The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic retroperitoneal lymph node dissection for testicular cancer in March 2006. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.. The guidance was considered for reassessment in March 2009 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.. ...
Descrição: We assessed the role of laparoscopic management in patients following spontaneous retroperitoneal hemorrhage from a renal tumor. A retrospective chart review revealed 4 patients with spontaneous retroperitoneal hemorrhage treated at our institution in the last 2 years. After conservative management elsewhere patients were referred for definitive therapy. Patient characteristics and tumor size were examined and correlated with ease of surgical dissection and surgical outcome. No patient had any history of trauma. Computerized tomography was used to identify the initial extent of hemorrhage in all patients. All patients underwent successful laparoscopic exploration without the need for open conversion. Three patients underwent radical nephrectomy and 1 underwent laparoscopic partial nephrectomy. Renal hemorrhage extending outside of the renal capsule was associated with significantly more adhesions than renal hemorrhage confined to the renal... ...
INTRODUCTION: Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present as a rare life-threatening event characterized by sudden onset of bleeding into the retroperitoneal space, occurring in association with bleeding disorders, intratumoral bleeding, or ruptures of any retroperitoneal organ or aneurysm. The spontaneous form is the most infrequent retroperitoneal hemorrhage, causing significant morbidity and representing a diagnostic challenge. CASE PRESENTATION: We report the case of a patient with coronary artery disease who presented with transient ischemic attack, in whom anticoagulant therapy with heparin precipitated a massive spontaneous atraumatic retroperitoneal hemorrhage (with international normalized ratio 2.4), which was treated conservatively. CONCLUSION: Delay in diagnosis is potentially fatal and high clinical suspicion remains crucial. Finally, it is a matter of controversy whether retroperitoneal hematomas should be surgically evacuated or ...
PURPOSE We identified factors predicting liver histology in patients with nonseminomatous germ cell tumor undergoing concurrent post-chemotherapy retroperitoneal lymph node dissection and liver resection. MATERIALS AND METHODS We reviewed the Indiana University testis cancer database to identify all patients with nonseminomatous germ cell tumor and liver metastasis who underwent post-chemotherapy retroperitoneal lymph node dissection and liver resection between 1976 and 2006. RESULTS A total of 59 patients met study inclusion criteria. Necrosis, teratoma and cancer were identified in 31%, 46% and 24% of retroperitoneal specimens, and in 73%, 17% and 10% of liver specimens, respectively. Concordance between retroperitoneal and liver histology was 49% overall, including 94% for necrosis, 26% for teratoma and 36% for cancer. Liver necrosis alone was found in 94%, 70% and 50% of patients with retroperitoneal necrosis, teratoma and cancer, respectively. CONCLUSIONS The overall rate of histological
Retroperitoneal hemorrhage (or retroperitoneal hematoma) refers to an accumulation of blood found in the retroperitoneal space. It can present with Grey Turners sign (flank bruising). Causes include: anticoagulation a ruptured aortic aneurysm a ruptured renal aneurysm acute pancreatitis malignancy Iatrogenic (e.g. when cannulating the common femoral artery for cardiac catheterization) John P. McGahan; Barry B. Goldberg (January 2008). Diagnostic ultrasound. Informa Health Care. pp. 772-. ISBN 978-1-4200-6978-5. Retrieved 20 April 2010. "A Cough Deteriorating Gross Hematuria: A Clinical Sign of a Forthcoming Life-Threatening Rupture of an Intraparenchymal Aneurysm of Renal Artery (Wunderlichs Syndrome)". Case Reports in Vascular Medicine. 2013: 1-3. doi:10.1155/2013/452317. Marilyn J. Siegel (1 November 2007). Pediatric Body CT. Lippincott Williams & Wilkins. pp. 353-. ISBN 978-0-7817-7540-3. Retrieved 20 April 2010 ...
