Abstract:
BACKGROUND:The cancer of the splenic flexure of the colon is a rare medical entity with severe morbidity because of its insidious onset. METHODS:We present the case of a 59-year-old male patient with dull left upper quadrant pain, leukocytosis, and anemia. A splenic abscess described as an air-fluid level with splenocolic fistula was found on CT scan imaging. Surgery was done for splenic pus drainage. He was again admitted 2 months later for intestinal obstruction. RESULTS:An exploratory laparotomy showed multiple hard, gray liver nodules as well as a hard mass in the small bowel. Owing to extensive adhesions and a late stage of cancer involvement, the splenic flexure tumor was not resected. A loop transverse colostomy was done and a Coloplast Colostomy bag placed. We also reviewed the literature-linking colon cancer and splenic abscess with specific attention to the carcinoma of the splenic flexure. As the latter invades through the spleen matter, there is the creation of a splenocolic fistula, which allows the migration of normal gut flora into the spleen. This leads to the formation of the splenic abscess. CONCLUSION:This is the 13 case report pertaining to invading colonic cancer causing a splenic abscess. Although the treatment for splenic abscesses is shifting from splenectomy to image-guided percutaneous pus drainage, the few reported cases make the proper management of such complication still unclear.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Awotar GK,Luo F,Zhao Z,Guan G,Ning S,Ren J,Liu Y,Wang G,Liu Pdoi
10.1097/MD.0000000000004941subject
Has Abstractpub_date
2016-09-01 00:00:00pages
e4941issue
38eissn
0025-7974issn
1536-5964pii
00005792-201609200-00040journal_volume
95pub_type
杂志文章,评审相关文献
MEDICINE文献大全abstract:RATIONALE:Immunoglobulin G4 (IgG4)-related hypophysitis is a type of IgG4-related disease (IgG4-RD), which is characterized by plasma cells infiltration in the pituitary causing functional changes and (or) space-occupying effect in the pituitary. IgG4-related hypophysitis is sensitive to hormone therapy in most patient...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000006934
更新日期:2017-06-01 00:00:00
abstract:RATIONALE:Survey data show approximately 10% patients with lung cancer may present concomitant coronary heart disease. Simultaneous surgery is a challenge for anesthetist. We review our experience in the anesthesia with 5 patients who required simultaneous off-pump coronary artery bypass grafting (OPCABG) and pulmonary...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008780
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:Angiotensin-converting enzyme (ACE) inhibitors are one of the most used medication among patients with arterial hypertension. In most cases, ACE inhibitors caused side effects are mild; however, from 0.1% to 0.7% of patients can develop life threatening adverse effect, angioedema. Unlike histamine mediated, A...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011695
更新日期:2018-08-01 00:00:00
abstract::This retrospective study analyzed the effectiveness of neuromuscular electrical stimulation (NMES) for pain relief caused by necrosis of femoral head (NFH).Totally, 80 cases of patients with NFH were analyzed and then were assigned to a treatment group or a control group in this study. Of these, 40 cases in the treatm...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014812
更新日期:2019-03-01 00:00:00
abstract::China has increasing incidence of unplanned pregnancies among college students these years. Increasing students' sense of responsibility to protect sexual partners may help reduce the rate of unplanned pregnancies.A self-administered questionnaire was distributed to students from 3 colleges in Sichuan, China. Among th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013879
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:Metastatic neuroblastoma (NB) is an aggressive malignancy with a poor prognosis. Many patients present with relapsed high-risk NB after undergoing first-line treatment, and there is no standard therapy available in this setting. PATIENT CONCERNS:The present study aimed to present the cases of 2 patients w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020896
更新日期:2020-06-26 00:00:00
abstract::The purpose of this study was to assess whether breast cancer subtype (BCS) as determined by estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 can predict the axillary lymph node metastasis in breast cancer. Patients who received breast conserving surgery or mastectomy and axillary...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000002213
更新日期:2015-12-01 00:00:00
abstract:RATIONALE:Systemic lupus erythematosus (SLE) is a connective tissue disease that has many clinical manifestations. However, cardiac tamponade has been rarely reported especially as an initial presenting feature of systemic lupus erythematosus. Herein, we describe a case of cardiac tamponade as the first presentation of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013708
更新日期:2018-12-01 00:00:00
abstract:ABSTRACT:Some evidences suggest the involvement of the central nervous system in patients infected with SARS-CoV-2. We aim to analyze possible associations between coronavirus disease 2019 (COVID-19) pandemic and spontaneous subarachnoid hemorrhage (SAH), in a comprehensive neurological center.We conducted a retrospect...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023862
更新日期:2020-12-18 00:00:00
abstract::We created a model to predict the development of liver carcinogenesis in patients with chronic hepatitis B (CHB) undergoing entecavir (ETV) therapy and to validate the accuracy using an independent dataset.A total of 328 CHB subjects were analyzed. Subjects were randomly assigned into 2 groups: the training group (n =...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004832
更新日期:2016-09-01 00:00:00
abstract::This study aimed to further understand the role of relative telomere length (RTL) in susceptibility to gastric carcinoma (GC) and investigate the association between genetic polymorphisms in the telomere length related genes and GC risk.RTL was measured using the real-time quantitative polymerase chain reaction from 1...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020551
更新日期:2020-06-05 00:00:00
abstract:RATIONALE:Infertile male carrying balanced translocations can be broadly divided into two types: pregestational and gestational infertility. Chromosome and breakpoints involved translocation should be considered in genetic counselling for these patients. To date, > 100 cases have been described with carrying balanced t...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000010452
