scholarly journals Safe Liposuction: Case Report and Review of the Literature

2020 ◽  
Vol 19 (3-4) ◽  
pp. 145-150
Author(s):  
Karolis Černauskis ◽  
Sandra Kružyk ◽  
Gabrielė Šukytė ◽  
Linas Venclauskas ◽  
Mantas Sakalauskas
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Abdominal Wall ◽  
Surgical Procedures ◽  
Postoperative Period ◽  
Clinical Case ◽  
The Body ◽  
Diffuse Abdominal Pain ◽  
Liposuction Surgery ◽  
Abdominal Liposuction

Introduction. Liposuction is one of the most popular aesthetic surgical procedures. Liposuction is associated with weight loss, but the primary significance of this operation is body lines contouring. According to US plastic surgery statistics for 2018, liposuction surgery was ranked in the top five of cosmetic surgical procedures, and the most common area of suction in the body was the abdomen. One of the most difficult complications after this procedure is perforation of the small or large intestine, with a frequency of 0.014%. In order to avoid this complication, a comprehensive pre-operative, post-operative examination of the patient and ensuring the safety of the operation are important. We presenting a complicated clinical case of liposuction and literature review. Presentation of case report. In July 2019, a 49-year-old patient underwent surgery by plastic surgeons. Abdominal liposuction surgery was performed. On the first postoperative day, the patient complained of diffuse abdominal pain (VAS 7–8 points), but there were no clinical signs of peritonitis. The patient underwent urgent surgery following the development of a clinical picture of sepsis and peritonitis due to tomography. The operation started with diagnostic laparoscopy. On the left side of the abdominal wall, 4–5 mm abdominal wall defects were observed, and the intestinal cavity was rich in intestinal contents. No obvious injuries to the small intestine, colon or other abdominal organs were observed during laparoscopy. Therefore, a laparotomy was performed, during which two perforations of the small intestine were found and sutured. The postoperative period was smooth, with the patient discharged home after 11 bed days. Conclusions. Intestinal perforation after liposuction is a rare but dangerous complication. Although bowel injury is one of the most severe complications. Prevention is possible starting with a detailed clinical examination of the patient in the preoperative period. The postoperative period should be particularly important in light of the patient’s complaints and clinical symptoms. The presented clinical case shows what a complication of abdominal liposuction can be threatening and how important its early diagnosis and vigilance are.

scholarly journals Hydatid Disease Simulating Acute Abdomen: A Case Report and Brief Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Georgios Lianos ◽  
Georgios Baltogiannis ◽  
Avrilios Lazaros ◽  
Konstantinos Vlachos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Hydatid Disease ◽  
Acute Abdominal Pain ◽  
Abdominal Distension ◽  
The Body ◽  
Parasitic Disease ◽  
Review Of The Literature ◽  
Diffuse Abdominal Pain ◽  
Operating Surgeon

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

scholarly journals Eczema herpeticum in an infant – a case report

2020 ◽  
Vol 16 (3) ◽  
pp. 320-324
Author(s):  
Lesya Besh ◽  
◽  
Oksana Matsyura ◽  
Olesya Besh ◽  
Olga Troyanovska ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Case Report ◽  
Clinical Case ◽  
Allergic Inflammation ◽  
The Body ◽  
Preventive Effect ◽  
Herpesvirus Infection ◽  
Eczema Herpeticum ◽  
The Face ◽  
Ulcerative Lesions

Eczema herpeticum is a chronic dermatosis with erosive and ulcerative lesions of the skin in children of a predominantly young age. The clinical case presented in this article shows the severe course of herpesvirus infection combined with atopic dermatitis in a 5-month infant. A rash in the form of vesicles and pustules throughout the body with a predominant localisation on the skin of the face, the scalp, neck, and chest was found in the course of the examination of the child. Influence of infections on the course of allergic processes is an ambiguous and complicated issue. It has been proved that an infection can contribute to the development of allergies and exacerbate the course of already existing allergic inflammation. In recent years, an increasing number of studies have shown the preventive effect of infection on the development of allergic pathology in children, especially during the first years of life.

scholarly journals Uncommon inappropriate shock of subcutaneous defibrillator in early postoperative period due to air in close proximity of shock electrode is presented

2020 ◽  
Vol 26 (4) ◽  
pp. 53-58
Author(s):  
E. B. Kropotkin ◽  
E. A. Ivanitsky ◽  
A. Yu. Cheremisina ◽  
O. V. Kostyleva ◽  
V. A. Sakovich
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
Inappropriate Shock ◽  
Subcutaneous Defibrillator ◽  
Close Proximity

