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1.
Khirurgiia (Mosk) ; (1): 53-60, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-31994500

RESUMEN

OBJECTIVE: To assess position of mesh endoprosthesis in retroperitoneal space after TARR hernioplasty using ultrasound in early and long-term postoperative period. MATERIAL AND METHODS: There were 30 patients with inguinal hernias after TARR procedure. Standard technology of laparoscopic transabdominal preperitoneal hernioplasty was used in all patients. In all cases, a large-pore monofilament polypropylene mesh 10x15 cm was used. Control examination and ultrasound of the mesh implant were performed the next day, in 1, 3, 6, 12 months after surgery. Correct position of the implant was determined by its placement at the level of pubic bone with complete overlap of posterior wall of the inguinal canal and inner ring. RESULTS: US-image of the implant is present in two geometric forms - linear and sinusoid. The shape of prosthesis varies depending on postoperative period and the use of fixing elements. Thus, sinusoidal shape of prosthesis was observed in patients without fixation of prosthesis the next day and in 1 month after TARR. Geometry of the implant acquired the form of a straight line after 3 months and became almost a straight line in 12 months after surgery. Linear shape of prosthesis in early postoperative period was found after intraoperative fixation of endoprosthesis. Sinusoidal shape is noted after 3 months. Ultrasonic pattern of endoprosthesis looked as a thin hyperechoic band with thickness of 1.2-3.9 mm. Mean thickness of prosthesis was 2.2±0.1 mm the next day after surgery, 2.8±0.2 mm after 1 month and 1.6±0.05 mm after 12 months. CONCLUSION: Geometry of synthetic implants after TARR hernioplasty undergoes significant changes and depends on duration of postoperative period and fixation of the prosthesis.


Asunto(s)
Abdomen/diagnóstico por imagen , Hernia Inguinal/diagnóstico por imagen , Herniorrafia/métodos , Abdomen/cirugía , Hernia Inguinal/cirugía , Humanos , Laparoscopía , Mallas Quirúrgicas , Factores de Tiempo , Resultado del Tratamiento , Ultrasonografía
2.
Radiol Clin North Am ; 58(1): 73-91, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31731904

RESUMEN

We present a case-based review of abdominal postoperative complications, organized by organ system affected, including wound/superficial, hepatobiliary, pancreatic, gastrointestinal, genitourinary, and vascular complications. Both general complications and specific considerations for certain types of operations are described, as well as potential pitfalls that can be confused with complications. Representative cases are shown using all relevant imaging modalities, including CT, fluoroscopy, ultrasound, MRI, and nuclear medicine. Management options are also described, highlighting those that require radiologist input or intervention.


Asunto(s)
Abdomen/diagnóstico por imagen , Abdomen/cirugía , Diagnóstico por Imagen/métodos , Complicaciones Posoperatorias/diagnóstico por imagen , Abdomen/patología , Humanos , Complicaciones Posoperatorias/patología
3.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 41(5): 658-662, 2019 Oct 30.
Artículo en Chino | MEDLINE | ID: mdl-31699196

RESUMEN

Objective To analyze the clinical features of Von-Hippel-Lindau(VHL)syndrome and explore the diagnostic value of abdominal ultrasound for this disease.Methods The clinical features including age at first diagnosis,symptoms,signs,affected organs,number of operations,and diagnostic examinations of 35 patients with VHL syndrome admitted to our center from January 1994 to December 2017 were retrospectively analyzed.The diagnostic value of abdominal ultrasound for VHL syndrome was analyzed.Results Pheochromocytoma(n=14)and nervous system hemangioblastoma(n=13)were the common firstly-identified tumors.Nervous system hemangioblastoma(n=21),pheochromocytoma(n=19),renal carcinoma(n=17),and pancreatic mass(n=15)were common tumors.The main surgical reasons were nervous system hemangioblastoma(n=22),pheochromocytoma(n=23)and renal carcinoma(n=13).Abdominal organ involvements were found in 33 patients,which were first detected by abdominal ultrasound in 20 patients and were found accidently during routine health checkups in 6 patients.The ultrasound results were accurate in 27 of 33 adrenal gland scans,13 of 16 pancreas scans,and 8 of 19 kidney scans.Conclusions When multiple tumors are detected in the kidney,adrenal gland,and pancreas by ultrasound,the possibility of VHL syndrome should be considered.When the clinical findings suggest the possibility of VHL syndrome,ultrasound can discover and diagnose the abdominal tumors and can also be used for the long-term follow-up of the tumors.Therefore,ultrasound is an important method in the screening and follow-up of patients with VHL syndrome.


