Presentation
The present study presents an investigation of the tissue reaction after 2, 4 and 8 days in an animal model. [frontiersin.org]
Bilateral peritonsillar abscess is a rare presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis. [ncbi.nlm.nih.gov]
Twenty five (25%) performed incision and drainage on initial presentation. Only one (1%) performed abscess tonsillectomy at first presentation. Interestingly, five (5%) treated their patients with intravenous antibiotics alone in the first instance. [pmj.bmj.com]
This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control. [link.springer.com]
Entire Body System
- Pain
This leads to a very important distinction between chronic pelvic pain and episodes of other pain that we might experience during our life: usually pain is a symptom, but in chronic pelvic pain, pain becomes the disease." [adhesions.org]
Intestinal adhesions may cause pain due to obstruction during exercise or when stretching. Adhesions involving the vagina or uterus may cause pain during intercourse. Pericardial adhesions may cause chest pain. [webmd.com]
Sitting up and leaning forward can often ease the pain. At times, it may be difficult to distinguish pericardial pain from the pain that occurs with a heart attack. [mayoclinic.org]
As you move throughout the day, these tissues stretch, affecting nearby nerves and causing pain. Pain during intercourse: Adhesions can also cause pain during intercourse (a condition called dyspareunia). [healthywomen.org]
Symptoms of ARD may include: chronic pain infertility bowel obstruction and an inability to pass gas urinary bladder dysfunction pain and difficulty having a bowel movement pain on movement such as walking, sitting or lying in certain positions emotional [betterhealth.vic.gov.au]
- Inflammation
Foreign materials in the operation site like prosthesis prolong the inflammation and induce fibroblast proliferation (8). 3 different prostheses used in this study induced chronic inflammation and fibrosis and provided an effective repair. [read.qxmd.com]
Nevertheless hypoxia-MSCs (H-MSCs) have more potent in controlling the inflammation than normoxia-MSCs (N-MSCs) by releasing several anti-inflamation particularly IL-10, however the H-MSCs application to inhibit IPAs remain unclear. [oamjms.eu]
It is proposed that the persistence of fibrin due to decreased tPA activity following surgery or chronic inflammation plays a major role in peritoneal adhesion formation. [ncbi.nlm.nih.gov]
However, should inflammation occur, it can fill with fluid. Inflammation of the lining of the heart is called pericarditis (itis=inflammation). [medicinenet.com]
Peritonitis (Medical Encyclopedia) Peritonitis - secondary (Medical Encyclopedia) Peritonitis - spontaneous bacterial (Medical Encyclopedia) Retroperitoneal inflammation (Medical Encyclopedia) [ Read More ] [icdlist.com]
- Fever
The procedure was smooth, but fever and abdominal pain not at the site of operation developed the next day. [ncbi.nlm.nih.gov]
Fever and chest pain, which is sharp and varies with position and movement and occasionally may feel like a heart attack, are common symptoms. [merckmanuals.com]
[…] saliva Facial or neck swelling Fever Headache Muffled voice Tender glands of the jaw and throat An exam of the throat often shows swelling on one side and on the roof of the mouth. [medlineplus.gov]
[…] saliva Facial or neck swelling Fever Headache Muffled voice Tender glands of the jaw and throat Exams and Tests An exam of the throat often shows swelling on one side and on the roof of the mouth. [mountsinai.org]
Fever may increase. Further progression can tear your intestinal wall and contaminate your abdominal cavity with bowel contents. When to Seek Medical Care See a doctor any time you experience abdominal pain, pelvic pain, or unexplained fever. [webmd.com]
- Severe Pain
Medication — ♦ Analgesic — If the patient are feel severe pain in the body. this medication help to treat the severe pain symptoms. ♦ Antiemetic — To treat the continues vomiting condition. example — Ondansetron etc. ♦ Antipyretic — this medication is [humanbodyhealth.com]
But if your doctor thinks that you have a bowel obstruction or severe pain because of an adhesion, they might suggest you go into hospital for treatment. [bupa.co.uk]