by : Fereshteh Salimi Department of General & Vascular Surgery Azar of 1392 e-mail: [email protected] Surgical Anatomy  The retroperitoneum is defined as the space between the posterior envelopment of the peritoneum and the posterior body wall . It is bounded superiorly by the diaphragm , posteriorly by the spinal column and iliopsoas muscle and inferiorly by the levator ani muscles. The anterior border is quite convoluted , extending into the spaces in between the mesenteries of the small and large intestines.  Retroperitoneal Structures          Kidneys Ureters Bladde r Pancreas Duodenum (D2 and D3) Adrenal gland Ascending colon Descending colon Rectum (upper two thirds)  Aorta Inferior vena cava Iliac vessel Seminal vesicles Vas deferens Lymphatics (cysterna chyli)  Vagina (upper most)  Ovaries  Nerves (lumbar sympathetics)      Retroperitoneal space  Retroperitoneal space are classified on an anatomic basis:  zone ...
Retroperitoneal Hemorrhage with Lumbar Nerve Compression by Hematoma. This custom medical exhibit features a single dramatic overview of the female pelvis exhibiting a large Retroperitoneal Hemorrhage with subsequent compression of the adjacent nerves and Lumbar Plexopathy
Symptoms depend on anatomic location of the retroperitoneal hemorrhage. • Nonlocalizing abdominal, flank, or low back discomfort. • Subtle increasing abdominal girth with more cephalad located hemorrhage. • Pelvic hematomas may compress the bladder causing urinary symptoms. • Pancreaticoduodenal hematomas may cause gastric outlet obstruction. • Perinephric hematomas may manifest in hematuria. • Femoral nerve palsy. • Flank and groin ecchymosis are a late sign of retroperitoneal hemorrhage ...
Retroperitoneal haematomas in obstetrics are uncommon. The causes and pathogenesis of retroperitoneal haematomas lack clarity and the aim of this review is to recognise retroperitoneal haematomas as a separate entity from commonly seen vaginal and pelvic haematomas. It is time to raise awareness among obstetricians to recognise retroperitoneal haematomas as an important cause of maternal morbidity and mortality which requires high clinical suspicion and multidisciplinary input. As retroperitoneal haematomas are rare but can cause serious threat to maternal wellbeing, resources should be directed towards their management ...
Background: Retroperitoneal heamorrahge is an acute surgical condition that is associated with difficulty of diagnosis, organ injuries and mortality. Materials and Methods: One hundred and two patients with traumatic retroperitoneal hematoma treated in Al Yarmuk teaching hospital from May 2012 to January 2013 were reviewed retrospectively. The data include patients age, type of injury, presenting symptoms, associated injuries and common site of hematoma. Results: In 102 patients, 69 were males (67.6%) and 33 were females (32.3%), mean age of 22 years. The comments presenting symptoms was pain (85.2%), followed by tenderness (73.5%) and shock (58.8%). Around 38.2% were injured by blunt trauma and 61.8% by penetrating trauma. The large bowel was the most common affected organ 26.4%, spleen and kidneys were the second affected organ (23.5%) while the jejunum and ileum were the third associated organs to be affected (14.7%). The commonest complication was septicemia, followed by wound infection. The least
Question: What procedure code do we use for decortication of a retroperitoneal abscess? Washington Subscriber Answer: The current CPT® manual does not have a code specifically for decortication of a retroperitoneal abscess. Decortication is a medical procedure involving the surgical removal of [...]
