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A case of acute necrotizing pancreatitis: Practical and ethical challenges of a North-South partnership.

Samuel JC, Ludzu EK, Cairns BA, Varela C, Charles AG - Int J Surg Case Rep (2013)

Bottom Line: He had normal lipids, no gallstones, and did not consume alcohol.To support training and promote advances in health care, local surgeons and trainees should understand optimal treatment strategies regardless of their particular resource limitations.North-South partnerships are an excellent means to uphold our professional obligation to humanity, promote health care as a right, and shape the future of health care in developing countries.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of North Carolina, Chapel Hill, NC 27599, USA. Electronic address: jcsamuel@med.unc.edu.

No MeSH data available.


Related in: MedlinePlus

Intraoperative photographs showing the transverse mesocolon (a) and the pancreas (b).
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fig0005: Intraoperative photographs showing the transverse mesocolon (a) and the pancreas (b).

Mentions: Based on his vital signs and physical examination, he was resuscitated with intravenous fluids and taken urgently to theatre for an exploratory laparotomy with a provisional diagnosis of a perforated peptic ulcer and differential diagnoses of ruptured appendicitis, midgut volvulus, pancreatitis and typhoid perforation. The peritoneum was accessed via a vertical midline incision. Upon entering the peritoneal cavity, approximately 2 L of clear reddish brown fluid was encountered and evacuated. The anterior stomach, duodenum, gallbladder, liver, small bowel, colon and appendix were normal. Palpation through the stomach and transverse mesocolon noted a firm midline mass-like structure. There were no obvious gallstones on palpation. There were multiple sub-centimetre white nodules on the transverse mesocolon (Fig. 1A).


A case of acute necrotizing pancreatitis: Practical and ethical challenges of a North-South partnership.

Samuel JC, Ludzu EK, Cairns BA, Varela C, Charles AG - Int J Surg Case Rep (2013)

Intraoperative photographs showing the transverse mesocolon (a) and the pancreas (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860017&req=5

fig0005: Intraoperative photographs showing the transverse mesocolon (a) and the pancreas (b).
Mentions: Based on his vital signs and physical examination, he was resuscitated with intravenous fluids and taken urgently to theatre for an exploratory laparotomy with a provisional diagnosis of a perforated peptic ulcer and differential diagnoses of ruptured appendicitis, midgut volvulus, pancreatitis and typhoid perforation. The peritoneum was accessed via a vertical midline incision. Upon entering the peritoneal cavity, approximately 2 L of clear reddish brown fluid was encountered and evacuated. The anterior stomach, duodenum, gallbladder, liver, small bowel, colon and appendix were normal. Palpation through the stomach and transverse mesocolon noted a firm midline mass-like structure. There were no obvious gallstones on palpation. There were multiple sub-centimetre white nodules on the transverse mesocolon (Fig. 1A).

Bottom Line: He had normal lipids, no gallstones, and did not consume alcohol.To support training and promote advances in health care, local surgeons and trainees should understand optimal treatment strategies regardless of their particular resource limitations.North-South partnerships are an excellent means to uphold our professional obligation to humanity, promote health care as a right, and shape the future of health care in developing countries.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of North Carolina, Chapel Hill, NC 27599, USA. Electronic address: jcsamuel@med.unc.edu.

No MeSH data available.


Related in: MedlinePlus