scholarly journals Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy

2017 ◽  
Vol 11 (3) ◽  
pp. 651-654 ◽  
Author(s):  
Takahiro Yamanaka ◽  
Kenichiro Araki ◽  
Kei Hagiwara ◽  
Norihiro Ishii ◽  
Mariko Tsukagoshi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
Good Health ◽  
Intestinal Loop ◽  
Review Of The Literature ◽  
Normal Position ◽  
Ligament Of Treitz ◽  
Small Intestinal ◽  
Hernia Orifice

The development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by the Child method at our hospital 7 months previously presented with abdominal pain. Computed tomography showed intestinal ileus with formation of a small intestinal loop that was suspected to be an internal hernia. Intraoperatively, we found that the dilated small intestine had entered the upper side of the abdomen from the ligament of Treitz. We detached the intestine from the hernia and placed it in its normal position. The ligament of Treitz at the hernia orifice was closed with sutures. The patient remained in good health and was discharged from the hospital 18 days after the second operation. Suturing of the Treitz fossa at the time of pancreaticoduodenectomy may be important to prevent the formation of an internal hernia.

scholarly journals Carcinosarcoma of the Gallbladder with Chondrosarcomatous Differentiation and Intracytoplasmic Eosinophilic Hyaline Globules (Thanatosomes): A Report of a Case and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Jumana A. Alratroot ◽  
Amani A. Joudeh ◽  
Samir S. Amr
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymph Nodes ◽  
Ct Scan ◽  
Unusual Case ◽  
Distal Gastrectomy ◽  
Malignant Cells ◽  
Review Of The Literature ◽  
Hyaline Globules ◽  
Transverse Colectomy

A 52-year-old woman presented with abdominal pain and vomiting. Computed tomography (CT) scan of the abdomen revealed a huge exophytic gallbladder mass displacing or invading the surrounding structures. The patient underwent radical cholecystectomy, transverse colectomy, distal gastrectomy, and liver bed resection. Histologically, the tumor showed both carcinomatous and sarcomatous components, with prominent chondrosarcomatous differentiation. In addition, several malignant cells showed intracytoplasmic eosinophilic hyaline globules (Thanatosomes). The tumor showed metastatic deposits to the omentum, the liver, and the peripancreatic lymph nodes. We report this unusual case and present a review of all cases of carcinosarcoma of the gallbladder with chondrosarcomatous differentiation.

scholarly journals Giant Primary Retroperitoneal Teratoma in an Adult: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Poonam Mathur ◽  
Miguel A. Lopez-Viego ◽  
Myron Howell
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Retroperitoneal Tumor ◽  
Review Of The Literature ◽  
Management Options ◽  
Retroperitoneal Teratoma ◽  
Embryonic Tissues ◽  
Primary Retroperitoneal

Teratomas are bizarre neoplasms derived from embryonic tissues that are typically found only in the gonadal and sacrococcygeal regions of adults. Retroperitoneal teratomas are rare and present challenging management options. We report here the case of a histologically unusual retroperitoneal tumor detected on computed tomography during the workup of abdominal pain in a 32-year-old male. The evaluation and treatment of this condition and a review of the literature are included in this paper.

scholarly journals Laparoscopic Repair of a Ureteric Sciatic Hernia: Report of a Case

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Yasuo Tsuzaka ◽  
Kazuhiro Saisu ◽  
Nobuo Tsuru ◽  
Yukio Homma ◽  
Hiroyuki Ihara
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Laparoscopic Repair ◽  
Review Of The Literature ◽  
Left Ureter ◽  
Drip Infusion ◽  
Diagnosis And Management ◽  
Sciatic Hernia

Ureteric sciatic hernias are extremely rare. Here we report a case of a 78-year-old woman presented with colicky left abdominal pain. Computed tomography revealed a ureteric sciatic hernia, and drip infusion pyelography revealed dilated left ureter with herniation of the ureter into the sciatic foramen. The hernia was successfully repaired laparoscopically. We have described the diagnosis and management of the patient, followed by a review of the literature on sciatic hernias.

