Portal venous gas as a radiological sign in a sigmoid diverticular abscess and its non-surgical management: a case report.

Abstract:

:A 62-year old man who presented unwell with no specific symptoms or signs was found to have portal venous circulation gas complicating a small diverticular abscess. He was successfully managed with a course of antibiotics and had full resolution of symptoms, therefore avoiding the need for surgical intervention. While most commonly associated with bowel ischaemia and therefore often warranting emergency laparotomy, portal venous gas within the context of other underlying pathology often presents opportunities for delayed surgery or more conservative management options.

journal_name

Ann R Coll Surg Engl

authors

Kong CY,Goh HL,Anderson JE

doi

10.1308/rcsann.2020.0089

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

e173-e175

issue

7

eissn

0035-8843

issn

1478-7083

journal_volume

102

pub_type

杂志文章
  • Long-term results of surgery for childhood achalasia.

    abstract::Childhood achalasia is an uncommon condition characterised by the absence of oesophageal peristalsis together with increased resting pressure and failure of relaxation of the lower oesophageal sphincter. The currently accepted management is a modified Heller's cardiomyotomy with Nissen fundoplication; however, the lon...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Morris-Stiff G,Khan R,Foster ME,Lari J

    更新日期:1997-11-01 00:00:00

  • Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature.

    abstract::A 77-year-old man had aorto-iliac bypass for an abdominal aortic aneurysm (AAA). This was complicated by occlusion that needed extension of the graft to the right femoral artery. He was unable to move his right leg with numbness after surgery. This was caused by extensive lumbosacral plexopathy on the right side. Lumb...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/147870807X188470

    authors: Abdelhamid MF,Sandler B,Awad RW

    更新日期:2007-07-01 00:00:00

  • Epidermoid cysts of the testis: the case for conservative surgery.

    abstract::The series comprises 6 patients (mean age, 21 years) who presented with an epidermoid cyst of the testis between 1991 and 1998. Pre-operative ultrasonography suggested the presence of a testicular cancer in 3 patients who underwent a radical orchidectomy. The ultrasound successfully predicted the true diagnosis in 3 p...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Gupta SK,Golash A,Thomas JA,Cochlin D,Griffiths D,Jenkins BJ

    更新日期:2000-11-01 00:00:00

  • Inferior epigastric artery pseudoaneurysms.

    abstract:INTRODUCTION:Inferior epigastric artery (IEA) pseudoaneurysms are recognised complications of abdominal wall procedures, and a variety of approaches including surgical excision and ligation, percutaneous procedures and conservative management have been employed in treating this rare complication. METHODS:We describe a...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588414X14055925058076

    authors: Edwards KJ,Avula SK,Babu BD,England RA

    更新日期:2015-05-01 00:00:00

  • Conservative management of phantom-limb and amputation-stump pain.

    abstract::The causes of pain in the amputation stump or in the so-called phantom limb are far from clear and a wide variety of methods of treatment have been used with varying degrees of success. Surgical techniques do not always give lasting relief and it is suggested that conservative methods such as vibration therapy and var...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Berger SM

    更新日期:1980-03-01 00:00:00

  • A tricky tracheotomy: airway management dilemma following unusual stab injury to the mouth.

    abstract::Traumatic wounding to the upper aerodigestive tract can cause acute airway compromise. In these circumstances establishment of a safe airway is vital. We present a case report illustrating the decision making pathway in such a difficult case. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221499342

    authors: Mepani VN,Antscherl J

    更新日期:2012-01-01 00:00:00

  • Replantation and reconstructive microvascular surgery. Part I.

    abstract::Although the operating microscope was introduced more than 50 years ago, its use was at first confined to otolaryngology and, later, to ophthalmology. More recently its use in the development of microvascular techniques has led to spectacular advances in the field of replantation and reconstructive surgery. The organi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 历史文章,杂志文章

    doi:

    authors: O'Brien BM

    更新日期:1976-03-01 00:00:00

  • Contract cholangiography.

    abstract::Clinical, operative, and conventional radiological criteria may provide insufficient indications for exploration of the common bile duct. The technique of contact cholangiography improves the radiographic definition, especially in the obese, and has resulted in more positive choledochotomies and in fewer negative expl...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Baxter-Smith DC,Middleton MD

    更新日期:1979-09-01 00:00:00

  • Carpal tunnel decompression in primary care: what is the infection risk and is it safe and effective?

