Diaphragm-like strictures of the right colon induced by indomethacin suppositories: evidence of a systemic effect.
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Anti-Inflammatory Agents, Non-Steroidal↗
Biomedical subjects
T D McLarty
Publications and source records attributed to T D McLarty.
Pneumoperitoneum after laparoscopic cholecystectomy: frequency and duration as seen on upright chest radiographs.
OBJECTIVE: This study aimed to determine the frequency and duration of pneumoperitoneum after laparoscopic cholecystectomy, as detected on upright chest radiographs. MATERIALS AND METHODS: Fifty-five patients who underwent laparoscopic cholecystectomy were studied prospectively. Upright posteroanterior chest radiographs were obtained 6 hr after surgery (day 1); additional radiographs were obtained on days 2, 4, 7, and 14, if required, until the pneumoperitoneum resolved. A perpendicular measurement of any pneumoperitoneum detected between the diaphragm and the liver was obtained. The pneumoperitoneum was graded as absent, trace (1-5 mm), mild (6-10 mm), or moderate (10-15 mm). RESULTS: No evidence of pneumoperitoneum was seen on chest radiographs taken 6 hr after surgery (day 1) in 27 (54%) of the 50 patients who completed the study. Of the remaining 23 patients (46%), all but one showed resolution of the pneumoperitoneum in the first week. Of these 23 patients, 17 showed trace pneumoperitoneum and six showed mild pneumoperitoneum on chest radiographs. CONCLUSION: Despite the use of carbon dioxide gas during laparoscopic cholecystectomy, a significant number of patients have postsurgery pneumoperitoneum that is visible on upright chest radiographs. The pneumoperitoneum resolves in most patients within the first week after surgery.
Carbon Dioxide↗
Splenic hemorrhage: a complication of tissue plasminogen activator treatment.
Thrombolytic therapy with tissue plasminogen activator (tPA) for acute myocardial infarction may result in major bleeding complications such as gastrointestinal or intracranial bleeding. A case is described of severe splenic hemorrhage and rupture which developed 3 h after completion of tPA infusion for suspected acute myocardial infarction. The patient developed hypovolemic shock with abdominal pain and distension and further evidence of myocardial necrosis. A computed tomography scan of the abdomen was helpful in elucidating the diagnosis, and surgical splenectomy resulted in a good patient outcome, though the period of hypotension had increased the extent of myocardial necrosis.
Aged↗
Parathyroid cysts: report of a case with ultrastructural observations.
Parathyroid cysts are an uncommon cause of neck masses which are of uncertain origin. Electron microscopic observations reveal the cysts to be lined by a simple absorptive rather than secretory cell, which rests on a basement membrane. These are not cheif cells. Smooth muscle forms an integral part of the cyst wall. These findings of simple epithelial cells and mesenchymal tissue (smooth muscle) support the concept that these cysts represent persistent embryological remnants. A likely source is the third pharyngeal pouch.
Adult↗