The Experts below are selected from a list of 1221 Experts worldwide ranked by ideXlab platform
K M Stürmer - One of the best experts on this subject based on the ideXlab platform.
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Acute Colonic pseudo-obstruction (Ogilvie's syndrome), a life-threatening complication after total hip replacement
Zentralblatt fur Chirurgie, 2009Co-Authors: M Tezval, S Sehmisch, C Dumont, K H Frosch, P Balcarek, K M StürmerAbstract:In the literature, an acute Colonic pseudo-obstruction (Ogilvie's syndrome) is frequently observed as a complication after hip arthroplasty. It results in a massive Colon Dilatation without mechanical obstructions and can lead to a life-threatening Colon perforation with a high mortality. We report on a 81-year-old male patient who suffered from an acetabular fracture after falling down with a concomitant coxarthrosis at the same hip side. A total hip arthroplasty was performed using a Müller cap. Postoperatively, he developed an acute Colonic pseudo-obstruction that was treated conservatively with multiple Colonoscopic decompressions. The importance of prompt recognition, careful monitoring and appropriate management to reduce morbidity and mortality are supported by this case. Early diagnosis and Colonoscopic decompressions play a key role in the therapy for Ogilvie's syndrome. In case of a failure of conservative treatment or peritonism, an early laparotomy and coecostomy are necessary.
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Acute Colonic pseudo-obstruction (Ogilvie's syndrome), a life-threatening complication after total hip replacement
Zentralblatt Fur Chirurgie, 2009Co-Authors: M Tezval, S Sehmisch, P Balcarek, Dumont C, K M StürmerAbstract:INTRODUCTION: In the literature, an acute Colonic pseudo-obstruction (Ogilvie’s syndrome) is frequently observed as a complication after hip arthroplasty. It results in a massive Colon Dilatation without mechanical obstructions and can lead to a life-threatening Colon perforation with a high mortality. CASE REPORT: We report on a 81-year-old male patient who suffered from an acetabular fracture after falling down with a concomitant coxarthrosis at the same hip side. A total hip arthroplasty was performed using a Muller cap. Postoperatively, he developed an acute Colonic pseudo-obstruction that was treated conservatively with multiple Colonoscopic decompressions. The importance of prompt recognition, careful monitoring and appropriate management to reduce morbidity and mortality are supported by this case. CONCLUSION: Early diagnosis and Colonoscopic decompressions play a key role in the therapy for Ogilvie’s syndrome. In case of a failure of conservative treatment or peritonism, an early laparotomy and coecostomy are necessary.
Ong, Roger L. - One of the best experts on this subject based on the ideXlab platform.
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Pneumatic Colon injury following high pressure blow gun dust cleaner spray to the perineum
The Authors. Published by Elsevier Ltd., 2015Co-Authors: Sy, Edgar D., Chiu Yin-i., Shan Yan-shen, Ong, Roger L.Abstract:AbstractIntroductionA pneumatic tool or air tool such as blow gun dust cleaner is a tool driven by compressed air and spraying of the perineum can insufflate the Colon due to its high pressure and high flow rate.Presentation of caseWe present a case of 4 year old boy who developed sudden onset of tense abdominal distention and developed peritonitis. Patient’s family initially denied a history of trauma. Radiologic examination showed pneumoperitoneum and Colon Dilatation. Exploratory laparotomy revealed a tension pneumoperitoneum, bloody ascitic fluid, multiple site of ecchymosis and serosal tear of the Colon and a minute perforation of transverse Colon. Postoperative reinvestigation revealed that the patient’s perineum was sprayed, using blow gun dust cleaner.DiscussionAir from pneumatic tools produces column of air at pressure of 3.5–8.8kg/cm2 and pressure greater than the resting anal pressure of 0.109kg/cm2 force air to enter the Colon when the perineum is sprayed. Different degree of Colon injury results when airflow is greater than 1.46L/m, and/or intraluminal pressure greater than 0.109kg/cm2. In most children, initial anxiety to tell the truth result in difficulty to obtain good history.ConclusionSpraying of the perianal with excessive pneumatic force of greater than the resting anal pressure and high air flow rate causes multiple site Colon injury and tension pneumoperitoneum due to Colon perforation. Parent should be caution in children playing with high pressure pneumatic tool, and the importance of history is emphases for early correct diagnosis
Roger L Ong - One of the best experts on this subject based on the ideXlab platform.
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Pneumatic Colon injury following high pressure blow gun dust cleaner spray to the perineum.
International journal of surgery case reports, 2014Co-Authors: Yin-i Chiu, Yan-shen Shan, Roger L OngAbstract:A pneumatic tool or air tool such as blow gun dust cleaner is a tool driven by compressed air and spraying of the perineum can insufflate the Colon due to its high pressure and high flow rate. We present a case of 4 year old boy who developed sudden onset of tense abdominal distention and developed peritonitis. Patient's family initially denied a history of trauma. Radiologic examination showed pneumoperitoneum and Colon Dilatation. Exploratory laparotomy revealed a tension pneumoperitoneum, bloody ascitic fluid, multiple site of ecchymosis and serosal tear of the Colon and a minute perforation of transverse Colon. Postoperative reinvestigation revealed that the patient's perineum was sprayed, using blow gun dust cleaner. Air from pneumatic tools produces column of air at pressure of 3.5-8.8kg/cm(2) and pressure greater than the resting anal pressure of 0.109kg/cm(2) force air to enter the Colon when the perineum is sprayed. Different degree of Colon injury results when airflow is greater than 1.46L/m, and/or intraluminal pressure greater than 0.109kg/cm(2). In most children, initial anxiety to tell the truth result in difficulty to obtain good history. Spraying of the perianal with excessive pneumatic force of greater than the resting anal pressure and high air flow rate causes multiple site Colon injury and tension pneumoperitoneum due to Colon perforation. Parent should be caution in children playing with high pressure pneumatic tool, and the importance of history is emphases for early correct diagnosis. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.
