Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
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Review Case Reports
[Chronic abdominal aortic graft infection : Detection with 18F-FDG-PET/CT].
A 67-year-old male patient presented with recurrent fever and septic emboli due to an aorto-duodenal fistula after previous aortobiiliac bypass grafting with suspected graft infection. Imaging by ultrasound, computed tomography scan (CT) and magnetic resonance imaging (MRI) could not confirm graft infection. ⋯ The bifurcated graft was removed und revascularization was performed by axillobifemoral bypass grafting. The clinical role of CT scanning with 18F-FDG-PET/CT is discussed including a review of the recent literature.
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Pneumopericardium is a rare but serious finding. It may indicate severe chest trauma and be associated with tracheobronchial and oesophageal injuries. ⋯ Tracheal, bronchial, and oesophageal injury were excluded by radiology and endoscopy. Interstitial lung emphysema is discussed as the pathogenesis.
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The BQS is a nationwide quality assurance program in Germany. The aim was to evaluate the data quality on intra-operative and postoperative complications for cholecystectomy submitted to the BQS. ⋯ Less than half of all cases were correctly documented in the BQS database. If documentation inthe BQS database was equally poor for all German surgical departments, neither benchmarking nor general conclusions on quality of surgical care could be drawn from the BQS data.
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The experience gained by the Basel Hirschsprung Competence Center over 20 years is presented. ⋯ Among 100 children with chronic constipation an average of 12 children were diagnosed with Hirschsprung's disease. Of these 2% showed total colon aganglionosis or ultrashort Hirschsprung's disease. Enzyme histochemical diagnosis of Hirschsprung's disease proved 100% reliable and time saving.