Gastrointestinal fistulas represent abnormal communication between two epithelized surfaces, they generally receive their name
according to their anatomical components and the manifestations
depend on the affected structures.
A fistula formation affects the clinical evolution and outcomes of
the patient, due in large part to sepsis and malnutrition, resulting
in a clinical decline of the quality of life in the psychological, social
and occupational aspects
Dr. Deepak. B
MS Surgery (JIPMER), DNB Surgery, MNAMS, Mch GISurgery(GB Pant, Delhi)
Dr. Deepak is a consultant surgical gastroeneterologist. He has acquired vast experience in the field of gastrointestinal surgery. In the past, he has worked for various premier institute of India. He obtained his MBBS degree from JSS medical college Mysore, Master of Surgery from premier institute JIPMER, Puducherry, the institute of national importance. Later he procured his Mch GI Surgery from another top-tier institute of India (GB Pant, Delhi Government). He has experience of more than 1000 laparoscopic surgeries and more than 300 advanced laparoscopic surgeries.
Tuberculous Ileal Perforation in Post-Appendicectomy PeriOperative Period: A ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Colopericardial fistula following colonic interposition can primary repair be...Georges Khalifeh
This case report describes a rare complication in a 24-year-old male who underwent colonic interposition for esophageal atresia as an infant. He presented with chest pain and pneumonia, and was found to have a colopericardial fistula. The fistula tract was divided, the colonic defect was primarily repaired, and a pericardial window was created. The patient recovered well with no complications at 3-month follow up. Colopericardial fistula is a life-threatening complication after colonic interposition that requires prompt surgical treatment to control infection and allow nutritional support.
Introduction
Cutaneous metastases from abdominal malignancies are rare and have been reported in less than 5% of patients [1]. Furthermore, metastases in patients suffering from colorectal neoplasia are even rarer entity. Tan et al, among 2538 of the new cases of colorectal cancer over the period of 6 years, reported only 3 cases (0.1%) with cutaneous deposits [1]. Presentation varies from cutaneous or subcutaneous small nodules, rash or large fungating lesions [1-4]. Inevitably, their presence implies the disease progression, and poor prognosis with the reported survival between 1 to 34 months [2,3,5].
We report a case of an elderly patient who initially was thought to present with a simple skin infection. Subsequently, the patient was diagnosed with the moderately differentiated mucinous adenocarcinoma and required the right hemicolectomy. This case highlights that a high index of suspicion is recommended in an unresolving skin erythema.
Chronic diarrhea as a result of colonic fistulas -two case reports with different origin. When it comes to chronic diarrhea symptom, the first thing
one thinks of is never a surgical cause, but an infectious disease. The aim of this paper is to show 2 different cases of chronic diarrhea, resulting from
benign surgical causes - colonic fistula. The first case is a result of cholecystocolic fistula, while the second is the result of gastrojejunocolic fistula.
Colonic fistulas originate from different causes: malignancy, NSAID, diverticulosis of the colon, cholecystitis, pancreatitis, lymphoma, or after radiation
therapy. They can also result from a trauma, which can be post-surgical.
Introduction:
Cholecystocolic fistula occurs as a result of the inflammation of the gallbladder. It arises from existing adhesions. The incidence rate
is not high, but the complication is not a rarity per se. It is less frequent complication than cholecystoduodenal fistula. The main symptoms are secretory
diarrhea, vitamin K malabsorption and weight loss, and thus suspicion of malignancy is usual. The treatment is surgical removal of the gallbladder,
fistula and part of the colon en bloc.
Case report:
A 73-year old male patient was admitted to the department after 5 months of medical treatment. Laboratory tests, coproculture,
colonoscopy, abdominal ultrasonography, and gastroduodenoscopy were performed - the diagnosis was not established. The diagnosis was made by
means of irrigography and short and narrow cholecystocolic fistula was confirmed. The possibility of malignant disease was not completely excluded.
The patient underwent surgery after parental nutrition-adhesions, gallbladder, and the prepared fistula were removed as well as the longitudinal part
of the transverse colon, which was simultaneously repaired. Ex-tempore diagnosis-the surgical specimen originated from inflammation, not from
malignancy. The post-operative course was uneventful. The first post-operative stool was normal. The patient gained some weight after a few months.
Conclusion:
Along with the contemporary diagnostics methods, contrast examination plays an important diagnostic role. When infection is
excluded as the cause of chronic diarrhea, cholecystocolic fistula should be considered. Malignant disease should be excluded before the surgery, or it
may be diagnosed during the surgery, which would determine the course of the treatment. The treatment of benign cholecystocolic fistula is surgical
en bloc procedure.
PowerPoint presentation on Choledochal Cysts, also known as biliary cyst, uploaded by Dr. Vaskar Humagain, first presented in 31st December, 2013. This presentation contains all the information about Choledochal Cysts, the original and revised Todani classification of choledochal cysts, pathogenesis, other associated congenital anomalies, clinical features in infant and adult, management of choledochal cysts. Comments are highly welcome :)
Ileal Volvulus Causing Displacement of the Liver: Case Report.iosrjce
This case report describes a 31-year-old woman who presented with abdominal pain and vomiting due to an ileal volvulus causing small bowel obstruction. Imaging revealed dilation of the small bowel and displacement of the right lobe of the liver to the left side of the abdomen. The patient underwent emergency surgery for small bowel resection and anastomosis. A follow-up CT scan showed the liver had returned to its normal position. This report discusses small bowel volvulus as a rare but life-threatening cause of obstruction. It also notes this is an unusual case of volvulus displacing the liver, which corrected on its own after surgical treatment of the obstruction.
itus inversus totalis is a rare congenital entity characterized by right-to-left transposition of the viscera of the thorax and abdomen. We present the case of a 58-year-old female patient with a history of cholecystectomy 18 years ago, when a diagnosis of situs inversus was made, who presented to the emergency department with obstructive jaundice. With the surgical history and prior knowledge of her condition, an imaging approach and successful endoscopic treatment was performed. Cholelithiasis and situs inversus are a rare combination of entities; this binomial reminds us that in medicine there are no absolute concepts.
