Donal Peter O’Leary

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BACKGROUND Acute appendicitis is increasingly being managed in the setting of a dedicated emergency theatre. However understanding of hospital factors that influence time-to-theatre (TTT) is poor. Thus, the aim of this study is to identify factors that influence TTT and to observe the effect of prolonged TTT on patient outcome. METHODS A retrospective(More)
Non-resectional strategies (NRS) have improved outcomes for a sub-group of patients with perforated diverticulitis. NRS are applicable to patients with non-faeculant peritonitis (Hinchey II and III). Success is dependent on the initial perforation sealing, which Hinchey estimated occurred ‘most of the time’. An exact percentage remains ill-defined. We aimed(More)
Obesity is a well-established risk factor for acute pancreatitis. Increased visceral fat has been shown to exacerbate the pro-inflammatory milieu experienced by patients. This study aimed to investigate the relationship between the severity of acute pancreatitis and abdominal fat distribution parameters measured on computed tomography (CT) scan. Consecutive(More)
INTRODUCTION The diagnosis of abdominal complications due to fish bone ingestion is particularly difficult as the presentation may mimic common abdominal pathologies. PRESENTATION OF CASE 65 year-old male presented with a two day history of right iliac fossa pain. He denied any nausea and vomiting. He had no systemic systems including fever, change in(More)
Dear Editor: The use of monoclonal antibodies has increased over the last number of years. With this, the number of reported cases of bowel perforation associated with the use of bevacizumab and rituximab has also risen. There has not been any reported case of bowel perforation associated with the use of adalimumab. Herein, we report the case of a(More)
Dear Editor: Necrotising fasciitis (NF) is a soft tissue infection where a microorganism or microorganisms spread along superficial and deep fascial planes. NF as a disease entity was first described by Hippocrates circa 500 BC, but it was not until 1952 that the term necrotising fasciitis was coined. The spread is facilitated by bacterial exotoxins such as(More)
INTRODUCTION Incarcerated femoral hernias usually contain a simple loop of bowel. Occasionally other abdominal structures may be found within the hernial sac. Rarely femoral hernias may contain metastatic tumour deposits. PRESENTATION OF CASE We report the case of an 82 year old lady with a background of ovarian carcinoma, who presented with acute small(More)
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