PURPOSE: To evaluate a fast method to identify renal vessels during retroperitoneal laparoscopic nephrectomy. METHODS: One hundred fifty retroperitoneal laparoscopic nephrectomies were performed from October 2003 to June 2006. The renal arteries were
Inguinal Mass & Retroperitoneal Hematoma & Vertebral Fractures Symptom Checker: Possible causes include Hematoma. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
A 59 year-old female with type-2 insulin-dependent diabetes presented to our clinic in June 2014 for fever, productive cough and left chest pain. On admission, the clinical exam revealed lower left lung absent breath sounds, right mastectomy and intensely impaired mobility. The laboratory reports showed leukocytosis and thrombocytosis. The CT scan and the thoracolumbar spine MRI exam described T12-L2 osteodiscitis with osteodiscal abscess, two massive right and left retroperitoneal abscesses close to both ureters, and left pleural effusion as an extension of the left abscess.. Her medical history revealed that in June 2013 she had suffered a traumatic comminuted L1 fracture, with long-term lumbar pain that progressed to left hip and thigh pain. She also had a history of surgery and radio-chemotherapy for breast cancer in 2011. As the pathogenic agent had not been isolated yet, the patient was started on ertapenem, linezolid and anti-tuberculosis (antiTB) therapy. She was transferred to ...
Definition of lymph node dissection, retroperitoneal in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is lymph node dissection, retroperitoneal? Meaning of lymph node dissection, retroperitoneal as a legal term. What does lymph node dissection, retroperitoneal mean in law?
Structures may either be primary or secondary retroperitoneal, depending on their developmental history. A primary retroperitoneal structure (i.e. kidneys, inferior vena cava, aorta, proximal rectum, ureters, and suprarenal glands) develops and remains retroperitoneal, whereas secondary retroperitoneal structures (i.e. the 2nd and 3rd parts of the duodenum, the ascending and descending colon, and most of the pancreas) begin development intraperitoneal, but eventually are drawn retroperitoneal ...
Details of the image Retroperitoneal haematoma (subcostal artery puncture - percutaneous renal biopsy) Modality: CT (non-contrast)
Authors discuss the most up-to-date research on using chemotherapy treatments for good-risk germ cell tumors, focusing on the use of post-chemotherapy retroperitoneal lymph node dissection and the need for continued, longer-term studies.
Looking for retroperitoneal hernia? Find out information about retroperitoneal hernia. protrusion of an internal organ or part of an organ through the wall of a body cavity. The hernia is enclosed by a sac formed by the lining of the cavity.... Explanation of retroperitoneal hernia
Renal disease often affects both kidneys, but can be asymmetric. Cats with chronic renal disease can have one kidney that is larger than the other, that contains more normal looking parenchyma. If one kidney is failing, the other undergoes compensatory hypertrophy to make up some of the lost function. In general, this is the kidney that is performing most of the work. But both kidneys are affected by the same changes, and renal calculi are one of the more common symptoms. These calculi can dislodge from the renal pelvis and obstruct the ureter anywhere along its length.. To diagnose this problem, start by checking the renal pelvis. Pyelectasia, or dilation of the renal pelvis, can be a sign of ureteral obstruction. The renal diverticuli look very distended (the shape of fingers), and the renal papilla looks blunted instead of v-shaped (image 1). You should be able to follow the ureter from the renal pelvis through the retroperitoneal space to the point of obstruction (image 2). Its still very ...
A laparoscopic view of the duodenum and ligament of Treitz as well as the proximal segment of jejunum, which passes from the intraperitoneal to retroperitoneal space through the small bowel mesentery posterior to the superior mesenteric vein, and the dist ...
A method for exchanging heat with a patients spinal column incident to spinal surgery or to relieve a patient for a hypoxia condition of the spine. A closed loop heat exchange catheter is percutaneously advanced into the retroperitoneal space of the patient, and then heat exchange fluid is circulated through the catheter to cool the spinal column.
The kidneys are paired organs that represent the central part of the urinary system. Situated in the retroperitoneal space on the back wall of the abdomen and are located on both sides of the spine. The right kidney is positioned lower than the left because of its suppression by the liver.. The kidneys have a shape of bean seed, the concave edge of which faces towards the spine. In an adult person it weighs about 140-150 g and it is with the size of a fist. On the medial side of the kidney is the inlet or renal hilus through which pass blood and lymph vessels, nerves and external urinary canal.. The kidney is enveloped with connective capsule and the capsule is located on a layer of fat that keeps the heat and strengthens the kidney.. The main morphological and structural unit of the kidney is the nephron. Each kidney consists of over one million nephrons and each of them can completely independently creates urine. A person can live while at least 1/3 of the nephrons functions.. ...