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Hypertension is one of the most common chronic diseases and an increasingly public-health challenge worldwide. Previous meta-analyses evaluated the effects of azilsartan medoxomil compared to placebo or other antihypertensive drugs in patients with hypertension. However, it is still unclear which dose of azi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017050
更新日期:2019-09-01 00:00:00
abstract::The purpose of this study was to calculate and compare the volume of hidden blood loss (HBL) and perioperative blood loss between open posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) by Wiltse approach.We retrospectively analyzed 143 patients between March 2017 and December 2...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019864
更新日期:2020-05-01 00:00:00
abstract:RATIONALE:Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail. PATIENT CONCERNS:Herein, we present a 6-year-old boy with sustaining injury approximately 1 month...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006377
更新日期:2017-03-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000003980.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000006957
更新日期:2017-05-19 00:00:00
abstract::Lymphoid follicles/aggregates in gastric biopsies have been traditionally linked to Helicobacter pylori gastritis, and less commonly to other inflammatory and neoplastic conditions. The frequency of such aggregates in normal stomachs has yet to be adequately evaluated. This is especially relevant when it comes to diag...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018926
更新日期:2020-02-01 00:00:00
abstract::Peritoneal dialysis (PD) is one type of renal replacement therapy, but potential peritoneal damage and gastrointestinal (GI) tract adverse effects during long-term exposure to bio-incompatible dialysate remain a concern. Although GI disease frequently occurs in dialysis patients, whether the risk of GI diseases differ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001482
更新日期:2015-09-01 00:00:00
abstract::The present study investigated the effectiveness of a Carisolv III + 0.5% sodium hypochlorite (NaOCl)-based root canal irrigant for smear layer removal.Forty maxillary incisors were randomly divided into 4 groups (n = 10 per group). The canals in group A (experimental) were prepared with 0.5% NaOCl, and Carisolv III a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020372
更新日期:2020-05-29 00:00:00
abstract::Diabetes mellitus (DM) is a common complication of chronic pancreatitis (CP) and increases the mortality. The identification of risk factors for DM development may contribute to the early detection and potential risk reduction of DM in patients with CP.Patients with CP admitted to Changhai Hospital (Shanghai, China) f...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003251
更新日期:2016-04-01 00:00:00
abstract:RATIONALE:Chimeric antigen receptor-modified T-cell (CART) therapy has revolutionized the treatment of patients with relapsed or refractory B-cell acute lymphoblastic leukemia (ALL). However, the capacity of CART therapy has not yet been fully elucidated. PATIENT CONCERNS:An 18-year-old Chinese male patient presented ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018639
更新日期:2020-05-01 00:00:00
abstract:RATIONALE:Currently, the relationship between heterozygous mutations in SLC34A1 and hypophosphatemia is controversial. Here we report an autosomal dominant hypophosphatemia pedigree carrying a novel heterozygous mutation in SLC34A1. PATIENT CONCERNS:The proband is a 32-year old young man, presented with progressive pa...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015617
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION:A significant proportion of ventilator-dependent cardiac patients need tracheostomy during intensive care unit (ICU) stay. Three different methods including traditional (surgical), percutaneous dilatation tracheostomy, translaryngeal tracheostomy (TLT), and classical Fantoni method have been developed. In ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013590
更新日期:2018-12-01 00:00:00
abstract::Survival analysis methods have gained widespread use in the filed of oncology. For achievement of reliable results, the methodological process and report quality is crucial. This review provides the first examination of methodological characteristics and reporting quality of survival analysis in articles published in ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009204
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:According to previously published studies, treating pediatric patients with congenital pseudarthrosis of the tibia (CPT) is challenging. More effective methods are needed to treat this patient population. PATIENT CONCERNS:A 7-year-old girl with congenital pseudarthrosis of the distal tibia, previously misdia...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013384
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The activation of the Notch signaling pathway has been shown to play an important role in diabetic nephropathy (DN) development. Besides, Notch-1 is a target gene in miR-34a. However, the regulation of the podocyte lesions involved in DN by miR-34a has not been identified. METHODS:This study utilized miR-34...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005050
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Lactate dehydrogenase (LDH) as a hypoxia-regulator plays a vital role in alternative metabolic pathways of cancer cells. Numerous studies have assessed the prognostic value of elevated pretreatment LDH in malignant mesothelioma (MM). However, the results have been largely inconsistent. Hence, the aim of curr...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000005706
更新日期:2016-12-01 00:00:00
abstract::The purpose of this study is to evaluate the susceptibility trend of vancomycin, teicoplanin, daptomycin, and linezolid against methicillin-resistant Staphylococcus aureus (MRSA) blood isolates of different clones over an 11-year period.From 2000 to 2010, all bloodstream MRSA isolates from Chang Gung Memorial Hospital...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005060
更新日期:2016-10-01 00:00:00
abstract::Community-acquired pneumonia (CAP) is a common infectious disease in children. Rational drug use (RDU) is an important approach to reducing the disease burden and mortality rate of CAP in children. There are no monitoring indicators for assessing RDU in children. This study aimed to develop a set of indicators to asse...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009308
更新日期:2017-12-01 00:00:00
abstract::There is little information about the management and clinical outcomes of the periprosthetic fracture after total knee arthroplasty (TKA) with a stem extension. The purposes of this study were to demonstrate management of the periprosthetic fractures after TKA with a stem extension, to report treatment outcomes, and t...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016088
更新日期:2019-06-01 00:00:00