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http://dx.doi.org/10.4321/s1130-01082007000800015DOI Listing

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Article Synopsis
  • The most common locations for these abscesses are the subphrenic and subhepatic areas, requiring treatments like percutaneous or surgical drainage.
  • This report discusses a new, less invasive technique called minimally invasive video-assisted trans-diaphragmatic drainage (MIVTD), successfully applied to a patient with a complicated abscess after peptic ulcer surgery.
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Article Synopsis
  • Thoracobiliary fistula is a rare condition resulting from complications of biliary obstruction, specifically after a Roux-en-Y cholangiojejunostomy stricture.
  • A 52-year-old man experienced fever, fatigue, jaundice, and later symptoms indicating a thoracobiliary fistula after initial treatment for a bile duct injury.
  • Timely surgical intervention was necessary to drain the bile and address the complications, highlighting the need for early diagnosis of such serious post-operative conditions.
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Article Synopsis
  • - Subdiaphragmatic abscess drainage can be challenging and may lead to complications like organ damage and infection spread.
  • - A new technique, EUS-guided drainage, has been successfully used for treating upper abdominal abscesses, including a case involving a subdiaphragmatic cyst from a perforated sigmoid colon after ovarian cancer surgery.
  • - The case involved a 60-year-old Japanese woman who benefited from this minimally invasive procedure, which led to the cyst's reduction without causing additional complications.
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Case report of parapneumonic effusion and mesothelial subdiaphragmatic cyst: relationship or coincidence?

J Int Med Res

March 2024

Department of Pediatrics, Gilbert and Rose-Marie Chagoury School of Medicine and LAU Medical Center-Rizk Hospital, Lebanese American University, Beirut, Lebanon.

Article Synopsis
  • Parapneumonic pleural effusions can occur in pneumonia patients and may develop into empyema due to bacterial infection.
  • These effusions can complicate the infection by spreading to areas below the diaphragm, but often subphrenic collections are found to be mesothelial cysts.
  • A case study illustrates that not all subphrenic collections linked to parapneumonic effusions are caused by infection; some, like mesothelial diaphragmatic cysts, are congenital and can be monitored without treatment.
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