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Mark Davenport - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous biliary Perforation liver cysts and abscesses
2018Co-Authors: Mark DavenportAbstract:This is a peculiar condition which seems limited to the first few weeks of life whereby Perforation occurs in the extrahepatic bile duct typically leading to bile in the peritoneal cavity, abdominal distension and jaundice. It should be distinguished from Spontaneous Perforation in a pre-existing choledochal malformation, said to occur in about 5–10% of all large series.
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Spontaneous Perforation of the biliary tract and portal vein thrombosis in infancy
Pediatric Surgery International, 2008Co-Authors: Emily Livesey, Mark DavenportAbstract:Spontaneous biliary Perforation (SBP) is an uncommon cause of surgical jaundice in the first few weeks of life and is characterised by the occurrence of a punched-out defect in the bile duct, typically where the cystic duct joins the common hepatic duct. In most cases the site occurs anteriorly and bile leaks into the general peritoneal cavity. We now describe two cases of SBP where the Perforation occurred posteriorly, limiting the leak and resulting in delayed recognition. Surgical management in both cases consisted of hepaticojejunostomy-en-Roux. Both cases were complicated, although not immediately, by portal vein thrombosis and one by chylous ascites. Posterior SBP, presumably due to their intimate anatomical relation with the portal vein, seem predisposed to such complications.
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Spontaneous Perforation of the bile duct in infants.
The British journal of surgery, 1991Co-Authors: Mark Davenport, Nigel Heaton, Edward R. HowardAbstract:Spontaneous Perforation of the bile duct is a rare but well documented condition of infants. Six infants are described, five presenting within 2 months of birth without apparent antecedent factors and one associated with an ‘acquired’ type I biliary atresia at 8 months. All infants underwent definitive surgery, which included decompression of the biliary tree with cholecystenterostomy or T tube drainage. There was no morbidity or mortality associated with such surgical intervention.
Alexis Damamme - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous intraperitoneal Perforation of the bladder a late complication of radiation therapy for prostate cancer
Clinical Genitourinary Cancer, 2007Co-Authors: Sabeur Ketata, Jean Loup Boulaire, Nacer Alahdab, Alain Bargain, Alexis DamammeAbstract:The Spontaneous intraperitoneal rupture of the urinary bladder is an extremely rare and life-threatening event. Often, there are difficulties in establishing the diagnosis. A patient with Spontaneous Perforation of the urinary bladder, 17 years after successful treatment of an adenocarcinoma of the prostate by pelvic radiation therapy, is reported. Aspects of etiology, clinical presentation, diagnosis, and management are described. Early surgical exploration including primary closure of the defect, peritoneal lavage, and continuous vesical drainage were associated with a favorable outcome.
Leslie Wise - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous Perforation of the hepatic duct in adults
Digestive Surgery, 1998Co-Authors: Ramesh Paladugu, Moshe Schein, Leslie WiseAbstract:Background: Nontraumatic Perforations of the extrahepatic biliary ductal system are a rare albeit recognized occurrence in the cystic duct, choledochus and main hepatic duct; the la
Mitsuru Mizuno - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous fistulization of a pancreatic pseudocyst into the colon and duodenum
Gastrointestinal Endoscopy, 2002Co-Authors: Atsushi Urakami, Tsukasa Tsunoda, Jiro Hayashi, Yasuo Oka, Mitsuru MizunoAbstract:Pseudocysts of the pancreas are common but Spontaneous Perforation, fistulization, or both occurs in less than 3% of cases.1 Perforations into the peritoneal cavity, stomach, duodenum, colon, portal vein, pleural cavity, and through the abdominal wall have been reported.2 Usually, a Perforation into the stomach or small bowel can be managed without drainage or surgery. However, Perforation of a pseudocyst into the colon has more serious implications because in such cases there is a greater tendency for further complications including rupture, Perforation, hemorrhage, and sepsis.3,4 Only a few cases of Spontaneous Perforation of a pseudocyst into more than one hollow viscus have been reported.5 This is a report of a rare case of simultaneous fistulization into both the colon and duodenum that was successfully treated without surgery.
Corinne Levy - One of the best experts on this subject based on the ideXlab platform.
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bacterial causes of otitis media with Spontaneous Perforation of the tympanic membrane in the era of 13 valent pneumococcal conjugate vaccine
PLOS ONE, 2019Co-Authors: Corinne Levy, Emmanuelle Varon, Naim Ouldali, Alain Wollner, Franck Thollot, François Corrard, Andreas Werner, Stéphane Béchet, Stéphane Bonacorsi, Robert M CohenAbstract:After pneumococcal conjugate vaccine (PCV) implementation, the number of acute otitis media (AOM) episodes has decreased, but AOM still remains among the most common diagnoses in childhood. From 2% to 17% of cases of AOM feature Spontaneous Perforation of the tympanic membrane (SPTM). The aim of this study was to describe the bacteriological causes of SPTM 5 to 8 years years after PCV13 implementation, in 2010. From 2015 to 2018, children with SPTM were prospectively enrolled by 41 pediatricians. Middle ear fluid was obtained by sampling Spontaneous discharge. Among the 470 children with SPTM (median age 20.8 months), no otopathogen was isolated for 251 (53.4% [95% CI 48.8%;58.0%]): 47.1% of infants and toddlers, 68.3% older children (p<0.001). Among children with isolated bacterial otopathogens (n = 219), non-typable Haemophilus influenzae (NTHi) was the most frequent otopathogen isolated (n = 106, 48.4% [95% CI 41.6%;55.2%]), followed by Streptoccocus pyogenes (group A streptococcus [GAS]) (n = 76, 34.7% [95% CI 28.4%;41.4%]) and Streptococcus pneumoniae (Sp) (n = 61, 27.9% [95% Ci 22.0%;34.3%]). NTHi was frequently isolated in infants and toddlers (53.1%), whereas the main otopathogen in older children was GAS (52.3%). In cases of co-infection with at least two otopathogens (16.9%, n = 37/219), NTHi was frequently involved (78.4%, n = 29/37). When Sp was isolated, PCV13 serotypes accounted for 32.1% of cases, with serotype 3 the main serotype (16.1%). Among Sp strains, 29.5% were penicillin-intermediate and among NTHi strains, 16.0% were β-lactamase-producers. More than 5 years after PCV13 implementation, the leading bacterial species recovered from AOM with SPTM was NTHi for infants and toddlers and GAS for older children. In both age groups, Sp was the third most frequent pathogen and vaccine serotypes still played an important role. No resistant Sp strains were isolated, and the frequency of β-lactamase-producing NTHi did not exceed 16%.
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Demographic characteristics of children with Spontaneous Perforation of the tympanic membrane.
2019Co-Authors: Corinne Levy, Emmanuelle Varon, Naim Ouldali, Alain Wollner, Franck Thollot, François Corrard, Andreas Werner, Stéphane Béchet, Stéphane Bonacorsi, Robert CohenAbstract:Demographic characteristics of children with Spontaneous Perforation of the tympanic membrane.