Dr. Deepak. B
MS Surgery (JIPMER), DNB Surgery, MNAMS, Mch GISurgery(GB Pant, Delhi)
Dr. Deepak is a consultant surgical gastroeneterologist. He has acquired vast experience in the field of gastrointestinal surgery. In the past, he has worked for various premier institute of India. He obtained his MBBS degree from JSS medical college Mysore, Master of Surgery from premier institute JIPMER, Puducherry, the institute of national importance. Later he procured his Mch GI Surgery from another top-tier institute of India (GB Pant, Delhi Government). He has experience of more than 1000 laparoscopic surgeries and more than 300 advanced laparoscopic surgeries.
Tuberculous Ileal Perforation in Post-Appendicectomy PeriOperative Period: A ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Colopericardial fistula following colonic interposition can primary repair be...Georges Khalifeh
This case report describes a rare complication in a 24-year-old male who underwent colonic interposition for esophageal atresia as an infant. He presented with chest pain and pneumonia, and was found to have a colopericardial fistula. The fistula tract was divided, the colonic defect was primarily repaired, and a pericardial window was created. The patient recovered well with no complications at 3-month follow up. Colopericardial fistula is a life-threatening complication after colonic interposition that requires prompt surgical treatment to control infection and allow nutritional support.
Introduction
Cutaneous metastases from abdominal malignancies are rare and have been reported in less than 5% of patients [1]. Furthermore, metastases in patients suffering from colorectal neoplasia are even rarer entity. Tan et al, among 2538 of the new cases of colorectal cancer over the period of 6 years, reported only 3 cases (0.1%) with cutaneous deposits [1]. Presentation varies from cutaneous or subcutaneous small nodules, rash or large fungating lesions [1-4]. Inevitably, their presence implies the disease progression, and poor prognosis with the reported survival between 1 to 34 months [2,3,5].
We report a case of an elderly patient who initially was thought to present with a simple skin infection. Subsequently, the patient was diagnosed with the moderately differentiated mucinous adenocarcinoma and required the right hemicolectomy. This case highlights that a high index of suspicion is recommended in an unresolving skin erythema.
Chronic diarrhea as a result of colonic fistulas -two case reports with different origin. When it comes to chronic diarrhea symptom, the first thing
one thinks of is never a surgical cause, but an infectious disease. The aim of this paper is to show 2 different cases of chronic diarrhea, resulting from
benign surgical causes - colonic fistula. The first case is a result of cholecystocolic fistula, while the second is the result of gastrojejunocolic fistula.
Colonic fistulas originate from different causes: malignancy, NSAID, diverticulosis of the colon, cholecystitis, pancreatitis, lymphoma, or after radiation
therapy. They can also result from a trauma, which can be post-surgical.
Introduction:
Cholecystocolic fistula occurs as a result of the inflammation of the gallbladder. It arises from existing adhesions. The incidence rate
is not high, but the complication is not a rarity per se. It is less frequent complication than cholecystoduodenal fistula. The main symptoms are secretory
diarrhea, vitamin K malabsorption and weight loss, and thus suspicion of malignancy is usual. The treatment is surgical removal of the gallbladder,
fistula and part of the colon en bloc.
Case report:
A 73-year old male patient was admitted to the department after 5 months of medical treatment. Laboratory tests, coproculture,
colonoscopy, abdominal ultrasonography, and gastroduodenoscopy were performed - the diagnosis was not established. The diagnosis was made by
means of irrigography and short and narrow cholecystocolic fistula was confirmed. The possibility of malignant disease was not completely excluded.
The patient underwent surgery after parental nutrition-adhesions, gallbladder, and the prepared fistula were removed as well as the longitudinal part
of the transverse colon, which was simultaneously repaired. Ex-tempore diagnosis-the surgical specimen originated from inflammation, not from
malignancy. The post-operative course was uneventful. The first post-operative stool was normal. The patient gained some weight after a few months.
Conclusion:
Along with the contemporary diagnostics methods, contrast examination plays an important diagnostic role. When infection is
excluded as the cause of chronic diarrhea, cholecystocolic fistula should be considered. Malignant disease should be excluded before the surgery, or it
may be diagnosed during the surgery, which would determine the course of the treatment. The treatment of benign cholecystocolic fistula is surgical
en bloc procedure.
PowerPoint presentation on Choledochal Cysts, also known as biliary cyst, uploaded by Dr. Vaskar Humagain, first presented in 31st December, 2013. This presentation contains all the information about Choledochal Cysts, the original and revised Todani classification of choledochal cysts, pathogenesis, other associated congenital anomalies, clinical features in infant and adult, management of choledochal cysts. Comments are highly welcome :)
Ileal Volvulus Causing Displacement of the Liver: Case Report.iosrjce
This case report describes a 31-year-old woman who presented with abdominal pain and vomiting due to an ileal volvulus causing small bowel obstruction. Imaging revealed dilation of the small bowel and displacement of the right lobe of the liver to the left side of the abdomen. The patient underwent emergency surgery for small bowel resection and anastomosis. A follow-up CT scan showed the liver had returned to its normal position. This report discusses small bowel volvulus as a rare but life-threatening cause of obstruction. It also notes this is an unusual case of volvulus displacing the liver, which corrected on its own after surgical treatment of the obstruction.
itus inversus totalis is a rare congenital entity characterized by right-to-left transposition of the viscera of the thorax and abdomen. We present the case of a 58-year-old female patient with a history of cholecystectomy 18 years ago, when a diagnosis of situs inversus was made, who presented to the emergency department with obstructive jaundice. With the surgical history and prior knowledge of her condition, an imaging approach and successful endoscopic treatment was performed. Cholelithiasis and situs inversus are a rare combination of entities; this binomial reminds us that in medicine there are no absolute concepts.
Managment Of Long Term Care In Era Covid-19komalicarol
COVID-19 gives the chance to address long-term care categories
that are sometimes disregarded and undervalued, such as nursing
and residential homes, as well as homecare. Each method of delivering long-term care must meet the highest possible standards
of ongoing care and quality of life. More study and evaluation are
needed to aid decision-making and policy-making, particularly on
the cost-effectiveness and cost-quality elements for each country,
region, or system.