Blistering may be accompanied by severe pain, itching, burning, and stinging. If extensive, blistering can lead to life-threatening fluid loss, infection, and disfigurement. [pemphigus.org]
As the abscess develops, other symptoms start, such as: red, swollen tonsils tender, swollen glands (lymph nodes) on one side of the neck a tonsil that's pushing against the uvula severe pain on one side of the throat difficulty and pain when swallowing [kidshealth.org]
- Asymptomatic
Although many adhesions are asymptomatic, small bowel obstruction (SBO), infertility, and chronic pain are the most common complications. Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic. [unboundmedicine.com]
Asymptomatic lymphocele was observed in four patients (2.07%) in the 4PPFF group compared to 16 patients (8.3%) without 4PPFF (p = 0.0058). [euoncology.europeanurology.com]
This scar tissue can be completely asymptomatic and not cause any problems. [innovativegyn.com]
Most adhesions are asymptomatic but can cause female infertility, small bowel obstruction (SBO) and chronic abdominal pain. [uu.diva-portal.org]
Pericardial involvement is frequent in persons with HIV, but is usually an asymptomatic pericardial effusion of small volume. [emedicine.medscape.com]
Gastrointestinal
- Abdominal Pain
[…] adhesions can cause adhesive small bowel obstruction, chronic abdominal pain and female infertility. [uu.diva-portal.org]
The procedure was smooth, but fever and abdominal pain not at the site of operation developed the next day. [ncbi.nlm.nih.gov]
Another valid, albeit less definitive, sequela of intra-abdominal adhesions is chronic abdominal pain. [emedicine.medscape.com]
Postsurgical peritoneal adhesions lead to severe complications including chronic abdominal pain, female infertility, and small bowel obstruction. Adhesions can be minimized by introducing a physical barrier film between the tissues after surgery. [ingentaconnect.com]
- Constipation
But when they partly or completely block the intestines, they cause symptoms such as Severe abdominal pain or cramping Vomiting Bloating An inability to pass gas Constipation Adhesions can sometimes cause infertility in women by preventing fertilized [icdlist.com]
Colon cancer ⇒ Hypothyroidism ⇒ Gall-stones Intestinal obstruction, Bowel obstruction Intestinal obstruction symptoms — The sign and symptoms of intestinal obstruction are — ⇒ Abdominal pain and tenderness ⇒ Nausea and vomiting ⇒ Lack of appetite ⇒ Constipation [humanbodyhealth.com]
You should also see your doctor if you’re experiencing new symptoms, such as stabbing pain, constipation, or loose stools. [healthline.com]
Other intestinal problems may include constipation, obstruction, or alternating constipation with diarrhoea from partial obstruction. [betterhealth.vic.gov.au]
- Chronic Abdominal Pain
[…] adhesions can cause adhesive small bowel obstruction, chronic abdominal pain and female infertility. [uu.diva-portal.org]
Postsurgical peritoneal adhesions lead to severe complications including chronic abdominal pain, female infertility, and small bowel obstruction. Adhesions can be minimized by introducing a physical barrier film between the tissues after surgery. [ingentaconnect.com]
Another valid, albeit less definitive, sequela of intra-abdominal adhesions is chronic abdominal pain. [emedicine.medscape.com]
Although many women develop adhesions after surgery and never know it, in some women adhesions can cause serious complications, including: Pelvic pain: One study found that 82 percent of 224 patients suffering from chronic abdominal pain had adhesions [healthywomen.org]
- Peritoneal Disease
This knowledge reflects the understanding of the peritoneal anatomy, deep knowledge of which is very important in determining the cause and extent of peritoneal diseases as well as in decision making when choosing the appropriate therapeutic approach, [ncbi.nlm.nih.gov]
The clinical demand for knowledge and improved management of patients with peritoneal diseases, in particular cancer, has never been greater. [degruyter.com]
Two registries claim to include all patients with peritoneal surface disease of the specific disease in the country. [tandfonline.com]
- Diarrhea
Side effects include abdominal pain, vomiting, and diarrhea. Corticosteroids: If neither of the first two options have worked, corticosteroids may be employed. [medicalnewstoday.com]