Asunto(s)
Abdomen/diagnóstico por imagen , Enfermedad de von Hippel-Lindau/diagnóstico por imagen , Neoplasias de las Glándulas Suprarrenales/diagnóstico por imagen , Hemangioblastoma/diagnóstico por imagen , Humanos , Feocromocitoma/diagnóstico por imagen , Estudios Retrospectivos , Ultrasonografía , Enfermedad de von Hippel-Lindau/complicaciones
6.
JAMA ; 322(9): 843-856, 2019 09 03.
Artículo en Inglés | MEDLINE | ID: mdl-31479136

RESUMEN

Importance: Medical imaging increased rapidly from 2000 to 2006, but trends in recent years have not been analyzed. Objective: To evaluate recent trends in medical imaging. Design, Setting, and Participants: Retrospective cohort study of patterns of medical imaging between 2000 and 2016 among 16 million to 21 million patients enrolled annually in 7 US integrated and mixed-model insurance health care systems and for individuals receiving care in Ontario, Canada. Exposures: Calendar year and country (United States vs Canada). Main Outcomes and Measures: Use of computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and nuclear medicine imaging. Annual and relative imaging rates by imaging modality, country, and age (children [<18 years], adults [18-64 years], and older adults [≥65 years]). Results: Overall, 135 774 532 imaging examinations were included; 5 439 874 (4%) in children, 89 635 312 (66%) in adults, and 40 699 346 (30%) in older adults. Among adults and older adults, imaging rates were significantly higher in 2016 vs 2000 for all imaging modalities other than nuclear medicine. For example, among older adults, CT imaging rates were 428 per 1000 person-years in 2016 vs 204 per 1000 in 2000 in US health care systems and 409 per 1000 vs 161 per 1000 in Ontario; for MRI, 139 per 1000 vs 62 per 1000 in the United States and 89 per 1000 vs 13 per 1000 in Ontario; and for ultrasound, 495 per 1000 vs 324 per 1000 in the United States and 580 per 1000 vs 332 per 1000 in Ontario. Annual growth in imaging rates among US adults and older adults slowed over time for CT (from an 11.6% annual percentage increase among adults and 9.5% among older adults in 2000-2006 to 3.7% among adults in 2013-2016 and 5.2% among older adults in 2014-2016) and for MRI (from 11.4% in 2000-2004 in adults and 11.3% in 2000-2005 in older adults to 1.3% in 2007-2016 in adults and 2.2% in 2005-2016 in older adults). Patterns in Ontario were similar. Among children, annual growth for CT stabilized or declined (United States: from 10.1% in 2000-2005 to 0.8% in 2013-2016; Ontario: from 3.3% in 2000-2006 to -5.3% in 2006-2016), but patterns for MRI were similar to adults. Changes in annual growth in ultrasound were smaller among adults and children in the United States and Ontario compared with CT and MRI. Nuclear medicine imaging declined in adults and children after 2006. Conclusions and Relevance: From 2000 to 2016 in 7 US integrated and mixed-model health care systems and in Ontario, rates of CT and MRI use continued to increase among adults, but at a slower pace in more recent years. In children, imaging rates continued to increase except for CT, which stabilized or declined in more recent periods. Whether the observed imaging utilization was appropriate or was associated with improved patient outcomes is unknown.


