Diffuse splenic infarction in a case of severe acute pancreatitis.


:Splenic infarction is rare in inflammatory diseases of the pancreas, although the spleen and its vessels have an intimate relation with the pancreas. Most reported cases are of focal infarction, and treatment is mostly conservative. The authors report a case of diffuse splenic infarction in a 17-year-old boy with severe acute pancreatitis who presented with massive upper gastrointestinal bleeding and was treated with splenectomy.


Am J Surg


Ray S,Mridha AR,Ahammed M




Has Abstract


2011-03-01 00:00:00














  • Comparison of local, spinal, and general anesthesia for inguinal herniorrhaphy.

    abstract::Patients who had undergone inguinal herniorrhaphy with local, general, or spinal anesthesia were surveyed for satisfaction with the anesthesia. A review of complications was carried out for these same patients to determine comparative rates in the three anesthesia groups. Patients were stratified by age and concomitan...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Young DV

    更新日期:1987-06-01 00:00:00

  • Preoperative imaging for early-stage cutaneous melanoma: predictors, usage, and utility at a single institution.

    abstract:BACKGROUND:Preoperative imaging for early-stage cutaneous melanoma is not recommended by current guidelines. Our goal was to investigate our institutional usage and utility. METHODS:Patients with clinically node-negative cutaneous melanoma undergoing surgery with sentinel lymph node biopsy were identified retrospectiv...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Haddad D,Garvey EM,Mihalik L,Pockaj BA,Gray RJ,Wasif N

    更新日期:2013-12-01 00:00:00

  • Carcinoma of the stomach after gastric operation.

    abstract::Seventeen cases of carcinoma of the stomach occurring late after previous gastric operation are presented. In all instances, patients had undergone gastroenterostomy, with or without gastric resection. Most patients had undergone the initial operation for peptic ulcer disease an average of 18 years before presenting w...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Orlando R 3rd,Welch JP

    更新日期:1981-04-01 00:00:00

  • Evidence-based outcome data after hernia surgery: a possible role for the National Surgical Quality Improvement Program.

    abstract::Since its inception in 1994, the National Surgical Quality Improvement Program (NSQIP) has been used to compare the performance of all Veterans Administration (VA) hospitals offering major surgical procedures. The program's outcome data are used to identify areas of both excellent and poor performance. The data can al...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Fink AS

    更新日期:2004-12-01 00:00:00

  • Open abdomen liver biopsy by a modified one-second technic.

    abstract::With the purpose of facilitating liver biopsy during upper abdominal procedures, an adaptation of the percutaneous one-second needle biopsy technic is proposed. A simple device, consisting of a three-way deviator, allows the utilization of the standard needles for percutaneous biopsy. The entire procedure requires fro...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Menghini G,Antonini R,Bruschelli P

    更新日期:1977-03-01 00:00:00

  • A comparative evaluation of percutaneous catheter drainage for resistant amebic liver abscesses.

    abstract::Resistance to drug treatment is a well-known problem in the management of patients with amebic liver abscesses. We undertook a comparison of the various modalities of treatment currently used for such cases on a prospective, randomized basis. Fifty patients with 56 amebic liver abscesses found to be resistant to drug ...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Singh JP,Kashyap A

    更新日期:1989-07-01 00:00:00

  • The utility of capsule endoscopy and its role for diagnosing pathology in the gastrointestinal tract.

    abstract:BACKGROUND:Capsule endoscopy (CE) is a new device that enables visualization of areas of the small bowel that were previously inaccessible through other noninvasive procedures. The purpose of this study is to evaluate this new diagnostic tool and its efficacy in finding occult GI tract pathology. METHODS:A single-inst...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Carlo JT,DeMarco D,Smith BA,Livingston S,Wiser K,Kuhn JA,Lamont JP

    更新日期:2005-12-01 00:00:00

  • Extended left hepatectomy of the left and middle hepatic venous drainage areas along the anterior fissure.

    abstract:BACKGROUND:Extended left hepatectomy including the middle hepatic vein (MHV) may potentially induce right paramedian sector congestion of the remnant liver. METHODS:To prevent venous congestion in the right paramedian sector, we performed extended left hepatectomy including the left hemiliver and anterior segment, whi...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Cho A,Yamamoto H,Kainuma O,Nagata M,Takiguchi N,Shimada H,Soda H,Gunji H,Miyazaki A,Ikeda A

    更新日期:2010-07-01 00:00:00

  • Palliative gastroenterostomy for pancreatic cancer.

    abstract::The records of 125 consecutive patients with unresectable pancreatic cancer treated between 1958 and 1979 were evaluated to determine the benefit or morbidity of gastroenterostomy performed on a routine basis. One hundred three patients had no evidence of gastric outlet obstruction from tumor extension as determined a...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Schantz SP,Schickler W,Evans TK,Coffey RJ

    更新日期:1984-06-01 00:00:00

  • Sulindac for polyposis of the colon.

