Herniation of the caecum and ascending colon through the foramen of Winslow: a case report and review.

Herniation of the caecum and ascending colon through the foramen of Winslow: a case report and review. Ann R Coll Surg Engl. 2019 Sep 18;:e1-e3 Authors: Sammut M, Barben C Abstract Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The management of caecal herniation remains challenging due to the lack of literature highlighting this pathology. A 66-year-old woman was admitted with a 24-hour history of epigastric pain radiating to the back. The pain was associated with nausea and vomiting of gastric contents. On examination, the abdomen was soft with mild tenderness but no signs of peritonism or distension. The abdominal x-ray and a computed tomography were in keeping with caecal volvulus and confirmed that the caecum was not in the right iliac fossa. In a midline laparotomy procedure, the ileum, caecum and ascending colon were noted to be herniating into the foramen of Winslow. A right hemicolectomy with a handsewn anastomosis was performed. The foramen of Winslow was not closed. No postoperative complications occurred. A literature review showed a lack of similar cases with no agreed management consensus. The laparotomy approach is comparable to the laparoscopic approach and no caecal herniation recurrence after open/laparoscopic surgical procedures were identified. Awareness of caecal herniation allows early diagnosis and timely surgical manag...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research

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Locations - National Spine &Pain Centers treatingpain.com Hey all, anyone familiar with the National Spine and Pain practices operating out of the maryland and northern virginia area? A good practice to work for? Any idea what the compensation is for the pain docs working there?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Authors: Chimed-Ochir O, Mine Y, Fujino Y Abstract OBJECTIVES: The current research aimed to study the relationship between health-related quality of life (poor perceived health/unhealthy days) and workers' pain. METHODS: This cross-sectional study was conducted among 1360 Japanese workers of a Japanese company in Kyushu. Health-related quality of life was measured by HRQOL-4 tool developed by Centers for Disease Control and Prevention of the USA. Pain was assessed by numeric rating scale with 0-10 points. Regression analysis was conducted to identify the relationship between health-related quality of life and ...
Source: Journal of Occupational Health - Category: Occupational Health Tags: J Occup Health Source Type: research
Conditions:   Low Back Pain;   Nutrition Poor Interventions:   Dietary Supplement: Combination: Nutrition AND Chiropractic Adjustment;   Other: Chiropractic Adjustment: Spinal Manipulation Therapy Sponsors:   Parker University;   Nutrient Foods Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Subacute or Chronic Low Back Pain Intervention:   Behavioral: Multidisciplinary education and exercise therapy program Sponsor:   Assistance Publique - Hôpitaux de Paris Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: Ricci V, Özçakar L Abstract Muscle injuries are very common in sports medicine, but involvement of the paraspinal muscles is relatively rare. The diagnosis is usually clinical, but diagnostic imaging modalities (ie, ultrasound and magnetic resonance) identify, in detail, the anatomical site and extension of the lesion helping the physician plan a specific rehabilitation program. Likewise, the authors present an unusual case of a amateur volleyball player who suffered injury of the paraspinal muscles after a session of manual therapy with deep massage. The authors also highlight the potenti...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
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Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Antidepressant Antipsychotic General Medications Mental Health and Wellness Not Crazy Podcast Psychology Research Sexuality Stimulants Treatment Source Type: blogs
Chronic low back pain (CLBP) is highly prevalent, associated with substantial socioeconomic impact, and commonly attributed to neurologic and musculoskeletal causes. We observed an unexpected prevalence of CLBP preoperatively among our patients with proximal venous outflow obstruction (PVOO) of the iliac veins undergoing stent placement. We undertook this study to better characterize these patients.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
AbstractIntroductionVarious drugs are used to treat patients with neuropathic pain; however, optimal treatment using acetaminophen (A) and/or tramadol (T) remains unclear. The evidence supporting the drug choice and the timing of administration is insufficient. Therefore, the objective of the present study was to investigate the effect of T and/or A on pain-related behavior in a nucleus pulposus (NP) rat model.Materials and methodsSprague –Dawley rats (n = 180) were divided into NP-A (52 mg/kg), NP-T (6 mg/kg), NP-AT (combined A and T), NP-S (saline), and sham groups (n = 36 per ...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Source: BMJ Comments - Category: General Medicine Source Type: forums
CONCLUSION: We identified important similarities and differences in the clinical characteristics of adults with psoriasis and AD; these should help clinicians to prioritize and improve patient management. PMID: 31630393 [PubMed - as supplied by publisher]
Source: The British Journal of Dermatology - Category: Dermatology Authors: Tags: Br J Dermatol Source Type: research
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