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Zhurnal Voprosy Neirokhirurgii Imeni N.... 1999The paper presents a rare case of meningioma associated with peritumoral abscess formed in a 63-year-old female undergone right nephrectomy for abscessed pyelonephritis... (Review)
Review
The paper presents a rare case of meningioma associated with peritumoral abscess formed in a 63-year-old female undergone right nephrectomy for abscessed pyelonephritis and drainage of gluteal abscesses 3 months before admission. Brain computed tomography revealed a left frontotemporal heterogeneous mass lesion with margin contrast accumulation. At surgery, convexity meningioma with peritumoral abscess was totally removed. Hematogenous spread of Staphylococcus aureus is most likely to be responsible for peritumoral abscess. The paper also gives a review of literature and a brief account of the case.
Topics: Abscess; Brain; Brain Abscess; Buttocks; Diabetes Mellitus, Type 2; Female; Humans; Kidney Diseases; Meningeal Neoplasms; Meningioma; Middle Aged; Pyelonephritis; Staphylococcal Infections; Tomography, X-Ray Computed
PubMed: 10335574
DOI: No ID Found -
International Journal of Colorectal... Nov 2018Proximal intersphincteric fistulas with proximal extension causing supralevatoric, retrorectal abscesses are a rare disease. There is only very limited experience, with...
PURPOSE
Proximal intersphincteric fistulas with proximal extension causing supralevatoric, retrorectal abscesses are a rare disease. There is only very limited experience, with small groups, and the limited published literature confirms the complexity of diagnostics and treatment. The aim of this study was to evaluate transrectal internal abscess drainage as planned definitive treatment.
METHODS
We retrospectively studied medical records of all patients with the diagnosis of retrorectal abscesses that underwent transrectal internal abscess drainage in the Department of Colo-proctology of the University Medical Centre Mannheim (2003-2012).
RESULTS
One hundred nine patients were operated on retrorectal abscesses, 70 (64.2%) men and 39 (35.8%) women. Mean age was 45.3 years (18-81). In 96 cases (88.1%), only a transrectal internal abscess drainage was performed as planned definitive treatment. Primary healing occurred in 60 patients (62.5%). A second transrectal internal drainage procedure was necessary in 27 cases (28.1%) to assure complete internal drainage. All secondary procedures led to subsequent healing. A combined surgical treatment due to coexisting fistula tracts to the perianal skin or additional ischioanal abscesses was required in 13 patients (11.9%), and an additional seton placement was performed. Nine patients (9.4%) underwent one or more reoperations due to previously unidentified complex coexisting fistulas. Most of these patients were immunosuppressed due to Crohn's disease. Internal drainage alone was successful in 90.6% with an overall healing rate of 94.5% for the entire population of complex fistulas.
CONCLUSIONS
Transrectal internal abscess drainage is a safe and highly successful procedure for treatment of retrorectal abscess, with very low risk of postoperative fecal incontinence. Inflammatory bowel disease and immunosuppressives have a negative impact on the healing process.
Topics: Abscess; Adolescent; Adult; Aged; Aged, 80 and over; Cohort Studies; Female; Humans; Male; Middle Aged; Postoperative Complications; Rectal Fistula; Wound Healing; Young Adult
PubMed: 29845388
DOI: 10.1007/s00384-018-3094-7 -
International Journal of Pediatric... Oct 2021Cervical abscesses frequently occurred in pediatric patients. Surgical drainage is currently recommended in the cases not responding to medical therapy. Needle...
BACKGROUND
Cervical abscesses frequently occurred in pediatric patients. Surgical drainage is currently recommended in the cases not responding to medical therapy. Needle aspiration may represent a simple, effective and minimally invasive treatment for acute neck suppuration in selected cases.
OBJECTIVE
To evaluate the effectiveness of needle aspiration in the treatment of cervical abscesses in pediatric age as an alternative to surgical drainage.
METHODS
From November 2013 to November 2019, at the ENT Department of the "Bambino Gesù" Pediatric Hospital, Rome, we treated 47 children with cervical abscess by performing aspiration with a 19 G needle in wakefulness after applying local anesthetic. Parenteral antibiotic treatment was associated with all patients both before and after treatment.
