It is now admitted that Coronavirus is related to vascular complications especially thrombotic ones. Mechanism of thrombotic complications is not fully understood. Free-floating carotid thrombus is a rare condition and it has been found in numerous cases of COVID-19 patients. Data related to management of this floating clot is limited. Anticoagulation remains an important pillar of treatment. We report is this work, a case of a 59-year-old male, hospitalized twice for management of COVID-19 infection in January and March 2021. A free-floating carotid thrombus was discovered and a medical treatment was initiated.
{"title":"A Rare Vascular Complication in a COVID-19 Patient: A Case Report of Free-Floating Carotid Thrombus","authors":"Ben Said Fatma","doi":"10.46889/jsrp.2022.3203","DOIUrl":"https://doi.org/10.46889/jsrp.2022.3203","url":null,"abstract":"It is now admitted that Coronavirus is related to vascular complications especially thrombotic ones. Mechanism of thrombotic complications is not fully understood.\u0000\u0000Free-floating carotid thrombus is a rare condition and it has been found in numerous cases of COVID-19 patients.\u0000\u0000Data related to management of this floating clot is limited. Anticoagulation remains an important pillar of treatment.\u0000\u0000We report is this work, a case of a 59-year-old male, hospitalized twice for management of COVID-19 infection in January and March 2021. A free-floating carotid thrombus was discovered and a medical treatment was initiated.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122499515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Adequate ligament balance is important for long-term outcomes after Total Knee Arthroplasty (TKA). We retrospectively evaluated preoperative factors and intraoperative medial soft tissue release techniques that affected adequate ligament balance after TKA for varus knee. Method: One hundred knees with Osteoarthritis (OA) in women were included. X-rays were taken preoperatively and postoperatively with varus and valgus stress in the extension and flexion positions. Knees were postoperatively, classified as stable (n=49) or laxity (n=51). Results: Factors associated with adequate ligament balance include joint inclination angle of varus at extension, and superficial Medial Collateral Ligament (sMCL) release. Postoperative ligament balance was significantly associated with preoperative joint inclination angle of varus at extension of 7°. Conclusion: Preoperative lateral laxity in the extensor position under stress X-ray and sMCL release may affect postoperative ligament balance. A 7° preoperative lateral joint inclination may be useful in predicting postoperative ligament balance.
{"title":"Preoperative Lateral Laxity in the Extensor Position and Intraoperative Medial Soft Tissue Release Affect Postoperative Ligament Balance in Osteoarthritis Knees Undergoing TKA in Women","authors":"Y. Arai","doi":"10.46889/jsrp.2022.3202","DOIUrl":"https://doi.org/10.46889/jsrp.2022.3202","url":null,"abstract":"Purpose: Adequate ligament balance is important for long-term outcomes after Total Knee Arthroplasty (TKA). We retrospectively evaluated preoperative factors and intraoperative medial soft tissue release techniques that affected adequate ligament balance after TKA for varus knee.\u0000\u0000Method: One hundred knees with Osteoarthritis (OA) in women were included. X-rays were taken preoperatively and postoperatively with varus and valgus stress in the extension and flexion positions. Knees were postoperatively, classified as stable (n=49) or laxity (n=51).\u0000\u0000Results: Factors associated with adequate ligament balance include joint inclination angle of varus at extension, and superficial Medial Collateral Ligament (sMCL) release. Postoperative ligament balance was significantly associated with preoperative joint inclination angle of varus at extension of 7°.\u0000\u0000Conclusion: Preoperative lateral laxity in the extensor position under stress X-ray and sMCL release may affect postoperative ligament balance. A 7° preoperative lateral joint inclination may be useful in predicting postoperative ligament balance.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116341283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The psychological and psychiatric derangements as well as psychosocial impact that craniomaxillofacial trauma can have upon patients, often goes undetected, ignored and unaddressed. This can adversely affect the mental and physical well-being of the patient, leading to a lifetime of severe debility and incapacitation. Methods: This retrospective study examined the incidence, severity, predictors and likely predisposing factors for development of PTSD among 378 patients treated for craniomaxillofacial trauma at a tertiary care centre, over a five-year period. It correlated the likelihood of development of PTSD with the mode of injury sustained and analysed the management protocols employed and outcomes achieved. Results: 31% of the patients demonstrated a positive diagnosis for PTSD and were managed for the same. Self-inflicted maxillofacial trauma patients exhibited the highest risk for developing PTSD, followed by victims of natural disasters, combat associated trauma victims (blast and ballistic injuries), followed thereafter by physical assault and RTA victims. Depending upon the severity of PTSD exhibited by the different patients, counselling, psychotherapy, and/or pharmacotherapy were employed. Discussion: Careful screening of craniomaxillofacial trauma victims for features of PTSD cannot be overemphasized. Timely and effective management of the same can go a long way towards successful rehabilitation of these vulnerable group of patients. Surgical management of orofacial injuries should integrate case management that addresses psychosocial sequelae as it is not only necessary to restore the integrity of the anatomy and function, but also to provide psychiatric support and therapy for patients experiencing symptoms of PTSD caused by traumatic events.
