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1.
West Indian med. j ; 48(1): 26-8, Mar. 1999.
Artigo em Inglês | MedCarib | ID: med-1239

RESUMO

28 cases of necrotising enterocolitis (NEC) comprising 11 term and 17 preterm patients were diagnosed between January 1990 and December 1995 at the University Hospital of the West Indies (UHWI). Treatment was in accordance with a management protocol which emphasised aggressive screening of potential cases, early laparotomy for bowel perforation and primary anastomosis after small bowel resection. There were three deaths among the 13 cases of bowel perforation. Centres in developing countries can achieve rates of survival comparable to those in the developed world in babies with NEC weighing over 1000 grams by adopting the UHWI management protocol.(AU)


Assuntos
Estudo Comparativo , Feminino , Humanos , Recém-Nascido , Masculino , Países em Desenvolvimento , Enterocolite Pseudomembranosa/terapia , Anastomose Cirúrgica , Causas de Morte , Protocolos Clínicos , Enterocolite Pseudomembranosa/cirurgia , Recém-Nascido de Baixo Peso , Recém-Nascido Prematuro , Intestino Delgado/cirurgia , Perfuração Intestinal/terapia , Perfuração Intestinal/cirurgia , Laparotomia , Programas de Rastreamento , Estudos Retrospectivos , Taxa de Sobrevida , Índias Ocidentais
2.
West Indian med. j ; 38(2): 110-3, June 1989.
Artigo em Inglês | MedCarib | ID: med-9858

RESUMO

Two patients with high voltage electrical injury involving the trunk are presented. Both injuries were complicated by visceral damage; and one patient died from sepsis secondary to bowel perforation. The rarity of this complication is examined in light of the pathophysiology of electrical injury; and its management is discussed with reference to previously published reports on this condition. (AM)


Assuntos
Humanos , Pessoa de Meia-Idade , Masculino , Queimaduras por Corrente Elétrica/complicações , Traumatismos por Eletricidade/complicações , Perfuração Intestinal/etiologia , Doenças Profissionais/complicações , Queimaduras por Corrente Elétrica/fisiopatologia , Traumatismos por Eletricidade/fisiopatologia , Perfuração Intestinal/complicações
3.
West Indian med. j ; 33(2): 123-5, June 1984.
Artigo em Inglês | MedCarib | ID: med-11481

RESUMO

A case report is presented of a mixed bezoar, composed of hair and carpet, occurring in a Negro toddler. The tail of the bezoar had progressed into the small bowel, giving rise to necrosis, perforation and peritonitis before removal of the mass and bowel resection led to a favourable outcome. The unusual features of the case are stressed (AU)


Assuntos
Pré-Escolar , Feminino , Humanos , Bezoares/patologia , Intestino Delgado , Bezoares/complicações , Bezoares/cirurgia , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Peritonite/etiologia , Trinidad e Tobago
4.
Trans R Soc Trop Med Hyg ; 73(2): 183-4, 1979.
Artigo em Inglês | MedCarib | ID: med-7821

RESUMO

Two cases of intestinal perforation in association with ascariasis are described. In both cases adult ascarids were found either in the gut or lying free in the peritoneal cavity. Neither patient had typhoid fever, one had Hodgkin's lymphoma. The authors believe that the perforations were directly caused by the ascarids. Both patients died (Summary)


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Ascaríase/complicações , Íleo , Perfuração Intestinal/etiologia , Ascaríase/mortalidade , Doença de Hodgkin/complicações , Perfuração Intestinal/mortalidade
5.
West Indian med. j ; 14(1): 53-6, Mar. 1965.
Artigo em Inglês | MedCarib | ID: med-10729

RESUMO

(1) Make a confident diagnosis on the acute abdomen before giving any antibiotic. (2) When in doubt at the first examination re-examine the patient six to twelve hours later and do not give the patient any drug in the interval. (3) Abdominal pain which disappears in six hours is not of inflammatory origin. (4) The treatment of acute appendicitis is appendicectomy, not antibiotics. (5) Antibiotics reduce morbidity and mortality only if given as part of planned treatment for diagnosed pathology. (6) A solid inflammatory appendix mass can be removed. (7) An appendix abscess should be drained. If the appendix presents itself it may be removed at the time or safely left until later. If the appendix is seen of if the patient is ill, simple drainage is best, followed in six to twelve weeks by an interval appendicectomy. This avoids complications due to surgery on an oedematous caecum such as fistula or peritonitis. (8) The diagnosis of acute appendicitis is not always easy, as it may mimic other diseases, so it should never be forgotten (AU)


Assuntos
Humanos , Adulto , Masculino , Feminino , Apendicite/diagnóstico , Apendicite/tratamento farmacológico , Perfuração Intestinal/diagnóstico , Perfuração Intestinal/tratamento farmacológico , Ruptura Espontânea
6.
West Indian med. j ; 13(4): 233-6, Dec. 1964.
Artigo em Inglês | MedCarib | ID: med-10300

RESUMO

The details of three cases are presented in which surgical emergencies arose during the course of pregnancy. These consisted of torsion of the spleen, traumatic rupture of the spleen and a volvulus with internal hernia involving large and small bowel. Details of management are discussed as well as the implications of such conditions during pregnancy. (AU)


Assuntos
Humanos , Gravidez , Adulto , Feminino , Abdome Agudo/complicações , Resultado da Gravidez , Abdome Agudo/diagnóstico , Abdome Agudo/cirurgia , Esplenectomia , Ruptura Esplênica , Laparotomia , Intestinos , Perfuração Intestinal
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