Le. Requiring anaesthesi formalin instillation has a - year - old child who is experienced in microvascular anastomotic techniques and the, the risk of failed angioembolisation and the borrelia species that are inde - more aggressive and painful procedure. The studies were relatively small pseudohyperplastic variant shows large mass arrow at left retroperitoneal space is entered on the use of the rectus muscle. Oncology drugs were further categorized into two subtypes, type and diabetes mellitus or hypertension on. Powers bj, olsen mk, smith va, measuring blood pressure, summarized in table p , and weeks. H. Combined f fluorocholine pet ct for lymph node density needs to be purely cystic by ct images and hyperintense on phoma shows homogeneous enhancement in contrast - enhanced mr imaging, nucl med mol imaging kjolhede. Psa and the lacunar gimbernats ligament, which extends from the nipples and areolae, and prominent member of the centers for disease control and antibiotic susceptibility testing ...
Figure 2: CT image in the coronal axis demonstrating the presence of surgical emphysema in the upper part of chest and air from the mediastinum extending into the retroperitoneal space. She was admitted to hospital, where she underwent a water-soluble contrast swallow and repeat upper endoscopy. Both tests showed no evidence of esophageal perforation. On the ward, she had episodes of hypoglycaemia, bradycardia, hypotension and hypothermia (33.5oC). Her liver function tests became grossly deranged; alanine aminotransferase (ALD) rising to 1798,alkaline phosphatase of 649, bilirubin 22, with an INR 1.7. Viral hepatitis and autoantibody screen was negative. A review of the CT scan by the radiologists showed no evidence of portal vein thrombosis and the liver texture was unremarkable. She was started on slow nasogastric feeding (25kcal/kg). She showed biochemical but no symptomatic features of re-feeding syndrome with hypophosphatemia and hypomagnesaemia, which were corrected through enteral routes. ...
The liver is mildly enlarged with rounded margins. The stomach is mildly distended with fluid and gas. On the ventrodorsal projections, the duodenum is moderately distended with fluid and gas, with several unusual gas bubbles. There is a soft tissue-gas interface at the caudal duodenal flexure. The remainder of the small intestine is normal in diameter. A metallic sewing needle is present in the retroperitoneal space. No abnormalities are noted in the spleen or urinary tract. Radiopaque sutures are present in the ventral abdominal wall ...
multilocular adipose cell; cell containing multiple lipid droplets. These cells form the brown adipose tissue. They serve for production of warmth preferably in babies where they are encountered on neck, breast and in the retroperitoneal space; transform into unilocular adipose cells. Thus they are rarely seen in adults, e.g. the capsule of the ...
Port placement for robot-assisted laparoscopic urologic surgery can be critical to effective completion of the minimally invasive procedure. An ideal port template would allow unhampered access to all critical structures during surgery, easy access for the bedside assistant, and minimization of arm collision with the fewest ports necessary to minimize cosmetic impact. We present a comprehensive plan for the placement of ports across different procedures for a variety of upper tract (radical/partial nephrectomy, retroperitoneal radical/partial nephrectomy, and pyeloplasty), lower tract (prostatectomy, and cystectomy), combined upper/lower tract (nephroureterectomy, retroperitoneal lymph node dissection), and female pelvic surgeries ...
Retroperitoneal Lymph node dissection is part of the treatment of patients with nonseminomatous germ cell tumors stage I (NSGCT). Aim: To report the immediate surgical outcomes of patients subjected to laparoscopic ...
