scholarly journals Laparoscopic removal of a large pheochromocytoma-paraganglioma of the Zuckerkandl organ

2021 ◽  
Vol 14 (3) ◽  
pp. 27-31
Author(s):  
Dmitriy B. Demin ◽  
Sergey V. Miroshnikov
Keyword(s):  
Clinical Case ◽  
Abdominal Cavity ◽  
Technical Difficulty ◽  
Aortic Bifurcation ◽  
Laparoscopic Intervention ◽  
Laparoscopic Removal ◽  
Large Vessels ◽  
Chromaffin Tissue

Paragangliomas represent 15 to 20% of all chromaffin tissue tumors. Most often, paragangliomas are located in the abdominal cavity along the large vessels — in the para-aortic region from the diaphragm to the aortic bifurcation. One of the most common extra-adrenal pheochromocytomas is the Zuckerkandl tumor, originating from the para-aortic accumulation of sympathetic tissue located in the area of the inferior mesenteric artery’s origine or in the zone of the aortic bifurcation itself. Due to the technical difficulty in performing laparoscopic removal of paragangliomas, conversion to laparotomy is frequent and reaches 80%. The article describes a clinical case of a patient suffering from this type of neoplasm, with diagnosis details and treatment by a successful radical laparoscopic intervention with a large chromaffinnoma located in a difficult anatomical zone removal.

scholarly journals Endometriosis as a Reason of Intraabdominal Bleeding in Pregnancy. Clinical Case

2019 ◽  
Vol 23 (3) ◽  
pp. 283-289
Author(s):  
Y. A. Revzoeva ◽  
E. Y. Shakurova
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Reproductive Period ◽  
Diagnostic Methods ◽  
Dark Blood ◽  
Abdominal Bleeding

The article defines the significance and relevance of the problem of endometriosis during pregnancy. 10% of women in the reproductive period have different localization of endometriosis. 25% of pregnancies with endometriosis are complicated by preterm labor. The article presents a clinical case of intra-abdominal bleeding in a 28-year-old pregnant woman with retrocervical endometriosis at gestation age of 32 weeks and 6 days. The article covers the results of examination and special diagnostic procedures of intra-abdominal bleeding in pregnant women with retrocervical endometriosis. The main diagnostic methods were the study of past medical history, ultrasound examination, and laboratory tests. Due to their infrequency during pregnancy internal bleedings present difficulties in their diagnosis. Ultrasound reliably revealed a large amount of fluid in the abdominal cavity and small pelvis and excluded the presence of intrauterine bleeding. Clinical and laboratory tests indicated the severity of the patient's condition. Symptoms of moderate fetal distress were also identified. Therefore, a decision was made about an emergency delivery by the cesarean section followed by an abdominal revision. During the cesarean section, 500 ml of blood in the form of dark blood clots was found in the abdominal cavity. The condition of the premature newborn was in conformity with his gestational age. The source of bleeding were the of endometriosis on the back wall of the uterus. These focuses most likely caused hemoperitoneum. The revision of the abdominal cavity did not find any other foci of bleeding. The postoperative period was uneventful. The article provides general guidelines for the management of pregnant women with severe forms of endometriosis.

scholarly journals MIGRATION OF THE INTRAUTERINE DEVICE TO THE ABDOMINAL CAVITY

2017 ◽  
Vol 25 (2) ◽  
pp. 247-262
Author(s):  
D. A. Rahmonov ◽  
F. Sh. Rashidov ◽  
E. L. Kalmykov ◽  
M. M. Marizoeva ◽  
O. B. Bobdjonova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Uterine Cavity ◽  
Pain Syndrome ◽  
Pregnant Patient ◽  
Pelvic Cavity ◽  
And Migration ◽  
Laparoscopic Removal

