Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4)
How to Trip Rapid Review
Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)
Step 2: press
Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.
Ectopic Pancreas in the Gastric Antrum Wall Complicated by Ectopic Pancreatitis and Persistent Gastric Abscess Ectopic pancreas is an uncommon finding in the stomach. Complications are rare but can lead to significant morbidity and even mortality. We report a 49-year-old man who presented with upper abdominal pain, vomiting, and weight loss and was found to have a gastric wall abscess that developed a few weeks after endoscopic biopsy of a gastric ulcer. After medical treatment failed (...) to resolve his symptoms, he underwent distal gastrectomy with Roux-en-Y gastrojejunostomy. Postoperatively, the gastric wall abscess was determined to have derived from a focus of ectopic pancreatic tissue with evidence of ectopic chronic pancreatitis.
for necrotising pancreatitis. Cochrane Database Syst Rev . 2016 ; 4 : CD011383 , x 26 Gutierrez, A., Lee, H., and Sands, B.E. Outcome of surgical versus percutaneous drainage of abdominal and pelvic abscesses in Crohn’s disease. Am J Gastroenterol . 2006 ; 101 : 2283–2289 , x 27 Hollemans, R.A., Bollen, T.L., van Brunschot, S. et al. Dutch Pancreatitis Study Group. Predicting success of catheter drainage in infected necrotizing pancreatitis. Ann Surg . 2016 ; 263 : 787–792 , x 28 O’Moore, P.V., Mueller, P.R (...) for necrotizing pancreatitis. N Engl J Med . 2010 ; 362 : 1491–1502 , x 34 vanSonnenberg, E., D’Agostino, H.B., Casola, G., Wittich, G.R., Varney, R.R., and Harker, C. Lung abscess: CT-guided drainage. Radiology . 1991 ; 178 : 347–351 , x 35 Walser, E.M., Nealon, W.H., Marroquin, S., Raza, S., Hernandez, J.A., and Vasek, J. Sterile fluid collections in acute pancreatitis: catheter drainage versus simple aspiration. Cardiovasc Intervent Radiol . 2006 ; 29 : 102–107 , x 36 Wroblicka, J.T. and Kuligowska, E. One
Liver abscess Liver abscess - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Liver abscess Last reviewed: February 2019 Last updated: March 2018 Summary A localised infection in the liver parenchyma that may be bacterial, fungal, or parasitic in origin. Patients typically present with non-specific constitutional symptoms, RUQ abdominal pain, and tenderness. The most common underlying condition in people with pyogenic (...) liver abscess is biliary tract disease. Treatment of pyogenic abscess focuses on both timely administration of broad-spectrum antibiotics and drainage of the abscess. People with fungal abscess require anticandidal therapy. Amoebic abscess is treated with a nitroimidazole, followed by a luminal agent. Definition Liver abscesses are purulent collections in the liver parenchyma that result from bacterial, fungal, or parasitic infection. Infection can spread to the liver through the biliary tree
Intrapancereatic abscess due to arteriovenous malformation involving the entire pancreas: A case report and review of the literature The described case is a patient with pancreatic arteriovenous malformation involving the entire pancreas and complicated with intrapancereatic abscess.A 47 years-old was suffering from episodes of abdominal pain and vomiting with multiple hospital visits without reaching a diagnosis for four months. Contrast-enhanced computed tomography scan (CECT) done which (...) shows a 1.6×1.4cm fluid collection was seen in uncinate process of the pancreas, Magnetic resonance imaging (MRI) demonstrates abnormal vasculature involving the pancreas. Therefore patient diagnosed as a case of pancreatic arteriovenous malformation (P-AVM), which confirmed by Selective Computed Tomography Angiogram (CT Angiogram).Normal investigations in the first attempts can lead to miss pancreatic arteriovenous malformation (P-AVM), and can lead to serious and fatal.Early diagnosis
Multiple Intraabdominal Abscesses Caused by Mycoplasma hominis Infection Following Simultaneous Pancreas-Kidney Transplantation 29611392 2019 02 20 2019 03 20 2234-3814 38 4 2018 07 Annals of laboratory medicine Ann Lab Med Multiple Intraabdominal Abscesses Caused by Mycoplasma hominis Infection Following Simultaneous Pancreas-Kidney Transplantation. 381-383 10.3343/alm.2018.38.4.381 Okumura Yumiko Y Project Research Center for Nosocomial Infectious Diseases, Hiroshima University, Hiroshima (...) , Japan. Sugai Motoyuki M Project Research Center for Nosocomial Infectious Diseases, Hiroshima University, Hiroshima, Japan. eng Case Reports Letter Korea (South) Ann Lab Med 101571172 2234-3806 0 Anti-Infective Agents IM Abdomen diagnostic imaging Abscess microbiology Adult Anti-Infective Agents pharmacology therapeutic use Diabetes Mellitus, Type 1 diagnosis therapy Humans Immunocompromised Host Kidney Transplantation adverse effects Male Mycoplasma Infections diagnosis drug therapy etiology
complex situations include multiple or multiloculated abscesses, abscess due to Crohn’s disease, pancreaticabscesses, a drainage route that traverses the bowel or pleura, infected hematoma, and tumor abscess. Articles have documented curative or partially successful percutaneous drainage in patients with these complex situations [23-31]. However, one should expect that percutaneous drainage in such cases will potentially have a lower chance of success, be more technically difficult, require longer (...) drainage for pancreatic pseudocysts in a transcutaneous or transgastric fashion versus by endoscopic ultrasound should be made in collaboration with the referring physician . For other abscesses that are incompletely drained after PDAFC, some have reported success with adjunctive intracavitary fibrinolytics and/or adjunctive procedures such as upsizing to a larger catheter or one with additional side holes [40,41]. Decisions regarding percutaneous versus surgical drainage of complex collections