Asunto(s)
Diagnóstico por Imagen/tendencias , Abdomen/diagnóstico por imagen , Adolescente , Adulto , Anciano , Niño , Diagnóstico por Imagen/estadística & datos numéricos , Cabeza/diagnóstico por imagen , Humanos , Imagen por Resonancia Magnética/estadística & datos numéricos , Imagen por Resonancia Magnética/tendencias , Persona de Mediana Edad , Ontario , Cintigrafía/estadística & datos numéricos , Cintigrafía/tendencias , Columna Vertebral/diagnóstico por imagen , Tórax/diagnóstico por imagen , Tomografía Computarizada por Rayos X/estadística & datos numéricos , Tomografía Computarizada por Rayos X/tendencias , Ultrasonografía/estadística & datos numéricos , Ultrasonografía/tendencias , Estados Unidos , Adulto Joven
7.
Pediatrics ; 144(4)2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31481415

RESUMEN

Diagnostic point-of-care ultrasound (POCUS) is a growing field across all disciplines of pediatric practice. Machine accessibility and portability will only continue to grow, thus increasing exposure to this technology for both providers and patients. Individuals seeking training in POCUS should first identify their scope of practice to determine appropriate applications within their clinical setting, a few of which are discussed within this article. Efforts to build standardized POCUS infrastructure within specialties and institutions are ongoing with the goal of improving patient care and outcomes.


Asunto(s)
Pediatría , Sistemas de Atención de Punto , Ultrasonografía , Abdomen/diagnóstico por imagen , Dolor Abdominal/etiología , Artefactos , Reanimación Cardiopulmonar , Enfermedades del Sistema Digestivo/diagnóstico por imagen , Ergonomía , Ojo/diagnóstico por imagen , Cuerpos Extraños/diagnóstico por imagen , Hemodinámica , Humanos , Pulmón/diagnóstico por imagen , Enfermedades Pulmonares/diagnóstico por imagen , Síndrome de Circulación Fetal Persistente/diagnóstico por imagen , Volumen Sistólico , Trombosis/diagnóstico por imagen , Vómitos/etiología , Heridas y Traumatismos/diagnóstico por imagen
12.
Parasit Vectors ; 12(1): 398, 2019 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-31399141

RESUMEN

BACKGROUND: Echinococcosis has led to considerable social and economic losses in China, particularly in the endemic communities of the eastern Tibetan Plateau. In China, human cases of Echinococcus granulosus (sensu stricto), E. canadensis and E. multilocularis infections have been described, but no E. ortleppi (G5) infections in humans or animals have been reported. RESULTS: A case of E. ortleppi infection in a human from Guangxi, which is a non-endemic echinococcosis area in China, is described. A 17 × 12 × 20 cm (diameter) cyst was observed in the liver of the patient, and Echinococcus larvae were collected from the cyst. A morphological examination indicated that the larvae were E. ortleppi, and amplification and analysis of the nicotinamide adenine dinucleotide hydrogenase dehydrogenase subunit 1 (nad1) and cytochrome c oxidase subunit 1 (cox1) genes showed that the larvae had 99-100% homology with the corresponding E. ortleppi sequences on GenBank. CONCLUSIONS: To our knowledge, this report describes the first identification of a human E. ortleppi infection in China. Our data broaden the geographical distribution of this rarely reported species of Echinococcus.


Asunto(s)
Equinococosis/diagnóstico por imagen , Echinococcus/aislamiento & purificación , Abdomen/diagnóstico por imagen , Anciano , Animales , China , Echinococcus/genética , Complejo IV de Transporte de Electrones/genética , Proteínas del Helminto/genética , Humanos , Hígado/parasitología , Hígado/patología , Masculino , NADH Deshidrogenasa/genética , Ultrasonografía
13.
Radiol Med ; 124(12): 1199-1211, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31407223

RESUMEN

BACKGROUND: There is a growing awareness that prevention and early diagnosis may reduce the high mortality associated with cancer, cardiovascular and other diseases. The role of whole-body computed tomography (WB-CT) in self-referred and asymptomatic patients has been debated. AIM: To determine frequency and spectrum of WB-CT findings in average-risk subjects derived from a Medical-Check-Up-Unit, to evaluate recommendations reported and distribution according to sex and age-groups. MATERIALS AND METHODS: We retrospectively reviewed 6516 subjects who underwent WB-CT (June 2004/February 2015). All were > 40 years and referred by Medical-Check-Up-Unit of our hospital. The main findings were categorized and classified as normal or not. Its distribution according to sex and age-groups was evaluated using Chi-square test and linear-by-linear association test, respectively. Number of recommendations, type and interval of follow-up were recorded. Descriptive statistics were used. RESULTS: WB-CT performed in 6516 patients (69% men, 31% women, mean age = 58.4 years) revealed chest (81.4%), abdominal (93.06%) and spine (65.39%) abnormalities. Only 1.60% had completely normal exploration. Abnormal WB-CT in men was significantly higher than women (98.64% vs. 97.87%; p = 0.021), with significant increase as age was higher (40-49 years: 95.65%; 50-59 years: 98.33%; 60-69 years: 99.47%; > 69 years: 99.89%) (p < 0.001). Although most findings were benign, we detected 1.47% primary tumors (96, mainly 35 kidneys and 15 lungs). 17.39% of patients received at least one recommendation predominantly in chest (78.19%) and follow-up imaging (69.89%). CONCLUSION: The most common WB-CT findings in asymptomatic subjects are benign. However, this examination allows identifying an important number of relevant and precocious findings that significantly increase with age, involving changes in lifestyle and precocious treatment.