The aim: demonstration of our experience of surgical treatment of patients with migrated intrauterine device (IUD) into the abdominal cavity. The results of surgical treatment of migrated IUDs in the pelvic cavity are summarized in 17 women. The average age of the patients was 33,23,4 years. The timing of implantation of the IUDs varied from 10 days to 24 months. In all cases, the intra operational finding was T-shaped a copper device. The reason behind the women's consultation was an increase in pain syndrome in the lesser pelvis (n=15), dysuric phenomenon (n=1) and the onset of pregnancy (n=1). Perforation of the uterus and migration of the spiral occurred from 10 days to 2 years after its implantation. All patients were operated laparoscopicaly. The average duration of operations was 45,510,5 minutes. In the postoperative period there were no complications from the pelvic organs and postoperative wounds. The period of hospitalization of patients was 3,50,7 days. In all cases there was a regression of clinical signs and recovery. In one pregnant patient (gestation period 5-6 weeks) the pregnancy proceeded without particular pathological abnormalities and resulted in the birth of a full-term child. Laparoscopic removal of the IUD migrating from the uterine cavity to the abdominal cavity is the method of choice in the treatment of this group of patients, avoiding development of intra- and postoperative complications and a shorter length of stay in the hospital. The effectiveness of the procedure reaches 100%. The most common cause of complication of the IUD is the perforation of the uterus during its implantation.

scholarly journals Perforated Peptic Ulcer Combined with Posttraumatic Diaphragmatic Hernia in Third Gestation Trimester: a Clinical Case

2021 ◽  
Vol 11 (3) ◽  
pp. 251-255
Author(s):  
V. S. Panteleev ◽  
I. B. Fatkullina ◽  
A. Kh. Mustafin ◽  
R. S. Khalitova ◽  
A. S. Petrov
Keyword(s):  
Peptic Ulcer ◽  
Pregnant Women ◽  
Diaphragmatic Hernia ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Perforated Peptic Ulcer ◽  
Favourable Outcome ◽  
Duodenal Perforation ◽  
Duodenal Ulcers ◽  
In Pregnancy

Background. Gastric and duodenal ulcers are extremely rare in pregnancy, according to published literature. Peptic ulcer is found in 1 per 4,000 pregnant women, a figure probably underestimated due to its hampered diagnosis in pregnancy. Pregnancy peptic ulcer is considered less expected. Perforated gastric and duodenal ulcers comprise about 1.5 % of total acute abdominal diseases, and the perforation rate in ulcer patients ranges within 5–15 %. This complication afflicts the ages of 20–40 years in men much more frequently than in women. Three perforation types occur: free into abdominal cavity (87 %), contained (9 %), into lesser omentum and retroperitoneal tissue (4 %).Materials and methods. The clinical case describes surgical management of posttraumatic diaphragmatic hernia-comorbid perforated gastric ulcer in a pregnant woman in third trimester. Surgery with postoperative patient management enabled for a favourable outcome.Results and discussion. Perforation-entailing gastric and duodenal ulcers in pregnant women have received negligible attention due to rarity in clinical practice. Paul et al. described 14 cases of duodenal perforation in pregnancy, all fatal.Conclusion. Early diagnosis of surgical pathology during gestation is still difficult contributing to the development of severe complications associated with high mortality. The patient’s admission to a level III interspecialty hospital was key to enable a timely consilium-driven decision of caesarean intervention for saving the child, diagnosing intraoperatively life-threatening complicated surgical diseases and opting for radical surgery that ended in a favourable outcome.

scholarly journals Surgical Anatomy of Large Retroperitoneal Teratomas in Infants: Report of Two Cases

2008 ◽  
Vol 1 ◽  
pp. CCRep.S907
Author(s):  
Ralf-Bodo Tröbs ◽  
Christian Geyer ◽  
Wolfgang Hirsch ◽  
Andrea Tannapfel
Keyword(s):  
Abdominal Cavity ◽  
Surgical Anatomy ◽  
Complete Resection ◽  
Rare Type ◽  
Anatomical Features ◽  
Anterior Position ◽  
Retroperitoneal Tumors ◽  
Upper Abdominal ◽  
Large Vessels

We report on two infants of 11 and 12 months of age, respectively, with large solid-cystic retroperitoneal tumors. Complete resection was achieved, and both children are doing well over a follow-up of more than 17 months. The presented paper focuses on surgical anatomy of this very rare type of tumor. Teratomas were located mainly within the upper abdominal cavity, and both tumors displaced the pancreas in an anterior position. The following anatomical features were observed (1) displacement of surrounding organs, (2) deformation and elongation of large retroperitoneal vessels, (3) fibrous incorporation of large vessels by the tumor pseudocapsule, (4) wrapping of anterior aortic branches by lobes and fingers of the tumor.

scholarly journals Combined laparoscopic intervention for compression syndrome of the celiac trunk and hiatal hernia

