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Tuberculosis in the Peritoneum, not Too Rare After All. Case Reports in Gastrenterology

2012;6:369–374 DOI: 10.1159/000339764. Epub 2012 Jun 19 PMID: 23055950 [PubMed]
[Scopus]

Abstract: Peritoneal tuberculosis is rare with increased incidence rates in recent years. The
absence of characteristic clinical features of the disease often makes its diagnosis difficult

and elusive. We present the case of 61-year-old female with peritoneal tuberculosis. The

patient suffered from abdominal pain for a period of 5 months prior to admission. The
diagnosis was established on the basis of findings from an abdominal computed tomography
scan, a chest radiograph and histopathological analysis of the laparoscopic resection of the

two masses. The patient was discharged from hospital receiving a fourfold antituberculous
treatment with isoniazid, rifampicin, pyrazinamide and ethambutol. A high index of suspicion

and a combination of radiologic, endoscopic, microbiologic and histopathological examination
achieves diagnostic accuracy and prevents clinical mismanagement.

24. Georgakarakos EI, Nikolopoulos ES, Karanikas MA, Mantatzis M, Lazarides MK. Successful

endovascular treatment of a ruptured gigantic pseudoaneurysm of the common iliac artery
secondarily complicated by infection. Vascular. 2013 Jun;21(3):189-91.

DOI:10.1258/vasc.2011.cr0327 PMID: 22983544 [PubMed] [Scopus]

Abstract: We report our experience with a case of emergent endovascular treatment of a
large ruptured pseudoaneurysm of the common iliac artery. A 65-year-old male was admitted

to the surgical department in hypovolemic shock, due to active retroperitoneal bleeding. A
computerized tomography scan with intravenous contrast revealed a ruptured gigantic

pseudoaneurysm of the right common iliac artery, with a maximal diameter of 7 cm and
retroperitoneal hematoma. An intraoperative angiogram revealed active extravasation through

the neck of the pseudoaneurysm, which was successfully sealed with the placement of a stent
graft (Medtronic Endurant(®)) limb component. Infection of the pseudoaneurysm sac after one

month was successfully treated with catheter drainage. No short-term relapse occurred.
Endovascular management should be part of the basic surgical armamentarium on emergent

basis, since it provides a fast and safe solution, especially when a patient's co-morbitities
preclude open management and hemodynamic and anatomical status allows endovascular

treatment.

25. Matis GK, Silva DO, Chrysou OI, Karanikas M, Pelidou SH, Birbilis TH, Bernardo A, Stieg P.
Virtual reality implementation in neurosurgical practice: The "Can’t take my eyes off you"

effect. Turkish Neurosurgery, 2013;23(5):690-1. PMID: 24101322 [PubMed] [Scopus]

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