Laparoscopic repair of hepatic herniation through a ventral incisional hernia: a case report

Abstract Background Ventral incisional hernia is a common problem after abdominal surgery. Most patients with these hernias present with greater omentum and gastrointestinal prolapse. However, hepatic herniation through a ventral incisional hernia is a rare phenomenon that has been seldom reported in the literature. We report the case of a ventral incisional hernia with hepatic herniation treated with laparoscopic repair. Case presentation A 68-year-old Japanese women with a history of myocardial resection for hypertrophic cardiomyopathy 1 year earlier was admitted to our hospital with symptoms of vomiting and epigastric pain. Physical examination showed a 4-cm epigastric mass. Abdominal computed tomography revealed left hepatic lobe herniation through the lower edge of a mid-sternal incision. We diagnosed the patient with a ventral incisional hernia with hepatic herniation. The patient underwent laparoscopic hernia repair. During an 18-month follow-up, no recurrence or symptoms have been observed. Conclusions To the best of our knowledge, this is the first case report of laparoscopic repair of ventral incisional hernias with hepatic herniation. Laparoscopic repair was useful and suitable for this rare herniation due to its minimally invasive nature and ability to achieve sufficient visibility of the surgical field. Laparoscopic repair could be a potential treatment option for elective surgery for this disease, which is often treated conservatively.

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Arteriovenous Malformation of Greater Omentum: First Case Report

Indian Journal of Surgery ◽

10.1007/s12262-021-03010-x ◽

2021 ◽

Author(s):

Pınar Celepli

Keyword(s):

Case Report ◽

Arteriovenous Malformation ◽

Greater Omentum ◽

First Case

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A first case report of the successful laparoscopic repair of a splenic artery aneurysm

Surgery ◽

10.1016/s0039-6060(97)90318-4 ◽

1997 ◽

Vol 121 (4) ◽

pp. 462-464 ◽

Cited By ~ 37

Author(s):

Kenji Matsumoto ◽

Masahiro Ohgami ◽

Nozomu Shirasugi ◽

Katsuhiko Nohga ◽

Masaki Kitajima

Keyword(s):

Case Report ◽

Laparoscopic Repair ◽

Splenic Artery ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm ◽

First Case

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Recurrent Acute Pancreatitis in Pregnancy Caused by Parathyroid Hyperplasia: A Case Report and Literature Review

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2020.09.11628 ◽

2020 ◽

Vol 103 (9) ◽

pp. 952-959

Keyword(s):

Acute Pancreatitis ◽

Case Report ◽

Primary Hyperparathyroidism ◽

Parathyroid Adenoma ◽

Epigastric Pain ◽

Present Report ◽

Parathyroid Hyperplasia ◽

Pathological Examination ◽

Recurrent Acute Pancreatitis ◽

First Case

Background: Hypercalcemia during pregnancy leads to multiple maternal and fetal complications. To date, fewer than 30 cases of primary hyperparathyroidism (PHPT)-induced pancreatitis have been diagnosed during pregnancy. Most cases have been caused by a parathyroid adenoma. In the present report, the author described the first case of PHPT due to parathyroid hyperplasia presented with recurrent, acute pancreatitis during pregnancy. Case Report: A 38-year-old female, with a history of acute pancreatitis during her first pregnancy, presented with severe epigastric pain, nausea, and vomiting for three days at 24 weeks of gestation. Parathyroid-dependent, hypercalcemia-induced recurrence of pancreatitis was diagnosed based on the clinical presentation and laboratory investigations. An ultrasound on her neck revealed a possible parathyroid adenoma located on the inferior pole of the left thyroid gland. She underwent an uneventful left-lower parathyroidectomy. The pathological examination revealed parathyroid hyperplasia. Her serum calcium and parathyroid hormone levels returned to normal after surgery. She delivered a healthy male newborn at gestational age 38 weeks without any complications. Conclusion: PHPT-induced acute pancreatitis during pregnancy is rare. Hypercalcemia, involving both total and ionized calcium, should be investigated in pregnant women who present with acute pancreatitis. Early diagnosis and appropriate management can significantly improve the maternal, fetal, and pregnancy outcomes. Keywords: Hypercalcemia, Recurrent pancreatitis, Pregnancy, Primary hyperparathyroidism, Parathyroid hyperplasia

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Malignant Solitary Fibrous Tumor of the Renal Vein Presenting as a Giant Renal Artery Aneurysm: A Case Report and Review of Literature

International Journal of Surgical Pathology ◽

10.1177/1066896918787650 ◽

2018 ◽

Vol 27 (1) ◽

pp. 72-76 ◽

Cited By ~ 1

Author(s):

Alexandria M. Hertz ◽

Charles K. Childers ◽

Jonathan T. Wingate ◽

Jason T. Perry ◽

Charles A. Kitley ◽

...

Keyword(s):

Case Report ◽

Renal Artery ◽

Solitary Fibrous Tumor ◽

Renal Vein ◽

Epigastric Pain ◽

Artery Aneurysm ◽

Renal Vein Thrombosis ◽

Renal Artery Aneurysm ◽

First Case ◽

Fibrous Tumor

Objectives. To discuss an unusual presentation of solitary fibrous tumor (SFT) as well as the first description of SFT originating from the renal vein. Case Report. In this article, we report the case of a 56-year-old man who presented with nonspecific epigastric pain and was found on computed tomography to have a large 10-cm renal artery aneurysm with evidence of contained rupture, segmental ischemia of the kidney, and suggestion of renal vein thrombosis. This was treated by a multidisciplinary team of urologists, vascular surgeons, and interventional radiologists with both renal artery coil embolization and radical nephrectomy. The thrombosis was found on pathologic review to be a malignant SFT originating from the renal vein with likely erosion into the renal artery. Conclusion. This report describes the first case of SFT originating from the renal vein and demonstrates the potential for mimicry as a giant renal artery aneurysm.

