the level of contraction activity and the way the abdominal muscles co-activated during the different tasks. For EO and IO, the EMG amplitudes during the games were equal or greater than the EMG amplitudes of the curl up. The wheelbarrow race produced the highest intensity of contraction for all muscles. The curl up principally activated RA and IO. On the other hand, the games activated the oblique muscles with higher intensity than RA. On the basis of these results, the motor games are effective for abdominal conditioning.
    KEY WORDS: motor games, exercises, training, abdominal muscles, electromyography.

     

    El objetivo de este estudio fue determinar la eficacia de cuatro juegos motores (“el túnel”, “la pelea de gallinas”, “el tentetieso” y “la carretilla” para el fortalecimiento de los músculos del abdomen. Para ello, se registró la electromiografía de los músculos rectus (RA, obliquus externus (OE y obliquus internus abdominis (OI de 12 voluntarios sanos durante la ejecución de los juegos y del ejercicio de encorvamiento del tronco. La amplitud electromiográfica fue promediada y normalizada respecto a la contracción voluntaria isométrica máxima. Posteriormente, se realizó un ANOVA de dos factores (músculo / tarea para comparar la intensidad de la activación muscular y

  13. UNC79 and UNC80, putative auxiliary subunits of the NARROW ABDOMEN ion channel, are indispensable for robust circadian locomotor rhythms in Drosophila.

    Directory of Open Access Journals (Sweden)

    Bridget C Lear

    Full Text Available In the fruit fly Drosophila melanogaster, a network of circadian pacemaker neurons drives daily rhythms in rest and activity. The ion channel NARROW ABDOMEN (NA, orthologous to the mammalian sodium leak channel NALCN, functions downstream of the molecular circadian clock in pacemaker neurons to promote behavioral rhythmicity. To better understand the function and regulation of the NA channel, we have characterized two putative auxiliary channel subunits in Drosophila, unc79 (aka dunc79 and unc80 (aka CG18437. We have generated novel unc79 and unc80 mutations that represent strong or complete loss-of-function alleles. These mutants display severe defects in circadian locomotor rhythmicity that are indistinguishable from na mutant phenotypes. Tissue-specific RNA interference and rescue analyses indicate that UNC79 and UNC80 likely function within pacemaker neurons, with similar anatomical requirements to NA. We observe an interdependent, post-transcriptional regulatory relationship among the three gene products, as loss of na, unc79, or unc80 gene function leads to decreased expression of all three proteins, with minimal effect on transcript levels. Yet despite this relationship, we find that the requirement for unc79 and unc80 in circadian rhythmicity cannot be bypassed by increasing NA protein expression, nor can these putative auxiliary subunits substitute for each other. These data indicate functional requirements for UNC79 and UNC80 beyond promoting channel subunit expression. Immunoprecipitation experiments also confirm that UNC79 and UNC80 form a complex with NA in the Drosophila brain. Taken together, these data suggest that Drosophila NA, UNC79, and UNC80 function together in circadian clock neurons to promote rhythmic behavior.

  14. Gadoxetate-enhanced versus diffusion-weighted MRI for fused Ga-68-DOTANOC PET/MRI in patients with neuroendocrine tumours of the upper abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Mayerhoefer, Marius E. [Medical University of Vienna, Department of Radiology, Vienna (Austria); Medical University of Vienna/Vienna General Hospital, PET/CT Center, Departments of Radiology and Nuclear Medicine, Vienna (Austria); Ba-Ssalamah, Ahmed; Weber, Michael; Trattnig, Siegfried; Herneth, Andreas [Medical University of Vienna, Department of Radiology, Vienna (Austria); Mitterhauser, Markus; Eidherr, Harald; Wadsak, Wolfgang [Medical University of Vienna, Department of Nuclear Medicine, Radiochemistry and Biomarker Development Unit, Vienna (Austria); Raderer, Markus [Medical University of Vienna, Department of Internal Medicine I, Division of Oncology, Vienna (Austria); Karanikas, Georgios [Medical University of Vienna, Department of Nuclear Medicine, Vienna (Austria)

    2013-07-15

    To compare fused gadoxetate-enhanced Ga-68-DOTANOC PET/MRI and Ga-68-DOTANOC PET/DWI (diffusion-weighted imaging) for the assessment of abdominal neuroendocrine tumours (NETs). Eighteen patients with suspected or histologically proven NETs of the abdomen were enrolled in this retrospective study. All patients underwent Ga-68-DOTANOC PET/CT for a primary search, staging, or restaging, and received an additional MRI, including dynamic gadoxetate-enhanced T1-weighted sequences and DWI (b-values 50, 300 and 600). Co-registered gadoxetate-enhanced PET/MRI and PET/DWI were separately analysed for NET lesions by a nuclear medicine physician and a radiologist in consensus. Sensitivity and specificity were calculated on a per-region, per-organ and per-patient basis. Eighty-seven out of 684 anatomical regions, and 23 out of 270 organs, were NET-positive in 14 out of 18 patients. Region-based sensitivities and specificities were 97.7 % and 99.7 % for gadoxetate-enhanced PET/MRI and 98.9 % and 99.7 % for PET/DWI. Organ-based sensitivities and specificities were 91.3 % and 99.6 % for gadoxetate-enhanced PET/MRI and 95.7 % and 99.6 % for PET/DWI. Finally, patient-based sensitivities and specificities were 100 % and 100 % for gadoxetate-enhanced PET/MRI and 100 % and 75 % for PET/DWI. Sensitivities and specificities of the two methods did not differ significantly. Gadoxetate-enhanced Ga-68-DOTANOC PET/MRI and Ga-68-DOTANOC PET/DWI are equally useful for the assessment of abdominal NETs. (orig.)

  15. Comparison of visual biofeedback system with a guiding waveform and abdomen-chest motion self-control system for respiratory motion management.

    Science.gov (United States)

    Nakajima, Yujiro; Kadoya, Noriyuki; Kanai, Takayuki; Ito, Kengo; Sato, Kiyokazu; Dobashi, Suguru; Yamamoto, Takaya; Ishikawa, Yojiro; Matsushita, Haruo; Takeda, Ken; Jingu, Keiichi

    2016-07-01

    Irregular breathing can influence the outcome of 4D computed tomography imaging and cause artifacts. Visual biofeedback systems associated with a patient-specific guiding waveform are known to reduce respiratory irregularities. In Japan, abdomen and chest motion self-control devices (Abches) (representing simpler visual coaching techniques without a guiding waveform) are used instead; however, no studies have compared these two systems to date. Here, we evaluate the effectiveness of respiratory coaching in reducing respiratory irregularities by comparing two respiratory management systems. We collected data from 11 healthy volunteers. Bar and wave models were used as visual biofeedback systems. Abches consisted of a respiratory indicator indicating the end of each expiration and inspiration motion. Respiratory variations were quantified as root mean squared error (RMSE) of displacement and period of breathing cycles. All coaching techniques improved respiratory variation, compared with free-breathing. Displacement RMSEs were 1.43 ± 0.84, 1.22 ± 1.13, 1.21 ± 0.86 and 0.98 ± 0.47 mm for free-breathing, Abches, bar model and wave model, respectively. Period RMSEs were 0.48 ± 0.42, 0.33 ± 0.31, 0.23 ± 0.18 and 0.17 ± 0.05 s for free-breathing, Abches, bar model and wave model, respectively. The average reduction in displacement and period RMSE compared with the wave model were 27% and 47%, respectively. For variation in both displacement and period, wave model was superior to the other techniques. Our results showed that visual biofeedback combined with a wave model could potentially provide clinical benefits in respiratory management, although all techniques were able to reduce respiratory irregularities.

  16. 不同腹围多层螺旋 CT 低剂量对比剂胸腹部动脉造影的优化%Optimization of MSCT low contrast media volume thorax and abdomen artery radiography by different ab-domen circumference

    Institute of Scientific and Technical Information of China (English)

    范毓坤; 张惠英

    2016-01-01

    Objective To research the image quality and eligible dose of 256 MSCT low contrast medium volume thorax and abdomen artery radiography by different abdomen circumference.Methods Some patients checking thorax and abdomen artery,height between 173 ~ 178cm,with similar weight,according to abdomen circumference,to choose 25 persons into control group(<90cm);choose 75 persons into big abdomen circumference group(≥90cm),which were randomly selected into A/B/C groups.And each group has 25 persons.Proper order inject 40mL,40mL,50mL,60mL contrast medi-um,and then inject 50ml isotonic Na chloride.Measure items:the computerized tomographynumber (CTN)of aortic arch,8th thoracal spine level,2rd lumbar spine level and the last artery length of arte-ria ileocolica.Two doctors to evaluate these imagings and do statistical analysis.Results The integrity and contrast of partly vessels in A group were not good enough and the difference was certain statisti-cally significant (P <0.05).Other groups and control group had no considerable differences.Result of measures including 16 items data,CTN of control group:aortic arch:(350.35±5.87)Hu,T8:(294.98± 4.51)Hu,L2 :(342.11±5.46)Hu;A group:aortic arch:(324.69±4.02)Hu,T8:(278.13±3.25)Hu,L2:(304.53±5.52)Hu;B group:aorticarch:(327.27±5.05)Hu,T8 :(285.48±4.24)Hu,L2:(313.76±7.16) Hu;Cgroup:aortic arch:(326.01±3.44)Hu;T8 :(288.98±6.63)Hu;L2 :(318.39±8.31)Hu,and so on. CTN of aortic arch,8th thoracal spine level,2rd lumbar spine level between A group and control group had certain statistically significant(P <0.05).The difference of CTN between A group and B group had certain statistically significant(P <0.05).The difference of CTN between A group and B group had no statistically significant.The difference of length in last artery between B group and C group had cer-tain statistically significant(P <0.05).Conclusion For big abdomen circumference patients,applying personalized contrast medium volume can provide good image quality of

  17. Clinical value of laparoscopy in the diagnosis and treatment of gynecological acute abdomen%腹腔镜对妇科急腹症的诊疗价值

    Institute of Scientific and Technical Information of China (English)

    覃睿

    2015-01-01

    Objective To investigate the clinical value of laparoscopy in the diagnosis and treatment of gynecological acute abdomen.Methods Data of 152 cases with acute abdomen in Guangxi Zhuang Autonomous Region National Hospital during March 2011 to March 2013 were retrospectively analyzed .76 cases with laparoscopic surgery were selected into observe group , 76 cases under laparotomy operation were selected into control group .The success rate of surgery patients , surgical index , and surgical complications and postoperative pain VAS pain scores recorded recovery time , simultaneously with traditional open surgery were analyzed .Results Surgical success rate of two groups were 100%, the amount of bleeding (37.6 ±9.7) mL, operative time (53.8 ±6.2) min, anus exhaust time ( 22.3 ±3.5 ) h, hospitalization time ( 7.5 ±2.6 ) d, 4 hours postoperative VAS pain score 2.2 ±2.3, 24 hours postoperative VAS pain score 4.8 ±4.5, postoperative pain recovery time (5.7 ±2.3) h of study group were less than that of control group [(81.7 ±8.4)mL、(74.9 ±8.1)min、(32.2 ±5.7)h、(12.9 ±3.7)d、(6.9 ±4.9) score、(7.3 ±5.7) score、(12.6 ±4.9) h ] ( all P<0.05 ) .Conclusion Laparoscopy is safe and effective in treatment of gynecological acute abdomen with a high clinical application value .%目的:探讨腹腔镜对妇科急腹症的诊疗价值。方法回顾性分析广西壮族自治区民族医院妇产科2011年3月至2013年3月收治的152例妇科急腹症患者的临床资料,76例经腹腔镜手术治疗患者为观察组,76例经普通开腹手术治疗患者为对照组,比较两组患者手术成功率、手术指标、术后并发症及术后疼痛视觉模拟评分法( visual analog scale , VAS)评分和术后疼痛恢复时间。结果两组患者手术成功率均为100%,观察组患者术中出血量(37.6±9.7)mL、手术时间(53.8±6.2)min、肛门排气时间(22.3±3.5)h、住院天数(7.5±2.6) d、术后4 h VAS

  18. Unusual Cancers of the Abdomen

    Science.gov (United States)

    ... tumors in the adrenal glands , gastrointestinal tract , fibrous tissue , and fat cells. The tumors make extra hormones and cause certain signs or symptoms of disease. The signs and symptoms depend on the type of hormone made by the tumor. The most ...

  19. MO-E-17A-06: Organ Dose in Abdomen-Pelvis CT: Does TG 111 Equilibrium Dose Concept Better Accounts for KVp Dependence Than Conventional CTDI?

    Energy Technology Data Exchange (ETDEWEB)

    Li, X [Cleveland State University, Cleveland, OH (United States); Morgan, A; Davros, W [Cleveland State University, Cleveland, OH (United States); Cleveland Clinic, Cleveland, Ohio (United States); Dong, F [Cleveland Clinic, Cleveland, Ohio (United States); Primak, A [Siemens Medical Solutions USA, Inc. (United States); Segars, W [Duke University, Durham, NC (United States)

    2014-06-15

    Purpose: In CT imaging, a desirable quality assurance (QA) dose quantity should account for the dose variability across scan parameters and scanner models. Recently, AAPM TG 111 proposed to use equilibrium dose-pitch product, in place of CT dose index (CTDI100), for scan modes involving table translation. The purpose of this work is to investigate whether this new concept better accounts for the kVp dependence of organ dose than the conventional CTDI concept. Methods: The adult reference female extended cardiac-torso (XCAT) phantom was used for this study. A Monte Carlo program developed and validated for a 128-slice CT system (Definition Flash, Siemens Healthcare) was used to simulate organ dose for abdomenpelvis scans at five tube voltages (70, 80, 100, 120, 140 kVp) with a pitch of 0.8 and a detector configuration of 2x64x0.6 mm. The same Monte Carlo program was used to simulate CTDI100 and equilibrium dose-pitch product. For both metrics, the central and peripheral values were used together with helical pitch to calculate a volume-weighted average, i.e., CTDIvol and (Deq)vol, respectively. Results: While other scan parameters were kept constant, organ dose depended strongly on kVp; the coefficient of variation (COV) across the five kVp values ranged between 70–75% for liver, spleen, stomach, pancreas, kidneys, colon, small intestine, bladder, and ovaries, all of which were inside the primary radiation beam. One-way analysis of variance (ANOVA) for the effect of kVp was highly significant (p=3e−30). When organ dose was normalized by CTDIvol, the COV across the five kVp values reduced to 7–16%. The effect of kVp was still highly significant (p=4e−4). When organ dose was normalized by (Deq)vol, the COV further reduced to 4−12%. The effect of kVp was borderline significant (p=0.04). Conclusion: In abdomen-pelvis CT, TG 111 equilibrium dose concept better accounts for kVp dependence than the conventional CTDI. This work is supported by a faculty startup

  20. Detection of metastases in breast cancer patients. Comparison of FDG PET with chest X-ray, bone scintigraphy and ultrasound of the abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Dose-Schwarz, J.; Mahner, S.; Schirrmacher, S.; Mueller, V. [Klinik und Poliklinik fuer Gynaekologie, Universitaetsklinikum Hamburg-Eppendorf (Germany); Jenicke, L.; Brenner, W. [Klinik fuer Nuklearmedizin, Universitaetsklinikum Hamburg-Eppendorf (Germany); Habermann, C.R. [Klinik fuer Diagnostische und Interventionelle Radiologie, Universitaetsklinikum Hamburg-Eppendorf (Germany)

    2008-07-01

    Distant metastases at primary diagnosis are a prognostic key factor in breast cancer patients and play a central role in therapeutic decisions. To detect them, chest X-ray, abdominal ultrasound, and bone scintigraphy are performed as standard of care in Germany and many centers worldwide. Although FDG PET detects metastatic disease with high accuracy, its diagnostic value in breast cancer still needs to be defined. The aim of this study was to compare the diagnostic performance of FDG PET with conventional imaging. Patients, methods: a retrospective analysis of 119 breast cancer patients who presented for staging was performed. Whole-body FDG-PET (n = 119) was compared with chest X-ray (n = 106) and bone scintigraphy (n = 95). Each imaging modality was independently assessed and classified for metastasis (negative, equivocal and positive). The results of abdominal ultrasound (n = 100) were classified as negative and positive according to written reports. Imaging results were compared with clinical follow-up including follow-up imaging procedures and histopathology. Results: FDG-PET detected distant metastases with a sensitivity of 87.3% and a specificity of 83.3%. In contrast, the sensitivity and specificity of combined conventional imaging procedures was 43.1% and 98.5%, respectively. Regarding so-called equivocal and positive results as positive, the sensitivity and specificity of FDG-PET was 93.1% and 76.6%, respectively, compared to 61.2% and 86.6% for conventional imaging. Regarding different locations of metastases the sensitivity of FDG PET was superior in the detection of pulmonary metastases and lymph node metastases of the mediastinum in comparison to chest X-ray, whereas the sensitivity of FDG PET in the detection of bone and liver metastases was comparable with bone scintigraphy and ultrasound of the abdomen. Conclusions: FDG-PET is more sensitive than conventional imaging procedures for detection of distant breast cancer metastases and should be

  1. Intraperitoneal chemotherapy hyperthermia (HIPEC) for peritoneal carcinomatosis of ovarian cancer origin by fluid and CO2 recirculation using the closed abdomen technique (PRS-1.0 Combat): A clinical pilot study.

    Science.gov (United States)

    Sánchez-García, Susana; Villarejo-Campos, Pedro; Padilla-Valverde, David; Amo-Salas, Mariano; Martín-Fernández, Jesús

    2016-08-01

    Background This paper reports a study of 21 patients with peritoneal carcinomatosis from ovarian cancer who underwent cytoreductive surgery and HIPEC by means of PRS-1.0 Combat®, a new model for closed abdomen HIPEC aimed at improving fluid distribution with assistance from a CO2 recirculation system. This new technology has been previously shown to be successful in an experimental study (pig model) performed by our group, and has been approved for use in our hospital. Methods Twenty-one patients with peritoneal carcinomatosis of ovarian cancer origin were included in the study. Cytoreductive surgery and HIPEC were performed by a closed abdomen fluid and CO2 recirculation technique using the PRS-1.0 Combat(®) model. We analysed the intraoperative safety tolerance and post-operative morbidity and mortality during the first 30 days. Results Between November 2011 and March 2014 21 patients with epithelial ovarian cancer, International Federation of Gynecology and Obstetrics stage II-IV, were included in the study. During the procedure there were no significant haemodynamic or analytical disturbances. Complication rates were 38.1% and 57.14% for grade III/IV and minor (grade I/II) complications, respectively. Post-operative mortality was 4.76% (one patient). Complete cytoreductive surgery and intraperitoneal chemotherapy improved overall survival and disease-free survival in women with advanced ovarian cancer. The association of intra-abdominal hyperthermia with chemotherapy (HIPEC) increased the therapeutic benefit. Conclusions This study has shown that closed abdomen intraperitoneal chemohyperthermia by a fluid and CO2 recirculation system (PRS-1.0 Combat(®)) can be a safe and feasible model for the treatment of peritoneal carcinomatosis of ovarian cancer origin.

  2. Efficacy Observation on Loose Vibrating Abdomen Combined with Chatting for Female Menopause Insomnia%松振腹法配合语聊治疗女性更年期失眠疗效观察

    Institute of Scientific and Technical Information of China (English)

    王德瑜; 詹育和; 李迎红; 李敏; 黄宇辉; 雷伟; 袁盛华

    2014-01-01

    Objective:To observe the efficacy of loose vibrating abdomen combined with chatting for female menopause insomnia. Methods:60 cases patients with menopausal insomnia were randomly divided into treatment group (30 cases) and control group (30 cases), the treatment group treated by loose vibrating abdomen combined with chatting, while control group by conventional massage, observed the efficacy of two groups. Results:Af-ter treatment, the total effetive rate of treatment group was higher than that of control group (P<0.05), the indexes in SPIEGEL scale were all lower than those of control group (P<0.05). Conclusion:The treatment of loose vibrating abdomen combined with chatting for female menopause insomnia can release symptoms of patients and improve sleep quality.%目的:观察松振腹法配合语聊治疗女性更年期失眠的疗效。方法:将60例更年期失眠患者随机分为治疗组(30例)和对照组(30例),治疗组采用松振腹法配合语聊治疗,对照组采用常规推拿治疗,观察两组临床疗效。结果:治疗后,治疗组总有效率高于对照组(P<0.05),SPIEGEL量表各指标评分均低于对照组(P<0.05)。结论:松振腹法配合语聊治疗女性更年期失眠可缓解症状,提高睡眠质量。

  3. A Discussion on Clinical Diagnosis and Treatment of Colon Cancer with the Symptom of Acute Abdomen%以急腹症为表现的结肠癌临床诊断及治疗探讨

    Institute of Scientific and Technical Information of China (English)

    胡建华

    2012-01-01

    目的:探讨以急腹症为表现的结肠癌临床诊治经验.方法:对2009年2月~2011年7月我院收治的56例结肠癌致使急腹症的患者资料进行回顾性分析.结果:56例中治愈出院共29例;好转出院共16例;4例伤口感染,5例肺部感染;2例分别在术后1d、4d因中毒性休克经抢救无效死亡.结论:对于结肠癌并发急腹症,做好术前准备工作,选择合理的手术方式及加强术后综合治疗是减少术后并发症及提高患者生存质量的重要保障.%Objective:To discuss the experiences in the clinical diagnosis and treatment of colon cancer with the symptom of acute abdomen.Methods:Took a review analysis on 56 patients with colon cancer caused acute abdomen from February 2009 to July 2011. Results:29 of 56 cases left hospital with recovery; 16 cases left hospital with better symptoms; 4 cases had wound infection and 5 cases had pulmonary infection; 2 cases died 1 day and 4 days after the operation because of the toxic shock.Conclusion:For the colon cancer companiedwith the acute abdomen, it should do preparation before the operation, choose the reasonable operation method and strengthen the post-operative comprehensive treatment, which are the important guarantee to reduce the post-operative complications and enhance the survival quality of patients.

  4. Study on Enhancement Scanning Technology of 16-slice Spiral CT in Upper Abdomen%16排螺旋CT在上腹部增强扫描中的技术探讨

    Institute of Scientific and Technical Information of China (English)

    石银龙

    2011-01-01

    Objective To evaluate the value of 16-slice spiral CT enhancement scanning technology in the upper abdomen. Methods 200 patients were examined by CT in the upper abdomen. Contrast agent was injected through the hand vein at 1.5mL/kg, with pressure of 300 pounds, flow rate 2.5mL/s. Before injection, we must complete the first scanning. Then, other 2 or 3 scanning were done. Results 188 cases can show abdominal aorta, hepatic artery, splenic artery, hilar vessel branches, portal vein, inferior vena cava very well. The others were not ideal because of portal hypertension. Conclusion 1'6 -slice spiral CT enhancement scanning technology in the upper abdomen can obtain good images to meet clinical needs.%目的 探讨16排螺旋CT在上腹部增强扫描技术.方法 对200例患者进行上腹部CT扫描,造影剂按照1.5mL/kg,经手背静脉用高压注射器注射,其压力为300磅,流速2.5mL/s,注药前扫描1次,注药后不同时相扫描2~3次.结果 188例能很好地显示出腹主动脉、肝动脉、脾动脉、肝门区血管分支、门静脉、下腔静脉;10例因门脉高压导致造影结果不理想;2例失败.结论 16排螺旋CT的上腹部增强扫描可获得满意的图像以满足临床需要.

  5. 腹腔高压病人腹腔开放的术式选择及评价%Open abdomen for intra-abdominal hypertension,procedures and evaluation

    Institute of Scientific and Technical Information of China (English)

    朱维铭

    2012-01-01

    腹腔开放是损伤控制外科的重要组成部分,不但用于腹部外伤和感染等普外科疾病的救治,也用于救治烧伤或液体复苏过程中产生的腹腔高压.腹腔开放包括两大要素:开放腹腔和暂时性腹腔关闭,二者缺一不可.开放腹腔的主要目的是降低腹内压,暂时性腹腔关闭技术能够保护腹内脏器、引流腹腔液体,减少或避免腹壁回缩和并发症的发生.暂时性腹腔关闭方法分三类,分别为关闭皮肤法,关闭筋膜法和负压辅助关腹法.关闭皮肤法简单方便,但后期修复腹壁困难较大.负压辅助关腹技术并发症少,早期确定性腹腔关闭成功率高,应用越来越广泛.%Open abdomen plays an important role in damage control surgery, it is used not only in the treatment of intra-abdoniinal sepsis and trauma, but also in intra-abdominal hypertension refractory to medical treatment. Open abdomen consists of two elements: open the abdomen and temporary abdominal closure. Open the abdomen reduces intra-abdominal pressure, temporary abdominal closure protect the viscera, drain the intra-abdominal fluid, and prevent fascial retraction. Temporary abdominal closure is classified into skin closure technique, fascia closure technique, and vacuum assist closure technique. Skin closure technique is simple, but often lead to ventral hernia, and vacuum assist closure technique facilitate early definite closure, and is approved widely.

  6. Efectividad y seguridad de la laparotomía vs laparoscopía en abdomen agudo de origen gineco-obstétrico causado por embarazo ectópico roto y quiste de ovario roto.

    OpenAIRE

    2014-01-01

    Comparar efectividad, tiempo y sangrado operatorio, estadía y complicaciones entre laparotomía y laparoscopía en abdomen agudo (AA) por embarazo ectópico roto (EER) y quiste de ovario roto (QOR). Métodos: Estudio retrospectivo en el Hospital de Santa Elena y Clínica Granados de Enero 2010-Diciembre 2011. Se obtuvieron las causas, procedimientos, edad, hemoglobina, edad gestacional, antecedentes personales y complicaciones. Tiempo, sangrado operatorio y estadía fueron comparadas por T de stud...

  7. Avaliação muscular respiratória nas toracotomias e laparotomias superiores eletivas Respiratory muscle evaluation in elective thoracotomies and laparotomies of the upper abdomen

    Directory of Open Access Journals (Sweden)

    Laryssa Milenkovich Bellinetti

    2006-04-01

    Full Text Available OBJETIVO: Verificar se existe associação entre a função muscular respiratória pré-operatória abaixo dos valores previstos e a incidência de complicações pós-operatórias e o óbito, nas laparotomias superiores e toracotomias eletivas. MÉTODOS: Estudo de coorte prospectivo, no qual 70 pacientes acima de dezoito anos foram acompanhados, em dois hospitais similares. A avaliação durante a internação pré-operatória classificou-os em não expostos (50 ou expostos (20, estes quando os valores das pressões respiratórias máximas foram abaixo de 75% dos valores previstos. O acompanhamento foi feito até a alta hospitalar, verificando-se a incidência de pneumonia, insuficiência respiratória aguda, broncoespasmo, ventilação mecânica prolongada, atelectasia, derrame pleural, pneumotórax e óbito nos dois grupos. Realizou-se análise comparativa entre os grupos e cálculo do risco relativo. RESULTADOS: A incidência total de complicações pós-operatórias da amostra foi de 22,86% (16/70; no grupo exposto foi de 55% (11/20 e no grupo não exposto de 10% (5/50. Os pacientes expostos apresentaram risco relativo de 5,5 (intervalo de confiança de 95% entre 2,19 e 13,82. CONCLUSÃO: Os resultados indicaram que a função muscular respiratória pré-operatória abaixo do valor previsto esteve associada a um risco relativo maior de complicações pós-operatórias nas cirurgias pesquisadas.OBJECTIVE: To identify any possible relation between lower than predicted preoperative respiratory muscle function and the incidence of postoperative respiratory complications and death in elective thoracotomies and laparotomies of the upper abdomen. METHODS: A prospective cohort study was conducted, in which 70 patients over the age of 18 were monitored in two similar hospitals. In the preoperative evaluation performed at admission, patients were classified as presenting respiratory muscle function (as determined by measurement of maximal respiratory

  8. Apendicitis epiploica. Causa poco común de abdomen agudo en niños. Presentación de un caso y revisión de la literatura

    Directory of Open Access Journals (Sweden)

    SA Solórzano-Morales

    2016-04-01

    requiere tratamiento con analgésicos. La mayoría de los casos han sido descritos en pacientes adultos; sin embargo, el caso que presentamos es el segundo diagnosticado en el Instituto Nacional de Pediatría.   CASO CLÍNICO: niño de 9 años con diagnóstico clínico presuntivo de apendicitis, se diagnosticó por ultrasonido y tomografía computada como apendicitis epiploica, lo que se corroboró en la pieza anatomopatológica.   CONCLUSIONES: nuestro propósito es describir la apendicitis epiploica en niños como causa de abdomen agudo, así como los hallazgos clínicos, ultrasonográficos, de tomografía computada e histopatológicos de esta patología como causa rara de abdomen agudo. Es importante que se conozca el valor de los estudios de imagen de esta entidad a fin de evitar tratamientos invasivos innecesarios.

  9. Open abdomen in the treatment of intra-abdominal hypertension in patients with severe acute pancreatitis%重症急性胰腺炎的腹腔高压与腹腔开放治疗

    Institute of Scientific and Technical Information of China (English)

    李宁

    2010-01-01

    @@ 早在20世纪初期,就有学者注意到腹腔高压对患者心血管、肾脏等的功能产生不利影响.重症急性胰腺炎(severe acute pancreatitis,SAP)常导致腹腔高压,不仅限制腹式呼吸,减少机体氧供,而且对泌尿、循环、消化和中枢神经系统等产生一系列严重影响,如不及时治疗,将导致腹腔间室综合征(abdominal compartment syndrome,ACS).%Severe acute pancreatitis (SAP) can induce intra-abdominal hypertension, which has an adverse effect on the function of urinary, circulatory, digestive and neurological system, and finally leads to abdominal compartment syndrome (ACS) if patients were not timely treated. This article focuses on the close relationship between SAP and ACS, which included the definition, classification, pathogenesis of ACS and its pathophysiologic effects on other important organs. The different types and indications of surgical interventions of ACS were discussed in detail. For SAP patients complicated with ACS, urgent open abdomen is important to decrease the abdominal pressure and to prevent the incidence of multi-organ dysfunction syndrome. Complications after open abdomen, such as intestine fistula,abdominal sepsis, intestinal dysfunction and abdominal deficit,should be managed prudently.

  10. Multiple Organ Failure in Children with Acute Abdomen:A Report of 140 Cases%小儿急腹症多器官功能衰竭140例临床分析

    Institute of Scientific and Technical Information of China (English)

    金先庆; 林涛

    1988-01-01

    本文报告10年中收治的小儿急腹症多器官功能衰竭(MOF)140例,占同期急腹症总数的2.23%.本组MOF的病死率为49.3%,略高于小儿内科MOF病死率.本文总结小儿急腹症MOF病死率主要与患儿年龄、受累器官数目、是否早期手术以及原发疾病性质等因素有关.循环及呼吸是最常受累的两个系统,也是抢救MOF成败的关键.%From 1977 to 1986,140 childrea with multiple organ failure(MOF)in lacute abdomen were admitted.The total mortality(49.3%)is a little higher than that of MOF in pediatric diseases as reported in Chinese medical literatures.The factors related to the mortality of MOF are:(1)the age of patients,(2)the number of organs or systems involved,(3)the primary disease in abdomen,and (4)the treatment (operation)undertaken.As the circulatory or respiratory failure is the most common cause of death,protection of taese organs would be the key to a sucessful salvage of MOF.

  11. Comparative study of the microvascular blood flow in the intestinal wall, wound contraction and fluid evacuation during negative pressure wound therapy in laparostomy using the V.A.C. abdominal dressing and the ABThera open abdomen negative pressure therapy system.

    Science.gov (United States)

    Lindstedt, Sandra; Malmsjö, Malin; Hlebowicz, Joanna; Ingemansson, Richard

    2015-02-01

    This study aimed to compare the changes in microvascular blood flow in the small intestinal wall, wound contraction and fluid evacuation, using the established V.A.C. abdominal dressing (VAC dressing) and a new abdominal dressing, the ABThera open abdomen negative pressure therapy system (ABThera dressing), in negative pressure wound therapy (NPWT). Midline incisions were made in 12 pigs that were subjected to treatment with NPWT using the VAC or ABThera dressing. The microvascular blood flow in the intestinal wall was measured before and after the application of topical negative pressures of −50, −75 and −125mmHg using laser Doppler velocimetry. Wound contraction and fluid evacuation were also measured. Baseline blood flow was defined as 100% in all settings. The blood flow was significantly reduced to 64·6±6·7% (P blood flow was significantly reduced to 39·6±6·7% (P blood flow could be observed between the two groups. The ABThera system afforded significantly better fluid evacuation from the wound, better drainage of the abdomen and better wound contraction than the VAC dressing.

