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Biomedical subjects

E Useche

Publications and source records attributed to E Useche.

5 recordsLinked to original sources
PubMedDate not supplied

[Non-surgical drainage of intra-abdominal abscesses].

UNLABELLED: Intra-abdominal abscesses were treated by percutaneous needle drainage. Diagnosis was based, in 100% of the cases, on clinical findings, flat abdomen X-rays and ultrasound. 71% had previous abdominal surgery and 17% had abdominal trauma. The abscesses were located as follows: 29% in the liver, 24% in right sub-diaphragmatic area, 41% had several locations and 6% was pyogenic collection in de common biliary duct. The average duration of drainage was 9 days. Fifteen out of the 17 procedures were successful (88%). Predominant germs obtained in cultures of the drained material were E. Coli and P. Aeruginosa. CONCLUSION: the above experience demonstrate that percutaneous drainage in intra-abdominal abscesses is a secure and effective procedure with high rate of success and low of morbidity and mortality. It must be considered as treatment of choice.

Abdomen↗
PubMedDate not supplied

[Abdominal tuberculosis].

20 cases of abdominal tuberculosis (TB) were evaluated; from these, 10% with intestinal TB without peritoneal involvement and 90% presenting TB of peritoneal localization. 80% of the patients showed clinical manifestation in other organs. Pleura-lung alterations were found in 83% of the cases after X-ray chest examination. The diagnosis of abdominal TB was based on finding of caseating tuberculoid granuloma (65%), anti-TB therapeutic response (30%) and positive observation of acid-fast bacillus in sputum (5%). The conclusions from this review are that: 1) Patients with chronic illness, negative cultures and clinical evidence of infectious etiology are highly suspicious; 2) Analysis of pathologic specimens was the most accurate diagnostic method; 3) when abdominal TB is suspected a stepwise methodology must be followed to confirm diagnosis; 4) Anti-TB therapy must be started as soon as diagnosis is confirmed.

Adolescent↗
PubMedDate not supplied

[Ultrasonography in the differential diagnosis of obstructive jaundice: comparison with endoscopic retrograde cholangiopancreatography].

A retrospective study comparing ultrasound (US) and endoscopic retrograde cholangiopancreatography (ERCP) as practiced on 42 jaundiced patients. Obstruction of the bile ducts was demonstrated in 21 by US and in 33 by ERCP, this latter method was taken as the gold standard for comparison, and thus the sensibility of US for detecting obstructive jaundice was 64% and specificity was 89%. Choledocolithiasis and papillary stenosis were the most frequent etiologies, diagnosed in 26 cases by ERCP and in 14 cases by US. Of the 36 patients with gallbladder, US demonstrated gallstones in 28 cases (78%) and ERCP in 18 (50%). We conclude from this study that US has a high sensibility and specificity in patients in whom obstructive jaundice is suspected.

Adolescent↗
PubMedDate not supplied

[The effectiveness of endoscopic retrograde cholangiopancreatography in the etiological diagnosis of postcholecystectomy syndrome].

A retrospective study of 249 with symptoms and signs of postcholecystectomy syndrome was made to evaluate the usefulness of endoscopic retrograde cholangiopancreatography (ER CP) in its etiological diagnosis. From 1693 ERCP evaluated, 1108 were checked and from these 249 patients showed symptoms and signs after the cholecystectomy. So they were selected to practice a diagnostic ERCP. 204 patients were females and its principal symptom was jaundice. Lesions found in most of the cases were: stones in the bile ducts (45.78%), benign biliary stenosis (8.3%), stenosis of vater's papilla (7.22%) and biliary fistula (7.22%). It can be conclude that biliary stones is the most frequent pathology in those patients with clinical suspicion of biliary-pancreatic organicity and that ERCP is the principal method of diagnosis in these patients.

Adolescent↗