    abstract:INTRODUCTION:The demand for elective hand surgery in England is predicted to double by 2030 compared with 2011. With such increase in demand, the UK must seek strategies to reduce costs of treatment while still maintaining standards of care. Carpal tunnel decompression performed in a treatment room rather than in theat...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2019.0036

    authors: Palial V,Kheiran A,Siddiqui S

    更新日期:2019-05-01 00:00:00

  • Comparison of magnetic resonance arthrography with arthroscopy for imaging of shoulder injuries: retrospective study.

    abstract::BACKGROUND Arthroscopy is the established 'gold standard' diagnostic investigation for detection of shoulder disorders. We aimed to compare the diagnostic accuracy of arthroscopy with magnetic resonance arthrography (MRA) for detection of shoulder disorders. METHODS Patients who underwent arthroscopy by a single surge...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0249

    authors: Saqib R,Harris J,Funk L

    更新日期:2017-04-01 00:00:00

  • Vascular surgical intervention for complications of cardiovascular radiology: 13 years' experience in a single centre.

    abstract::This study investigates incidence and outcome of iatrogenic vascular complications needing surgery in a single vascular unit serving interventional vascular radiology and interventional cardiology. Evolution of diagnostic and interventional cardiovascular radiology, along with the introduction of non-surgical therapie...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lewis DR,Bullbulia RA,Murphy P,Jones AJ,Smith FC,Baird RN,Lamont PM

    更新日期:1999-01-01 00:00:00

  • Computed tomography colonography: a new threat to the spleen?

    abstract::We present a rare and previously undocumented potential complication of computed tomography (CT) colonography. CT colonography is a commonly performed investigation with a relatively low risk of complications. While splenic injury is a well-documented complication after colonoscopy, it has never been reported followin...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0159

    authors: Sehgal R,Whitehead-Clarke T,Tudyka V,Evans S

    更新日期:2019-01-01 00:00:00

  • A brief comparison of orthopaedic training in English-speaking countries.

    abstract::The purpose of this article is to examine current orthopaedic training in the UK and objectively compare this with other English-speaking countries. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X359303

    authors: Syed S,Mirza AH,Ali A

    更新日期:2009-04-01 00:00:00

  • Towards safer treatments for benign anorectal disease: the pharmacological manipulation of the internal anal sphincter.

    abstract:INTRODUCTION:The internal anal sphincter (IAS) is an important structure that is responsible for the majority of resting tone of the sphincter complex. It has a central role in continence and damage to the muscle has serious implications. Injury is most frequently from obstetric trauma though iatrogenic injury from pro...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type:

    doi:10.1308/003588407X205576

    authors: Jones OM

    更新日期:2007-09-01 00:00:00

  • Should business management training be part of medical education?

    abstract::The introduction of modern business management practices in the National Health Service has exposed different levels of management training and expertise between clinicians and hospital managers. This is undesirable and frequently unproductive. This article puts the case for the inclusion of business management traini...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hornick P,Hornick C,Taylor K,Ratnatunga C

    更新日期:1997-09-01 00:00:00

  • How long should patients be followed-up after total hip replacement? Current practice in the UK.

    abstract::Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Bankes MJ,Coull R,Ferris BD

    更新日期:1999-09-01 00:00:00

  • Is there a role for music in reducing anxiety in plastic surgery minor operations?

    abstract:INTRODUCTION:It is well documented that music plays a role in reducing anxiety levels. Its role in reducing intra-operative anxiety levels in surgical patients while awake is less well known. We report the effects of music on intra-operative patient anxiety in both the elective and trauma plastic surgical setting. ME...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221501861

    authors: Sadideen H,Parikh A,Dobbs T,Pay A,Critchley PS

    更新日期:2012-04-01 00:00:00

  • The effects and effectiveness of electromotive drug administration and chemohyperthermia for treating non-muscle invasive bladder cancer.

    abstract:INTRODUCTION:Preliminary studies show that device assisted intravesical therapies appear more effective than passive diffusion intravesical therapy for the treatment of non-muscle invasive bladder cancer (NMIBC) in specific settings, and phase III studies are now being conducted. Consequently, we have undertaken a non-...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588414X13946184901001

    authors: Slater SE,Patel P,Viney R,Foster M,Porfiri E,James ND,Montgomery B,Bryan RT

    更新日期:2014-09-01 00:00:00

  • Joseph Toynbee Memorial Lecture, 1976. Tympanoplasty--four heterodox techniques.