Renal failure and Quality ofLlife Indicators in Kidney Transplantationkomalicarol
This article discusses quality of life indicators for patients undergoing kidney transplantation. It reviews several tools used to measure quality of life, including the SF-36, EQ-5D, and KDQOL questionnaires. Overall quality of life is generally improved after a successful kidney transplant compared to dialysis. However, factors like side effects of immunosuppressive drugs and the risk of rejection can still impact quality of life. The article concludes that while transplantation is associated with lower mortality and better quality of life than long-term dialysis, certain patient and treatment factors must be considered when evaluating individual quality of life outcomes.
A case of childhood Burkitt's lymphoma with gingival swelling as the first sy...komalicarol
This case report describes a 4-year-old child who presented with gingival swelling as the initial symptom of Burkitt's lymphoma. The child was eventually diagnosed with stage IV Burkitt's lymphoma/leukemia based on bone marrow and genetic testing. After initial chemotherapy, the gingival swelling and right cheek swelling recurred, indicating disease recurrence. The child received further chemotherapy but ultimately passed away half a year later. This case highlights that gingival swelling can be an early oral symptom of systemic disease like Burkitt's lymphoma. Dentists and oral physicians play an important role in identifying signs of systemic conditions through oral examinations.
Neuropsychiatric Profiles of Brivaracetam: A Literature Reviewkomalicarol
Anti-seizure medications (ASMs) can cause cognitive or behavioral adverse drug reactions, which is a significant consideration
when selecting an appropriate ASM. Brivaracetam (BRV) is a
newer synaptic vesicle protein 2A ligand, which is expected to
have less neuropsychiatric adverse effects due to its mechanism of
action. To understand the impact of BRV on cognition and behavior compared with other ASMs, we conducted literatures searching
from PubMed and MEDLINE databases. After the screening process, a total of two animal studies, one randomized controlled trial, one pooled-analysis of clinical trials, one controlled study and
nine observational studies were included. Animal studies showed
that BRV did not worsen cognition or behavior performance in rodents. Human studies showed that BRV had less cognitive adverse
events compared with other second or third generation ASMs. In
addition, currently available evidence suggests that behavioral disturbance is less common with BRV compared with levetiracetam.
This review revealed that BRV has a limited impact on cognition
and behavior. For patients who are intolerant to levetiracetam
and have levetiracetam-related behavioral side effects, switching
to BRV could be beneficial. However, the heterogeneity between
studies makes the quality of the evidence weak and further trials
are needed to confirm the findings.
Clinical and evolutionary features of SARS CoV-2 infection (COVID-19) in chil...komalicarol
Starting with December 2019 the medical world has faced a
new challenge as a consequence of a new type of coronavirus-2019-nCoV, similar to several familiar strains that determine
a comparable symptomatology (SARS- severe acute respiratory syndrome, MERS- Middle East severe acute respiratory syndrome), subsequently named SARS CoV-2, while the disease it
causes- COVID-19. The virus is of animal origin and through an
intermediate host (probably also a mammal) it suffered genetic
changes thus acquiring human cells receptors. In consequence,
SARS CoV-2 virus affects both children and even more frequently where it determines more severe clinical forms of disease. In
children, COVID-19 has various clinical forms, from asymptomatic ones to severe ones, complicated by multisystem inflammatory
syndrome (MIS-C Multisystem Inflammatory Syndrome – Child
or PIMS - TS (Paediatric Multisystem Inflammatory Syndrome
temporally associated with COVID-19) that sometimes can lead
to death
Viral load and antibody responses in an asymptomatic/minimally symptomatic SA...komalicarol
Asymptomatic patients with severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), are silent carriers of the disease. We
aimed to characterize their dynamics of disease occurrence, viral
shedding and antibody responses using a cohort of asymptomatic/
minimally symptomatic patients from Sri Lanka during the first
wave of COVID-19.
Vonlay; A paradigm shift in post endodontic restoration: A case report.komalicarol
Porcelain veneers have long been a popular restorative option that
have evolved into a well- accepted treatment that can be fabricated
in various ways. Onlays are another common treatment modality
used in contemporary dentistry to restore large areas of decay and
to replace old restorations. With the availability of newer highstrength materials such as lithium disilicate and processing technologies like CAD/CAM and heat pressing, dental professionals
are now able to produce highly esthetic, high-strength restorations
that blend seamlessly with the natural dentition while also withstanding posterior occlusal forces. A tooth more complex restoration is required after endodontic treatment when compared to normal tooth restoration, because of factors such as extensive caries,
post-treatment root canal dentin and even the economics condition
of the patient.One such design proposed by Dr.Ronald E Goldstein
is “Veenerlay”or “Vonlay”. Vonlay is a blend of an onlay with an
extended buccal veneer surface for use in premolar region, where
there is sufficient enamel present to bond. This restorative option
requires a much less invasive preparation than a full coverage
crown but provides the same structural benefits. Thus, the aim of
this case report is to present a case of Vonlay following endodontic
treatement of lower mandibular premol
A COVID Journey in Diabetes: T1D Diabetes Patient 44 years - Winning in Insul...komalicarol
Complications of Hypoglycaemia, Hypoglycaemia
and Neuroglycopenia are often encountered by patients treated
with insulin. It is feared by patients and families often leading to
emotional and mental scars and can affect lifestyle and confidence.
Hypoglycaemia can occur in premature babies, persons with hypopituitarism and Addison’s Disease. Low blood glucose can affect
athletes and the elderly leading to falls. Cases are individual and
often difficult for families, clinicians, lawyers and courts to understand.
Loops Around the Heart – A Giant Snakelike Right Coronary Artery Ectasia with...komalicarol
Coronary artery dilatation is an uncommon finding and is incidentally found during diagnostic coronary angiography or at necropsy.
The pathogenesis of dilatation of coronary arteries is still not very
well understood and therapeutic strategies are not clear. It is useful to know the difference between aneurysm and ectasia. In this
report we demonstrate the diagnostic workup of an asymptomatic
patient with a remarkable snakelike dilatation of the right coronary
artery with unique convolute. For the first time we used intracoronary injection and simultaneous echocardiographic visualization
of contrast agent (Sonovue) to proof a fistula to the coronary sinus.
