The 2019 novel coronavirus outbreak (now recognized as SARS-CoV-2, triggering the COVID-19 disease) has spread from Wuhan throughout China and has been distributed to an increasing range of countries. Early activity has concentrated on explaining the course of the disease, reporting critical incidents, and handling the ill. Currently, Vietnam, an Association of Southeast Asian Nations (ASEAN) country that shares a long border with China, has successfully controlled COVID-19. In this article, we aimed to provide updated information regarding COVID-19 in Vietnam, from the first case to the current outbreak. We hope the information in this article will help the world understand more about the surveillance and prevention policies of Vietnam's COVID-19. The numerous lessons learned will serve as a guide for handling possible pandemics, but a permanently new global framework is expected in the immediate future.
Hemobilia is an uncommon but serious complication of traumatic liver injury. Diagnosis can be difficult because the presentation of gastrointestinal (GI) bleeding may be minimal or massive, and its delay is quite variable, ranging from a few days to several months. Radiologic evaluation, including ultrasound, CT, endoscopic retrograde cholangiopancreatography, and angiography, can be used for the diagnosis. Once the clinical presentation and diagnosis are considered, diagnostic and therapeutic arteriography must be performed as soon as possible.Here, we present a case of hemobilia two weeks postoperative for blunt traumatic liver injury in a 13-year-old boy who was treated successfully by N-butyl 2-cyanoacrylate (NBCA) embolization of the pseudoaneurysm.
Objectives: The purpose of this study is to see the efficacy of laparoscopic treatment in the management of intra-abdominal ruptured liver abscess.Patients and Methods: From 2014 to 2018, 32 patients with intra-abdominal ruptured liver abscess meeting entry criteria received laparoscopic surgical management in our hospital. Clinical data including operation time, postoperative complication rate, length of postoperative hospital stay was retrospectively analyzed.Results: 32 patients with a median age of 53.3 ± 15.3 years (range, 24-85 years). The mean of operating time was 105 ± 28 minutes (median 100 minutes, range: 60 -185 minutes). Time to pass gas after surgery was 2,8 ± 1,6 days in average (range: 1 -6 days). The mean of time to remove drains was 10 ± 5 days (range: 3 -27 days). The mean time of post-operative stay was 12,5 ± 6,9 days (rang: 3 -30 days). Postoperative complications occurred in 8 patients (25.0%) (3 cases of local ascite, 2 cases of pneumoniae, 1 case wound bleeding, 1 bile duct leak, 1 wound infection), and all complications were successfully managed. Conclusion:Laparoscopic drainage is highly effective in management of large and freely ruptured abscess with decreased mortality, postoperative recovery and complications
The treatment of symptomatic cavernous sinus dural arteriovenous fistula, an unusually occluded cavernous sinus, is by a transvenous approach through the inferior petrosal sinus and superior ophthalmic vein. If these two modes of conventional transvenous access are not possible, surgical exposure and/or direct puncture access to the superior ophthalmic vein or cavernous sinus have been previously described. In a patient with progressive ophthalmological problems, the goal of treatment is to not only cure the ophthalmic symptoms but also to conserve or improve visual acuity, so treatment is needed as soon as possible. We report a 68year-old woman suffering a Barrow type D cavernous sinus dural arteriovenous fistula. In this case, inadequate, inferior petrosal sinus embolization and lack of access for superior ophthalmic vein via a facial vein preceded percutaneous puncture under sonographic guidance of the superior ophthalmic vein. This permitted venous occlusion without complications and symptom-free for 11 months.
Obturator hernia is a rare condition, characterized by the herniation of an intestinal segment between the obturator and the pectineus muscles through the obturator foramen. Obturator hernias usually occur in the elderly and are less common in males than in females, with a maleto-female ratio of about 1/14. In recent years, the use of diagnostic imaging, especially CT, to determine the causes of intestinal obstruction has been improved to allow for an early and accurate diagnosis, even of obturator hernias, which are extremely rare in male patients. We report a thin elderly man, without a history of surgery and with chronic constipation and an unremarkable Howship-Romberg sign, which was correctly diagnosed before surgery as an obturator hernia using CT.
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