    abstract::Polarization between proponents of intact canal wall tympanoplasty and radical (modified) mastoidectomy in the treatment of cholesteatoma and other irreversible temporal bone lesions can be avoided in many cases by the use of one or more special techniques. These include (a) Gelfilm (no-graft) induction of tympanic me...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Goodhill V

    更新日期:1977-01-01 00:00:00

  • Peristomal varices--life threatening or luminal?

    abstract::Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-cont...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870806X129223

    authors: Farquharson AL,Bannister JJ,Yates SP

    更新日期:2006-09-01 00:00:00

  • Contrast ureteropyelography in theatre: standardised flowchart reporting.

    abstract:INTRODUCTION:Urologists perform retrograde contrast studies of the ureters and pelvicalyceal systems in the operating theatre, both for diagnostic purposes and to guide instrumentation. We describe the development of a set of guidelines that aim to standardise the diagnostic quality of these studies and to reduce radi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221500385

    authors: Harris MA,Marsh T,Llewellyn A,West A,Naisby G,Gowda BD

    更新日期:2012-07-01 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

  • Internal or external wall diameter for abdominal aortic aneurysm screening?

    abstract:INTRODUCTION:The national abdominal aortic aneurysm (AAA) screening programme measures internal wall diameter; however, current UK intervention criteria use external wall diameter. Our aim was to determine the clinical significance of the difference between these two measurements. PATIENTS AND METHODS:Fifty patients o...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588410X12699663903430

    authors: Thapar A,Cheal D,Hopkins T,Ward S,Shalhoub J,Yusuf SW

    更新日期:2010-09-01 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

  • Laparoscopic repair of perforated duodenal ulcers with a falciform ligament patch.

    abstract::Six patients are reported who presented with perforated duodenal ulcers. These were repaired laparoscopically by suturing the falciform ligament over the perforated ulcer. There were no complications and patients were discharged between 3 and 5 days after surgery. This technique is simpler to perform than a laparoscop...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Munro WS,Bajwa F,Menzies D

    更新日期:1996-07-01 00:00:00

  • Breast cancer survivors' perspectives on whether clinical staff should ask breast cancer patients about childhood abuse.

    abstract:INTRODUCTION:Recent studies have shown that women who recall childhood abuse are at increased risk of emotional problems following a breast cancer diagnosis. How services should respond is unclear given the risk of compounding the emotional trauma of cancer with questioning about abuse. Our aim was to present the resea...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X13946184901407

    authors: Clark L,Holcombe C,Fisher J,Salmon P

    更新日期:2014-07-01 00:00:00

  • Prophylaxis with rivaroxaban after laparoscopic sleeve gastrectomy could reduce the frequency of portomesenteric venous thrombosis.

    abstract:INTRODUCTION:Portal and mesenteric venous thrombosis is a rare but potentially serious complication after laparoscopic sleeve gastrectomy. There are no consistent studies that prove the safety and effectiveness of oral anticoagulant thromboprophylaxis with rivaroxaban after laparoscopic sleeve gastrectomy. The objectiv...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2020.0209

    authors: Rodríguez JI,Kobus V,Téllez I,Pérez G

    更新日期:2020-11-01 00:00:00

  • Laparoscopic preperitoneal repair for primary falciform ligament herniation.

    abstract::Epigastric hernia involving the falciform ligament is exceptionally rare. Most reported cases are incisional hernia secondary to prior abdominal surgery. We report a case of primary falciform ligament herniation into the epigastric region repaired by the laparoscopic preperitoneal approach. In this case, an accompanyi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2020.0032

    authors: Liang TJ,Wang KC,Tsai CC,Chen IS

    更新日期:2020-05-01 00:00:00

  • Preparing a clinical activities database in plastic surgery using existing information systems.

    abstract::The collection of data for audit and clinical activity analysis is time consuming. This report outlines a technique by which data held on hospital data systems, such as the PAS and theatre management systems, can be made available to clinical investigators. The saving in time and effort can be enormous. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Dunn K,Bazire N,Housley L,Shakespeare P

    更新日期:1994-11-01 00:00:00

  • Accelerated discharge within 72 hours of colorectal cancer resection using simple discharge criteria.

    abstract::Introduction Short hospital stays and accelerated discharge within 72 hours following colorectal cancer resections have not been widely achieved. Series reporting on accelerated discharge involve heterogeneous patient populations and exclude important groups. Strict adherence to some discharge requirements may lead to...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0149

    authors: Emmanuel A,Chohda E,Botfield C,Ellul J

    更新日期:2018-01-01 00:00:00