scholarly journals Left Colon Diverticulitis Presenting as Perforated Lumbar Abscess: A Case Report and Review of the Current Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Daniel Paramythiotis ◽  
Konstantinia Kofina ◽  
Vassileios N. Papadopoulos ◽  
Antonios Michalopoulos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Current Literature ◽  
Left Colon ◽  
Common Complication ◽  
Colon Diverticulitis ◽  
The Creation

Diverticular perforation is a common complication of diverticulitis and can lead to the creation of abscesses. The presence of such abscesses on the abdominal wall is rare and can lead to misdiagnosis. We present the case of a patient with abdominal pain and the formation of a large left lumbar abscess due to perforation of a diverticulum of the left colon and our surgical treatment of choice with favorable results.

scholarly journals Appendicitis in puerpeium: Case report

2011 ◽  
Vol 58 (4) ◽  
pp. 111-112 ◽  
Author(s):  
Milica Berisavac ◽  
Biljana Kastratovic-Kotlica ◽  
V. Tosic ◽  
N. Markovic ◽  
S. Ljustina ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Early Detection ◽  
Acute Appendicitis ◽  
Abdominal Wall ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Laboratory Infection ◽  
Infection Parameters ◽  
Clinical Signs And Symptoms

Acute appendicitis in puerperium is often diagnosed too late, because clinical signs can be unrelaible. Abdominal wall rigidity is rarely noticed in puerpeium because of weak abdominal wall muscles, laboratory parameters are not enough relaible and atipycal appendix presentation makes difficulties in diagnosis3,4. Knowing clinical signs and symptoms of appendicitis, possible complications and their early detection, make a chance for a good surgical outcome. Measuring of axillar and rectal temperature can take confusion in, and prolong time until surgical treatment. Leucocytosis in puerperium is not valid for diagnosis. We report a case of patient in puerperium with high laboratory infection parameters. Diagnosis of appendicitis is made based on clinical signs and symptoms, that is proved intraoperatively and histologicaly. Appendectomy without perforation carries less risks for mother and fetus.

scholarly journals CHRONIC NON-CANCER ABDOMINAL WALL PAIN AMELIORATION VIA PHENOL NEUROLYSIS BY TRANVERSUS ABDOMINIS PLANE APPROACH: A CASE REPORT

2019 ◽  
pp. 127-130
Author(s):  
Heath McAnally
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Case Reports ◽  
Tap Block ◽  
Abdominal Wall Pain ◽  
Chemical Denervation ◽  
Chronic Abdominal Wall Pain ◽  
Noncancer Pain

Abdominal pain is common and has multiple etiologies. We present a case of chronic abdominal wall pain that was treated with phenol neurolysis via a tranversus abdominis plane (TAP). To date, only 4 case reports utilizing TAP neurolysis have been reported and all were performed in the context of malignancy-related pain. The TAP block has become an integral component of the regional anesthesiologist’s perioperative anesthesia and analgesia arsenal. In summary, chemical denervation of the anterior abdominal wall is feasible and efficacious in palliating chronic non-cancer pain via a TAP block technique. Key words: TAP, transversus abdominal plane, phenol, abdominal wall pain, neurolytic, noncancer pain

Abdominal desmoid-type fibromatosis – a case report and an overview of treatment options

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Justyna Koszarska-Mirek ◽  
Jakub Orleański
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Treatment Options ◽  
Fibrous Tissue ◽  
Distant Metastases ◽  
Desmoid Tumour ◽  
Recurrence Rates ◽  
Abdominal Organs ◽  
Appropriate Treatment