Like our patient, most of the patients are asymptomatic in absence
of coronary artery disease and we decided on a conservative approach because of his very complex anatomy
Skull Metastasis From Papillary Thyroid Carcinoma : Case Report and Literatur...komalicarol
Although papillary thyroid carcinoma is a relatively common form of malignancy, metastatic spread to the skull
is exceptional. Here, we report a case of papillary thyroid carcinoma revealed by frontal skull metastasis.
Diabetes and Covid-19 Pandemic - A T1 Patient Perspective - Derek C Beattykomalicarol
A patient treated and cared for by NHS Scotland and NHS England
the author has in his 44 years T1D Diabetes journey experienced
surgery provided by the NHS by way of Vitrectomy, Ophthalmic
laser and correction, and Orthopedic knee correction following
a balance issue associated with IV antibiotic treatment for Otitis
Externa and Osteomyelitis associated with long term T1 Diabetes
with neuropathy. Interestingly IV antibiotic treatment led to glycemic issues offering explanation as to why on occasion glycaemia
abnormalities can occur with antibiotic treatment for infection.
Growth Charts-Curves of Children's Height - How to Construct Themkomalicarol
A person born in 1990, for example, grew to one year old on his/
her birth day in 1991 and 17 years old in 2007. No one grows
to their 17 or 20 years old instantaneously. It takes a long-capricious time of mental and physical activities to grow. As regards
children’s milk consumption, for example, school lunch programs
were put into in practice on national scale only in the late 1990s.
Those in their late adolescence in 2007 were not the beneficiaries
of free milk, when they were in primary school.
Dermatological health in the COVID-19 erakomalicarol
COVID-19 and its impact on dermatological health was reviewed
from theoretical and statistical frameworks in the present study. A
cross-sectional and retrospective work was documented with a selection of sources indexed to Scopus, considering the period from
2019 to 2022, as well as the search by keywords. Approaches were
discussed in order to outline a comprehensive model that considered the differences between the parties involved, as well as their
relationships in a risk context. The proposal contributes to the state
of the question in terms of the prediction of contingencies derived
from the probability and affectation of dermatological health
The Importance of Framing at the Beginning of an Review Dialoguekomalicarol
Long-term care of patients with chronic conditions in general practice rarely focuses on the treatment process. A specific interaction
tool, the Review Dialogue (RD), has been developed to integrate
patients’ health-related problems/risks as well as coping strategies
and to agree upon shared treatment objectives assuming that periodical RDs will help to achieve them. Initiated by the GP, the RD
changes the role expectations of the patient and doctor. Therefore,
the framing of the encounters is of particular importance.
Early detection of interstitial lung disease in asymptomatic patients with 2-...komalicarol
Pulmonary involvement is a common manifestation of Dermatomyositis (DM), the most frequent histologic pattern being Interstitial Lung Disease (ILD) which is a major contributor to
morbidity and mortality in these patients. Therefore, this disease
should be investigated and it is essential to perform pulmonary
function tests (PFTs) and High-Resolution Computed Tomography
(HRCT) early in the course of the disease to make a definitive
diagnosis. Nowadays, 2-deoxy-2-[18F] fluoro-D-glucose positron
emission tomography/computed tomography
Association between Galectin-3 and oxidative stress parameters with coronary ...komalicarol
Galectin-3 (Gal-3), as a mediator of inflammation and fibrosis, has been reported to be a biomarker of severity in
coronary artery disease (CAD). The study aimed to assess the relationships between coronary artery disease (CAD) and risk factors,
including parameters of oxidative stress in Tunisian patients CAD.
The risks of using 2,4?dinitrophenol (2,4?DNP) as a weight loss agent: a lite...komalicarol
The prevalence of obesity has steadily increased in response to
changes in diet and physical activity patterns over the past 10
years, becoming one of the leading causes of morbidity and mortality worldwide. In addition, the popularity of social networks
has increased social and cultural pressure for the search for the
“perfect body”. These factors result in the search for fast and unconventional methods of weight loss, such as the use of weight
loss accelerating drugs. 2,4-Dinitrophenol (2-4-DNP or DNP) is
an industrial chemical used to lose weight quickly. Due to its great
potential for toxicity, its use has been banned in several countries
since 1938
Height is a measure of consumption that incorporates nutritional needs: When ...komalicarol
This document summarizes research on trends in height among children in Japan and South Korea from the mid-20th century onward. It finds that as the food supply and consumption of animal proteins increased in both countries following World War II and the Korean War, children grew taller. However, Japanese children stopped growing taller in the late 1980s while South Korean children continued increasing in height until the mid-2000s, eventually surpassing Japanese children. The author questions explanations that focus only on differences in ethnicity or animal protein consumption, noting changes in consumption of other nutrients may also play a role.
Successful management of a broken stylet retained in tracheobronchial tree-a ...komalicarol
This case report describes the successful removal of a broken piece of stylet from a patient's right main bronchus during intubation for surgery. During intubation using a video laryngoscope and stylet-guided endotracheal tube, the stylet broke off in the bronchus but was not noticed. Later, a nurse observed the stylet was shorter than expected. Bronchoscopy revealed the broken stylet fragment, which was then extracted without issue. The report discusses the importance of carefully checking equipment before and after intubation procedures to prevent such foreign body issues.
Risk Analysis of Secular Trends for a Later Age at MPV of Weight in an Earthq...komalicarol
The Great East Japan Earthquake occurred in 2011, bringing unprecedented damage to the Tohoku region of Japan. Today, after 11
years, the scars from that tremendous damage remain. The health
damage to young school children has been particularly great. One
may imagine a slowing trend in physical growth from the effects
of that disaster, but no clear findings have been reported.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Managment Of Long Term Care In Era Covid-19komalicarol
COVID-19 gives the chance to address long-term care categories
that are sometimes disregarded and undervalued, such as nursing
and residential homes, as well as homecare. Each method of delivering long-term care must meet the highest possible standards
of ongoing care and quality of life. More study and evaluation are
needed to aid decision-making and policy-making, particularly on
the cost-effectiveness and cost-quality elements for each country,
region, or system.
