We report a case of a 57-year-old woman who presented with a necrotizing soft tissue infection of the right anterior abdominal wall, 1 year after open cholecystectomy for gallbladder perforation. Surgical exploration revealed pigmented gallstones along with pus in the abdominal wall and gallbladder fossa. Intraoperative spillage of gallstones is common during both open and laparoscopic cholecys...

Laparoscopic cholecystectomy is associated with greater chances of intra abdominal stone spillage and implantation and port site contamination when gallbladder specimen is retrieved without endobag. Economical sterile surgical gloves can be used instead of expensive commercial endobags to retrieve the gallbladder specimen and also intra abdominal spilled stones safely without complications. Eva...

Interest in the epidemiology of emerging diseases of humans and livestock as they relate to wildlife has increased greatly over the past several decades. Many factors, most anthropogenic, have facilitated the emergence of diseases from wildlife. Some livestock diseases have "spilled over" to wildlife and then "spilled back" to livestock. When a population is exposed to an infectious agent, depe...

Abstract Aims Lost spilled gallstones during laparoscopic cholecystectomy is a rare inadvertent complication results in recurrent delayed sepsis. Diagnosis made via retrospective review of operative notes. 2 cases retained were removed surgically, following several years after the initial cholecystectomy. Conclusion presented with symptoms abdominal pain, sepsis intra-abdominal collections. Int...

INTRODUCTION Emergency physicians (EP) frequently estimate blood loss, which can have implications for clinical care. The objectives of this study were to examine EP accuracy in estimating blood loss on different surfaces and compare attending physician and resident performance. METHODS A sample of 56 emergency department (ED) physicians (30 attending physicians and 26 residents) were asked t...

The Hebei Spirit oil spill (HSOS) in December 7, 2007 spilled approximately 10,900 tons of crude oil in about 10 km off the Taean coasts in South Korea. We first summarize and overview, in the present study, the current status of environmental and ecological effects of the HSOS focusing on i) pollution status for surrounding environment (water, sediment, and porewater), ii) biological effects o...

We tested methods for delivery of drugs to the renal medulla of anesthetized rabbits. Outer medullary infusion (OMI) of norepinephrine (300 ng ⋅ kg-1 ⋅ min-1), using acutely or chronically positioned catheters, reduced both cortical (CBF; 15%) and medullary perfusion (MBF; 23-31%). Inner medullary infusion (IMI) did not affect renal hemodynamics, whereas intravenous infusion reduced CBF (15%) w...

Global demand for petroleum keeps increasing while traditional supplies decline. One alternative to the use of conventional crude oils is the utilization of Canadian bitumen. Raw bitumen is a dense, viscous, semi-liquid that is diluted with lighter crude oil to permit its transport through pipelines to terminals where it can then be shipped to global markets. When spilled, it naturally weathers...

Positron emission tomography (PET) was used to determine the effect of working memory and speed of sentence processing on regional cerebral blood flow (rCBF) during syntactic processing in sentence comprehension. PET activity associated with making plausibility judgments about syntactically more complex subject-object (SO) sentences (e.g., The juice that the child spilled stained the rug) was c...

INTRODUCTION Spilled gallstones from a laparoscopic cholecystectomy can be a source of significant morbidity, most commonly causing abscesses and fistulae. Preventative measures for loss, careful removal during the initial surgery, and good documentation of any concern for remaining intraperitoneal stones needs to be performed with the initial surgery. CASE REPORT An 80-year-old male with a h...