    abstract::The effect of sulindac, a nonsteroid antiinflammatory drug, on colon polyposis has been evaluated in seven patients after subtotal colectomy and ileoproctostomy and in four patients with intact colons. The patients all had Gardner's syndrome or familial polyposis coli. All polyps were eliminated, except for a few that...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Waddell WR,Ganser GF,Cerise EJ,Loughry RW

    更新日期:1989-01-01 00:00:00

  • Perioperative feedback in surgical training: A systematic review.

    abstract:BACKGROUND:Changes in surgical training have raised concerns about residents' operative exposure and preparedness for independent practice. One way of addressing this concern is by optimizing teaching and feedback in the operating room (OR). The objective of this study was to perform a systematic review on perioperativ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: McKendy KM,Watanabe Y,Lee L,Bilgic E,Enani G,Feldman LS,Fried GM,Vassiliou MC

    更新日期:2017-07-01 00:00:00

  • The failing myocardium. Historical notes.

    abstract::The management of the failing myocardium was primarily empirical for centuries, until Withering introduced foxglove (digitalis) in 1785 as an effective medication. Gradually, the medical treatment included, besides digitalis preparations, the use of diuretics to reduce excessive sodium and water retention; limiting sa...

    journal_title:American journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Brewer LA 3rd

    更新日期:1984-06-01 00:00:00

  • Acute diverticulitis of the right colon.

    abstract:BACKGROUND:Acute diverticulitis of the right colon is a rare condition with a higher incidence in Oriental populations than in Occidental populations. PATIENTS AND METHODS:A retrospective review was conducted between 1982 and 1993 on 22 surgically treated Chinese patients (14 men, 8 women; mean age 47 years) with docu...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Lo CY,Chu KW

    更新日期:1996-02-01 00:00:00

  • Simple elective cholecystectomy: to drain or not.

    abstract::We performed a large single-center prospective randomized controlled study to assess the role of peritoneal drainage in simple elective cholecystectomy. In 248 patients, drains were omitted; 122 patients had closed suction drains and 124 had Penrose drains. There were no deaths, and no patient required reoperation or ...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验,评审


    authors: Lewis RT,Goodall RG,Marien B,Park M,Lloyd-Smith W,Wiegand FM

    更新日期:1990-02-01 00:00:00

  • Palisade dorsoventral lavage for neglected peritonitis.

    abstract::A modification of the procedure of laparostomy with palisade dorsoventral lavage for treating neglected peritonitis is described. It consists of adding a polyethylene foil to cover the intestines and thus avoiding the direct contact between them from one side, and the suction drains and the palisade laparostomy screen...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Losanoff J,Kjossev K

    更新日期:1997-02-01 00:00:00

  • Presidential address: Eponyms in biliary tract surgery.

    abstract::A selected group of men whose eponyms are currently used in biliary tract surgery are described. The eponyms chosen comprise two areas: gross anatomy (Glisson, Wirsung, Santorini, Winslow, Heister, and Vater) and operative anatomy (Kocher, Courvoisier, Morison, Hartmann, Calot, Roux, and Oddi). A brief review of bilia...

    journal_title:American journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Wood M

    更新日期:1979-12-01 00:00:00

  • Improving the feasibility and utility of OpTrust-A tool assessing intraoperative entrustment.

    abstract:BACKGROUND:Changes in the surgical training landscape have sparked an interest in developing new educational models anchored on entrustment assessment. We sought to optimize the validated OpTrust entrustment assessment tool by comparing ratings from short-course video reviews to previously validated intraoperative asse...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Nikolian VC,Sutzko DC,Georgoff PE,Matusko N,Boniakowski A,Prabhu K,Church JT,Thompson-Burdine J,Minter RM,Sandhu G

    更新日期:2018-07-01 00:00:00

  • Safety and efficacy of hepatic vein reconstruction for colorectal liver metastases.

    abstract:BACKGROUND:Colorectal liver metastases with hepatic vein (HV) involvement may require combined resection of the liver and HV. However, the short- and long-term outcomes of such a procedure remain unclear. METHODS:We reviewed 16 cases of liver resection with major HV resection and reconstruction. RESULTS:The patients ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Saiura A,Yamamoto J,Sakamoto Y,Koga R,Seki M,Kishi Y

    更新日期:2011-10-01 00:00:00

  • Comparison of open and minimally invasive thymectomies at a single institution.

    abstract:BACKGROUND:Most thymectomies are performed via sternotomy. Minimally invasive thymectomy (MIT) has been described but its potential benefits and drawbacks remain unclear. METHODS:A retrospective chart review comparing thymectomies performed via sternotomy to MIT at a single institution between 2005 and 2009. RESULTS:...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Youssef SJ,Louie BE,Farivar AS,Blitz M,Aye RW,Vallières E

    更新日期:2010-05-01 00:00:00

  • Gracilis muscle flap for the persistent perineal sinus of inflammatory bowel disease.

    abstract::A persistent perineal sinus may develop in patients undergoing proctocolectomy for inflammatory bowel disease. Healing may resist the traditional methods of wound management. Wide excision including coccygectomy, transposition of the vascularized gracilis muscle flap into the rigid cavity, and wound closure have led t...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ryan JA Jr

