The American journal of gastroenterology
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Am. J. Gastroenterol. · Apr 1995
Review Case ReportsLarge bloody ascites in association with pelvic endometriosis: case report and literature review.
Endometriosis is only rarely the cause of massive bloody ascites. This entity simulates gynecological malignancy and is seldom recognized before surgical exploration of the abdomen. ⋯ Hormonal modulation has obviated the need for surgical resection, in some cases. We report a case of such an entity and review the medical literature.
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Am. J. Gastroenterol. · Oct 1993
Review Case ReportsAcute gastric volvulus: pathogenesis, diagnosis, and treatment.
A 61-yr-old women presented with vomiting, abdominal pain, and distention. Nasogastric and endoscopic decompression failed to relieve her distention. ⋯ The patient underwent gastric resection with anterior gastropexy followed by an uncomplicated postoperative course. This paper discusses the etiology, anatomic definition, and therapeutic options in patients with acute gastric volvulus.
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Am. J. Gastroenterol. · Jun 1993
Review Case ReportsFatal hyperphosphatemia following Fleet Phospo-Soda in a patient with colonic ileus.
A fatal case of hyperphosphatemia secondary to enteral administration of Fleet Phospo-Soda is presented. A 64-yr-old male admitted for theophylline toxicity was treated with activated charcoal and sorbitol, but subsequently developed colonic ileus. Two sequential doses of Phospo-Soda were administered to facilitate clearance of the charcoal; however, this resulted in marked hyperphosphatemia, hypocalcemia, acidemia, and other electrolyte abnormalities, followed by the patient's demise. This case is added to several other reports about the risks of injudicious use of sodium phosphate cathartics.
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The experimental data supporting and opposing the use of intravenous albumin in various groups of patients are provided, and conclusions are drawn from these data. The metabolism and kinetics of albumin are reviewed, and the importance of albumin levels in critically ill patients is discussed. The reviewed literature supports the conclusion that in most critically ill patients, intravenous albumin does not improve outcome.