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| http://dx.doi.org/10.4103/2249-4863.161369 | DOI Listing |
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Clinical outcomes and risk factors of post-polypectomy microperforation in patients with colorectal neoplasia: a case-control study.
Ther Adv Gastrointest Endosc
January 2025
Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Seoul 03722, Korea.
Background: Colonoscopic polypectomy significantly reduces the incidence of colorectal cancer, but it carries potential risks, with colonic perforation being the most common and associated with significant morbidity.
Objectives: This study evaluated the clinical outcomes and risk factors of microperforation during colonoscopic polypectomy.
Design: A retrospective cohort study.
The Macklin Effect Following Trauma: A Case Report of Concurrent Pneumothorax, Pneumoperitoneum, Pneumomediastinum, and Pneumoretroperitoneum in an Intubated Young Adult.
Cureus
December 2024
Department of Trauma Surgery, King Saud Medical City, Riyadh, SAU.
Article Synopsis
- Pneumomediastinum, often occurring silently post-trauma, complicates diagnoses especially when paired with other conditions like pneumothorax and pneumoperitoneum, largely due to the Macklin effect where air escapes from ruptured alveoli.
- An 18-year-old male involved in a car crash was found with severe pneumothorax and subcutaneous emphysema but showed no signs of significant esophageal or bronchial injury upon further evaluation.
- Despite alarming initial imaging, the patient's treatment was conservative, allowing for a gradual healing process and eventual discharge without complications, illustrating the need for careful assessment in trauma management.
Perforated Meckel's Diverticulum as a Rare Cause of Pneumoperitoneum in a Post-pubescent Adolescent: A Case Report.
Cureus
September 2024
Pediatric Surgery, Massachusetts General Hospital, Boston, USA.
Meckel's diverticulum (MD) is known to cause surgical emergencies including intussusception, obstruction, and bleeding, but rarely results in perforation with pneumoperitoneum. Symptomatic MD is rare but most commonly presents in early childhood. We report a case of a 17-year-old male who presented with peritonitis and radiographic imaging demonstrating pneumoperitoneum and inflammation near the appendix and terminal ileum.
View Article and Find Full Text PDFChilaiditi's Sign: A Rare Finding in a Patient with Concurrent Liver Cirrhosis and Chronic Lymphocytic Leukemia.
Clin Med Insights Case Rep
September 2024
Department of Internal Medicine, Methodist Hospital, Wenchi, Ghana.
Chilaiditi's sign is a rare radiological finding characterized by colonic interposition between the liver and the right hemidiaphragm. It is a cause of pseudopneumoperitoneum which is often mistaken for true pneumoperitoneum. In this article, we present the case of a 73-year-old female with a previous history of pulmonary tuberculosis, who reported to our hospital with progressive abdominal distension associated with early satiety, bipedal swelling, generalized weakness, worsening fatigue, and weight loss.
View Article and Find Full Text PDFA case report of spontaneous gastric perforation in a premature and low-birth weight neonate.
Int J Surg Case Rep
July 2024
Division of Pediatric Surgery, Department of Surgery, Maimonides Medical Center, Brooklyn, NY, United States of America.
Introduction: Spontaneous gastric perforation of the neonate is a rare phenomenon with a high risk of mortality. Despite an uncertain etiology, an association with prematurity and low-birth weight has been demonstrated. Prompt surgical repair and intensive care remain imperative to survival.
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