Renal failure and Quality ofLlife Indicators in Kidney Transplantationkomalicarol
This article discusses quality of life indicators for patients undergoing kidney transplantation. It reviews several tools used to measure quality of life, including the SF-36, EQ-5D, and KDQOL questionnaires. Overall quality of life is generally improved after a successful kidney transplant compared to dialysis. However, factors like side effects of immunosuppressive drugs and the risk of rejection can still impact quality of life. The article concludes that while transplantation is associated with lower mortality and better quality of life than long-term dialysis, certain patient and treatment factors must be considered when evaluating individual quality of life outcomes.
A case of childhood Burkitt's lymphoma with gingival swelling as the first sy...komalicarol
This case report describes a 4-year-old child who presented with gingival swelling as the initial symptom of Burkitt's lymphoma. The child was eventually diagnosed with stage IV Burkitt's lymphoma/leukemia based on bone marrow and genetic testing. After initial chemotherapy, the gingival swelling and right cheek swelling recurred, indicating disease recurrence. The child received further chemotherapy but ultimately passed away half a year later. This case highlights that gingival swelling can be an early oral symptom of systemic disease like Burkitt's lymphoma. Dentists and oral physicians play an important role in identifying signs of systemic conditions through oral examinations.
Neuropsychiatric Profiles of Brivaracetam: A Literature Reviewkomalicarol
Anti-seizure medications (ASMs) can cause cognitive or behavioral adverse drug reactions, which is a significant consideration
when selecting an appropriate ASM. Brivaracetam (BRV) is a
newer synaptic vesicle protein 2A ligand, which is expected to
have less neuropsychiatric adverse effects due to its mechanism of
action. To understand the impact of BRV on cognition and behavior compared with other ASMs, we conducted literatures searching
from PubMed and MEDLINE databases. After the screening process, a total of two animal studies, one randomized controlled trial, one pooled-analysis of clinical trials, one controlled study and
nine observational studies were included. Animal studies showed
that BRV did not worsen cognition or behavior performance in rodents. Human studies showed that BRV had less cognitive adverse
events compared with other second or third generation ASMs. In
addition, currently available evidence suggests that behavioral disturbance is less common with BRV compared with levetiracetam.
This review revealed that BRV has a limited impact on cognition
and behavior. For patients who are intolerant to levetiracetam
and have levetiracetam-related behavioral side effects, switching
to BRV could be beneficial. However, the heterogeneity between
studies makes the quality of the evidence weak and further trials
are needed to confirm the findings.
Clinical and evolutionary features of SARS CoV-2 infection (COVID-19) in chil...komalicarol
Starting with December 2019 the medical world has faced a
new challenge as a consequence of a new type of coronavirus-2019-nCoV, similar to several familiar strains that determine
a comparable symptomatology (SARS- severe acute respiratory syndrome, MERS- Middle East severe acute respiratory syndrome), subsequently named SARS CoV-2, while the disease it
causes- COVID-19. The virus is of animal origin and through an
intermediate host (probably also a mammal) it suffered genetic
changes thus acquiring human cells receptors. In consequence,
SARS CoV-2 virus affects both children and even more frequently where it determines more severe clinical forms of disease. In
children, COVID-19 has various clinical forms, from asymptomatic ones to severe ones, complicated by multisystem inflammatory
syndrome (MIS-C Multisystem Inflammatory Syndrome – Child
or PIMS - TS (Paediatric Multisystem Inflammatory Syndrome
temporally associated with COVID-19) that sometimes can lead
to death
Viral load and antibody responses in an asymptomatic/minimally symptomatic SA...komalicarol
Asymptomatic patients with severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), are silent carriers of the disease. We
aimed to characterize their dynamics of disease occurrence, viral
shedding and antibody responses using a cohort of asymptomatic/
minimally symptomatic patients from Sri Lanka during the first
wave of COVID-19.
Vonlay; A paradigm shift in post endodontic restoration: A case report.komalicarol
Porcelain veneers have long been a popular restorative option that
have evolved into a well- accepted treatment that can be fabricated
in various ways. Onlays are another common treatment modality
used in contemporary dentistry to restore large areas of decay and
to replace old restorations. With the availability of newer highstrength materials such as lithium disilicate and processing technologies like CAD/CAM and heat pressing, dental professionals
are now able to produce highly esthetic, high-strength restorations
that blend seamlessly with the natural dentition while also withstanding posterior occlusal forces. A tooth more complex restoration is required after endodontic treatment when compared to normal tooth restoration, because of factors such as extensive caries,
post-treatment root canal dentin and even the economics condition
of the patient.One such design proposed by Dr.Ronald E Goldstein
is “Veenerlay”or “Vonlay”. Vonlay is a blend of an onlay with an
extended buccal veneer surface for use in premolar region, where
there is sufficient enamel present to bond. This restorative option
requires a much less invasive preparation than a full coverage
crown but provides the same structural benefits. Thus, the aim of
this case report is to present a case of Vonlay following endodontic
treatement of lower mandibular premol
A COVID Journey in Diabetes: T1D Diabetes Patient 44 years - Winning in Insul...komalicarol
Complications of Hypoglycaemia, Hypoglycaemia
and Neuroglycopenia are often encountered by patients treated
with insulin. It is feared by patients and families often leading to
emotional and mental scars and can affect lifestyle and confidence.
Hypoglycaemia can occur in premature babies, persons with hypopituitarism and Addison’s Disease. Low blood glucose can affect
athletes and the elderly leading to falls. Cases are individual and
often difficult for families, clinicians, lawyers and courts to understand.
Loops Around the Heart – A Giant Snakelike Right Coronary Artery Ectasia with...komalicarol
Coronary artery dilatation is an uncommon finding and is incidentally found during diagnostic coronary angiography or at necropsy.
The pathogenesis of dilatation of coronary arteries is still not very
well understood and therapeutic strategies are not clear. It is useful to know the difference between aneurysm and ectasia. In this
report we demonstrate the diagnostic workup of an asymptomatic
patient with a remarkable snakelike dilatation of the right coronary
artery with unique convolute. For the first time we used intracoronary injection and simultaneous echocardiographic visualization
of contrast agent (Sonovue) to proof a fistula to the coronary sinus.