{"title":"Post Traumatic Stress Disorder (PTSD) Following Craniomaxillofacial Trauma - A Five Year Retrospective Study","authors":"P. Jeyaraj","doi":"10.46889/jsrp.2022.3201","DOIUrl":"https://doi.org/10.46889/jsrp.2022.3201","url":null,"abstract":"Introduction: The psychological and psychiatric derangements as well as psychosocial impact that craniomaxillofacial trauma can have upon patients, often goes undetected, ignored and unaddressed. This can adversely affect the mental and physical well-being of the patient, leading to a lifetime of severe debility and incapacitation.\u0000\u0000Methods: This retrospective study examined the incidence, severity, predictors and likely predisposing factors for development of PTSD among 378 patients treated for craniomaxillofacial trauma at a tertiary care centre, over a five-year period. It correlated the likelihood of development of PTSD with the mode of injury sustained and analysed the management protocols employed and outcomes achieved.\u0000\u0000Results: 31% of the patients demonstrated a positive diagnosis for PTSD and were managed for the same. Self-inflicted maxillofacial trauma patients exhibited the highest risk for developing PTSD, followed by victims of natural disasters, combat associated trauma victims (blast and ballistic injuries), followed thereafter by physical assault and RTA victims. Depending upon the severity of PTSD exhibited by the different patients, counselling, psychotherapy, and/or pharmacotherapy were employed.\u0000\u0000Discussion: Careful screening of craniomaxillofacial trauma victims for features of PTSD cannot be overemphasized. Timely and effective management of the same can go a long way towards successful rehabilitation of these vulnerable group of patients. Surgical management of orofacial injuries should integrate case management that addresses psychosocial sequelae as it is not only necessary to restore the integrity of the anatomy and function, but also to provide psychiatric support and therapy for patients experiencing symptoms of PTSD caused by traumatic events.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127064539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.46889//jcmr.2022.31010
Ruey J Yu1*, Eugene J Van Scott1
Clinical tests and study reveal that the non-toxic creatine derivative, N-acetyl ethyl creatinate topically applied provides rapid and complete relief of itch of various kinds. The compound has been found to be therapeutically effective for eradication or control of various pruritic conditions such as dermatitis and chronic eczema.