  12. Comparison of Two Kinds of Imaging Methods in Acute Abdomen Patients%两种影像学检查方法在急腹症患者中的应用比较

    Institute of Scientific and Technical Information of China (English)

    蔡拥军; 王晓刚; 陈义荣; 钱慕周

    2014-01-01

    Objective:To observe and compare the diagnostic effects of spiral CT and CR KUB on acute abdomen patients.Method:100 patients admitted to hospital in recent years were used in patients with acute abdominal spiral CT,CR KUB checks,combined with surgery and pathology of the relevant information,a comprehensive analysis of the advantages and disadvantages of the two imaging.Result:The positive rate of Spiral CT and CR KUB imaging methods were 96% and 51%,the difference was statistically significant(χ²=23.76,P<0.05).CT was higher positive rate with common acute abdomen,especially for acute cholecystitis,abdominal tumors,acute pancreatitis positive rate of up to 100%.CR KUB for peptic ulcer perforation,abdominal foreign body was also positive rate of 100%,while acute pancreatitis,acute appendicitis,urinary tract stones,acute abdomen abdominal tumors positive rate were 0,35.7%,71.4% and 20.0%. Conclusion:CR KUB is a routine clinical screening method in patients with acute abdomen,while MSCT examination for higher accuracy of diagnosis of acute abdomen.%目的:观察比较螺旋CT、CR腹部平片对急腹症患者的诊断效果及意义。方法:对近年来笔者所在医院收治的100例急腹症患者分别采用螺旋CT、CR腹部平片进行检查,并结合手术、病理的相关资料,综合分析两种影像学检查的优缺点。结果:螺旋CT、CR腹部平片两种影像学方法的阳性检出率分别为96%、和51%,差异有统计学意义(χ²=23.76,P<0.05)。其中CT对各种常见急腹症的阳性检出率均较高,特别是对急性胆囊炎、腹部肿瘤、急性胰腺炎的阳性检出率高达100%;CR腹部平片对消化道溃疡穿孔、腹部异物阳性检出率也为100%,而对急性胰腺炎、急性阑尾炎、泌尿系统结石、腹部肿瘤等急腹症的阳性检出率分别为0、35.7%、71.4%、20.0%。结论:CR腹部平片可作为急腹症患者临床常规的检查方法,而MSCT检查对于急腹症诊断的准确度更高。

  13. Clinical analysis of acute abdomen patients complicated with septic shock and distribution of pathogens%急腹症患者感染性休克的临床分析及病原菌分布

    Institute of Scientific and Technical Information of China (English)

    田霞; 亓剑凤; 高伟

    2014-01-01

    OBJECTIVE To explore the clinical characteristics of the acute abdomen patients complicated with septic shock ,analyze the distribution of pathogens ,and formulate the intervention measures so as to improve the level of clinical treatment .METHODS A total of 65 acute abdomen patients complicated with septic shock ,who were trea-ted from Jan 2010 to Jan 2013 ,were randomly recruited in the study ,then the clinical manifestations of the partic-ipants were retrospectively analyzed ,the conventional blood collection or abdominal puncture was performed before surgery ,the specimens were sampled intraperitoneally or intestinally for the bacterial culture during surgery ,and the distribution of the pathogens was observed .RESULTS The major clinical manifestations of the acute abdomen patients with septic shock included the apathy ,dysphoria ,pale and clammy extremities ,and mucocutaneous cya-nosis ;the major physical signs included the hypotension ,low pulse ,slow heart rate ,and oliguria .Totally 73 strains of pathogens have been isolated ,including 53 (72 .60% ) strains of gram-negative bacteria ,17 (23 .29% ) strains of gram-positive bacteria ,and 3 (4 .11% ) strains of fungi .The multivariate logistic regression analysis in-dicated that the age ,disease course ,types of disease ,and timing of treatment were the risk factors for the septic shock in the acute abdomen patients (P<0 .05) .The total cure rate was 93 .85% .CONCLUSIONS The acute abdo-men patients complicated with septic shock have typical clinical manifestations ;the symptomatic treatments such as active anti-shock and anti-infection ,in combination with surgery ,may achieve good prognosis .%目的:探讨急腹症患者合并感染性休克的临床分析及病原菌分布,制定干预对策,以期提高临床治疗水平。方法随机选取2010年1月-2013年1月65例急腹症合并感染性休克患者为研究对象,对其临床表现等进行回顾性分析,术前进行常规的采血或腹

  14. 甘油灌肠剂灌肠在妇科腹部手术前肠道准备中的临床应用%Glycerine enema sausage befor gynecology department abdomen surgery in intestinal tract preparation clinical practice

    Institute of Scientific and Technical Information of China (English)

    黄娟; 杨颖; 黄瑜; 黄亚雪

    2015-01-01

    Objective The discussion of glycerine enema sausage uses in the clinical practice value which before the gy‐necology department abdomen surgery the intestinal tract prepares .Methods October ,2013- - June ,2014 ,210 example gynecology department abdomen surgery patient stochastically divides into the control group of 105 examples and the experi‐mental group of 105 examples ,The experimental group gives the glycerine enema sausage ,The control group gives the tra‐ditional soapy water sausage ,After two kind of sausage method sausage time ,the sausage number of times ,pour into the liquid volume ,the intestinal tract cleanliness ,patient's comfort level ,the complications ,the technique aspects and so on anus exhaust time carry on the observation contrast .Results Experimental group's effect surpasses the control group obvi‐ously ,Two groups of comparisons have the remarkable statistics significance (P<0 .05) .Conclusion When the glycerine enema sausage operate easily ,the patient comfort level is high ,the complication are few ,and merit quickly ,In the intestinal tract preparation has the important clinical practice value before the gynecology department abdomen surgery .%目的:探讨甘油灌肠剂灌肠用于妇科腹部手术前肠道准备的临床应用价值。方法将我科2013年10月~2014年6月210例妇科腹部手术患者,随机分为对照组和实验组,各105例。实验组予甘油灌肠剂灌肠。对照组予传统肥皂水灌肠。并对两组灌肠时间、灌肠次数、灌入液量、肠道清洁度、患者舒适度、术后肛门排气时间进行比较。结果两组灌肠时间、灌肠次数、灌入液量、肠道清洁度、患者舒适度及术后肛门排气时间比较,有显著性差异(P<0.05)。结论甘油灌肠剂灌肠具有操作简便、节时,患者舒适度高,并发症少,术后恢复快等优点,在妇科腹部手术前肠道准备中具有重要的临床应用价值。

  15. 改良腹壁吊线经脐单孔腹腔镜胆囊切除术%Transumbilical single-port laparoscopic cholecystectomy by improved abdomen wall traction stitch

    Institute of Scientific and Technical Information of China (English)

    戴小明; 黄秋林; 贺更生; 罗加兴; 韩东

    2012-01-01

    [Objective] To summarize the experience of transumbilical single-port laparoscopic cholecystectomy by improved abdomen wall traction stitch, and explore its feasibility. [Methods] 20 patients were retrospectively analyzed, 14 of which with chronic calculous cholecystitis, and 6 cases of gallbladder polypoid lesions treated by transumbilical single-port laparoscopic cholecystectomy with conventional instruments and improved abdomen wall traction stitch, postoperative follow-up in 6 months. [Results] 19 cases of laparoscopic cholecystectomy were performed successfully by transumbilical single-port. Operative time was 32 to 90 min, an average of 55 min, bleeding volume in operation was 2 to 10 mL, an average of 5 mL. The other case was converted to laparoscopic cholecystectomy with 2 ports by adding one trocar through subxyphoid approach because of local tissue density adhesions and difficult anatomy in gallbladder triangular. No one cases had complications in the short-term after operation. [Conclusions ] Transumbilical single-port laparoscopic cholecystectomy with conventional instruments by improved means of abdomen wall traction stitch is feasible, with excellent cosmetic outcomes, but indications should be strictly controlled.%目的 总结改良腹壁吊线经脐单孔腹腔镜胆囊切除术经验,探讨其可行性.方法 回顾分析该院2009年7月~2010年12月20例改良腹壁吊线常规器械经脐单孔腹腔镜胆囊切除术患者临床资料,其中慢性结石性胆囊炎14例,胆囊息肉6例,术后随访6个月.结果 除1例因局部致密粘连,胆囊三角解剖困难,于剑突下增加1个操作通道改为吊线二孔法外,其余19例均获成功.手术时间42~90 min,平均55 min;术中出血2~8mL,平均5mL;术后无近期并发症,腹壁几乎见不到疤痕.结论 改良腹壁吊线经脐单孔腹腔镜胆囊切除术是可行的,并有较好的美容效果,但需严格掌握适应证.

  16. 小儿急腹征的早期诊断与手术时机的选择%Early diagnosis and selection of the operation occasion on the pedo-acute abdomen

    Institute of Scientific and Technical Information of China (English)

    金恩鸿; 李林虎; 李光燮

    2012-01-01

    OBJECTIVE To summary the experience of early diagnosis and operation on pedo-acute abdomen. METHODS We retrospectively analyzed the clinical data on 318 pedo-patients with the actue abdomen treated in the general surgery of our hospital from May 2003 to July 2008. RESULTS 175 cases were treated by operation. Among them, 3 cases had the postoperative infection, and cured by the change dressings; 1 cage with the periappendiceal abscess occurred the stump fistula after the operation , and cured by the expectant treatment ; 1 case with the acute hemorrhagic enteritis died after the intestinal resection because of the toxic shock and the MODS. Non-operation cases were all cured after the expectant treatment. CONCLUSION Detail ask the case history, micromesh medical examination, is the base of the early diagnosis aad treatment for the pedo-acute abdomen; operating in time is a important treatment%目的 总结小儿急腹症的早期诊断及手术治疗的经验.方法 回顾性分析2003年5月~2010年7月某院普外科收治的318例小儿外科急腹症的临床资料.结果 行手术治疗175例,其中3例术后切口感染,均经切口开放换药后治愈,1例阑尾周围脓肿引流术后残端瘘,保守治疗治愈,1例因急性出血性肠炎伴腹膜炎、肠坏死行肠切除术,术后因中毒性休克、脏器衰竭死亡;非手术治疗的患儿经积极保守治疗后均治愈.结论 详细询问病史,细致的查体,结合必要的辅助检查是小儿急腹症早期诊断及治疗的基础;及时手术是小儿惠腹症的重要治疗方法.

  17. 艾滋病合并外科急腹症患者的快速康复护理%Fast track nursing of patients with AIDS complicated with acute abdomen during perioperative period

    Institute of Scientific and Technical Information of China (English)

    李丹丹; 肖艳玲

    2016-01-01

    目的:探讨艾滋病合并外科急腹症患者的快速康复护理方法。方法:回顾性分析2012年7月至2015年7月42例艾滋病合并外科急腹症的患者的临床特点及护理对策。结果:38例患者围手术期经快速康复外科(fast track surgery,FTS)护理治疗(术前患者心理干预;避免胃管、尿管的置入;减少术中引流管留置、术中液体控制、体温控制;术后胃肠功能、肺功能的加速康复、疼痛的管理、切口的管理、管道的早期拔除),未出现院内感染及其他重大并发症,护理治疗效果满意,康复出院。4例因重度的免疫功能缺陷,术后出现难以控制的腹腔感染后继而多器官功能衰竭死亡。结论:快速康复护理治疗可减少艾滋病合并急腹症患者的术后并发症,降低围手术期病死率,促进患者术后早期康复。%Objective: To investigate the perioperative nursing methods on AIDS complicated with acute abdomen diseases. Methods: 42 cases of AIDS complicated with acute abdomen diseases from July 2012 to July 2015 were studied, the clinical features of patients and nursing treatment were analyzed.Results: 38 cases were healed without nosocomial infection and other serious complications by fast track nursing treatment (preoperative psychological intervention; avoid gastric tube, urine tube placement; reduce intraoperative drainage tube indwelling, intraoperative lfuid control, temperature control, accelerate postoperative gastrointestinal function, rehabilitate pulmonary function, pain management, postoperative incision management, early removal of pipeline). Four cases with severe immune function defects suffered uncontrollable abdominal postoperative infection and multiple organ failure which led to death.Conclusion: Fast track nursing can prevent postoperative complications, reduce perioperative mortality and promote the fast-tract recovery on patients with AIDS complicated with acute abdomen

  18. Función del diafragma durante la colocación de cargas sobre el abdomen en sujetos normales Study of diaphragmatic muscle function during abdominal weight in normal subjects

    Directory of Open Access Journals (Sweden)

    Sergio G. Monteiro

    2012-04-01

    Full Text Available Los efectos de las cargas en el abdomen con el objeto de producir entrenamiento del diafragma, no han sido suficientemente evaluados. Estudiamos la función del diafragma durante la colocación de cargas sobre el abdomen y con cambios en el patrón respiratorio. Se estudiaron 6 voluntarios normales. Se obtuvo flujo en la boca, presión gástrica (Pga, presión esofágica (Pes, movimiento torácico (TX y abdominal (AB, presión inspiratoria máxima (PImax y presión transdiafragmática media (Pdi y máxima (Pdimax. Se calculó la relación Pdi/Pdimax y el índice tensión-tiempo del diafragma (TTdi. Etapas: patrón normal (PN, patrón abdominal (PA y carga de 1, 2, 4 y 6 kg con PN y PA. El PA fue facilitado por las cargas sobre el abdomen. Solo con 6 kg (PN y PA la Pga a capacidad residual funcional aumentó significativamente (p 0.001. La Pdi siguió a las variaciones de la Pga y aumentó con todos los PA (p The effects of the abdominal weight with the intention of producing training of the diaphragm, have not been sufficiently evaluated. We studied the function of the diaphragm during the abdominal weight training and during associated changes in the respiratory pattern. Six normal volunteers were studied. Flow at the mouth at functional residual capacity (FRC was obtained as well as gastric pressure (Pga, esophageal pressure (Pes, thoracic and abdominal movements, maximal inspiratory pressure and mean and maximal transdiaphragmatic pressure (Pdi and Pdi max. Pdi/Pdimax and the diaphragm tension-time index (TTdi were calculated. Studied steps: normal pattern (NP, abdominal pattern (AP and weight of 1, 2, 4 and 6 kg with NP and AP as well. We found 1 The AP was facilitated by the abdominal weight, 2 Only with 6 kg (NP and AP the Pga at FRC increased significantly (p 0.001, 3 the Pdi followed the variations of the Pga and increased with all the AP (p < 0.001, 4 The index TTdi load reached a value of 0.05 ± 0.02 (p < 0.001. The charges did not

  19. Giant hepatic hemangioma resection via chest and abdomen joint incision%经胸腹部联合切口的巨大肝血管瘤切除术

    Institute of Scientific and Technical Information of China (English)

    卢欣; 徐意瑶; 毛一雷; 桑新亭

    2014-01-01

    Hepatic hemangioma is a common benign tumor of liver,while hepatic hemangioma with a diameter > 3 cm is rarely seen in clinical practice.A female patient with a giant hepatic hemangioma (diameter =48 cm) received tumor resection via chest and abdomen joint incision at the Peking Union Medical College Hospital on April 10,2012.The patient received exploratory laparotomy for hepatic tumor via chest and abdomen joint incision 22 years ago,while the operation was failed due to intraoperative bleeding.The success of the operation benefited from comprehensive application of computed tomography angiography reconstruction technique,three-dimensional liver reserve function assessment,intraoperative controlled low central venous pressure,total hepatic vascular exclusion and precise hepatectomy technique.%北京协和医院肝脏外科于2012年4月10日成功完成1例巨大肝血管瘤切除手术,手术历时11h,肿瘤最长径为48 cm.该患者22年前曾因肝脏肿瘤行经胸、腹联合切口探查,但因术中出血较多未能切除肿瘤.该手术的成功受益于精准肝切除,包括CT血管重建技术、三维立体肝脏储备功能评估、术中控制性低中心静脉压以及精细肝切除操作技术的综合应用.

  20. 下腹部岛状皮瓣修复会阴部瘢痕畸形15例%Low abdomen island flap for the repair of pudendal scar

    Institute of Scientific and Technical Information of China (English)

    郭志谦; 张新合; 杨新蕾; 雷磊; 江碧川; 孟红阳

    2012-01-01

    目的:总结下腹部岛状皮瓣修复会阴部瘢痕畸形的临床经验.方法:回顾性分析下腹部岛状皮 瓣修复会阴部瘢痕挛缩畸形15例患者的临床资料,单纯采用以旋髂浅动静脉为蒂形成的皮瓣3例、单纯采用腹壁浅动静脉为蒂的皮瓣5例, 两组血管均包括在内的皮瓣7例.结果:所有皮瓣均存活,局部畸形纠正,患者满意,经随访6~48个月,皮瓣色泽良好,质 地柔软,排尿排便功能恢复正常,髋部活动无明显受限.结论:下腹部岛状皮瓣转移术可提高会阴部瘢痕畸形的修复质量.%Objective To evaluate the result of repairing the pudendal scar with low abdomen island flap. Metheods Fifteen cases which have been repaired by three types were summarized,including three cases with the island skin flap pedicled with the superficicel iliac circumflex artery,five cases with the island skin flap pedicled with superficial inferior epigastric artery and seven cases pedicled with both of them. Results All flaps survived satisfactorily.Sufferer approve of the change of local abmormality.Followed up for 6 to 48 months.the contour of skin flap were fine.the form of pudendum.function of emiction and defecate activity were normal. Conclution Low abdomen island flap can improve the quality of repairing the pudendal sea.

  1. Criterios en la selección de pacientes para optimizar resultados en liposucción asistida por láser de abdomen y flancos: análisis de 340 cirugías

    Directory of Open Access Journals (Sweden)

    J. Moreno-Moraga

    2014-12-01

    Full Text Available El objetivo de nuestro estudio es valorar mediante ecografía y análisis estadístico la respuesta a la liposucción asistida por láser en abdomen y flancos. Para ello, se tuvo en cuenta la disminución del tejido adiposo, la retracción cutánea y el grado de satisfacción de las pacientes con los resultados. Realizamos un estudio retrospectivo sobre 340 cirugías en pacientes multíparas mayores de 40 años, con o sin diástasis de rectos, que rechazaron la abdominoplastia con lipectomía. Las intervenciones se efectuaron mediante liposucción a respectivamente en 924 y 9/5 11111, bajo sedo-analgesia y con anestesia tumescente. Los láseres se programaron para emisión en modo continuo, actuando al unísono con potencia de 20 W hasta alcanzar un promedio de entre 10 a 12 kJ de energía acumulada para los flancos, y de entre 12 a 18 kJ para el abdomen. La valoración subjetiva y objetiva se realizó mediante escala GAIS (Global Aesthetic Improvement Scale. Se tomaron fotografías antes, 1 y 6 meses después de la intervención. En abdomen se realizaron ecografías antes y 6 meses después de la cirugía, y se empleó t de Student como test de contraste para el estudio analítico. En 60 pacientes seleccionados aleatoriamente como muestra representativa se realizaron fotografías digitales de la superficie de la piel a fin de valorar comparativamente por programa de ordenador la textura-flacidez de la condición del tejido antes, 1 y 6 meses después de la cirugía. En ninguno de los resultados se observó isquemia y/o quemaduras. La disminución del tejido adiposo, según las ecografías, fue estadísticamente significativa (p<0,05 comparativamente a los 6 meses del tratamiento. La valoración de las fotografías antes y 6 meses después de la cirugía por un médico ajeno al estudio, al igual que la textura-flacidez cutánea, fue Buena o Muy Buena. La valoración subjetiva por cuestionarios de escala GAIS alcanzó un 57,1% (194 pacientes al

  2. Acute Abdomen as the First Symptom of Diabetes:Misdiagnosis Analysis%以急腹症为首发表现的糖尿病误诊分析

    Institute of Scientific and Technical Information of China (English)

    郭静霞; 任巧华; 王欣; 苏白玉

    2014-01-01

    Objective To analyze the clinical features, reasons for misdiagnosis and precautionary measures in pa-tients with acute abdomen as the first symptom of diabetes. Methods Clinical data of 9 patients with acute abdomen as the first symptom of diabetes in our hospital was retrospectively analyzed. Results The misdiagnosis rate in the group was 22.5% and the misdiagnosis time was from 3 hours to 2 days. 3 cases with bellyache and vomiting up, whose upright abdomi-nal X-ray showed liquid-air interface in intestinal canal were misdiagnosed as acute intestinal obstruction;3 patients had diar-rhea and white blood cell in stool routine test, and were misdiagnosed as acute enteritis;2 cases had hypogastralgia, leukocy-tosis and a fever, and were misdiagnosed as acute appendicitis;1 case had hematuria increased amylase and unclear head of pancreas showed in abdominal color Doppler ultrasound, and was misdiagnosed as acute pancreatitis. It was ineffective for all the 9 patients treated as misdiagnosis disease. After being asked about medical history carefully, checked with blood glucose, urine glucose, urine ketone and blood gas analysis, they were diagnosed as diabetic ketoacidosis. After treated accordingly, 9 cases were all discharged with symptoms improvement. Conclusion The diabetes patients with acute abdomen as the first symptom and indeterminate medical history may be misdiagnosed easily. It can avoid misdiagnosis and missed treatments, if we reinforce the knowledge of diabetes and complications, ask medical history carefully and have the relevant laboratory tests in time.%目的:探讨以急腹症为首发表现的糖尿病的临床特点、误诊原因及防范措施。方法回顾性分析我院收治的以急腹症为首发表现误诊的糖尿病9例的临床资料。结果本组误诊率22.5%,误诊时间3 h~2 d。3例因腹痛、呕吐行腹部立位X线检查示肠管内有气液平误诊为急性肠梗阻;3例因腹泻、便常规有白

  3. 临床路径在急腹症接诊分诊中的应用探析%The investigation of clinical pathway applied in admissions and triage of patients with acute abdomen

    Institute of Scientific and Technical Information of China (English)

    恽建波

    2015-01-01

    目的:探讨临床路径在急腹症接诊分诊中的应用。方法:2012年5月-2013年5月收治急腹症患者80例,基于患者临床资料的分析,随机将其划分为对照组与观察组,各40例,其中对照组在接诊分诊时采取传统法,观察组在接诊分诊时采取临床路径,对两组患者满意度、不同时间确诊率与并发症发生率进行对比分析。结果:对照组并发症发生率37.5%,观察组并发症发生率5.0%;对照组满意度62.5%,观察组满意度87.5%,两组差异具有统计学意义, P<0.05。结论:在急腹症接诊分诊中应用临床路径,不仅可为患者获得及时的抢救时间,同时在很大程度上还可有效降低各种并发症发生率,确保患者的安全,提升患者满意度,加快患者的康复,在临床中具有一定的推广价值以及应用价值。%Objective:To explore the application of clinical pathway in admissions and triage of patients with acute abdomen. Methods:80 patients with acute abdomen were selected from May 2012 to May 2013,and we analyzed their clinical data,all of those patients were randomly divided into the control group and the observation group with 40 cases in each.Patients in the control group were given traditional method in the admissions and triage,while in the observation group,clinical pathway were taken in the admissions and triage,then we compared the patient satisfaction,diagnosis rate in different time and the complication occurrence in two groups.Results:The complication rate of the control group was 37.5% ,while the observation group was 5% ;patients satisfaction of the control group was 62.5%,while the observation group was 87.5%,the differences was statistically significant between two groups,P<0.05.Conclusion:Clinical pathway applied in admissions and triage of patients with acute abdomen can provide timely rescue time for patients,and also can reduce the incidence of various complications

  4. Application of the Value of Prospective Nursing in the Abdomen Triage%前瞻性护理在急腹症分诊中的价值应用

    Institute of Scientific and Technical Information of China (English)

    钟楚燕

    2015-01-01

    目的:探讨前瞻性护理在急腹症分诊中的应用效果。方法:选择292例急腹症患者为研究对象,依据时间先后顺序分为观察组和对照组各146例。对照组按常规护理方法分诊,观察组采取前瞻性护理分诊。比较2组分诊准确率、患者满意度。结果:观察组分诊正确率、急救成功率(93.15%、90.41%)、患者对护理人员沟通能力、心理指导、护理技术操作熟练程度、巡视及态度评分(97.32±8.45、95.24±8.10、96.42±7.34、94.15±8.57、97.26±8.34)均明显高于对照组;并发症(3.42%)明显低于对照组。结论:在急腹症分诊中应用前瞻性护理,可提高分诊正确率及急救成功率,促进患者康复,提高患者满意度。%Objective: To investigate the effect of prospective nursing applications in the abdomen triage.Methods: 292 pa-tients with acute abdomen were studied, and were divided into two groups based on chronological order,146 cases in the observation group and the control group.Patients in the control group were given conventional nursing triage, patients in the observation group were given prospective nursing triage.Triage accuracy and patient satisfaction was compared.Results: The triage accuracy and e-mergency success rate was 93.15%and 90.41%, the ability of patients to communicate to nurses, psychological counseling, nurs-ing technical proficiency in the operation, inspection and attitude score was (97.32 ±8.45,95.24 ±8.10,96.42 ±7.34,94.15 ±8.57,97.26 ±8.34),significantly higher, complications was 3.42%, significantly lower than that in the control group.Con-clusion: Prospective nursing triage in the acute abdomen can improve the accuracy of triage and first aid success rate , and promote the rehabilitation of patients, improve patients'satisfaction.

  5. 腰腹部脂肪抽吸术对糖脂代谢的影响%EFFECTS OF WAIST AND ABDOMEN LIPOSUCTION ON GLUCOSE AND LIPID METABO-LISM

    Institute of Scientific and Technical Information of China (English)

    徐永芬; 郭建平; 周宗贵

    2015-01-01

    目的 旨在探讨腰腹部脂肪抽吸术对患者糖脂代谢的影响. 方法 对2013年4月6日~10月6日宜昌市第二人民医院接受腰腹部脂肪抽吸术的中心型肥胖女性患者30例术前和术后3个月时分别采晨起空腹血,进行血糖、血脂、糖化血红蛋白等方面检查. 结果 30例中心型肥胖患者行吸脂术后3个月的糖化血红蛋白水平均较术前显著下降(p<0.05). 同时血糖、血脂、空腹胰岛素水平均较术前下降(p<0.05). 结论 中心型肥胖患者行脂肪抽吸术可降低自身糖化血红蛋白水平,同时可致血糖、血脂、空腹胰岛素水平改变,且这种改变有利于降低糖尿病患者的并发症的风险.%Objective To investigate the effects of waist and abdomen liposuction on glucose and lipid me-tabolism in patients.Methods 30 female patients with central obesity who underwent the waist and abdomen lipo-suction in our hospital from April 6, 2013 to October 6, 2013 were selected.For all cases, morning fasting blood within 3 months was collected before and after surgery respectively to examine blood glucose, blood lipids, glycated hemoglobin and other inspections.Results Glycated hemoglobin levels of the 30 cases undergoing liposuction sur-gery after 3 months were significantly lower than those at 3 months before surgery (p<0.05).Meanwhile, levels of glucose, lipids, fasting insulin were lower than those before surgery (p<0.05).Conclusion Liposuction can re-duce glycated hemoglobin levels in cases of central obesity.Meanwhile, it can change levels of blood sugar, blood lipids, fasting insulin, which will help reduce risks of complications of diabetics.

  6. A prospective, controlled evaluation of the abdominal reapproximation anchor abdominal wall closure system in combination with VAC therapy compared with VAC alone in the management of an open abdomen.

    Science.gov (United States)

    Long, Kristin L; Hamilton, David A; Davenport, Daniel L; Bernard, Andrew C; Kearney, Paul A; Chang, Phillip K

    2014-06-01

    Dramatic increases in damage control and decompressive laparotomies and a significant increase in patients with open abdominal cavities have resulted in numerous techniques to facilitate fascial closure. We hypothesized addition of the abdominal reapproximation anchor system (ABRA) to the KCI Abdominal Wound Vac™ (VAC) or KCI ABThera™ would increase successful primary closure rates and reduce operative costs. Fourteen patients with open abdomens were prospectively randomized into a control group using VAC alone (control) or a study group using VAC plus ABRA (VAC-ABRA). All patients underwent regular VAC changes; patients receiving VAC-ABRA also underwent concomitant daily elastomer adjustment of the ABRA system. Primary end points included abdominal closure, number of operating room (OR) visits, and OR time use. Eight patients were included in the VAC-ABRA group and six patients in the control group. Primary closure rates between groups were not statistically different; however, the number of trips to the OR and OR time use were different. Despite higher Acute Physiology and Chronic Health Evaluation II scores, larger starting wound size, and higher rates of abdominal compartment syndrome, closure rates in the VAC-ABRA group were similar to VAC alone. Importantly, however, fewer OR trips and less OR time were required for the VAC-ABRA group.

  7. Experimental study on the establishment of artificial abdomen-bladder reflex arc in canines following spinal cord injury%建立脊髓损伤犬腹壁膀胱人工反射弧的实验

    Institute of Scientific and Technical Information of China (English)

    唐颖; 杜全印; 王爱民

    2005-01-01

    BACKGROUND: If it is feasible to realize the controllable urination by establishing artificial abdomen-bladder reflex arc basing on remained somatic-reflection below the paralyzed level.OBJECTIVE:To establish an artificial abdomen-bladder reflex arc in canines abdomen to resume the bladder dysfunction due to spinal cord injury.DESIGN:Bilateral comparative observing study with experimental animal as subjects.SETTING:At the Research Institute of Surgery,Third Military Medical University of Chinese PLA.MATERIALS:This study was carried out at the Research Institute of Surgery of Daping Hospital,Third Military Medical University of Chinese PLA from April 2002 to December 2004.Six adult male canines were adopted with body mass of 10-12 Kg.INTERVENTIONS:This is achieved by intradural microanastomosis of the proximal end of right T12 ventral root and the distal end of right S2 ventral root,as well as the distal end of right S2 dorsal root and Ti2 dosal root by end-to-side microanastomosis. After axonal regeneration,the abdomenspinal cord center-bladder new artificial bladder reflex pathway was established,hereby inducing urinating by right abdominal stimulation. The bladder func-tion was assessed with electrophysiological examination and detrusor elec-tromyograms at postoperative 9 months,which was compared with the left controls.MIAN OUTCOME MEASURES: l①Electrophysiological examination.②Bladder contracting function.RESULTS:Data from six canines were analyzed statistically without loss.①Evoked potentials from the anastomosized distal site could be detected by the stimulation (115 mV,1.0 ms)at the right T12 dorsal root in all six canines before and after the spinal cord transaction at the T12 segment level,which was similar to the left side in shape and amplitude.② After paraplegia for 48 hours ,bladder contraction was very quickly initiated by a series of stimuli(1 000 mV, 10 Hz, 2 s) at the right T12 dorsal root with the new reflex arc and the evoked bladder

  8. 新安医家方开的摩腹运气功法与养生思想%Abdomen-rubbing qigong exercise and health preservation concept of Fang Kai, a Xin’an medical physician

    Institute of Scientific and Technical Information of China (English)

    刘洋; 胡玲; 来丹丹; 段文秀; 许静; 吴子建; 李坛明

    2016-01-01

    摩腹运气功法为清代新安医家方开首创,是新安医学养生著作中的重要组成部分。它是一种按摩与导引相结合,经络理论与藏象理论相结合的特色鲜明的养生保健疗法。摩腹运气功法操作简单,安全无副作用,具有顾护脾胃,补气益精,调和营卫、疏通经络、宣畅气机等养生保健作用,为推广与普及摩腹运气功法,对其进行总结。%The abdomen-rubbing qigong exercise was first developed by Fang Kai, a Xin’an medical practitioner. It’s an essential part of Xin’an health preservation works. This health preservation method integrates massage with Daoyin and integrates meridian theory with Zangxiang theory. It’s safe, simple and has no side effects. Practice of this qigong exercise can protect the spleen and stomach, tonify qi and essence, harmonize Ying-Nutrients and Wei-Defense, unblock meridians and circulate qi. This paper aims to summarize and promote this exercise.

  9. 快速康复外科护理应用于急腹症并发抑郁症患者的临床成效%Clinical effect of fast track surgery nursing for acute abdomen complicated with depression

    Institute of Scientific and Technical Information of China (English)

    古金花; 邹艳花; 陈小银

    2015-01-01

    目的:探究急腹症并发抑郁症患者实施快速康复外科护理对其术后病情康复及情绪状况的影响,并为这类人群的优质护理服务积累经验。方法选取我院普外科于2010年8月~2012年7月收治的39例急腹症并发抑郁症患者,设为对照组,实施常规普外科护理干预;选取我院普外科于2012年8月~2014年7月收治的43例急腹症并发抑郁症患者,设为研究组,实施快速康复外科护理干预。两组患者均于住院当天及干预后第5天末均接受简明抑郁症评定量表(BPRS)测评,同时记录两组患者术后进食时间、下床活动时间、医疗费用、住院时间、并发症发生率。结果研究组下次活动时间、术后进食时间、住院时间短于对照组(P<0.05),并发症发生率及医疗费用低于对照组(P<0.05)。两组干预前BPRS评分差异无统计学意义(P>0.05);干预后,研究组焦虑忧郁因子、缺乏活力因子、思维障碍因子及敌对猜疑因子均低于对照组(P<0.05),激活性因子高于对照组(P<0.05)。结论对于并发抑郁症的急腹症患者,快速康复外科理念能促进患者病情预后康复,降低并发症发生率,且有助于改善患者情感状态,促进社会功能的早日回归,取得较为满意的临床成效。%Objective To explore the effect of implementing fast rehabilitation surgery nursing on the postoperative condition and mood of acute abdomen complicated with depressive disorder,and accumulate experience for the high quality of nursing service in this group. Methods 39 cases of acute abdomen complicated with depression patients were selected in our hospital in 2010 August to 2012year in July in Department of general surgery were set as the control group,routine nursing intervention,the implementation of the department of general surgery;43 cases of acute abdomen complicated with depression patients were selected in

  10. Impact of the SPECT/T.D.M. with leukocytes labelled with {sup 99m}Tc-H.M.P.A.O. in the detection of abdomen vascular prosthesis infections; Impact de la TEMP/TDM aux leucocytes marques au 99mTc-HMPAO dans la detection des infections de protheses vasculaires abdominales

    Energy Technology Data Exchange (ETDEWEB)

    Mortazavi-Jehanno, N.; Ben Ali, K.; Poisson, T.; Sarda-Mantel, L.; Le Guludec, D.; Lebtahi, R. [Medecine nucleaire, hopital Bichat, AP-HP, Paris, (France)

    2009-05-15

    Objectives: to enlighten the contribution of specificity of SPECT/T.D.M. with leucocytes labelled with {sup 99m}Tc-H.M.P.A.O. in the detection of abdomen vascular prosthesis infection and the interest to free oneself of physiological digestive background noise artefacts.Conclusions: The scintigraphy with leukocytes labelled with {sup 99m}Tc-H.M.P.A.O. is a noticeable examination for the detection of infectious centres. The contribution of the SPECT/T.D.M. at 24 hours in the detection of infectious centres of vascular prosthesis allows to increase the examination specificity, especially for the abdomen vascular prosthesis, by freeing oneself of the physiological digestive background noise able to induce false positives, and allows a precise anatomical location with a therapy impact for the patient. (N.C.)

  11. Controlling hemorrhage by carprost suppsitioria administration with holding uterine out of abdomen cavity in cesarean section%子宫托出法加卡孕栓对减少剖宫产出血量的临床观察

    Institute of Scientific and Technical Information of China (English)

    林柏青; 曾永忠; 蔡志敏

    2010-01-01

    technique of holding uterine out of abdomen cavity.Conclusion Administration of carprost suppsitioria 0.5 mg sublingually with surgical technique of holding uterine out of abdomen after delivery of placenta have good effects in reducing hemorrhage during cesarean section.

