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MELAS syndrome presenting as an acute surgical abdomen.
We describe the case of a young woman who presented as an acute surgical emergency, diagnosed as toxic megacolon necessitating an emergency total colectomy. MELAS syndrome was suspected postoperatively owing to persistent lactic acidosis and neurological symptoms. The diagnosis was later confirmed with histological and genetic studies. This case highlights the difficulties in diagnosing MELAS because of its unpredictable presentation and clinical course. We therefore recommend a high index of suspicion in cases of an acute surgical abdomen with additional neurological features or raised lactate. PMID: 24417855 [PubMed - in process]
Source: Annals of the Royal College of Surgeons of England - January 1, 2014 Category: Surgery Authors: Dindyal S, Mistry K, Angamuthu N, Smith G, Hilton D, Arumugam P, Mathew J Tags: Ann R Coll Surg Engl Source Type: research

Nursing Home Status is an Independent Risk Factor for Adverse 30-Day Postoperative Outcomes after Common, Non-Emergent Inpatient Procedures
Conclusions These data suggest that, in addition to serving as a surrogate indicator of health status and current morbidity, residence in a nursing home makes an independent contribution to adverse postoperative outcomes.
Source: The American Journal of Surgery - May 9, 2016 Category: Surgery Source Type: research