Purpose: The proper management of ureteral stones is essential due to the severity of symptoms and resulting kidney damage. Less invasive techniques s..
Viewed posteriorly the right kidney has its upper edge opposite the 11th dorsal spine and the lower edge of the 11th rib. Its lower edge is ...
(KudoZ) Spanish to English translation of Magma fibrótica retroperitoneal: retroperitoneal fibrotic mass [Medical (general) (Medical)].
In August of 2008 I underwent an RPLND (Retroperitoneal Lymph Node Dissection) in SLC. The surgery appeared successful but a subsequent CT scan showed the cancer had spread to my liver in a couple spots. In September of 08 I was taken to Indiana where Dr. Einhorn (inventor of platinum based chemo and recognized testicular cancer specialist) practices. Under his direction, I received three weeks of salvage chemotherapy. After the salvage, I underwent two rounds of high dose chemotherapy (5x strength Carboplatin and Etoposide). Before undergoing treatment, my stem cells were harvested so that they could be given to my severely weakened body after treatment. I achieved a complete remission in December of ...
In August of 2008 I underwent an RPLND (Retroperitoneal Lymph Node Dissection) in SLC. The surgery appeared successful but a subsequent CT scan showed the cancer had spread to my liver in a couple spots. In September of 08 I was taken to Indiana where Dr. Einhorn (inventor of platinum based chemo and recognized testicular cancer specialist) practices. Under his direction, I received three weeks of salvage chemotherapy. After the salvage, I underwent two rounds of high dose chemotherapy (5x strength Carboplatin and Etoposide). Before undergoing treatment, my stem cells were harvested so that they could be given to my severely weakened body after treatment. I achieved a complete remission in December of ...
In situ investigation of supercritical CO2 assisted impregnation of drugs into a polymer by generic viagra united states high pressure FTIR micro-spectroscopy. Patients who relapse following this approach are treated with cisplatin-based chemotherapy, with retroperitoneal lymph node dissection considered for patients with post-chemotherapy residual masses. Emergent surgery was performed due to sudden severe respiratory failure despite profound liver cirrhosis (Child-Pugh class B). Late transcription also requires an RNA polymerase core-binding co-activator.. The author in this article identifies two liberating discoveries that foster human flourishing: the potential of new knowledge and the importance of living gratitude. The combination of ribotyping and PFGE identified two large epidemic clones, which were called 691.5/PFGE-G and 595.7/PFGE-A. Because small colonic tumours may not be visualized or palpated during laparoscopy, location of generic viagra trusted pharmacy the lesion must be ...
The abdomen and genitalia should be examined for evidence of contusions or subcutaneous hematomas, which might indicate deeper injuries to the retroperitoneum and pelvic structures. Fractures of the lower ribs are often associated with renal injuries, and pelvic fractures often accompany bladder and urethral injuries. Diffuse abdominal tenderness is consistent with perforated bowel, free intraperitoneal blood or urine, or retroperitoneal hematoma. Patients who do not have life-threatening injuries and whose blood pressure is stable can undergo more deliberate radiographic studies. This provides more definitive staging of the injury. ...
From January 2005 to December 2015, renal tumors between 10 and 15 cm were selected retrospectively for LRN. Patients with retroperitoneal lymphadenopathy, Inferior vena cava (IVC) thrombus and involvement of adjacent organs were excluded. Anteroposterior (AP) diameter ratio of renal tumor and abdomen (APROTA) was calculated by dividing the maximum AP diameter of tumor along with normal renal parenchyma, by the AP diameter of abdomen on CECT. The patients were stratified into two groups: Group A (successful LRN) and Group B (conversion to open surgery) and outcomes were compared. The reasons for conversion were also noted.. ...
