Abscess ; diagnosis ; etiology ; Humans ; Male ; Middle Aged ; Tracheal Diseases ; diagnosis ; etiology ; Tracheostomy ; adverse effects

Female ; Humans ; Infant ; Psoas Abscess ; diagnosis ; drug therapy ; etiology ; Tuberculosis ; complications ; diagnosis ; drug therapy

Abscess/diagnosis* ; Cardiac Tamponade/etiology* ; Humans ; Klebsiella Infections/diagnosis* ; Klebsiella pneumoniae ; Mediastinal Diseases/diagnostic imaging*

Despite the increased recognition of surgical problems related to cardiac catheterization, splenic abscess has not been perceived as a common complication. The authors encountered a case of splenic abscess following PTCA in a 61-year old male patient. The major symptom was insidious general malaise. Fever and tenderness in the left upper quadrant of the abdomen were the only positive physical findings. Gram positive anaerobic Streptococci intermedius was indentified as the pathogen in cultures of the ultrasonography-guided aspirate from the splenic abscess. Ultrasonography and abdominal CT scan were diagnostic of the splenic abscess. The patient recovered following a splenectomy.
Abscess/diagnosis/*etiology ; Angioplasty, Balloon/*adverse effects ; Case Report ; Coronary Vessels/surgery ; Human ; Male ; Middle Age ; Splenic Diseases/diagnosis/*etiology

Brain Abscess ; diagnosis ; etiology ; therapy ; Cerebellar Diseases ; diagnosis ; etiology ; therapy ; Ear Diseases ; complications ; Humans ; Male ; Young Adult

Adult ; Brenner Tumor ; complications ; diagnostic imaging ; Female ; Humans ; Psoas Abscess ; diagnosis ; diagnostic imaging ; etiology ; Radiography

Brain Abscess ; etiology ; Child ; Humans ; Hypopigmentation ; complications ; diagnosis ; Male ; Tomography, X-Ray Computed

Crohn disease (CD) is a chronic inflammatory disease involving the entire digestive tract and non-perianal fistula is the most serious surgical complication of CD. The goal of treatment is to cure intestinal fistula and intra-abdominal infection, restore the continuity of digestive tract, reduce postoperative recurrence, and improve the quality of life. Evaluation of nutritional status, especially during perioperative period, is important and nutrition support for malnutritional CD patients is necessary. Full assessment of non-perianal fistula and promotion of self-healing is the principal treatment, and surgical drainage combined with enteral nutrition may be a feasible treatment. Trocar puncture with sump drain is recommended to control intra-abdominal abscess. Surgical treatment of enterocutaneous fistula, enteroenteric fistula, enterovesical fistula or enterogynaecological fistula should be considered if medical treatment, nutrition support and surgical drainage fail. Laparoscopic surgery is recommended for patients with mild adhesion of non-perianal fistulating CD. Postoperative medical treatment and risk assessment should be carried out to reduce postoperative recurrence of CD and fistula.
Abdominal Abscess ; etiology ; therapy ; Consensus ; Crohn Disease ; complications ; diagnosis ; therapy ; Drainage ; Humans ; Quality of Life ; Rectal Fistula ; etiology ; therapy

Usual sources of subphrenic abscess with intestinal fistula are previous abdominal operation, inflammatory bowel disease and malignancy. Reported cases of intestinal fistula caused by adenocarcinoma were complicated by direct invasion. In this report, a 70-year-old male had a subphrenic abscess with intestinal fistula and the cause was a metastatic adenocarcinoma of unknown origin. As far as we know, this has not been reported previously in the literatures. The abscess went on chronic course for six months because intermittent administration of antibiotics modified its clinical presentation. The fistulous tract between the abscess and ileum was demonstrated by tubogram via the drainage catheter in abscess. The patient underwent surgical treatment because the cause of fistula was obscure. Invasion of the ileum by metastatic adenocarcinoma was diagnosed by the histologic examination of surgical specimen. Therefore, when a fistula develops without any apparent cause, there is a possibility of malignancy, and surgical approach must be considered. An early surgical approach will prevent the delay in treatment and reduce the mortality.
Adenocarcinoma/complications/diagnosis/*secondary ; Aged ; English Abstract ; Humans ; Ileal Diseases/diagnosis/*etiology ; Ileal Neoplasms/complications/diagnosis/*secondary ; Intestinal Fistula/diagnosis/*etiology ; Male ; *Neoplasms, Unknown Primary ; Subphrenic Abscess/diagnosis/*etiology

Abscess ; diagnosis ; etiology ; Adenocarcinoma ; complications ; diagnosis ; Colorectal Neoplasms ; complications ; diagnosis ; Diagnosis, Differential ; Diverticulitis, Colonic ; complications ; diagnosis ; Female ; Follow-Up Studies ; Humans ; Intestinal Perforation ; diagnosis ; etiology ; Laparotomy ; methods ; Male ; Middle Aged ; Sigmoid Neoplasms ; complications ; diagnosis ; Tomography, X-Ray Computed ; methods