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Acute Cholecystitis VS Fitz-Hugh-Curtis Syndrome: A Case Report and Literature Review
Rabia Ikram,
Ali Hassan,
Anam Waseem
Issue:
Volume 11, Issue 1, February 2023
Pages:
1-4
Received:
21 October 2022
Accepted:
1 February 2023
Published:
9 February 2023
Abstract: A young married lady presented with right upper quadrant pain and after clinical assessment and investigations she was diagnosed with calculus cholecystitis. An elective laparoscopic cholecystectomy was planned, but on getting the entry in the peritoneal cavity an interesting view was encountered. There were dense adhesions in the right upper abdomen, liver adherent to the abdominal wall and a normal looking gallbladder with bluish hue and few tiny intraluminal stones. There was peri-hepatitis with bilateral inflamed fallopian tubes. The patient was diagnosed with Fitz-Hugh-Curtis syndrome (FHCS), a complication of pelvic inflammatory disease. Treatment is hence directed towards the underlying cause. FHCS is a diagnosis of exclusion and confirmed on laparoscopic exploration. Cervical swabs and samples of fluid taken from the peritoneum and liver surface can aid in diagnosis. The most common organisms are Chlamydia trachomatis and Neisseria gonorrhoeae. Although most of the patients are young women, there are case reports of this entity in men as well. Management is to treat the underlying PID. Laparoscopic release of peri-hepatic bands may aid in pain relief. Complications include sepsis, infertility, and adhesive bowel disease. This may not be a common disease, but it can leave permanent scars. The underlying PID should be treated urgently to minimize the collateral damage. Education and couple therapy is important as prevention is the best treatment.
Abstract: A young married lady presented with right upper quadrant pain and after clinical assessment and investigations she was diagnosed with calculus cholecystitis. An elective laparoscopic cholecystectomy was planned, but on getting the entry in the peritoneal cavity an interesting view was encountered. There were dense adhesions in the right upper abdom...
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Idiopathic Fournier’s Gangrene: Report of 2 Cases
Tewodros Kassahun Tarekegn,
Solomon Endale Dagnachew,
Frewengel Melake Weldeslassie,
Rediet Habtu Lebelo,
Bisrat Nigussie Alemayehu,
Adey Gizachew Alemayehu
Issue:
Volume 11, Issue 1, February 2023
Pages:
5-9
Received:
29 November 2022
Accepted:
26 January 2023
Published:
9 February 2023
Abstract: Fournier's gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. One of the deadliest surgical emergencies observed worldwide is Fournier's gangrene, FG predominantly affects men but can be seen in women. The condition's mortality and morbidity, have greatly decreased over time as a result of recent advancements in critical care medicine and surgical methods. Early diagnosis, examination of the risk and etiological variables, metabolic and physiological parameters, timely resuscitation, forceful surgical debridement, broad-spectrum antibiotic treatment, and ongoing monitoring of these parameters are necessary for a favorable outcome. This will reduce the condition's high death and morbidity rates. Two distinct examples of Fournier gangrene are described in this study. In this section, we have 2 FG cases. A young adult with FG who had no accompanying comorbidities was our first instance. He had necrotizing fasciitis, which starts in the perineum and spreads to the belly and chest, and it took him longer to heal. Despite this, he made a full recovery without suffering any serious post-operative morbidity. An elderly man patient who had no concomitant conditions was our second example. Our observations show that He made a full recovery without experiencing any significant post-operative morbidity.
Abstract: Fournier's gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. One of the deadliest surgical emergencies observed worldwide is Fournier's gangrene, FG predominantly affects men but can be seen in women. The condition's mortality and morbidity, have greatly decreas...
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Global Trends in Patellofemoral Osteoarthritis Related Researches from 2001 to 2020: A Bibliometric and Visualized Study
Yudian Qiu,
Nan Min,
Yaonan Zhang,
Qiang Wang,
Yuanyuan Han,
Yanan Xu,
Liangyuan Wen
Issue:
Volume 11, Issue 1, February 2023
Pages:
10-16
Received:
10 January 2023
Accepted:
1 February 2023
Published:
9 February 2023
Abstract: Purpose: Patellofemoral osteoarthritis (PFOA) is a severe disease which is one of the leading causes of body dysfunction as well as anterior knee pain. In recent years, multiple researches have occurred in this area. However, worldwide research on this disease is not well displayed. The purpose of our study is to explore the research hotspot and direction of PFOA-related diseases. Methods: Publications on PFOA-related diseases from 2001 to 2020 were retrieved from Web of Science (WoS) database. Then the bibliometric method was used to analyze the data. In terms of visualization research, the VOS viewer was used to generate bibliographic coupling for co-occurrence analysis and further simulate the publishing trends in PFOA related fields. A total of 283 keywords met the threshold and were selected for co-occurrence analysis. Results: A total of 3215 publications were included. The number of publications is increasing every year. The United States is at the forefront of the world in this area, with the number and quality of publications (measured by the H index) ranking first in the world. The journal “Knee Surgery, Sports Traumatology, Arthroscopy” has published the most manuscripts, the University of California system has contributed the most studies among all the institutions, while the researcher Crossley KM is the most prolific author in this field. The PFOA-related studies could be divided into four clusters: “Dynamics, symptomatology and rehabilitation study”, “Imaging and basic experimental study”, “Alignment and functional study” and “Perioperative management study”. Conclusions: According to the analysis of current global trends, publications on PFOA-related research will continue to increase. The United States is now the leading country in this field, with both the largest number and the highest quality of researches. Among the four groups of studies related to PFOA, “Dynamics, symptomatology and rehabilitation study”, “Perioperative management study” and “Alignment and functional study” are considered as the current popular research directions in the PFOA-related studies.
