Is it acute cholecystitis?

Abstract:

:In a prospective study of 100 patients presenting with acute right hypochondrial pain and diagnosed clinically by a qualified surgeon as having acute cholecystitis, we have shown that the diagnostic error can be considerable. Twenty-five of these patients were found to have a different diagnosis on subsequent investigation and in a further 11 patients, no definite diagnosis could be established. This emphasises the need for careful investigation of patients with this presenting complaint.

journal_name

Ann R Coll Surg Engl

authors

Schofield PF,Hulton NR,Baildam AD

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

14-6

issue

1

eissn

0035-8843

issn

1478-7083

journal_volume

68

pub_type

杂志文章
  • Treatment of osteoporosis: missed opportunities in the hospital fracture clinic.

    abstract:AIM:To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS AND METHODS:The hospital electronic information system was used to identify all pat...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870804371

    authors: Smith MG,Dunkow P,Lang DM

    更新日期:2004-09-01 00:00:00

  • Clinically benign parotid tumours: local dissection as an alternative to superficial parotidectomy in selected cases.

    abstract::In a personal series of 162 tumours, 101 were pleomorphic adenomas 28 of which were removed by elective local extra capsular dissection and 73 by a conventional nerve dissection. There were no recurrences in either group after a mean follow-up 10.3 years, range 3-21 years for local dissection and 8.3 years, range 3-22...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hancock BD

    更新日期:1999-09-01 00:00:00

  • Treatment of non-endemic hepatolithiasis in a Western country. The role of hepatic resection.

    abstract:INTRODUCTION:The aim of this study was to assess the safety and the efficacy of hepatic resective surgery in the treatment of single lobe hepatolithiasis. PATIENTS AND METHODS:Retrospective analysis and comparison between hepatic resections in patients with hepatolithiasis (hepatolithiasis group [HG]) and liver masses...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588406X98711

    authors: Catena M,Aldrighetti L,Finazzi R,Arzu G,Arru M,Pulitanò C,Ferla G

    更新日期:2006-07-01 00:00:00

  • Inflammatory myofibroblastic tumours of the respiratory system and the impact of the varying patterns.

    abstract::Inflammatory fibroblastic tumours are very rare. They are mostly located in the respiratory system. We present three cases of patients with fibroblastic tumours. The diversity of inflammatory fibroblastic tumours in the respiratory system and the surgical considerations are discussed. Our recommendation is that treatm...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0033

    authors: Lodhia JV,Christensen TD,Trotter SE,Bishay ES

    更新日期:2016-01-01 00:00:00

  • Extra-abdominal manifestations of retroperitoneal infection: a case of popliteal sinus secondary to duodenal ulcer.

    abstract::Retroperitoneal abscesses can be gastrointestinal, urological or vascular in origin, and can spread via the retrofascial compartment through the psoas muscle to the lower limb. We describe the case of a 73-year-old woman with right knee pain for three weeks, a cellulitic right thigh and cholestatic liver function test...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2020.0137

    authors: Granger L,Rao M,Rambani R

    更新日期:2020-11-01 00:00:00

  • Emergency and elective surgical treatment of portal hypertension. A review of 23 years' experience.

    abstract::A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods h...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Kirby R,Burke FD,Jones JD

    更新日期:1975-09-01 00:00:00

  • Blood transfusion does not have an adverse effect on survival after operation for colorectal cancer.

    abstract::The effect of perioperative blood transfusion on cancer progression remains controversial because retrospective clinical studies have produced conflicting results. We have collected data prospectively on 379 patients undergoing curative surgery for colorectal adenocarcinoma and assessed the effect of variables, includ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Sene A,Jeacock J,Robinson C,Walsh S,Kingston RD

    更新日期:1993-07-01 00:00:00

  • Incisional hernia rate after laparoscopic colorectal resection is reduced with standardisation of specimen extraction.

    abstract:INTRODUCTION:Incisional hernia is a common complication of laparoscopic colorectal surgery. Extraction site may influence the rate of incisional hernias. Major risk factors for the development of incisional hernias include age, diabetes, obesity and smoking status. In this study, we investigated the effect of specimen ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X14055925058274

    authors: Navaratnam AV,Ariyaratnam R,Smart NJ,Parker M,Motson RW,Arulampalam TH

    更新日期:2015-01-01 00:00:00

  • Penile skin necrosis - complication following selfcircumcision.

