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A rare case of colo-salpingeal fistula complicating acute sigmoid diverticulitis.
J Surg Case Rep
December 2022
General Surgery, Queen Elizabeth II Hospital, Brisbane 4108, Australia.
Colo-salpingeal fistulae due to acute diverticulitis are rare entities. A 65-year-old female with a 5-day history of left iliac fossa pain, fevers and diarrhoea was seen in a metropolitan hospital. Initial computed tomography of the abdomen and pelvis characterized a left tubular adnexal structure with an air fluid level and normal-appearing colon and was reported as pyosalpingitis.
View Article and Find Full Text PDFWhy and how to proceed to an ultrasound-guided transvaginal drainage of tubo-ovarian abscesses (with demonstrative video)?
J Turk Ger Gynecol Assoc
September 2020
Department of Gynecological Surgery, Hôpital Femme Mère Enfant, HFME, Hospices civils de Lyon, Bron, France
The treatment of the acute phase of complicated tubo-ovarian abscesses relies on antibiotics associated with surgical management in case of visible abscess, poor clinical tolerance and resistance to medical treatment. Transvaginal, ultrasound-guided, puncture drainage can be considered as an alternative to initial laparoscopy and has multiple advantages over the latter: same success rate, less invasive nature, simple and fast to perform, easy to access, better tolerated by the patient, decreased hospitalization time and less cost. This video article describes and standardizes the essential steps to perform a transvaginal adnexal abscess drainage with a step-by-step explanation of the technique in logical sequences, making the procedure ergonomic and easy to learn.
View Article and Find Full Text PDFProspective evaluation of ultrasonography in acute colonic diverticulitis.
Br J Surg
March 1997
Department of General Surgery, Philipps-University of Marburg, Germany.
Background: The clinical diagnosis of acute colonic diverticulitis (ACD) can be difficult and ultrasonography by experts is valuable in establishing the diagnosis. This prospective observational trial aimed to assess the diagnostic accuracy and clinical value of ultrasonography performed routinely by surgical residents in training.
Methods: The clinical course of 187 unselected consecutive patients admitted with suspected ACD was studied prospectively.
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