The Experts below are selected from a list of 243 Experts worldwide ranked by ideXlab platform
Amirreza Solhpour - One of the best experts on this subject based on the ideXlab platform.
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Subphrenic Abscess and recurring focal lesions due to tuberculosis in a patient with iga deficiency
Journal of Infection, 2007Co-Authors: Amirreza Solhpour, Mahboubeh Hajiabdolbaghi, Sirous Jafari, Farzam Gorouhi, Shahriar Shahryaran, Zahra Abdi, Alireza YaldaAbstract:Summary Subdiaphragmatic Abscess has not yet been reported as a manifestation of tuberculosis. We report an IgA deficient patient with recurrent episodes of unusual extrapulmonary manifestations of tuberculosis including subdiaphragmatic Abscesses and metacarpophalangeal osteomyelitis that was improved each time with antituberculosis drugs. There was not any resistance to the drugs used against mycobacterium despite repeated courses of antituberculosis regimens. In such recurrent cases, one should rule out any immunodeficiency states.
Shuji Terai - One of the best experts on this subject based on the ideXlab platform.
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endoscopic ultrasound guided transmural drainage for Subphrenic Abscess report of two cases and a literature review
BMC Gastroenterology, 2018Co-Authors: Shinichi Morita, Kenya Kamimura, Takeshi Suda, Chiyumi Oda, Takahiro Hoshi, Tsutomu Kanefuji, Kazuyoshi Yagi, Shuji TeraiAbstract:An intra-abdominal Abscess can sometimes become serious and difficult to treat. The current standard treatment strategy for intra-abdominal Abscess is percutaneous imaging-guided drainage. However, in cases of Subphrenic Abscess, it is important to avoid passing the drainage route through the thoracic cavity, as this can lead to respiratory complications. The spread of intervention techniques involving endoscopic ultrasonography (EUS) has made it possible to perform drainage via the transmural route. We describe two cases of Subphrenic Abscess that occurred after intra-abdominal surgery. Both were treated successfully by EUS-guided transmural drainage (EUS-TD) without severe complications. Our experience of these cases and a review of the literature suggest that the drainage catheters should be placed both internally and externally together into the Abscess cavity. In previous cases there were no adverse events except for one case of mediastinitis and pneumothorax resulting from transesophageal drainage. Therefore, we consider that the transesophageal route should be avoided if possible. Although further studies are necessary, our present two cases and a literature review suggest that EUS-TD is feasible and effective for Subphrenic Abscess, and not inferior to other treatments. We anticipate that this report will be of help to physicians when considering the drainage procedure for this condition. As there have been no comparative studies to date, a prospective study involving a large number of patients will be necessary to determine the therapeutic options for such cases.
Alireza Yalda - One of the best experts on this subject based on the ideXlab platform.
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Subphrenic Abscess and recurring focal lesions due to tuberculosis in a patient with iga deficiency
Journal of Infection, 2007Co-Authors: Amirreza Solhpour, Mahboubeh Hajiabdolbaghi, Sirous Jafari, Farzam Gorouhi, Shahriar Shahryaran, Zahra Abdi, Alireza YaldaAbstract:Summary Subdiaphragmatic Abscess has not yet been reported as a manifestation of tuberculosis. We report an IgA deficient patient with recurrent episodes of unusual extrapulmonary manifestations of tuberculosis including subdiaphragmatic Abscesses and metacarpophalangeal osteomyelitis that was improved each time with antituberculosis drugs. There was not any resistance to the drugs used against mycobacterium despite repeated courses of antituberculosis regimens. In such recurrent cases, one should rule out any immunodeficiency states.
N W Harrison - One of the best experts on this subject based on the ideXlab platform.
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chronic Subphrenic Abscess simulating hepatic metastases
British Journal of Surgery, 2005Co-Authors: N W HarrisonAbstract:Two cases of chronic Subphrenic Abscess are described in patients who previously had undergone abdominal surgery for malignant disease. The clinical features which included a subcostal mass were suggestive of hepatic metastases. Surgical drainage was followed by complete recovery.
Hiram C Polk - One of the best experts on this subject based on the ideXlab platform.
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twelfth rib resection preferred therapy for Subphrenic Abscess in selected surgical patients
Archives of Surgery, 1997Co-Authors: David A Spain, Robert C G Martin, Eddy H Carrillo, Hiram C PolkAbstract:Objective: To assess the role of 12th rib resection in the treatment of postoperative, Subphrenic Abscesses. Design: Consecutive case series. Setting: University hospital, level I trauma center. Patients: Operative logs for a 13-year period were reviewed for all patients undergoing 12th rib resection for drainage of a postoperative Subphrenic Abscess. Each individual medical record was reviewed for demographic data, primary diagnosis, computed tomographic scan findings, and clinical status (temperature, white blood cell count, and Acute, Physiologic, Age, and Chronic Health Evaluation II score) at the time of rib resection. Main Outcome Measures: Operative results, microbiological data, complications, and outcomes. Results: Twenty-six patients underwent 27 rib resections for a secondary left Subphrenic (23) or a right subhepatic (4) Abscess. All patients had undergone at least 1 prior laparotomy (average, 1.5; range, 1-4). Sixteen patients had traumatic injuries, and 7 had complicated pancreatitis. Twelve patients had undergone prior failed attempts at percutaneous drainage before rib resection. Fourteen patients underwent operative drainage without attempted percutaneous drainage, mainly for peripancreatic (7) or multiloculated (3) Abscesses. There were 3 postoperative complications (3/27 [11%]): a gastrocutaneous fistula, a gastrocolic-cutaneous fistula requiring laparotomy and temporary colostomy, and fasciitis in the resection site. Four (15%) of the 26 patients died: 3 died of progressive multiple system organ failure, and 1 died of an unrelated injury. The remaining 20 (77%) of the patients were discharged from the hospital with healing wounds and no further episodes of intra-abdominal infection. Conclusions: Twelfth rib resection is an effective alternative therapy for secondary Subphrenic Abscesses. The nature of the incision allows for open, dependent drainage; avoids subsequent laparotomy; and effectively controls intra-abdominal infections. Twelfth rib resection remains a useful tool in the treatment of Subphrenic Abscess and may be the preferred approach when other attempts at Abscess drainage have failed. Arch Surg. 1997;132:1203-1206