Clinical case report of uncommon inappropriate shock of subcutaneous defibrillator in early postoperative period due to air in close proximity of shock electrode is presented.

scholarly journals Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature

2005 ◽  
Vol 123 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Edson Augusto Ribeiro ◽  
Ruy Jorge Cruz Junior ◽  
Samuel Martins Moreira
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Wall ◽  
Polypropylene Mesh ◽  
Rectus Sheath ◽  
Spigelian Hernia ◽  
Large Defect ◽  
Diffuse Abdominal Pain ◽  
Tender Mass ◽  
Abdominal Radiographs

CONTEXT: Spigelian hernia is an uncommon spontaneous lateral ventral hernia with an incarceration ratio of around 20%. However, complications such as intestinal obstruction are extremely rare. We report on a case of giant incarcerated Spigelian hernia with a clinical condition of complete intestinal obstruction that was treated using prosthetic polypropylene mesh. CASE REPORT: A 72-year-old woman was admitted to the emergency department complaining of diffuse abdominal pain. Abdominal examination revealed a firm 10 x 10 cm tender mass in the lower left quadrant, without surrounding cellulite or tenderness. Plain abdominal radiographs displayed the formation of levels, thus indicating the existence of intestinal obstruction. An abdominal computed tomography scan clearly showed a fluid and air-filled mass in the soft tissue area of the lower left-side abdominal wall. Spigelian incarcerated hernia was diagnosed and the patient underwent emergency surgical repair by means of local incision. The large defect in the abdominal wall was closed up as successive anatomical layers, and a prosthetic polypropylene mesh was set into the lateral aspect of the rectus sheath. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day.

An Unusual Complication of Abdominal Liposuction and Abdominoplasty

1998 ◽  
Vol 15 (1) ◽  
pp. 53-55 ◽  
Author(s):  
Melvin A. Shiffman
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Unusual Complication ◽  
Total Excision ◽  
Abdominal Liposuction

This case report describes the occurrence of an abdominal wall pseudocyst after liposuction combined with abdominoplasty. This is an unusual complication. Total excision of the cyst is the best treatment, but there is no known problem with leaving an asymptomatic pseudocyst in place without excision.

scholarly journals A CLINICAL OBSERVATION OF THE COMBINATION OF OMPHALOCELE WITH ATRESIA OF THE SMALL INTESTINE OF TYPE 3A IN A NEWBORN

2019 ◽  
Vol 23 (5) ◽  
pp. 285-287
Author(s):  
Kapan T. Tursunov ◽  
S. A. Myrzakhmet ◽  
U. B. Alseitov ◽  
E. G. Nasirova
Keyword(s):  
Small Intestine ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Clinical Case ◽  
Clinical Observation ◽  
Congenital Defect ◽  
Surgical Correction ◽  
Type Iii ◽  
Rare Combination ◽  
Treitz Ligament

The authors present a clinical case of an extremely rare combination of the congenital defect of the front abdominal wall as omphalocele, congenital evolution defect of the small intestine - atresia of the small intestine type III, agenesis of the ileum with ileocecal angle and malrotation syndrome. Surgical treatment was as follows: T-shaped ileocolic «end-to-side» anastomosis with an unloading colostomy by the Bishop-Koop technique and intestinal intubaton till the Treitz ligament. Outcomes of such surgical correction are good.

scholarly journals Revisión sistemática del Síndrome de Rapunzel

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Reinhard Janssen-Aguilar ◽  
Andrea Rochel-Pérez ◽  
Osman Jesús Cuevas-Koh ◽  
Kassandra Desiré Santos-Zaldivar ◽  
Melissa Rodríguez-Cuevas ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Clinical Case ◽  
Psychiatric Treatment ◽  
Clinical Manifestations ◽  
Surgical Removal ◽  
Age Group ◽  
Rapunzel Syndrome ◽  
Revisión Sistemática ◽  
Cuerpos Extraños

