Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2023
Case ReportsAbdominal Wall Abscess Secondary to Spilled Gallstones 20 Years after Laparoscopic Cholecystectomy.
This case report describes an intra-abdominal and abdominal wall abscess formation in a 53-year male. The abscess developed 20 years after an uncomplicated laparoscopic cholecystectomy. He presented to multiple clinics with complaints of abdominal swelling and pain and had been prescribed multiple courses of antibiotics in the preceding six months before a definitive diagnosis was made. ⋯ Early postoperative complications including abscess formation usually come to attention; however, the importance of late complications should not be undervalued, especially when an abscess develops in a patient with a history of recent or remote cholecystectomy. Thorough investigation, consideration of possible diagnosis related to abscess formation post-cholecystectomy, and timely action is the key to management. Key Words: Abdominal wall abscess, Laparoscopic cholecystectomy, Complications, Retained gallstones.
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J Coll Physicians Surg Pak · Jan 2023
The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone.
To evaluate the association of ureteral wall thickness (UWT) with spontaneous passage (SP) of ureteral stones and formation of ureteral stricture (US) in patients who underwent ureterorenoscopy for ureteral stones. ⋯ Ureteral calculi, Ureterorenoscopy, Ureteral wall thickness, Ureteral stricture.
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J Coll Physicians Surg Pak · Jan 2023
Diffusion-weighted Imaging in the Benign-malignant Differentiation of Endometrial Pathologies; Effectiveness of Visual Evaluation.
To investigate the effectiveness of diffusion-weighted imaging (DWI) in the differentiation of benign and malignant endometrial pathologies by measuring the apparent diffusion coefficient (ADC) values and performing a visual evaluation. ⋯ Diffusion-weighted imaging, Endometrial pathologies, ADC, Visual evaluation.
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J Coll Physicians Surg Pak · Jan 2023
Observational StudyPredictive Value of HBsAg for Off-treatment Response in HBeAg-negative Chronic Hepatitis B Patients.
To investigate the virological relapse (VR) rate and prognostic value of the HBsAg level at treatment completion for predicting sustained off-treatment response in HBeAg-negative patients after neucleos(t)ide analog (NA) therapy. ⋯ Hepatitis B surface antigen, Nucleos(t)ide analogs, Cessation, Relapse.
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J Coll Physicians Surg Pak · Jan 2023
Observational StudyClinical Prognostic Factors During the Last One Month of Life in Terminally Ill Cancer Patients: A Retrospective Observational Study.
To explore the trajectory of clinical symptoms and biomarkers in the last four weeks of life in terminally ill cancer patients. ⋯ Cancer, Ordinal regression analysis, Death, Terminal illness, Biomarkers.