RESULTS
Complete regression of the abscess occurred in 46 children with no evidence of recurrence in the follow-up period. Surgical drainage was required in only one patient due to the lack of resolution of the abscess episode. No complications such as hematomas or hypertrophic scars were found in any patient.
CONCLUSIONS
Our results confirm the effectiveness of needle aspiration in the treatment of cervical abscesses in children as an alternative to surgical drainage.
Topics: Abscess; Child; Drainage; Humans; Neck; Needles; Suppuration
PubMed: 34340004
DOI: 10.1016/j.ijporl.2021.110850 -
The Journal of Invasive Cardiology Oct 2020Sterile inflammatory reactions at vascular access sites have rarely been reported in the literature. Simple conservative treatment, as in this case, can lead to...
Sterile inflammatory reactions at vascular access sites have rarely been reported in the literature. Simple conservative treatment, as in this case, can lead to resolution of even extensive sterile abscesses.
Topics: Abscess; Acute Coronary Syndrome; Conservative Treatment; Humans; Male; Middle Aged; Percutaneous Coronary Intervention; Vascular Surgical Procedures
PubMed: 32999099
DOI: No ID Found -
Surgery Jun 1976A review of autopsy files and clinical case reports demonstrates two categories of splenic abscess. First, the abscesses discovered at postmortem usually are multiple,...
A review of autopsy files and clinical case reports demonstrates two categories of splenic abscess. First, the abscesses discovered at postmortem usually are multiple, small manifestations of widespread, lethal infection in immunologically crippled hosts. A clinical diagnosis seldom is made. Second, the splenic abscesses encountered by the clinician are usually solitary, large, and challenge his diagnostic skills. Recognition is of vital importance, for therapy can be highly successful. Left untreated, the mortality rate is very high. The features, clinical management, and pathogenesis of splenic abscesses are discussed.
Topics: Abscess; Adolescent; Adult; Aged; Autopsy; Child; Child, Preschool; Diagnosis, Differential; Female; Humans; Infant; Infant, Newborn; Male; Middle Aged; Prognosis; Splenic Diseases
PubMed: 1273753
DOI: No ID Found -
The Journal of International Medical... Mar 2022invasion syndrome (KPIS) is a critical multi-site infection that is usually caused by highly virulent . It is relatively common in Asian patients with diabetes and...
invasion syndrome (KPIS) is a critical multi-site infection that is usually caused by highly virulent . It is relatively common in Asian patients with diabetes and leads to sepsis, which has a high mortality rate. We report the case of a man in his early 40s who presented to the hospital with blurred vision in his left eye of 7 days' duration and fever of 1 day's duration. After a complete examination, he was diagnosed with KPIS on the basis of his liver abscessation, lung abscessation, endophthalmitis of the left eye and brain abscessation. After needle puncture and drainage of the left eye and liver abscess and anti-bacterial treatment with meropenem, the patient recovered well. When KPIS is suspected, attention should be paid to the sites of infection and the selection of the most appropriate antibiotics, but the most important aim should be to drain the lesions in a timely manner to improve the patient's prognosis.
Topics: Brain Abscess; Endophthalmitis; Humans; Klebsiella pneumoniae; Liver Abscess; Lung Abscess; Male
PubMed: 35345919
DOI: 10.1177/03000605221084881 -
Chirurgie (Heidelberg, Germany) Dec 2023A splenic abscess is a rare disease found in less than 1% of all autopsy studies. Several different diseases are associated as a predisposing factor, such as septic... (Review)
Review
A splenic abscess is a rare disease found in less than 1% of all autopsy studies. Several different diseases are associated as a predisposing factor, such as septic bacteremia due to endocarditis or diverticulitis, previous splenic trauma, immunosuppressive medication or diseases. The reported mortality in the literature is up to 24.5% in correctly diagnosed and treated cases. The diagnostic work-up primarily comprises sonography and computed tomography as well as a percutaneous puncture for determination of the pathogen. In most cases, a percutaneous interventional drainage treatment is sufficient and a splenectomy is necessary only in refractory cases.