    abstract::Circumcision is one of the commonest operations performed throughout the world for ritual, traditional or medical reasons. Self-circumcision may lead to disastrous complications. There have been reports of the complications following use of the constricting devices for improved sexual performance and for auto-erotic i...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870805X50690

    authors: Sagar J,Sagar B,Shah DK

    更新日期:2005-07-01 00:00:00

  • The changing practice of transurethral resection of the prostate.

    abstract::Introduction Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP da...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0054

    authors: Young MJ,Elmussareh M,Morrison T,Wilson JR

    更新日期:2018-04-01 00:00:00

  • The effect of total knee replacement on employment in patients under 60 years of age.

    abstract:INTRODUCTION:The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS:A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X391785

    authors: Lyall H,Ireland J,El-Zebdeh MY

    更新日期:2009-07-01 00:00:00

  • Informed consent for total hip arthroplasty: does a written information sheet improve recall by patients?

    abstract:OBJECTIVE:To ascertain whether a written information sheet is acceptable to patients and improves recall of the consent interview. DESIGN:Prospective randomised controlled study using questionnaires, comparing a group of patients given information in a written sheet with appropriate explanation to a group given verbal...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1308/003588402760978201

    authors: Langdon IJ,Hardin R,Learmonth ID

    更新日期:2002-11-01 00:00:00

  • Assessment and treatment of recurrent peptic ulceration.

    abstract::From the experience of treating 91 patients with a proven recurrent ulcer we consider that if a proven ulcer is shown to be present and a gastrin-secreting tumour is excluded an appropriate reoperation will almost always produce a successful result (94 per cent). Before subjecting patients to reoperation all attempts ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Steinberg DM,Masselink BA,Alexander-Williams J

    更新日期:1975-03-01 00:00:00

  • Ruptured aortic aneurysm: the decision not to operate.

    abstract::Despite published criteria predicting poor survival after operation for ruptured abdominal aortic aneurysm (RAAA), little is known about the factors which influence surgeons not to operate. Questionnaires were sent to all 404 members of the Vascular Surgical Society of Great Britain and Ireland, posing questions about...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hewin DF,Campbell WB

    更新日期:1998-05-01 00:00:00

  • Epidural abscess with associated spondylodiscitis following prostatic biopsy.

    abstract::Spondylodiscitis is often iatrogenic in nature. We report the case of a 69-year-old man presenting with spondylodiscitis and associated epidural abscess following transrectal ultrasonography guided prostate biopsy despite ciprofloxacin cover. To our knowledge, this is the first case of spondylodiscitis secondary to fl...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588415X14181254790563

    authors: Dobson G,Cowie CJ,Holliman D

    更新日期:2015-07-01 00:00:00

  • Multi-disciplinary management of complex pressure sore reconstruction: 5-year review of experience in a spinal injuries centre.

    abstract::INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2016.0227

    authors: Thomson CH,Choudry M,White C,Mecci M,Siddiqui H

    更新日期:2017-02-01 00:00:00

  • Dangers of placement of narrow bore nasogastric feeding tubes.

    abstract::Three complications of the use of narrow bore nasogastric feeding tubes are described. Clinical tests to determine correct placement are noted to be unreliable and the importance of radiological confirmation is stressed. A number of suggestions are made for safe use of these tubes. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Biggart M,McQuillan PJ,Choudhry AK,Nickalls RW

    更新日期:1987-05-01 00:00:00

  • Are current techniques of inguinal hernia repair optimal? A survey in the United Kingdom.

    abstract::Data was collected on the techniques currently employed in adult inguinal hernia repair by means of a postal questionnaire to consultants in four Regional Health Authorities in England. Questionnaires were returned by 240 consultants (85%). This identified a considerable range in methods of repair, with a Moloney nylo...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Morgan M,Reynolds A,Swan AV,Beech R,Devlin HB

    更新日期:1991-11-01 00:00:00

  • Surgical aspects of carcinoma of the thyroid gland.

    abstract::The distribution of histological types, presenting symptoms, and treatment in a series of 29 cases of carcinoma of the thyroid gland are described. The treatment policy adopted in such cases is outlined. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hargreaves AW

    更新日期:1981-09-01 00:00:00

  • Small bowel knots.

    abstract:INTRODUCTION:Intertwining of bowel loops to form a knot is very rare cause of intestinal obstruction. Among intestinal knots, ileoileal knotting is the most rare, with only a handful of cases reported in literature. We present a rare case of ileoileal knotting and review of small bowel knots. The aim of this review was...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2020.0122

    authors: Beg MY,Bains L,Lal P,Maranna H,Kumar N P

    更新日期:2020-10-01 00:00:00

  • Tonsilloadenoidectomy. Personal observations in 15,000 cases.