The most common possible adverse events associated with nivolumab include fatigue, skin rash, pruritus, immune-mediated pneumonitis, colitis/diarrhea, nausea, pyrexia and thyroid dysfunction (5–7). [frontiersin.org]
Skin
- Ulcer
Treatment may involve: Antibiotics and antifungal medicines to control or prevent infections Fluids and electrolytes given through a vein (IV) if there are severe mouth ulcers IV feedings if there are severe mouth ulcers Numbing (anesthetic) mouth lozenges [medlineplus.gov]
60 Of the Rectum 63 Fistulas AnoRectal 66 Cholecystectomy Drainage in 299 78 A Modification of the Open Ether 82 FLOECKINGER F CDecom 83 Spinal Pauchet 1 87 FURNISS H DAWSON Urol 90 Gas Bacillus Infection Modern 96 GAUCH WMj and J W GRAY 110 Stomach Ulcer [books.google.fr]
The blisters burst soon after forming, to leave raw painful areas like severe mouth ulcers (mouth erosions). Some people with pemphigus vulgaris only get mouth blisters, without any skin blisters. [patient.info]
The blisters often first appear in the mouth and soon rupture, forming painful sores (ulcers). More blisters and ulcers may follow until the entire lining of the mouth is affected, causing difficulty swallowing, eating, and drinking. [merckmanuals.com]
Intravenous (IV) feeding If your mouth ulcers are severe, you may not be able to eat without pain. You may need to be fed through your veins. This involves using an intravenous (IV) connection. [healthline.com]
Workup
Asymmetry of soft palate with uvular deviation Neck ROM Quality of voice Lymphadenopathy Workup: Labs: CBC Imaging Not required, but consider CT scan if significant decreased neck ROM with pain on turning, to assess posterior pharyngeal space involvement [medicine.uiowa.edu]
Workup should include WBC, lactate, electrolytes, BUN/creatinine. [unboundmedicine.com]
Cost-effective workup for tonsillitis. Testing, treatment, and potential complications. Postgrad Med. 2003 Mar;113(3):115-8, 121. [PubMed: 12647478] 9. Galioto NJ. Peritonsillar Abscess. Am Fam Physician. 2017 Apr 15;95(8):501-506. [ncbi.nlm.nih.gov]
[…] out other causes) Intraoral ultrasonography Computed tomography (CT) of the head and neck with intravenous (IV) contrast (if incision and drainage fails, if the patient cannot open his or her mouth, or if the patient is young and uncooperative) See Workup [emedicine.medscape.com]
Microbiology
- Chlamydia
Detection of Chlamydia trachomatis'endocervical infections by ligase chain reaction versus ACCESS Chlamydia antigen assay // J. in Microbiol. 1999 -V. 37. N9-P. 1072-1073. 157. Walter AJ, Hentz JG, Magtibay PM, Cornelia JL, Magrina JF. [medical-diss.com]
Colonoscopy
- Colitis
Nivolumab-induced immune-mediated colitis: an ulcerative colitis look-alike-report of new cases and review of the literature. [frontiersin.org]
[…] symptoms-causes/syc-20351460 Intestinal obstruction causes ⇒ Tumor in intestine 〈 Small or large 〉 ⇒ Spinal cord injury or neuromuscular disorder 〈 that cause non mechanical intestinal obstruction 〉 ⇒ Inflammatory bowel disease like crohn’s disease or ulcerative colitis [humanbodyhealth.com]
Inflammation The following can be caused by: Inflammation: pelvic inflammatory disease, inflammatory bowel diseases (Crohn’s disease, ulcerative colitis) appendicitis, especially if the appendix ruptures. Endometriosis. [pelvicpain.org.uk]
Jul 31st, 2019 - A 65-year-old woman with a history of proctocolectomy and end ileostomy for ulcerative colitis was referred to our clinic with a slowly growing mass around her ileostomy. She did not report any systemic symptoms. [allmedx.com]
Ulcerative colitis: female fecundity before diagnosis, during disease, and after surgery compared with a population sample. Gastroenterology 2002 ; 122 : 15 -9. ↵ Schreinemacher MH, Ten Broek RP, Bakkum EA, van Goor H, Bouvy ND. [bmj.com]
Treatment
Other treatments Various other medicines and treatments have been used with some success. [patient.info]
As explosive endpoints, we will examination the expression of VEGF-A in peritoneal cavity during the treatment. [clinicaltrials.gov]
Secondly, it allows assessment (including effectiveness and opportunity costs) of new or alternative treatments, and comparison with the existing prevalent treatment.1–3 Thirdly, it highlights areas of treatment requiring further research. [pmj.bmj.com]
