scholarly journals Laparoscopic management of cholecystocolic fistula

2014 ◽  
Vol 27 (4) ◽  
pp. 285-287 ◽  
Author(s):  
Lauro Massaud CONDE ◽  
Pedro Monnerat TAVARES ◽  
Jorge Luiz Delduque QUINTES ◽  
Ronny Queiroz CHERMONT ◽  
Mario Castro Alvarez PEREZ
Keyword(s):  
Postoperative Period ◽  
Open Surgery ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Laparoscopic Approach ◽  
Laparoscopic Management ◽  
Colonic Segment ◽  
Conversion Procedure ◽  
Cholecystocolic Fistula

INTRODUCTION: Cholecystocolic fistula is a rare complication of gallbladder disease. Its clinical presentation is variable and nonspecific, and the diagnosis is made, mostly, incidentally during intraoperative maneuver. Cholecystectomy with closure of the fistula is considered the treatment of choice for the condition, with an increasingly reproducible tendency to the use of laparoscopy. AIM: To describe the laparoscopic approach for cholecystocolic fistula and ratify its feasibility even with the unavailability of more specific instruments. TECHNIQUE: After dissection of the communication and section of the gallbladder fundus, the fistula is externalized by an appropriate trocar and sutured manually. Colonic segment is reintroduced into the cavity and cholecystectomy is performed avoiding the conversion procedure to open surgery. CONCLUSION: Laparoscopy for resolution of cholecystocolic fistula isn't only feasible, but also offers a shorter stay at hospital and a milder postoperative period when compared to laparotomy.

scholarly journals Gallbladder perforation with liver abscess; laparoscopic cholecystectomy converted to open: a case report

2021 ◽  
Vol 9 (12) ◽  
pp. 3685
Author(s):  
Edgar Salvador Salas Ochoa ◽  
Maria Eugenia Dominguez Gutierrez ◽  
Alfredo Lopez Rocha ◽  
Edilia Naraleth Arce Sanchez ◽  
Karla Itzel Altamirano Moreno ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Liver Abscess ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Laparoscopic Approach ◽  
Abdominal Ultrasound ◽  
The United States ◽  
Gallbladder Perforation ◽  
Public Care

Gallbladder disease affects more than 20 million people in the United States. Acute cholecystitis is a clinic entity characterized by the inflammation of the vesicular wall that is usually manipulated by abdominal pain, right hypochondrial sensitivity and fever. The technique of choice for the diagnosis of cholecystitis is abdominal ultrasound; gallbladder perforation is a rare complication of acute cholecystitis (2%-11%). The presence of perivesicular abscesses is infrequent, its prevalence varies between 2.1% and 19.5%. Clinical record was reviewed of a 73 years old woman who attended a second level public care unit, with a clinical picture of acute chronic lithiasis cholecystitis, who underwent surgery consisting of open converted laparoscopic cholecystectomy with a finding of vesicular perforation with liver abscess, it was initiated with laparoscopic approach, it was not possible to identify anatomical structures, so it was decided to convert to open surgery. Cholecystectomy and abdominal lavage are usually sufficient in the treatment of gallbladder perforation.

scholarly journals Portobiliary fistula following laparoscopic cholecystectomy

2016 ◽  
Vol 98 (7) ◽  
pp. e123-e125 ◽  
Author(s):  
B Merrick ◽  
D Yue ◽  
MH Sodergren ◽  
LR Jiao
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Gold Standard ◽  
Open Surgery ◽  
Rare Complication ◽  
Laparoscopic Approach ◽  
Endoscopic Retrograde ◽  
Dual Pathology ◽  
Bile Duct Injuries ◽  
Liver Abscesses

The laparoscopic approach has replaced open surgery as the gold standard for cholecystectomy. This technique is, however, associated with a greater incidence of bile duct injuries (BDIs). We report a case of portobiliary fistula (PBF), a rare complication of BDI, occurring post laparoscopic cholecystectomy (LC). PBF has been reported after procedures such as endoscopic retrograde cholangiopancreatography and pathologies such as liver abscesses, but only once previously in the setting of LC. We discuss the management of this patient with apparent dual pathology, and summarise other aetiologies that may give rise to this condition.

Laparoscopic management of type VI choledochal cyst with common bile duct stone: report of a case and review of literature

2021 ◽  
Vol 14 (10) ◽  
pp. e244393
Author(s):  
G Revathi ◽  
Brijesh Kumar Singh ◽  
Yashwant Singh Rathore ◽  
Sunil Chumber
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Cystic Duct ◽  
Incidental Finding ◽  
Laparoscopic Approach ◽  
Biliary Colic ◽  
Type I ◽  
Laparoscopic Management ◽  
Cyst Excision

A young adult male presented with biliary colic and intermittent jaundice for 1 year. Abdomen findings were unremarkable. Routine investigations revealed a raised total bilirubin. On abdominal ultrasonography, common bile duct (CBD) dilatation with multiple stones was noted. On further imaging with magnetic resonance cholangiopancreatography, type I choledochal cyst (CDC) was suspected. A laparoscopic approach was planned. Intraoperatively, dilatation of cystic duct was noted which constitute type VI CDC. Partial malrotation of the gut and accessory right hepatic artery were also noted as incidental finding. Laparoscopic cholecystectomy with CBD exploration and removal of stones, biliary stent placement, cystic duct cyst excision and primary repair of CBD was done. Postoperatively, the patient improved symptomatically with a fall in bilirubin to normal range. We are describing the laparoscopic management of a rare case of type IV CDC which was diagnosed intraoperatively.

