Pattern of local relapse of maxillary sinus carcinoma

Khan, MH; Haque, SM Shahidul; Yaqi, K; Takinami, S; Khan, SH; Ohmori, Keiichi; Nishioka, Takeshi

doi:10.3329/mmj.v15i2.42

Cited by 2 publications

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“…Findings on physical examination vary according to the gravity of cholecystitis. Fever is above 38℃ in 30% of cases [7]. Many signs may be noted, such as abdominal guarding in the right upper quadrant, Murphy's sign that is rarely observed in pregnant women, or fever, and tachycardia [8].…”

Section: Discussionmentioning

confidence: 99%

Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Mahjoubi,

Dhaou,

Maatouk

et al. 2023

Ann Hepatobiliary Pancreat Surg

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Acute cholecystitis is a rare condition in pregnant women, potentially affecting the maternal and fetal prognosis. Our aim was to report the main clinical and paraclinical features of acute cholecystitis during pregnancy and therapeutic modalities. Methods: We conducted a case series analysis recording pregnant patients with acute cholecystitis admitted to our surgery department over a period of 11 years. We collected clinical data, paraclinical features, and management modalities related to cholecystitis. Results: There were 47 patients. Twenty-eight percent was in the first trimester of pregnancy, 40% in the second, and 32% in the third trimester. Abdominal pain was located in the right hypochondrium in 75% of cases. Fever was noted in 21% of cases. C-reactive protein was elevated in 39% of patients. Cholestasis markers were high in four patients. Abdominal ultrasound showed a distended gallbladder in 39 patients, with thickened wall in 34 patients, and gallbladder lithiasis in all cases. No patient had a dilated main bile duct. All patients received intravenous antibiotic therapy. Tocolysis was indicated in 32 patients. Laparoscopic cholecystectomy was performed in 32 cases (68%), and open cholecystectomy in 15 cases (32%). Postoperative course was uneventful in 42 patients, and complicated in 5 patients. Rate of complications was statistically higher after open cholecystectomy (p = 0.003). Morbidity rate was higher in the third trimester (p = 0.003). Conclusions: Delay in the diagnosis of acute cholecystitis during pregnancy can lead to serious complications. Management is based on antibiotic therapy and cholecystectomy. Laparoscopic cholecystectomy appears to be less morbid than open cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Mahjoubi,

Dhaou,

Maatouk

et al. 2023

Ann Hepatobiliary Pancreat Surg

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“…These findings were in contrast to Rakesh and Rajendra [7], which observed 58% cases in the 40-60 yr group, and only 24% cases in the 20-40 yr age group. Khan et al [8] concluded that the use of oral contraceptive pills promoted lithogenicity, principally in metabolically susceptible younger age women. Diabetes mellitus has generally been linked to cholelithiasis and biliary tract inflammation.…”

Section: Discussionmentioning

confidence: 99%

Histopathological changes in gall bladder mucosa in relation to the number, and size of gallstones, and analysis of the findings in the context of age distribution of the patients: A perspective

Sharma,

Walia,

Randhawa

et al. 2023

Ann Hepatobiliary Pancreat Surg

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To study histopathological changes in gall bladder mucosa in cholelithiasis patients, and analyse their relation to the number and size of gallstones. These findings were evaluated in the context of age distribution of the study population. Methods: One hundred cases of cholecystectomy were part of the study, which was conducted in collaboration with the pathology department. The time period of the study was January 2020 to June 2021. Results: Maximum cases had multiple stones (69.0%), while one third cases (31.0%) had solitary stones. While initial univariate analysis showed age (odds ratio [OR], 6.882; p = 0.043), gallstone number (OR, 9.1; p = 0.050), gallstone size (OR, 17.111; p = 0.013), and duration of symptom (OR, 34.125; p = 0.001) to be significant risk factors associated with gallbladder carcinoma, multivariate analysis found none of these variables to be significant. However, conditional multivariate analysis for the duration of symptom (p = 0.008; OR, 21.118) yielded significant p-value. With histopathological diagnoses, 5% of cases had gallbladder cancer. Conclusions: This study shed light on the rising incidence of cholelithiasis in the young population and the high rate of gallbladder carcinoma in Punjab, India. Although gall stone characteristics (size, number) and patient age appeared to be significant risk factors when their individual relation with gallbladder carcinoma was studied, multivariate analysis, could not prove that. Conditional multivariate analysis showed the duration of symptom to be the only significant risk factor associated with gallbladder carcinoma. Further research with larger sample size is needed to study the rising incidence of gallbladder carcinoma, and the risk factors associated with it.

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Pattern of local relapse of maxillary sinus carcinoma

Cited by 2 publications

References 0 publications

Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Histopathological changes in gall bladder mucosa in relation to the number, and size of gallstones, and analysis of the findings in the context of age distribution of the patients: A perspective

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