scholarly journals Spontaneous vaginoperitoneal fistula as a rare complication of carcinoma ovary: a case report

2022 ◽  
Vol 34 (1) ◽  
Author(s):  
Tarang Preet Kaur ◽  
Sangeeta Bhasin ◽  
Asmita M. Rathore
Keyword(s):  
Coming Out ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Ovarian Neoplasm ◽  
Fistula Formation ◽  
Uterovaginal Prolapse ◽  
Debulking Surgery ◽  
Case Presentation ◽  
Interval Debulking Surgery ◽  
Carcinoma Ovary

Abstract Background Spontaneous vaginoperitoneal fistula formation in a case of carcinoma ovary is a very rare occurrence and has never been reported. Case presentation A 55-year-old postmenopausal lady presented with complaints of abdominal distention and mass coming out of the vagina for the last 10 days. On examination, she had tense ascites, uterovaginal prolapse and hard, fixed mass felt anteriorly on per-rectal examination. Biochemical investigations and radiological imaging suggested advanced stage ovarian neoplasm. She was planned for neoadjuvant chemotherapy. During the second cycle of chemotherapy, she developed spontaneous vaginoperitoneal fistula which was confirmed on exploratory laparotomy where interval debulking surgery was performed in collaboration with gastro-surgeons on a semi-emergency basis. The postoperative course was uneventful. Conclusion Spontaneous vaginoperitoneal fistula is a rare complication and should be kept in mind while managing advanced ovarian neoplasm.

Minimally invasive interval debulking surgery in ovarian neoplasm (MISSION trial–NCT02324595): a feasibility study

2016 ◽  
Vol 214 (4) ◽  
pp. 503.e1-503.e6 ◽  
Author(s):  
Salvatore Gueli Alletti ◽  
Carolina Bottoni ◽  
Francesco Fanfani ◽  
Valerio Gallotta ◽  
Vito Chiantera ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Feasibility Study ◽  
Ovarian Neoplasm ◽  
Debulking Surgery ◽  
Interval Debulking Surgery

scholarly journals A 61-year-old woman with jejunal lymphatic malformation visualized on computed tomography: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Mark Rupasinghe ◽  
Roozbeh Houshyar ◽  
Chantal Chahine ◽  
Thanh-Lan Bui ◽  
Justin Glavis-Bloom ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Exploratory Laparotomy ◽  
Lymphatic Malformation ◽  
Caucasian Woman ◽  
Debulking Surgery ◽  
Lymphatic Malformations ◽  
Case Presentation ◽  
Abdominal Lesions ◽  
Tomography Scan ◽  
Mucinous Ovarian Carcinoma

Abstract Background Jejunal lymphatic malformations are congenital lesions that are seldom diagnosed in adults and rarely seen on imaging. Case presentation A 61-year-old Caucasian woman was initially diagnosed and treated for mucinous ovarian carcinoma. After an exploratory laparotomy with left salpingo-oophorectomy, a computed tomography scan of the abdomen and pelvis demonstrated suspicious fluid-containing lesions involving a segment of jejunum and adjacent mesentery. Resection of the lesion during subsequent debulking surgery revealed that the lesion seen on imaging was a jejunal lymphatic malformation and not a cancerous implant. Conclusions Abdominal lymphatic malformations are difficult to diagnose solely on imaging but should remain on the differential in adult cancer patients with persistent cystic abdominal lesions despite chemotherapy and must be differentiated from metastatic implants.

scholarly journals Pencil spring ingestion in a neonate- a rare occurrence with cecal perforation: A case report

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Muhammad Kamran ◽  
Saleem Ullah Khan ◽  
Muhammad Saleem ◽  
Asif Iqbal ◽  
Imran Hashim ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Rare Occurrence ◽  
Unstable Condition ◽  
Case Presentation ◽  
Cecal Perforation ◽  
Covering Stoma ◽  
Operative Findings

Background: Foreign body (FB) ingestion is relatively common in the pediatric population. However, it is a rare occurrence in neonates and intestinal perforation due to ingested FB is once in a blue moon event. Case Presentation: Here we present a case of accidental FB ingestion by a neonate leading to a rare complication. The patient was received in vitally unstable condition and exploratory laparotomy was performed after initial resuscitation. The intra-operative findings included perforation of the cecum, which was repaired with a covering stoma. The postoperative period was uneventful, and stoma was reversed later. Conclusion: Foreign body ingestion is possible in neonates, though very rare, and can lead to fatal complications If not detected and treated in time.

scholarly journals Double Magnet Ingestion Causing Intestinal Perforation with Peritonitis: Case Report and Review of the Literature

2022 ◽  
Vol 2022 ◽  
pp. 1-4
Author(s):  
Yousef S. Abuzneid ◽  
Hussam I. A. Alzeerelhouseini ◽  
Abdelrahman Rabee ◽  
Wafa Aqel ◽  
Rawan F. Ayyad ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Exploratory Laparotomy ◽  
Fistula Formation ◽  
Uneventful Recovery ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Magnet Ingestion ◽  
The Right ◽  
Right Lower Quadrant

Introduction. Foreign body ingestion is a common pediatric complain, and most can be passed spontaneously; however, magnetic object ingestion is rather rare, and they can cause severe complications when multiple magnets are ingested, as they lead to entrapment of bowel walls between them, causing ischemia, pressure necrosis, perforation, and fistula formation. Case Presentation. Herein, we present a case of a 16-month-old female patient presented to our department complaining of continuous vomiting for two days along with fever and irritability. X-ray revealed dilated bowel loops with a radioopaque foreign body in the right lower quadrant. After discussing with the parents, exploratory laparotomy was done, showing two bowel perforations at the site of the magnets. Affected bowel was resected with anastomosis. The patient was discharged after 3 days with an uneventful recovery. Discussion. The diagnosis and management of magnet ingestion differ from those of small foreign bodies, which are usually managed conservatively by watchful waiting. Usually, the diagnosis is done due to complications such as peritonitis and death. On the other hand, management depends on the number, size, magnetic field, and shape of the magnet, and whether it has passed the pylorus or not. Conclusion. It is important to establish the diagnosis of this condition as early as possible to prevent complications. Despite the efforts that were made to try to prevent and minimize the risk of magnet ingestion, more investigations are required to reach a common and united strategy for management of such conditions.

scholarly journals Hiatal hernia as a late complication after gastrectomy

2019 ◽  
Vol 2 (2) ◽  
pp. 74-76
Author(s):  
Svoronos C ◽  
Dannenberg S ◽  
Eder FR ◽  
Meyer FR
Keyword(s):  
Hiatal Hernia ◽  
Total Gastrectomy ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Late Complication ◽  
Exploratory Laparotomy ◽  
Case Presentation ◽  
History Of ◽  
Bowel Occlusion ◽  
Tomography Scan

Introduction: Hiatal hernia is an extremely rare complication after total gastrectomy. Case presentation: An 80-year-old man presented with acute abdominal pain, vomiting, and orthopnoea. He had a history of total gastrectomy with a Roux-en-Y reconstruction five years before. An abdominal computed tomography scan revealed a right hemithorax herniation with small bowel occlusion. Exploratory laparotomy showed volvulus of the small intestine in the hiatal hernia. Conclusions: Hiatal hernia is a rare complication after gastrectomy but early detection and treatment are important to avoid dismal outcomes.

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