2020 ◽  
Vol 179 (2) ◽  
pp. 47-50
Author(s):  
Z. M. Khamid ◽  
D. I. Vasilevskii ◽  
A. Yu. Korol’kov ◽  
S. G. Balandov
Keyword(s):  
Abdominal Pain ◽  
Hiatal Hernia ◽  
Celiac Trunk ◽  
Chronic Abdominal Pain ◽  
Esophageal Hiatus ◽  
Simultaneous Operation ◽  
Compression Syndrome ◽  
Laparoscopic Intervention ◽  
Esophageal Hiatus Hernia ◽  
Laparoscopic Removal

The OBJECTIVE was to present the results of surgical treatment of the patient with the combined pathology: celiac trunk compression syndrome and hiatal hernia. In the 63-year-old patient with chronic abdominal pain and dysphagia, a type III esophageal hiatus hernia and a celiac trunk compression syndrome were detected during the examination. The simultaneous operation was performed: laparoscopic decompression of the celiac trunk and laparoscopic removal of the hiatal hernia with fundoplication according to R. Nissen.

scholarly journals Clinical case of acute pancreatitis in dogs

2020 ◽  
pp. 75-79
Author(s):  
Y. Y. Smilyk ◽  
◽  
T. P. Lokes-Krupka ◽  
Keyword(s):  
Pathogenic Bacteria ◽  
Clinical Case ◽  
Urine Analysis ◽  
Abdominal Cavity ◽  
Diet Therapy ◽  
Strong Increase ◽  
Infusion Therapy ◽  
Etiologic Factor ◽  
Ultrasound Diagnostics ◽  
Feeding Regimen

At present the disease called pancreatitis has become widespread not only among humans, but also among animals, including dogs. It is not only difficult to diagnose, but also to treat. The main cause is considered to be improper feeding of the animal, which can include fatty feed, various spices, sweets, etc. Even the same irregular feeding regimen can lead to pancreatitis. To diagnose this disease, various scientists offer different methods of research: ranging from general and biochemical blood tests to ultrasound diagnostics of the abdominal cavity. We conducted a study of the clinical case of acute form of pancreatitis in the dog breed pug, aged 1 year and 3 months. The main clinical features of the disease were general weakness and frequent vomiting seen over several days. It was also found the main etiologic factor - the wrong feeding regimen of the young organism and formed as a result of this distorted appetite. Elevated hematocrit and erythrocytosis indicate dehydration. Moderate monocytosis and neutrophilia with a shift to the left, as well as lymphopenia are indicators of stress and significant inflammation. Concentration ability of the kidneys is not impaired, as evidenced by urine analysis. Hyperglycemia is possibly stress related. Hypercholesterolemia and increased ALP activity are the result of cholestasis syndrome. A decrease in the concentration of phosphorus, urea and creatinine may indicate a violation of feeding, namely a low-protein diet, possibly even starvation. A strong increase in the activity of the enzymes amylase and lipase, along with the history data and changes in the leukocyte formula, as well as ultrasound confirm the diagnosis of pancreatitis. The therapy included active intravenous infusion of solutions to maintain metabolic processes together with analgesics, namely 0.9 % sodium chloride solution - 300 ml per day (with the addition of 2 % lidocaine solution), Ringer's lactate solution - 154 ml per day, and drugs to reduce pain and the growth of pathogenic bacteria: serenia - 0.3 ml once a day, Sinulox - 0.3 ml, once a day. Infusion therapy was carried out at a constant rate using a perfuser. Diet therapy for pancreatitis is a fairly important link in any treatment regimen. At the end of the 3rd day in the hospital, Rocky began to drink water, it was recommended to give him a small amount (about a tablespoon) chopped and diluted with warm, boiled water, dietary food Gastro Intestinal Low Fat from Royal Canin.

scholarly journals Clinical case of differential diagnosis of retrocervical endometriosis

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Sergey A. Levakov ◽  
Ainur E. Mamedova ◽  
Gyullar Y. Azadova ◽  
Sergey V. Paukov
Keyword(s):  
Differential Diagnosis ◽  
Histological Examination ◽  
Clinical Case ◽  
Progressive Disease ◽  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Fallopian Tubes