Asunto(s)
Servicio de Admisión en Hospital , Enfermedades Asintomáticas , Hallazgos Incidentales , Tomografía Computarizada Multidetector/métodos , Abdomen/diagnóstico por imagen , Adulto , Distribución por Edad , Anciano , Enfermedades Asintomáticas/epidemiología , Distribución de Chi-Cuadrado , Femenino , Humanos , Masculino , Persona de Mediana Edad , Tomografía Computarizada Multidetector/estadística & datos numéricos , Neoplasias/diagnóstico por imagen , Neoplasias/epidemiología , Dosis de Radiación , Estudios Retrospectivos , Distribución por Sexo , Columna Vertebral/diagnóstico por imagen , Enfermedades Torácicas/diagnóstico por imagen , Tomografía Computarizada Espiral
14.
Pediatrics ; 144(3)2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31455612

RESUMEN

BACKGROUND: Diagnosis of tuberculosis should be improved in children infected with HIV to reduce mortality. We developed prediction scores to guide antituberculosis treatment decision in HIV-infected children with suspected tuberculosis. METHODS: HIV-infected children with suspected tuberculosis enrolled in Burkina Faso, Cambodia, Cameroon, and Vietnam (ANRS 12229 PAANTHER 01 Study), underwent clinical assessment, chest radiography, Quantiferon Gold In-Tube (QFT), abdominal ultrasonography, and sample collection for microbiology, including Xpert MTB/RIF (Xpert). We developed 4 tuberculosis diagnostic models using logistic regression: (1) all predictors included, (2) QFT excluded, (3) ultrasonography excluded, and (4) QFT and ultrasonography excluded. We internally validated the models using resampling. We built a score on the basis of the model with the best area under the receiver operating characteristic curve and parsimony. RESULTS: A total of 438 children were enrolled in the study; 251 (57.3%) had tuberculosis, including 55 (12.6%) with culture- or Xpert-confirmed tuberculosis. The final 4 models included Xpert, fever lasting >2 weeks, unremitting cough, hemoptysis and weight loss in the past 4 weeks, contact with a patient with smear-positive tuberculosis, tachycardia, miliary tuberculosis, alveolar opacities, and lymph nodes on the chest radiograph, together with abdominal lymph nodes on the ultrasound and QFT results. The areas under the receiver operating characteristic curves were 0.866, 0.861, 0.850, and 0.846, for models 1, 2, 3, and 4, respectively. The score developed on model 2 had a sensitivity of 88.6% and a specificity of 61.2% for a tuberculosis diagnosis. CONCLUSIONS: Our score had a good diagnostic performance. Used in an algorithm, it should enable prompt treatment decision in children with suspected tuberculosis and a high mortality risk, thus contributing to significant public health benefits.


Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA/diagnóstico , Infecciones por VIH/complicaciones , Tuberculosis/complicaciones , Tuberculosis/diagnóstico , Infecciones Oportunistas Relacionadas con el SIDA/tratamiento farmacológico , Abdomen/diagnóstico por imagen , Antituberculosos/uso terapéutico , Técnicas Bacteriológicas , Niño , Preescolar , Femenino , Humanos , Pulmón/diagnóstico por imagen , Masculino , Microscopía , Radiografía , Receptores de Interferón/análisis , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Tuberculosis/tratamiento farmacológico , Ultrasonografía
16.
Korean J Gastroenterol ; 74(1): 42-45, 2019 Jul 25.
Artículo en Coreano | MEDLINE | ID: mdl-31344771

