The management of retained rectal foreign body.
The management of retained rectal foreign body. Ann Coloproctol. 2020 Jan 31;: Authors: Kim JH, Choi PW, Um E, Jung SM, Shin YC, Jung SW, Kim JI, Heo TG, Lee MS, Jun H Abstract Purpose: Since insertion of foreign body (FB) into the anus is considered as taboo practice, the patients may impose therapeutic dilemma on attending surgeon. Herein, we performed present study to evaluate the clinical characteristics of patient with retained rectal FB in Koreans, and to suggest management guideline for such cases. Methods: We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosis and management, and outcomes. Results: All patients were male (mean age, 43) presenting with low abdominal pain (n=2), anal bleeding (n=2), and concerning about retained rectal FB without symptom (n=10). FB insertion was most commonly associated with sexual gratification or anal eroticism (n=11, 78.6%). All patients underwent general anesthesia for anal sphincter relaxation except 2 patients who underwent FB removal in the emergency department. FBs were retrieved transanally using clamp (n=2), myoma screw (n=1), clamp application following abdominal wall compression (n=2), and laparotomy followed by rectosigmoid colon milking (n=2). Colotomy and primary repair were performed in 4 patients and Hartmann. PMID: 32054243 [PubMed - as supplied by publisher]
Conclusion: This investigation can offer a reliable basis for the effectiveness and safety of IFB in treating the PELD pain. Trial registration: This study protocol is registered in Research Registry (researchregistry5985).
Heterotopic gastric tissue can be found throughout the intestinal tract, and when it is present in the small intestine, it can present with symptoms that include gastrointestinal bleeding, chronic abdominal pain, diarrhea, and chronic dyspepsia. This finding is incredibly rare in pediatrics, but if present, it can lead to significant morbidity and mortality. This can be especially true if a patient presents with a comorbidity of a bleeding disorder. We here present the case of a teenage male with a history of severe factor VII deficiency who was found to have iron deficiency anemia resulting in multiple blood transfusions ...
Semin Reprod Med DOI: 10.1055/s-0040-1716687Adenomyosis is a common disorder of the uterus, and is associated with an enlarged uterus, heavy menstrual bleeding (HMB), pelvic pain, and infertility. It is characterized by endometrial epithelial cells and stromal fibroblasts abnormally found in the myometrium where they elicit hyperplasia and hypertrophy of surrounding smooth muscle cells. While both the mechanistic processes and the pathogenesis of adenomyosis are uncertain, several theories have been put forward addressing how this disease develops. These include intrinsic or induced (1) microtrauma of the endometrial&ndash...
CONCLUSIONS: Potentially life-threatening gynecologic emergencies are high-risk conditions that may serve as a useful framework to improve quality and safety in emergency care. PMID: 33030878 [PubMed - as supplied by publisher]
Background: Quality of life (QOL) in hidradenitis suppurativa (HS) patients is negatively impacted by physical and psychosocial problems. The aim of this study was to investigate the frequency and severity of HS-specific symptoms and to correlate these with disease severity. Methods We analyzed medical record data from 145 patients seen in an academic HS specialty clinic between August 2009 to March 2018. Results Hurley stage III patients had significantly higher mean Dermatology Life Quality Index (DLQI) scores (20.2) compared to patients with Hurley stage I (11.3) and II (13.9), (P
CONCLUSIONS: Mini-laparoscopic pyeloplasty to treat UPJO in infants has the same early clinical efficacy and safety as open surgery, and this procedure has the advantages of fewer incisions, less pain, quicker recovery, and better cosmetic outcomes. PMID: 33016819 [PubMed - as supplied by publisher]
CONCLUSION: LH is a safe and fast procedure with a proven minimal complications rate. PMID: 33023436 [PubMed - as supplied by publisher]
ConclusionsIt is worth noting whether epithelioid trophoblastic tumor exists in the setting of persistent positive low-level β-human chorionic gonadotropin. More studies are required to provide mechanistic insights into these mixed gestational trophoblastic neoplasms.
CONCLUSION: We hypothesize that the whole-body cryotherapy was responsible for this stroke. PMID: 32994067 [PubMed - as supplied by publisher]
Publication date: Available online 1 October 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): François M. Carrier, André Y. Denault, Anna Nozza, Benjamin Rioux-Massé, André Roy, Luc Massicotte