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MDCT in Diagnosis of Uncommon Fistulous Complications of Severe Pancreatitis-Pictorial Essay

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Surgical Science 2014年第6期5卷 237-241页

作者： rajoo ramachandran Prabhu Radhan Subramanian Ilanchezhian Shubha Veppur Mohan Mitesh Kumar Department of Radiology Sri Ramachandra University Chennai India

Fistulous complication of pancreatitis is a surgical emergency with varied clinical presentations. Early diagnosis is very important to minimize morbidity whereas delayed or missed diagnosis can cause life threatening consequences. Multi detector computed tomography (MDCT) with and without intravenous contrast is an accurate and reliable imaging modality allowing prompt diagnosis and management. In this essay, we present an overview of the radiological features found in uncommon fistulous complications of pancreatitis.

关键词： Pancreatitis Pseudo Cyst Pancreatic Fistula

Fatal case of amoebic liver abscess in a child

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Asian Pacific Journal of Tropical Medicine 2015年第10期8卷 858-860页

作者： Khuen Foong Ng Kah Kee Tan Romano Ngui Yvonne AL Lim Amirah Amir Yamuna rajoo Hamimah Hassan Rohela Mahmud Department of Pediatric Tuanku Jaafar Hospital Department of Parasitology Faculty of MedicineUniversity of Malaya Department of Medical Microbiology Faculty of MedicineUniversity of Malaya

We reported a case of amoebic liver abscess(ALA) in a 6-year-old Malaysian boy who presented with fever,lethargy,diarrhea and right hypochondriac *** admission he was diagnosed with perforated acute appendicitis and a laparotomy was *** surgery he developed acute respiratory ***,chest X-Ray and CT scan revealed two ALAs in the posterior segment of right lobe of liver,pleural effusion and collapsed consolidation of lungs *** liver abscesses drainage was done and intravenous Metronidazole was *** carried out on the pus from the abscess was positive for Entamoeba *** however succumbed to the infection one week after admission.

关键词： Amoebic liver abscess Entamoeba histolytica Childr

Liver cirrhosis and splenomegaly associated with Schistosoma mansoni in a Sudanese woman in Malaysia:A case report

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Asian Pacific Journal of Tropical Medicine 2015年第4期8卷 334-336页

作者： Yamuna rajoo Rohela Mahmud Ng Rong Xiang Sharifah F.S.Omar G Kumar Yvonne A.L Lim Arine Fadzlun Ahmad Amirah Amir Zurainee Mohamed Nor Romano Ngui Department of Parasitology Faculty of MedicineUniversity of Malaya Department of Medicine Faculty of MedicineUniversity of Malaya Department of Biomedical Imaging Faculty of MedicineUniversity of Malaya

We report a case of a patient with Schistosoma mansoni infection who presented with liver cirrhosis and *** was diagnosed by a serological test and Kato-Katz thick smear stool *** patient was a 52-year-old woman from Sudan who came to Malaysia for a week to visit her *** patient lives in the middle of Rabak region,Sudan,a highly endemic area for schistosomiasis where her daily routine includes rearing of cows and *** site of toilet and sources of drinking water are canals and wells;both infested with *** had a long history of exposure and coming into contact with water from these canals and wells.

关键词： Schistosoma mansoni Liver cirrhosis Splenomegaly Sudanese woman

Acute-on-chronic liver failure in a multi-ethnic Asian city:A comparison of patients identified by Asia-Pacific Association for the Study of the Liver and European Association for the Study of the Liver definitions

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World Journal of Hepatology 2017年第28期9卷 1133-1140页

作者： Anandraj Selva rajoo Seng-Gee Lim Wah Wah Phyo Thandar Tun Yock-Young Dan Yin-Mei Lee How-Cheng Low Kieron Lim Poh-Seng Tan Guan-Huei Lee Yong Loo Lin School of Medicine National University of SingaporeSingapore 119077Singapore Institute of Molecular and Cell Biology ASTARSingapore 138668Singapore Division of Gastroenterology and Hepatology Department of MedicineNational University HospitalSingapore 119228Singapore Department of Hepatology Mandalay General Hospital30th StChan Aye Tharsan TownshipMandalayMyanmar

AIM To explore the applicability of the Asia-Pacific Association for the Study of the Liver(APASL) and European Association for the Study of the Liver(EASL) guidelines for acute-on-chronic liver failure(ACLF) in profiling patients and determining the *** Patients admitted to a tertiary hospital in Singapore with acute decompensation of liver disease from January 2004to July 2014 are screened for ACLF according to the APASL and EASL criteria. The patients' data(including basic demographics, information about existing chronic liver disease, information about the acute decompensation, relevant laboratory values during admission, treatment, and outcome) are retrospectively analyzed to determine the background, precipitating factors and *** A total of 458 liver patients is analyzed, and 78 patients with ACLF are identified. Sixty-three patients(80.8%) meet the APASL criteria, 64 patients(82.1%) meet the EASL criteria, and 49 patients(62.8%) fulfilled both criteria. The most common causes of acute liver injury are bacterial infections(59.0%), hepatitis B flare(29.5%), and variceal bleeding(24.4%). The common aetiologies of the underlying chronic disease included hepatitis B(43.6%), alcoholic(20.5%) and cryptogenic(11.5%) liver disease. The overall mortality rate is 61.5%. Increased age, the number of organ failures(as per CLIF-SOFA score), peak creatinine, INR, and amylase levels are associated with increased mortality or the need for liver transplantation. 14.3% of patients undergo liver transplantation with a 100% 1-year survival rate. CONCLUSION Both APASL and EASL criteria have identified ACLF patients with high three-month mortality, but those who fulfill APASL criteria alone have a better survival.

关键词： Acute-on-chronic liver failure Survival Prognosis Liver decompensation Liver cirrhosis