RESUMEN. Introducción: El síndrome de Rapunzel es una forma inusual de tricobezoar gástrico, se localiza desde el estómago llegando a traspasar el píloro y extendiéndose hasta el intestino delgado y/o colon derecho. Se le llama bezoar a la formación de cuerpos extraños, debido a la ingestión de uno o varios materiales no digeribles. El tricobezoar, uno de los bezoares que más se presentan en la práctica clínica consisten en una masa formada por cabello debido a la ingestión de este.Objetivo: describir la frecuencia de signos y síntomas del síndrome de Rapunzel en los reportes de caso y ofrecer una comparación en edad pediátrica y adulta.Método. Revisión sistemática en la base de datos PubMed, Google Académico, EBSCO y Scopus, empleando los términos “Rapunzel syndrome” AND “case report” OR “Clinical case”Resultados. Un total de 110 artículos de reporte de caso fueron analizados, encontrando diferencias por sexo y edad. La tricotilomanía se distribuyó sin predominancia por grupo de edad. Se identificaron diferencias en el reporte de algunas manifestaciones clínicas al analizarlas por grupo de edad, incluyendo diarrea, constipación, vómitos y dolor abdominal. Los casos recidivantes representaron un 9%.Conclusiones: El síndrome de Rapunzel es una entidad que se encuentra en pacientes con patologías psiquiátricas como la tricotilomanía y la tricofagia. Es más frecuente en mujeres que en hombres. La técnica diagnóstica por elección fue la endoscopía y el tratamiento elegido incluyó la remoción quirúrgica con psicoterapia. Palabras clave: síndrome de Rapunzel, signos y síntomas, bezoar, diagnóstico, tricotilomanía, adolescencia. Introduction: Rapunzel syndrome is an unusual type of gastric trichobezoar, which is located from the stomach through the pylorus and extends into the small intestine and/or right colon. Tricobezoar is a collection of foreign bodies that can form in the stomach, small intestine or colon, due to the ingestion of one or more indigestible materials. trichobezoar, one of the most present bezoars in Clinical practice consists of a mass formed by hair due to the ingestion of it, either consciously or unconsciously. Objective: To compile case reports to identify and analyze little-known aspects of Rapunzel syndrome, as well as patient characteristics along with the best and most documented methods of diagnosis and treatment. Method. Systematic review in the Pubmed, Google Scholar, EBSCO and Scopus databases using as search terms: "Rapunzel syndrome" AND "case report" OR "Clinical case" Results: A total of 110 case report articles were analyzed, finding differences by sex and age. Trichotillomania was distributed without predominance by age group. Differences were identified in the reporting of some clinical manifestations when analyzed by age group, including diarrhea, constipation, vomiting and abdominal pain. Recidivist cases were 9%. Conclusion: Throughout the review of reported cases, we found that part of the patient's recovery includes psychiatric treatment; Rapunzel syndrome is not a mental disorder, however, both trichotillomania and pica as factors of it. The entity is more frequent in women than in men, the technique for diagnosis by choice was the endoscopy and the chosen treatment included surgical removal with psychotherapy. Keywords: Rapunzel Syndrome, Signs and Symptoms, Bezoar, Diagnosis Trichotillomania, Adolescence.

scholarly journals Influences of Age, Gender, and Body Mass Index on the Thickness of the Abdominal Fatty Layers and its Relevance for Abdominal Liposuction and Abdominoplasty

2019 ◽  
Vol 39 (10) ◽  
pp. 1085-1093 ◽  
Author(s):  
Konstantin Frank ◽  
Hassan Hamade ◽  
Gabriela Casabona ◽  
Robert H Gotkin ◽  
Kai O Kaye ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Abdominal Wall ◽  
Body Mass ◽  
Surgical Procedures ◽  
Anterior Abdominal Wall ◽  
Equal Distribution ◽  
Balanced Distribution ◽  
Fat Thickness ◽  
Males And Females ◽  
Abdominal Liposuction

AbstractBackgroundLiposuction and lipoabdominoplasty procedures frequently involve the treatment of the superficial and deep fatty layers of the abdomen.ObjectivesThe aim of the present investigation was to provide comprehensive data on the thickness of the abdominal fatty layers in relation to age, gender, and body mass index (BMI).MethodsThe study investigated 150 Caucasian individuals; there was an equal distribution of males and females (each n = 75) and a balanced distribution of age (n = 30 per decade: 20–29, 30–39, 40–49, 50–59, and 60–69 years) and BMI (n = 50 per group: BMI ≤24.9, 25.0–29.9, and ≥30 kg/m2). Ultrasound-based measurements of the superficial and deep abdominal fatty layers were performed.ResultsAn increase in BMI was associated with an increase in total abdominal wall fat thickness. The measured increase was related more to the thickness of the deep fatty layer than to the thickness of the superficial fatty layer (Z = 1.80, P = 0.036). An increase in age was associated with a decrease in thickness of the superficial fatty layer (rp = –0.104, P = 0.071) but with an increase in thickness of the deep fatty layer (rp = 0.197, P = 0.001).ConclusionsAge and BMI can change the thickness of both the superficial and deep fatty layers of the anterior abdominal wall, thus influencing the plan and conduct of cosmetic surgical procedures. Knowledge of the layered anatomy of the anterior abdominal wall, as well as its associated blood supply, is important for surgeons performing procedures in this area.

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