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Epididymal Dirofilariasis in a Child: First Case Report from Bulgaria

Medical Principles and Practice ◽

10.1159/000494619 ◽

2018 ◽

Vol 28 (1) ◽

pp. 96-98 ◽

Cited By ~ 1

Author(s):

Valeri Velev ◽

Teofil Pelov ◽

Tzvetomir Garev ◽

Stoyan Peev ◽

Iskren Kaftandjiev ◽

...

Keyword(s):

Case Report ◽

Histological Examination ◽

Cross Sections ◽

Microscopic Examination ◽

Clinical Presentation ◽

Elective Surgery ◽

Pediatric Urology ◽

First Case ◽

The World

Objective: To present case of a child with epididymal dirofilariasis. Clinical Presentation and Intervention: An 11-year-old boy was admitted to the Clinic of Pediatric Urology for elective surgery treatment of epididymal cyst on the left side. After removal, the cyst was sent for histological examination. Microscopic examination of the histological slides revealed cross-sections of a nematode belonging to Dirofilaria spp., differentiated morphologically as D. repens. After surgery, the patient recovered completely. Conclusions: In most parts around the world, dirofilariasis is a rare and neglected infection. Nevertheless, the clinicians and pathologists must be informed about it.

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LINAGLIPTIN-INDUCED PANCREATITIS

AACE Clinical Case Reports ◽

10.4158/accr-2019-0307 ◽

2020 ◽

Vol 6 (1) ◽

pp. e37-e39 ◽

Cited By ~ 1

Author(s):

Jorge Esteban Mosquera ◽

Nancy Torres ◽

Jorge Restrepo ◽

Carlos Ruz-Pau ◽

Sowmya Suryanarayanan

Keyword(s):

Diabetes Mellitus ◽

Acute Pancreatitis ◽

Case Report ◽

Epigastric Pain ◽

The United States ◽

Dipeptidyl Peptidase ◽

Dipeptidyl Peptidase 4 ◽

First Case ◽

Dipeptidyl Peptidase 4 Inhibitors

Objective: To report a case of linagliptin-induced acute pancreatitis and remind clinicians about risks with incretin-based drugs. Patients at risk for pancreatitis should be switched to another type of hypoglycemic treatment. Methods: We present the case of a 74-year-old Latina who presented to the emergency department with sudden onset of epigastric pain radiating to her back. Medical history, physical exam, laboratory tests, and medical images were compatible with acute pancreatitis. Upon further investigation, common causes for her pathology were excluded. Ten weeks prior to presentation she had changed her medications for diabetes mellitus type 2 to linagliptin. Results: Using the Naranjo algorithm of adverse drug reactions, we concluded that linagliptin was the most likely culprit. Conclusion: Incretin-based drugs, including dipeptidyl peptidase-4 inhibitors and glucagon-like peptide-1 receptor agonists, have been shown to be relatively safe for the management of type 2 diabetes mellitus. Since their introduction to the market, conflicting data regarding pancreatic side effects have been published, including a small risk of developing acute pancreatitis with dipeptidyl peptidase-4 inhibitors like sitagliptin and saxagliptin. To date there has been only 1 case report associating linagliptin with acute pancreatitis in the English medical literature. Ours is the first case report in the United States associating linagliptin with acute pancreatitis. It is worth warning both patients and prescribers about this serious adverse effect, as it might affect the choice of antiglycemic agent.

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A comparative study of open versus laparoscopic incisional hernia repair

International Surgery Journal ◽

10.18203/2349-2902.isj20170428 ◽

2017 ◽

Vol 4 (3) ◽

pp. 916

Author(s):

Jagan Mohan Reddy Bathalapalli ◽

Surya Ramachandra Varma Gunturi ◽

Ram Mohan Rao V. ◽

Mythili P.

Keyword(s):

Incisional Hernia ◽

Hernia Repair ◽

Laparoscopic Repair ◽

Laparoscopic Hernia Repair ◽

Operating Time ◽

Incisional Hernia Repair ◽

Open Group ◽

Open Approach ◽

Laparoscopic Incisional Hernia Repair ◽

Operative Recovery

Background: Incisional hernia occurs in 5-11% of patients subjected to abdominal operations. Laparoscopic hernia repair has revolutionized the treatment of incisional hernia by reducing the morbidity and improved post-operative outcomes. The objectives of this study were to compare open incisional hernia repair with laparoscopic incisional hernia repair in our patient population with respect to Operating time, post-operative complications, post-operative recovery, duration of analgesic administration, and cosmetic results.Methods: This is a prospective study of Forty patients who were admitted at Osmania General Hospital, Hyderabad, Telangana, India with a clinical diagnosis of incisional hernia, 20 patients in each group (open and laparoscopic).Results: Both the study groups were comparable in terms of patient characteristics. The duration of laparoscopic repair was significantly more when compared to open repair (mean time 133.75 mins versus 85.8 min respectively). Analgesic requirement, wound infection rate and complication rate were higher in open group. The laparoscopic patients tolerated oral feeds earlier compared to open patients. The duration of hospital stay was significantly longer for open group than for laparoscopic group (mean 9.6 days versus 6.4 days respectively). The cosmetic end result was better in laparoscopic patients.Conclusions: Though ours is a small study, with the benefits of laparoscopy it will be prudent to recommend laparoscopic repair as the first line of management for incisional hernia where the facilities and trained expertise were available. However, there is still a role for traditional open approach in patients who have a specific contraindication to laparoscopic repair or any additional procedures that are not amenable for laparoscopy.

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