{"title":"Creatine Derivative: Complete Relief of Itch by Topical Administration and Marked Control of Pruritic Dermatitis","authors":"Ruey J Yu1*, Eugene J Van Scott1","doi":"10.46889//jcmr.2022.31010","DOIUrl":"https://doi.org/10.46889//jcmr.2022.31010","url":null,"abstract":"Clinical tests and study reveal that the non-toxic creatine derivative, N-acetyl ethyl creatinate topically applied provides rapid and complete relief of itch of various kinds. The compound has been found to be therapeutically effective for eradication or control of various pruritic conditions such as dermatitis and chronic eczema.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121563213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-27DOI: 10.46889/jcmr.2022.31009
Qiufen Sun1, Shujie Chen
Background: Cardiorespiratory Fitness (CRF) is an independent health predictor of circulatory and respiratory systems and can be estimated using non-exercise equations. However, the accuracy of such equations in a national representative population is unknown. The objective of this study was to cross-validate 11 CRF equations developed by three different researchers using a United States representative population. Methods and Findings: The study included 2470 adult males and females from the National Health and Nutrition Examination Survey (1999 to 2004) with measured CRF (mCRF) available in terms of maximum oxygen consumption (VO2max). The relationships between non-exercise estimated CRFs and measured VO2max were analyzed by examining the Constant Error (CE), Standard Error of Estimate (SEE), correlation coefficient (r) and Root Of Mean Square Error (RMSE). The estimated CRFs from four equations for males and six equations for females were different from mCRF, with CE values ranging from -0.712 (Jurca2) to 0.457 mL/kg/min (Jackson/fat/2level) for males and from -3.722 (Rexhepi2014) to 1.166 mL/kg/min (Jackson/fat/2level) for females (P<0.05 for all). Moreover, SEE, r and RMSE values ranged from 0.036 to 0.079 mL/kg/min, 0.21 to 0.344 mL/kg/min and 2.172 to 2.657 mL/kg/min, respectively. Furthermore, the lowest RMSE values for males (Jackson/fat/5level) and females (Jurca2) represented 20.33% and 21.09% of the mean mCRFs, respectively. Conclusion: Among the 11 equations, Jackson/fat/5level for males and Jurca2 for females provided the most valid non-exercise equations to estimate CRF in a representative US population. Future studies are warranted to develop more accurate equations based on age, gender, race and health status.
{"title":"Cross-validation of Non-exercise Estimated Cardiorespiratory Fitness: The NHANES Study","authors":"Qiufen Sun1, Shujie Chen","doi":"10.46889/jcmr.2022.31009","DOIUrl":"https://doi.org/10.46889/jcmr.2022.31009","url":null,"abstract":"Background: Cardiorespiratory Fitness (CRF) is an independent health predictor of circulatory and respiratory systems and can be estimated using non-exercise equations. However, the accuracy of such equations in a national representative population is unknown. The objective of this study was to cross-validate 11 CRF equations developed by three different researchers using a United States representative population.\u0000\u0000Methods and Findings: The study included 2470 adult males and females from the National Health and Nutrition Examination Survey (1999 to 2004) with measured CRF (mCRF) available in terms of maximum oxygen consumption (VO2max). The relationships between non-exercise estimated CRFs and measured VO2max were analyzed by examining the Constant Error (CE), Standard Error of Estimate (SEE), correlation coefficient (r) and Root Of Mean Square Error (RMSE). The estimated CRFs from four equations for males and six equations for females were different from mCRF, with CE values ranging from -0.712 (Jurca2) to 0.457 mL/kg/min (Jackson/fat/2level) for males and from -3.722 (Rexhepi2014) to 1.166 mL/kg/min (Jackson/fat/2level) for females (P<0.05 for all). Moreover, SEE, r and RMSE values ranged from 0.036 to 0.079 mL/kg/min, 0.21 to 0.344 mL/kg/min and 2.172 to 2.657 mL/kg/min, respectively. Furthermore, the lowest RMSE values for males (Jackson/fat/5level) and females (Jurca2) represented 20.33% and 21.09% of the mean mCRFs, respectively.\u0000\u0000Conclusion: Among the 11 equations, Jackson/fat/5level for males and Jurca2 for females provided the most valid non-exercise equations to estimate CRF in a representative US population. Future studies are warranted to develop more accurate equations based on age, gender, race and health status.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114062932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Blunt carotid artery dissection is relatively rare and different from spontaneous dissections. Ischemic stroke is the main complication with high morbidity and mortality rates. Case report: We report the case of a 32 years old man who had a polytraumatic injury and was admitted in our emergency unit. Injuries of the head and a dissection of the right internal carotid artery were identified on CT. The patient was then successfully management and had surgical repair of right internal carotid artery and head injuries. Conclusion: Management of blunt carotid dissection is challenging; in fact, no guidelines are actually available. Treatment should be conducted quickly after trauma and could be conservative, endovascular or open.
