Asunto(s)
Cuerpos Extraños/etiología , Vejiga Urinaria/diagnóstico por imagen , Cateterismo Urinario/efectos adversos , Retención Urinaria/etiología , Diagnóstico Diferencial , Cuerpos Extraños/diagnóstico por imagen , Migración de Cuerpo Extraño/etiología , Humanos , Masculino , Persona de Mediana Edad , Prostatectomía , Hiperplasia Prostática/diagnóstico , Hiperplasia Prostática/etiología , Hiperplasia Prostática/cirugía , Radiografía , Cálculos de la Vejiga Urinaria/diagnóstico , Retención Urinaria/diagnósticoRESUMEN
Perforation of malignant gall bladder resulting in liver abscess and presenting as pyrexia of unknown origin is rare. We report a patient who was diagnosed at surgery, which was undertaken with a diagnosis of liver abscess on CT scan.
Asunto(s)
Adenocarcinoma/complicaciones , Neoplasias de la Vesícula Biliar/complicaciones , Absceso Hepático/etiología , Adenocarcinoma/diagnóstico por imagen , Anciano , Colelitiasis/complicaciones , Diagnóstico Diferencial , Fiebre de Origen Desconocido/etiología , Neoplasias de la Vesícula Biliar/diagnóstico por imagen , Humanos , Absceso Hepático/diagnóstico por imagen , Masculino , Tomografía Computarizada por Rayos XRESUMEN
Mesenteric lipoma as a cause of small intestinal volvulus has not been reported before. We report a middle-aged man with this entity.
Asunto(s)
Obstrucción Intestinal/etiología , Intestino Delgado , Lipoma/complicaciones , Mesenterio , Neoplasias Peritoneales/complicaciones , Humanos , Obstrucción Intestinal/patología , Intestino Delgado/patología , Lipoma/patología , Masculino , Mesenterio/patología , Persona de Mediana Edad , Neoplasias Peritoneales/patologíaRESUMEN
The present study includes seventeen patients with second and third degree fresh burns involving 15-50 per cent total body surface area (TBSA). Surface swabs and quantitative burn wound biopsy cultures were obtained during postburn weeks 1, 2 and 3 and correlation was studied. To obtain bacterial counts the technique described by Loebel et al. (1974) was used. The patients were divided in two groups depending upon burn body surface area involved. The first group includes five patients with burns between 15-29 per cent body surface area and the second group includes the rest of the twelve patients with burns between 30-50 per cent body surface area. No patient from group I showed any sign or symptom of sepsis whereas seven patients from group II developed sepsis and three died. These three patients showed positive blood culture at the time of death. Of the 48 cultures obtained in all the patients over 3 weeks, 7 cultures showed differences between swab and biopsy cultures. Genticyn was the most effective drug against Gram-negative organisms.