Assuntos
Transtornos da Coagulação Sanguínea/diagnóstico , Testes de Coagulação Sanguínea/economia , Fidelidade a Diretrizes/estatística & dados numéricos , Programas de Rastreamento/economia , Procedimentos Desnecessários/economia , Humanos , Auditoria Médica , Guias de Prática Clínica como Assunto , Cuidados Pré-Operatórios/economia , Procedimentos Cirúrgicos OperatóriosRESUMO
Spontaneous rupture of the biliary system is a well documented condition in infants but is rare in adults. We report the case of a 73-year-old gentleman who presented with clinical signs and symptoms mimicking that of a strangulated right inguinal hernia. At emergency operation the scrotum was found to contain bile. Following radiological imaging and exploratory surgery, a large retroperitoneal biloma was found. We discuss the clinical signs associated with biliscrotum and retroperitoneal biloma and describe our operative management of this patient. We review the previously reported cases of these rare clinical entities. We found that our case exhibited similarities in terms of the age of presentation and presence of distal common bile duct stones. This is, to our knowledge, the only reported case of a patient presenting with biliscrotum secondary to the assumed spontaneous rupture of the common bile duct and development of a retroperitoneal biloma.
Assuntos
Doenças dos Ductos Biliares/diagnóstico , Bile , Hérnia Inguinal/diagnóstico , Espaço Retroperitoneal , Escroto , Idoso , Cálculos Biliares/diagnóstico , Humanos , Masculino , Ruptura EspontâneaRESUMO
A protocol was developed for the analysis of volatile short chain fatty acids in microsamples of feces, short chain fatty acid (SCFA) extraction was from fecal samples using ethanol incorporating n-hexanoic acid as an internal standard. The SCFAs were converted to pentafluorobenzyl esters with alpha-2,3,4,5,6-pentafluorotoluene and analyzed on a gas-liquid chromatograph equipped with an electron capture detector. One hundred milligrams of sample was routinely used but analysis could be carried out on 20 mg of sample.
Assuntos
Ácidos Graxos não Esterificados/análise , Fezes/química , Animais , Benzoatos , Caproatos , Cromatografia Gasosa/métodos , Ésteres , Indicadores e Reagentes , Masculino , Ratos , Ratos WistarRESUMO
The case of a 5-year-old girl with acute abdominal pain due to torsion and infarction of the left fallopian tube and ovary is presented. The diagnostic problems in this situation are discussed.