Like our patient, most of the patients are asymptomatic in absence
of coronary artery disease and we decided on a conservative approach because of his very complex anatomy
Skull Metastasis From Papillary Thyroid Carcinoma : Case Report and Literatur...komalicarol
Although papillary thyroid carcinoma is a relatively common form of malignancy, metastatic spread to the skull
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Diabetes and Covid-19 Pandemic - A T1 Patient Perspective - Derek C Beattykomalicarol
A patient treated and cared for by NHS Scotland and NHS England
the author has in his 44 years T1D Diabetes journey experienced
surgery provided by the NHS by way of Vitrectomy, Ophthalmic
laser and correction, and Orthopedic knee correction following
a balance issue associated with IV antibiotic treatment for Otitis
Externa and Osteomyelitis associated with long term T1 Diabetes
with neuropathy. Interestingly IV antibiotic treatment led to glycemic issues offering explanation as to why on occasion glycaemia
abnormalities can occur with antibiotic treatment for infection.
Growth Charts-Curves of Children's Height - How to Construct Themkomalicarol
A person born in 1990, for example, grew to one year old on his/
her birth day in 1991 and 17 years old in 2007. No one grows
to their 17 or 20 years old instantaneously. It takes a long-capricious time of mental and physical activities to grow. As regards
children’s milk consumption, for example, school lunch programs
were put into in practice on national scale only in the late 1990s.
Those in their late adolescence in 2007 were not the beneficiaries
of free milk, when they were in primary school.
Dermatological health in the COVID-19 erakomalicarol
COVID-19 and its impact on dermatological health was reviewed
from theoretical and statistical frameworks in the present study. A
cross-sectional and retrospective work was documented with a selection of sources indexed to Scopus, considering the period from
2019 to 2022, as well as the search by keywords. Approaches were
discussed in order to outline a comprehensive model that considered the differences between the parties involved, as well as their
relationships in a risk context. The proposal contributes to the state
of the question in terms of the prediction of contingencies derived
from the probability and affectation of dermatological health
The Importance of Framing at the Beginning of an Review Dialoguekomalicarol
Long-term care of patients with chronic conditions in general practice rarely focuses on the treatment process. A specific interaction
tool, the Review Dialogue (RD), has been developed to integrate
patients’ health-related problems/risks as well as coping strategies
and to agree upon shared treatment objectives assuming that periodical RDs will help to achieve them. Initiated by the GP, the RD
changes the role expectations of the patient and doctor. Therefore,
the framing of the encounters is of particular importance.
Early detection of interstitial lung disease in asymptomatic patients with 2-...komalicarol
Pulmonary involvement is a common manifestation of Dermatomyositis (DM), the most frequent histologic pattern being Interstitial Lung Disease (ILD) which is a major contributor to
morbidity and mortality in these patients. Therefore, this disease
should be investigated and it is essential to perform pulmonary
function tests (PFTs) and High-Resolution Computed Tomography
(HRCT) early in the course of the disease to make a definitive
diagnosis. Nowadays, 2-deoxy-2-[18F] fluoro-D-glucose positron
emission tomography/computed tomography
Association between Galectin-3 and oxidative stress parameters with coronary ...komalicarol
Galectin-3 (Gal-3), as a mediator of inflammation and fibrosis, has been reported to be a biomarker of severity in
coronary artery disease (CAD). The study aimed to assess the relationships between coronary artery disease (CAD) and risk factors,
including parameters of oxidative stress in Tunisian patients CAD.
The risks of using 2,4?dinitrophenol (2,4?DNP) as a weight loss agent: a lite...komalicarol
The prevalence of obesity has steadily increased in response to
changes in diet and physical activity patterns over the past 10
years, becoming one of the leading causes of morbidity and mortality worldwide. In addition, the popularity of social networks
has increased social and cultural pressure for the search for the
“perfect body”. These factors result in the search for fast and unconventional methods of weight loss, such as the use of weight
loss accelerating drugs. 2,4-Dinitrophenol (2-4-DNP or DNP) is
an industrial chemical used to lose weight quickly. Due to its great
potential for toxicity, its use has been banned in several countries
since 1938
Height is a measure of consumption that incorporates nutritional needs: When ...komalicarol
This document summarizes research on trends in height among children in Japan and South Korea from the mid-20th century onward. It finds that as the food supply and consumption of animal proteins increased in both countries following World War II and the Korean War, children grew taller. However, Japanese children stopped growing taller in the late 1980s while South Korean children continued increasing in height until the mid-2000s, eventually surpassing Japanese children. The author questions explanations that focus only on differences in ethnicity or animal protein consumption, noting changes in consumption of other nutrients may also play a role.
Successful management of a broken stylet retained in tracheobronchial tree-a ...komalicarol
This case report describes the successful removal of a broken piece of stylet from a patient's right main bronchus during intubation for surgery. During intubation using a video laryngoscope and stylet-guided endotracheal tube, the stylet broke off in the bronchus but was not noticed. Later, a nurse observed the stylet was shorter than expected. Bronchoscopy revealed the broken stylet fragment, which was then extracted without issue. The report discusses the importance of carefully checking equipment before and after intubation procedures to prevent such foreign body issues.
Risk Analysis of Secular Trends for a Later Age at MPV of Weight in an Earthq...komalicarol
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years, the scars from that tremendous damage remain. The health
damage to young school children has been particularly great. One
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Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
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Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) CosmeticsMuskanShingari
Acne is a common skin condition that occurs when hair follicles become clogged with oil and dead skin cells. It typically manifests as pimples, blackheads, or whiteheads, often on the face, chest, shoulders, or back. Acne can range from mild to severe and may cause emotional distress and scarring in some cases.
**Causes:**
1. **Excess Oil Production:** Hormonal changes during adolescence or certain times in adulthood can increase sebum (oil) production, leading to clogged pores.
2. **Clogged Pores:** When dead skin cells and oil block hair follicles, bacteria (usually Propionibacterium acnes) can thrive, causing inflammation and acne lesions.
3. **Hormonal Factors:** Fluctuations in hormone levels, such as during puberty, menstrual cycles, pregnancy, or certain medical conditions, can contribute to acne.