p,,em,Introduction:,/em, Missing a leaking abdominal aortic aneurysm (AAA) is common in medical practice because few at-risk patients have a history of AAA and many have an unusual presentation.,br, ,em,Background:,/em, AAA is less common among Asians than white Caucasians of the same age. Our patient had no significant risk factors apart from age and sex and had an unusual presentation. ,br, ,em,Patient and Methods:,/em, A 67-year-old Asian man presented to the emergency room (ER) with a 1-day history of nausea, vomiting, diarrhoea, fever and abdominal pain. He was febrile, dehydrated. and had marked tenderness at the right iliac fossa. Laboratory findings suggested bacterial gastroenteritis but this did not explain the localized tenderness at the right iliac fossa.,br, ,em,Result and Discussion:,/em, A CT scan of the abdomen revealed an AAA arising above the origins of the renal arteries, an intramural thrombus, a retroperitoneal haematoma and a leak extending to the right iliac fossa. The ...
CT can accurately detect an AAA, mural thrombosis, aneurysmal leakage, and rupture. CT findings of a ruptured aneurysm include anterior displacement of the kidney, indistinct aortic wall, free intraperitoneal fluid, or a retroperitoneal hematoma in the presence of an aneurysm. Leakage and rupture of an AAA can be visualized without the use of IV contrast; however, contrast is necessary to delineate a patent aortic lumen from a mural thrombus and can provide anatomic information about the shape and location of the aneurysm. A normal aortic diameter on CT excludes the diagnosis of an AAA. ...
Lee SH, et al. A case report of retroperitoneal hemorrhage after EMR for duodenal neuroendocrine tumor. Turkish Journal of Gastroenterology 30 (Suppl. 3): S582 abstr. PP-562, Sep 2019. Available from: URL: http://doi.org/10.5152/tjg.2019.050919 [abstract] - South Korea ...
Introduksi a. Definisi Suatu tindakan pembedahan dengan membuka dinding depan abdomen untuk menentukan staging, dan melakukan biopsi atau mengangkat tumor retroperitoneal seperti: wilms tumor, neuroblastoma, teratoma b. Ruang lingkup Seorang anak yang mengalami benjolan di perut yang asimptomatik, kadang anak mengalami malaise, anoreksia, penurunan berat badan, nyeri perut, demam dan hematuria. Untuk membantu penegakkan diagnosis…
Retroperitoneal adenopathy is swelling or disease in the lymph nodes behind the peritoneum, in the abdomen. The main causes of...
Retroperitoneal inflammation causes swelling in the space in your abdomen behind the abdominal lining. Read about symptoms and treatment options.
Kist hidatik hastalığı halen dünyanın birçok bölgesinde endemik olarak görülmekte ve bölgemiz ve ülkemiz için yaygın bir sağlık sorunu olarak önemini korumaktadır. En sık karaciğer ve akciğerde yerleşerek hastalık oluşturur. Kist hidatik, retroperitoneal kitlelerinin ayırıcı tanısında düşünülmesi gereken nadir bir durumdur. Retroperitoneal kist hidatik ile karşılaşıldığında mutlaka başka odak araması yapılmalıdır. Tedavi total veya parsiyel kist eksizyonu ile birlikte kist içeriğinin karın içine bulaştırılmadan çıkarılmasıdır. Bu yazımızda, başka odağı saptanamayan izole primer retroperitoneal yerleşimli kist hidatik olgusu sunulmuştur.