Abstract: Purpose: Patellofemoral osteoarthritis (PFOA) is a severe disease which is one of the leading causes of body dysfunction as well as anterior knee pain. In recent years, multiple researches have occurred in this area. However, worldwide research on this disease is not well displayed. The purpose of our study is to explore the research hotspot and di...
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Management of Postoperative Peritonitis (POP) in a Disadvantaged Environment
Fode Baba Toure,
Fode Ibrahima Kourala Keita,
Mamadouba Camara
Issue:
Volume 11, Issue 1, February 2023
Pages:
17-21
Received:
18 February 2023
Accepted:
14 March 2023
Published:
24 March 2023
Abstract: The aim of this work was to describe the management of POP in a precarious environment. It was a retrospective study of descriptive type from January 2007 to December 2012 on the records of patients with POP. Gender, age, qualification of the operating physician, time to management, initial diagnosis, type of initial surgery, treatment, prognosis were the parameters studied. We noted 32 cases of POP out of 4656 laparotomies, i.e. a frequency of 0.7%. The mean age of our patients was 37.7 years. The sex ratio was 1.3 in favor of the male sex. The majority of our patients were referred from other centers with a rate of 78%. Emergencies accounted for 84% of the initial surgical procedures. Initial diagnoses were dominated by acute appendicitis with a rate of 37.5%. Clinical signs were dominated by abdominal pain 87.5%; vomiting 53.1%; tachycardia 68.7% and fever 75%. The main causes were the release of digestive sutures. The management was multidisciplinary. We noted 41% of favorable follow-up; 9% of morbidity and 50% of death. The delay of the operative recovery, the number of visceral failures, the number of iterative and close reoperations were factors that influenced the prognosis. Post-operative peritonitis rapidly challenges the integrity of most major vital functions. Early diagnosis is the key to improving prognosis.
Abstract: The aim of this work was to describe the management of POP in a precarious environment. It was a retrospective study of descriptive type from January 2007 to December 2012 on the records of patients with POP. Gender, age, qualification of the operating physician, time to management, initial diagnosis, type of initial surgery, treatment, prognosis w...
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Gestational Antibioma of the Breast: A Rare Case Presentation
Dipak Kumar Hazarika,
Arijit Rumu Baruah,
Jayanta Patir
Issue:
Volume 11, Issue 1, February 2023
Pages:
22-25
Received:
23 February 2023
Accepted:
10 March 2023
Published:
24 March 2023
Abstract: Breast is an important organ of the female human body. It is composed of skin, subcutaneous tissue and breast tissue. Mastitis is defined as inflammation of the breast tissue. It is painful with high fever, chills and red, tender, hot, and swollen areas of the breast. The causes are mainly inflammatory or infectious. Staphylococcus aureus is the most common bacteria involved in this condition. If left under-treated or untreated, infective mastitis can lead to breast abscess or septicemia. Management of breast abscess consists of aspiration or mini incision and drainage in combination with appropriate antibiotic therapy. An antibioma is defined as a hard edematous swelling consisting of sterile pus following treatment of an abscess with long-term antibiotics. The established treatment for antibioma is to surgically incise and drain it like an abscess under analgesics and antimicrobial therapy. Breast infection is most commonly associated with lactation with an incidence rate of 10 percent to 33 percent women. Lactational mastitis has an incidence rate of 2-3 percent of lactating women with 5-11 percent of these patients developing into an abscess. The mean age of incidence is 32 years. On the other hand, non-lactating breast abscesses has a peak incidence in the fourth decade of life. But this condition is rare during gestation with only a few reported cases in literature. We present one such rare case of gestational antibioma in second trimester.
Abstract: Breast is an important organ of the female human body. It is composed of skin, subcutaneous tissue and breast tissue. Mastitis is defined as inflammation of the breast tissue. It is painful with high fever, chills and red, tender, hot, and swollen areas of the breast. The causes are mainly inflammatory or infectious. Staphylococcus aureus is the mo...
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