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An Outbreak of Cryptosporidium sp. Associated with a Public Swimming Pool
Published in Meera Chand, John Holton, Case Studies in Infection Control, 2018
Christina J. Atchison, Rachel M. Chalmers
Extraintestinal manifestations may occur and are most common in children and immunocompromised persons. Biliary tract disease including sclerosing cholongitis, acalculous cholecystitis, and pancreatitis as a complication in those severely immunocompromised has a poor prognosis. Respiratory disease in the form of pulmonary infiltrates and respiratory distress has been observed, most often in children. Sinusitis has also been described. In advanced HIV, pneumatosis cystoides intestinalis is a rare complication associated with cryptosporidiosis in which gas-filled cysts develop in the gut wall. Rupture of the cysts can lead to pneumoretroperitoneum and pneumomediastinum.
Extraperitoneal approach to infrarenal, inframesenteric, and pelvic lymphadenectomies
Published in J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, John M. Monaghan, An Atlas of Gynecologic Oncology, 2018
Because success of an extraperitoneal approach depends on creating and maintaining a pneumoretroperitoneum, this procedure is always performed first. Any leak of carbon dioxide into the peritoneum will preferentially collapse the retroperitoneum due to the weight of the bowel.
Full duodenal rupture after direct abdominal trauma in soccer: a case report of an elite soccer player with follow up and return to play protocol
Published in Science and Medicine in Football, 2021
Bahar Hassanmirzaei, Farinaz Fahimipour, Afifeh Khosravi, Tohid Seif Barghi
After 9 hours of observation, the pain keeps rising, and her abdomen developed involuntary guarding. She was transferred to perform an abdominal CT scan with IV contrast. The first reading of her CT scan images revealed no abnormal finding. As her abdominal pain worsened (8/10 on a VAS scale), the images were reevaluated by a group of 3 expert radiologists. They report free fluid in the peritoneal cavity and pneumoretroperitoneum (retroperitoneal Free air) around the left kidney, which suggests duodenal rupture (figure 2). Any Intra-abdominal organ rupture as a differential diagnosis, the player went to the surgery room for further abdominal exploratory laparotomy approximately 18 hours after the initial trauma. During the procedure, a longitudinal duodenal rupture at the D3 site with a diameter of 3 cm and a retroperitoneal hematoma in the peritoneal cavity were observed (figure 3). Other organs were intact. The hematoma was evacuated from the abdominal cavity, and the surgeons repaired the duodenal rupture in two layers. The peritoneal cavity was washed out, a Jackson-Pratt drain was placed next to the repair, and a nasogastric tube was also placed for any excess fluid drainage after the surgery and to permit evaluating any leakage.
Propensity Score Matched Analysis Comparing Robotic-Assisted with Laparoscopic Posterior Retroperitoneal Adrenalectomy
Published in Journal of Investigative Surgery, 2021
Wenming Ma, Yongxin Mao, Jun Dai, Parehe Alimu, Ran Zhuo, Wei He, Juping Zhao, Danfeng Xu, Fukang Sun
A large working space is a crucial factor for surgeons [22]. According to our multivariate analysis, BMI and tumor size were two significant risk factors for a prolonged operative duration. Thus, another possible explanation is that establishing pneumoretroperitoneum could be challenging, as the retroperitoneal space is narrow and contains a large amount off at tissue [23].In the narrow retroperitoneal space, the advantages of robot-assisted surgery, e.g., flexibility and 3D vision, did not shorten the operative duration or reduce the estimated blood loss, especially in cases of large tumors.