Clinician's Manual on Intra-abdominal Infections by Joseph Solomkin, Thomas L. Husted, Hannes Wacha

By Joseph Solomkin, Thomas L. Husted, Hannes Wacha

A clinician's guide for intra-abdominal infections written through specialists within the field.

- A guide to aid physicians to fast realize and higher comprehend the pathogenesis of intra-abdominal
- comprises numerous top of the range black and white and colour photos from real-life scientific cases
- Adheres to an easy structure to function crucial and fast reference consultant for all non-surgical citizens and physicians

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From Langer J. Gastroenterology and hepatology: pediatric gastrointestinal problems. Edited by M Feldman, PE Hyman. Philadelphia: Current Medicine LLC, 1997. */"- */'&$5*0/4 treatment of appendicitis is a potential option. Randomized trials, however, have clearly defined inclusion and exclusion criteria, and are performed under somewhat artificial and controlled conditions. While this allows both known and unknown confounders to be controlled, findings from a randomized clinical trial cannot always be extrapolated to a patient population.

20a). t Hemorrhage – although rare, massive hemorrhage secondary to IBD requiring more than 6 units of blood in 24 hours usually requires surgical intervention. An upper gastrointestinal source of hemorrhage must be assessed prior to focusing on the lower gastrointestinal tract. Subtotal colectomy and end ileostomy remain the best options in ulcerative colitis. In Crohn’s disease, which is often a segmental disease, it is important to localize the source of bleeding pre-operatively before proceeding to segmental resection.

A, Abdominal radiograph showing appendicolith (arrow) and local ileus in lower abdomen. B, Ultrasound showing cross-section of a non-compressible, thick-walled tubular structure with acoustic shadowing from an appendicolith. C, CT scan showing thick-walled structure with surrounding inflammation in right lower abdomen (arrow). D, CT scan showing localized appendiceal abscess in right lower abdomen (arrow). From Langer J. Gastroenterology and hepatology: pediatric gastrointestinal problems. Edited by M Feldman, PE Hyman.

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