    abstract::The indications for removal of tonsils and/or adenoids are discussed, along with preoperative assessment, operative technique, treatment of postoperative haemorrhage, aftercare, and results. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Haydon-Baillie M

    更新日期:1977-03-01 00:00:00

  • Research output of a cohort of orthopaedic consultants in Great Britain.

    abstract::There has been renewed emphasis on research following the Calman recommendations for higher training. It is often considered essential for progression in training to have participated in research projects and to have some publications to one's credit. Orthopaedic surgery is usually thought to lag behind other discipli...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588403321001417

    authors: Singh GK,Qadir W,Deshmukh RG

    更新日期:2003-01-01 00:00:00

  • Reporting individual surgeon outcomes does not lead to risk aversion in abdominal aortic aneurysm surgery.

    abstract::INTRODUCTION Reporting surgeons' outcomes has recently been introduced in the UK. This has the potential to result in surgeons becoming risk averse. The aim of this study was to investigate whether reporting outcomes for abdominal aortic aneurysm (AAA) surgery impacts on the number and risk profile (level of fitness) ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0005

    authors: Saratzis A,Thatcher A,Bath MF,Sidloff DA,Bown MJ,Shakespeare J,Sayers RD,Imray C

    更新日期:2017-02-01 00:00:00

  • The management of trauma victims with head injury: a study by the National Confidential Enquiry into Patient Outcome and Death.

    abstract:INTRODUCTION:In 2006 the National Confidential Enquiry into Patient Outcome and Death undertook a large prospective study of trauma care, which revealed several findings pertaining to the management of head injuries in a sample of 493 patients. METHODS:Case note data were collected for all trauma patients admitted to ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13511609956813

    authors: Smith NC,Findlay GP,Weyman D,Freeth H

    更新日期:2013-03-01 00:00:00

  • A day of day plastic surgery in a district general hospital.

    abstract::In spite of the suitability of the day surgery environment for most patients undergoing elective plastic surgery, day plastic surgery has not been universally adopted in the United Kingdom. The experience of one plastic surgeon gained in treating 5970 patients as day cases out of a total of 12,461 patients over 10 yea...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ward C

    更新日期:1994-03-01 00:00:00

  • Acute radiation enteritis causing small bowel obstruction.

    abstract::Although much is known about the late intestinal side effects of radiation, comparatively little has been published about its acute complications. We present a case of a small bowel obstruction due to acute radiation enteritis. As radiotherapy continues to expand its role in the management of oncological disease, cli...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/10.1308/147870811X602122

    authors: Curtis NJ,Bryant T,Raj S,Bateman AR,Mirnezami AH

    更新日期:2011-10-01 00:00:00

  • Balancing priorities in the management of hip fractures: guidelines versus resources.

    abstract:BACKGROUND:About 60,000 patients are treated for hip fractures each year in the UK and the incidence is increasing. The majority of these patients are elderly and sick, and delay to operation may be fatal. The National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) guidelines aim to improve quality of care fo...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588404323043283

    authors: Guryel E,Redfern DJ,Ricketts DM

    更新日期:2004-05-01 00:00:00

  • Symptomatic trochanteric non-union following total hip replacement treated with reattachment combined with two-stage revision surgery of the femoral stem.

    abstract::We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with a Dall-Miles grip plate. After failure of this treatment, the patient had a two-stage revision. Trochanteric non-union is one of the well-described complications after total hip replacement. It is frequently ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2019.0048

    authors: Drampalos E,Bayam L,Oakley J,Hemmady M,Hodgkinson J

    更新日期:2019-07-01 00:00:00

  • The EndoAssist robotic camera holder as an aid to the introduction of laparoscopic colorectal surgery.

    abstract:INTRODUCTION:Introducing laparoscopic colorectal surgery is a challenge to the whole surgical team. It is usual for an assistant to hold the laparoscope and be responsible for the surgeon's view of the operative field and a lack of expertise in the assistant can add significant difficulties. The EndoAssist is a robotic...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X392162

    authors: Gilbert JM

    更新日期:2009-07-01 00:00:00

  • Patient reported outcome measures in septorhinoplasty surgery.

    abstract:INTRODUCTION:Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which asse...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X14055925059075

    authors: Biggs TC,Fraser LR,Ward MJ,Sunkaraneni VS,Harries PG,Salib RJ

    更新日期:2015-01-01 00:00:00