{"title":"Successful Surgical Management of a Traumatic Dissection of Internal Carotid Artery","authors":"E. S, Gueldich m, Kallel s, A. Zaidi","doi":"10.46889/jsrp.2022.3106","DOIUrl":"https://doi.org/10.46889/jsrp.2022.3106","url":null,"abstract":"Introduction: Blunt carotid artery dissection is relatively rare and different from spontaneous dissections. Ischemic stroke is the main complication with high morbidity and mortality rates.\u0000\u0000Case report: We report the case of a 32 years old man who had a polytraumatic injury and was admitted in our emergency unit. Injuries of the head and a dissection of the right internal carotid artery were identified on CT. The patient was then successfully management and had surgical repair of right internal carotid artery and head injuries.\u0000\u0000Conclusion: Management of blunt carotid dissection is challenging; in fact, no guidelines are actually available. Treatment should be conducted quickly after trauma and could be conservative, endovascular or open.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124426211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is a case of a young healthy female patient with idiopathic extensive subcutaneous emphysema in neck, mediastinum, left arm, peritoneal and retroperitoneal spaces. The patient presented to the emergency department and then admitted to the ward for monitoring of vitals, evaluation and to manage her accordingly. The patient had a surgical intervention to release emphysema. She improved significantly postsurgery. She stayed in hospital for a total of 10 days. Then, the patient was followed in outpatient clinic weekly for a total of 4 weeks. She was completely asymptomatic with no new issues since discharge.
{"title":"A Young Healthy Female with Idiopathic Extensive Subcutaneous Emphysema Occurring in Neck, Mediastinum, Left Arm, Peritoneal and Retroperitoneal Spaces: A Case Report","authors":"Abdalrahman T Albader, Mishal M Almutairi","doi":"10.46889/jsrp.2021.2306","DOIUrl":"https://doi.org/10.46889/jsrp.2021.2306","url":null,"abstract":"This is a case of a young healthy female patient with idiopathic extensive subcutaneous emphysema in neck, mediastinum, left arm,\u0000peritoneal and retroperitoneal spaces. The patient presented to the emergency department and then admitted to the ward for monitoring of vitals,\u0000evaluation and to manage her accordingly. The patient had a surgical intervention to release emphysema. She improved significantly postsurgery. She stayed in hospital for a total of 10 days. Then, the patient was followed in outpatient clinic weekly for a total of 4 weeks. She was\u0000completely asymptomatic with no new issues since discharge.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123566772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.35248/2322-3308.21.10.002
I. Klepikov
For most people on our planet, the beginning of the current COVID-19 pandemic was a complete surprise and looks like a sudden disaster. However, experts do not have the right to argue in this way, since the cause of this disaster has long been known to medicine.
{"title":"Pandemic as an Ideological Dead End of Modern Medicine","authors":"I. Klepikov","doi":"10.35248/2322-3308.21.10.002","DOIUrl":"https://doi.org/10.35248/2322-3308.21.10.002","url":null,"abstract":"For most people on our planet, the beginning of the current COVID-19 \u0000 pandemic was a complete surprise and looks like a sudden disaster. \u0000 However, experts do not have the right to argue in this way, since the \u0000 cause of this disaster has long been known to medicine.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127187388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bayan Hemedat, Enas Hroub, Isra' Badarin, H. Ashhab, Mo'taz Alnatsheh, M. Mohtasib, Yousef Abuasabah
A 27-year-old male from Gaza was admitted to the Gastroenterology department with complaints of progressive dysphagia. An endoscopic examination shows submucosal gastric mass at the Gastro-Esophageal (GE) junction. Physical examination was normal. There was no abnormalitie found in laboratory examinati ons, including hematologic and biochemical analyses. A whole abdominal enhanced Computed Tomography (CT) scan revealed a solid mass with a smooth border and hypervascularity at the gastro-esophageal junction. Endoscopic ultrasound guided fine needle biopsy was performed, pathologic diagnosis of the submucosal tumor was GIST. The patient was considered for neoadjuvant immunotherapy, but then he is excluded due to logistic considerations. The patient underwent distal esophagectomy and proximal gastrectomy, complete resection was performed and the specimen was sent for histopathology. The diagnosis of an esophageal GIST with negative margins was confirmed by histological investigation of the resected specimen. Spindle-shaped tumor cells were discovered in the tumor. CD34 and DOG1 were shown to be positive in the tumor cells by immunohistochemistry. In 50 high-power fields, the