Laparoscopic management of gastric volvulus, diaphragmatic eventration and wandering spleen in a child

2021 ◽  
Vol 14 (6) ◽  
pp. e242441
Author(s):  
Riya Kataria ◽  
Jegadeesh Sundaram ◽  
Prakash Agarwal ◽  
Tusharindra Lal
Keyword(s):  
Rare Case ◽  
Gastric Volvulus ◽  
Laparoscopic Approach ◽  
Wandering Spleen ◽  
Laparoscopic Management ◽  
Diaphragmatic Eventration ◽  
Eventration Of Diaphragm

Gastric volvulus (GV) and wandering spleen (WS) associated with eventration of diaphragm share a common pathological cause of absence or laxity of intraperitoneal ligaments. We herein report a rare case of a 13-year-old child presenting with an acute GV, WS, diaphragmatic eventration and an ectopic ascended kidney managed with a laparoscopic approach.

Open Surgery for Extraction of an Embolized Pellet in the Middle Cerebral Artery From a Shotgun Injury

2018 ◽  
Vol 17 (3) ◽  
pp. E119-E123 ◽  
Author(s):  
Michael Monterey ◽  
Keith Kerr ◽  
Mark Dannenbaum ◽  
Peng Roc Chen ◽  
Spiros Blackburn
Keyword(s):  
Computed Tomography ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Open Surgery ◽  
Clinical Presentation ◽  
Left Middle Cerebral Artery ◽  
Peripheral Vasculature ◽  
Cerebral Angiogram ◽  
Surgical Extraction ◽  
Close Range

AbstractBACKGROUND AND IMPORTANCEEmbolization of shotgun pellet from the peripheral vasculature to the cerebral vessels has been a known phenomenon that has been reported previously in the literature. However, there is no consensus on clinical indications for intervention, best modality of intervention or management upon leaving the hospital. We describe a case of a shotgun pellet in the neck that embolized to the middle cerebral artery that was treated with open surgery. Discussed is the initial management on presentation, timing of intervention from surgery and detailed surgical technique.CLINICAL PRESENTATIONA 20-yr-old man presented after being shot at close range with a shotgun. He was neurologically intact on exam. Initial screening computed tomography (CT) of the brain noted a shotgun pellet in the region of the sylvian fissure without intracranial hemorrhage. Computed tomography angiography again displayed pellet in the vicinity of the left middle cerebral artery. He was emergently taken for an awake cerebral angiogram and subsequent surgical extraction of the shotgun pellet.CONCLUSIONMissile embolization of a bullet fragment to the intracranial vasculature is rare and requires difficult decisions regarding management. Critical factors that are to be considered prior to treatment include neurological clinical presentation, timing of the trauma, and anatomic location of injury. Patients who are without neurological deficit that display compromised blood flow require immediate cerebral angiogram followed by surgical intervention depending on location.

scholarly journals COVID-19 in Children

2021 ◽  
Vol 41 (1) ◽  
pp. 15-21
Author(s):  
Diana Didović ◽  
Srđan Roglić ◽  
Lorna Stemberger-Marić ◽  
Ivana Valenčak-Ignjatić ◽  
Andrea Nikčević
Keyword(s):  
Clinical Presentation ◽  
Viral Infections ◽  
Rare Complication ◽  
Older Children ◽  
Symptomatic Infection ◽  
Number Of Children ◽  
Multisystem Involvement ◽  
Laboratory Results ◽  
Inflammatory Syndrome

COVID-19 in children accounts for up to 8% of all the cases and is less severe than in adults. This could be an underestimation. A significant number of children are asymptomatic. Symptomatic infection is hard to distinguish from other respiratory tract viral infections based on symptoms and laboratory results. Anosmia is the only symptom in children that is highly suggestive of COVID-19. Infected children mostly have a positive household member. However, the role of children in SARS-CoV-2 transmission is still controversial. Data suggest that schoolchildren have a greater impact in SARS-CoV-2 transmission compared to younger children. Multisystem inflammatory syndrome in children is a new entity reported since April 2020 and is considered a rare complication of SARS-CoV-2 infection. It occurs in previously healthy older children and adolescents presenting with multisystem involvement and elevated inflammatory markers. Most children respond well to immune-modifying therapy. Treatment of COVID-19 in children is based solely on data received from adults and consists of supportive treatment and, in rare occasions, antiviral therapy (remdesivir), corticosteroids (dexamethasone) and monoclonal antibodies (tocilizumab). Further studies in children are needed in order to better understand this disease. This article discusses clinical presentation and therapeutic options for COVID-19 in children.