  12. 帕瑞昔布钠用于腹部小手术后镇痛效果的临床观察%Evaluation of analgesic effects of intravenous parecoxib sodium in patients after minor abdomen surgery

    Institute of Scientific and Technical Information of China (English)

    曾宪阳; 刘纪泽; 杨光; 吴翼飞; 杨宇; 李卉

    2011-01-01

    目的 探讨帕瑞昔布钠用于腹部小手术后镇痛的有效性及安全性.方法 择期硬膜外腔阻滞下行腹股沟疝修补、阑尾切除手术患者240例,随机等分为3组:实验组帕瑞昔布钠20mg组(PL组)、帕瑞昔布钠40mg组(PH组)及对照组(N组),每组80例.实验组于缝皮时静脉注入帕瑞昔布钠20mg、40mg;12 h后重复给予;对照组给予同等剂量生理盐水.采用视觉模拟量表(visual analogue scale,VAS)对术后2、4、8、12、18、24h进行疼痛评分,同时观察术后各种不良反应及对凝血功能的影响.结果 PL组和PH组在术后各时点的VAS评分均明显低于N组,对疼痛治疗满意度明显高于N组(P<0.05);而PH组在术后12和24 h,2个时间点VAS评分明显低于PL组,对疼痛治疗满意度明显高于PL组(P<0.05).结论 帕瑞昔布钠用于成年患者腹部小手术后每日两次可起到明显的镇痛效果、不良反应少,而且帕瑞昔布钠40mg较20 mg更有效.%Objective To investigate the efficacy and safety of parecoxib sodium for postoperative analgesia in minor abdomen sugery. Methods 240 patients scheduled for inguinal hernia repair or appendectomy under spinal anesthesia were randomly divided into 3 groups (n= 80 each) and received a single injection of 20,40 mg parecoxib sodium (study group PL, PH ) or placebo (control group N) immediately and 12 h after the operation. The intensity of pain was measured using VAS scores and recorded at 2, 4, 8, 12,18 and 24 h after operation. The adverse effects and the results of clinical laboratory tests were observed. Results The VAS scored at different time points was significantly lower in the two study groups than in the control group ( P < 0. 05 ). Far more patients in the two study groups rated their pain management as good or excellent(P < 0. 05). Compared with group PL, the VAS scores in group PH at 12 h and 24 h were lower and the level of satisfaction was significantly higher ( P < 0. 05

  13. Nursing care of abdominal wall wounds in 28 patients with open abdomen after skin transplantation%28例腹腔开放创面植皮患者的护理

    Institute of Scientific and Technical Information of China (English)

    李晓婷; 刘云; 任建安; 赵允召; 吴莉莉; 韩刚; 王革非; 顾国胜; 赵日升

    2013-01-01

    总结了28例腹腔开放患者自体皮肤移植后的创面护理.分阶段评估植皮后第3天、第7天、第21天的创面恢复情况,采用不同的创面护理措施.对创面合并肠瘘的患者,保持引流的有效性,并采取主动引流,避免肠液侵蚀.同时,做好头部供皮区的护理,加强功能锻炼和心理支持.本组27例患者腹壁创面植皮后第21天,皮片覆盖面积超过90%,只有1例未达90%,经过积极的创面护理,最终创面得到修复.%This paper summarizes the nursing care of abdominal wall wounds for 28 patients with open abdomen after autologous skin transplantation. Targeted wound care was provided for the patients based on the wound assessment at 3 days, 7 days and 21 days after skin transplantation. For patients complicated by intestinal fistula, active drainage was important to avoid corrosion from intestinal fluid. Moreover,nursing care focused on proper nursing of head skin donor site,functional exercises and psychological support. As a result,the covered size of the abdominal wall wounds by blade of thick skin was over 90% in 27 cases at 21 days after skin transplantation. Only one case was under 90%,but healed ultimately after active wound care.

  14. 醋酸奥曲肽用于小儿急腹症术后的疗效观察%Efficacy Observation of Octreotide Acetate after Pediatric Acute Abdomen Surgery

    Institute of Scientific and Technical Information of China (English)

    杨广承; 王玉红; 徐晓青; 邹大军; 魏炜

    2016-01-01

    目的:观察醋酸奥曲肽用于小儿急腹症患儿术后的疗效及安全性。方法:选择急腹症患儿130例,按照随机数字表法分为观察组和对照组,各65例。对照组患儿术后给予注射用头孢曲松钠50 mg/kg,iv,qd,以及维持水电解质平衡;观察组患儿在对照组基础上采用微泵持续给予醋酸奥曲肽注射液0.01 mg/(kg·d),ivgtt(术后即刻),1~3 d。观察两组患儿腹内压、胃肠功能恢复时间、肿瘤坏死因子α(TNF-α)水平、肝/肾功能指标、血/尿淀粉酶水平,并记录不良反应发生情况。结果:观察组患儿的总有效率(98.5%)明显高于对照组(92.3%),差异有统计学意义(P<0.05)。术后第3、5天,两组患儿腹内压、TNF-α、血/尿淀粉酶水平均较术前明显降低,且观察组患儿明显低于对照组,胃肠功能恢复时间亦明显短于对照组,差异均有统计学意义(P<0.05)。手术前后,两组患儿的肝、肾功能指标比较,差异均无统计学意义(P>0.05)。两组患儿治疗过程中均未见明显不良反应发生。结论:醋酸奥曲肽用于小儿急腹症术后可有效降低患儿腹内压、TNF-α、血/尿淀粉酶水平,改善胃肠功能,且安全性较高。%OBJECTIVE:To observe the effects and safety of octreotide acetate after pediatric acute abdomen surgery. METH-ODS:130 children with acute abdomen were selected and randomly divided into observation group and control group,with 65 cas-es in each group. Control group was given Ceftriaxone sodium for injetion 50 mg/kg,iv,qd;after surgery to maintain water-elec-trolyte balance. Observation group was additionally given continuous pump of Octreotide acetate injection 0.01 mg/(kg·d),ivgtt (immediately after surgery),for 1-3 d,on the basis of control group. The intra-abdominal pressure,the time of gastrointestinal function recovery,TNF-α level,liver/renal function index and blood

  15. 艾滋病合并播散性隐球菌病的胸腹部CT表现%The Chest and Abdomen CT Findings of the Disseminated Cryptococcosis in Patients with AIDS

    Institute of Scientific and Technical Information of China (English)

    张烈光; 刘晋新; 江松峰; 陈碧华; 黄德扬

    2013-01-01

    Objective To study the chest and abdomen CT findings of the disseminated cryptococcosis in patients with AIDS.Materials and Methods The chest and abdomen CT imaging features of the disseminated cryptococcosis in 28 patients with AIDS were retro spectively analyzed.Results 28 cases underwent chest CT scan.Pulmonary nodules were seen in 27 (96.43%,27/28) cases.Cavitation in nodule was present in 19 (67.86%,19/28) cases.Ground-glass opacities were seen in 14(50%,14/28) cases.Patch opacities were seen in 2(7.14%,2/28) cases.The enlarged mediastinal and hilar lymph nodes were seen in 11 (40.74%,11/28) cases.Pleural effusion was seen in 6(21.43%,6/28)cases,pericardial effusion was seen in 4(14.29%,4/28) cases.11 of 28 cases underwent abdominal CT scan.Hepatosplenomegaly were seen in 8(72.73%,8/11) cases.Lesions in liver and spleen were found in 2(18.18%,2/11) cases which involved mass and diffused micro-nodules in liver in 1 case and low density node in spleen in 1 case.Abdominal lymph adenopathy were seen in 4(36.36%,4/11)cases and sandwich sign in the small bowel mesentery was seen in 3(27.27%,3/11) cases.Nodule in adrenal gland was seen in 1(9.09%,1/11) case.Ascites were seen in 1(9.09%,1/11) case.Conclusion Pulmonary nodules were the most common CT findings of the disseminated cryptococcosis in patients with AIDS.Cavitation in nodule was characteristic CT findings.Multiple organs can be involved in the abdomen.%目的 探讨艾滋病(Acquired immunodeficiency syndrome,AIDS)合并播散性隐球菌病的胸腹部CT表现.方法 回顾性分析28例艾滋病合并播散性隐球菌病的胸腹部CT表现.结果 28例艾滋病合并播散性隐球菌病胸部CT示肺内结节2 7例(96.43%,27/28),其中19例(67.86%,19/28)结节内可见空洞;肺内磨玻璃样改变14例(50%,14/28);肺内片状实变2例(7.14%,2/28);纵隔肺门淋巴结肿大11例(40.74%,11/28);胸腔积液6例(21.43%,6/28);心包积液4例(14.29%,4/28).11

  16. Abdomen agudo y embarazo: placenta percreta

    Directory of Open Access Journals (Sweden)

    Horacio Massotto Chaves

    2001-10-01

    Full Text Available La ruptura uterina espontánea por placenta percreta, sin historia de trauma o infección, es una patología extremadamente rara y responsable de una alta morbimortalidad materna. El diagnóstico prenatal de placenta percreta es importante para evitar resultados catastróficos debido a este desorden obstétrico, y diversos procedimientos son utilizados para lograr esta meta. Se presenta un caso de placenta percreta, con búsqueda de expedientes clínicos por esta patología, en el Hospital Monseñor Sanabria, desde 1994 hasta 1999, y con revisión de la bibliografía.

  17. Necrotizing Faciitis-Acute Abdomen And Anaesthesia

    OpenAIRE

    Güleç, Handan; Akın Kepek, Yurdal; Yaşar, Hansa; Kurtay, Aysun; Tutal, Zehra; Babayiğit, Münire; Horasanlı, Eyüp

    2014-01-01

    Necrotizing fasciitis ( NF) is a rare  soft-tissue infection characterized by progressive necrosis of the skin, subcutaneous tissue, and fascia with a high morbidity and mortality.  This infection, which is usually induced by  toxin producing bacteria, can occur in any region of the body but it is predominantly located in the abdominal wall, perineum and extremities . NF treatments consist of  radical surgical debridement of all involved necrotic tissue, use of broad spectrum antibiotics, and...

  18. Drug interaction presenting as acute abdomen

    Institute of Scientific and Technical Information of China (English)

    Rajesh; Pendlimari; Rajeswari; Anaparthy; Aravind; Sugumar

    2010-01-01

    Warfarin is the most common oral anticoagulant prescribed around the world. Adverse drug interactions with warfarin are a huge problem especially in the elderly and in patients who take multiple medications. Most adverse drug interactions involve concomitantly prescribed oral or intravenous medications. Occasionally, topical or mucosally absorbed drugs can interact, leading to fluctuations in warfarin levels with adverse consequences. In this case report, we describe a case of intestinal intramural hematoma, a rare but known consequence of a supra therapeutic international normalized ratio (INR). The supra therapeutic INR was a consequence of mucosally absorbed miconazole, prescribed for vaginal candidiasis. We wish to highlight this rare and potentially fatal drug interaction, along with the need for frequent INR monitoring when new drugs are added or removed in patients taking warfarin.

  19. Role of Ultrasonography in Acute Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    An, Ji Hyun; Lee, Yeon Hee; Kim, Tae Hoon; Yu, Pil Mun; Choi, Young Hi; Kim, Sang Joon; Kim, Seung Cheul; Cho, Jeong Hee [Dankook University College of Medicine, Cheonan (Korea, Republic of); Jung, Jae Un [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1996-12-15

    Authors analyzed the distribution of diseases and compared ultrasonographic conclusions with confirmed diagnoses of emergency abdominal ultrasonographies in acute abdominal conditions. We evaluated the role of emergency abdominal ultrasonography especially in the decision of emergency operation. In one hundred and forty five patients, emergent abdominal ultrasonography was performed within on admission. We compared the sonographic conclusion with postoperative pathology and analyzed the diagnoses of medically treated diseases. Twenty-eight patients underwent surgery and 117 patients were treated conservatively. Among the surgically treated patients, 19 patients (70.4%) were correctly diagnosed by preoperative ultrasonography.These included acute appendicitis (N = 8), acute cholecystitis (n = 7), ovarian cyst torsion (n = 2), and liver abscess (n = 1). Correct preoperative diagnosis was not made in 9 patients, including acute appendicitis (n = 4), peritonitis due to bowel perforation (n = 2), ectopic pregnancy (n = 1), colonic diverticulitis (n = 1) and pelvic inflammatory disease (n = 1). Clinical follow up was possible in 50 patients among the non-operative patient group, and the clinical diagnoses were chronic liver disease (n = 14), acute pyelonephritis (n = 10), and biliary stone (n = 10). Emergent ultrasonography plays an important role in acute abdominal conditions by supporting the differential diagnosis of medical and surgical disease

  20. Common Acupoints in Chest and Abdomen

    Institute of Scientific and Technical Information of China (English)

    Journal of Acupuncture and Tuina Science Editor; CUI Xue-jun

    2003-01-01

    @@ Tiantu (CV 21) Location: In the center of the suprasternal fossa(Fig. l ). Indications: Cough, dyspnea, chest pain, pharyngolaryngeal swelling and pains, sudden hoarseness of the voice, goiter, globus hystericus, and dysphagia.

  1. Abdomen agudo y embarazo: placenta percreta

    OpenAIRE

    2001-01-01

    La ruptura uterina espontánea por placenta percreta, sin historia de trauma o infección, es una patología extremadamente rara y responsable de una alta morbimortalidad materna. El diagnóstico prenatal de placenta percreta es importante para evitar resultados catastróficos debido a este desorden obstétrico, y diversos procedimientos son utilizados para lograr esta meta. Se presenta un caso de placenta percreta, con búsqueda de expedientes clínicos por esta patología, en el Hospital Monseñor Sa...

  2. CLINICAL STUDY OF PENETRATING INJURIES OF ABDOMEN

    OpenAIRE

    Raghu; Santhosh Babu; Devender

    2016-01-01

    Penetrating trauma forms an important component of surgical emergencies. The importance of this category becomes further apparent when one realises that most of such trauma victims are essentially healthy people and in the prime of their life. Over the past century, great advances were made in the management of such wounds. The operative management replaced the expectant therapy and reduced mortality rates. So this study is being done to evaluate the various indications for early ...

  3. Parasitic diseases in the abdomen: imaging findings.

    Science.gov (United States)

    Lim, Jae Hoon

    2008-01-01

    Parasitic diseases of the liver and biliary tract include echinococcosis, schistosomiasis, toxocariasis, clonorchiasis, and opisthorchiasis, affecting millions people in some endemic areas. Amebiasis and ascariasis are believed to be the most common bowel lumen indwelling parasitic diseases, affecting billions people worldwide, but sometimes these parasites migrate inadvertently to the liver and biliary tract, resulting in liver abscess or obstructive jaundice. Imaging findings of these parasitic diseases are fairly characteristic and easy to recognize if radiologists are aware of the findings, especially in endemic areas. Because of increased immigration and frequent travelling, some patients with "exotic" parasitic diseases may be encountered in non-endemic areas, and the diagnosis may be delayed or difficult, and it is often made only after operation. This feature section was designed to provide the detailed imaging features of common parasitic diseases affecting the abdominal organs and peritoneal cavity, based on pathology-image correlation.

  4. A RETROSPECTIVE STUDY OF BLUNT TRAUMA ABDOMEN

    Directory of Open Access Journals (Sweden)

    Kumawat

    2015-07-01

    Full Text Available BACKGROUND: Blunt abdominal trauma is one of the important components of poly - trauma. It requires suspicion, investigation and proper management in time, to avoid morbidity & mortality. AIM: The aim of this retrospective study spanning 5 years w.e.f. Jan, 2010 to December, 2014 in this tertiary care institute of Geetanjali Medical College & Hospital, Udaipur was to find out BTA patients in RTA, fall from height, and assault like injuries. We studied type of injuries, male - female ratio, age group, urban & rural population involvement & their operative & non - operative management. MATERIAL & METHOD S : The study is based on 273 cases of BTA; managed in this institute from admission, investigation, management & possible follow up. Observations are depicted in different tables. RESULT: Liver is most commonly involved organ followed by spleen, kidney & pancreas respectively. Initially solid organ injuries cases where treated by surgery, but than non - operative management are tried in haemostatically stable patients. Hollow visceral injuries were always managed by laparotomy & repair or resection as and when needed . Mortality occurred in 35 patients out 273 patients because of delay to reach hospital or septicemia, renal failure and shock due to multi organ failure. CONCLUSION: Close supervision with sophisticated infrastructure and quick action significantly reduces mortality.

  5. Abdomen agudo y embarazo: placenta percreta

    Directory of Open Access Journals (Sweden)

    Horacio Massotto Chaves

    2001-10-01

    Full Text Available La ruptura uterina espontánea por placenta percreta, sin historia de trauma o infección, es una patología extremadamente rara y responsable de una alta morbimortalidad materna. El diagnóstico prenatal de placenta percreta es importante para evitar resultados catastróficos debido a este desorden obstétrico, y diversos procedimientos son utilizados para lograr esta meta. Se presenta un caso de placenta percreta, con búsqueda de expedientes clínicos por esta patología, en el Hospital Monseñor Sanabria, desde 1994 hasta 1999, y con revisión de la bibliografía.Spontaneous uterine rupture, without a history of trauma or associated infection by placenta percreta is an extremely rare pathology and it's responsible for high maternal morbidity and mortality. The prenatal diagnosis of placenta precreta is important to avoid catastrophic results after the obstetrical disorder and different procedures are used to get to this goal. We present here a case of placenta percreta and a revision of cases with this diagnosis from 1994 to 1999 at the Monseñor Sanabria Hospital, and a review of the literature.

  6. Gossypiboma in the Abdomen: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dong Hyun; Lim, Hyung Guhn; Byun, Ju Nam; Kim, Dong Hun; Lim, Sung Chul [Chosun University College of Medicine, Gwangju (Korea, Republic of)

    2007-03-15

    Gossypiboma is retained surgical sponge or swab. We experienced a case of gossypiboma resulting from a retained surgical sponge, which had been left in intraperitoneal cavity for 4 years after appendectomy. Abdominal CT scan revealed a non-calcified soft tissue mass with wall enhancement. We thought this lesion was an abscess or hematoma. So we tried to perform aspiration and drainage guided by ultrasonography. Ultrasonography showed ill defined hyperechoic stripe with strong posterior acoustic shadow within the mass, which has hypoechoic fibrous capsule. We could not puncture the lesion with aspiration needle due to its hardness, and the mass was removed by surgery. We report a case of gossypiboma confirmed by surgery, which was suspected by ultrasonographic feature and difficulty in puncture of mass

  7. Invasive mole presenting as pain abdomen

    Directory of Open Access Journals (Sweden)

    Swati Singh

    2013-06-01

    Full Text Available Gestational trophoblastic neoplasms (GTN are proliferative as well as degenerative disorders of placental elements and include complete or partial mole (90%, invasive mole (5.8%, choriocarcinoma (1-2% and placental site tumor (1-2%. 15% of complete mole can develop into invasive mole. Very rarely (2-4% partial mole can develop into invasive one presenting with features of incomplete abortion, mixed abortion and sometimes as obstetric emergencies like intraperitoneal hemorrhage. So, proper diagnosis and timely intervention can prevent mortality and reduce the morbidity of the patients. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000: 480-481

  8. Contrast Enhanced US in the Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Yong Eun; Kim, Ki Whang [Dept. of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2012-08-15

    Contrast enhanced ultrasound, which was introduced in 1996, has been widely used in Europe and Eastern Asia. Ultrasound contrast agent can be classified as first generation and second generation, depending on the gas within the microbubble. With the first generation contrast agent, the high MI technique was used, and only intermittent scanning was possible due to destruction of the microbubble during scanning. Use of the second generation contrast agent with the low MI technique makes continuous scanning possible. Contrast enhanced US can be used in detection and differentiation of focal liver lesions. It is also helpful for monitoring of radiofrequency ablation and for targeting of US guided biopsy. Currently, because morphologic criteria alone may not reflect the response of the tumor to treatment, new criteria are needed for treatment evaluation after administration of anti-angiogenic agents. Contrast enhanced US could provide quantitative markers for evaluation of the response to treatment via use of dynamic contrast enhanced US. Due to cost-effectiveness, contrast enhanced US is not yet widely used in Korea; however, considering recent issues regarding contrast agent related adverse reaction, such as contrast induced nephropathy and nephrogenic systemic fibrosis, and radiation exposure, contrast enhanced US might be more widely used in Korea, as an alternative imaging modality in the future.

  9. MRI of the Body (Chest, Abdomen, Pelvis)

    Science.gov (United States)

    ... receive injections of gadolinium contrast material except when absolutely necessary for medical treatment. See the Safety page ... MRI scanners are air-conditioned and well-lit. Music may be played through the headphones to help ...

  10. Research on the Positioning and Quantitative Expression of BMP2 Gene in Chest, Abdomen and Back Skin of Goose%BMP2基因在鹅胸、腹、背部皮肤中的定位定量达研究

    Institute of Scientific and Technical Information of China (English)

    牟玉婷; 吴伟; 孙永峰; 宋佳巍; 孙远; 吴文立; 李瑶

    2013-01-01

    The expression of BMP2 mRNA in chest, abdomen and back skin of jilin white goose in postnatal period was studied by immunohistochemistry and quantitative PCR. The results showed that BMP2 mRNA was expressed in all skin tissues during each stage. BMP2 was expressed in barb ridge or rachidial ridge in feather follicles, and the barb ridge developed into barbs based on developmental age, which indicates that BMP2 may play critical roles in barb growth. The relative expression quantity in back was 5.521 7 in D7, 3.42 times of chest, 7.56 times of abdomen. The feather follicles of chest and abdomen were in the stage of rapid development, and BMP2 inhibited feather follicle development. The chest and back in D28 expressed lower levels of BMP2 mRNA compared with feather follicles of abdomen. At this point, the hooklets appeared in abdomen, which indicates that BMP2 may be related to feather branching . BMP2 mRNA was lower in feather follicles of abdomen and back compared with chest at D63, and feather development had basically matured in chest. Abdomen and back would mature in 1—2 weeks.%运用免疫组化和荧光定量PCR方法,研究了吉林白鹅生后期胸、腹、背皮肤中BMP2基因的定位表达及mRNA变化规律.结果表明:BMP2基因在鹅胸、腹、背部皮肤初级毛囊和次级毛囊发育过程中均有表达,BMP2在毛囊中羽枝嵴和羽轴嵴部位表达,而羽枝嵴将来发育成羽枝,推断BMP2与羽枝发育有关.7日龄时背部BMP2的mRNA相对基因表达量为5.521 7,分别是胸部的3.42倍和腹部的7.56倍.此时胸腹部毛囊处于快速发育阶段,BMP2则抑制毛囊发育;28日龄腹部BMP2相对基因表达量明显高于背部和胸部,此时腹部已有羽小钩出现,BMP2可能参与羽毛分支;63日龄BMP2的mRNA相对表达量胸部高于腹部和背部,此时胸部羽毛发育已基本成熟,而腹部和背部晚1~2周成熟.

  11. 急腹症合并急性脑梗死的预后相关危险因素分析%Analysis of the prognostic risk factors of acute abdomen with acute cerebral infarction

    Institute of Scientific and Technical Information of China (English)

    白金娟

    2013-01-01

    Objective To analyze the prognostic risk factors and preventive measures of acute abdomen with acute cerebral infarction (AAACI). Methods 130 cases of AAACI patients who were admitted into our hospital in 2012 were retrospectively analyzed, among them, 65 cases of patients with acute cerebral infarction, their prognosis, ages, dietary habit, blood pressure, blood glucose, blood lipid, electrocardiogram, water electrolyte balance and leukocyte were statistically analyzed. Results There was a significant difference of the condition of prognosis between the AAACI patients with eating disorders, high blood pressure, glucose and lipid, abnormal ECG, disturbance of water and electrolyte, high leucocytes and those patients without these risks (P<0.05). Conclusion The main risk factors of AAACI are ages, dietary habit, blood pressure, blood glucose, electrocardiogram, water electrolyte balance and leukocyte, et al.%目的分析急腹症合并急性脑梗死的预后危险因素及预防措施。方法回顾性分析我院2012年度收治的130例急腹症的患者,其中有65例患者合并的有急性脑梗死,分析这65例急腹症合并急性脑梗死患者的预后,统计其年龄、饮食习惯、血压、血糖、血脂、心电图、水电解质平衡及白细胞的危险因素。结果急腹症合并急性脑梗死患者的预后与再合并有饮食不规律、高血压、高血糖、、高血脂、心电图异常、水电解质紊乱、白细胞升高的高龄患者其预后情况与不合并这些危险因素的患者差异有统计学意义(P<0.05)。结论急腹症并发脑梗死的预后主要危险因素有年龄、饮食习惯、血压、血糖、心电图、水电解质及白细胞等。

  12. GISTs múltiplos em neurofibromatose tipo 1: diagnóstico incidental em paciente com abdome agudo Multiple GISTs in neurofibromatosis type 1: incidental diagnosis in a patient with acute abdomen

    Directory of Open Access Journals (Sweden)

    Tomaz de Jesus Maria Grezzana-Filho

    2009-03-01

    Full Text Available INTRODUÇÃO: Tem sido descrito na literatura incidência aumentada de tumores estromais gastrointestinais (GISTs em portadores de neurofibromatose tipo 1. Estes tumores tipicamente ocorrem no intestino delgado e, frequentemente, são múltiplos. RELATO DO CASO: Diagnóstico incidental de GIST em um paciente portador de neurofibromatose tipo 1 com abdome agudo. No trans-operatório foi identificada apendicite retrocecal perfurada e massa neoplásica no jejuno proximal. A referida lesão ocupava aproximadamente 70% da circunferência do órgão e não apresentava invasão de estruturas adjacentes. Além disso, observaram-se dezenas de pequenos nódulos disseminados por toda a extensão do jejuno e íleo. O anatomopatológico revelou neoplasia compatível com GIST, com grau moderado de atipias, baixo índice mitótico (BACKGROUND: The literature described an increased incidence of gastrointestinal stromal tumors (GISTs in patients with neurofibromatosis type 1. These tumors typically occur in the small intestine, and frequently are multiple. Often the behavior of the tumor in this association is more favorable than in sporadic cases. CASE REPORT: Incidental diagnosis of GIST was done in a patient with neurofibromatosis type 1 during treatment for acute abdomen. Trans-operatively was identified a retrocecal perforated appendicitis and a neoplastic mass in the proximal jejunum. The lesion occupied approximately 70% of the circumference of the organ and had no invasion of adjacent structures. Moreover, there were dozens of small nodules scattered throughout the length of the jejunum and ileum. The pathology revealed malignancy consistent with GIST, with moderate degree of atypia, low mitotic index (<5 / 50 and absence of necrosis. In immunohistochemical analysis, the neoplastic cells were positive for CD-34 and CD-117 (c-KIT, and negative for desmin. After surgery, the use of Imatinib chemotherapy was indicated. After a follow-up period of 12 months

  13. Optimization of recommendations for abdomen computerized tomography based on reconstruction filters, voltage and tube current; Otimizacao de protocolos de tomografia computadorizada de abdome com base nos filtros de reconstrucao, tensao e corrente do tubo

    Energy Technology Data Exchange (ETDEWEB)

    Silveira, Vinicius da Costa

    2015-07-01

    The use of computed tomography has increased significantly over the past decades. In Brazil the use increased more than twofold from 2008 to 2014, in the meantime the abdomen procedures have tripled. The high frequency of this procedure combined by the increasing collective radiation dose in medical exposures, has resulted development tools to maximize the benefit in CT images. This work aimed to establish protocols optimized in abdominal CT through acquisitions parameters and reconstructions techniques based on filters kernels. A sample of patients undergoing abdominal CT in a diagnostic center of Rio de Janeiro was assessed. Had been collected patients information and acquisitions parameters. The phantoms CT image acquisitions were performed by using different voltage values by adjusting the tube current (mAs) to obtain the same value from CTDI{sub vol} patients with normal BMI. Afterwards, the CTDIvol values were reduced by 30%, 50% and 60%. All images were reconstructed with low-contrast filters (A) and standard filters (B). The CTDIvol values for patients with normal BMI were 7% higher than in patients with underweight BMI and 30%, 50% and 60% lower than the overweight, obese I and III patients, respectively. The evaluations of image quality showed that variation of the current (mA) and the reconstruction filters did not affect the Hounsfield values. When the contrast-to-noise ratio (CNR) was normalized to CTDIvol, the protocols acquired with 60% reduction of CTDIvol with 140 kV and 80 kV showed CNR 6% lower than the routine. Modifications of the acquisition parameters did not affect spatial resolution, but the post-processing with B filters reduced the spatial frequency by 16%. With reduced the dose of 30%, lesions in the spleen had the CNR higher than 10% routine protocols with 140 kV acquired and post-processed to filter A. The image post-processing with a filter A with a 80kV voltage provided CNR values equal to the routine for the liver lesions with a 30

  14. Radiografía directa de abdomen y correlación clínica en la enterocolitis necrotizante Direct abdominal radiology and clinical correlation in the necrotizing enterocolitis

    Directory of Open Access Journals (Sweden)

    María Carolina Castagnaro

    2009-03-01

    Full Text Available Propósito: Determinar la incidencia de enterocolitis necrotizante (ECN en la población estudiada y categorizar los signos radiográficos, según la clasificación clínico- radiológica de Bell, en 6 grados de menor a mayor severidad (IA y B, IIA y B y IIIA y B, útil para definir conductas terapéuticas y pronóstico. Material y Método: Análisis retrospectivo de 550 historias clínicas de neonatos menores de 36 semanas asistidos en UCI Neonatal entre abril/septiembre de 2003. Se seleccionaron 45 recién nacidos (RN que desarrollaron ECN y se evaluó: edad gestacional (EG, peso y presentación clínico- radiológica. Resultados: De los 550 RN, 45 (8% presentaron ECN. La EG se halló con mayor frecuencia entre las 31 y 34 semanas (60% y el 71% de los niños pesó al nacer entre 1000 y 2000 gramos. La presentación clínico-radiológica según la clasificación de Bell fue: IA: 9 casos (20%; IB: 10 casos (22%; IIA: 11 casos (24%; IIB: 7 casos (15%; IIIA: 3 casos (7%, IIIB: 5 casos (11%. Conclusión: La incidencia de ECN en la población estudiada fue del 8%, coincidente con la bibliografía. Se confirma el valor de la Rx directa de abdomen, ya que su rol no solo está vinculado al diagnóstico de la enfermedad sino que aporta elementos de valor para el pronóstico, control evolutivo y detección de complicaciones.Purpose: Determine the incidence of necrotizing enterocolitis (NEC on the studied population and categorized the radiological signs based on the Bell clinical - radiological classification, in 6 grades from lower to higher severity (IA and B, IIA and B and IIIA and B, necessary to define prognosis and therapeutical behaviors. Materials and Method: Retrospective analysis of 550 clinical cases of neonates younger than 36 weeks assisted in UCI Neonatal between April and September 2003. Fourty five new born that developed NEC were selected, and the gestational age (GA, weight and clinical radiological presentation were evaluated. Results

  15. Relationship between radiation dose estimation in patients submitted to abdominal tomography examination and the body mass index; Relacao entre a estimativa de dose de radiacao em pacientes submetidos a exame de tomografia computadorizada do abdomen e o indice de massa corporal

    Energy Technology Data Exchange (ETDEWEB)

    Capaverde, Alexandre da S.; Pimentel, Juliana; Froner, Ana Paula P., E-mail: alexandre.capaverde@acad.pucrs.br, E-mail: juliana.pimentel@pucrs.br, E-mail: ana.froner@pucrs.br [Hospital Sao Lucas (HSL/PUCRS), Porto Alegre, RS (Brazil); Silva, Ana Maria Marques da, E-mail: ana.marques@pucrs.br [Pontificia Universidade Catolica do Rio Grande do Sul (PUCRS), Porto Alegre, RS (Brazil). Fac. de Fisica

    2014-07-01

    Because of the radiation dose in computed tomography (CT) is relatively high, it is important to have an estimate of the dose to which the patient is submitted, considering parameters and correction factors, so that the value is closer to the real. The objective of this study is to relate the estimated dose in patients undergoing abdominal CT with BMI (Body Mass Index) groups, considering the specific size of the anatomical region. The work developed in a hospital in Porto Alegre, Brazil, using 16 Siemens Somatom Emotion equipment. We selected 30 adult that underwent to CT of the abdomen in January 2014. Of these, 13 using dose reduction mechanism (Care Dose), (Sample 1) and the rest without this mechanism (Sample 2). Registered weight, height, CTDI{sub vol} (Computed Tomography Dose Index) and anteroposterior and lateral diameter at the umbilicus. BMI and the correction factor for the dose estimates were calculated, according to the specific size of the abdomen. It was determined the percentage change between the CTDI{sub vol} values provided by CT and the value of CTDI{sub vol} after application of the correction factor, plus the average percentage change for each BMI group. The mean percentage change was between 54% and 19% for sample 1 and between 35% and 10% for sample 2, the lowest to highest BMI group. There was a reduction in the medium average percent with the increasing of the BMI groups in both samples. A larger sample of individuals for verification of results is required.

  16. 比较不同体型特异性剂量评估算法在估算成人胸腹部CT扫描中辐射剂量的差异%Comparison of different SSDE methods in evaluating the radiation dose in chest and abdomen CT scan

    Institute of Scientific and Technical Information of China (English)

    袁子龙; 王国柱; 张照喜; 郑丽丽; 杜东屏; 陈迢; 彭伟; 邱建峰; 刘玉林

    2016-01-01

    目的 比较基于水等效直径(WED)的体型特异性剂量评估(SSDEwED)和基于有效直径(ED)的SSDEED在估算成人胸腹部CT辐射剂量中的差异.方法 采用德国西门子SOMATOMDefinition AS 64排128层CT机对240例成人患者行胸部(161例)、腹部(79例)平扫,按部位分别分为胸部A组左右径(LAT) <30 cm,B组30 cm≤LAT≤34 cm,C组LAT> 34 cm和腹部A组LAT<27cm,B组27 cm≤LAT≤32 cnm,C组LAT> 32cm.记录每例患者的CTDIvol值,并计算ED、WED和转换系数fsize,以及患者的SSDEED和SSDEWED.比较不同LAT组SSDEWED和SSDEED之间的差异.结果 胸部扫描患者ED与WEDfsize.ED与fsize.WED及SSDEED与SSDEWED之间差异均有统计学意义(t=-33.12、32.55、28.44,P <0.05),3组病例问LAT、ED、WED、SSDEED和SSDEWED差异均有统计学意义(F=273.67、140.97、77.05、19.87、32.21,P<0.05);腹部扫描患者ED与WED、fsize.ED与fsize.WED及SSDEED与SSDEWED之问差异均有统计学意义(t=-24.09、-22.96、22.46,P<0.05),3组病例间LAT、ED、WED、SSDEED和SSDEWED差异均有统计学意义(F=123.89、82.17、83.16、52.74、53.62,P<0.05).胸部WED较ED降低约12.0%,导致SSDEWED较SSDEED增加了约11.6%;腹部WED较ED增加了约5.2%,导致SSDEWED较SSDEED降低了约4.8%,且胸部及腹部3组病例SSDEWED较SSDEED均随着LAT的增加而增加.结论 WED能够更好地代表患者的体型大小及衰减特性,SSDEWED能够更准确地计算胸腹部CT患者的辐射剂量.%Objective To compare the difference between SSDEENand SSDEWED in evaluating the radiation dose of adult chest and abdomen CT scans.Methods A total of 240 adult patients were performed CT scan for chest or abdomen by Siemens 128 slice CT (161 cases in chest,79 cases in abdomen),and they were divided into three groups according to the different left-right (LAT) sizes of chest and abdomen (for chest,group A,LAT < 30 cm;group B,30 cm ≤ LAT ≤ 34 cm;group C,LAT > 34 cm;for abdomen,group A,LAT <27 cm

  17. Combined PET-MRI of the abdomen; Kombinierte PET-MRT des Abdomens

    Energy Technology Data Exchange (ETDEWEB)

    Vag, Tibor; Eiber, M.; Schwaiger, M. [Technische Universitaet Muenchen, Klinik fuer Nuklearmedizin, Klinikum Rechts der Isar, Muenchen (Germany)

    2015-12-15

    The first fully integrated combined positron emission tomography-magnetic resonance imaging (PET-MRI) scanners have been clinically available since 2010. Large prospective studies regarding indications and diagnostic accuracy of this new modality are not yet available; however, preliminary studies have shown a higher diagnostic accuracy and confidence compared to PET-computed tomography (PET-CT) in regions where MRI is known to be superior to CT, such as the liver. The benefit of MRI in accurate lesion characterization and the additional value of diffusion-weighted imaging (DWI) as a complementary functional modality by means of the apparent diffusion coefficient (ADC) is apparent in entities with low tracer uptake (e. g. due to small size) and a decreased or absent accumulation pattern on PET. (orig.) [German] Seit 2010 sind die ersten voll integrierten Positronenemissionstomographie(PET)-MR-Scanner im klinischen Gebrauch. Obwohl es derzeit noch an empirischen Daten im Sinne groesserer und prospektiver Studien fehlt, implizieren erste Studien einen diagnostischen Mehrwert gegenueber der PET-CT in Regionen, in denen die MRT bekanntermassen der CT ueberlegen ist. Diese ist in der besseren morphologischen Charakterisierung begruendet, die insbesondere bei Laesionen mit geringer Tracerspeicherung (z. B. aufgrund der geringen Groesse) oder unbekanntem Speicherverhalten in der PET ausschlaggebend ist. Zudem steht der MRT eine komplementaere funktionelle Modalitaet in Form der Diffusionsbildgebung zur Verfuegung, die ueber die Berechnung des Apparent-diffusion-coefficient(ADC)-Werts eine weitere Einschaetzung des Gewebes geben kann. (orig.)

