Abscess/etiology* ; Humans ; Myocardial Infarction/complications*

Pylephlebitis usually occurs secondary to infection in the region drained by the portal venous system. A most common antesecent focus of infection is diverticulitis and the most common blood isolate is E. coli (54%), followed by Proteus mirabilis (23%). Overall mortality is 32% and most of the patients who had died had severe sepsis prior to the initiation of antibiotic therapy. We describe a case of pylephlebitis which had appendicitis and consequent septic thrombosis of the portal vein and its branches, with dissemination of infection to the liver. The patient had recovered due to timely antibiotic treatment alone and resulted in complete resolution. Early diagnosis and treatment are basic to a favorable clinical course.
Adult ; Appendicitis/complications* ; Case Report ; Human ; Liver Abscess/etiology ; Male ; Portal Vein* ; Sepsis/etiology ; Thrombophlebitis/etiology*

Humans ; Infant, Newborn ; Male ; Ranula ; Retropharyngeal Abscess ; etiology ; Thyroglossal Cyst

OBJECTIVETo investigate the clinical characteristics and treatment strategies of severe complications induced by esophageal foreign bodies.

METHODSThe clinical data of 44 patients with severe complications of esophageal foreign bodies treated from July 2004 to July 2014 were retrospectively analyzed. The type of complications was recorded.

RESULTSThe ratio of severe complications in patients with esophageal foreign bodies was 9.05% (44/486). The most common type of foreign body was animal bone, with a total of 34 cases (77.3%); Onset of the disease were 2-40 days, mostly above 6 days, accounting for 61.4%. Severe complications of esophageal foreign bodies included 16 cases (36.3%) of simple esophageal perforation or combined with esophageal regional inflammation, 14 cases (31.8%) of cervical abscess, 7 cases (15.9%) of abscess around esophagus, 3 cases (6.8%) of mediastinal abscess, one case (2.3%) of cervical subcutaneous emphysema, one case of tracheoesophageal fistula, one case (2.3%) of aortic fracture, and one case (2.3%) of subclavian artery pseudoaneurysm. Among the 44 patients with severe complications, 40 patients (90.9%) were cured and 3 patients (6.8%) died. One case didn't receieve treatment.

CONCLUSIONSOccurrence of the severe complications induced by esophageal foreign bodies is closely related to the type of foreign bodies and time before presentation. Early diagnosis and prompt treatments for esophageal foreign bodies are crucial for preventing of severe complications.

Abscess ; etiology ; Esophageal Perforation ; etiology ; Foreign Bodies ; complications ; pathology ; Humans ; Neck ; pathology ; Retrospective Studies ; Subcutaneous Emphysema ; etiology ; Tracheoesophageal Fistula ; etiology

Spontaneous rupture of colon cancer, combined with psoas abscess formation, is rare. A 44-year-old male visited for back pain and left buttock mass. Abdominal computed tomography and magnetic resonance image revealed a large abscess in the left psoas muscle and in the left lower quadrant area. Ten days after incision and drainage, a skin defect around the left anterior superior iliac spine remained. A local flap was performed using a superficial skin graft. Ten days after the stitches had been removed, fecal discharge was observed around the anterior superior iliac spine at the flap site. An operation was performed by a general surgeon who had diagnosed this as a case of enterocutaneous fistula. Operative findings included a ruptured tumor mass in the descending colon, which was connected to a retroperitoneal abscess. Pathologic report findings determined adenocarcinoma of the resected colon. Herein, we report a case of psoas abscess resulting from perforating colon cancer.
Adult ; Colonic Neoplasms/*complications ; Humans ; Male ; Psoas Abscess/*etiology ; Rupture, Spontaneous/complications ; Streptococcal Infections/*etiology

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

Abscess ; etiology ; Epididymitis ; complications ; Genital Diseases, Male ; etiology ; Humans ; Infant, Newborn ; Male ; Scrotum ; pathology

Abscess ; etiology ; surgery ; Drainage ; methods ; Endoscopy ; Humans ; Male ; Middle Aged ; Nose ; surgery ; Orbital Diseases ; etiology ; surgery

Abscess ; etiology ; Female ; Humans ; Middle Aged ; Orbital Diseases ; etiology ; Postoperative Complications ; Sinusitis ; surgery

Asphyxia ; etiology ; therapy ; Humans ; Male ; Middle Aged ; Retropharyngeal Abscess ; complications ; therapy ; Subphrenic Abscess ; complications ; therapy ; Treatment Outcome