4. **Genetics:** A family history of acne can increase the likelihood of developing the condition.
**Types of Acne:**
- **Whiteheads:** Closed plugged pores.
- **Blackheads:** Open plugged pores with a dark surface.
- **Papules:** Small red, tender bumps.
- **Pustules:** Pimples with pus at their tips.
- **Nodules:** Large, solid, painful lumps beneath the surface.
- **Cysts:** Painful, pus-filled lumps beneath the surface that can cause scarring.
**Treatment:**
Treatment depends on the severity and type of acne but may include:
- **Topical Treatments:** Such as benzoyl peroxide, salicylic acid, or retinoids to reduce bacteria and unclog pores.
- **Oral Medications:** Antibiotics or oral contraceptives for hormonal acne.
- **Procedures:** Such as chemical peels, extraction of comedones, or light therapy for more severe cases.
**Prevention and Management:**
- **Cleanse:** Regularly wash skin with a gentle cleanser.
- **Moisturize:** Use non-comedogenic moisturizers to keep skin hydrated without clogging pores.
- **Avoid Irritants:** Such as harsh cosmetics or excessive scrubbing.
- **Sun Protection:** Use sunscreen to prevent exacerbation of acne scars and inflammation.
Acne treatment can take time, and consistency in skincare routines and treatments is crucial. Consulting a dermatologist can help tailor a treatment plan that suits individual needs and reduces the risk of scarring or long-term skin damage.
- Video recording of this lecture in English language: https://youtu.be/RvdYsTzgQq8
- Video recording of this lecture in Arabic language: https://youtu.be/ECILGWtgZko
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)MuskanShingari
Skin is the largest organ of the human body, serving crucial functions that include protection, sensation, regulation, and synthesis. Structurally, it consists of three main layers: the epidermis, dermis, and hypodermis (subcutaneous layer).
1. **Epidermis**: The outermost layer primarily composed of epithelial cells called keratinocytes. It provides a protective barrier against environmental factors, pathogens, and UV radiation.
2. **Dermis**: Located beneath the epidermis, the dermis contains connective tissue, blood vessels, hair follicles, and sweat glands. It plays a vital role in supporting and nourishing the epidermis, regulating body temperature, and housing sensory receptors for touch, pressure, temperature, and pain.
3. **Hypodermis**: Also known as the subcutaneous layer, it consists of fat and connective tissue that anchors the skin to underlying structures like muscles and bones. It provides insulation, cushioning, and energy storage.
Skin performs essential functions such as regulating body temperature through sweat production and blood flow control, synthesizing vitamin D when exposed to sunlight, and serving as a sensory interface with the external environment.
Maintaining skin health is crucial for overall well-being, involving proper hygiene, hydration, protection from sun exposure, and avoiding harmful substances. Skin conditions and diseases range from minor irritations to chronic disorders, emphasizing the importance of regular care and medical attention when needed.
Congestive Heart failure is caused by low cardiac output and high sympathetic discharge. Diuretics reduce preload, ACE inhibitors lower afterload, beta blockers reduce sympathetic activity, and digitalis has inotropic effects. Newer medications target vasodilation and myosin activation to improve heart efficiency while lowering energy requirements. Combination therapy, following an assessment of cardiac function and volume status, is the most effective strategy to heart failure care.
Selective alpha1 blockers are Prazosin, Terazosin, Doxazosin, Tamsulosin and Silodosin majorly used to treat BPH, also hypertension, PTSD, Raynaud's phenomenon, CHF
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
Colopleural Fistula. A Case Report and Review of Literature
1. Annals of Clinical and Medical
Case Reports
ISSN 2639-8109
Case Report
Colopleural Fistula. A Case Report and Review of Literature
Quiroz-Guadarrama CD1
, Luna-Guerrero CE2
, Lopez-Rico LA2
and Vargas-Flores E3, *
1
Hospital General de Zona 2. IMSS. Hermosillo, Sonora
2
Hospital General de Zona 5. IMSS. Hermosillo, Sonora
3
Hospital General Dr. Manuel Gea González. Mexico City
2. Key Words:
Colopleural Fistula; Colonic Fistula;
Fistula
1. Abstract
The presence of a colopleural fistula is a rare event related to several factors, inadequate placement
of drains, poor surgical technique, infection or dehiscence of a GI anastomosis. Only a small
percentage occurs as a complication of inflammatory bowel disease, cancer, trauma or radiation.
We report the case of a young male patient presenting with a colopleural fistula associated with
penetrating abdominal trauma and multiple surgical interventions.
The principles in the management of gastrointestinal fistulas (resuscitation, biochemical workup,
definitive treatment, and rehabilitation), continue to be valid as a standard on the medical and
surgical decision-making protocol of this clinicalproblem.
3. Introduccion
Gastrointestinal fistulas represent abnormal communication be-
tween two epithelized surfaces, they generally receive their name
according to their anatomical components and the manifestations
depend on the affected structures.
A fistula formation affects the clinical evolution and outcomes of
the patient, due in large part to sepsis and malnutrition, resulting
in a clinical decline of the quality of life in the psychological, social
and occupational aspects [1].
Approximately 80% of gastrointestinal fistulas occur as a surgical
complication of recent abdominal surgery, caused by a wide variety
of factors, including inappropriate surgical technique, inadequate
placement of drains, infectious process, and dehiscence of the
anastomosis. However, in a lower percentage, they are a not un-
common manifestation of the progression of inflammatory bowel
disease, cancer, and radiotherapy[2].
We present the case of a male patient in the second decade of life
with a colopleural fistula associated with penetrating abdominal
trauma and multiple surgical reoperations secondary to abdominal
sepsis. We analyze the main risk factors, clinical presentation as
well as the medical and surgicalapproach.
4. Case Report
A 17-year-old patient is referred to our surgical clinic with a diag-
nosis of enterocutaneous fistula. His past medical history reveals
a history of penetrating abdominal gunshot trauma, multiple ab-
dominal surgical interventions due to abdominal sepsis, and the di-
agnosis of enterocutaneous fistula. A CT scan of the thorax showed
a left pleural effusion (Figure 1). He required ICU management for
30 days. Upon his arrival at our clinic, the patient was on an open
abdomen with a tube thoracostomy draining purulent material.