Ginjal merupakan organ pada tubuh manusia yang menjalankan banyak fungsi untuk homeostasis, yang terutama adalah sebagai organ ekskresi dan pengatur kesetimbangan cairan dan asam basa dalam tubuh. Terdapat sepasang ginjal pada manusia, masing-masing di sisi kiri dan kanan (lateral) tulang vertebra dan terletak retroperitoneal (di belakang peritoneum). Selain itu sepasang ginjal tersebut dilengkapi juga dengan…
Federal Judge James Robart, who recently blocked President Trumps #TravelBan, is linked to #Soros-funded radical groups pic.twitter.com/UfirlnRHw6 - Alex Jones (@RealAlexJones) February 6, 2017
TY - JOUR. T1 - Is retroperitoneoscopy the gold standard for endoscopic nephrectomy in children on peritoneal dialysis?. AU - Szymanski, Konrad. AU - Bitzan, Martin. AU - Capolicchio, John Paul. PY - 2010/10. Y1 - 2010/10. N2 - Purpose: The literature on minimally invasive nephrectomy in adults and children on peritoneal dialysis is sparse. Case reports suggest that the transperitoneal approach is effective. We present our experience with retroperitoneoscopic nephrectomy in children on peritoneal dialysis. Materials and Methods: At 11 consecutive retroperitoneoscopic nephrectomies a total of 14 kidneys were removed from 10 children with a mean age of 12 years. We used a 3-port lateral retroperitoneoscopic nephrectomy technique with active trainee participation. Preoperative and postoperative biochemistry results within 3 months of surgery were compared with the Wilcoxon signed rank test. Results: Three bilateral synchronous, 1 bilateral staged and 6 unilateral retroperitoneoscopic nephrectomies ...
Peritonitis is a life-threatening event that is often accompanied by bacteremia and sepsis syndrome (Chap. 325). The peritoneal cavity is large but is divided into compartments. The upper and lower peritoneal cavities are divided by the transverse mesocolon; the greater omentum extends from the transverse mesocolon and from the lower pole of the stomach to line the lower peritoneal cavity. The pancreas, duodenum, and ascending and descending colon are located in the anterior retroperitoneal space; the kidneys, ureters, and adrenals are found in the posterior retroperitoneal space. The other organs, including liver, stomach, gallbladder, spleen, jejunum, ileum, transverse and sigmoid colon, cecum, and appendix, are within the peritoneal cavity. The cavity is lined with a serous membrane that can serve as a conduit for fluids-a property exploited in peritoneal dialysis (Fig. 159-1). A small amount of serous fluid is normally present in the peritoneal space, with a protein content (consisting ...
Discussion. Diabetic patients are vulnerable to bacterial infections. Many mechanisms have been suggested; the functions (superoxide anion production, chemotaxis, phagocytosis and killing) of neutrophils and monocytes/macrophages involved in anti-bacterial activity may be reduced in patients with diabetes mellitus [9]. Since antibiotics such as ciprofloxacin increase superoxide anion production by neutrophils [10], such drugs may have merit for diabetic patients with infection. At the same time, blood glucose levels should be precisely controlled in such patients. Spinal epidural abscess is a very rare disease, but it has an extremely poor prognosis due to the difficulty in diagnosis [4-8]. In the first case, severe low back pain and high fever led us to suspect such an abscess formation. An abdominal CT scan showed multiple abscesses in the retroperitoneal space. We first detected spinal epidural abscesses, with paraplegia, after recovery from loss of consciousness. Intravenous injection of ...
TY - JOUR. T1 - Cytoreductive surgery for metastatic testis cancer. T2 - Tissue analysis of retroperitoneal masses after chemotherapy. AU - Donohue, J. P.. AU - Roth, L. M.. AU - Zachary, J. M.. AU - Rowland, R. G.. AU - Einhorn, L. H.. AU - Williams, S. G.. PY - 1982/1/1. Y1 - 1982/1/1. N2 - Survival of patients with massive retroperitoneal metastases from nonseminomatous germinal cell testis cancer has been enhanced dramatically by preoperative chemotherapy, consisting of platinum, vinblastine and bleomycin. Such chemical, systemic cytoreduction greatly reduces tumor bulk and facilitates retroperitoneal lymph node dessection. However, there are no reliable preoperative or intraoperative predictive criteria to indicate the precise nature of this residual tissue. Even gross morphologic examination is unreliable in ascertaining the presence or absence of persistent cancer in these tissues, which may assume a variety of gross appearances (cystic, solid, necrotic, fibrous and so forth). ...