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Complicated diverticulitis: Diagnostic precision and surgical solutions in a patient with chronic kidney disease.
Radiol Case Rep
January 2025
Northeast Georgia Health System, Northeast Georgia Medical Center, Trauma and Acute Care Surgery Department, 743 Spring Street NE Gainesville, GA 30501.
Article Synopsis
- Diverticulitis is an inflammation of the colon that can cause serious issues like perforation and abscess; a case of a 42-year-old female with chronic kidney disease illustrates this danger.
- Initial assessments showed high white blood cell counts and elevated creatinine levels, while a CT scan suggested perforated diverticulitis, leading to an urgent surgical procedure.
- Post-surgery, the patient faced complications that required further interventions, highlighting the importance of CT imaging for diagnosis and monitoring, along with ongoing care such as colonoscopies and dietary changes to manage her condition effectively.
Surgical Outcome and Microbial Colonization of Standardized Smear Locations after Pancreatic Head Resection (Pylorus-Preserving Pancreatoduodenectomy, PPPD) for Chronic Pancreatitis and Pancreatic Head Carcinoma.
J Clin Med
June 2024
Department of General, Abdominal, Vascular and Transplant Surgery, Otto-von-Guericke University Medical School with University Hospital, 39120 Magdeburg, Germany.
Patients with chronic pancreatitis (CP) as well as with pancreatic head carcinoma (CA) undergo the surgical intervention named "pylorus-preserving pancreatoduodenectomy according to Traverso-Longmire (PPPD)", which allowed a comparative analysis of the postoperative courses. The hypothesis was that patients with CA would have worse general as well as immune status than patients with CP due to the severity of the tumor disease and that this would be reflected in the more disadvantageous early postoperative outcome after PPPD. : With the aim of eliciting the influence of the different diagnoses, the surgical outcome of all consecutive patients who underwent surgery at the Dept.
View Article and Find Full Text PDFSuture Packaging as a Marker for Intraoperative Image Alignment in Augmented Reality on Mobile Devices.
Plast Reconstr Surg Glob Open
June 2024
Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Palo Alto, Calif.
Preoperative vascular imaging has become standard practice in the planning of microsurgical breast reconstruction. Currently, translating perforator locations from radiological findings to a patient's abdomen is often not easy or intuitive. Techniques using three-dimensional printing or patient-specific guides have been introduced to superimpose anatomy onto the abdomen for reference.
View Article and Find Full Text PDFA Novel Peritoneal Packing Method for Management of Hyperkalemia During Acute Kidney Injury in Trauma.
Mil Med
July 2024
Charles T. Dotter Department of Interventional Radiology, Oregon Health and Science University, Portland, OR 97239, USA.
Introduction: United States Military operations in resource limited areas are increasing. Furthermore, future peer or near-peer conflicts will require caring for larger numbers of casualties with limited resources. In this setting, traditional renal replacement therapy is not feasible and novel methods are required to address severe acute kidney injury in austere environments lacking definitive therapies.
View Article and Find Full Text PDFOral Ingestion of an Iron-Containing Hand Warmer in a Pediatric Patient.
Wilderness Environ Med
March 2024
Division of Medical Toxicology, Department of Emergency Medicine, UC San Diego Health, San Diego, CA.
Article Synopsis
- Hand warmer packets, commonly containing iron powder, can cause serious health issues if ingested, as demonstrated by a case involving a three-year-old who experienced high serum iron levels and gastrointestinal injury after consuming one.
- The child underwent emergency treatments, including endoscopic removal of the packet, gastric lavage, and medications to manage the situation.
- This case highlights the potential risks of even partial ingestion of hand warmer packets in young children, emphasizing the importance of prompt multidisciplinary medical response and intervention.
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