  18. Radiological interventional procedures for the acute abdomen; Radiologisch-interventionelle Massnahmen beim akuten Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Trumm, C.; Hoffmann, R.T.; Reiser, M.F. [Klinikum der Ludwig-Maximilians-Universitaet Muenchen, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2010-03-15

    In patients with acute thrombo-embolic occlusion of the superior mesenteric artery, catheter-assisted thrombolytic therapy represents a procedure of increasing importance in addition to surgery and intensive care treatment. The thrombolytic drugs utilized for this purpose are urokinase, streptokinase and recombinant tissue plasminogen activator (rtPA). Therapeutic embolization is predominantly used in the treatment of arterial bleeding from the gastro-intestinal tract, the liver, the intestines (due to an aneurysm or vascular malformation) and in bleeding from intestinal anastomoses. Polyvinyl alcohol particles, embospheres, gelfoam and microcoils can be utilized as embolic agents. Percutaneous transhepatic cholangiodrainage and stent implantation are applied in patients with biliary obstructions caused by inoperable tumors of the gall bladder or bile ducts, of the pancreatic head or duodenum and by metastases located in the liver parenchyma or hepatic hilum. Image-guided percutaneous drainage is a valuable option in the management of abscesses in the peritoneal cavity; less common indications are lymphoceles, biliomas, urinomas, hematomas, necrosis and pseudocysts. (orig.) [German] Die kathetergestuetzte thrombolytische Therapie stellt im Kontext einer chirurgischen und intensivmedizinischen Versorgung von Patienten mit thrombembolisch bedingter mesenterialer Ischaemie ein unterstuetzendes Behandlungsverfahren von zunehmender Bedeutung dar. Als thrombolytische Agenzien werden Urokinase, Streptokinase und der rekombinante Gewebeplasminogenaktivator (rtPA) verwendet. Die therapeutische Embolisation kommt neben der endoskopischen und chirurgischen Blutungsstillung bei arteriellen Blutungen im Gastrointestinaltrakt, aus der Leber, im Darm (als Folge eines Aneurysmas oder einer vaskulaeren Malformation) sowie bei blutenden intestinalen Anastomosen zum Einsatz. Zur Embolisation koennen Polyvinylalkoholpartikel, Embosphaeren, Gelfoam oder Mikrocoils verwendet werden. Die perkutane transhepatische Cholangiodrainage und die biliaere Stentimplantation bei malignem Ikterus kommen bei inoperablen Tumoren der Gallenblase oder Gallenwege, Tumoren des Pankreaskopfs oder Duodenums sowie Metastasen im Bereich von Leber oder Leberpforte zum Einsatz. Indikationen fuer die bildgesteuerte perkutane Drainage sind abdominelle Abszesse, weniger haeufig Lymphozelen, Biliome, Urinome, Haematome, Nekrosen sowie Pseudozysten. (orig.)

  19. Clinical efficacy of allogeneic cross-linked dermal dressing for the treatment of enteroatmospheric fistula in patients with open abdomen%人体生物敷料在腹腔开放治疗中的临床疗效

    Institute of Scientific and Technical Information of China (English)

    毛琦; 王剑; 孔文成; 李幼生; 黎介寿

    2014-01-01

    Objective To investigate the clinical efficacy of allogeneic cross-linked dermal dressing (ACLD) for the treatment of enteroatmospheric fistula (EAF) in patients with open abdomen (OA).Methods The clinical data of 44 patients with experienced trauma who received OA at Nanjing General Hospital of Nanjing Military Command from January 2011 to January 2014 were retrospectively analyzed.All patients received temporary abdominal closure (TAC) by modified sandwich-vacuum package (MSVP).From January 2011 to December 2012,33 patients with OA received vaseline gauze as abdominal cover layer (VG group),and from January 2013 to January 2014,11 patients with OA received allogeneic cross-linked dermal dressing as abdominal cover layer (ACLD group).Patients were followed up via outpatient examination or telephone interview till October 2014.The incidence of EAF,time for skin-grafting,hematologic indexes in 2 weeks after surgery (white blood cell counts,percentage of neutrophil,the mean value of procalcitonin and C reactive protein),the duration of postoperative hospital stay,hospital expenses and survival rates in the 2 groups were analyzed using t-test,repeated measures analysis of variance and Fisher's exact test.Results The incidence of EAF in the VG group and ACLD group was 42.4% (14/33) and 0,respectively,with a significant difference between the 2 groups (P < 0.05).The duration of skin-grafting was (15 ±6) days in the VG group and (11 ±3)days in the ACLD group,with a significant difference between the 2 groups (t =2.10,P < 0.05).The mean values of preoperative procalcitonin and postoperative procalcitonin at day 1,3,7,14 in the VG group were (1.20 ± 0.60)pg,/L and (2.50-± 0.90)pg,/L,(1.70 ± 0.30) pg/L,(1.90 ± 0.40) μg/L and (2.70 ± 0.60) μg/L,which were significantly higher than that of (0.90 ± 0.30) μg/L and (1.80 ± 0.60) μg/L,(1.30 ± 0.50) μg/L,(0.60 ± 0.20) μg/L and (0.30 ± 0.07) μg/L in the ACLD group (F =8.50,P < 0.05).The white blood cell

  20. 右美托咪定治疗腹部手术患者苏醒期躁动%The observation of dexmedetomidine in treatment of emergence agitation after abdomen surgery

    Institute of Scientific and Technical Information of China (English)

    李茜; 曹洁; 陈双; 朱长松; 刘韬; 陈兴东; 段满林; 徐建国

    2015-01-01

    Objective To investigate the efficacy and safety of dexmedetomidine on prevention of emergence agitation in adult patients during recovery period after abdomen surgery.Methods 1 20 ASA I -II patients scheduled for elective abdominal surgery under general anesthesia were randomly divided into three groups:dexmedetomidine group (group A),midazolam group (group B)and the saline control group (group C),40 cases in each group.40min before the end of surgery,dexmedetomidine 0.6μg/kg was continued intravenous infusion 1 0min in group A,midazo-lam 30μg/kg and 1 mL physiological saline were respectively intravenously injected in group B and group C.The post-operative recovery room (PACU)of restlessness,sedation,blood pressure,SpO2 and extubation time were observed. Results In of midazolam group,the time of anesthesia recovery[(1 8.2 ±1 .9)min],extubation[(32.1 ±3.9)min] and PACU staying[(48.7 ±3.1 )min]were significantly longer compared with the dexmedetomidine group[(1 3.1 ± 2.4)min,(26.5 ±2.2)min and (39.8 ±3.4)min,P =0.023,0.040 and 0.003]and the saline group[(1 2.6 ± 2.3)min,(24.8 ±2.9)min and (38.6 ±4.3)min,P =0.01 7,P =0.023 and P =0.001〗.The postoperative seda-tion scores of dexmedetomidine [(2.3 ±0.2 )points,P =0.025 ]and midazolam group [(2.4 ±0.1 )points,P =0.020]were significantly higher than the saline control group[(1 .1 ±0.5)points].The postoperative agitation score of dexmedetomidine (1 .3 ±0.5)points was lower than midazolam group [(2.5 ±0.5)points,P =0.01 1 ]and the saline control group[(2.4 ±0.6)points,P =0.020].HR and MAP of three groups at 2 min before extubation were observed,in the immediate extubation and at 5 min after extubation,the HR of dexmedetomidine group[(62.7 ± 4.1 )times/min,(67.3 ±3.4)times/min and (63.2 ±4.3)times/min]was significantly delayer than midazolam group [(72.3 ±3.4)times/min,(84.9 ±5.3)times/min and (82.1 ±3.1 )times/min],(P =0.002,P =0.001 and P =0.001 )and the saline control group [(73.6 ±2.9 )times

  1. Effect of continuous epidural blockade and PCEA on the stress change response to upper abdomen surgery%连续硬膜外阻滞与术后镇痛对上腹部手术应激激素变化的影响

    Institute of Scientific and Technical Information of China (English)

    张迎宪

    2011-01-01

    目的 观察比较连续硬膜外腔阻滞与术后镇痛对上腹部手术应激激素的变化及其对应激反应的影响.方法 选择30例上腹部手术患者,随机分为膜外腔阻滞组(EA)和全身麻醉组(GA),每组各15例,分别测定麻醉诱导前、手术2 h、术毕、术后1 d及术后3 d的血浆去甲肾上腺素(NE)、肾上腺素(E)、血清促肾上腺皮质激素(ACTH)和皮质醇的水平.结果 血浆去甲肾上腺素和血清皮质醇EA组术中、术后无显著改变,但GA组术毕和术后1 d显著升高(P0.05).结论 连续硬膜外腔阻滞及术后镇痛可以减轻上腹部手术的应激反应.%Objective To observe and compare the effect of continuous epidural blockade and PCEA on the stress charge response to upper abdomen surgery. Methods Thirty patients undergoing upper abdomen surgery were randomized to receive either combined general anesthesia with postoperative patient-controlled epidural analgesia (PCEA) (EA group,n=15) or general anesthesia with postoperative patient-controlled intravenous analgesia (PCIA) (GA group,n=15). The stress response was quantitated by measuring of plasma norepinephrine, epinephrine, serum cortisol, adrenocorticotropin (ACTH),at pre-induction,2 hours after incision, at the end of operation,and on the morning of postoperative in the 1(POD1) and 3 (POD3) day. Results There were no changes in plasma norepinephrine and cortisol concentrations in GA group, but there were significant increases at the end of surgery and on POD1 in GA group (P0.05). Conclusions Continuous epidural blockade and PCEA could reduce the stress response toupper abdomen surgery.

  2. 半夏泻心汤联合乌灵胶囊治疗痞证的研究%Clinical Studty of Pinelliae Decoction for Purging Stomach-Fire and Wuling Capsule in the Treatment of Syndrome of Feeling Fullness and Distension in the Upper Abdomen

    Institute of Scientific and Technical Information of China (English)

    尹璐

    2013-01-01

    目的:观察半夏泻心汤联合乌灵胶囊治疗痞证的临床效果.方法:将59例痞证患者随机分成治疗组(半夏泻心汤联合乌灵胶囊)和对照组(半夏泻心汤),疗程为2周.结果:2组总体疗效、脘腹痞满、反酸总有效率差异无统计学意义(P>0.05),治疗组总体疗效、脘腹痞满、反酸治愈率明显优于对照组(P<0.05);大便不调总有效率及治愈率均优于对照组(P<0.05);胃脘痛、恶心、纳差、乏力总有效率及治愈率2组差异无统计学意义(P>0.05).结论:半夏泻心汤配合乌灵胶囊治疗痞证疗效满意.%Objective: to observe the effect of Pinelliae Decoction for Purging Stomach - Fire and Wuling capsule in the treatment of syndrome of feeling fullness and distension in the upper abdomen. Methods: 59 patients with syndrome of feeling fullness and distension in the upper abdomen were randomly divided into treatment group (treated with Pinelliae Decoction for Purging Stomach-Fire and Wuling capsule for 2 weeks) and control group (treated with Pinelliae Decoction for Purging Stomach-Fire for 2 weeks). Results;There is no significant difference between two groups in the total effective rate of total curative effect, gastric stuffiness and discomfort and sour regurgitation, but significant difference in cure rate of these three items (P < 0.05 ). Dysporia in the treatment group is significantly improved ( P < 0.05 ). There is no significant difference in gastric abscess, nausea, anepithymia and debilitation. Conclusion:It' s satisfactory curative effect of Pinelliae Decoction for Purging Stomach-Fire and Wuling capsule in the treatment of syndrome of feeling fullness and distension in the upper abdomen.

  3. Hemograma e proteinograma plasmático de eqüinos hígidos e de eqüinos acometidos por abdômem agudo, antes e após laparotomia Hemogram and plasma proteins of healthy horses and horses with acute abdomen before and after laparotomy

    Directory of Open Access Journals (Sweden)

    J.J. Fagliari

    2002-12-01

    Full Text Available Foram examinados 20 eqüinos adultos, 10 sadios e 10 acometidos por abdômen agudo, submetidos à laparotomia. O exame clínico e a colheita de amostras de sangue foram realizados antes da laparotomia e diariamente, a partir da cirurgia, até o 10º dia após a intervenção. Constatou-se elevação da temperatura retal, das freqüências cardíaca e respiratória, do número de hemácias e de leucócitos, do volume globular e dos valores das proteínas plasmáticas após a cirurgia, em ambos os grupos, porém com valores mais elevados nos animais enfermos, especialmente do número de neutrófilos. O proteinograma plasmático dos eqüinos com abdômen agudo mostrou que houve elevação significativa nas concentrações de proteínas na fase aguda com maiores valores ao redor de 48 horas após a cirurgia. Os resultados indicaram que o padrão de elevação e decréscimo dessas proteínas pode ser útil na definição do prognóstico do quadro clínico de abdômen agudo e da recuperação cirúrgica dos eqüinos.Hemogram and plasma protein concentrations of healthy horses and horses affected with acute abdomen before and after laparotomy were determined to investigate if these determinations can be of help on the diagnosis and prognosis of the post-operative intercurrence. The body temperature, respiratory and heart rates, red blood cell, leukocyte and neutrophil counts, packed cell volume, and plasma protein concentrations increased after laparotomy, mainly in sick horses. Acute phase protein concentrations were higher in the horses affected with acute abdomen than in the healthy horses with the highest values detected at about 48 hours after surgery. The results suggest that determining the level of these proteins can be useful for the diagnosis and prognosis of post-operative recovery after laparotomy in healthy horses and in horses affected with acute abdomen.

  4. Influence of abdomenal hot compress combined to diet intervention on nausea and vomiting of liver cancer patients after undergoing interventional treatment%腹部热敷联合饮食干预对肝癌介入术后病人恶心、呕吐的影响

    Institute of Scientific and Technical Information of China (English)

    尹秀芬; 尹旭明; 谭李军; 唐桂香; 罗革

    2013-01-01

    介绍了恶心、呕吐的定义及分级,对介入术后恶心、呕吐及胃痛的原因进行分析,从药物、腹部热敷、饮食干预方面对肝癌介入术后病人恶心、呕吐的影响进行综述.%It introduced the definition and classification of nausea and vomiting, and analyzed the causes of nausea and vomiting and stomach ache after the intervention,and reviewed the influence on nausea and vomiting of liver cancer patients after undergoing interventional treatment from aspects of drug,abdomenal hot compress and diet interventions.

  5. 肠脂肪酸结合蛋白在急腹症患者中鉴别急性肠缺血的价值%The value of serum intestinal fatty acid binding protein measurement in discriminating intestinal ischemia in patients with acute abdomen

    Institute of Scientific and Technical Information of China (English)

    石卉; 吴本俨; 刘文徽; 苏斌斌; 李婷婷

    2012-01-01

    目的 评估肠脂肪酸结合蛋白( I-FABP)在急腹症患者中鉴别急性肠缺血的价值.方法 2009年11月至2011年8月解放军总医院151例住院急腹症患者及17例健康对照者纳入本研究,测定其血清I-FABP水平,根据ROC曲线计算I-FABP诊断急性肠缺血的临界值、敏感性、特异性、阳性似然比、阴性似然比、阳性预测值、阴性预测值,评估其诊断及鉴别诊断价值.结果 151例急腹症患者中急性肠缺血24例,非肠缺血127例.肠缺血组的I-FABP水平[(109.67 ±48.82)μg/L]明显高于非肠缺血组[(36.78±11.25) μg/L]和健康对照组[(8.33±6.25) μg/L],P值均<0.01.I-FABP的诊断临界值为87.52 μg/L,I-FABP诊断急性肠缺血的敏感度为0.762,阴性预测值为0.963,阳性似然比3.05,阴性似然比0.24.结论 血清I-FABP用于鉴别急腹症中急性肠缺血患者具有临床诊断价值.%Objective To assess the differential diagnostic value of serum intestinal fatty acid binding protein (I-FABP) in distinguishing intestinal ischemia patients from acute abdomen patients.Methods A total of 151 patients with acute abdomen and 17 healthy controls from the PLA General Hospital were enrolled from November,2009 to August,2011. Serum I-FABP levels were measured by ELISA.According to the ROC curve,the cut-off value,sensitivity,specificity,positive likelihood ratio (PLR),negative likelihood ratio ( NLR),positive predietive value (PPV) and negative predictive value (NPV) were calculated. Results Of the 151 acute abdomen patients,there were 24 intestinal ischemia patients and 127 without intestinal ischemia.Serum I-FABP level in intestinal ischemia group [( 109.67 ±48.82) μg/L]was significantly higher than those in patients without intestinal ischemia [(36.78 ± 11.25) μg/L]and healthy controls[(8.33 ±6.25) μg/L]( all P values <0.01 ).The serum I-FABP cut-off value for the diagnosis of intestinal ischemia was 87.52 μg/L.Serum I-FABP was efficient in terms of

  6. 醒脾养儿颗粒联合腹肌锻炼治疗小儿遗尿48例疗效评价%Xingpi Yang′er Granules Combined with Exercise of Abdomen Muscles for Treating Nocturnal Enuresis in 48 Cases

    Institute of Scientific and Technical Information of China (English)

    易波

    2016-01-01

    Objective To observe the clinical efficacy of Xingpi Yang′er Granules combined with exercise of abdomen muscles in the treatment of nocturnal enuresis. Methods 96 patients hospitalized in the hospital diagnosed as nocturnal enuresis were randomly divided into the treatment group and the control group,48 cases in each group. The control group was treated with desmopressin Acetate Tablets,and the treatment group was treated with Xingpi Yang′er Granules combined with exercise of abdomen muscles. 2 weeks was 1 course of treatment,and the two groups were treated for 3 courses. Results After treatment,the urinary incontinence symptom integral of enuresis children in the treatment group was decreased compared with before treatment ( P < 0. 01),and the treatment group de-creased obviously more compared with control group ( P < 0. 05);the clinical efficacy of the treatment group was significantly better than the control group( P<0. 05);the ADH level and urine osmolality were significantly increased compared with before treatment( P<0. 01), and the increases in the treatment group were more than the control group( P < 0. 05);both groups had no significant adverse reac-tions. Conclusion Xingpi Yang′er Granules combined with exercise of abdomen muscles has obvious effects to the number of urinary incontinence,decrease the quantity of urinary incontinence,improve the sleep depth degree,and enhance the level of ADH and Urine os-molality in the blood,with obvious clinical efficacy and few adverse reactions.%目的:观察醒脾养儿颗粒联合腹肌锻炼治疗小儿遗尿的疗效。方法将96例遗尿患儿随机分为对照组和治疗组,各48例。对照组患儿给予醋酸去氨加压素片治疗,治疗组患儿给予醒脾养儿颗粒联合腹肌锻炼治疗。2周为1个疗程,治疗3个疗程。结果治疗后,治疗组小儿遗尿症状评分较治疗前明显降低( P <0.01),且较对照组降低幅度更大( P <0.05);治疗组临床

  7. Study on the clinical efficacy of transversal abdominal plane blockade in treatment of acute herpes zoster on abdomen%腹横肌平面阻滞治疗腹部急性带状疱疹的临床观察

    Institute of Scientific and Technical Information of China (English)

    刘永彬; 万磊; 罗克金

    2016-01-01

    目的:观察腹横肌平面阻滞治疗急性期下腹部带状疱疹的临床疗效。方法28例急性带状疱疹患者随机分为肋间神经阻滞组(IC 组,n =14)和腹横肌平面阻滞组(TP 组,n =14),分别接受 T10、T11、T12椎旁肋间神经阻滞(1次/周,共4次)和患侧腹横肌平面阻滞(1次/周,共4次)。观察两组的阻滞平面范围评分值、结痂时间、4周后通常痛视觉模拟评分和爆发痛视觉模拟评分。结果 TP 组阻滞平面评分值明显高于 IC 组( P <0.05)。TP 组皮肤结痂时间明显短于 IC 组( P <0.05)。TP 组疼痛视觉模拟评分值明显低于 IC 组( P <0.05)。结论腹横肌平面阻滞可以有效控制急性期下腹部带状疱疹所致皮神经疼痛,同时有助于带状疱疹皮损区的愈合。%Objective To observe the efficacy of transversal abdominal plane blockade in treatment of patients with acute herpes zoster in lower abdomen. Methods Twenty - eight patients with acute herpes zoster in lower abdomen were randomly assigned into group IC(n = 14),pa-tients in this group received paravertebral intercostal nerve blockade at T10 ,T11 and T12(once a week and four times as one course)and patients in group TP( n = 14)received transversal abdominal plane blockade( once a week and four times as one course). Scales of blockade level (SBL),time for forming scab(TFB),visual analogue scales(VAS)of common pain and visual analogue scales(VAS)of burst pain after four weeks were observed and recorded. Results Scales of blockade level(SBL)in group TP were higher than those of group IC( P < 0. 05). The duration for forming scab in patients of group TP was shorter than that of patients in group IC( P < 0. 05). Visual analogue scales(VAS)of com-mon pain and burst pain in patients of group TP were lower than those of patients in group IC( P < 0. 05). Conclusion Transversal abdominal plane blockade is effective in alleviating cutaneous nerve pain

  8. 甲基泼尼松龙联合肝素治疗儿童重型腹型紫癜的临床观察%Clinical observation of about heavy abdomen type of anaphylactoid purpura treated hy methylprednisolone associate with heparin

    Institute of Scientific and Technical Information of China (English)

    李琪; 戚勤; 徐静

    2008-01-01

    Objective To observe the curative effect about heavy abdomen type of anaphylactoid pur-pura treated by Methylprednisolone associate with Heparin. Methods Randomly divided eighty three children with heavy abdomen type of anaphylactoid purpura who treated in department of pediatrics of the first hospital affiliated to Kunming medical college from January, 2006 to december, 2007 into group A (treated by Hydro-cortisone) and group B (treated by Methylprednisolone) and group C(treated by Methylprednisolone associate with Heparin). Group A treated by mainline Hydrocortisone dose of 5~8 mg/kg body weight once a day,mixed into 100ml 5% glucose injection, after 7~14 days later, instead of take orally Predisone tablet and de-grees dose by gradually. Group B treated by mainline Methylprednisolone dose of 2~4 mg/kg body weight once a day, mixed into 100ml 5% glucose injection, after 7~14 days later, instead of take orally Predisone tablet, and group C treated by Methylprednisolone by oneself (dose like group B) associate with mainline Hep-arin (dose of 0.25~0.75 mg/kg body weight once a day, mixed into 100ml 5% glucose injection) 7~10 days. Observe clinic symptomatic like as tetter, bellyache, entron hemorrhage when treatment of every group. Contrast reiteration rate of anaphylaetoid purpura, and the period of urine test get hack normal which cases with kidney tamper. Contrast these medication' s side effect such as resort of natrium and water, elec-trolyte turbulence, hemorrhage and so on. Results Group C (treated by Methylprednisolone associate with Heparin) is better then group A (treated by Hydrocortisone) and group B (treated by Methylprednisolone by oneself) in eliminate tetrer and release bellyache. The less period of group C need to treatment entron hemor-rhage and urine test get hack normal. And thereiteration rate is less of group C than group A and group B.Conclusion Methylprednisolone in association with Heparin to treat heavy abdomen type of

  9. DIAGNOSTIC ACCURACY AND CLINICAL VALUE OF PRE - TRIAGE MANAGEMENT SYSTEM ON A-CUTE ABDOMEN PATIENTS%预检分诊管理制度对急腹症患者分诊准确性及临床价值探讨

    Institute of Scientific and Technical Information of China (English)

    余茂琼

    2015-01-01

    Objective To explore the diagnostic accuracy and clinical value of pre - triage management sys‐tem in patients with acute abdomen .Methods All of 180 acute abdomen patients in accordance with the compliance inspection system were divided into the triage group of 97 cases and self - selection group of 83 cases ,triage group underwent pre - triage management system ,self - selection group choose departments by self .Some indicators were compared between the two groups included accuracy rate ,treatment success rate ,waiting time ,waiting for the examination time ,the degree of anxiety and patient satisfaction .Results Triage group was significantly higher on accuracy rate ,treatment success rate than that self - selection group ,but whose waiting time ,waiting for the examination time were less than self - selection group(P<0 .05) .Anxiety improvement rate ,satisfaction degree were obviously higher in the triage group than those in the self - selection group(P < 0 .05) .Conclusion Pre - triage management system can improve clinical outcomes and patient satisfaction according to the patients'clinical signs arrangements reasonable treatment order ,it is worthy of clinical application .%目的:探讨预检分诊管理制度对急腹症患者分诊准确性及临床价值。方法将180例患者按照是否依从预检制度分为预检分诊组97例和自主选择组83例,预检分诊组护士对患者进行预检分诊,自主选择组患者自主选择科室。比较二组患者就诊准确率、救治成功率、候诊时间、待诊时间以及焦虑程度改善率和患者满意度。结果预检分诊组就诊准确率、救治成功率均显著高于自主选择组,候诊时间、确诊时间均少于自主选择组,二组比较差异具有统计学意义(P <0.05)。预检分诊组患者焦虑程度改善率显著优于自主选择组,患者满意度也明显高于自主选择组,组间相比差异亦有统计学意义(P<0.05)。结

  10. Mucopolysaccharidosis: abnormal findings on abdomen and chest excluding musculoskeletal system

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Jeung Hee; Yoon, Dae Young; Seo, Young Lan; Han, Dae Hee; Choi, Chul Soon; Bae, Sang Hoon; Yoon, Young Cheol; Park, Sang Joon [Samsung Medical Center, Seoul (Korea, Republic of); Kim Han, Bok Yung; Yoon, Hye Kyung; Cho, Jae Min [Hallym University College of Medicine, Seoul (Korea, Republic of)

    2003-06-01

    Mucopolysaccharidosis (MPS) is a lysosomal storage disease that causes tissue distortion and dysfunction due to the infiltration of mucopolysaccharide in connective tissue. The purpose of this study was to evaluate the characteristic findings of abdominal CT and plain chest radiography in patients with MPS. Sixty-two children with MPS diagnosed by urine analysis were involved in this study; 24 of these underwent abdominal CT and the findings were reviewed by two radiologists, who reached a consensus. Organomegaly was classified as severe, moderate or mild. On chest PA radiographs of 42 of the children, the transverse diameter of the trachea was measured and compared with that of 42 normal controls. Student's t test was used for statistical analysis. At abdominal CT, hepatomegaly was observed in 22 patients (92%; 2 severe, 15 moderate and 5 mild); and splenomegaly was present in 18 (75%; 2 severe, 4 moderate and 12 mild). Among eight patients(33%) with pancreatic enlargement, one had a severly enlarged pancreas, while in the remaining seven, enlargement was mild. Also present were inguinal hernia (n=15), umbilical hernia (n=12), undulation with thickening of the diaphragmatic crura (n=10), abnormalities related to the male genitalia (n=5) and vascular anomaly (n=3). In MPS patients, the mid-point diameter of the trachea (range, 5.6-9 mm; mean, 6.9 mm) was significantly less than in normal controls (range, 8-14 mm; mean, 10.8 mm) (p<0.001). An awareness of the characteristic abnormalities observed at abdominal CT and chest PA radiography can lead to a better understanding of MPS in children.

  11. Mucopolysaccharidosis: abnormal findings on abdomen and chest excluding musculoskeletal system

    Energy Technology Data Exchange (ETDEWEB)

    KimHan, Bo Kyung; Yoon, Hye Kyung; Cho, Jae Min [Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Moon, Jeung Hee; Yoon, Dae Young; Seo, Young Lan; Han, Dae Hee; Choi, Chul Soon; Bae, Sang Hoon; Yoon, Young Cheol; Park, Sang Joon [Hallym University College of Medicine, Seoul (Korea, Republic of)

    2003-06-01

    Mucopolysaccharidosis (MPS) is a lysosomal storage disease that causes tissue distortion and dysfunction due to the infiltration of mucopolysaccharide in connective tissue. The purpose of this study was to evaluate the characteristic findings of abdominal CT and plain chest radiography in patients with MPS. Sixty-two children with MPS diagnosed by urine analysis were involved in this study; 24 of these underwent abdominal CT and the findings were reviewed by two radiologists, who reached a consensus. Organomegaly was classified as severe, moderate or mild. On chest PA radiographs of 42 of the children, the transverse diameter of the trachea was measured and compared with that of 42 normal controls. Student's t test was used for statistical analysis. At abdominal CT, hepatomegaly was observed in 22 patients (92%; 2 severe, 15 moderate and 5 mild); and splenomegaly was present in 18 (75%; 2 severe, 4 moderate and 12 mild). Among eight patients (33%) with pancreatic enlargement, one had a severly enlarged pancreas, while in the remaining seven, enlargement was mild. Also present were inguinal hernia (n=15), umbilical hernia (n=12), undulation with thickening of the diaphragmatic crura (n=10). abnormalities related to the male genitalia (n=5) and vascular anomaly (n=3). In MPS patients, the mid-point diameter of the trachea (range, 5.6-9 mm; mean, 6.9 mm) was significantly less than in normal controls (range, 8-14 mm; mean, 10.8 mm)(p<0.001). An awareness of the characteristic abnormalities observed at abdominal CT and chest PA radiography can lead to a better understanding of MPS in children.

  12. A Rare Cause of Acute Abdomen: Idiopathic Isolated Cecal Necrosis

    Directory of Open Access Journals (Sweden)

    Ender Özer

    2015-03-01

    Full Text Available Idiopathic isolated cecal necrosis is a clinical problem characterized by right-sided inferior abdominal pain. It is rarely seen, develops due to decreased blood flow to the colon and, imitates acute appendicitis. Its clinical signs are similar to many illnesses causing sensitivity in the right inferior quadrant and, the diagnosis is generally determined during surgery. An 86-year-old male patient presented with the complaints of abdominal pain, trichiniasis, nausea and vomiting. Surgical intervention was decided when physical examination and laboratory results were taken into consideration. After diagnostic laparoscopy, right hemicolectomy was performed because of cecal necrosis. While the mortality and morbidity rates for ischemic bowel disease are high, prognosis for early diagnosed patients with isolated cecal necrosis is better, provided that timely surgical treatment is decided.

  13. A Clinical Skills Instruction Program: The Acute Abdomen.

    Science.gov (United States)

    Laube, Douglas W.; And Others

    1982-01-01

    An effective evaluation of the acutely ill female implies a thorough examination that integrates skills representing three learning domains. This process should include: a thorough medical history, a physical examination, good patient-physician rapport, and development of an efficacious management plan. A University of Iowa simulation approach is…

  14. Endoskopisk ultralydskanning af maligne tumorer i øvre abdomen

    DEFF Research Database (Denmark)

    Mortensen, M B; Hovendal, C P; Pedersen, S A

    1993-01-01

    Endoscopic ultrasonography (EUS) of the upper gastrointestinal tract is a newly developed, non-invasive investigational method. It combines the direct optical picture of the endoscope with a simultaneous ultrasonographic image of the whole wall of the oesophagus, stomach and duodenum as well as o...

  15. ANSWER: Recurrent abdomen pain and tympanic right upper quadrant.

    Directory of Open Access Journals (Sweden)

    Vui Heng CHONG

    2011-06-01

    Full Text Available Answer: Chilaiditi’s sign and Chilaiditi’s syndromeChilaiditi’s sign is defined by the asymptomatic interposition of part of the intestine(commonly the hepatic flexure of the colonbetween the right hemi-diaphragm and the liver. It is usually an incidental finding. When symptomatic, it is referred to as the Chilaiditi’s syndrome. Presentations may range from intermittent recurrent mild abdominal pain to acute intestinal volvulus, though the symptoms reported so far have been inconsistent between different patients and can be nonspecific.

  16. Motion based Segmentation of Chest and Abdomen Region of Neonates

    NARCIS (Netherlands)

    Venkitaraman, A.; Makkapati, V.V.

    2015-01-01

    Respiration rate (RR) is one of the important vital signs used for clinical monitoring of neonates in intensive care units. Due to thefragile skin of the neonates, it is preferable to have monitoring systems with minimal contact with the neonate. Recently, several methods have been proposed for con

  17. Injuries to the Abdomen and Thorax: Diagnostic and Therapeutic Considerations.

    Science.gov (United States)

    Maull, Kimball

    It is the responsibility of the athletic trainer to diagnose the nature and extent of an injury to an athlete, administer prompt first aid treatment, prevent any exacerbation of the injury, and hospitalize the patient quickly if it is necessary. The importance of these responsibilities is emphasized when an athlete suffers an injury to the abdomen…

  18. Acute Abdomen in Interstitial Ectopic Pregnancy, An Emergency Laparoscopic Treatment

    Directory of Open Access Journals (Sweden)

    E. Picardo

    2014-01-01

    Full Text Available The present case report demonstrates a laparoscopic approach to treat interstitial cornual pregnancy in emergency. Interstitial ectopic pregnancy develops in the uterine portion of the fallopian tube which accounts for 2–4% of all ectopic pregnancies and has the potential to cause life-threatening hemorrhage at rupture. The mortality rate for a woman diagnosed with such a pregnancy is 2–2.5%. Diagnosis of interstitial pregnancy is made by ultrasound. In this case a 32 year-old woman, Gravida 0 Parity 0 Living 0 Ectopic 1, presented to the emergency obstetrical room complaining acute abdominal pain. There was a history of 10 weeks of pregnancy but no pelvic ultrasound scan was performed before the access. A transvaginal ultrasound scan immediately performed demonstrated a gestational sac with viable fetus in the right interstitial region. Moreover there was an ultrasound evidence of hemoperitoneum. She was transferred to the operating room and an emergency laparoscopy surgery was performed. The postoperative course was uneventful and the patient was discharged two days after the surgery. Interstitial pregnancies present a difficult management problem with no absolute standard of care in literature. Laparoscopic technique is under study with favorable results. For our personal point of view a treatment via laparoscopy could be performed both in elective and in emergency cases.