Clinical and biochemical signs of severe sepsis were present. Upon
his arrival, initial management included aggressive 1intravenous
fluid resuscitation and imaging studies showed the presence of a
left colopleural fistula (Figure 2) and a colonoscopy later showed
the presence of a communication between the colon and the pleu-
ral space (Figure 3). Conservative treatment was started, including
total parenteral nutrition, intravenous hydration, and antibiotics.
The patient later presented clinical signs of intestinal obstruction
which required an exploratory laparotomy with a transverse co-
lostomy, thoracotomy, and left hemithorax decortication. He had
an uneventful surgical evolution that resulted in discharge from
the hospital after the clinical resolution of the above mentioned
medical problems.
*CorrespondingAuthor(s):Edgar Vargas-Flores, Hospital General Dr.Manuel GeaGonzález.
Tlalpan 14000. Mexico city, Mexico, E-mail: eddgar868@gmail.com
http://www.acmcasereport.com/
Citation: Quiroz-Guadarrama CD,ColopleuralFistula. ACaseReportandReviewofLiterature.
Annals of Clinical and Medical Case Reports. 2020; 3(5): 1-3.
Volume 3 Issue 5- 2020
Received Date: 24 Apr 2020
Accepted Date: 04 May2020
Published Date: 07 May 2020
3. Volume 3 Issue 5-2020 Case Report
In 1989 Sinha et al 1989 reported the case of a 50-year-old patient,
who presented with a tension pneumothorax, an endopleural tube
was placed, draining fecal material. it was decided to perform an
exploratory laparotomy finding a strangled Bochdalek hernia. He
had a history of intermittent abdominal pain, pain in the right
hemithorax, and respiratory distress of a couple of weeks of evo-
lution [10].
Haleem and Khan in 2008 reported the case of a 28-year-old and
a 24 weeks of gestation pregnant woman, who presented with a
3-day onset acute right chest pain and respiratory distress. Past
medical history revealed a right partial hepatic lobectomy and
open cholecystectomy 2 years before presentation. Chest x rays re-
vealed a right pleural effusion. A thoracic CT scan was performed,
observing a right colo-pleural communication[4].
Papagiannopoulos, et al. reported the case of a 46-year-old patient
who underwent surgery for a perforated colonic diverticulum
complicated by an abscess. Two months later, he presented with
complaints of fever, abdominal pain in the left upper quadrant and
left hemithorax accompanied by weight loss. A thoracoabdominal
CT scan showed colopleural communication[5].
Radin et al. Reported the case of a patient who, after 4 years of be-
ing treated for a stab wound in the left hemithorax, presented with
tension pneumothorax, secondary to a strangled diaphragmatic
hernia [6].
The aforementioned cases, like our patient, showed signs of hydro-
thorax and drainage of fecaloid material through the pleural tube.
The presentation of the colopleural fistula in the cases reported in
the literature was late, (2-5 weeks after the initial trauma) however,
our patient developed the fistula earlier. Surgical treatment in all
three depicted cases was on an urgent basis, with thoracotomy, de-
cortication, and thoracic drainage being performed. A colectomy
of the compromised segment and a proximal colostomy was per-
formed, however, we opted for a more conservative management,
performing thoracotomy, decortication, and chest drainage (with
decreasing fistula output), control of sepsis, and significant clini-
cal improvement. However, after 6 weeks of medical management,
he presented intestinal obstruction, requiring urgent surgery, per-
forming a diaphragmatic myoplasty, a transverse colectomy, proxi-
mal colostomy, and a distalclosure.
6. Conclusion
The presence of a colopleural fistula is a rare entity and is seldom
reported in the medical literature. The principles in the manage-
ment of gastrointestinal fistulas (resuscitation, biochemical work-
up, definitive treatment, and rehabilitation), continue to be valid as
a standard on the medical and surgical decision-making protocol
of this clinical problem.
References
1. Pickhardt PJ, Bhalla S, Balfe DM. Acquired gastrointestinal fistulas:
Classification, etiologies, and imaging evaluation. Radiology. 2002;
224: 9-2.
2. Hwan KS, Hyeong OJ,Jung KH. Interventional management of gas-
trointestinal fistulas. Korean J Radiol. 2008; 9: 541-9.
3. Reddy SA, Vemuru R, Padmanabhan K, Steinheber FU. Colopleural
fistula presenting as tension pneumothorax in strangulated diaphrag-
matic hernia: Report of a case. Dis Colon Rectum. 1989; 32: 165-8.
4. Haleem AA, Khan FY, Almuzrakhshi AM, Zeer HE, Rasul FA. Col-
opleural fistula: Case report and review of the literature. Annals of
Thoracic Medicine. 2007; 3: 122-4.
5. Papagiannopoulos K, Gialvalis D, Dodo I, Darby MJ. Empyema
resulting from a true colopleural fistula complicating a perforated
sigmoid diverticulum. Ann Thorac Surg. 2004; 77:324-6.
6. Radin DR, Ray MJ, Halls JM. Strangulated diaphragmatic hernia
with pneumothorax due to colopleural fistula. AJR Am J Roentgenol.
1986; 146: 321-2.
7. Lacayo L, Taveras JM, Sosa N, Ratzan KR. Tension fecal pneumo-
thorax in a postpartum patient. Chest. 1993; 103: 950-1.
8. Seelig MH, Klingler PJ, Schonleben K. Tension fecopneumothorax
due to colonic perforation in a diaphragmatic hernia. Chest. 1999;
115: 288-91.
9. Barišiæ G, Krivokapiæ Z, Adžiæ T,Pavloviæ A, Popoviæ M, Gojniæ
M. Fecopneumothorax and colopleural fistula – uncommon compli-
cations of Crohn’s disease. BMC Gastroenterology 2006;6
10. Sinha M, Gibbons P,Kennedy SC, Matthews HR. Colopleural fistula
due to strangulated Bochdalek hernia in an adult. Thorax 1989; 44:
762-3.
http://www.acmcasereport.com/ 3