Rupture Liver Abscess in Tertiary Care Center in India: A Review | Chapter 12 | New Advances in Medicine and Medical Science Vol. 5

 The present study aimed to analyze the various epidemiological factors in patients with ruptured liver abscess for better management and insight into the prognosis for such patients. Liver abscess is an inflammatory space-occupying lesion of the liver caused by infectious agents. Amoebic liver abscess (ALA) and pyogenic liver abscess (PLA) are its two predominant causes.

This was a retrospective study carried in Sarojini Naidu Medical College, Agra, between 2019 and 2021.

Common laboratory abnormalities include leukocytosis, hypoalbuminemia, prolonged prothrombin time, and elevated inflammatory markers. Out of the fourty patients assessed, all patients were male (100%). The most affected age group was 31-40 years (50%) followed by 41-50 years (30%). Right hypochondrium pain was the most common presenting complaint. 80% have history of chronic alcohol intake. Twenty patients (50%) had presented with signs of toxemia. Only right lobe of the liver was affected the most in 28 patients (70%). Escherichia coli was the most common organism isolated in our study in 21patients (52.5%). A total of 16 patients (40%) had diabetes in our study and total of 7(17.5%) patients had mortality in our study. A ruptured liver abscess can be identified in an emergency situation and avoided with early treatment. Because of its high morbidity and mortality, it can be prevented with early detection and prompt treatment.

Author(s) Details:

Anubhav Goel,
Department of Surgery, SN Medical College, Agra, Uttar Pradesh, India.

Please see the link here: https://stm.bookpi.org/NAMMS-V5/article/view/10872

Laparoscopic Management of Anaphylactic Shock Following Abdominal Trauma Revealing Intravascular Rupture of Cystic Echinococcosis (A Case Report and Brief Literature Review) | Chapter 04 | Issues and Developments in Medicine and Medical Research Vol. 5

 Anaphylactic shock produced by an accidental traumatic intraperitoneal rupture is a well-known consequence, as opposed to anaphylactic shock caused by the intravascular dissemination of cyst contents, which is uncommon. Cyst rupture after trauma or spontaneous rupture is a common consequence of hydatid illness. This article describes an uncommon instance of a 13-year-old child who was admitted to a public hospital with little indicators after suffering a trauma. Ultrasonography revealed a hydatid cyst in the liver, with the cyst contents draining into the right hepatic vein and no free peritoneal fluid. Anaphylactic shock ensued shortly after, and the patient was brought to our emergency room. After stabilising the patient, an abdominal laparoscopic examination revealed a ruptured cyst, which was treated laparoscopically. Albendazole was also given to the patient. The purpose of this study is to determine the feasibility and safety of laparoscopy in the treatment of complex Hepatic Echinococcosis, as well as the length of operation and hospital stay. In this type of Echinococcosis clinical presentation, we believe laparoscopic surgery is a good option.

Author(S) Details

Haif Assia
Department of Pediatric Surgery, University Hospital Center of SETIF, Algeria and Laboratory of Applied Pediatric Surgery, Ferhat Abbas Setif University 1, Algeria.

View Book:- https://stm.bookpi.org/IDMMR-V5/article/view/5579

Successful Treatment with Expanded Mesenchymal Stem Cell Therapy for Muscle Wasting Post-Surgical Repair of Achilles Tendon | Chapter 15 | Issues and Developments in Medicine and Medical Research Vol. 3

 The efficacy of local implantation of biological treatment to restore injured calf muscles and tendons is investigated in this study. The Achilles tendon (AT) is one of the most commonly torn tendons in the lower leg. During strong physical activity that include quick swivelling on a foot or a fast burst of speed, sudden forces apply to the Achilles tendon, causing it to rupture. Pain, ankle stiffness, and diminished strength are common symptoms of chronic AT rupture, which develops 4-6 weeks after the initial injury. When there is a substantial gap between the tendon ends, reconstruction is required, most typically via flexor hallucis longus tendon (FHLT) transfer for any abnormalities above 2cm. A 44-year-old female patient experienced a left AT rupture during a netball game in this case report. She received conservative treatment at first, but it ruptured again spontaneously, needing reconstruction surgery with FHLT transfer. At the transplanted musculo-Achilles junction, she suffered calf muscle weakness and atrophy. Her symptoms included calf muscle atrophy and weakness, as well as the inability to complete a single heel rise. The score on the Foot and Ankle Disability Index (FADI) was 74. Her orthopaedic surgeon refused to perform any additional surgery because it would be of no advantage to her. She has chosen an autologous adipose-derived expanded mesenchymal stem cell treatment (MSCs) and platelet-rich plasma (PRP) experiment (PRP). She had a favourable outcome six months after the treatment, as demonstrated by increased everyday activities, heel-raising, and running slowly for the first time in several years after reconstruction surgery. Her FADI score improved to 91.3, and a six-month MRI revealed an enhanced signal at the musculo-Achilles junction, indicating that the injury was healing. This example shows that a single MSC and PRP treatment resulted in a favourable outcome, demonstrating that MSC therapy can be used to heal lost calf muscle and tendon from previous scarring.

Author(S) Details

Hassan Mubark
Department of Rheumatology, Auckland Regenerative Clinic, Ormiston Specialist Centre, New Zealand.

View Book:- https://stm.bookpi.org/IDMMR-V3/article/view/5476