  19. Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Toshihiro Kitai

    2014-01-01

    Full Text Available Pyometra is the accumulation of pus in the uterine cavity, and spontaneous perforation of pyometra resulting in generalized diffuse peritonitis is extremely uncommon. We report a rare case of diffuse peritonitis caused by spontaneous perforation of pyometra. A 66-year-old postmenopausal woman with diffuse abdominal pain and vomiting was admitted to our institution. She had a history of mixed connective-tissue disease and had been taking steroids for 20 years. Under a diagnosis of generalized peritonitis secondary to perforation of the gastrointestinal tract or uterus, supravaginal hysterectomy and bilateral salpingo-oophorectomy were performed. Unfortunately, wound dehiscence and infection occurred during the postoperative course, which were exacerbated by her immunocompromised state. Despite intensive care and a course of antibiotics, the patient died of multiple organ failure resulting from sepsis on the 36th postoperative day. Although correct diagnosis, early intervention, and proper treatment can reduce morbidity and mortality of spontaneous perforation of pyometra, if severe infection occurs, this disease can be life threatening for immunocompromised hosts.

  20. Perforated jejunal diverticulitis as a rare cause of acute abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Peters, R.; Grust, A.; Fuerst, G. [Department of Radiology, Heinrich-Heine-University, Duesseldorf (Germany); Gerharz, C.D. [Department of Pathology, Heinrich-Heine-University, Duesseldorf (Germany); Dumon, C. [Department of Surgery, Heinrich-Heine-University, Duesseldorf (Germany)

    1999-09-01

    Jejunal diverticula is rare and in most cases without any symptoms. They become clinically relevant when complications, such as diverticulitis, malabsorption caused by bacterial overgrowth, intestinal hemorrhage, or obstruction, occur. In this case report a case of perforated jejunal diverticulitis is presented and the problems in finding the correct diagnosis are discussed. (orig.) With 3 figs., 13 refs.

  1. Endometrioma in a virgin abdomen masquerading as an intramuscular lipoma

    OpenAIRE

    2015-01-01

    Endometriosis is the presence of endometrial tissue outside the uterine cavity. It has been previously reported in the abdominal wall secondary to gynaecological surgery. We present the case of a 32-year woman with endometrioma of the abdominal wall masquerading as an intramuscular lipoma with no previous surgical history.

  2. Endometrioma in a virgin abdomen masquerading as an intramuscular lipoma.

    Science.gov (United States)

    Al Shakarchi, J; Bohra, A

    2015-03-18

    Endometriosis is the presence of endometrial tissue outside the uterine cavity. It has been previously reported in the abdominal wall secondary to gynaecological surgery. We present the case of a 32-year woman with endometrioma of the abdominal wall masquerading as an intramuscular lipoma with no previous surgical history.

  3. Upper Lumbar Disc Herniation Presenting as Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Borghei- Razavi Hamid

    2009-10-01

    Full Text Available A woman presenting with severe right lower quadrant (RLQ abdominal pain is presented here. She was evaluated for all usual cause of such pain. Laboratory tests and abdominal and pelvic sonography was normal. MRI revealed L1-L2 disc herniation.

  4. Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique

    OpenAIRE

    Kyriazanos, Ioannis D.; Dimitrios K. Manatakis; Nikolaos Stamos; Christos Stoidis

    2015-01-01

    Wound dehiscence is a serious postoperative complication, with an incidence of 0.5–3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of “intentional open abdomen” was described and both clinical entities share common pathophysiological and clinical pathways (“postoperative open abdominal wall”). Although early reconstruction is the target, a significant proportion of patients will develop adhesions b...

  5. A Rare Cause of Acute Abdomen: Jejunal Diverticulosis with Perforation

    Directory of Open Access Journals (Sweden)

    Ibrahim Aydin

    2013-01-01

    Full Text Available Jejunal diverticulosis is generally asymptomatic and is associated with high morbidity and mortality secondary to complications, especially in elderly patients. We present a case report of a 74-year-old female patient with jejunal diverticulosis and perforation due to diverticulitis.

  6. Perforated jejunal diverticulum: a rare presentation of acute abdomen.

    Science.gov (United States)

    Kavanagh, Crystal; Kaoutzanis, Christodoulos; Spoor, Kristen; Friedman, Paul F

    2014-03-22

    Jejunal diverticulosis is a rare entity with a reported clinical incidence of 0.5%. However, symptoms relating to its presence are non-specific, which does not only delay diagnosis, but also increases the risk of serious complications approaching 15%. We report a case of perforated jejunal diverticulum presented with a 6-month history of significant weight loss and acute abdominal pain. We discuss clinical presentation in both simple and complex cases, diagnostic pitfalls and management strategies.

  7. MANAGEMENT OF SPLENIC INJURY AFTER BLUNT INJURY TO ABDOMEN

    Directory of Open Access Journals (Sweden)

    J. Bharath Prakash Reddy

    2016-07-01

    Full Text Available BACKGROUND The spleen is an important organ in the body’s immune system. It is the most frequently injured organ in blunt abdominal trauma. 1 Over the past several decades, diagnosis and management of splenic trauma has been evolved. The conservative, operative approach has been challenged by several reports of successful non-operative management aided by the power of modern diagnostic imaging. The aim of our prospective study was to compare non-operative management with surgery for cases of splenic injury. METHODS We conducted a prospective study of patients admitted with blunt splenic injury to our regional hospital over a three-year period (2012-2015. Haemodynamic status upon admission, FAST examination, computed tomography 2 grade of splenic tear, presence and severity of associated injuries have been taken into account to determine the treatment of choice. Therapeutic options were classified into non-operative and splenectomy. RESULTS Over a 3-year period, 24 patients were admitted with blunt splenic injury. Sixteen patients were managed operatively and eight patients non-operatively. 3,4 Non-operative management failed in one patient due to continued bleeding. The majority of grades I, II, and III splenic injuries were managed non-operatively and grades IV and V were managed operatively. Blood transfusion requirement was significantly higher among the operative group, but the operative group had a significantly longer hospital stay. Among those managed non-operatively (median age 24.5 years, a number of patients were followed up with CT scans with significant radiation exposure and unknown longterm consequences. CONCLUSION In our experience, NOM is the treatment of choice for grade I, II and III blunt splenic injuries. Splenectomy was the chosen technique in patients who met exclusion criteria for NOM, as well as for patients with grade IV and V injury.

  8. Spontaneous Uterine Perforation due to Pyometra Presenting as Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Loabat Geranpayeh

    2006-01-01

    Full Text Available Spontaneous perforation of the uterus is rare, its incidence being about 0.01%–0.05%. We report a rare case of diffuse peritonitis caused by spontaneously perforated pyometra. A 63-year-old woman with severe abdominal pain was admitted to our hospital. Laparotomy was performed because of the suspicion of gastrointestinal perforation with generalized peritonitis. At laparotomy, about 900 mL of pus was found in the peritoneal cavity. There were no abnormal findings in the alimentary tract, liver, or gallbladder. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Pathological investigation of the surgical specimen revealed endometritis and myometritis of the uterus; but there was no evidence of malignancy, and the cervical canal was patent. Although spontaneously perforated pyometra is rare, a perforated pyometra should therefore also be considered when elderly women present with acute abdominal pain.

  9. Spontaneous uterine perforation of pyometra presenting as acute abdomen.

    Science.gov (United States)

    Kitai, Toshihiro; Okuno, Kentaro; Ugaki, Hiromi; Komoto, Yoshiko; Fujimi, Satoshi; Takemura, Masahiko

    2014-01-01

    Pyometra is the accumulation of pus in the uterine cavity, and spontaneous perforation of pyometra resulting in generalized diffuse peritonitis is extremely uncommon. We report a rare case of diffuse peritonitis caused by spontaneous perforation of pyometra. A 66-year-old postmenopausal woman with diffuse abdominal pain and vomiting was admitted to our institution. She had a history of mixed connective-tissue disease and had been taking steroids for 20 years. Under a diagnosis of generalized peritonitis secondary to perforation of the gastrointestinal tract or uterus, supravaginal hysterectomy and bilateral salpingo-oophorectomy were performed. Unfortunately, wound dehiscence and infection occurred during the postoperative course, which were exacerbated by her immunocompromised state. Despite intensive care and a course of antibiotics, the patient died of multiple organ failure resulting from sepsis on the 36th postoperative day. Although correct diagnosis, early intervention, and proper treatment can reduce morbidity and mortality of spontaneous perforation of pyometra, if severe infection occurs, this disease can be life threatening for immunocompromised hosts.

  10. Ultrasound of the acute abdomen performed by surgeons in training

    DEFF Research Database (Denmark)

    Eiberg, J.P.; Grantcharov, T.P.; Eriksen, J.R.

    2008-01-01

    perform valid abdominal ultrasound examinations of patients referred with acute abdominal pain. METHODS: Patients referred with acute abdominal pain had an ultrasound examination by a surgeon in training as well as by an experienced consultant radiologist whose results served as the gold standard. All...

  11. TUMOR MIOFIBROBLÁSTICO INFLAMATORIO (PSEUDOTUMOR INFLAMATORIO) OCASIONANDO ABDOMEN AGUDO

    OpenAIRE

    2014-01-01

    Introducción: El tumor miofibroblástico inflamatorio (TMI) es una enfermedad poco frecuente, en general benigna, aunque con posible evolución a malignidad. Las características clínicas dependen del lugar en el que esté ubicado. La cirugía es curativa siempre y cuando la resección sea total; aunque no se excluye la posibilidad de recidivas. El diagnóstico siempre es histopatológico. Dadas sus características clínicas y sitios de presentación se ha denominado de distintas formas e incluso sigue...

  12. Laparoscopic surgery in pregnant patients with acute abdomen.

    Science.gov (United States)

    Kocael, Pinar Cigdem; Simsek, Osman; Saribeyoglu, Kaya; Pekmezci, Salih; Goksoy, Ertugrul

    2015-01-01

    Nonostante i significativi vantaggi della chirurgia laparoscopica rispetto a quella laparotomica, essa era considerata controindicata per le donne gestanti. Attualmente si confrontano opinioni contrastanti riguardo alla sicurezza durante la gestazione della chirurgia laparoscopica, specie se nell’ultimo trimestre. Lo scopo di questo studio è quello di valutare la fattibilità della chirurgia laparoscopica in donne gestanti in caso di addome acuto analizzando retrospettivamente la casistica della pazienti ricoverate tra il gennaio 1995 ed il gennaio 2013 presso l’Emergency Department della Cerrahpasa Medical Faculty. Sono stati pertanto analizzati tutti i dati clinici riguardanti le gestanti sottoposte a chirurgia laparoscopica, comprese le cartelle cliniche, gli interventi eseguiti, i reperti anatomopatologici, e le informazioni riguardanti il parto. Nella casistica sono rientrate 14 donne gravide (in media alla 19,2° settimana di gestazione, distribuite tra 9 e 33 settimane), di cui 11 sottoposte ad appendicectomia laparoscopica, 2 a colecistectomia laparoscopica ed 1 per scopi diagnostici. In media il parto si è espletato alla 37,4° settimana di gestazione (tra la 35° e la 40° settimana). Due pazienti hanno avuto un parto prematuro, ma in nessune dei casi si sono verificate complicazioni durante le manovre laparoscopiche, e cioè danni all’utero, morti fetali o mortalità materna. Si conclude che la chirurgia laparoscopica può essere effettuata nel corso di tutti i trimestri della gravidanza, con il possibile vantaggio di una utile diagnosi differenziale in caso di dolori addominali acuti durante la gravidanza, e diminuzioni delle morti fetali dovute a ritardi diagnostici, e che tempi chirurgici più brevi riducono gli effetti negativi sulla madre e sul feto.

  13. Comparison of Different Parameters in the Diagnosis of Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Ahmet Kocakuşlak

    2011-06-01

    Full Text Available Aim: Acute abdominal syndrome (AAS defines the failure to establish the primary diagnosis rather than being a definitive diagnosis. The fact that many patients are discharged from the hospital without surgical intervention as well as the decision regarding which patients should undergo surgery and when, all may create a dilemma for the clinician. Methods: We analyzed and recorded the data of 50 randomly chosen patients with a primary diagnosis of AAS who had been hospitalized in the emergency surgical department for follow-up. The study group was compared with a control group (50 patients who had been directly operated on for AAS without a preceding observation. The parameters used in the study were age, gender, guarding, rebound tenderness, ultrasonography, leucocytosis, and left shift of the neutrophils. Results: The mean age of the patients in the study group was statistically significantly higher than that in the control group and surgery was not necessary in 88%.Statistically significant difference was found between the two groups for guarding, rebound tenderness, ultrasonography, and gender. Logistic regression analysis revealed that rebound tenderness and ultrasonography results were more valuable than the other parameters. Rebound tenderness and ultrasonography influenced the decision for surgical intervention by 7.9- and 17.3- fold increases, respectively. Conclusion: We think that our parameters can be used as a guide by clinicians working in emergency departments to decide which patient should be operated on since only 12% of the study group had necessitated surgical intervention. (The Medical Bulletin of Haseki 2011;49: 77-83

  14. [Intestinal tuberculosis--cause of acute surgical abdomen].

    Science.gov (United States)

    Ciurea, M; Ion, D; Ionescu, S; Tica, M R

    2001-01-01

    Tuberculosis, in its various forms, remains an important cause of morbidity and mortality in developing countries in immunodeficitary patients. The indicatives of epidemiology of tuberculosis show that Romania presents a fresh outbreak of the disease in the last few years. The purpose of this paper is to present from the various forms of extrapulmonary tuberculosis, the intestinal tipe which have a high incidence. The authors describe theirs preliminary experience of intraoperative small and large bowel emergencies resections in a short period (1 year) of three young patients (between 30 and 40 years old) with history of pulmonary tuberculosis. The pathology was complex (bowel obstructions, peritonitis) and so were the surgical operations (resections, devirations). The patients showed short and long term good results.

  15. Small Bowel Perforation due to Gossypiboma Caused Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Tahsin Colak

    2013-01-01

    Full Text Available Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. In this case report, we describe gossypiboma in the abdominal cavity which was detected 14 months after the hysterectomy due to acute abdominal pain. Gossypiboma was diagnosed by computed tomography (CT. The CT findings were a rounded mass with a dense central part and an enhancing wall. In explorative laparotomy, small bowel loops were seen to be perforated due to inflammation of long standing gossypiboma. Jejunal resection with end-to-end anastomosis was performed. The patient was discharged whithout complication. This case was presented to point to retained foreign body (RFB complications and we believed that the possibility of a retained foreign body should be considered in the differential diagnosis of who had previous surgery and complained of pain, infection, or palpable mass.

  16. Temporary Closure of the Open Abdomen: A Systematic Review on Delayed Primary Fascial Closure in Patients with an Open Abdomen

    NARCIS (Netherlands)

    Boele van Hensbroek, P.; Wind, J.; Dijkgraaf, M.G.W.; Busch, O.R.C.; Goslings, J.C.

    2009-01-01

    Background This study was designed to systematically review the literature to assess which temporary abdominal closure (TAC) technique is associated with the highest delayed primary fascial closure (FC) rate. In some cases of abdominal trauma or infection, edema or packing precludes fascial closure

  17. Leucograma e teores plasmáticos de proteínas de fase aguda de eqüinos portadores de abdômen agudo e submetidos à laparotomia Leukogram and plasma acute phase protein concentrations in horses with acute abdomen submitted to treatment by laparotomy

    Directory of Open Access Journals (Sweden)

    J.J. Fagliari

    2008-04-01

    Full Text Available Foram examinados 20 eqüinos adultos portadores de abdômen agudo e submetidos à laparotomia. Dez recuperaram-se sem intercorrência pós-operatória (G1 e 10 foram a óbito sete a 10 dias após a cirurgia, com sinais de choque séptico (G2. Avaliaram-se temperatura retal, freqüências cardíaca e respiratória, tempo de preenchimento capilar e teores plasmáticos das proteínas de fase aguda - fibrinogênio, ceruloplasmina, proteína C-reativa, antitripsina, haptoglobina e glicoproteína ácida -, antes e até sete dias após a laparotomia. As leucometrias às 72h e no sétimo dia pós-operatório dos eqüinos que foram a óbito foram, respectivamente, 34,6% e 57,1%, mais altas que a dos animais curados. Os maiores valores de proteína de fase aguda ocorreram no sétimo dia após a cirurgia; os percentuais de elevação de fibrinogênio, antitripsina, glicoproteina ácida, proteína C-reativa, ceruloplasmina e haptoglobina de eqüinos do G2 em relação ao G1 foram 46,8%, 67,9%, 91,9%, 112,2%, 126,9% e 186,2%, respectivamente.Twenty adult horses with acute abdomen were examined and submitted to treatment by laparotomy; ten had no postoperative complication (group 1, and ten showed septic shock symptom and died from seven to ten days after surgery (group 2. Body temperature, heart and respiratory rates, filling capillary time, and plasma acute phase protein concentrations - fibrinogen, ceruloplasmin, C-reactive protein, antitrypsin, haptoglobin, and acid glycoprotein - were evaluated before laparotomy and until seven days after surgery. White blood cell counts at 72h and seven days after surgery in group 2 animals were, respectively, 34.6% and 57.1%, and were higher than those measured in group 1 horses. The highest values of acute phase proteins occurred on the seventh day after surgery. The increase percentages of fibrinogen, antitrypsin, acid glycoprotein, C-reactive protein, ceruloplasmin, and haptoglobin plasma concentrations in group 2

  18. Correlation study on TCM syndrome types and morphological characteristics of abdomen ultrasound of post-hepatitis B cirrhosis%乙肝后肝硬化中医证型与腹部超声形态学特征的相关性研究

    Institute of Scientific and Technical Information of China (English)

    张寅; 王新月; 江宇泳

    2013-01-01

    Objective To investigate the correlation between TCM syndrome types and morphological characteristics of abdomen ultrasound of post-hepatitis B cirrhosis,and seek the valuable ultrasonic indexes to syndrome differentiation and classification of post-hepatitis B cirrhosis for opening new ideas in disease assessment and prognosis.Methods The patients (n =135) were given syndrome differentiation and ultrasonic examination.The ultrasonic characteristics of liver and spleen were recorded,including shape,parenchyma echoes,signs of bilateral gallbladder wall,and transmission sound and stone ultrasound inside gallbladder.The maximum oblique and anteroposterior diameters of right liver lobe,vertical and anteroposterior diameters of left liver lobe,thick and length diameters of spleen,thickness of gallbladder wall and depth of ascites were detected.SPSS 17.0 statistical package was used.The quantitative data was expressed with mean ± standard deviation and independent samples were compared by using t-test between two groups.The enumeration data was expressed with rate and constituent ratio and two groups were compared by using x2 test.Results Compared with syndromes of liver qi depression,damp-heat accumulation and water-dampness obstructing in the interior,the decreasing trend of vertical diameter of left liver lobe was more significant in syndrome of static blood obstructing collaterals,and splenomegalia was more significant compared with syndromes of liver qi depression and damp-heat accumulation.The disorder of liver lobe morphological percentage,jagged liver tegument,increased diffuse echoes and thickened gallbladder wall were commonly observed in syndromes of liverkidney yin deficiency,spleen-kidney yang deficiency and static blood obstructing collaterals.The decrease of vertical diameter of left liver lobe might be one of characteristics of syndrome of static blood obstructing collaterals,while imbalance of liver lobe morphological percentage,jagged liver capsule and

  19. 咪达唑仑伍用不同镇痛药在腰-硬联合麻醉下妇科经腹手术中的应用%Application of combined spinal-epidural anesthesia by midazolam combined with different pain-killers for abdomen operation in gynecological patients

    Institute of Scientific and Technical Information of China (English)

    凌敏

    2012-01-01

    目的观察比较咪达唑仑伍用不同静脉镇痛药在腰-硬联合麻醉(CSEA)下妇科经腹手术中的镇静镇痛效果和安全性.方法择期妇科手术80例,均行腰-硬联合麻醉,根据咪达唑仑联合不同镇痛药随机分为4组:芬太尼组(FM组)、哌替啶组(PM组)、布托啡诺组(BM组)、地佐辛组(DM组).4组患者均在切皮前15 min静脉缓慢推注咪达唑仑0.05 mg/kg,随后分别在FM组予芬太尼1 μg/kg,PM组予哌替啶0.8 mg/kg,BM组予布托啡诺0.04 mg/kg,DM组予地佐辛0.1 mg/kg缓慢静脉推注.术中患者Ramsay镇静评分小于2分者,酌情追加咪达唑仑和各组镇痛药,剂量为首次的1/2~2/3.记录4组患者切皮时(T0)、打开腹膜上腹腔撑开器时(T1)、分离结扎盆腔脏器时(T2)、术毕清理腹腔时(T3)、关闭腹膜时(T4)和缝皮时(T5)的Ramsay镇静评分;记录4组术中舌后坠、呼吸抑制、低血压、心动过缓、牵拉痛发生率;术后24 h内随访,记录4组患者对手术操作过程的遗忘程度及头晕、嗜睡、恶心呕吐、寒战发生率.结果 FM、PM组在T0-T5各时点Ramsay镇静评分均明显高于BM和DM组(P 0.05);术后24 h内随访,4组完全遗忘率均明显高于无遗忘率和不全遗忘率(P 0.05).结论布托啡诺或地佐辛伍用咪达唑仑辅助腰-硬联合麻醉下行妇科手术,术中镇静镇痛效果好,完全遗忘率高,生命体征平稳,术后不良反应少,较芬太尼或哌替啶与咪达唑仑配伍更安全有效.%Objective To observe the efficacy and safety of mitigation and analgesia of combined spinal-epidural anesthesia (CSEA) by midazolam combined with different pain-killers in gynecological patients undergoing abdomen operation. Methods Eighty gynecological patients undergoing elective abdomen operation by CSEA were randomly divided into four groups according to different pain-killers combined with midazolam: fentanyl group(FM group), pethidine group(PM group), butorphanol group(BM group) and

  20. Feedback of Different Personality Students on Real-time Assessment System in Application of Diagnostics Teaching-abdomenal Part%内、外向型性格对实时考核教学方法的应用反馈--腹部检体诊断

    Institute of Scientific and Technical Information of China (English)

    郭秀丽; 许蓉; 徐有青

    2016-01-01

    Objective From the point of abdomen part, to apply the real-time assessment and observe the effect, and analyze the feedback of different personalities of students. Methods We randomly selected two groups (2012-7 year group,18,control group and 2012-7 year group, 19, experiment group ). In the teaching process, the experiment group students accepted diagnostic skills assessment and theoretical acknowledge at one week after learning content, the control group students weren’t subjected to the same assessment. To assess the teaching effectiveness, we tested the practice of clinical skill and theoretical acknowledge at the end of term. Compare performance of the different personality in different groups. Results The practice of clinical skill scores of students signiifcantly increase more in the experiment group than in the control group (P<0.01). For introverted personality, the performance of the students in the experimental group was significantly higher than that in the control group, however, little impact on the outgoing character. Conclusion Real-time assessment resulted in prominent teaching effectiveness, improved the ability of clinicalpractice, which made teaching and learning more enthusiasm and initiative, especially for the introverted personality. According to the students' personality, different teaching methods are needed.%目的:以腹部系统教学内容为研究点,进行实时考核,观察教学效果,分析不同性格学生对教学方法的反馈。方法随机选取2012级医学七年制18人为对照组和2012级七年制组19人为实验组,在教学过程中,实验组在腹部教学内容讲授后1周针对该部分内容进行考核,而对照组未进行同样的考核,利用期末临床检体诊断学考试的方法,进行教学效果的评估。单独分析各组中不同性格的学生成绩比较。结果与对照组学生相比,实验组学生的笔试及技能考核成绩高,临床实践技能高,P<0.01

  1. A contrast analysis of robotic-assisted gynecological surgery, laparoscopy and open abdomen operation in the treatment of cervical cancer%机器人手术系统、腹腔镜及开腹手术治疗宫颈癌的对比研究

    Institute of Scientific and Technical Information of China (English)

    丁晓萍; 张亭亭; 侯庆香; 冯莉; 陈玲

    2014-01-01

    exhaust time was (33�2±17�0)h,(51�0±10�8)h and(63�7±7�9)h in RRH, LRH and ARH group, respectively. The differences of the above indexes in RRH group was of statistical significance compared with LRH and ARH group( P<0�05) . Conclusion Robotic-assisted gynecologi-cal surgery in the treatment of cervical cancer is safe and feasible compared with laparoscopy and open abdomen operation. It has cer-tain clinical application value because of its advantages such as less operation blood loss and operative complications and shorter postop-erative anal exhaust time.

  2. Laparoscopic nephroureterectomy with bladder cuff resection through a lower midline abdomen incision for treatment of native renal pelvic or ureteral tumor in renal transplant recipients A feasibility investigation%肾移植后原肾盂或输尿管肿瘤患者腹腔镜肾输尿管全长切除中下腹部入路的可行性

    Institute of Scientific and Technical Information of China (English)

    张树栋; 马潞林; 肖春雷; 黄毅; 侯小飞; 王国良; 罗康平; 赵磊

    2009-01-01

    BACKGROUND: Following renal transplantation, native renal pelvic or ureteral tumor occurs not only on one side, but also on both sides simultaneously or continuously.OBJECTIVE: To describe a new procedure in managing native renal pelvic or ureteral tumor, in which, retroperitoneal laparoscopic nephroureterectomy was first done followed by transurethral resection of ureteral orifice, and finally the kidney and the complete ureter with a bladder cuff were taken out through a midline abdomen incision, and to validate its feasibility.DESIGN, TIME AND SETTING: A technique modification experiment was performed at the Department of Urinary Surgery, Third Hospital, Peking University between July 2004 and March 2006.PARTICIPANTS: Eight patients (7 males and 1 female) with native renal pelvic or ureteral tumor who received laparoscopic nephroureterectomy with bladder cuff resection were included into this study. Of them, 4 cases had bilateral lesions. Laparoscopic nephroureterectomy with bladder cuff resection was conducted 12 times totally.METHODS: Retroperitoneal laparoscopic nephroureterectomy was first done in the lateral decubitus, followed by transurethral resection of the ureteral orifice with resectoscope in the lithotomy position, and finally, an incision was created in the lower midline abdomen to allow dissection of the distal ureter and bladder cuff and intact specimen extraction. Postoperatively, intravesical chemotherapy was routinely performed to prevent tumor recurrence. The patients were followed up at 3, 6, and 12 months after surgery, and once a year thereafter.MAIN OUTCOME MEASURES: Surgery time, blood loss volume, pathological report, tumor recurrence time, tumor-free survival time, and complications.RESULTS: The mean surgery time was 3.8 hours (range: 2.5-7 hours). The mean hemorrhage volume was 240 mL (range: 50-1 200 mL). Two cases needed blood transfusion, 600 and 1 000 mL, respectively. Transitional cell carcinoma grade Ⅲ was found in 3 cases

  3. Lipoabdominoplastia con cicatriz reducida sin neo-onfaloplastia en abdomen tipo III (Matarasso Short scar lipoabdominoplasty without neoumbilicoplasty in tipe III abdomen (Matarasso

    Directory of Open Access Journals (Sweden)

    P. Centurión

    2009-12-01

    Full Text Available Presentamos una innovadora técnica quirúrgica para el tratamiento de la región abdominal, en la cual combinamos lipoescultura y abdominoplastia con incisiones reducidas, sin neoonfaloplastia, en pacientes tipo III según Clasificación de Matarasso. Realizamos un estudio retrospectivo sobre pacientes intervenidos con esta nueva propuesta quirúrgica, entre los años 2002 y 2008. La lipoescultura corporal superficial y profunda incluyó también la pared abdominal anterior. La técnica quirúrgica se basa en el uso de incisiones reducidas a nivel suprapúbico, máximo de 18 cm. de longitud, con disección de un túnel de aproximadamente 10 cm. en plano supraponeurótico, desinserción del ombligo, plicatura de la diástasis de músculos rectos abdominales y posterior reinserción del ombligo inferiormente. Usamos una férula de yeso durante el postoperatorio. Evaluamos 64 lipoabdominoplastias, todas realizadas en mujeres con edad media de 41,9 años. El tiempo quirúrgico promedio fue de 3 horas y media, el volumen aspirado de la pared abdominal anterior tuvo un promedio de 1000 ml. El 14,1% de las pacientes presentaron seroma como complicación. Como conclusión creemos que esta técnica permite buenos resultados estéticos corporales totales al obtener una cicatriz corta, un colgajo abdominal anterior adelgazado y ausencia de cicatriz umbilical.We present an innovative surgical technique for treatment of abdominal region, in which we combine liposculpture and limited-incisions abdominoplasty without neoumbilicoplasty, in Type III Matarasso Classification patients. We conducted a retrospective study of patients undergoing surgery with this new proposal, between 2002 to 2008. The deep and superficial body liposculpture also included anterior abdominal wall. The surgical technique is based on the use of small incisions at the suprapubic region up to 18 cm long, with dissection of a supraaponeurotical tunnel of 10 cm approximately, with desinsertion of the navel, plication of the rectus abdominis muscle diastasis and subsequent inferior reinsertion of the umbilicus. We use a plaster splint for postoperatory time. We evaluated 64 lipoabdominoplasties, all in women with a mean age of 41.9 years. The average operative time was of 3 hours and a half, with an average aspirated volume of 1000 ml of the anterior abdominal wall. In 14,1 % of the patients we observed seroma as a complication. As a conclusions, this technique allows good body aesthetics results, to obtain a shorter scar, a thin anterior abdominal flap and the absence of umbilical scar.

  4. Perforated Jejunal Diverticula Secondary to a Large Faecolith: A Rare Cause of the Acute Abdomen

    Directory of Open Access Journals (Sweden)

    Peter John Webster

    2014-01-01

    Full Text Available Jejunal diverticula are uncommon and usually asymptomatic. Very rarely, they can lead to acute complications such as bleeding, obstruction, and perforation. This report describes our experience of a case of jejunal diverticula perforation secondary to a large faecolith, with particular focus on the aetiology and management of this rare condition.

  5. Abdominal compartment syndrome and open abdomen management with negative pressure devices.

    Science.gov (United States)

    Surace, Alessandra; Ferrarese, Alessia; Marola, Silvia; Cumbo, Jacopo; Valentina, Gentile; Borello, Alessandro; Solej, Mario; Martino, Valter; Nano, Mario

    2015-01-01

    Per sindrome compartimentale addominale (SCA) si intende un incremento della pressione intra-addominale (PIA) a valori superiori a 20 mmHg, associato ad una ridotta perfusione e disfunzione d’organo. La mortalità della SCA è del 50%; la sua incidenza tra i pazienti in RIA è del 30-50%. Il trattamento chirurgico consiste sostanzialmente nella decompressione addominale con apertura dell’addome; attualmente la metodica più utilizzata per la gestione della SCA è la terapia a pressione negativa. Nel 2009 è stata realizzata una classificazione dell’addome aperto, che stratifica i pazienti in base alla cronologia naturale del miglioramento o del deterioramento clinico dei pazienti con addome aperto. Lo scopo del trattamento è mantenere l’addome aperto del paziente al livello più basso ed evitare la progressione ad un livello più complesso. Secondo quanto riportato in letteratura questa metodica consente un tasso di chiusura fasciale tra i 65 e il 100% dei casi, riduce i tassi di mortalità e i tempi di degenza nei reparti di terapia intensiva. La chiusura dell’addome può avvenire progressivamente (per ridurre il rischio di fascite) oppure mediante l’utilizzo di una protesi biologia spessa su cui viene posizionata una copertura in plastica e impostato il lavaggio nel sottocute: la parete addominale deve essere chiusa dopo 24 ore. Se non fosse possibile chiudere tutti gli strati della parete addominale, il tentativo deve riguardare almeno il peritoneo, per ridurre morbilità e mortalità.

  6. Evaluation of the Display Format of Clarke’s Trauma Program for Wounds to the Abdomen

    Science.gov (United States)

    1988-09-14

    PELVIC XRAY J. INTRAVENOUS PYELOGRAM K. CYSTOGRAM L. GASTROGRAFFIN UGI M. PERITONEAL LA VAGE Definition for TESTS: Tests menu There...LAUAGE Blood Nhite Blood Cells Bacteria Bile Awylase ■Renal ^^H Ureteral Injury Avascular Renal Injura CYSTOGRAM Positive

  7. A Child with Severe Malaria Presenting with Acute Surgical Abdomen (Duodenal Perforation

    Directory of Open Access Journals (Sweden)

    Tika Ram Bhandari

    2016-01-01

    Full Text Available Plasmodium falciparum, the commonest cause of severe malaria in children, is an important cause of mortality in developing nations like Nepal. Duodenal perforation in a case of complicated malaria, although a rare entity, can occur in children. Early diagnosis, proper medical treatment, and early surgical repair can be a lifesaving measure in such cases. Here, we report a case of a 5-year-old male child with falciparum malaria complicated by a duodenal perforation that was successively managed with appropriate antimalarial drugs and early surgical repair.

  8. A Child with Severe Malaria Presenting with Acute Surgical Abdomen (Duodenal Perforation).

    Science.gov (United States)

    Bhandari, Tika Ram; Shahi, Sudha; Poudel, Rajesh; Chaudhary, Nagendra

    2016-01-01

    Plasmodium falciparum, the commonest cause of severe malaria in children, is an important cause of mortality in developing nations like Nepal. Duodenal perforation in a case of complicated malaria, although a rare entity, can occur in children. Early diagnosis, proper medical treatment, and early surgical repair can be a lifesaving measure in such cases. Here, we report a case of a 5-year-old male child with falciparum malaria complicated by a duodenal perforation that was successively managed with appropriate antimalarial drugs and early surgical repair.

  9. Computed tomography and ultrasonography of the abdomen in congenital generalized lipodystrophy

    Energy Technology Data Exchange (ETDEWEB)

    Smevik, B.; Swensen, T.; Kolbenstvedt, A.; Trygstad, O.

    1982-03-01

    Five patients with congenital generalized lipodystrophy underwent computed tomography (CT) and ultrasound studies. When deposits of adipose tissue were subnormal or absent, organ delineation was difficult with CT, but easy with sonography. A fatty liver was indicated in all patients by low attenuation values determined from CT and hyperechoic patterns in the liver as visualized on the sonograms.