M Tezval - One of the best experts on this subject based on the ideXlab platform.
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Acute Colonic pseudo-obstruction (Ogilvie's syndrome), a life-threatening complication after total hip replacement
Zentralblatt fur Chirurgie, 2009Co-Authors: M Tezval, S Sehmisch, C Dumont, K H Frosch, P Balcarek, K M StürmerAbstract:In the literature, an acute Colonic pseudo-obstruction (Ogilvie's syndrome) is frequently observed as a complication after hip arthroplasty. It results in a massive Colon Dilatation without mechanical obstructions and can lead to a life-threatening Colon perforation with a high mortality. We report on a 81-year-old male patient who suffered from an acetabular fracture after falling down with a concomitant coxarthrosis at the same hip side. A total hip arthroplasty was performed using a Müller cap. Postoperatively, he developed an acute Colonic pseudo-obstruction that was treated conservatively with multiple Colonoscopic decompressions. The importance of prompt recognition, careful monitoring and appropriate management to reduce morbidity and mortality are supported by this case. Early diagnosis and Colonoscopic decompressions play a key role in the therapy for Ogilvie's syndrome. In case of a failure of conservative treatment or peritonism, an early laparotomy and coecostomy are necessary.
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Acute Colonic pseudo-obstruction (Ogilvie's syndrome), a life-threatening complication after total hip replacement
Zentralblatt Fur Chirurgie, 2009Co-Authors: M Tezval, S Sehmisch, P Balcarek, Dumont C, K M StürmerAbstract:INTRODUCTION: In the literature, an acute Colonic pseudo-obstruction (Ogilvie’s syndrome) is frequently observed as a complication after hip arthroplasty. It results in a massive Colon Dilatation without mechanical obstructions and can lead to a life-threatening Colon perforation with a high mortality. CASE REPORT: We report on a 81-year-old male patient who suffered from an acetabular fracture after falling down with a concomitant coxarthrosis at the same hip side. A total hip arthroplasty was performed using a Muller cap. Postoperatively, he developed an acute Colonic pseudo-obstruction that was treated conservatively with multiple Colonoscopic decompressions. The importance of prompt recognition, careful monitoring and appropriate management to reduce morbidity and mortality are supported by this case. CONCLUSION: Early diagnosis and Colonoscopic decompressions play a key role in the therapy for Ogilvie’s syndrome. In case of a failure of conservative treatment or peritonism, an early laparotomy and coecostomy are necessary.
Cemal Gundogdu - One of the best experts on this subject based on the ideXlab platform.
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The impact of L5 dorsal root ganglion degeneration and Adamkiewicz artery vasospasm on descending Colon Dilatation following spinal subarachnoid hemorrhage: An experimental study; first report
Journal of craniovertebral junction & spine, 2015Co-Authors: Cengiz Ozturk, Ayhan Kanat, Mehmet Dumlu Aydin, Coskun Yolas, Mehmet Esref Kabalar, Betul Gundogdu, Aslihan Duman, Ilyas Ferit Kanat, Cemal GundogduAbstract:Context: Somato-sensitive innervation of bowels are maintained by lower segments of spinal cord and the blood supply of the lower spinal cord is heavily dependent on Adamkiewicz artery. Although bowel problems are sometimes seen in subarachnoid hemorrhage neither Adamkiewicz artery spasm nor spinal cord ischemia has not been elucidated as a cause of bowel Dilatation so far. Aims: The goal of this study was to study the effects Adamkiewicz artery (AKA) vasospasm in lumbar subarachnoid hemorrhage (SAH) on bowel Dilatation severity. Settings and Design: An experimental rabbit study. Materials and Methods: The study was conducted on 25 rabbits, which were randomly divided into three groups: Spinal SAH (N = 13), serum saline (SS) (SS; N = 7) and control (N = 5) groups. Experimental spinal SAH was performed. After 21 days, volume values of descending parts of large bowels and degenerated neuron density of L5DRG were analyzed. Statistical Analysis Used: Statistical analysis was performed using the PASW Statistics 18.0 for Windows (SPSS Inc., Chicago, Illinois). Two-tailed t-test and Mann-Whitney U-tests were used. The statistical significance was set at P < 0.05. Results: The mean volume of imaginary descending Colons was estimated as 93 ± 12 cm 3 in the control group and 121 ± 26 cm 3 in the SS group and 176 ± 49 cm 3 in SAH group. Volume augmentations of the descending Colons and degenerated neuron density L5DRG were significantly different between the SAH and other two groups (P < 0.05). Conclusion: An inverse relationship between the living neuronal density of the L5DRG and the volume of imaginary descending Colon values was occurred. Our findings will aid in the planning of future experimental studies and determining the clinical relevance on such studies.