Rivaroxaban is currently used to prevent stroke in patients with atrial fibrillation. Like all anticoagulants, rivaroxaban carries a risk of bleeding. There is a single reported case of rectus abdominis hematoma due to rivaroxaban use in the literature. We present an 82-year-old female patient presented to our outpatient clinic with sudden pain and swelling in the abdominal region. The patient ...

Percutaneous nephrostomy is a simple technique for temporary drainage of an obstructed kidney. Under local anaesthesia a ureteric catheter is passed through a Vim-Silverman needle into the renal pelvis and is connected to a drainage bag. Seven cases (six successful) in which this method was used are described and the indications are discussed. It has been free from complications, is acceptable ...

We report a case of an infected pneumatocele in the course of anaerobic pneumonia in an adult. To the best of our knowledge, anaerobic pneumonia complicated by a pneumatocele in an adult has not previously been described. The pneumatocele occurred on the fifth day of hospitalization, and rapidly increased in size, with the development of a subsequent mixed anaerobe infection. A pig-tail cathete...

The curled peritoneal dialysis catheter is theoretically less prone to catheter migration and drainage failure. It also allows percutaneous placement, rather than surgical placement exclusively, whenever desired or necessary. Review of 213 curled-catheter placements, 134 (63%) percutaneous and 79 (37%) surgical, over the last 4 years, shows that the probability of continuing catheter function b...

BACKGROUND Pyogenic abscess of psoas muscles is a rare condition. Psoas abscess due to methicillin-resistant Staphylococcus aureus is an emerging and rare infection and so far the related data are scarce. CASE PRESENTATION We report the rare case of primary and bilateral large psoas abscesses due to methicillin-resistant Staphylococcus aureus in a 54-year-old Arab Jordanian woman with breast ...

BACKGROUND Percutaneous central line insertion is a common procedure in the neonatal intensive care unit. CASE CHARACTERISTICS A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area. OBSERVATION A diagnosis of abscess was made, and an incision and drainage done that revealed a white fluid with high triglyceride content, ...

We experienced a case of a 76-year-old man who developed a splenic abscess while undergoing treatment for interstitial pneumonia. Splenic abscess-like abnormal intensities were accidentally found by the chest computed-tomography (CT) examinations 3 weeks after the initiation of corticosteroids and immunosuppressive treatment for interstitial pneumonia. An ultrasonography-guided percutaneous asp...

Prosthetic graft infection in the ascending aorta or aortic arch is a life-threatening complication. Redo graft replacement is also associated with high mortality and morbidity rates. Conservative treatments without graft removal recently developed as alternatives to conventional surgical approach have been reportedwith successful outcomes.We report a case of successful treatment of prosthetic ...

OBJECTIVE To report an uncommon method of managing pancreatic fistulas and retroperitoneal abscess. CLINICAL PRESENTATION AND INTERVENTION A 50-year-old man was admitted with fever, abdominal pain, periumbilical fistula and pus in stool. Five months before admission, he underwent urgent necrosectomy (7 days after onset of pain) and subsequently two more surgeries for necrotizing pancreatitis....

A 58-year-old woman presented acutely with a 3-day history of general weakness, vomiting and fever. For 2 years she had had untreated diabetes mellitus. On examination she was ill, blood pressure was 64/47mmHg, heart rate: 111 beats/min, respiration rate: 28/min and body temperature was 37.28C. The right upper abdomen was tender. There was right loin tenderness. Investigations: white blood cell...