ORCID Profile
0000-0001-8645-9901
Current Organisations
John Hunter Hospital
,
NSW Health
,
University of Sydney
,
University of Wollongong
,
University of Notre Dame Australia
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Publications
Diagnosis and management of bilateral lipoma of the middle ear
Publisher: Elsevier BV
Date: 11-2023
Iatrogenic duodenal diverticulum perforation: a systematic review
Publisher: Wiley
Date: 07-03-2023
DOI: 10.1111/ANS.18376
Abstract: Duodenal erticulum occurs in approximately 20% of the population and can lead to life‐threatening complications such as perforation. Most perforations are secondary to erticulitis, with iatrogenic causes being exceptionally rare. This systematic review explores the aetiology, prevention and outcomes of iatrogenic perforation of duodenal erticulum. A systematic review was performed according to the PRISMA guidelines. Four databases were searched, including Pubmed, Medline, Scopus and Embase. The primary data extracted were clinical findings, type of procedure, prevention and management of perforation and outcomes. Forty‐six studies were identified, of which 14 articles met inclusion criteria and comprised 19 cases of iatrogenic duodenal erticulum perforation. Four cases identified duodenal erticulum pre‐intervention, nine were identified peri‐intervention, and the remainder were identified post‐intervention. Perforation secondary to endoscopic retrograde cholangiopancreatography ( n = 8) was most common, followed by open and laparoscopic surgery ( n = 5), gastroduodenoscopy ( n = 4) and other ( n = 2). Operative management with erticulectomy was the most frequent treatment (63%). Iatrogenic perforation was associated with 50% morbidity and 10% mortality. Iatrogenic perforation of duodenal erticulum is exceptionally rare and associated with high morbidity and mortality. There are limited guidelines surrounding standard perioperative steps to prevent iatrogenic perforations. A review of preoperative imaging helps identify potential aberrant anatomy, such as a duodenal erticulum, to allow for recognition and prompt management initiation in the event of perforation. Intraoperative recognition and immediate surgical repair are safe options for this complication.
Management of urachal cancer in pregnancy: A systematic review
Publisher: Wiley
Date: 29-05-2022
DOI: 10.1002/BCO2.170
Abstract: Urachal cancer is a rare non‐urothelial malignancy that involves the urachus, often occurring at the junction of the urachal ligament and the bladder dome. It accounts for less than 1% of all bladder tumours. Cancer during pregnancy is rare, with the incidence of all cancers in pregnancy estimated to be 25–27 per 100 000 pregnancies. Urachal cancer in pregnancy is an even rarer phenomenon, with only a handful of case reports published to date. After a systematic review, only five cases have been reported in the English literature. We aim to review the cases presented in the literature and to examine the outcomes of the management of urachal cancer in pregnancy to date.
The Diagnosis and Management of Pulmonary Actinomycosis
Publisher: Elsevier BV
Date: 04-2023
Iatrogenic duodenal diverticular perforation during a right laparoscopic nephroureterectomy: a rare complication
Publisher: BMJ
Date: 06-2022
Abstract: Duodenal erticulum perforation is a rare and life-threatening pathology. Perforation secondary to iatrogenic causes is rare, with only 14 cases previously reported. This paper explores a world-first case report on iatrogenic duodenal erticulum perforation during right laparoscopic nephroureterectomy and a systematic review of all reported cases of duodenal erticulum perforation in the literature.
Disseminated Mycobacterium chelonae infection complicating rheumatoid arthritis: A case report and review of the literature
Publisher: Wiley
Date: 16-02-2023
Abstract: Rheumatoid arthritis (RA) may predispose patients to opportunistic infections—either from innate immune dysregulation, or as a result of immunosuppressant use to treat the RA. Particularly concerning opportunistic infections are those caused by non‐tuberculous mycobacterial (NTM) organisms, the incidence of which has been increasing in epidemiological studies. Despite this, guidelines on the management of patients with RA who develop NTM infections are scarce, particularly with respect to immunosuppressant regimen modulation and duration of antibiotic therapy. Herein, we present a case of disseminated Mycobacterium chelonae infection, manifesting as arthralgia and cutaneous nodules. In addition, a review of the literature was conducted to Preferred Reporting Items for Systemic Reviews and Meta‐Analyses guidelines to identify similar cases in the literature—revealing that all RA‐associated M. Chelonae infections occurred in immunosuppressed patients (the majority with corticosteroids or tumor necrosis factor inhibitors), and considerable heterogeneity in management approaches. Further research regarding risk factors, preventative approaches and best management of such NTM infections in vulnerable patients with RA is required in order to establish consensus guidelines and consistency.
Hypopharyngeal perforation caused by blunt trauma in buffalo attack
Publisher: BMJ
Date: 2023
Abstract: A male in his 50s arrived by ambulance at a regional Australian hospital after being pinned by a buffalo against a fence by the chest and abdomen. Primary and secondary surveys identified an open fibula fracture and superficial abrasions. CT trauma series identified retropharyngeal free gas extending to the right carotid sheath. Flexible nasoendoscopy revealed a normal upper airway and no site of perforation. Oesophagoscopy and gastroscopy were completed to evaluate for a site of free gas leakage. A hypopharyngeal tear was identified 15 cm from the incisors at the cricopharyngeal sphincter. A gastrograffin swallow was completed which showed no leak. The decision was made to manage the patient conservatively with intravenous dexamethasone and intravenous ceftriaxone/metronidazole for antibiotic prophylaxis. The patient had his diet gradually upgraded and was discharged home 4 days later with oral amoxicillin and clavulanic acid.
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Related Funding Activities
No related grants have been discovered for Madison Boot.