  10. Treatment of Infantile Enuresis by Abdomen-kneading and Spine-pinching Method

    Institute of Scientific and Technical Information of China (English)

    SU Ping; HUANG Guo-qi

    2004-01-01

    First, Tuina is applied on Lanmen (Extra point), Jianli (CV 11), Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6), Guanyuan (CV 4) and Zhongji (CV 3). Then the spinal column and two sides of the spine are pressed and kneaded with the palm root downward, and finally the skin is pinched with the thumb and index finger of the two hands, along the Governor Vessel from Changqiang (GV 1) to Dazhui (DV 14). Eighty-nine cases of infantile enuresis were treated by this method. After 1-3 courses of the treatments, the results showed cure in 54 cases, improvement in 32 cases and failure in 3 cases,and the total effective rate in 96.6%.%首先推拿阑门、建里、中脘、天枢、气海、关元和中极等穴,然后用掌根在脊柱和脊柱两侧自上而下按揉,最后双手拇指和食指捏起皮肤,自长强穴起,沿督脉向上提捏至大椎穴.采用本法治疗89例小儿遗尿患者,经1~3个疗程治疗后,痊愈54例,好转32例,无效3例,有效率为96.6%.

  11. [Therapy concepts for diffuse peritonitis: When laparoscopic lavage and when open abdomen?].

    Science.gov (United States)

    Güsgen, C; Schwab, R; Willms, A

    2016-01-01

    Secondary diffuse peritonitis still has a high morbidity and mortality even now; therefore, the various strategies and options for the different surgical therapies are undergoing an evidence-based review. Laparoscopic lavage without resection of the focus of sepsis for example is a profoundly different approach in the treatment of diffuse peritonitis from the damage control-based strategy of surgery with initial laparostomy and deferred anastomosis. The evidential data for minimally invasive therapy are comparatively well-reviewed for appendicitis, cholecystitis and ulcerated perforation of the stomach and duodenum. In contrast, the evidence for laparoscopy and minimally invasive surgery with lavage and deferred anastomosis or damage control in secondary peritonitis has improved but is still low and cannot yet be clearly recommended. This article presents an overview of the currently available therapeutic methods for diffuse peritonitis and a critical consideration of the evidence-based data. The key recommendation is that the decision to use a surgical procedure based on the currently available data depends more on the severity of the abdominal sepsis, the duration, the age of the patient and comorbidities than on the individual technique.

  12. Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect

    Directory of Open Access Journals (Sweden)

    Fabio Caviggioli

    2014-01-01

    Full Text Available Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the abdominal wall, subsequently complicated by peritonitis and enteric fistula. A cutaneous dehiscence and an incontinent abdominal wall resulted after the last surgery. The abdominal wall was reconstructed using a biological porcine cross-linked mesh Permacol (Covidien Inc., Norwalk, CT. Negative Pressure Wound Therapy (NPWT, instead, was used on the mesh in order to reduce wound dimensions, promote granulation tissue formation, and obtain secondary closure of cutaneous dehiscence which was finally achieved with a split-thickness skin graft. Biological mesh behaved like a scaffold for the granulation tissue that was stimulated by the negative pressure. The biological mesh was rapidly integrated in the abdominal wall restoring abdominal wall continence, while the small dehiscence, still present in the central area, was subsequently covered with a split-thickness skin graft. The combination of these different procedures led us to solve this complicated case obtaining complete wound closure after less than 2 months.

  13. Duration of antibiotic treatment in surgical infections of the abdomen. Blunt abdominal trauma.

    Science.gov (United States)

    Melcher, G A; Rüedi, T P

    1996-01-01

    Blunt abdominal trauma is associated with a low risk of injury to the microorganism-containing hollow viscera. Therefore, routine pre-operative administration of antibiotics is not necessary. Antibiotics are given intraoperatively, if laparotomy discloses transmural injury of a hollow organ and peritoneal contamination. If intervention is early (injuries should be treated with antibiotics for a maximum of 5 days.

  14. Acute abdomen in early pregnancy caused by torsion of bilateral huge multiloculated ovarian cysts

    Directory of Open Access Journals (Sweden)

    Sathiyakala Rajendran

    2015-10-01

    Full Text Available The association of pregnancy and torsion of bilateral huge benign ovarian cyst is rare. We report a case of multigravida at 13 weeks of pregnancy presenting with acute onset of lower abdominal pain. Ultrasound revealed bilateral multiloculated ovarian cysts of size 10x10 cm on right side and 15x10cm on left side with evidence of torsion and a single live intrauterine fetus of gestational age 13 weeks 4 days. Emergency laparotomy was done with vaginal susten 200 mg as perioperative tocolysis. Intra operatively, uterus was enlarged to 14 weeks size. Both ovaries were replaced with multiloculated cysts of size 15x10 cm on left side and 10x10 cm on right side. Ovarian pedicle was found to be twisted once on right side and twice on left side. On right side, untwisting of pedicle was done and the ovarian cyst was punctured at multiple sites to drain the clear fluid. Biopsy was taken from the right ovarian cyst wall. On left side, ovariotomy was done. Histopathology revealed mucinous cyst adenoma of left ovary and multiple corpus luteum in right ovarian biopsy specimen. The patient was followed up with regular antenatal check-ups and ultrasound to rule out the recurrence of ovarian cyst on right side. The patient successfully delivered a term male baby at 39 weeks. [Int J Reprod Contracept Obstet Gynecol 2015; 4(5.000: 1598-1601

  15. CDK4 amplification predicts recurrence of well-differentiated liposarcoma of the abdomen.

    Directory of Open Access Journals (Sweden)

    Sanghoon Lee

    Full Text Available The absence of CDK4 amplification in liposarcomas is associated with favorable prognosis. We aimed to identify the factors associated with tumor recurrence in patients with well-differentiated (WD and dedifferentiated (DD liposarcomas.From 2000 to 2010, surgical resections for 101 WD and DD liposarcomas were performed. Cases in which complete surgical resections with curative intent were carried out were selected. MDM2 and CDK4 gene amplification were analyzed by quantitative real-time polymerase chain reaction (Q-PCR.There were 31 WD and 17 DD liposarcomas. Locoregional recurrence was observed in 11 WD and 3 DD liposarcomas. WD liposarcomas showed better patient survival compared to DD liposarcomas (P<0.05. Q-PCR analysis of the liposarcomas revealed the presence of CDK4 amplification in 44 cases (91.7% and MDM2 amplification in 46 cases (95.8%. WD liposarcomas with recurrence after surgical resection had significantly higher levels of CDK4 amplification compared to those without recurrence (P = 0.041. High level of CDK4 amplification (cases with CDK4 amplification higher than the median 7.54 was associated with poor recurrence-free survival compared to low CDK4 amplification in both univariate (P = 0.012 and multivariate analyses (P = 0.020.Level of CDK4 amplification determined by Q-PCR was associated with the recurrence of WD liposarcomas after surgical resection.

  16. Peritoneal Lavage in the Diagnosis of Acute Surgical Abdomen Following Thermal Injury.

    Science.gov (United States)

    1995-01-01

    disease, others6𔄂-15 have confirmed his Sepsis syndrome 13 findings. Hoffman16 reviewed the literature on the use of Abdominal distension 11 Ileus 7 DPL...developed sepsis, ileus , and abdominal distention 98 Fourteen of the 17 patients died, a mortality rate of 82%. days following injury. Lavage fluid...the greater omentum. The difficulty in diag- whelming pulmonary sepsis or multisystem organ failure, nosing biliary disease with DPL has been

  17. Management of the open abdomen using negative pressure wound therapy with instillation in severe abdominal sepsis

    Directory of Open Access Journals (Sweden)

    Pablo Sibaja

    2017-01-01

    NPWT-I in patients with severe abdominal sepsis had promising results, since we obtained higher fascia closure rates, lower mortality and reduced hospital and ICU length of stay with no complications due to this therapeutic approach.

  18. Diagnosis of acute surgical abdomen – The best diagnostic tool to reach a final diagnosiscin

    Directory of Open Access Journals (Sweden)

    CS Wong

    2012-01-01

    Conclusions: Appendicitis can be accurately diagnosed clinically based on history and clinical examination alone. Diagnosis of diverticular disease, gallstone disease, and bowel obstruction further requires radiology intervention to confirm the provisional diagnosis.

  19. Contraction of the ventral abdomen potentiates extracardiac retrograde hemolymph propulsion in the mosquito hemocoel.

    Directory of Open Access Journals (Sweden)

    Jonathan W Andereck

    Full Text Available BACKGROUND: Hemolymph circulation in mosquitoes is primarily controlled by the contractile action of a dorsal vessel that runs underneath the dorsal midline and is subdivided into a thoracic aorta and an abdominal heart. Wave-like peristaltic contractions of the heart alternate in propelling hemolymph in anterograde and retrograde directions, where it empties into the hemocoel at the terminal ends of the insect. During our analyses of hemolymph propulsion in Anopheles gambiae, we observed periodic ventral abdominal contractions and hypothesized that they promote extracardiac hemolymph circulation in the abdominal hemocoel. METHODOLOGY/PRINCIPAL FINDINGS: We devised methods to simultaneously analyze both heart and abdominal contractions, as well as to measure hemolymph flow in the abdominal hemocoel. Qualitative and quantitative analyses revealed that ventral abdominal contractions occur as series of bursts that propagate in the retrograde direction. Periods of ventral abdominal contraction begin only during periods of anterograde heart contraction and end immediately following a heartbeat directional reversal, suggesting that ventral abdominal contractions function to propel extracardiac hemolymph in the retrograde direction. To test this functional role, fluorescent microspheres were intrathoracically injected and their trajectory tracked throughout the hemocoel. Quantitative measurements of microsphere movement in extracardiac regions of the abdominal cavity showed that during periods of abdominal contractions hemolymph flows in dorsal and retrograde directions at a higher velocity and with greater acceleration than during periods of abdominal rest. Histochemical staining of the abdominal musculature then revealed that ventral abdominal contractions result from the contraction of intrasegmental lateral muscle fibers, intersegmental ventral muscle bands, and the ventral transverse muscles that form the ventral diaphragm. CONCLUSIONS/SIGNIFICANCE: These data show that abdominal contractions potentiate extracardiac retrograde hemolymph propulsion in the abdominal hemocoel during periods of anterograde heart flow.

  20. Spiral CT features of abdomen after whipple's operation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, T. H.; Lee, K. Y.; Shin, K. H.; Jung, M. H.; Park, C. M.; Cha, I. H. [Korea Univ. College of Medicine, Seoul (Korea, Republic of)

    1997-04-01

    To assess the CT features of postoperative anatomical changes, surgical complications, and patterns of tumor recurrence after Whipple's operation. 42 spiral CT scans of 31 patients who had undergone Whipple's operation were retrospectively reviewed. Postoperative diagnoses were distal CBD cancer in 13 patients, cancer of the ampulla of Vater in ten, cancer of the head of the pancreas in seven, and microcystic cystadenocarcinoma of the pancreas in one. Time intervals between surgery and CT ranged from 1 week to 5 years. CT features of postoperative anastomotic changes, surgical complications, and patterns of tumor recurrence were analyzed. Gastro- or duodeno-jejunal anastomosis was seen in 32 CT scans(74%), pancreaticojejunostomy in 27(64%), and choledochojejunostomy in 24(57%). Pneumobilia was seen in ten patients(34%). Abnormal fluid collections in the peripancreatic and perihepatic space were demonstrated in two patients who underwent CT scans within 3 weeks after operation. Other complications included wound abscess(n=2), and portal vein occlusion(n=1). The most common site of metastasis was the lymph node(n=8)(retroperitoneal:n=5; mesentery root:n=4; and celiac:n=2), followed by the liver(n=6), peritoneum(n=3), adrenal gland(n=2), and afferent loop(n=1). In three cases, there was local recurrence in the pancreatic bed. To reduce possible diagnostic errors during CT interpretation, a Knowledge of normal postoperative anatomy, common complications, and patterns of disease recurrence following Whipple's operation is important.

  1. Acute Abdomen Secondary to Incarcerated Umbilical Hernia after Treatment of Massive Cirrhotic Ascites

    Directory of Open Access Journals (Sweden)

    Hiang Keat Tan

    2013-01-01

    Full Text Available Umbilical herniation is common in patients with liver cirrhosis and ascites. Rarely, they suffer from incarceration and strangulation of the umbilical hernia after treatment of ascites. We report 3 cases of umbilical hernia incarceration following removal of massive ascites with different treatment modalities. Physicians managing this group of patients should be aware of this rare and potentially fatal complication.

  2. Spontaneously perforated pyometra: an unusual cause of acute abdomen and pneumoperitoneum

    Science.gov (United States)

    Shapey, IM; Nasser, T; Dickens, P; Haldar, M; Solkar, MH

    2012-01-01

    Pneumoperitoneum is usually associated with gastrointestinal perforation or following surgical and endoscopic procedures. We report a rare case of spontaneously perforated pyometra presenting with generalised peritonitis and pneumoperitoneum. Perforation of the uterus is also unusual and often associated with the presence of an intrauterine device, a gravid uterus or malignancy. Our case illustrates the importance of clinical knowledge of acute and neoplastic gynaecological diseases, which are not uncommonly encountered by the general surgeon. Moreover, good appreciation of pelvic anatomy and close collaboration with gynaecology colleagues is essential as operative intervention is often required. PMID:23131215

  3. MR imaging characteristics of the normal fetal gastrointestinal tract and abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Huisman, Thierry A.G.M. [Department of Diagnostic Imaging, University Children' s Hospital Zurich, Steinwiesstr. 75, CH-8032 Zurich (Switzerland)], E-mail: thierry.huisman@kispi.unizh.ch; Kellenberger, Christian J. [Department of Diagnostic Imaging, University Children' s Hospital Zurich, Steinwiesstr. 75, CH-8032 Zurich (Switzerland)

    2008-01-15

    Fetal magnetic resonance imaging (MRI) is considered a valuable second line imaging tool for confirmation, completion and correction of complex fetal ultrasonography findings. Fetal MRI has proven its value in pathologies of the central nervous system. Few studies have focussed on the value of fetal MRI in abdominal pathologies. With the continuing advances in hardware and software, fetal MRI is progressively valuable in fetal abdominal pathologies. A proper knowledge of the normal fetal abdominal anatomy and signal intensities is essential. The current manuscript reviews normal fetal abdominal anatomy.

  4. Acute Abdomen Secondary to Incarcerated Umbilical Hernia after Treatment of Massive Cirrhotic Ascites

    OpenAIRE

    2013-01-01

    Umbilical herniation is common in patients with liver cirrhosis and ascites. Rarely, they suffer from incarceration and strangulation of the umbilical hernia after treatment of ascites. We report 3 cases of umbilical hernia incarceration following removal of massive ascites with different treatment modalities. Physicians managing this group of patients should be aware of this rare and potentially fatal complication.

  5. The open abdomen: temporary closure with a modified negative pressure therapy technique

    DEFF Research Database (Denmark)

    Hougaard, Helene T.; Pedersen, Mark Ellebæk; Holst, U. T.

    2014-01-01

    of applying the system - the narrowing technique - over a 5-year period. Endpoints included fascial closure and 30-day mortality rates and presence of enteroatmospheric fistulas. Secondary closure of the fascia was obtained in 92% (106/115) of the patients with a mortality rate of 17% (20/115) and a fistula...

  6. An unusual cuticular tumor-like growth on the abdomen of a lobster, Homarus americanus.

    Science.gov (United States)

    Shields, Jeffrey D; Small, Hamish J

    2013-11-01

    Tumors are rare in crustaceans, and whereas a few have been reported from the lobster Homarus americanus none have been adequately described. A lobster with an unusual, large, blue-colored tumor-like growth projecting laterally outward from the first abdominal somite was caught off Stonington, Maine, USA. The growth was rugose and covered by a relatively normal appearing cuticle with dispersed focal melanization. The underlying stroma consisted of an internal area of rescaffolded fibrous connective tissue, restructured muscle fibers, few arterioles, and an epidermal area comprised of columnar, highly vacuolated epithelial cells. No infectious pathogens or unusual inclusions were observed with microscopy and no eukaryotic pathogens were detected via molecular sequencing. Given the nature of the histology and the appearance of the growth, we identify the mass as a benign papilliform hamartoma that likely originated as a result of abnormal wound repair possibly initiated around ecdysis. This represents the first tumor-like hamartoma reported from a lobster, and the second hamartoma reported from a crustacean.

  7. “Baço errante”, uma causa rara de abdomen agudo

    OpenAIRE

    2014-01-01

    Resumo: Baço “errante” é uma condição rara caracterizada por hipermobilidade esplénica devido à ausência ou laxidez dos seus ligamentos, podendo apresentar-se como abdómen agudo quando ocorre torção do seu próprio pedículo. Apresenta-se o caso de baço “errante” em jovem do sexo feminino, de quinze anos, com vómitos e dor abdominal na admissão hospitalar. Ocorreu deterioração do estado clínico com aparecimento de sinais clínicos de abdómen agudo, sendo realizada laparotomia com remoção do baço...

  8. [Mechanical suture during resection of the rectum through the abdomen (author's transl)].

    Science.gov (United States)

    Gauthier-Benoît, C; Prat, A

    1979-01-01

    A mechanical suture using the URSS PKZ 28 or SPTU stapler was used in 30 low colo-rectal anastomoses. There were two deaths related to anastomotic complications. It is safe to establish a colostomy when the colon is not well prepared. Fistulae are frequent after palliative operations: this is a poor indication. Local recurrences are no more frequent with stapling than with manual suture.

  9. Segmentation of organs at risk in CT volumes of head, thorax, abdomen, and pelvis

    Science.gov (United States)

    Han, Miaofei; Ma, Jinfeng; Li, Yan; Li, Meiling; Song, Yanli; Li, Qiang

    2015-03-01

    Accurate segmentation of organs at risk (OARs) is a key step in treatment planning system (TPS) of image guided radiation therapy. We are developing three classes of methods to segment 17 organs at risk throughout the whole body, including brain, brain stem, eyes, mandible, temporomandibular joints, parotid glands, spinal cord, lungs, trachea, heart, livers, kidneys, spleen, prostate, rectum, femoral heads, and skin. The three classes of segmentation methods include (1) threshold-based methods for organs of large contrast with adjacent structures such as lungs, trachea, and skin; (2) context-driven Generalized Hough Transform-based methods combined with graph cut algorithm for robust localization and segmentation of liver, kidneys and spleen; and (3) atlas and registration-based methods for segmentation of heart and all organs in CT volumes of head and pelvis. The segmentation accuracy for the seventeen organs was subjectively evaluated by two medical experts in three levels of score: 0, poor (unusable in clinical practice); 1, acceptable (minor revision needed); and 2, good (nearly no revision needed). A database was collected from Ruijin Hospital, Huashan Hospital, and Xuhui Central Hospital in Shanghai, China, including 127 head scans, 203 thoracic scans, 154 abdominal scans, and 73 pelvic scans. The percentages of "good" segmentation results were 97.6%, 92.9%, 81.1%, 87.4%, 85.0%, 78.7%, 94.1%, 91.1%, 81.3%, 86.7%, 82.5%, 86.4%, 79.9%, 72.6%, 68.5%, 93.2%, 96.9% for brain, brain stem, eyes, mandible, temporomandibular joints, parotid glands, spinal cord, lungs, trachea, heart, livers, kidneys, spleen, prostate, rectum, femoral heads, and skin, respectively. Various organs at risk can be reliably segmented from CT scans by use of the three classes of segmentation methods.

  10. Isolated perforation of Meckel′s diverticulum following blunt trauma abdomen: A rare case report

    Directory of Open Access Journals (Sweden)

    Syeda Siddiqua Banu

    2015-01-01

    Full Text Available Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in about 2% of the population and, in most cases, incidentally being discovered during autopsy, laparotomy, or barium studies. Hemorrhage, obstruction, and inflammation are the complications that can occur in a Meckel′s diverticulum. Perforation in a Meckel′s diverticulum can occur in the presence of ectopic mucosa which is rare, but perforation following blunt abdominal injury is very rare and only few cases have been reported so far. We report a case of perforation of Meckel′s diverticulum in an 8-year-old boy following a blunt abdominal trauma due to fall from a bicycle.

  11. Isolated perforation of Meckel′s diverticulum following blunt trauma abdomen: A rare case report

    OpenAIRE

    Syeda Siddiqua Banu; Joshi, Sanjeev B; Vidyadhar A Kinhal; Desai, Mahesh S.

    2015-01-01

    Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in about 2% of the population and, in most cases, incidentally being discovered during autopsy, laparotomy, or barium studies. Hemorrhage, obstruction, and inflammation are the complications that can occur in a Meckel′s diverticulum. Perforation in a Meckel′s diverticulum can occur in the presence of ectopic mucosa which is rare, but perforation following blunt abdominal injury is very rare an...

  12. Experience of the MALA bag in the open abdomen management in an obstetrical intensive care unit.

    Science.gov (United States)

    Malagón Reyes, Ricardo Mauricio; Reyes Mendoza, Luis Emilio; Angeles Vásquez, María de Jesús; Mendieta Zerón, Hugo

    2013-01-01

    Introdução: As indicações atuais para a gestão de abdómen aberto são a cirurgia de controlo de danos, a abordagem de sepsis intraabdominal grave, a síndrome de compartimento abdominal, o encerramento da parede abdominal sob tensão e a perda de massa da parede abdominal.Objetivo: Descrever a experiência em gestão e cirurgias de abdómen aberto usando a bolsa MALA (Maior Absorção de Líquido Abdominal).Material e Métodos: Estudo descritivo, incluindo todos os doentes com o diagnóstico de abdómen aberto gerido com a bolsa MALA internados na Unidade de Cuidados Intensivos Obstétricos de Fevereiro de 2009 a Junho de 2012.Resultados: Dos 25 casos identificados no período do estudo, sete foram eliminados por arquivos incompletos, permanecendo 18 casos para a análise. A média de idade foi de 31,5 anos. Setenta e oito por cento dos doentes eram multíparas, 50% com uma história de dois ou mais partos, 83% com uma cesariana anterior e 78% histerectomizadas, por atonia uterina, na maioria dos casos. A principal indicação para tratamento cirúrgico foi o controlo de danos. Uma doente morreu e uma segunda foi transferida para outra instituição, tendo as demais tido melhoria clínica. Doze doentes (67%) permaneceram menos de 14 dias na Unidade de Cuidados Intensivos Obstétricos e apenas uma precisou de mais de 30 dias na unidade.Conclusão: A bolsa MALA pode oferecer uma opção económica e eficaz para a gestão cirúrgica abdominal aberta, bem como umatécnica de drenagem.

  13. Urachal Cyst Causing Small Bowel Obstruction in an Adult with a Virgin Abdomen

    Directory of Open Access Journals (Sweden)

    Michael P. O’Leary

    2016-01-01

    Full Text Available Introduction. A patent urachus is a rare congenital or acquired pathology, which can lead to complications later in life. We describe a case of urachal cystitis as the etiology of small bowel obstruction in an adult without prior intra-abdominal surgery. Case Report. A 64-year-old male presented to the acute care surgery team with a 5-day history of right lower quadrant abdominal pain, distention, nausea, and vomiting. He had a two-month history of urinary retention and his past medical history was significant for benign prostate hyperplasia. On exam, he had evidence of small bowel obstruction. Computed tomography revealed high-grade small bowel obstruction secondary to presumed ruptured appendicitis. In the operating room, an infected urachal cyst was identified with adhesions to the proximal ileum. After lysis of adhesions and resection of the cyst, the patient was subsequently discharged without further issues. Conclusion. Although rare, urachal pathology should be considered in the differential diagnosis when evaluating a patient with small bowel obstruction without prior intraabdominal surgery, hernia, or malignancy.

  14. Abdominal epilepsy and foreign body in the abdomen--dilemma in diagnosis of abdominal pain.

    Science.gov (United States)

    Topno, Noor; Gopasetty, Mahesh S; Kudva, Annappa; B, Lokesh

    2005-12-31

    There are many medical causes of abdominal pain; abdominal epilepsy is one of the rarer causes. It is a form of temporal lobe epilepsy presenting with abdominal aura. Temporal lobe epilepsy is often idiopathic, however it may be associated with mesial temporal lobe sclerosis, dysembryoplastic neuroepithelial tumors and other benign tumors, arterio-venous malformations, gliomas, neuronal migration defects or gliotic damage as a result of encephalitis. When associated with anatomical abnormality, abdominal epilepsy is difficult to control with medication alone. In such cases, appropriate neurosurgery can provide a cure or, at least, make this condition easier to treat with medication. Once all known intra-abdominal causes have been ruled out, many cases of abdominal pain are dubbed as functional. If clinicians are not aware of abdominal epilepsy, this diagnosis is easily missed, resulting in inappropriate treatment. We present a case report of a middle aged woman presenting with abdominal pain and episodes of unconsciousness. On evaluation she was found to have an intra-abdominal foreign body (needle). Nevertheless, the presence of this entity was insufficient to explain her episodes of unconsciousness. On detailed analysis of her medical history and after appropriate investigations, she was diagnosed with temporal lobe epilepsy which was treated with appropriate medications, and which resulted in her pain being relieved.

  15. [Acute abdominal pain of the upper abdomen: which imaging to choose?].

    Science.gov (United States)

    Excoffier, S; Poletti, P-A; Brandstatter, H

    2013-09-25

    The aim of this article is to review the imaging modalities to be performed in patients with acute diffuse upper abdominal pain. Conventional radiography, ultrasound and computerized tomography (CT) are most often used in this setting. The choice of the initial imaging technique will depend from the localization of the pain and the probability of a particular pathology in the involved area.

  16. Computed tomography of the abdomen in Saanen goats: II. liver, spleen, abomasum, and intestine

    OpenAIRE

    2011-01-01

    This study describes the results of computed tomography (CT) of the liver, spleen, abomasum, small intestine and large intestine in 30 healthy Saanen goats. CT examination and anatomical slice preparation postmortem were performed as described in the first communication. After subjective evaluation of the CT images, various variables including the length/size, volume and density of the liver, spleen and gallbladder, the wall thickness of the abomasum, small intestine and large intestine and t...

  17. The effect of self-aromatherapy massage of the abdomen on the primary dysmenorrhoea.

    Science.gov (United States)

    Sadeghi Aval Shahr, H; Saadat, M; Kheirkhah, M; Saadat, E

    2015-05-01

    Primary dysmenorrhoea (PD) is the most common gynaecological complaint that occurs in women. This study was a randomised controlled trial. The subjects were 75 students whose severity of pain was measured by visual analogue scale (VAS). Subjects were randomly divided into three groups: massage group with rose oil (n = 25) who applied self-massage with Rose damascene; a placebo group (n = 25) who performed self-massage with unscented almond oil and a no treatment control group (n = 25) who applied just self-massage. All three groups received the intervention in the first day of menstruation in two subsequent cycles. The severity of pain was self-reported by the students before and after intervention. All three groups were matched in demographic characteristics. The baseline pain reduced in the first cycle but this reduction was not significant in the groups (p > 0.05). In the second cycle, the menstrual pain was significantly lower in the rose oil group than in the other two groups after intervention (between massage with rose oil, almond oil p = 0.003 and massage with rose oil and just massage p = 0.000). Massage with aromatherapy reduces the severity of primary dysmenorrhoea, in comparison with massage therapy alone.

  18. Lipoabdominoplastia con cicatriz reducida sin neo-onfaloplastia en abdomen tipo III (Matarasso

    Directory of Open Access Journals (Sweden)

    P. Centurión

    Full Text Available Presentamos una innovadora técnica quirúrgica para el tratamiento de la región abdominal, en la cual combinamos lipoescultura y abdominoplastia con incisiones reducidas, sin neoonfaloplastia, en pacientes tipo III según Clasificación de Matarasso. Realizamos un estudio retrospectivo sobre pacientes intervenidos con esta nueva propuesta quirúrgica, entre los años 2002 y 2008. La lipoescultura corporal superficial y profunda incluyó también la pared abdominal anterior. La técnica quirúrgica se basa en el uso de incisiones reducidas a nivel suprapúbico, máximo de 18 cm. de longitud, con disección de un túnel de aproximadamente 10 cm. en plano supraponeurótico, desinserción del ombligo, plicatura de la diástasis de músculos rectos abdominales y posterior reinserción del ombligo inferiormente. Usamos una férula de yeso durante el postoperatorio. Evaluamos 64 lipoabdominoplastias, todas realizadas en mujeres con edad media de 41,9 años. El tiempo quirúrgico promedio fue de 3 horas y media, el volumen aspirado de la pared abdominal anterior tuvo un promedio de 1000 ml. El 14,1% de las pacientes presentaron seroma como complicación. Como conclusión creemos que esta técnica permite buenos resultados estéticos corporales totales al obtener una cicatriz corta, un colgajo abdominal anterior adelgazado y ausencia de cicatriz umbilical.

  19. Open abdomen in gastrointestinal surgery: Which technique is the best for temporary closure during damage control?

    Science.gov (United States)

    Ribeiro Junior, Marcelo A F; Barros, Emily Alves; de Carvalho, Sabrina Marques; Nascimento, Vinicius Pereira; Cruvinel Neto, José; Fonseca, Alexandre Zanchenko

    2016-01-01

    AIM To compare the 3 main techniques of temporary closure of the abdominal cavity, vacuum assisted closure (vacuum-assisted closure therapy - VAC), Bogota bag and Barker technique, in damage control surgery. METHODS After systematic review of the literature, 33 articles were selected to compare the efficiency of the three procedures. Criteria such as cost, infections, capacity of reconstruction of the abdominal wall, diseases associated with the technique, among others were analyzed. RESULTS The Bogota bag and Barker techniques present as advantage the availability of material and low cost, what is not observed in the VAC procedure. The VAC technique is the most efficient, not only because it reduces the tension on the boarders of the lesion, but also removes stagnant fluids and debris and acts at cellular level increasing cell proliferation and division. Bogota bag presents the higher rates of skin laceration and evisceration, greater need for a stent for draining fluids and wash-ups, higher rates of intestinal adhesion to the abdominal wall. The Barker technique presents lack of efficiency in closing the abdominal wall and difficulty on maintaining pressure on the dressing. The VAC dressing can generate irritation and dermatitis when the drape is applied, in addition to pain, infection and bleeding, as well as toxic shock syndrome, anaerobic sepsis and thrombosis. CONCLUSION The VAC technique, showed to be superior allowing a better control of liquid on the third space, avoiding complications such as fistula with small mortality, low infection rate, and easier capability on primary closure of the abdominal cavity. PMID:27648164

  20. Experimental model for evaluation of the cutaneous sensitivity of the abdomen

    Directory of Open Access Journals (Sweden)

    Andreia Bufoni Farah

    2004-12-01

    Full Text Available The purpose of this study is to report an experimental model to evaluate several modalities of sensibility and to map the areas of the abdominal wall with decreased sensibility after abdominoplasty. Patients were divided in two groups: in the control group, patients had no previous abdominal incisions and patients of the experimental group had been undergone abdominoplasty. The sensibility evaluation of patients from the experimental group was made from 12 to 60 months after the operation. The abdominal skin was divided into twelve areas; nine of them were above the abdominoplasty incision and three below it. Sensibility to superficial touch, superficial pain, hot and cold temperature, vibration was tested and recorded as positive if the patient mentioned that he felt the stimulation or negative. Sensibility to pressure was tested with the use of different weights; therefore, a value was obtained when the patient felt the pressure. A specific test was used to evaluate each modality of sensibility. The experimental model designed to test skin sensibility after abdominoplasty showed to be feasible in patients.O objetivo deste estudo é relatar e divulgar um modelo experimental para avaliar diversas modalidades de sensibilidade e mapear as áreas da parede abdominal nas quais ocorre diminuição da sensibilidade após abdominoplastia. Dois grupos de pacientes foram estudados: no grupo controle, as paciente não apresentavam incisões abdominais prévias e as pacientes do grupo experimental tinham sido submetidas a abdominoplastia. A avaliação da sensibilidade das pacientes do grupo experimental foi realizada de 12 a 60 meses após a cirurgia. A pele abdominal foi dividida em doze áreas, sendo nove acima e três abaixo da cicatriz da abdominoplastia. As sensibilidades ao toque superficial, dor superficial, ao calor e frio, vibração foram testadas e registradas como positive se a paciente referisse que sentiu o estímulo ou, caso o contrário, negativa. A sensibilidade à pressão foi testada com o uso de diferentes pesos, deste modo, um valor foi obtido quando a paciente sentia a pressão exercida pelo peso. Um teste específico foi utilizado para testar cada modalidade de sensibilidade. O modelo experimental utilizado para testar sensibilidade da pele após abdominoplastia mostrou-se factível em pacientes.

  1. Endocardite infecciosa com apresentação inicial de abdome agudo Endocarditis infecciosa con presentación inicial de abdomen agudo Infective endocarditis with initial presentation of acute abdomen

    Directory of Open Access Journals (Sweden)

    Humberto F. G Freitas

    2010-04-01

    Full Text Available Paciente de 35 anos de idade foi atendido em Serviço de Emergência com seis horas de dor em fossa ilíaca direita e febre. Feita hipótese diagnóstica de apendicite aguda e realizada laparotomia exploradora. com apendicectomia. O paciente retornou ao hospital três dias após alta hospitalar. prostrado. febril. com alteração de fala. diminuição de nível de consciência e com hemiparesia completa à esquerda. CT scan de crânio e punção de líquor normal. RMN de encéfalo revelou aspectos compatíveis com AVC isquêmico vertebro-basilar. Ecocardiograma transesofágico demonstrou vegetação em valva aórtica e insuficiência aórtica moderada e hemoculturas foram positivas para Enterococcus bovis.Paciente de 35 años de edad ingresó en el servicio de emergencia con seis horas de dolor en fosa ilíaca derecha y fiebre. Se llevó a cabo la hipótesis diagnóstica de apendicitis aguda y realizada laparotomía exploradora, con apendicectomía. El paciente regresó al hospital tres días tras alta hospitalaria, prostrado, febril, con alteración de habla, disminución de nivel de conciencia y con hemiparesia izquierda completa. Scanner de cráneo y punción de líquido cefalorraquídeo (LCR normal. RMN de encéfalo reveló aspectos compatibles con ACV isquémico vertebrobasilar. El ecocardiograma transesofágico demostró vegetación en válvula aórtica y insuficiencia aórtica moderada y hemocultivos fueron positivas para Enterococcus bovis.A 35-year-old patient was seen in an Emergency Department. with six hours of pain in the right iliac fossa and fever. The hypothesis diagnosis was acute appendicitis and an exploring laparotomy for appendectomy was carried out. The patient returned to the hospital three days after having been discharged. debilitated. feverish. having alterations in speech. reduction in the level of consciousness and complete hemiparesis to the left. The computed tomography scan of the skull and the liquor puncture were normal. Cerebral magnetic resonance image showed aspects compatible with vertebrobasilar ischemic stroke. Transesphofagic echocardiogram showed vegetation of the aortic valve and moderate aortic insufficiency. Blood cultures were positive for Enterococcus bovis.