Clinical and scientific evaluation and closer examination of treatments and treatment results have timely implications for the procedures of the future. [karger.com]
A more comprehensive understanding of the pathogenesis of adhesion formation at cellular and molecular levels is needed to streamline preventative treatment strategies [ 10 ]. [ncbi.nlm.nih.gov]
Prognosis
Further, the peritoneal adhesion may impede treatment of primary tumor, such as operation or chemotherapy, lead to a poor prognosis. [clinicaltrials.gov]
Prognosis The prognosis of pemphigus has markedly improved over the last decades with steroid therapy. Nevertheless, mortality remains an issue (5% of cases). [orpha.net]
Patients in whom systemic therapy fails have a poor prognosis, with a median survival time of 2 months [1]. [bjui-journals.onlinelibrary.wiley.com]
The prognosis after the HIPEC treatment varies, and mainly depends on the origin of the tumor and the amount of cancer in the abdomen at the time of diagnosis. The number of patients with complications has been steadily decreasing in recent decades. [phg.eu]
Doppler probe pressure may elicit movement of the debris within the abscess heterogeneous, poorly defined margins may also demonstrate surrounding hyperechoic rim color flow or power Doppler may demonstrate circumferential hyperemia 8 Treatment and prognosis [radiopaedia.org]
Etiology
Review Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management T Liakakos et al. Dig Surg. 2001. [pubmed.ncbi.nlm.nih.gov]
AIM: To summarize the most common etiologic factors and describe the pathophysiology in the formation of peritoneal adhesions, to outline their clinical significance and consequences, and to evaluate the pharmacologic, mechanical, and surgical adjuvant [ncbi.nlm.nih.gov]
Needle pericardiocentesis is often best when the etiology is known or the presence of tamponade is in question. Surgical drainage is best when the presence of tamponade is certain but the etiology is unclear. [merckmanuals.com]
Consider rheumatic fever as an etiology in any child with pericarditis. However, this disease is not a demonstrated cause of constrictive pericarditis. [emedicine.medscape.com]
Epidemiology
METHODS: We performed an extensive MEDLINE search of the internationally published English literature of all medical and epidemiological journal articles, textbooks, scientific reports, and scientific journals from 1940 to 1997. [ncbi.nlm.nih.gov]
Adhesive small bowel obstruction: epidemiology, biology and prevention. Attard JA, MacLean AR. Attard JA, et al. Can J Surg. 2007 Aug;50(4):291-300. Can J Surg. 2007. PMID: 17897517 Free PMC article. Review. [pubmed.ncbi.nlm.nih.gov]
Summary Epidemiology Prevalence is estimated at approximately 1/2,630. Clinical description Onset occurs on average at 50-60 years, although childhood onset forms have been described. [orpha.net]
Epidemiology In the US, there are 30 per 100,000 persons years (45,000 cases annually). Most infections occur during November to December and April to May, coinciding with the highest incidence of streptococcus pharyngitis and exudative tonsilitis. [pedclerk.uchicago.edu]
For this reason, assessment of quality puts particular emphasis on the evaluation of clinical and epidemiological data. [karger.com]
Pathophysiology
AIM: To summarize the most common etiologic factors and describe the pathophysiology in the formation of peritoneal adhesions, to outline their clinical significance and consequences, and to evaluate the pharmacologic, mechanical, and surgical adjuvant [ncbi.nlm.nih.gov]
Review Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management T Liakakos et al. Dig Surg. 2001. [pubmed.ncbi.nlm.nih.gov]
Pathophysiology[edit] Adhesions form as a natural part of the body’s healing process after surgery in a similar way that a scar forms. [en.wikipedia.org]
Prevention
In this book, experts in the field address peritoneal repair, the role of surgical technique to prevent adhesions, adhesion formation, complications of adhesions, and developing technology in the prevention of adhesions. [books.google.de]
This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control. [link.springer.com]
The results show the potential of the novel dual crosslinked HA-based NFMs in prolonged adhesion prevention. [pubs.rsc.org]
Recent advances in prevention and management T Liakakos et al. Dig Surg. 2001. [pubmed.ncbi.nlm.nih.gov]