RESUMEN

A trichobezoar is a type of bezoar that is composed of hair. In most cases, it is confined to the stomach, but in rare cases, it may extend to the small intestine. This condition is referred to as Rapunzel syndrome. The therapeutic method for bezoar removal depends on its type, location, and size. Generally, the treatment for Rapunzel syndrome involves surgical laparotomy. Endoscopic removal has also been effective in some cases. On the other hand, complications, such as respiratory difficulty and esophageal impaction may be encountered during endoscopic removal. Until now, the successful endoscopic removal of trichobezoars has been limited to the stomach or duodenum. This paper reports the case of a 4-year-old female patient with Rapunzel syndrome whose trichobezoar reached the proximal jejunum. The trichobezoar was removed without complications using an electrosurgical knife and snare through a single-balloon enteroscopy. The trichobezoar can be removed successfully using enteroscopy under general anesthesia without abdominal laparotomy in young children. Therefore, this method of removal can be considered preferentially for children with Rapunzel syndrome.


Asunto(s)
Bezoares/terapia , Enteroscopia de Balón Individual , Abdomen/diagnóstico por imagen , Preescolar , Femenino , Humanos , Estómago/patología , Tomografía Computarizada por Rayos X
17.
Korean J Gastroenterol ; 74(1): 46-50, 2019 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-31344772

RESUMEN

Actinomycosis can mask malignant diseases. This paper reports a case of colonic diffuse large B-cell lymphoma (DLBCL), which was misdiagnosed as abdominal actinomycosis. A 76-year-old woman presented with right flank pain and weight loss. Abdominal CT and colonoscopy revealed a huge ascending colon mass. Despite the initial impression of a malignancy, a colonoscopic biopsy revealed no malignant cells, but sulfur granules and a filamentous organism suggesting actinomycosis. Intravenous penicillin G was administered under the impression of abdominal actinomycosis but her condition deteriorated rapidly. Follow up CT showed markedly increased colon mass and new multiple nodular lesions around the ascending colon. Sono-guided percutaneous biopsy of the nodular lesion was performed. The pathological result was DLBCL. The patient was scheduled to undergo chemotherapy but the patient expired due to cancer progression. The diagnosis of gastrointestinal infiltrating tumors is often difficult because a superficial biopsy usually does not provide a confirmative diagnosis. This case highlights the difficulty in making a correct diagnosis of lymphoma due to the concomitant actinomycosis. Malignant conditions must be considered in cases of actinomycosis with no response to antimicrobial therapy.


Asunto(s)
Actinomicosis/diagnóstico , Linfoma de Células B Grandes Difuso/diagnóstico , Abdomen/diagnóstico por imagen , Actinomicosis/complicaciones , Actinomicosis/tratamiento farmacológico , Anciano , Antibacterianos/uso terapéutico , Colon Ascendente/patología , Colonoscopía , Femenino , Humanos , Linfoma de Células B Grandes Difuso/complicaciones , Penicilinas/uso terapéutico , Tomografía Computarizada por Rayos X
18.
Korean J Gastroenterol ; 74(1): 57-62, 2019 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-31344774

RESUMEN

This is a case report of simultaneous primary leiomyosarcomas in the spine and liver. A 64-year-old woman presented to the Seoul Paik Hospital with epigastric discomfort and constipation that she had experienced for two months. A physical examination revealed severe tenderness around the thoraco-lumbar junction. Esophagogastroduodenoscopy showed an ulceroinfiltrative lesion on the gastric angle. An abdominopelvic CT scan revealed two low attenuated lesions in the S4 and S8 regions of the liver, as well as a soft tissue mass at the T10 vertebra. Percutaneous ultrasonography-guided needle biopsy of the hepatic nodules revealed a leiomyosarcoma. The tumor at the T10 vertebra was removed to avoid spinal cord compression. The histology of this tumor was compatible with that of leiomyosarcoma. The potential primary sites for leiomyosarcoma, including the lung, thyroid, breast, kidney, genitourinary organs, and gastrointestinal tract, were subsequently investigated. No detectable abnormal findings that would suggest the origin of the tumor were found. Synchronous primary leiomyosarcomas in the spine and liver are quite rare and have a poor prognosis.