    更新日期:1984-07-01 00:00:00

  • Variations reported in surgical practice for bleeding duodenal ulcers.

    abstract:BACKGROUND:To determine the current surgical management of bleeding duodenal ulcers in our program, faculty (FAC) and residents (RES) were surveyed. METHODS:FAC (n = 33) and RES (n = 42) were surveyed regarding their surgery of choice between oversew (OS) or acid-reducing procedures (ARPs) in 4 scenarios. FAC who had ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Reuben BC,Neumayer LA

    更新日期:2006-11-01 00:00:00

  • Evaluation of readmissions due to surgical site infections: A potential target for quality improvement.

    abstract:INTRODUCTION:Readmissions have become a focus of pay-for-performance programs. Surgical site infections (SSI) are the reason for most readmissions. Readmissions for SSI could be a unique target for quality improvement. METHODS:Readmission risk for SSI were evaluated for patients undergoing colectomies from 2013 to 201...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Shah R,Pavey E,Ju M,Merkow R,Rajaram R,Wandling MW,Cohen ME,Dahlke A,Yang A,Bilimoria K

    更新日期:2017-11-01 00:00:00

  • Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit?

    abstract:BACKGROUND:Current standard of care dictates that central venous catheter (CVC) insertion should be followed by an immediate chest radiograph to confirm appropriate position and rule out complications. We hypothesized that a subset of monitored intensive care unit patients exists that is at low risk for complications a...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bailey SH,Shapiro SB,Mone MC,Saffle JR,Morris SE,Barton RG

    更新日期:2000-12-01 00:00:00

  • Incidence and associated mortality of retained common bile duct stones.

    abstract::A hundred consecutive patients who underwent cholecystectomy and exploration of the common bile duct were studied. The traditional indications for exploration resulted in a yield of 55 percent positive explorations. There were nine patients with retained stones, three of whom died. The high mortality rate of patients ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Rogers AL,Farha GJ,Beamer RL,Chang FC

    更新日期:1985-12-01 00:00:00

  • Management of vascular soft tissue neoplasms using transcatheter embolization and surgical excision.

    abstract::Preoperative embolization of highly vascular soft tissue tumors was performed in four patients. Selective catheterization of branch vessels supplying the tumors successfully avoided inadvertent embolization of adjacent normal tissue. Operative blood loss was significantly less than anticipated, permitting an easier, m...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Kadir S,Ernst CB,Hamper U,White RI Jr

    更新日期:1983-09-01 00:00:00

  • Clinically unsuspected papillary microcarcinomas of the thyroid: a common finding with favorable biology?

    abstract:BACKGROUND:The purpose of this study was to describe the incidence and clinical/pathologic characteristics of papillary thyroid microcarcinoma (PMC) in a community hospital setting and to evaluate the frequency and characteristics of these lesions when unsuspected preoperatively. METHODS:A total of 723 patients underw...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Dunki-Jacobs E,Grannan K,McDonough S,Engel AM

    更新日期:2012-02-01 00:00:00

  • The professionalism curriculum as a cultural change agent in surgical residency education.

    abstract:BACKGROUND:Teaching professionalism effectively to fully engaged residents is a significant challenge. A key question is whether the integration of professionalism into residency education leads to a change in resident culture. METHODS:The goal of this study was to assess whether professionalism has taken root in the ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hochberg MS,Berman RS,Kalet AL,Zabar SR,Gillespie C,Pachter HL,Surgical Professionalism and Interpersonal Communications Education Study Group.

    更新日期:2012-01-01 00:00:00

  • Priapism in the United States: the changing role of sickle cell disease.

    abstract:BACKGROUND:Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. METHODS:This is a retrospective analysis of the Nationwide Inpatient Sample (1998-2006). Priapism patients were identified and analyzed ove...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Chrouser KL,Ajiboye OB,Oyetunji TA,Chang DC

    更新日期:2011-04-01 00:00:00

  • Accuracy of magnetic resonance cholangiopancreatography for diagnosing stones in the common bile duct in patients with abnormal intraoperative cholangiograms.

    abstract:BACKGROUND:Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive method for diagnosing choledocholithiasis. It is said to be as accurate as the gold standard endoscopic retrograde cholangiopancreatography (ERCP) for detecting common bile duct (CBD) stones. A study was needed to look at the accuracy of MRC...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Richard F,Boustany M,Britt LD

    更新日期:2013-04-01 00:00:00

  • Preoperative decision making for rectal cancer.

    abstract:BACKGROUND:Rectal cancer treatment has become multimodal as a result of significant advances in imaging, staging, surgery, radiotherapy, and chemotherapy. Multidisciplinary teams can incorporate these developments into tailor-made treatment plans and offer state-of-the-art services for rectal cancer patients. METHODS:...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Taflampas P,Christodoulakis M,de Bree E,Melissas J,Tsiftsis DD

    更新日期:2010-09-01 00:00:00