Endometriosis is a chronic hormone-dependent progressive disease characterized by the presence of ectopic endometrioid tissue. Most often, endometriosis affects the ovaries, fallopian tubes and the abdominal cavity, but endometrioid foci are also found in the intestines, heart, lungs, skin and other atypical localizations. This article presents a clinical case of retrocervical endometriosis diagnosed based on the results of pathological and histological examination. It is important to note the complexity of the differential diagnosis of this form of endometriosis due to secondary changes in the area of the colon and the absence of characteristic clinical manifestations.

scholarly journals SUCCESSFUL TREATMENT OF SEVERE PURULENT PERITONITIS WITH INTRAABDOMINAL HYPERTENSION COMPLICATIONS (CLINICAL CASE)

2021 ◽  
pp. 62-65
Author(s):  
V. V. Grubnik ◽  
Е. А. Koychev ◽  
V.M. Kosovan ◽  
M. M. Chernov
Keyword(s):  
Traditional Method ◽  
Clinical Case ◽  
Open Abdomen ◽  
Abdominal Cavity ◽  
Integrated Approach ◽  
Vac Therapy ◽  
New Methods ◽  
Purulent Peritonitis ◽  
Intraabdominal Hypertension ◽  
Abdominal Compartment

The widely used traditional method of surgical treatment of patients with widespread purulent peritonitis failed to establish itself as universal and has a large number of disadvantages, which prompts the use of new methods of managing patients in the postoperative period in surgical practice. The case described in the work illustrates the possibilities of a successful integrated approach in the treatment of diffuse purulent peritonitis against the background of Abdominal Compartment Syndrome, which includes the «Open abdomen» and «VAC-therapy» techniques, the use of which leads to a persistent decrease in both IАP and relief of the phenomena of purulent inflammation in the abdominal cavity. Conclusions. The use of VAC-therapy in combination with the «Open abdomen» technique leads to a persistent decrease in both ICP and relief of the phenomena of purulent inflammation in the abdominal cavity.

scholarly journals ACUTE GASTRIC VOLVULUS WITH PERFORATION

2018 ◽  
Vol 25 (3) ◽  
pp. 173-177 ◽  
Author(s):  
I. H. SHIDAKOV ◽  
B. M. KALNIYAZOV ◽  
A. A. KARAEV
Keyword(s):  
Abdominal Pain ◽  
Clinical Case ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Gastric Lavage ◽  
Gastric Volvulus ◽  
Diagnostic Errors ◽  
Underlying Disease ◽  
Acute Gastric Volvulus ◽  
Upper Gastrointestinal

Aim. To demonstrate a clinical case of acute gastric volvulus and to give a brief literary review of the disease. Materials and methods. A 12-year-old child who has applied for acute abdominal pain, repeated vomiting, with typical signs of obstruction of the upper gastrointestinal tract.Results. After the clinical and instrumental examination, the child was urgently operated. With laparotomy, the patient was diagnosed with acute secondary gastric volvulus with necrosis and perforation, against the background of a true left-sided diaphragmatic hernia, severe pancreatic lesions. The patient had a suturing of the stomach defect, diaphragm plastic, thorough sanitation and drainage of the abdominal cavity. The postoperative period was very difficult, due to complications of the underlying disease. As a result of the treatment, the patient was discharged in satisfactory condition.Conclusion. The clinical case confirms the severity of this nosology, accompanied by serious consequences. In our case, the patient recovered, but diagnostic errors and developing complications in acute gastric lavage often lead to death.

Complete uterus didelphia and stage 3 genital prolapse during the labor of a woman at 35–36 weeks of pregnancy while using intrauterine device

2020 ◽  
Vol 69 (2) ◽  
pp. 89-92
Author(s):  
Marina N. Mochalova ◽  
Lyubov A. Kuzmina ◽  
Anastasia Yu. Mironenko ◽  
Viktor A. Mudrov
Keyword(s):  
Cesarean Section ◽  
Clinical Case ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Genital Prolapse ◽  
Operative Delivery

A clinical case of operative delivery of a woman with stage 3 genital prolapse, which was diagnosed at 3536 weeks of gestation, is addressed in this article. The woman became pregnant while using intrauterine device. During cesarean section, the patient was diagnosed with complete uterus didelphia. In the abdominal cavity, between the two uteruses, a T-shaped intrauterine device was detected, with no signs of uterus perforation revealed.

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