Asunto(s)
Neoplasias Óseas/diagnóstico , Leiomiosarcoma/diagnóstico , Neoplasias Hepáticas/diagnóstico , Abdomen/diagnóstico por imagen , Neoplasias Óseas/patología , Endoscopía del Sistema Digestivo , Femenino , Humanos , Biopsia Guiada por Imagen , Leiomiosarcoma/patología , Neoplasias Hepáticas/patología , Imagen por Resonancia Magnética , Persona de Mediana Edad , Neoplasias Primarias Múltiples , Tomografía Computarizada por Rayos X
19.
Medicine (Baltimore) ; 98(28): e16202, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31305401

RESUMEN

The purpose of this study was to explore the diagnostic significance of abdominal sonography (AUS) in infants with Necrotizing enterocolitis (NEC) admitted to a neonatal intensive care unit to better evaluate the ability of AUS to differentiate necrotizing enterocolitis from other intestinal diseases.All patients diagnosed with NEC at the Department of General Surgery and Neonatal Surgery, Qilu Children's Hospital between 1st, Jun, 2010 and 30th, Dec, 2015. The logistic regression analysis and the area under receiver operating characteristic (ROC) curve (AUCs) were also used to identify the sonographic factors for diagnosing NEC.For the entire cohort of 91 patients, we divided these patients into suspected NEC (n = 35) group and definite NEC (n = 56) group. After adjusting for competing sonographic factors, we identified that thick bowel wall (more than 2.5 mm) (P = .013, OR: 1.246), intramural gas (pneumatosis intestinalis) (P = .002, OR:1.983), portal venous gas (P = .022, OR:1.655) and reduced peristalsis (P = .011, OR:1.667) were independent diagnostic factors associated with NEC. We built a logistic model to diagnose NEC according to the results of multivariable logistic regression analysis. We found the AUROC for thick bowel wall (more than 2.5 mm), intramural gas (pneumatosis intestinalis), portal venous gas and reduced peristalsis were significantly lower than the AUROC for the logistic model was 0.841 (95% CI: 0.669 to 0.946).We found that thick bowel wall (more than 2.5 mm), intramural gas (pneumatosis intestinalis), portal venous gas and reduced peristalsis were independent diagnostic factors associated with NEC. The logistic model was significantly superior to the single sonographic parameter for diagnosing NEC.


Asunto(s)
Abdomen/diagnóstico por imagen , Enterocolitis Necrotizante/diagnóstico por imagen , Ultrasonografía , Diagnóstico Diferencial , Femenino , Humanos , Recién Nacido , Recien Nacido Prematuro , Unidades de Cuidado Intensivo Neonatal , Masculino , Estudios Prospectivos
20.
BMJ Case Rep ; 12(7)2019 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-31300608

RESUMEN

Abdominal compartment syndrome (ACS) is not rare and has a high mortality in the paediatric intensive care unit. However, there are few reports about this in the emergency department (ED). We report an 8 month-old male patient with ACS in shock associated with gastric volvulus who improved rapidly by a simple procedure in the ED. He had congenital comorbidities, including multiple cranial anomalies and was transferred because of decreased mental status. He had compensated shock with cold and mottled skin of the lower extremities, paediatric Glasgow Coma Scale of E3V5M6 and prominence of the left upper abdomen. The abdominal X-ray showed a considerably distended stomach. Soon after aspiration of gastric contents, shock and mental status improved. Physicians should consider ACS in the differential diagnosis of shock with abdominal distention. ACS may be ameliorated by gastric suction. Gastric volvulus can induce shock and decreased mental status, particularly in patients with comorbidities.


Asunto(s)
Abdomen/patología , Síndromes Compartimentales/diagnóstico , Choque/diagnóstico , Vólvulo Gástrico/terapia , Succión/métodos , Abdomen/diagnóstico por imagen , Anomalías Múltiples , Síndromes Compartimentales/complicaciones , Síndromes Compartimentales/terapia , Anomalías Congénitas , Procedimientos Quirúrgicos del Sistema Digestivo , Servicio de Urgencia en Hospital , Humanos , Lactante , Masculino , Choque/etiología , Choque/terapia , Vólvulo Gástrico/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Resultado del Tratamiento
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