- Email: [email protected]
Successful endoscopic s removal of large trichobezoar
Abstracts
JOURNAL OF CLINICAL AND EXPERIMENTAL HEPATOLOGY
21st Annual Conference of Indian National Association for the Study of Liver (INASL), March 22–24, 2013 Hyderabad International Convention Centre, Hyderabad, India
MISCELLANEOUS
SUCCESSFUL ENDOSCOPIC S REMOVAL OF LARGE TRICHOBEZOAR Parveen Malhotra,12 Vani Malhotra,1 Ramesh Verma,2 Yogesh Abhishekh12 1
Department of Gastroenterology, OBG, PGIMS Rohtak, Vellore, India, Department of Gastroenterology, Christian Medical College, Vellore, India 2
Miscellaneous
Background: Trichobezoar is a ball of swallowed hair which collects in the stomach and fails to pass through the intestines. The risk is greatest among mentally retarded or emotionally disturbed children. Case: a 16-year-old mentally subnormal girl presented with secondary amenorrhoea for last two years. She was also giving history of lump and pain in the abdomen. Abdominal examination revealed a firm, non-tender mobile mass occupying the epigastrium and extending to right hypochondrium and lumbar region. Endoscopy confirmed a trichobezoar in the stomach. Result: the trichobezoar was removed in multiple sittings using an endoscope. Conclusion: This is one of rare case report all over world where such a big trichobezoar was removed successfully endoscopically without subjecting patient to surgery.Counseling by a psychiatrist has an important role in prevention of the recurrence. Trichobezoar should be considered a differential diagnosis in any young girl who presents with epigastric pain, vomiting and abdominal mass.
biotic with percutaneous catheter drainage. No randomized trial has been done to directly compare both invasive techniques till now. Our study has compared intermittent needle aspiration with catheter drainage. Method: Over a 12 months period, 140 consecutive patients with liver abscess were treated with intravenous antibiotics initially and those who did not respond or developed complications were randomized into two, percutaneous treatment groups: continuous catheter drainage (with an 8F multi-sidehole pigtail catheter); and intermittent needle aspiration (16G, 18G disposable trocar needle). Results: Baseline characteristics and demographic profile of both groups of patients was similar. The needle group was associated with a higher treatment success rate, a shorter duration of hospital stay, and a lower mortality rate, although this did not reach statistical significance. In pigtail catheter group there were 12 (37%) procedure related complications whereas in percutaneous aspiration group there were, 8 (12%) complications. The difference was statically significant (P >.05) Conclusion: The symptomatic large (>6cm) size liver abscesses not responding to iv antibiotic therapy alone have easier, safer, less costly, and less time consuming treatment with antibiotics and intermittent aspiration than continuous catheter drainage. Corresponding author: Ashok Jhajharia. E-mail: [email protected]
Corresponding author: Parveen Malhotra. E-mail: [email protected]
SEVERE HEPATIC INSUFFICIAENCY, AS A MANIFESTATION OF SYSTEMIC ASPERGILLOSIS
PERCUTANEOUS INTERMITTENT NEEDLE ASPIRATION VS PERCUTANEOUS CATHETER DRAINAGE OF LIVER
Maria Chichkina, Gennadiy Storozhakov, Llia Fedorov, Svetlana Kosyura, Gennadiy Petrenko, Llia Karabinenko, Svetlana Morozov, Gennadiy Llchenko
Ashok Jhajharia, Amit Soni, Sandeep Nijhawan, Subhash Nepalia, Amit Mathur S M S Medical College Jaipur, India
Background and Aims: Liver abscess is a common problem. Treatment ranges from only antibiotic to antibiotic with percutaneous intermittent needle aspiration and anti© 2013, INASL
Clinical Hospital N 12, Moscow, Russian Federation, Russia
Background and Aim: Acute aflatoxicosis rarely diagnosed in humans. However, one should consider the possibility of its development in a patient with jaundice. Present a case of systemic aspergillosis, flowing under the "guise" of decompensated liver cirrhosis (LC) with the development of sepsis.