PancreaticAbscess in a cat due to Staphylococcus aureus infection A 16-year-old spayed female American Shorthair cat was presented with lethargy, anorexia, and wamble. Physical and blood examination did not reveal any remarkable findings. Abdominal ultrasonography identified the presence of a localized anechoic structure with a thick wall in contact with the small intestine and adjacent to the liver. Ultrasound-guided fine-needle aspiration of the structure revealed fluid containing numerous (...) cocci and neutrophils. Two days after antibiotic treatment, exploratory laparotomy was performed and the content of the structure was removed before multiple lavages. The pathological and bacteriological examination results supported a confirmatory diagnosis of pancreaticabscess due to Staphylococcus aureus infection, making this the first such report in a cat. The cat remained healthy thereafter with no disease recurrence.
PancreaticAbscessPancreaticAbscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 PancreaticAbscessPancreaticAbscess Aka (...) : PancreaticAbscess From Related Chapters II. Pathophysiology Complication of III. Associated Conditions IV. Etiology (most common cause) V. Signs Rapid deterioration following VI. Labs (CBC) VII. Diagnosis CT-guided needle aspiration VIII. Management Surgical drainage of abscess Antibiotics Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "PancreaticAbscess." Click on the image (or right click) to open the source website in a new
Mastitis and breast abscess Mastitis and breast abscess - NICE CKS Share Mastitis and breast abscess: Summary Mastitis is a painful inflammatory condition of the breast which may or may not be accompanied by infection. It is usually associated with lactation ('lactational' or 'puerperal mastitis'), but it can also occur in non-lactating women ('non-lactational mastitis'). A breast abscess is a localized collection of pus within the breast. It is a severe complication of mastitis, although (...) : Symptoms do not improve, or are worsening, after 12–24 hours despite effective milk removal. Bacterial culture in breast milk is positive. A breast abscess should be suspected if the woman has: A history of recent mastitis. A painful, swollen lump in the breast, with redness, heat, and swelling of the overlying skin. Fever and/or general malaise. If a breast abscess is suspected, the woman should be referred urgently to a general surgeon for confirmation of the diagnosis and management
Dental abscess Dental abscess - NICE CKS Share Dental abscess: Summary A dental abscess is a localized collection of pus in the teeth, supporting structures of the teeth, or gums. The two main types of dental abscess are: Periapical abscess (dentoalveolar abscess) — originates in the dental pulp (centre of the tooth), and is the most frequently occurring type (both in adults and children). Periodontal abscess — originates in the supporting structures of the teeth (such as the periodontal (...) ligament) between the tooth and the gum. Dental abscess occurs as a result of bacterial infection affecting the structures around a tooth and the tooth itself. Periapical abscess formation is usually secondary to dental decay (caries). Periodontal abscess formation is associated with chronic periodontitis. The lifetime prevalence of dental abscess is between 5% and 46%. Symptoms of dental abscess include: Pain (usually of sudden onset, worsening over a few hours to a few days). Unpleasant taste
Splenic abscess following laparoscopic cholecystectomy: a case report of a rare disease and a review of its management Splenic abscess is a rare disease that has several predisposing factors. Case reports have documented post-surgical development of splenic abscesses, most commonly after laparoscopic sleeve gastrectomy. We present the case of a 69-year-old female with gallstone pancreatitis who underwent an uncomplicated laparoscopic cholecystectomy. The hospital course was complicated (...) by persistent postoperative leukocytosis with a CT scan demonstrating a moderate sized splenic abscess. Interventional radiology was consulted for percutaneous drainage, and the patient was subsequently discharged home in stable condition. Splenic abscess is an important entity to remember as it is associated with significant mortality. Prompt treatment is vital for improving patient survival. Image guided percutaneous interventions have been increasing used and carry numerous benefits compared to surgical
Splenic abscess complicating endoscopic retrograde cholangiopancreatography We present a case of splenic abscess as a probable complication following endoscopic retrograde cholangiopancreatography (ERCP). Based on a literature review, there have been 11 documented cases of splenic injury following ERCP; however, only one of those involved splenic abscess. Proposed mechanisms of injury and abscess are likely a combination of complicating factors, including manipulation of the endoscope (...) in patients with a history of chronic pancreatitis and/or previous abdominal surgeries.