Topics: Humans; Splenic Diseases; Abscess; Abdominal Abscess; Tomography, X-Ray Computed; Drainage; Intraabdominal Infections; Cardiovascular Abnormalities
PubMed: 37917403
DOI: 10.1007/s00104-023-01990-y -
The American Surgeon Feb 2008Many treatment strategies have been proposed for pyogenic liver abscesses; however, the indications for liver resection for treatment have not been studied in a...
Many treatment strategies have been proposed for pyogenic liver abscesses; however, the indications for liver resection for treatment have not been studied in a systematic manner. The purpose of our study was to evaluate the role of surgical treatment in pyogenic abscesses and to determine an optimal treatment algorithm. We retrospectively reviewed the medical records of all patients who had a pyogenic liver abscess at Rhode Island Hospital between 1995 and 2002. Abscesses and treatment strategies were classified into three groups each. The abscess groups included Abscess Type I (small <3 cm), Abscess Type II (large >3 cm, unilocular), and Abscess Type III (large >3 cm, complex multilocular). The treatment strategy groups included Treatment Group A (antibiotics alone), Treatment Group B (percutaneous drainage plus antibiotics), and Treatment Group C (primary surgical therapy). Descriptive statistics were calculated and chi2 used for comparison with a P < 0.05 considered significant. Our study consisted of 107 patients with pyogenic liver abscess. The success rate for small abscesses treated with antibiotics was 100 per cent. The success rate with antibiotics and percutaneous drainage for large, unilocular abscesses was 83 per cent and for large, multiloculated abscesses was 33 per cent. None of the 27 patients who had surgical therapy for large, multiloculated abscesses had recurrences. Surgical treatment for large (>3 cm), multiloculated abscesses had a significantly higher success rate than percutaneous drainage plus antibiotic therapy (33% versus 100%, P < or = 0.01). The mortality rate for the percutaneous drainage plus antibiotic group was not significantly different from the primary surgical group (4.2% versus 7.4%, P = 0.40). We propose a treatment algorithm with small abscesses being treated with antibiotics alone; large, uniloculated abscess with percutaneous drainage plus antibiotics; and large, multiloculated abscessed treated with surgical therapy.
Topics: Algorithms; Anti-Bacterial Agents; Drainage; Humans; Liver Abscess, Pyogenic; Retrospective Studies
PubMed: 18306874
DOI: No ID Found -
Cardiovascular and Interventional... 1991Pertinent radiologic and surgical literature regarding abscess drainage was reviewed. Noted is the heterogeneity of disorders categorized as abscesses, and the variety... (Review)
Review
Pertinent radiologic and surgical literature regarding abscess drainage was reviewed. Noted is the heterogeneity of disorders categorized as abscesses, and the variety of therapeutic approaches presently available. Specific abscesses are discussed based on body location and/or associated organ system.
Topics: Abscess; Drainage; Humans; Radiography
PubMed: 1878904
DOI: 10.1007/BF02577718 -
Journal of Veterinary Cardiology : the... Jun 2019Abscess formation in the pericardial space has been described as a rare complication of trauma, congenital defects, penetrating foreign body, or extension of local...
Abscess formation in the pericardial space has been described as a rare complication of trauma, congenital defects, penetrating foreign body, or extension of local myocardial infection in the dog. Presented here is a case of a juvenile dog with septic pericardial effusion secondary to an isolated intrapericardial abscess. Surgical pericardiectomy was successful in removing the abscess and nidus for septic effusion in this patient, and histopathology of the abscess tissue was suggestive of foreign plant material migration as the nidus for abscess formation. Recheck echocardiogram at the six-month postoperative period showed no recurrence of pericardial effusion or abscessation. Although abscess formation and septic pericarditis secondary to foreign body migration is an uncommon cause for large volume pericardial effusion, this should be considered as a differential particularly in a young and previously healthy dog.
Topics: Abscess; Animals; Dog Diseases; Dogs; Foreign-Body Migration; Male; Pericardial Effusion; Pericardiectomy; Pericarditis; Plants
PubMed: 31174722
DOI: 10.1016/j.jvc.2019.03.001