Journal of Clinical and Experimental Hepatology | March 2013 | Vol. 3 | No. 1S | S118–S124
JOURNAL OF CLINICAL AND EXPERIMENTAL HEPATOLOGY
21st Annual Conference of Indian National Association for the Study of Liver (INASL), March 22–24, 2013 Hyderabad International Convention Centre, Hyderabad, India
MISCELLANEOUS
SUCCESSFUL ENDOSCOPIC S REMOVAL OF LARGE TRICHOBEZOAR Parveen Malhotra,12 Vani Malhotra,1 Ramesh Verma,2 Yogesh Abhishekh12 1
Department of Gastroenterology, OBG, PGIMS Rohtak, Vellore, India, Department of Gastroenterology, Christian Medical College, Vellore, India 2
Miscellaneous
Background: Trichobezoar is a ball of swallowed hair which collects in the stomach and fails to pass through the intestines. The risk is greatest among mentally retarded or emotionally disturbed children. Case: a 16-year-old mentally subnormal girl presented with secondary amenorrhoea for last two years. She was also giving history of lump and pain in the abdomen. Abdominal examination revealed a firm, non-tender mobile mass occupying the epigastrium and extending to right hypochondrium and lumbar region. Endoscopy confirmed a trichobezoar in the stomach. Result: the trichobezoar was removed in multiple sittings using an endoscope. Conclusion: This is one of rare case report all over world where such a big trichobezoar was removed successfully endoscopically without subjecting patient to surgery.Counseling by a psychiatrist has an important role in prevention of the recurrence. Trichobezoar should be considered a differential diagnosis in any young girl who presents with epigastric pain, vomiting and abdominal mass.
biotic with percutaneous catheter drainage. No randomized trial has been done to directly compare both invasive techniques till now. Our study has compared intermittent needle aspiration with catheter drainage. Method: Over a 12 months period, 140 consecutive patients with liver abscess were treated with intravenous antibiotics initially and those who did not respond or developed complications were randomized into two, percutaneous treatment groups: continuous catheter drainage (with an 8F multi-sidehole pigtail catheter); and intermittent needle aspiration (16G, 18G disposable trocar needle). Results: Baseline characteristics and demographic profile of both groups of patients was similar. The needle group was associated with a higher treatment success rate, a shorter duration of hospital stay, and a lower mortality rate, although this did not reach statistical significance. In pigtail catheter group there were 12 (37%) procedure related complications whereas in percutaneous aspiration group there were, 8 (12%) complications. The difference was statically significant (P >.05) Conclusion: The symptomatic large (>6cm) size liver abscesses not responding to iv antibiotic therapy alone have easier, safer, less costly, and less time consuming treatment with antibiotics and intermittent aspiration than continuous catheter drainage. Corresponding author: Ashok Jhajharia. E-mail: [email protected]
Corresponding author: Parveen Malhotra. E-mail: [email protected]
SEVERE HEPATIC INSUFFICIAENCY, AS A MANIFESTATION OF SYSTEMIC ASPERGILLOSIS
PERCUTANEOUS INTERMITTENT NEEDLE ASPIRATION VS PERCUTANEOUS CATHETER DRAINAGE OF LIVER
Maria Chichkina, Gennadiy Storozhakov, Llia Fedorov, Svetlana Kosyura, Gennadiy Petrenko, Llia Karabinenko, Svetlana Morozov, Gennadiy Llchenko
Ashok Jhajharia, Amit Soni, Sandeep Nijhawan, Subhash Nepalia, Amit Mathur S M S Medical College Jaipur, India
Background and Aims: Liver abscess is a common problem. Treatment ranges from only antibiotic to antibiotic with percutaneous intermittent needle aspiration and anti© 2013, INASL
Clinical Hospital N 12, Moscow, Russian Federation, Russia
Background and Aim: Acute aflatoxicosis rarely diagnosed in humans. However, one should consider the possibility of its development in a patient with jaundice. Present a case of systemic aspergillosis, flowing under the "guise" of decompensated liver cirrhosis (LC) with the development of sepsis.
Journal of Clinical and Experimental Hepatology | March 2013 | Vol. 3 | No. 1S | S118–S124