  2. First case of a vermiform appendix duplication type A volvulus: A very rare cause of acute abdomen

    Directory of Open Access Journals (Sweden)

    Gustavo H. Peniche González

    2015-09-01

    Full Text Available The duplication of the vermiform appendix is a rare anatomical variant. Most of the cases reported with symptomatology of appendicitis and the finding of a duplication of vermiform appendix. A seven year old female, with abdominal septic shock, plain abdominal radiography with distended transverse intestinal loop with air-fluid levels and absence of air in distal colon and rectal ampula. Emergency laparotomy was performed finding a blind loop with secondary necrosis volvulus, with the torsion being at the base of the duplication, connected at the middle portion of the vermiform appendix; desvolvulus and resection was performed in a block fashion with Parker-Kerr technique using a 4-0 polyglactin suture. There are 100 cases of duplication of appendix reported worldwide. In our case, a duplication of the vermiform appendix type A was presented, shown by the surgical findings and corroborated by pathology samples of intestinal tissue featuring smooth muscle tissue and transmural necrosis and fibrinopurulent exudate in serous.

  3. Analysis of body composition of the abdomen at the level of the 4th lumbar vertebral body by CT

    Energy Technology Data Exchange (ETDEWEB)

    Kikuchi, Tetsujiro

    1988-10-01

    Body composition of the area at the level of the 4th lumbar vertebral section was studied on X-ray CT images in 62 normal volunteers (32 men and 30 women ), whose ages ranged from 20 and 79 years. The total cross-sectional area was smallest in persons in their twenties, irrespecstive of sex, and began to increase after the age of 30. The abdominal cavity and muscles had the highest cross-sectional ratio (34%) to the total body, followed by subcutaneous fat in men. In women, the subcutaneous fat and abdominal cavity had a ratio of 34% to the total body. According to age groups, men in their twenties and thirties had the highest ratio of the muscle to the total body, followed by that of abdominal cavity and subcutaneous fat. In the group older than 40, the ratio of organs to the total body was as follows: the abdominal cavity>muscle>subcutaneous fat. Since the age of 70, each ratio of the muscle or subcutaneous fat to the total body was the same. Women between their twenties and fifties had the highest ratio of subcutaneous fat to the total body. Since the age of 60, the ratio of the abdominal cavity became highest. The subcutaneous fat and abdominal cavity tended to increase with aging; and the muscles tended to decrease. The real area of the vertebra increased slightly, but the vertebral foramen tended to decrease with aging. In men, mean areas of the muscles were as follows: abdominis lateralis>erector spinae>psoas major>quadratus lumborum and transversospinalis>rectus abdominis muscle. The same tendency was observed for women, except for the quadratus lumborum and rectus abdominis muscle. According to Rohrer index, the real areas of all components except the vertebral foramen tended to increase in the order of types A, C, and D in men. In women, the real area of the subcutaneous fat increased as well in the order of types A, C, and D. (Namekawa, K).

  4. Skin fold thickness at abdomen: a simple anthropometric measurement may compliment metabolic syndrome definition in patients with normal waist circumference

    Institute of Scientific and Technical Information of China (English)

    Toan C Nguyen; Thai Q Ngo; Son V Nguyen; Hieu T Luong; Khoa TA Pham; Cong D Nguyen

    2006-01-01

    Backgroud and Objectives Previous studies have reported that skin fold thickness (SF) strongly correlated with insulin resistance in the metabolic syndrome (MetS). In this study, we developed a MetS definition by SF at A8 point (SFA8) on Erdheim diagram(MetSSFA8) in essential hypertensive patients. Subjects and Methods Medical records of 268 essential hypertensive patients (126males and 122 females) were analyzed, including 210 non-diabetic patients (NDM group) and 58 patients with diabetes (DM group).The mean age was 61.4 ± 9.9 and 59.0 ± 11.0 years, respectively. The control group consisted of 90 non-diabetic, non-hypertensive patients with a mean age of 58.0 ± 11.3 years. The proposed MetSSFA8 definition included SFA8 specific values ( ≥30 mm in female and ≥27 mm in male) and at least two of the following: raised triglyceride levels ( ≥1.7 mmol/L), or specific treatment for this lipid abnormality; raised blood pressure (SBP≥130 mmHg and/or DBP≥85 mmHg), or treatment of previously diagnosed hypertension;reduced HDL-cholesterol (< 1.03 mmol/L in men, <1.29 mmol/L in women), or specific treatment for this lipid abnormality; raised fasting plasma glucose (≥5.6 mmol/l), or previously diagnosed DM. Metabolic Syndrome by the National Cholesterol Education Program and International Diabetes Federation definitions were determined with abdominal obesity defined by Asia-Pacific criteria for waist circumference (NCEPA and IDFA). Results The percentage of MetS as defined by NCEPA, IDFA and MetSSFA8 in NDM group was lower than that of NCEPA, IDFA and MetSSFA8 in DM group [OR=7.7 (95%CI, 2.9-20.2) and 2.5 (95%CI, 1.4-4.8) and 2.7(95%CI, 1.3-5.6), respectively] and higher than that of the control group [OR=53.3 (95%CI, 16.7-170.6), 5.8 (95%CI, 2.6-13.2) and18.8 (95%CI, 7.3-48.7), respectively]. The percentage of MetS by NCEPA, IDFA and MetSSFA8 in males in NDM group was lower than the percentage of MetS by NCEPA, IDFA and MetSSFA8 in females in NDM group (50.8% and 77.9%, P< 0.001; 15,9% and 67.2%, P< 0.001; 60.3% and 73.8%, P <0.05, respectively). In subjects with normal WC or both normal WC and BMI, the percentage of MetS by SFAS was higher than that the percentage of MetS by NCEPA (36.9% and 50.8%, P< 0.05 and 36.0% and 51.0%, P< 0.05).The sensitivity, specificity, false positive rate, positive predictive value, negative predictive value of MetSSFA8 assessed with NCEPA definitions were 0.87, 0.73, 0.27, 0.79 and 0.82, respectively. There was a close agreement between MetSSFA8 and NCEPA (The coefficient of Kapa was 0.60, P< 0.001). Conclusions The MetSSFA8 definition was developed which may be useful in order to define and manage MetS in patients with normal WC or normal weight.

  5. Milttorsion kan være årsag til akut abdomen hos børn

    DEFF Research Database (Denmark)

    Helvind, Neel Maria; Gögenur, Ismail; Stadeager, Morten

    2013-01-01

    A six-year-old boy was admitted with symptoms consistent with acute appendicitis. Immediately before placement of the first trocar, a large abdominal mass was observed which on imaging was identified as a torsioned spleen. Due to suboptimal reperfusion and risk of reperfusion-mediated morbidity a...

  6. Akut abdomen som følge af torkveret adnexa uteri hos en tiårig pige

    DEFF Research Database (Denmark)

    Steinthorsdottir, Kristin Julia; Folmer, Lars; Bisgaard, Thue

    2014-01-01

    A ten-year-old girl presented with four days of lower abdominal pain. A diagnostic laparoscopy on the suspicion of acute appendicitis revealed left-sided adnexal torsion. The cyanotic ovary was detorsed and recovered. At three-month follow-up there were no clinical or ultrasonic signs of patholog...

  7. Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen

    Directory of Open Access Journals (Sweden)

    Andrew J. Healey

    2008-01-01

    Full Text Available Introduction: Blunt abdominal trauma is a rare but well-recognized cause of pancreatic transection. A delayed presentation of pancreatic fracture following sport-related blunt trauma with the coexisting diagnostic pitfalls is presented. Case Report: A 17-year-old rugby player was referred to our specialist unit after having been diagnosed with traumatic pancreatic transection, having presented 24 h after a sporting injury. Despite haemodynamic stability, at laparotomy he was found to have a diffuse mesenteric hematoma involving the large and small bowel mesentery, extending down to the sigmoid colon from the splenic flexure, and a large retroperitoneal hematoma arising from the pancreas. The pancreas was completely severed with the superior border of the distal segment remaining attached to the splenic vein that was intact. A distal pancreatectomy with spleen preservation and evacuation of the retroperitoneal hematoma was performed. Discussion/Conclusion: Blunt pancreatic trauma is a serious condition. Diagnosis and treatment may often be delayed, which in turn may drastically increase morbidity and mortality. Diagnostic difficulties apply to both paraclinical and radiological diagnostic methods. A high index of suspicion should be maintained in such cases, with a multi-modality diagnostic approach and prompt surgical intervention as required.

  8. Not All Abdomens Are the Same: A Comparison of Damage Control Surgery for Intra-abdominal Sepsis versus Trauma.

    Science.gov (United States)

    Smith, Jason W; Nash, Nick; Procter, Levi; Benns, Matthew; Franklin, Glen A; Miller, Keith; Harbrecht, Brian G; Bernard, Andrew C

    2016-05-01

    Damage control surgery (DCS) was developed to manage exsanguinating trauma patients, but is increasingly applied to the management of peritoneal sepsis and abdominal catastrophes. Few manuscripts compare the outcomes of these surgeries on disparate patient populations. A multi-institutional three group propensity score matched case cohort study comparing penetrating trauma (PT-DCS), blunt trauma (BT-DCS), and intraperitoneal sepsis (IPS-DCS) was performed comparing patients treated with DSC between 2008 and 2013. Propensity scoring was performed using demographic and presenting physiologic data. Four hundred and twelve patients were treated with DCS across two institutions. Propensity matching for age, gender, and initial Acute Physiology and Chronic Health Evaluation II score 80 identified 80 patients per group for comparison. Rate of primary fascial closure was lowest in the IPS-DCS group, and highest in the penetrating trauma DCS group. Intra-abdominal complication rates were highest in the IPS-DCS group. IPS-DCS had increased time to definitive closure compared with the other two groups (RR 1.8; 1.3-2.2; P eight days were more than twice the risk of death at 90 days across all groups. (RR 2.15; 1.2-3.5; P abdominal closure at the earliest possible opportunity afforded the best outcome in patients managed via DCS.

  9. Reproductibility of apparent diffusion coefficients measurements in diffusion-weighted MRI of the abdomen with different b values

    Energy Technology Data Exchange (ETDEWEB)

    Bilgili, Mirace Yasemin Karadeniz, E-mail: mykaradeniz@hotmail.com [Kırıkkale University Medicine Faculty, Department of Radiology, Sevil sok. 16/3 06590 Cebeci/Ankara (Turkey)

    2012-09-15

    Purpose: To test the reproducibility of apparent diffusion coefficients (ADC) measurements of the normal liver, kidney and spleen parenchyma with different b values. Materials and methods: Eleven healthy volunteers were imaged twice with use of the same protocol. Each DWI was performed with b-factors of 0, 100 and 500 s/mm{sup 2}. The ADCs were organized according to session (1 or 2), anatomic location and repetition (twice with two different b value per session). The ADC data were analyzed with repeated-measures analysis of variance to demonstrate the influence of anatomic location, session and different b values. The coefficient of variation was calculated for each subject, b value and anatomic location, then analyzed by using repeated-measures analysis of variance. Results: There were significant differences in mean ADCs among the three anatomic locations and with different b values (P < .05). There were no significant differences in ADCs between imaging sessions 1 or 2 for both b values (P > .05). The CV values range between 7.3% and 14.7%. There were no significant differences in CV values neither between the two b values nor for the various organ locations (P > .05). Conclusion: Using the same technical parameters, patients and the same observer, CV values range between 7.3% and 14.7%. And we recommend to be careful in examination and comparison of the measured ADC values, below these limits, without knowledge technical parameters that has been used, otherwise differences that are merely because of changes in the measurement technique could be interpreted as differences because of progression of disease or therapy.

  10. Incidental lung nodules on CT examinations of the abdomen: Prevalence and reporting rates in the PACS era

    Energy Technology Data Exchange (ETDEWEB)

    Rinaldi, Maria Francesca [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Bartalena, Tommaso, E-mail: t.bartalena@email.i [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Giannelli, Giovanni; Rinaldi, Giovanni [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Sverzellati, Nicola [Dipartimento di Scienze Cliniche, sezione di Radiologia - Universita di Parma, via Gramsci 14 - 43100 Parma (Italy); Canini, Romeo [Dipartimento Clinico di Scienze Radiologiche ed Istocitopatologiche, divisione di Diagnostica per Immagini - Universita di Bologna, via Massarenti 9 - 40138 Bologna (Italy); Gavelli, Giampaolo [Servizio di Diagnostica per Immagini, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.), via Piero Maroncelli, 40 - 47014 Meldola (Italy)

    2010-06-15

    Objectives: To retrospectively evaluate prevalence, reporting rates and clinical implications of incidental pulmonary nodules detected in multidetector computed tomography (MDCT) abdominal studies. Materials and methods: Abdominal MDCT studies of 243 consecutive patients, 94 of whom had a history of cancer, were evaluated. Lung bases included in the scan were reviewed on a PACS workstation with different window settings and post-processing techniques. Nodules were classified according to their density (calcified, solid noncalcified, non-solid, part-solid) and size (<4 mm; 4-6 mm; 6-8 mm; >8 mm). The study findings were compared with the corresponding radiologic reports. Previous of following CT studies, when available from the PACS, were also reviewed to evaluate changes in number and size of the detected nodules. Results: An average of 8.2 cm of lung parenchyma was imaged in each patient. 213 noncalcified nodules (NCNs) were identified in 95 patients (39.1%) but only 8 patients (8.4%) had it mentioned in the final report. Comparison CT studies were available for 44 out of the 95 positive patients showing disappearance of the nodules in 2 cases, no interval change in 26 and progression in size and/or number in 16 patients, in whom a final diagnosis of metastasis or primary lung cancers was achieved. Conclusion: Radiologists tend to overlook lung portions on abdominal CT studies. Underreporting may affect patient care and have medico-legal implications since images are permanently stored in digital format on PACS and CD-ROMs. Management of the discovered nodules should be tailored to the clinical situation of the patient, and particular care should be reserved to patients with oncologic history.

  11. Aspectos importantes de la anatomía funcional del abdomen para la actividad física

    OpenAIRE

    Nichele, Mariana

    2013-01-01

    El propósito de ésta ponencia es analizar cuestiones que posiblemente estén estrechamente vinculadas con una problemática que actualmente sufre gran parte de la población, que son los dolores lumbares y cómo profesionales del campo de la Educación física, podemos aportar análisis, ideas y ejercicios concretos para su prevención. Pasando por una breve introducción de anatomía descriptiva y funcional de la zona, me enfocaré tanto en la filogénesis, como en la óntogenesis del ser humano y, a ...

  12. Spectrum of mucin-producing neoplastic conditions of the abdomen and pelvis: Cross-sectional imaging evaluation

    Institute of Scientific and Technical Information of China (English)

    Nam Kyung Lee; Suk Kim; Hyun Sung Kim; Tae Yong Jeon; Gwang Ha Kim; Dong Uk Kim; Do Youn Park; Tae Un Kim; Dae Hwan Kang

    2011-01-01

    Various mucin-producing neoplasms originate in differ-ent abdominal and pelvic organs. Mucinous neoplasms differ from non-mucinous neoplasms because of the differences in clinical outcome and imaging appear-ance. Mucinous carcinoma, in which at least 50% of the tumor is composed of large pools of extracellular mucin and columns of malignant cells, is associated with a worse prognosis. Signet ring cell carcinoma is characterized by large intracytoplasmic mucin vacuoles that expand in the malignant cells with the nucleus displaced to the periphery. Its prognosis is also gener-ally poor. In contrast, intraductal papillary mucinous neoplasm of the bile duct and pancreas, which is characterized by proliferation of ductal epithelium and variable mucin production, has a better prognosis than other malignancies in the pancreaticobiliary tree. Im-aging modalities play a critical role in differentiating mucinous from non-mucinous neoplasms. Due to high water content, mucin has a similar appearance to wa-ter on ultrasound (US), computed tomography (CT), and magnetic resonance imaging, except when thick and proteinaceous, and then it tends to be hypoechoic with fine internal echoes or have complex echogenicity on US, hyperdense on CT, and hyperintense on T1- and hypointense on T2-weighted images, compared to water. Therefore, knowledge of characteristic mucin imaging features is helpful to diagnose various mucin-producing neoplastic conditions and to facilitate appro-priate treatment.

  13. Computed tomography of the abdomen of calves during the first 105 days of life: I. Reticulum, rumen, omasum and abomasum.

    Science.gov (United States)

    Braun, U; Schnetzler, C; Ohlerth, S; Hatz, L; Augsburger, H

    2014-05-01

    Computed tomographic (CT) images of the reticulum, rumen, omasum and abomasum of five healthy Holstein-Friesian bull calves were compared with anatomical transverse cadaver sections of the same calves. The calves were scanned in the transverse plane from the 5th thoracic vertebra to the sacrum six times three weeks apart from birth to 105 days of age. Multiplanar reconstruction was used to create images in sagittal and dorsal planes. After subjective assessment of various anatomical structures, the rumen, omasum and abomasum as well as the ruminal strata (gas cap, fibre mat and fluid phase) were measured. After the last CT scan, all calves were euthanised, and four were kept at -18 °C in sternal position for 14 days. Transverse sections 1.0 to 1.5 cm thick were made from two calves and dorsal and sagittal sections were made from one calf each using a band saw. The CT images and anatomical slices were compared and the structures on the CT images identified. Very clear CT images were obtained from the reticulum, rumen, omasum and abomasum and there was excellent agreement between images and anatomical slices.

  14. Computed tomography of the abdomen of calves during the first 105 days of life: III. Urinary tract and adrenal glands.

    Science.gov (United States)

    Braun, U; Schnetzler, C; Augsburger, H; Bettschart, R; Ohlerth, S

    2014-05-01

    Computed tomographic (CT) findings of the urinary tract and adrenal glands of five healthy male calves in the first 105 days of life were compared with corresponding cadaver slices. The structures seen on CT images were identified using the corresponding cadaver slices. CT produced exact images of the kidneys, urinary bladder, urethra and adrenal glands, but reliable images of the ureters were only obtained near the renal hilus. There was excellent agreement between the structures on the CT images and the tissue slices. The structure and vessels of the kidneys, the origin of the ureters, the location, size and content of the urinary bladder and the course of the urethra in the pelvis and penis were evident on images. The size and volume of the kidneys and the length and width of the adrenal glands increased significantly during the study, but the ureteral and urethral diameters changed little.

  15. Lumbar facet joint septic arthritis presenting atypically as acute abdomen – A case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Aysha Rajeev

    2016-01-01

    Conclusion: The atypical presentation of facet joint septic arthritis is one of the reasons why early diagnosis is elusive. Definitive diagnoses with MRI and bacterial culture as well as prolonged antibiotic therapy are recommended in this condition.

  16. Intestinal stenosis of Garré: A rare cause of small bowel obstruction in the virgin abdomen

    Directory of Open Access Journals (Sweden)

    Hishaam Ismael

    2016-01-01

    Conclusions: Intestinal stenosis of Garré is an under-reported cause of delayed stricture formation.It is most common following right inguinal hernia repair in men and right femoral hernia repair in women.

  17. 胸腹部Castleman病的CT诊断%CT diagnosis of Castlenmn's disease in chest or abdomen

    Institute of Scientific and Technical Information of China (English)

    徐崇明; 赵晓军

    2011-01-01

    目的 分析Castleman痛的CT表现,提高对胸腹部Castleman病CT特征的认识.方法 回顾性总结经手术病理证实的8例Castleman病患者的临床资料、CT表现.结果 病变位于纵隔及纵隔伴肺门部5例(占62.5%),腹膜后3例(占37.5%).所有病灶均表现为边缘光滑清楚的软组织密度团块,其中7个病灶密度均匀,1个病灶伴钙化.增强扫描后所有病灶均有不同程度强化,7个病灶呈明显强化,病理为透明血管型,1个病灶轻度强化,病理为浆细胞型.结论 Castleman病缺乏特征性临床表现,中央型分支状钙化和病灶显著均匀强化是局限性Castleman病定性诊断的重要特征.

  18. An Unusual Presentation of Desmoplastic Small Round Cell Tumour of the Abdomen: Morphological, Immunohistochemical, Ultrastructural, and Molecular Studies

    Directory of Open Access Journals (Sweden)

    Preethika Angunawela

    2011-01-01

    Full Text Available Desmoplastic small round cell tumour (DSRCT is an aggressive and a rare neoplasm. We report on a 34-year-old male who had abdominal discomfort with a large intraperitoneal mass. Histological examination of the tumour biopsy revealed sheets of small round cells. The cells were positive with vimentin and desmin (with occasional dot positivity and negative for WT1 and CD 99 with immunohistochemistry. Cytogenetics showed a translocation disrupting the EWSR 1 gene on 22 q 12 consistent with DSRCT. Electron microscopic examination showed sparse cytoplasmic organelles. The patient succumbed 34 months from disease presentation after multiple chemotherapies and thereafter radiotherapy. In summary, our case exemplifies that it is crucial to combine clinical, histological, and molecular aspects in diagnosing DSRCT especially when characteristic dot positivity with desmin is weak along with deficient marking of WT1 and CD99 by immunohistochemistry. Histology was also less clear than published examples of this entity with a poor desmoplastic response. A multidisciplinary approach including early referral to specialised centres is recommended in these cases as tertiary referral centres will be required to substantiate the diagnosis.

  19. Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

    Directory of Open Access Journals (Sweden)

    Stefan J. Friedrichsdorf

    2016-12-01

    Full Text Available Primary pain disorders (formerly “functional pain syndromes” are common, under-diagnosed and under-treated in children and teenagers. This manuscript reviews key aspects which support understanding the development of pediatric chronic pain, points to the current pediatric chronic pain terminology, addresses effective treatment strategies, and discusses the evidence-based use of pharmacology. Common symptoms of an underlying pain vulnerability present in the three most common chronic pain disorders in pediatrics: primary headaches, centrally mediated abdominal pain syndromes, and/or chronic/recurrent musculoskeletal and joint pain. A significant number of children with repeated acute nociceptive pain episodes develop chronic pain in addition to or as a result of their underlying medical condition “chronic-on-acute pain.” We provide description of the structure and process of our interdisciplinary, rehabilitative pain clinic in Minneapolis, Minnesota, USA with accompanying data in the treatment of chronic pain symptoms that persist beyond the expected time of healing. An interdisciplinary approach combining (1 rehabilitation; (2 integrative medicine/active mind-body techniques; (3 psychology; and (4 normalizing daily school attendance, sports, social life and sleep will be presented. As a result of restored function, pain improves and commonly resolves. Opioids are not indicated for primary pain disorders, and other medications, with few exceptions, are usually not first-line therapy.

  20. High-resolution 3D-GRE imaging of the abdomen using controlled aliasing acceleration technique - a feasibility study

    Energy Technology Data Exchange (ETDEWEB)

    AlObaidy, Mamdoh; Ramalho, Miguel; Busireddy, Kiran K.R.; Liu, Baodong; Burke, Lauren M.; Altun, Ersan; Semelka, Richard C. [University of North Carolina at Chapel Hill, Department of Radiology, Chapel Hill, NC (United States); Dale, Brian M. [Siemens Medical Solutions, MR Research and Development, Morrisville, NC (United States)

    2015-12-15

    To assess the feasibility of high-resolution 3D-gradient-recalled echo (GRE) fat-suppressed T1-weighted images using controlled aliasing acceleration technique (CAIPIRINHA-VIBE), and compare image quality and lesion detection to standard-resolution 3D-GRE images using conventional acceleration technique (GRAPPA-VIBE). Eighty-four patients (41 males, 43 females; age range: 14-90 years, 58.8 ± 15.6 years) underwent abdominal MRI at 1.5 T with CAIPIRINHA-VIBE [spatial resolution, 0.76 ± 0.04 mm] and GRAPPA-VIBE [spatial resolution, 1.17 ± 0.14 mm]. Two readers independently reviewed image quality, presence of artefacts, lesion conspicuity, and lesion detection. Kappa statistic was used to assess interobserver agreement. Wilcoxon signed-rank test was used for image qualitative pairwise comparisons. Logistic regression with post-hoc testing was used to evaluate statistical significance of lesions evaluation. Interobserver agreement ranged between 0.45-0.93. Pre-contrast CAIPIRINHA-VIBE showed significantly (p < 0.001) sharper images and lesion conspicuity with decreased residual aliasing, but more noise enhancement and inferior image quality. Post-contrast CAIPIRINHA-VIBE showed significantly (p < 0.001) sharper images and higher lesion conspicuity, with less respiratory motion and residual aliasing artefacts. Inferior fat-suppression was noticeable on CAIPIRINHA-VIBE sequences (p < 0.001). High in-plane resolution abdominal 3D-GRE fat-suppressed T1-weighted imaging using controlled-aliasing acceleration technique is feasible and yields sharper images compared to standard-resolution images using standard acceleration, with higher post-contrast image quality and trend for improved hepatic lesions detection. (orig.)

  1. Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints.

    Science.gov (United States)

    Friedrichsdorf, Stefan J; Giordano, James; Desai Dakoji, Kavita; Warmuth, Andrew; Daughtry, Cyndee; Schulz, Craig A

    2016-12-10

    Primary pain disorders (formerly "functional pain syndromes") are common, under-diagnosed and under-treated in children and teenagers. This manuscript reviews key aspects which support understanding the development of pediatric chronic pain, points to the current pediatric chronic pain terminology, addresses effective treatment strategies, and discusses the evidence-based use of pharmacology. Common symptoms of an underlying pain vulnerability present in the three most common chronic pain disorders in pediatrics: primary headaches, centrally mediated abdominal pain syndromes, and/or chronic/recurrent musculoskeletal and joint pain. A significant number of children with repeated acute nociceptive pain episodes develop chronic pain in addition to or as a result of their underlying medical condition "chronic-on-acute pain." We provide description of the structure and process of our interdisciplinary, rehabilitative pain clinic in Minneapolis, Minnesota, USA with accompanying data in the treatment of chronic pain symptoms that persist beyond the expected time of healing. An interdisciplinary approach combining (1) rehabilitation; (2) integrative medicine/active mind-body techniques; (3) psychology; and (4) normalizing daily school attendance, sports, social life and sleep will be presented. As a result of restored function, pain improves and commonly resolves. Opioids are not indicated for primary pain disorders, and other medications, with few exceptions, are usually not first-line therapy.

  2. Protocolo de Enfermería para el tratamiento del abdomen agudo inflamatorio en el Servicio de Urgencias del HUCA

    OpenAIRE

    2013-01-01

    El dolor abdominal es una de las causas más frecuentes de consultas en los servicios de urgencia. Las causas más frecuentes de dolor abdominal incluyen las tres grandes patologías: Apendicitis, Colecistitis y Diverticulis. Las tres pueden llegar a comprometer la vida del paciente. En nuestra práctica diaria el personal de Enfermería no solo se encarga de la recepción y clasificación a su llegada, además son las encargadas de realizar diversas técnicas y procedimientos propios; La valoración d...

  3. CT-scan-analysis of body composition of the abdomen at the level of the 4th lumbar vartebra in one period of development

    Energy Technology Data Exchange (ETDEWEB)

    Yamaoka, Shigeaki (Showa Univ., Tokyo (Japan). School of Medicine (Japan))

    1989-08-01

    Using X-ray CT images, body composition of the cross-sectional area at the level of the 4th lumber vertebra was studied in 46 humans 26 males and 20 females who are in the same period of development. The total cross-sectional area of the subcutaneous fat, abdominal cavity, vertebra and muscles rectus abdominis, abdominis lateralis, quadratus lumborum, psoas major, dorsi proprii were measured and compared for sex and age. The results were as follows. The increase in the total cross-sectional area was significant in males aged between 10 and 14, although in females the increase was also significant between 15 and 17. The increase in the subcutaneous fat continued until age 10-14 in males and age 15-17 in females, and this increase was significant in the latter. The muscles and vertebrae increased until 15-17 in both sexes, although the increase in the muscle was more significant in males than in females. The abdominal cavity increased in this period of development in both sexes, although the ratio of the total cross sectional areas decreased. Comparison of body composition by age yielded: In males up to ages 10-14, the relative order of size was; abdominal cavity, muscles, subcutaneous fat and vertebra. In those aged 15-17, the relative order was muscles, abdominal cavity, subcutaneous fat and vertebra. By contrast, in females up to ages 10-14, the relative order was the same as that for males, but in ages 15-17, the subcutaneous fat ratio was largest, followed muscles and vertebra by abdominal cavity. The increase in the muscles during the period of development was continuous in both sexes for every muscle. It was presumed that significant increase occurs in all muscles except the rectum abdominis in males, and only in the dorsi proprii in females during adulthood. The area sizes at all ages, in both sexes were in the order of abdominis lateralis, dorsi proprii, psoas major, rectus abdominis and quadratus lumborum.

  4. 100例女性精神病病人腹部B超结果分析%Analysis of B ultrasonic in abdomen of 100 female psychopath

    Institute of Scientific and Technical Information of China (English)

    张莉; 陈经余

    2006-01-01

    目的分析女性精神病患者的腹部B超情况,探讨其原因及超声诊断价值.方法将服用抗精神病药的100名女性患者设为研究组,同期门诊66名健康查体女性为对照组,进行腹部疾病的彩色超声筛查.结果研究组阳性率高于对照组,自诉率却很低.尤其肝光点、胆结石、脾肿大、宫后积液阳性率明显大于对照组,统计学分析有意义.结论受精神症状和药物影响,研究组虽阳性率增高,但自诉能力减低,腹部B超是必不可少的辅助检查.

  5. Advanced image-based virtual monoenergetic dual-energy CT angiography of the abdomen: optimization of kiloelectron volt settings to improve image contrast

    Energy Technology Data Exchange (ETDEWEB)

    Albrecht, Moritz H.; Scholtz, Jan-Erik; Huesers, Kristina; Beeres, Martin; Bucher, Andreas M.; Kaup, Moritz; Martin, Simon S.; Fischer, Sebastian; Bodelle, Boris; Bauer, Ralf W.; Lehnert, Thomas; Vogl, Thomas J.; Wichmann, Julian L. [University Hospital Frankfurt, Department of Diagnostic and Interventional Radiology, Frankfurt (Germany)

    2016-06-15

    To compare quantitative image quality parameters in abdominal dual-energy computed tomography angiography (DE-CTA) using an advanced image-based (Mono+) reconstruction algorithm for virtual monoenergetic imaging and standard DE-CTA. Fifty-five patients (36 men; mean age, 64.2 ± 12.7 years) who underwent abdominal DE-CTA were retrospectively included. Mono + images were reconstructed at 40, 50, 60, 70, 80, 90 and 100 keV levels and as standard linearly blended M{sub 0}.6 images (60 % 100 kV, 40 % 140 kV). The contrast-to-noise ratio (CNR) and signal-to-noise ratio (SNR) of the common hepatic (CHA), splenic (SA), superior mesenteric (SMA) and left renal arteries (LRA) were objectively measured. Mono+ DE-CTA series showed a statistically superior CNR for 40, 50, 60, 70 and 80 keV (P < 0.031) compared to M{sub 0}.6 images for all investigated arteries except SMA at 80 keV (P = 0.08). CNR at 40 keV revealed a mean relative increase of 287.7 % compared to linearly blended images among all assessed arteries (P < 0.001). SNR of Mono+ images was consistently significantly higher at 40, 50, 60 and 70 keV compared to M{sub 0}.6 for CHA and SA (P < 0.009). Compared to linearly blended images, Mono+ reconstructions at low keV levels of abdominal DE-CTA datasets significantly improve quantitative image quality. (orig.)

  6. Abdominal Cavity Eventration Treated by Means of the "Open Abdomen" Technique Using the Negative Pressure Therapy System--Case Report and Literature Review.

    Science.gov (United States)

    Trzeciak, Piotr W; Porzeżyńska, Joanna; Ptasińska, Karolina; Walczak, Dominik A

    2015-11-01

    Wound dehiscence is a surgical complication in which the wound ruptures along the surgical suture with abdominal cavity bowel displacement. It is observed in 0.2-6% of operated patients. The extensive wound is a gateway for infection. Moreover, increased secretion of serous fluid induces a hygienic problem and may lead to secondary skin infections or bedsores. The negative pressure wound therapy (NPWT) system is an innovative therapeutic method. It perfectly executes the TIME strategy, receiving more and more recognition. The study presented a case of a 62-year old male patient after several consecutive wound dehiscence episodes who was primarily treated for rectal cancer by means of low anterior resection of the rectum. Due to acute respiratory insufficiency after several operations, wound necrosis with dehiscence was observed. Considering the high risk of perioperative death we abandoned surgical treatment and introduced conservative management using negative pressure wound therapy until the patient's health improved. Literature regarding the above-mentioned issue was also reviewed.

  7. Malrotación intestinal en adultos: causa infrecuente de abdomen agudo oclusivo Intestinal malrotation in adults: infrecuent cause of acute oclusive syndrome

    OpenAIRE

    Josefina Etchevers; Mariano Palermo; María Gabriela Salvatore; Francisco Tarsitano; Vicente Villafañe

    2008-01-01

    El 90 % de los casos de obstrucción por malrotación intestinal ocurre en niños menores de 1 año de edad, siendo altamente infrecuente en adultos. Un paciente de sexo masculino, de 31 años de edad, con antecedente de episodios de dolor abdominal, vómitos y constipación que alternaban con períodos de normalidad desde la niñez es admitido en el hospital por sintomatología similar, la que no cede. Luego de estudios radiológicos y de laboratorio se decide su intervención quirúrgica con el diagnóst...

  8. Malrotación intestinal en adultos: causa infrecuente de abdomen agudo oclusivo Intestinal malrotation in adults: infrecuent cause of acute oclusive syndrome

    Directory of Open Access Journals (Sweden)

    Josefina Etchevers

    2008-12-01

    Full Text Available El 90 % de los casos de obstrucción por malrotación intestinal ocurre en niños menores de 1 año de edad, siendo altamente infrecuente en adultos. Un paciente de sexo masculino, de 31 años de edad, con antecedente de episodios de dolor abdominal, vómitos y constipación que alternaban con períodos de normalidad desde la niñez es admitido en el hospital por sintomatología similar, la que no cede. Luego de estudios radiológicos y de laboratorio se decide su intervención quirúrgica con el diagnóstico de obstrucción intestinal. El diagnóstico intraoperatorio realizado fue de malrotación intestinal tipo I, practicándose la operación de Ladd. La evolución del paciente es favorable. La infrecuente presentación de esta patología en adultos es lo que motiva la presentación del caso.The 90 % of the bowel obstruction caused by intestinal malrotation occurred in children younger than 1 year, this type of obstruction is very uncommon in adults. This is a male of 31 years old, with history of abdominal pain, vomits and constipation since he was a child. These symptoms were sporadical, he didn't need any surgical treatment. Recently he was admitted in our institution presenting similar symptoms, without remission of them. After imaging and laboratory studies, was performed a surgery, and the intraoperatoty diagnosis was intestinal malrotation type I. The surgical treatment was the Ladd Operation. The postsurgery evolution was good. Discharged 4 days after the surgery. The aim of this article is to present a rare case of intestinal obstruction in adults caused for an intestinal malrotation.