A Case of Unresolved and Worsening Retroperitoneal Abscess Retroperitoneal abscess is a rare condition which is difficult to diagnose and treat because of its insidious onset. Herein, we present a case of retroperitoneal abscess secondary to a perforation that occurred during an ERCP. A 54-year-old female patient was admitted to an outside hospital with gallstone pancreatitis and underwent ERCP with sphincterotomy followed by laparoscopic cholecystectomy. An abdominal CT scan was performed (...) at the outside hospital 10 days later for worsening abdominal pain which showed multiple loculated pockets in the right upper and lower quadrant. Her condition improved after IV antibiotics and percutaneous drainage. Her symptoms recurred a month later and she presented to our hospital. Repeat abdominal CT scan at our hospital revealed recurrence of her abscesses. Multiple drains were placed and the abscess cavity was washed out without much improvement. EGD revealed a small mucosal defect in the distal
Pyogenic Liver Abscess with No Predisposing Risk Factors Pyogenic liver abscesses (PLA) are an uncommon cause of hospitalization in the United States. The majority of such cases are polymicrobial and are most commonly caused by seeding of infection from the biliary system. PLA is frequently associated with specific comorbidities such as diabetes mellitus, history of liver transplant, underlying hepatobiliary, or pancreatic disease. Herein, we describe a 47-year-old healthy male with no known (...) risk factors associated with PLA who presented to the hospital with acute fever, abdominal pain, and dark colored urine. Initially the patient had a negative right upper quadrant ultrasound. However, the patient continued to have persistent fevers and abnormal liver biochemistries with negative liver serology that led to checking a magnetic resonance cholangiopancreatography which suggested multiple liver abscesses. Computer tomography guided aspiration revealed a monobacterial Streptococcus
Association between Chronic Pancreatitis and Pyogenic Liver Abscess: A Nationwide Population Study. The relationship between chronic pancreatitis (CP) and subsequent pyogenic liver abscess (PLA) is not well understood.We investigated the risk of PLA in patients with CP using inpatient claims data from the Taiwan National Health Insurance Program for the period 2000-2010. We identified 17,810 patients with chronic pancreatitis (CP group) and 71,240 patients without CP (non-CP group). Both (...) , and the comorbidities of hypertension, diabetes, hyperlipidemia, cerebral vascular accident, cirrhosis, heart failure, chronic obstructive pulmonary disease, chronic kidney disease, cancer, alcoholism, other diseases of the pancreas, cholecystitis, and cholelithiasis and other disorders of the biliary tract and endoscopic insertion of stent (tube) into the bile duct, the risk of PLA remained higher among CP patients than among the comparison cohort (adjusted hazard ratio, 6.40; 95% CI, 4.83-8.49). CP patients
Pancreatic Lesion: Malignancy or Abscess? Pancreaticabscesses are rare. They may be seen in patients with pancreatic inflammation or pancreatitis. Patients with pancreaticabscesses may have abdominal pain, fever, chills, and nausea/vomiting or an inability to eat. Presentation with alternate symptomatology is extremely unusual.A 67-year-old Asian male presented with painless, afebrile obstructive jaundice and a CA 19-9 of 1732 IU. He was found to have a 3.1×2.4 cm low-density lesion (...) in the head of the pancreas and the right lobe of the liver, suggesting malignancy. Surgical management was considered, however additional diagnostic workup, including an endoscopic retrograde cholangiopancreatography (ERCP), was performed to complete staging of the presumed mass. A smooth, 3-cm-long, tapering stricture was found it the common bile duct. It was stented from the common hepatic duct to the duodenum. Subsequent endoscopic ultrasound (EUS) evaluation of the pancreatic head lesion revealed
Pancreatic and Colonic Abscess Formation Secondary to HELLP Syndrome Preeclampsia and the variant HELLP syndrome are systemic conditions associated with vascular changes resulting in vasoconstriction. Most commonly, patients present with elevated blood pressure and proteinuria, with a background of complaints such as headache, scotoma, and right upper quadrant pain. The systemic vascular changes experienced can target any organ system, oftentimes with more than one organ system being involved (...) . We present the case of a patient admitted with HELLP syndrome who subsequently developed multisystem organ dysfunction, including placental abruption, disseminated intravascular coagulopathy, acute renal failure, colitis, abdominal ascites, pancreatitis, and the development of pancreatic and colonic abscesses.