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From an Enteroatmospheric to an Enterocutaneous Fistula Using a Condom.
Cureus
November 2024
General Surgery, Centro Hospitalar Barreiro Montijo, Barreiro, PRT.
An enteroatmospheric fistula (EAF) is one of the most feared complications of damage control laparotomy. Its management is highly challenging, often requiring multiple surgeries and prolonged hospitalization. It is a serious condition, and despite significant improvements in mortality rates due to advancements in intensive care, the rate remains substantial.
View Article and Find Full Text PDFCefiderocol in the Successful Treatment of Complicated Hospital-Acquired K. pneumoniae NDM, OXA48 Intraabdominal Infection.
Infect Drug Resist
November 2024
Department and Clinic of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland.
Background: MDR/XDR constitutes a difficult to treat bacteria in a number of infections as there are few therapeutic options. Promising drugs in such cases can be cefiderocol, aztreonam and ceftazidime/avibactam or meropenem/vaborbactam.
Case Presentation: A 72-year-old female patient with sepsis caused by KP NDM, OXA 48 was admitted to the Intensive Care Unit, immediately after an emergency graftectomy (of a recently transplanted kidney) complicated with bleeding.
Early relaparotomy in recipients after living donor liver transplantation: causes, risk factors, and consequences.
Turk J Med Sci
October 2024
Department of General Surgery, Faculty of Medicine, İnönü University, Malatya, Turkiye.
Article Synopsis
- The study investigates the reasons behind early relaparotomies in living donor liver transplant recipients within the first 30 days post-surgery, emphasizing the ongoing prevalence of complications despite improved surgical practices.* -
- Out of 535 patients analyzed between 2019 and 2021, 15.9% (85 patients) required early relaparotomy, with key factors like elevated creatinine and sodium levels, the use of left lobe grafts, and significant blood loss identified as independent risk factors.* -
- Major causes for needing early relaparotomy included postoperative bleeding, biliary leakage, and vascular issues, highlighting the complexities of post-transplant care and the importance of monitoring at-risk patients.*
Risk factors for relaparotomy after cesarean delivery.
Int J Gynaecol Obstet
October 2024
Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel.
Objective: To identify and analyze risk factors associated with relaparotomy following cesarean delivery (CD), focusing on obstetric and surgical parameters.
Methods: Retrospective case-control study conducted at a high-volume tertiary obstetric center. We reviewed all women who underwent CD between 2013 and 2023.
Acute abdomen due to Meckel's diverticulitis with synchronous inflammatory myofibroblastic tumor in the terminal ileum: A case report.
Ulus Travma Acil Cerrahi Derg
October 2024
Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul-Türkiye.
Article Synopsis
- Meckel's diverticulum (MD) is the most common congenital gastrointestinal anomaly, found in about 2% of people, and is rarely symptomatic in adults.
- This case highlights a 46-year-old male who experienced abdominal pain due to Meckel's diverticulitis, which had formed a fistula with the abdominal wall, and was also found to have a benign inflammatory myofibroblastic tumor (IMT) on imaging.
- After surgery for the diverticulitis and complications like an anastomotic leak, the patient ultimately recovered, and this case emphasizes the importance of thorough diagnostic work to uncover incidental findings that can impact treatment.
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