{"title":"A Case of Giant Esophageal Gastrointestinal Stromal Tumor that was Successfully Resected without Neoadjuvant Treatment","authors":"Bayan Hemedat, Enas Hroub, Isra' Badarin, H. Ashhab, Mo'taz Alnatsheh, M. Mohtasib, Yousef Abuasabah","doi":"10.46889/jsrp.2022.3104","DOIUrl":"https://doi.org/10.46889/jsrp.2022.3104","url":null,"abstract":"A 27-year-old male from Gaza was admitted to the Gastroenterology department with complaints of progressive dysphagia. An endoscopic examination shows submucosal gastric mass at the Gastro-Esophageal (GE) junction. Physical examination was normal. There was no abnormalitie found in laboratory examinati ons, including hematologic and biochemical analyses. A whole abdominal enhanced Computed Tomography (CT) scan revealed a solid mass with a smooth border and hypervascularity at the gastro-esophageal junction. Endoscopic ultrasound guided fine needle biopsy was performed, pathologic diagnosis of the submucosal tumor was GIST. The patient was considered for neoadjuvant immunotherapy, but then he is excluded due to logistic considerations. The patient underwent distal esophagectomy and proximal gastrectomy, complete resection was performed and the specimen was sent for histopathology. The diagnosis of an esophageal GIST with negative margins was confirmed by histological investigation of the resected specimen. Spindle-shaped tumor cells were discovered in the tumor. CD34 and DOG1 were shown to be positive in the tumor cells by immunohistochemistry. In 50 high-power fields, the","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121618779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tuberculosis is among the top 5 causes of death from infectious disease caused by Mycobacterium tuberculosis, it most frequently affects the lungs, although it can compromise the digestive tract, genitourinary, peritoneum, pleura, bones, lymph nodes and meninges, composing the group of extrapulmonary tuberculosis. Peritoneal involvement is the most common form of abdominal type representing 0.1 to 0.7% of all tuberculosis cases. With nonspecific symptoms, without of laboratory findings that would guide the search for Mycobacteria and imaging tests that overlap common in other pathologies, the diagnosis is difficult. In Abdominal Computed Tomography, ascites, smooth peritoneal thickening, densification of the mesentery root, lymphadenomegaly with central necrosis or calcification are observed. Laparoscopy with the biopsy and collection of ascitic fluid is used as a method for diagnosis. The mortality of abdominal tuberculosis can reach 15% and perforation of intestinal loops, malnutrition, anemia, hypoalbuminemia are the main complications. We present the case of a patient presenting recurrent umbilical hernia, whose diagnosis of peritoneal tuberculosis was made during surgery.
{"title":"A Rare Case of Peritoneal Tuberculosis in a 21 Years Old Male Patient","authors":"Garritano C, G. F, F. J, Cruz Lm, O. M.","doi":"10.46889/jsrp.2022.3105","DOIUrl":"https://doi.org/10.46889/jsrp.2022.3105","url":null,"abstract":"Tuberculosis is among the top 5 causes of death from infectious disease caused by Mycobacterium tuberculosis, it most frequently affects the lungs, although it can compromise the digestive tract, genitourinary, peritoneum, pleura, bones, lymph nodes and meninges, composing the group of extrapulmonary tuberculosis. Peritoneal involvement is the most common form of abdominal type representing 0.1 to 0.7% of all tuberculosis cases. With nonspecific symptoms, without of laboratory findings that would guide the search for Mycobacteria and imaging tests that overlap common in other pathologies, the diagnosis is difficult. In Abdominal Computed Tomography, ascites, smooth peritoneal thickening, densification of the mesentery root, lymphadenomegaly with central necrosis or calcification are observed. Laparoscopy with the biopsy and collection of ascitic fluid is used as a method for diagnosis. The mortality of abdominal tuberculosis can reach 15% and perforation of intestinal loops, malnutrition, anemia, hypoalbuminemia are the main complications. We present the case of a patient presenting recurrent umbilical hernia, whose diagnosis of peritoneal tuberculosis was made during surgery.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126270836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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