  9. GE Light speed 16 CT扫描技术在急腹症中的应用%Application of GE Light Speed 16 CT in Acute Abdomen

    Institute of Scientific and Technical Information of China (English)

    龙腾河

    2009-01-01

    目的:探讨GE Light speed 16 CT扫描技术在急腹症中的应用.方法:系统总结各类急腹症所使用的GELight speed 16 CT技术参数.结果:根据急腹症的病因和部位,选择合适的技术参数扫描可以快速、准确地诊断急腹症.结论:根据急腹症的个性应用GE Light speed 16 CT进行扫描,不但能快速提供急腹症影像资料和影像诊断,而且能够提高急腹症诊断的准确率.

  10. Cálculo biliar "perdido": um novo problema para o ginecologista na abordagem do abdome agudo? "Lost" gallstone: a new problem for the gynecologist in acute abdomen management ?

    Directory of Open Access Journals (Sweden)

    José Carlos Menegoci

    1999-12-01

    Full Text Available Os autores relatam o caso de uma paciente com 35 anos de idade, submetida à colecistectomia videolaparoscópica há 1 ano e que apresentou quadro sugestivo de salpingite aguda com abscesso. Durante a laparotomia notou-se um abscesso que era limitado anteriormente pelo peritônio parietal e músculo reto anterior direito do abdome, e posteriormente pelo corno uterino e pelo ligamento redondo à direita. Neste abscesso havia estrutura a seguir identificada como cálculo biliar. São discutidos os aspectos relacionados à patogenia, tratamento e prevenção desta complicação que vem sendo relatada com freqüência em virtude do maior uso da cirurgia laparoscópica.The authors report a case of a thirty-five-year-old patient, submitted to videolaparoscopic cholecystectomy one year ago, who appearently had acute salpingitis with abscess. During the laparotomy an abscess was observed, anteriorly limited by parietal peritoneum and the abdominal right anterior rectus muscle, and posteriorly by the horn of the uterus and by the right round ligament. In this abscess there was a structure later identified as gallstone. The aspects related to the pathogenesis, treatment and prevention, which have been reported frequently due to the increasing number of laparoscopic surgeries, are discussed.

  11. CLINICAL OBSERVATION OF FLURBIPROFEN FOR POSTOPERATIVE ABDOMEN ANALGESIA%氟比洛芬酯用于腹部手术后镇痛的临床观察

    Institute of Scientific and Technical Information of China (English)

    温敏杰; 夏金堂; 朱光辉; 蔡文松; 翁杰锋

    2007-01-01

    目的 评价氟比洛芬酯注射液用于腹部手术术后镇痛的安全性和有效性.方法 将45例行开腹胆囊切除术的患者随机分成3组,A组注射氟比洛芬酯注射液,B组按需求肌注度冷丁2 mg/kg,C组采用硬膜外患者自控镇痛.术后2、4、12、24 h进行模糊视觉疼痛评分(VAS)法评分,监测患者的心率、呼吸、血压及脉搏氧饱和度,并记录副反应.结果 A组无1例加用度冷丁,A组和C组术后2、12和24 h的VAS分值均明显低于B组(p<0.05).3组恶心呕吐的发生率无显著性差异(p>0.05).结论 氟比洛芬酯注射液用于腹部手术术后镇痛,持续、有效、经济,使用方便,不良反应少.

  12. 白血病患儿并急腹症6例%Six Cases of Children with Leukemia Complicated with Acute Abdomen

    Institute of Scientific and Technical Information of China (English)

    官晓清; 罗学群; 林苑; 张映川; 丘小汕; 廖忠敬

    2009-01-01

    目的 探讨儿童白血病并急腹症的诊断、治疗及预后.方法 对2006年3月-2007年12月本院儿科收治的6例白血病并急腹症患儿的临床资料进行回顾性分析.按FAB诊断分型标准确诊为ALL 5例,AML 1例.化疗不同时期并急腹症,主要表现为腹痛、腹胀和肠鸣音改变,根据临床表现并结合腹部X线平片检查诊断为肠梗阻,其中4例并严重全身感染,1例并坏死性肠炎.6例均予禁食、胃肠减压、抗感染及营养支持疗法等内科保守治疗.结果 1例AML患儿急腹症发生在白血病初诊时;5例ALL患儿急腹症发生在化疗中,且均注射过长春新碱.经内科治疗,4例肠梗阻缓解后完成化疗;2例病情加重放弃治疗后死亡.结论 白血病患儿并急腹症时临床症状常重于实验室检查,故应以临床表现作为早期诊断依据;早期积极全面的内科保守治疗是挽救患儿生命的重要手段.ALL患儿化疗中发生肠梗阻可能与长春新碱有关.严重感染与急腹症互为因果,相互影响.

  13. A blind-ending ureter with infection due to vesicoureteric reflux with associated renal agenesis: A rare cause of pain abdomen

    Science.gov (United States)

    Rathi, Vinita

    2011-01-01

    We report a 12-year-old male child with an unusual cause of abdominal pain, i.e. a blind-ending ureter with vesicoureteral reflux. The pain improved with antibiotic therapy, implying infection as the cause of pain. This entity is difficult to diagnose clinically, thereby affecting management. Usually, a blind-ending ureter is not filled on intravenous urography (IVU) and the diagnosis is confirmed by retrograde pyelography, which is an invasive procedure. We illustrate the contribution of IVU and computerized tomographic cystography, which has not been reported earlier, in the evaluation of such cases. PMID:21747603

  14. Phlegmonous gastritis: A rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review.

    Science.gov (United States)

    Rada-Palomino, Arantzazu; Muñoz-Duyos, Arantxa; Pérez-Romero, Noelia; Vargas-Pierola, Harold; Puértolas-Rico, Noelia; Ruiz-Campos, Laura; Espinós-Pérez, Jorge; Veloso-Veloso, Enrique

    2014-06-01

    Phlegmonous gastritis is a rare bacterial infection of the gastric wall, which progress rapidly. It is characterized by a purulent inflammation that can affect the entire gastrointestinal tract and presents a high mortality rate. We are reporting a case of phlegmonous gastritis in an HIV-seropositive man successfully treated with antibiotics. Moreover, a review of the English andSpanish literature is carried out, from 1980 to the present time.The most frequently involved microorganism is Streptococcus spp. (57 %), but the polimicrobial infection is also frequent (17 %). The most important symptom is the intensive epigastric pain associated with vomits and most cases were diagnosed by CT and/or fibrogastroscopy. There are many existing risk factors described.The main one is the immunesuppression, although in 40 % of the cases no risk factors were identified. The global mortality is 27 % without identifying significant differences between antibiotics and surgical treatment, for that reason it is recommended to initiate antibiotic treatment right from the beginning and postponing surgery for the refractory cases and complications.

  15. Diffusion-weighted imaging of the abdomen at 3.0 Tesla: image quality and apparent diffusion coefficient reproducibility compared with 1.5 Tesla.

    NARCIS (Netherlands)

    Rosenkrantz, A.B.; Oei, M.T.H.; Babb, J.S.; Niver, B.E.; Taouli, B.

    2011-01-01

    PURPOSE: To compare single-shot echo-planar imaging (SS EPI) diffusion-weighted MRI (DWI) of abdominal organs between 1.5 Tesla (T) and 3.0T in healthy volunteers in terms of image quality, apparent diffusion coefficient (ADC) values, and ADC reproducibility. MATERIALS AND METHODS: Eight healthy vol

  16. Treatment of delayed jejunal perforation after irreducible femoral hernia repair with open abdomen management and delayed abdominal closure with skin flap approximation

    Directory of Open Access Journals (Sweden)

    Fahri Yetişir

    2015-01-01

    Conclusion: Delayed bowel perforation may develop after irreducible femoral hernia surgery. OA management with NPT and DAC with skin flap approximation are optimal treatment modalities for the hemodynamically instable patient.

  17. Consistent surgeon evaluations of three-dimensional rendering of PET/CT scans of the abdomen of a patient with a ductal pancreatic mass.

    Directory of Open Access Journals (Sweden)

    Matthew E Wampole

    Full Text Available Two-dimensional (2D positron emission tomography (PET and computed tomography (CT are used for diagnosis and evaluation of cancer patients, requiring surgeons to look through multiple planar images to comprehend the tumor and surrounding tissues. We hypothesized that experienced surgeons would consistently evaluate three-dimensional (3D presentation of CT images overlaid with PET images when preparing for a procedure. We recruited six Jefferson surgeons to evaluate the accuracy, usefulness, and applicability of 3D renderings of the organs surrounding a malignant pancreas prior to surgery. PET/CT and contrast-enhanced CT abdominal scans of a patient with a ductal pancreatic mass were segmented into 3D surface renderings, followed by co-registration. Version A used only the PET/CT image, while version B used the contrast-enhanced CT scans co-registered with the PET images. The six surgeons answered 15 questions covering a the ease of use and accuracy of models, b how these models, with/without PET, changed their understanding of the tumor, and c what are the best applications of the 3D visualization, on a scale of 1 to 5. The six evaluations revealed a statistically significant improvement from version A (score 3.6±0.5 to version B (score 4.4±0.4. A paired-samples t-test yielded t(14 = -8.964, p<0.001. Across the surgeon cohort, contrast-enhanced CT fused with PET provided a more lifelike presentation than standard CT, increasing the usefulness of the presentation. The experienced surgeons consistently reported positive reactions to 3D surface renderings of fused PET and contrast-enhanced CT scans of a pancreatic cancer and surrounding organs. Thus, the 3D presentation could be a useful preparative tool for surgeons prior to making the first incision. This result supports proceeding to a larger surgeon cohort, viewing prospective 3D images from multiple types of cancer.

  18. Diverticulite do intestino delgado, uma causa incomum de abdome agudo inflamatório = Diverticulitis of the small bowel, an unusual cause of inflamatory acute abdomen

    Directory of Open Access Journals (Sweden)

    Leão, Ari Ben-Hur Stefani

    2012-01-01

    Conclusões: A localização da doença diverticular no intestino delgado é pouco comum, e sua apresentação com complicações como perfuração, obstrução e hemorragia a tornam de grande importância clínica, pela dificuldade de se estabelecer o diagnóstico diferencial com outras moléstias abdominais

  19. Non-enhanced Low-tube-voltage High-pitch Dual-source Computed Tomography with Sinogram Affirmed Iterative Reconstruction Algorithm of the Abdomen and Pelvis

    Institute of Scientific and Technical Information of China (English)

    Liang Zhu

    2014-01-01

    Objective To investigate the image quality, radiation dose and diagnostic value of the low-tube-voltage high-pitch dual-source computed tomography (DSCT) with sinogram affirmed iterative reconstruction (SAFIRE) for non-enhanced abdominal and pelvic scans. Methods This institutional review board-approved prospective study included 64 patients who gave written informed consent for additional abdominal and pelvic scan with DSCT in the period from November to December 2012. The patients underwent standard non-enhanced CT scans (protocol 1) [tube voltage of 120 kVp/pitch of 0.9/filtered back-projection (FBP) reconstruction] followed by high-pitch non-enhanced CT scans (protocol 2) (100 kVp/3.0/SAFIRE). The total scan time, mean CT number, signal-to-noise ratio (SNR), image quality, lesion detectability and radiation dose were compared between the two protocols. Results The total scan time of protocol 2 was significantly shorter than that of protocol 1 (1.4±0.1 seconds vs. 7.6±0.6 seconds, P Conclusion The high-pitch DSCT with SAFIRE can shorten scan time and reduce radiation dose while preserving image quality in non-enhanced abdominal and pelvic scans.

  20. Takotsubo Syndrome as a Cause of False Acute Abdomen in the Early Postoperative Period After Bariatric Surgery-a Report of Two Cases.

    Science.gov (United States)

    Viegas, Fabio; Viegas, Carla; França, Enio; Kleuser, Klaus; de Barros, Fernando

    2016-10-01

    Takotsubo syndrome, also known as broken-heart syndrome, stress-induced cardiomyopathy or transient apical ballooning syndrome, is a transient disorder characterized by segmental left ventricular failure in the absence of obstructive coronary artery disease. Most cases of Takotsubo syndrome are caused by acute stress that leads to a sudden, temporary weakening of the cardiac musculature. This stress triggers a rise in circulating catecholamine levels that results in acute ventricular dysfunction. In this report, we describe two cases of Takotsubo syndrome in the early postoperative period after bariatric surgery.

  1. Phlegmonous gastritis: a rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review

    Directory of Open Access Journals (Sweden)

    Arantzazu Rada-Palomino

    2014-06-01

    Full Text Available Phlegmonous gastritis is a rare bacterial infection of the gastric wall, which progress rapidly. It is characterized by a purulent inflammation that can affect the entire gastrointestinal tract and presents a high mortality rate. We are reporting a case of phlegmonous gastritis in an HIV-seropositive man successfully treated with antibiotics. Moreover, a review of the English and Spanish literature is carried out, from 1980 to the present time. The most frequently involved microorganism is Streptococcus spp. (57 %, but the polimicrobial infection is also frequent (17 %. The most important symptom is the intensive epigastric pain associated with vomits and most cases were diagnosed by CT and/or fibrogastroscopy. There are many existing risk factors described. The main one is the immunesuppression, although in 40 % of the cases no risk factors were identified. The global mortality is 27 % without identifying significant differences between antibiotics and surgical treatment, for that reason it is recommended to initiate antibiotic treatment right from the beginning and postponing surgery for the refractory cases and complications.

  2. Intensity-modulated whole abdomen irradiation following adjuvant carboplatin/taxane chemotherapy for FIGO stage III ovarian cancer. Four-year outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Rochet, Nathalie; Lindel, Katja; Katayama, Sonja; Schubert, Kai; Herfarth, Klaus; Harms, Wolfgang; Debus, Juergen [Heidelberg Institute of Radiation Oncology (HIRO), Heidelberg (Germany); University of Heidelberg, Department of Radiation Oncology, Heidelberg (Germany); Schneeweiss, Andreas [University of Heidelberg, Nationales Centrum fuer Tumorerkrankungen (NCT), Heidelberg (Germany); Sohn, Christoph [University of Heidelberg, Department of Gynecology, Heidelberg (Germany)

    2015-07-15

    A prospective study to assess toxicity and survival outcomes after intensity-modulated whole-abdominal irradiation (IM-WAI) following surgery and adjuvant intravenous carboplatin/taxane chemotherapy in advanced FIGO stage III ovarian cancer. Between 2006 and 2009, 16 patients with optimally resected FIGO stage III ovarian cancer, who had received six cycles of adjuvant carboplatin/taxane chemotherapy were treated with consolidation IM-WAI. Radiotherapy was delivered to a total dose of 30 Gy in 1.5-Gy fractions, using step-and-shoot (n = 3) or helical tomotherapy (n = 13). The first 10 patients were treated within a phase I trial; the following patients received the same treatment modality. The target volume included the entire peritoneal cavity, the diaphragm, the liver capsule, and the pelvic and para-aortic node regions. Organs at risk were kidneys, liver, heart, and bone marrow. Median follow-up was 44 months (range 19.2-67.2 months). No grade 4 toxicities occurred during IM-WAI. Common Toxicity Criteria for Adverse Events (CTCAE) grade 3 toxicities were: diarrhea (25 %), leucopenia (19 %), nausea/vomiting (6 %), and thrombocytopenia (6 %). No toxicity-related treatment break was necessary. Small bowel obstruction occurred in a total of 6 patients: in 3 cases (19 %) due to postsurgical adhesions and in 3 cases due to local tumor recurrence (19 %). Median recurrence-free survival (RFS) was 27.6 months (95 % confidence interval, CI = 24-44 months) and median overall survival (OS) was 42.1 months (95 %CI = 17-68 months). The peritoneal cavity was the most frequent site of initial failure. Consolidation IM-WAI following surgery and adjuvant chemotherapy is feasible and can be performed with manageable acute and late toxicity. The favorable RFS outcome is promising and justifies further clinical trials. (orig.) [German] Es wurden Akut- und Langzeittoxizitaet sowie Ueberlebensdaten der konsolidierenden intensitaetsmodulierten Ganzabdomenbestrahlung (''intensity-modulated whole-abdominal irradiation'', IM-WAI) nach adjuvanter Chemotherapie beim Ovarialkarzinom im Stadium FIGO III prospektiv untersucht. Zwischen 2006 und 2009 wurden 16 Patientinnen mit optimal reseziertem Ovarialkarzinom im Stadium FIGO III mittels konsolidierender IM-WAI nach 6 Zyklen adjuvanter Carboplatin-/Taxane-Chemotherapie behandelt. Die ersten 10 Patientinnen wurden im Rahmen einer prospektiven Phase-I-Studie behandelt, danach wurden 6 Patientinnen analog zu dem Studienprotokoll behandelt. Bestrahlt wurde bis zu einer Gesamtdosis von 30 Gy in 1,5 Gy Fraktionen mittels ''step-and-shoot'' (n = 3) oder helikaler Tomotherapietechnik (n = 13). Das Zielvolumen umfasste die gesamte Peritonealhoehle, die Zwerchfellkuppeln, die Leberkapsel und die paraaortalen und pelvinen Lymphabflusswege. Risikoorgane waren die Nieren, das Leberparenchym, Herz und Knochen. Das mediane Follow-up betrug 44 Monate (Spanne 19,2-67,2 Monate). Unter Bestrahlung traten keine CTC-Grad-IV-Toxizitaeten auf und es fanden keine toxizitaetsbedingten Unterbrechungen statt. Beobachtete Grad-III-Akuttoxizitaeten waren Diarrhoe (25 %), Leukopenie (19 %), Uebelkeit/Erbrechen (6 %) und Thrombozytopenie (6 %). Insgesamt erlitten 6 Patientinnen einen Darmverschluss im spaeteren Verlauf (37 %). Die Ursachen dafuer waren postoperative Briden (19 %) und Peritonealkarzinose (19 %). Das mediane rezidivfreie Ueberleben (RFS) betrug 27,6 Monate (95 %-KI 24-44 Monate) und das mediane Gesamtueberleben betrug 42,1 Monate (95 %-KI 17-68 Monate). Die Peritonealhoehle war die haeufigste Rezidivstelle. Die konsolidierende IM-WAI ist machbar und klinisch gut vertraeglich. Die Daten zum RFS sind vielversprechend und rechtfertigen die Einleitung weiterer klinischer Studien. (orig.)

  3. Abdominal MRI scan

    Science.gov (United States)

    Nuclear magnetic resonance - abdomen; NMR - abdomen; Magnetic resonance imaging - abdomen; MRI of the abdomen ... radiologist see certain areas more clearly. During the MRI, the person who operates the machine will watch ...

  4. Ovarian Cancer Fact Sheet

    Science.gov (United States)

    ... pelvis or abdomen (belly) Bloating in the abdomen Urinary urgency (needing to pee right away) Urinary frequency (having ... pelvis or abdomen (belly) Bloating in the abdomen Urinary urgency (needing to pee right away) Urinary frequency (having ...

  5. Utilidad de la anamnesis y de las técnicas inmunológicas en el diagnóstico de la anisakidosis en pacientes con abdomen agudo Usefulness of anamnesis and inmunological techniques in the diagnosis of anisakidosis in patients with acute abdomen

    Directory of Open Access Journals (Sweden)

    A. del Rey-Moreno

    2008-03-01

    Full Text Available Introducción: Anisakis simplex puede producir síntomas digestivos y alérgicos. En este trabajo se evalúan los antecedentes epidemiológicos y los resultados inmunológicos para diferenciar entre pacientes con anisakidosis y aquellos con otras patologías digestivas que cursan con dolor abdominal. Pacientes y método: estudio de cohortes realizado con 134 pacientes: 52 fueron diagnosticados de anisakidosis por los hallazgos quirúrgicos y anatomopatológicos y/o seroconversión específica frente a A. simplex (grupo A y en 82 pacientes la anisakidosis fue excluida como diagnóstico (grupo NA: no-anisakidosis. Se han evaluado el antecedente de ingesta de pescado crudo, la prueba cutánea en prick (PC y el inmunoblot IgE como elementos de diagnóstico. Resultados: los pacientes de los grupos A y NA mostraron resultados diferentes respecto a la de ingesta de pescado crudo (p Introduction: Anisakis simplex can be a cause of digestive symptoms. Our aim was to evaluate the epidemiological antecedents and immunological data available for a differentiation between patients with anisakidosis and those with other acute abdominal problems. Patients and methods: this is a prospective cohort study involving 134 patients with acute abdominal problems: 52 patients were diagnosed with anisakidosis by means of surgical and pathological findings and/or specific IgE seroconversion against Anisakis simplex (group A, and in 82 patients anisakidosis had been ruled out (group NA: non-anisakidosis. We evaluated the antecedent of raw fish ingestion, the skin prick test, and IgE immunoblotting as diagnostic tools. Results: patients in groups A and NA differ in terms of prior raw fish ingestion (p < 0.0001 and positive SPT (p < 0.0001, with their respective negative predictive values (NPV being 98.39% (95%CI: 90.17-99.92 and 95.56% (95%CI: 83.64-99.23. Regarding immunoblotting, in 86.2% of patients in group A a band of 60 kDa was detected, which was also detected in 19.2% of patients in group NA. Conclusions: a negative answer to the question about raw or undercooked fish ingestion has very high sensitivity and NPV (98.39%, and is thus reasonably reliable to rule out anisakidosis. The absence of cutaneous sensitization to crude A. simplex extract gives a high probability (95.56% that the illness is absent. The presence of a band of about 60 kDa in immunoblotting would be useful for diagnosis.

  6. Stages of Adrenocortical Carcinoma

    Science.gov (United States)

    ... Symptoms of adrenocortical carcinoma include pain in the abdomen. These and other signs and symptoms may be caused by adrenocortical carcinoma: A lump in the abdomen . Pain the abdomen or back. A feeling of ...

  7. Treatment Options by Stage (Adrenocortical Carcinoma)

    Science.gov (United States)

    ... Symptoms of adrenocortical carcinoma include pain in the abdomen. These and other signs and symptoms may be caused by adrenocortical carcinoma: A lump in the abdomen . Pain the abdomen or back. A feeling of ...

  8. Abdominal mass

    Science.gov (United States)

    Mass in the abdomen ... care provider make a diagnosis. For example, the abdomen can be divided into four areas: Right-upper ... pain or masses include: Epigastric -- center of the abdomen just below the rib cage Periumbilical -- area around ...

  9. Abdominal rigidity

    Science.gov (United States)

    Rigidity of the abdomen ... is a sore area inside the belly or abdomen, the pain will get worse when a hand ... Causes can include: Abscess inside the abdomen Appendicitis ... small intestine, large bowel, or gallbladder ( gastrointestinal ...

  10. General Information about Adrenocortical Carcinoma

    Science.gov (United States)

    ... Symptoms of adrenocortical carcinoma include pain in the abdomen. These and other signs and symptoms may be caused by adrenocortical carcinoma: A lump in the abdomen . Pain the abdomen or back. A feeling of ...

  11. Treatment Option Overview (Adrenocortical Carcinoma)

    Science.gov (United States)

    ... Symptoms of adrenocortical carcinoma include pain in the abdomen. These and other signs and symptoms may be caused by adrenocortical carcinoma: A lump in the abdomen . Pain the abdomen or back. A feeling of ...

  12. Abdominal and Pelvic CT

    Science.gov (United States)

    ... Professions Site Index A-Z Computed Tomography (CT) - Abdomen and Pelvis Computed tomography (CT) of the abdomen ... and Pelvis? What is CT Scanning of the Abdomen/Pelvis? Computed tomography, more commonly known as a ...

  13. Peritonitis

    Science.gov (United States)

    Acute abdomen; Spontaneous bacterial peritonitis; SBP; Cirrhosis - spontaneous peritonitis ... blood, body fluids, or pus in the belly ( abdomen ). One type is called spontaneous bacterial peritonitis (SPP). ...

  14. 自体输血在腹部损伤合并贫血中的应用价值%The application value of autologous blood transfusion damage anemia in abdomen

    Institute of Scientific and Technical Information of China (English)

    谭锦华; 杨康棣; 罗毅

    2013-01-01

    Objective To study application of hematocoelia reinjection in abdominal injury with massive hemorrhage and anemia ,and to estimate the impact of salvaged autotransfusion on blood routine and blood coagulation of patients.Methods In 75 patients with intra-abdominal injury bleeding anemia undergoing autologous hematocoelia reinfusion,compare the anemia index and coagulation indexes before and after surgery to evaluate the therapeutic effect.Results Among 75 cases,1 cases died of brain injury,the other 74 cases were cured.After the second days of review,red blood cell,hemoglobin,hematocrit,platelet were elevated,compared with preoperative,the differences were statistically significant(all P0.05).Conclusion Salvaged autotransfusion can improve anemia prompt-ly without any impact on coagulation function in rescuing abdominal injured patients with massive hemorrhage and a -nemia.The treatment is effective .It has an important application in primary hospital .%目的:研究腹腔积血回输在腹内脏器损伤大量出血合并贫血患者中的应用价值,评估回收式自体输血对患者血常规各项指标及凝血功能的影响,评价自体输血对患者的救治效果。方法对75例腹内脏器损伤大量出血合并贫血的患者进行术中自体腹腔积血回输,将术前及术后的贫血指标及凝血指标进行比较;对救治效果进行评价。结果75例患者除1例死于脑外伤外,其余74例治愈。术后第2天复查,红细胞、血红蛋白、红细胞比容、血小板均有升高,与术前比较,差异均有统计学意义(均P<0.01)。凝血功能各项指标与术前比较,差异均无统计学意义(均P>0.05)。结论回收式自体输血在腹内脏器损伤大量出血合并贫血的抢救中可及时有效改善贫血,对凝血功能无明显影响,救治效果良好,在基层医院具有重要应用价值。

  15. 苯扎氯铵溶液一次性用于感染腹腔冲洗的可行性研究%Benzalkonium chloride solution feasibility research on infected abdomen for disposable peritoneal irrigation

    Institute of Scientific and Technical Information of China (English)

    刘小芳; 吴云明; 李建德; 左文子; 赵志鑫; 宋金方; 吴琏; 鲁茜; 杨海滨

    2013-01-01

    目的:苯扎氯铵溶液应用于腹腔感染的一次性冲洗,观察其抗菌作用和安全性.方法:对铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌、枯草芽孢杆菌、白色念珠菌和黑曲霉菌的体外抑菌效果,以及SD大鼠和比格犬两种受试动物进行两个浓度苯扎氯铵溶液腹腔一次性冲洗后的安全性评价.体外抑菌试验采用二倍液体稀释法将0.1%原液做15个稀释级,检测其对各菌种的最小抑菌浓度.安全性研究分为对照组,模型组以及0.005%和0.01%两个浓度的给药组;给药途径为一次性腹腔冲洗;大鼠给药体积为180 mL/kg体重;比格犬给药体积为53.33 mL/kg体重;给药后观察受试动物的一般行为表现;第8天检查腹腔内各器官的大体变化,并进行血常规检查以及取肝、脾、肠和腹膜等脏器标本做病理切片检查.结果:苯扎氯铵溶液对铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌、枯草芽孢杆菌、白色念珠菌和黑曲霉菌的体外最小抑菌浓度分别为(6.25×10-3)%、(3.12×10-3)%、(9.76×10-5)%、(9.76×10-s)%、(3.91×10-4)%和(6.25×10-3)%;受试动物在手术后一周行为表现未见异常,腹腔各脏器没有明显肉眼可见毒性反应,血常规指标没有明显异常,肝、脾、肠和腹膜等脏器未见明显组织学变化.结论:苯扎氯铵溶液对铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌、枯草芽孢杆菌、白色念珠菌和黑曲霉菌均有较强的体外抑菌效果;按SD大鼠180 mL/kg和比格犬53.33 mL/kg一次性给予0.01%以下浓度(含0.01%)的苯扎氯铵溶液腹腔冲洗是安全的.说明本溶液一次性用于感染腹腔冲洗具有可行性.

  16. Empirical Study of an Oral Positive Gastrointestinal Contrast Agent for MRI of the Upper Abdomen%一种MRI口服胃肠道造影剂的实验研究

    Institute of Scientific and Technical Information of China (English)

    杨忠; 梁宗辉; 冯晓源; 李克

    2006-01-01

    目的:葡萄糖酸亚铁糖浆溶液作为MRI口服胃肠道造影剂的可行性实验研究.材料和方法:以葡萄糖酸亚铁糖浆溶液为造影剂,行体外试验,分别在低场(0.2T)和高场(1.5T、3.0T)MRI,采用SE或FSE序列,横断面T1WI、PWI、T2WI扫描,所得图像与水作为造影剂时的图像进行对比研究.结果:以低浓度葡萄糖酸亚铁溶液作造影剂时,不论是低场还是高场MRI,在T1WI、PWI、T2WI上均呈现高信号,与水形成良好对比.结论:葡萄糖酸亚铁溶液可以作为MRI的口服胃肠道造影剂.

  17. Fast MR Imaging of the Paediatric Abdomen with CAIPIRINHA-Accelerated T1w 3D FLASH and with High-Resolution T2w HASTE: A Study on Image Quality

    Directory of Open Access Journals (Sweden)

    Mengxia Li

    2015-01-01

    Full Text Available The aim of this study was to explore the applicability of fast MR techniques to routine paediatric abdominopelvic MRI at 1.5 Tesla. “Controlled Aliasing in Parallel Imaging Results in Higher Acceleration-” (CAIPIRINHA- accelerated contrast-enhanced-T1w 3D FLASH imaging was compared to standard T1w 2D FLASH imaging with breath-holding in 40 paediatric patients and to respiratory-triggered T1w TSE imaging in 10 sedated young children. In 20 nonsedated patients, we compared T2w TIRM to fat-saturated T2w HASTE imaging. Two observers performed an independent and blinded assessment of overall image quality. Acquisition time was reduced by the factor of 15 with CAIPIRINHA-accelerated T1w FLASH and by 7 with T2w HASTE. With CAIPIRINHA and with HASTE, there were significantly less motion artefacts in nonsedated patients. In sedated patients, respiratory-triggered T1w imaging in general showed better image quality. However, satisfactory image quality was achieved with CAIPIRINHA in two sedated patients where respiratory triggering failed. In summary, fast scanning with CAIPIRINHA and HASTE presents a reliable high quality alternative to standard sequences in paediatric abdominal MRI. Paediatric patients, in particular, benefit greatly from fast image acquisition with less breath-hold cycles or shorter sedation.

  18. Multi-organ perfusion CT in the abdomen using a 320-detector row CT scanner: Preliminary results of perfusion changes in the liver, spleen, and pancreas of cirrhotic patients

    Energy Technology Data Exchange (ETDEWEB)

    Motosugi, Utaroh, E-mail: utaroh-motosugi@nifty.com [Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-shi, Yamanashi (Japan); Ichikawa, Tomoaki, E-mail: ichikawa@yamanashi.ac.jp [Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-shi, Yamanashi (Japan); Sou, Hironobu, E-mail: fffun0300@yahoo.ac.jp [Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-shi, Yamanashi (Japan); Morisaka, Hiroyuki, E-mail: morisakahiroyuki@hotmail.co.jp [Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-shi, Yamanashi (Japan); Sano, Katsuhiro, E-mail: snkthr@yahoo.co.jp [Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-shi, Yamanashi (Japan); Araki, Tsutomu, E-mail: arakit@yamanashi.ac.jp [Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-shi, Yamanashi (Japan)

    2012-10-15

    Purpose: To utilize 320-detector row CT in perfusion CT of multiple abdominal organs and to compare the tissue perfusion between patients with and without liver cirrhosis. Materials and methods: This study included 21 patients with cirrhosis and 20 without cirrhosis. The 320-detector row CT scanner enabled multi-organ perfusion CT without requiring the scanner table to be moved. Perfusion was calculated using the maximum slope model for the aorta, the portal vein, the right and left lobes of the liver, the head and body of the pancreas, the spleen, and the corpus and antrum of the stomach. Perfusion in each organ of patients with and without cirrhosis was compared. Results: Portal venous perfusion of the right and left lobes of the liver in patients with cirrhosis (117 and 100 mL min{sup −1} 100 mL{sup −1}, respectively) was significantly less than that in patients without cirrhosis (213 and 174 mL min{sup −1} 100 mL{sup −1}, respectively; p = 0.0081 and 0.0294, respectively). Arterial perfusion of the spleen (111 mL min{sup −1} 100 mL{sup −1}) and the body of the pancreas (112 mL min{sup −1} 100 mL{sup −1}) in patients with cirrhosis was also significantly decreased compared with that in patients without cirrhosis (spleen, 162 mL min{sup −1} 100 mL{sup −1}, p = 0.0020; body of pancreas, 133 mL min{sup −1} 100 mL{sup −1}, p = 0.0405). Conclusion: The results of the perfusion CT suggest that arterial perfusion of the spleen and the body of the pancreas, as well as portal perfusion of the liver, in cirrhotic patients was decreased compared with that in non-cirrhotic patients.

  19. 腹壁切口疝使用聚丙烯补片修补治疗探讨%Clinical observation of abdomen incisional hernia treated with propene polymer patch

    Institute of Scientific and Technical Information of China (English)

    朱伟东; 郑满跃; 唐惠君; 梁建忠

    2006-01-01

    目的探讨聚丙烯补片修补腹壁切口疝的临床疗效.方法 64例病人采用全身麻醉,采用Bald公司生产的聚丙烯平片补片,根据疝环大小决定不同手术方式.结果 64例病例中,无围手术期死亡病例.术后随访8~45月,未发现复发病例.结论聚丙烯补片修补腹壁切口疝的有临床良好.

  20. Helical CT of the abdomen: whole milk as a low-density oral contrast agent; Tomografia helicoidal do abdome: avaliacao do leite integral como contraste oral de baixa densidade

    Energy Technology Data Exchange (ETDEWEB)

    Collares, Felipe Birchal; Diniz, Renata Lopes Furletti Caldeira; Motta, Emilia Guerra Pinto Coelho; Moreira, Wanderval; Ribeiro, Marcelo Almeida [Hospital Mater Dei, Belo Horizonte, MG (Brazil). Dept. de Radiologia

    2000-08-01

    We evaluated 90 abdominal helical computed tomography scans from patients who received 1% iodine solution, whole milk or no oral contrast agent before scanning. Four parameters were evaluated: gastrointestinal distension, mural visualization, pancreas-duodenum discrimination and bowel loop discrimination. Better results were obtained with the use of whole milk compared to iodine contrast or no oral contrast agent. Whole milk is an effective low density oral contrast agent. (author)