scholarly journals Laparoscopic approach in the treatment of echinococcal liver disease - case report and literature review

2020 ◽  
Vol 148 (7-8) ◽  
pp. 480-483
Author(s):  
Nikola Grubor ◽  
Boris Tadic ◽  
Vladimir Milosavljevic ◽  
Djordje Knezevic ◽  
Slavko Matic
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Open Surgery ◽  
Laparoscopic Approach ◽  
Parasitic Disease ◽  
Hydatid Cysts ◽  
Disease Case ◽  
Right Lobe ◽  
The Right ◽  
Hepatic Hydatid

Introduction. Cystic echinococcosis or hydatid disease is a parasitic disease, zoonosis, and is most commonly caused by Echinococcus granulosus larvae. It mainly occurs in endemic areas. The most common localization is the liver. Case outline. In this paper, we will present our experience with a 67-year-old female patient diagnosed with an echinococcal cyst in the right lobe of the liver, as confirmed by computed tomography examination of the abdomen. The patient underwent laparoscopic partial pericystectomy with omentoplasty. The operation went without complications, as well as the postoperative period. Conclusion. Laparoscopic partial pericystectomy is a safe and effective treatment of available hepatic hydatid cysts. Considering all the benefits of minimally invasive surgery, laparoscopic partial pericystectomy of hepatic hydatid cysts may be the treatment of choice, over the classical open surgery approach.

scholarly journals Experience of management of abdominal cysts

2020 ◽  
Vol 7 (10) ◽  
pp. 3404
Author(s):  
Dhananjay Vaze ◽  
Pranav Jhadav ◽  
Rajesh M. ◽  
Adarsh Hegde ◽  
Sanjay Raut ◽  
...  
Keyword(s):  
Medical Records ◽  
Clinical Presentation ◽  
Laparoscopic Approach ◽  
Exploratory Laparotomy ◽  
Urachal Cyst ◽  
Duct Cyst ◽  
Clinical Presentations ◽  
Abdominal Masses ◽  
The Common ◽  
Cystic Masses

Benign intra-abdominal cystic masses in children are rare and they have diverse etiopathogenesis, clinical presentation. The present study highlights the experience in the management of benign intra-abdominal cysts pertaining to the diverse etiologies associated with these lesions. The medical records of our hospital between November 2016 to November 2019 were retrospectively reviewed. Patients with cystic abdominal masses were studied with respect to less different clinical presentations, localization of masses, diagnostic tests, surgical aapproaches, histopathological examinations and outcome. Out of the 55 cases, most common lesion was a choledochal cyst. Miscellaneous diagnosis includes an omental cyst, urachal cyst and a pedunculated bile duct cyst. All the cystic lesions of the abdomen need to be considered as close differentials in clinical practice due to the common presentations and similar symptoms produced by these lesions. All the lesions were managed by exploratory laparotomy except two ovarian cysts which were managed with laparoscopic approach.

scholarly journals Characteristics and Clinical Outcomes of Open Surgery for Trigger Digits in Diabetes

2018 ◽  
Vol 11 (02) ◽  
pp. 080-083
Author(s):  
Sean Wei Loong Ho ◽  
Ching Yee Chia ◽  
Vaikunthan Rajaratnam
Keyword(s):  
Clinical Outcomes ◽  
Open Surgery ◽  
Clinical Presentation ◽  
Clinical Severity ◽  
High Rate ◽  
Dominant Hand ◽  
Diabetes Group ◽  
Initial Surgery ◽  
Patient Reported ◽  
Surgical Release

Abstract Introduction Trigger digit is a common condition of the hand. Diabetes has a known association with the development of trigger digit. It is thought to influence the clinical presentation and efficacy of open surgical release. This study aimed to assess the differential characteristics of trigger digits and the clinical outcomes of open surgery for trigger digits in diabetics. Materials and Methods This was a retrospective study of all patients who underwent open surgical release of trigger digits in a single institution from 2012 to 2013. Patients were divided into two groups with group 1 consisting of all patients with a history of diabetes. Group 2 consisted of all patients without diabetes. Demographics and clinical presentation were reviewed. All patients were reviewed via a telephone questionnaire at least 2 years after the initial surgery and were assessed for patient-reported outcomes. Results There were 201 patients who met the inclusion criteria, of which 191 patients were recruited. This included 87 (45.5%) males and 104 (54.5%) females. A total of 260 open releases were performed. Sixty-one (31.9%) patients were diabetic, and 130 (68.1%) patients were nondiabetic. The diabetic group was significantly older than the nondiabetic group (p = 0.002). The dominant hand was not significantly more affected than the nondominant hand (p = 0.51). The middle finger was most commonly involved (43.5%), and the little finger was the least commonly involved (1.2%). There was no significant increase in multiple-digit presentation in the diabetic population when compared with the nondiabetic population (p = 0.52). There was a low complication rate and a high rate of postoperative satisfaction after open surgery in both groups. Conclusion Diabetes does not predispose patients to increased rates of multiple trigger digit presentation or increased clinical severity on presentation. Open surgery for trigger digit is an effective and safe treatment modality for diabetics.

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