Laparoscopically assisted resection of jejunal diverticula. A case report and review of the literature

Open Medicine ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. 713-715
Author(s):  
Lawrence Toquero ◽  
Roland Fernandes ◽  
Nang Kyi ◽  
Sonia Bains ◽  
Filipos Sagias ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Inflammatory Markers ◽  
Proximal Jejunum ◽  
Review Of The Literature ◽  
Documented Case ◽  
Jejunal Diverticulum

AbstractWe present the first documented case of laparoscopically assisted resection of a jejunal diverticulum. A 53 year old gentleman presented with right sided abdominal pain along with raised inflammatory markers. Computed tomography revealed multiple diverticula in the proximal jejunum, one of which was inflamed. The patient was managed conservatively, and subsequently underwent an elective laparoscopically assisted resection of a jejunal diverticulum with no complications.

scholarly journals Giant Mesenteric Hemangioma without Small Intestinal Involvement Report of a Case and Review of Literature

2021 ◽  
Vol 3 (4) ◽  
pp. 6-7
Author(s):  
Jui-Ten Wu ◽  
Chun-I Tsai ◽  
Swei-Hsiung Tsung
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
English Literature ◽  
Surgical Removal ◽  
Review Of Literature ◽  
Clear Margin ◽  
Intestinal Involvement ◽  
Mild Abdominal Pain ◽  
Small Intestinal

there were approximately twenty cases reported in the English literature, of which five cases were designated as giant hemangioma. We reported another giant mesenteric hemangioma, measuring 35x20x11 cm. with a weight of 5,5 Kilograms. The etiology of mesenteric hemangioma was still debatable. In our case, the patient only experienced mild abdominal pain, without gastrointestinal hemorrhage. Therefore, we were in favor of mesenteric origin as opposed to gastrointestinal origin. The symptoms were non-specific, ranging from abdominal pain, nausea, vomiting, and gastrointestinal bleeding if Gastrointestinal tract was involved. Preoperative diagnosis was very challenging despite the modern images’ technics have become available, such as computed tomography magnetic resonance and ultrasonography. The final diagnoses of mesenteric hemangioma have been exclusively established by histological examination after surgical removal of the tumor. Surgical resection with clear margin is the treatment of choice.

scholarly journals Sclerosing encapsulating peritonitis: three case reports and review of the literature

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Zhenbin Zhang ◽  
Menglai Zhang ◽  
Ling Li
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Case Reports ◽  
Chronic Abdominal Pain ◽  
Review Of The Literature ◽  
Pathological Analysis ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.

Hernia interna estrangulada por plastrón en el tercio distal del apéndice cecal

2019 ◽  
Vol 62 (6) ◽  
pp. 24-27
Author(s):  
Leslie M. Leyva Sotelo ◽  
José E. Telich Tarriba ◽  
Daniel Ángeles Gaspar ◽  
Osvaldo I. Guevara Valmaña ◽  
André Víctor Baldín ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Internal Hernia ◽  
Wide Spectrum ◽  
Internal Hernias ◽  
Mild Abdominal Pain ◽  
Made In

Internal hernias are an infrequent cause of intestinal obstruction with an incidence of 0.2-0.9%, therefore their early diagnosis represents a challenge. The most frequently herniated organ is the small bowel, which results in a wide spectrum of symptoms, varying from mild abdominal pain to acute abdomen. We present the case of an eight-year old patient with nonspecific digestive symptoms, a transoperative diagnosis was made in which an internal hernia was found strangulated by plastron in the distal third of the appendix. Appendectomy was performed and four days later the patient was discharged without complications.

scholarly journals Enucleation of a giant symptomatic gastric lipoma, a safe surgical approach

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Rafaela Parreira ◽  
Tiago Rama ◽  
Teresa Eloi ◽  
Vítor Carneiro ◽  
Maria Inês Leite
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Clinical Presentation ◽  
Pyloric Obstruction ◽  
Asymptomatic Patients ◽  
Recurrent Vomiting ◽  
Low Incidence ◽  
Diagnostic Modalities ◽  
Benign Tumours ◽  
Gastric Lipoma

Abstract Gastric lipomas are rare, representing 2–3% of all benign tumours of the stomach. Most of these stomach neoplasms are small and detected incidentally during endoscopic or radiology evaluations. Computed tomography is highly specific imaging for lipoma diagnosis. Endoscopy and endoscopic ultrasound are other important diagnostic modalities to confirm the diagnosis. Identifying typical features can avoid biopsy or surgery in asymptomatic patients. In patients with larger lesions, usually more than 2 cm, clinical presentation may encompass haemorrhage, abdominal pain, pyloric obstruction and dyspepsia. As a result of its extreme low incidence, treatment is not standardized, though it is widely accepted that a symptomatic tumour mandates resection. Here, we present the case of a 60-year-old female presenting with abdominal pain and recurrent vomiting due to a giant gastric lipoma (80 × 35 × 35 mm). The patient underwent laparotomy and an enucleation was performed.

scholarly journals Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110106
Author(s):  
Wenrui Li ◽  
Saisai Cao ◽  
Renming Zhu ◽  
Xueming Chen
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Ovarian Vein ◽  
Review Of Literature ◽  
Vein Thrombosis ◽  
Medical Disorder ◽  
Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

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