Fibromatosis (desmoid, desmoid tumour) is a tumour belonging to the group of fibrous tissue proliferative diseases. Although the tumour cannot produce distant metastases, it shows local malignancy by invading adjacent tissues, as well as high recurrence rates after local resection. The incidence of fibromatosis is 2-4 cases per 1 million inhabitants per year. Three types of fibromatosis have been distinguished: extra-abdominal, abdominal wall and intra-abdominal type. Although the most common types are sporadic, coexistence with familial adenomatous polyposis (FAP), known as the Gardner’s syndrome, is observed. Available therapeutic options include surgical treatment, watchful waiting, hormone therapy, non-steroid anti-inflammatory drugs, chemotherapy and radiation therapy. This case report aims to draw attention to the difficulties in selecting an appropriate treatment option, limited surgical treatment, the psychological aspect of the disease, as well as the need to actively search for modern diagnostic and therapeutic solutions. We present a case of a 26-year-old patient who was ultimately diagnosed with a desmoid tumour invading the abdominal wall and internal abdominal organs. The patient presented to a county hospital due to suspected gastrointestinal obstruction. It was found from medical history that the patient had palpated a tumour of the abdominal wall 9 months before admission.

scholarly journals Calcified stone in intestinal blind loop after 60 years of surgical treatment of complex jejunal atresia: an attempt to understand an enigma

2020 ◽  
Vol 13 (1) ◽  
pp. e231992
Author(s):  
Syed H Raza ◽  
Elamin Elshaikh ◽  
Mohamed H Ahmed ◽  
Mazhar Raja
Keyword(s):  
Rheumatoid Arthritis ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Previous Surgery ◽  
Jejunal Atresia ◽  
First Case ◽  
Operative Findings

A 60-year-old woman was presented in emergency department with abdominal pain and vomiting for 1 day. She was known to have seropositive rheumatoid arthritis. Importantly, she was treated surgically for complex jejunal atresia and duplication surgery, when she was 6 days old. CT scan showed intestinal obstruction secondary to intussception. Patient had lapartomy and operative findings revealed side-to-side anastomosis with gut duplication 10 cm distal to duodenal jejunum junction (due to her previous surgery during infancy). Redundant part of the loop dilated up to 300 mL with large hard stone (4×3.5 cm) was excised. Patient recovered well postoperatively and was discharged to go home. To our knowledge, this is the first case report to show formation of large stone 60 years after surgical treatment of complex jejunal atresia and duplication surgery in infancy.

scholarly journals Abdominal wall recurrence following laparoscopic surgical treatment of colorectal cancer – case report

2016 ◽  
Vol 36 (4) ◽  
pp. 248-250
Author(s):  
Kaiser de Souza Kock ◽  
Matheus da Silva Pacheco dos Reis ◽  
Estevão José Muller Uliano ◽  
Fernanda Maraschin Rech
Keyword(s):  
Colorectal Cancer ◽  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Cancer Case ◽  
Abdominal Wall Recurrence ◽  
Colorectal Cancer Case

scholarly journals A case of incarcerated spigelian hernia causing small bowel obstruction

2020 ◽  
Vol 7 (12) ◽  
pp. 4238
Author(s):  
Ravi Kumar Sabu Murugesan ◽  
Kannan Ross ◽  
Joyce Prabakar
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Physical Examination ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Spigelian Hernia ◽  
Obese Patients ◽  
Rectus Abdominis Muscle ◽  
Semilunar Line

Spigelian hernias are rare anterior abdominal wall hernias in which the defect occur at the semilunar line lateral to rectus abdominis muscle. It mostly occurs in the lower half as posterior sheath is deficient in that region. Spigelian hernias are rare and moreover it is difficult to diagnose clinically. It constitutes about 0.12% of abdominal wall hernias. Even though it is rare, it is more prone for complications. It affects both sexes and sides equally. It is a diagnostic difficulty especially in obese patients as in our case where physical examination will often be inconclusive. Majority of the spigelian hernias are diagnosed intra operatively. Here in this case report, we present a case of obese 48 years old female who presented with abdominal pain and signs of intestinal obstruction which was found out to be an incarcerated spigelian hernia. Recently laparoscopic repair has been found to be safe and effective.

