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Scarborough, United Kingdom

Kurer M.A.,Colorectal Unit | Davey C.,The North Alliance | Khan S.,Scarborough Hospital | Chintapatla S.,Colorectal Unit
Colorectal Disease | Year: 2010

Aim: To perform a systematic review of the published reports on retained colorectal foreign bodies (CFBs) to collate the features and formulate a simple management plan based on the available evidence. Method: An extensive search was carried out to identify articles on CFBs. The search was carried out on electronic databases Cinahl, Embase, Medline, PubMed and PsychInfo from 1950 to January 2009. Internet journals were also scoured and a general search was carried out using the search engine 'Google'. Papers published in languages other than English were not included. Results: This review covers a total of 193 patients with 196 presentations. There were 188 men and 5 women, a ratio of approximately 37:1. The mean age at presentation was 44.1 years (SD 16.6) in the single case reports and 39.3, 40 and 60.8 years in the three case series. Household objects, such as bottles and glasses, accounted for the largest percentage (42.2%) of inserted objects. Presentation for treatment occurred most often within 24 h of insertion and the majority of objects were removed transanally using manual manipulation with or without the use of a variety of tools, or via a scope. Conclusions: The incidence of CFBs is disproportionately higher in men. Various techniques for removal are available, including some that are minimally invasive. The appropriate technique will depend on the size and surface of the retained object and the presence of complications such as perforation or obstruction. © 2010 The Authors. Journal Compilation © 2010 The Association of Coloproctology of Great Britain and Ireland. Source

Harper D.,Scarborough Hospital
Journal of the Intensive Care Society | Year: 2014

We describe a case of severe neurological injury secondary to an epidural abscess that developed during the course of critical illness. It was caused by an oesophageal perforation that developed into an invasive abscess while the patient was being treated in the intensive care unit (ICU) for respiratory failure. We discuss spinal epidural abscesses, and the importance of searching for an alternative diagnosis in patients with weakness. © The Intensive Care Society 2014. Source

Volans A.,Scarborough Hospital
BMJ case reports | Year: 2013

We report two cases of ACE inhibitor-associated angioedema and critical airway compromise, where the use of a selective bradykinin 2 receptor blocker resulted in rapid symptom resolution and prevented intubation to protect the airway. Source

Kundu S.,Scarborough Hospital
Journal of Vascular and Interventional Radiology | Year: 2010

A common problem in the management of patients who are undergoing hemodialysis is central venous occlusive disease. There has been extensive literature on the treatment of this important and prevalent problem. Treatment options to date include percutaneous balloon angioplasty, bare metal stents, and surgical bypass. Unfortunately, all the available treatment options have poor long-term patency, requiring repeated interventions. More recently, covered stents have been mentioned in the literature for the treatment of central venous stenosis and obstruction. There are very few data to date on this technology, and further randomized controlled trials will be needed to compare the efficacy of percutaneous balloon angioplasty, bare metal stents, and covered stents. It appears that it is of paramount importance to prevent this difficult problem by limiting access to, or intervention in, the central venous system. © 2010 SIR. Source

Cassol C.A.,A+ Network | Noria D.,Scarborough Hospital | Asa S.L.,A+ Network
Endocrine Pathology | Year: 2010

In this brief report, we describe a case of ectopic thyroid tissue in the gallbladder wall. We review the literature on ectopia of the thyroid and its rare occurrence outside the usual path of the migration of the thyroid anlage from the foramen caecum to the mediastinum. The importance of distinguishing ectopic thyroid from metastatic thyroid carcinoma is emphasized. © 2010 Springer Science+Business Media, LLC. Source

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