scholarly journals Hypospadias in a Sheltie puppy: A case report

2020 ◽  
Vol 23 (4) ◽  
pp. 509-516
Author(s):  
T. Kuznetsova ◽  
A. Fedulov ◽  
E. Fedulova ◽  
B. Semenov ◽  
A. Prusakov
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Contact Dermatitis ◽  
Abdominal Wall ◽  
Treatment Approach ◽  
Abdominal Skin ◽  
Wall Area ◽  
Bilateral Cryptorchidism ◽  
Perineal Region ◽  
Ventral Wall

Hypospadias in dogs is a rare pathology in the veterinary practice. The manifestation of hypospadias in dogs is diverse, since there is a varying degree of damage to the urogenital apparatus. The owners of a Sheltie puppy at the age of 3 days came to the clinic due to the difficulty of determining sex, the presence of inflammation of the anus and abdominal skin, defecation and urination violations. Clinical examination of the puppy showed a blind-closed preputial sac, absence of the ventral wall of the prepuce and an open urogenital urine trough was located in its place in the abdominal wall area. On examination of the puppy at the age of 28 days, hyperaemia and swelling of the anus were noted, as well as prolapse of the rectum. Findings of the examination at the age of 4 months consisted of drying of the mucous part of the open urogenital canal chute and accumulation of pus in the underdeveloped preputial sac. Bilateral cryptorchidism and the absence of the scrotum were also found out. A decision on the surgical treatment was made. The anus and the opening of the urethra were separated to form a urethrostomy in the scrotum and restore the integrity of the anus. On the 5th post operative day, oedema and stricture of the reconstructed urethra resulted in difficulty urinating, followed by the formation of urinary fistula in the perineal region below the anus opening. As a result of the chosen surgical treatment approach, the problem with contact dermatitis of the perineum and pollakiuria was solved.

scholarly journals Repair of Postoperative Abdominal Hernia in a Child with Congenital Omphalocele Using Porcine Dermal Matrix

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
V. Lambropoulos ◽  
E. Mylona ◽  
V. Mouravas ◽  
C. Tsakalidis ◽  
I. Spyridakis ◽  
...  
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Surgical Techniques ◽  
Abdominal Hernia ◽  
Abdominal Wall Defects ◽  
Common Complication ◽  
Dermal Matrix ◽  
Real Challenge ◽  
Ventral Hernias

Introduction.Incisional hernias are a common complication appearing after abdominal wall defects reconstruction, with omphalocele and gastroschisis being the most common etiologies in children. Abdominal closure of these defects represents a real challenge for pediatric surgeons with many surgical techniques and various prosthetic materials being used for this purpose.Case Report.We present a case of repair of a postoperative ventral hernia occurring after congenital omphalocele reconstruction in a three-and-a-half-year-old child using an acellular, sterile, porcine dermal mesh.Conclusion.Non-cross-linked acellular porcine dermal matrix is an appropriate mesh used for the reconstruction of abdominal wall defects and their postoperative complications like large ventral hernias with success and preventing their recurrence.

Surgical treatment of inguinal eventration in argentine terrestrial turtle (Chelonoidis chilensis) – case report

2020 ◽  
Vol XXV (144) ◽  
pp. 46-50
Author(s):  
Juan Carlos Troiano ◽  
Diego Federico Blanco ◽  
Matias Eugenio Sclocco ◽  
Francisco Antonio Bava
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Coelomic Cavity ◽  
Intact Skin ◽  
Wall Defect ◽  
Posterior Limb ◽  
Left Posterior ◽  
The Right

Eventration is a separation of the musculoaponeurotic layers of the abdominal wall resulting in protrusion of abdominal contents, and characterized by the absence of the hernial sac and intact skin. We describe a case of chronic left sided eventration associated with deformity of the right femoral fossa in a 30-year-old female Argentine land tortoise. The animal was referred for evaluation of a soft and non-painful deformity of the left lumbar fossa and third degree lameness of the left posterior limb. Eventration of one bladder lobe and oviduct loops was diagnosed by ultrasonography. We describe the anesthetic protocol and the surgical technique used in the treatment with approach to the coelomic cavity through the prefemoral fossa, as well as the resolution of the abdominal wall defect.

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