Abdominal Wall Endometrioma at Laparoscopic Port Site: Case Report with Literature Review

We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis. Surgical excision is the best treatment method in abdominal wall endometriosis.

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Port-Site Metastasis of Undiagnosed Pancreatic Adenocarcinoma After Laparoscopic Radical Prostatectomy: Case Report and Literature Review

Journal of Endourology Case Reports ◽

10.1089/cren.2018.0046 ◽

2018 ◽

Vol 4 (1) ◽

pp. 144-146 ◽

Cited By ~ 1

Author(s):

Gotardo Zini Pinho ◽

Gustavo Ruschi Bechara ◽

Samira Pereira das Posses ◽

Carla Regina Santos De Carli ◽

Marcio Maia Lamy de Miranda

Keyword(s):

Case Report ◽

Radical Prostatectomy ◽

Literature Review ◽

Pancreatic Adenocarcinoma ◽

Port Site ◽

Laparoscopic Radical Prostatectomy ◽

Port Site Metastasis

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Metastasis of missed cholangiocarcinoma in the left lobethrough abdominal wall laparoscopic port-site and umbilicus after laparoscopic cholecystectomy: case report and literature review

10.21203/rs.3.rs-45597/v1 ◽

2020 ◽

Author(s):

Lesheng Huang ◽

Hongyi Li ◽

Jun Chen ◽

Jinghua Jiang ◽

Wanchun Zhang ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Abdominal Wall ◽

Malignant Tumor ◽

Malignant Tumors ◽

Abdominal Cavity ◽

Left Lobe ◽

Port Site ◽

Laparoscopic Port ◽

Missed Diagnosis ◽

Upper Abdominal

Abstract Introduction: Laparoscopic cholecystectomy (LC) has been widely used by surgeons. However, a serious but rare condition may be happened, which is the missed diagnosis of intraperitoneal malignant tumor. If the malignancy exists, the changes of the abdominal environment or the laparoscopic operation might brought the cancer cells to the abdominal cavity or the abdominal wall. The missed laparoscopic malignant tumors are prone to metastasis, especially at the laparoscopic port-site. More extreme condition will be located in the navel, which is known as Sister Mary Joseph’s nodule(SMJN).Case presentation: A 63-year-old female who had undergone cholecystectomy and choledocholithotomy ten months ago was hospitalized for upper abdominal pain. Laboratory examination indicated that the most of tumor markers were increased. CT scan revealed that there was a diffused irregular and progressively enhanced mass around the left lobe bile duct, multiple enlarged lymph nodes in the abdominal cavity and multiple nodular lesions were found under the costal margin of the right upper abdominal wall, right lower abdominal wall and the umbilicus. Biopsy of the nodules under the original surgical scar showed an infiltrative or metastatic middle differentiated adenocarcinoma. So the diagnosis was left lobe cholangiocarcinoma of the liver, multiple lymph nodes metastasis in the abdominal cavity and multiple implant metastasis in abdominal wall laparoscopic port-site and umbilical.Conclusion: In laparoscopic cholecystectomy, surgeons should not only focus on the local lesions, like gallstone in biliary system, but also look around other the tissues and organs to avoid missing the abdominal malignant tumor or other lesions. When atypical symptoms or abnormalities have been found pre-operation, all abdominal organs should be evaluated in detail to avoid missed diagnosis of potential malignant tumors. On the other hand, when there is a nodule in the umbilicus, all the organs and tissues in abdomen should be examined to find the potential malignant tumor. Finally, multiple cholelithiasis in the left lobe of the liver should be regarded as a high risk factor for cholangiocarcinoma.

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Port-Site Metastasis after Laparoscopic Partial Nephrectomy: Case Report and Literature Review

Journal of Endourology ◽

10.1089/end.2007.0293 ◽

2007 ◽

Vol 21 (4) ◽

pp. 404-407 ◽

Cited By ~ 22

Author(s):

Octavio A. Castillo ◽

Gonzalo Vitagliano ◽

Manuel Díaz ◽

Rafael Sánchez-Salas

Keyword(s):

Case Report ◽

Literature Review ◽

Partial Nephrectomy ◽

Laparoscopic Partial Nephrectomy ◽

Port Site ◽

Port Site Metastasis

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Traumatic Abdominal Wall Hernia (TAWH): A Case Report and Literature Review

International Journal of Medical Sciences ◽

10.32441/aajms.3.2.8 ◽

2020 ◽

Vol 3 (2) ◽

pp. 91-99

Author(s):

Luay Ahmed

Keyword(s):

Case Report ◽

Literature Review ◽

Abdominal Wall ◽

Abdominal Wall Hernia ◽

Traumatic Abdominal Wall Hernia

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Is clear cell carcinoma of abdominal wall surgery scar associated with endometriosis a poor prognosis? A case report and literature review

10.21203/rs.3.rs-146993/v1 ◽

2021 ◽

Author(s):

Xuzhi Liang ◽

Hao Zeng ◽

Zhe Tang ◽

Jiejie Liao ◽

Jiangtao Fan

Keyword(s):

Case Report ◽

Caesarean Section ◽

Literature Review ◽

Cell Carcinoma ◽

Abdominal Wall ◽

Clear Cell ◽

Clear Cell Carcinoma ◽

Specific Marker ◽

Tumor Biopsy ◽

Wall Mass

Abstract BackgroundClear cell carcinoma of abdominal wall surgery scar is a rare condition that can have many potential causes, and its early diagnosis is difficult after undergoing obstetrical and gynecological surgery unless performing tumor biopsy. So far, about 45 cases have been reported in the literature. This paper provides a case report and literature review of clear cell carcinoma on abdominal wall surgical scar.Case presentationWe described the case of a 47-year-old woman reporting two lumps in the scar of abdomen. Her medical history was marked by a previous Caesarean section and two excisions of benign endometriosis nodules at the scar. Physical examination found a mass of about 6×5×5 cm on the left side of the scar with mucoid on the surface and a fixed abdominal wall mass of about 10×10×8 cm in the 2 transverse fingers under the umbilicus. Histological examination proved a clear cell carcinoma result. The patient received tumor excision and first-line chemotherapy with complete remission. A review of the literature showed that 91.3% of the cases had had a Caesarean section. Besides, approximately 34.2% of women died 5–48 months after diagnosis. The average age of women was 46.5 years and the average tumor size was 10 cm.ConclusionThe abdominal wall mass of middle-aged women is closely related to the scar left by the previous Cesarean section and must be investigated in time and properly. Preoperative diagnosis is difficult and often incorrect, and there is no specific marker for malignant transformation. Treatment usually includes surgery, chemotherapy, and radiotherapy, but the prognosis is poor.

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Handlebar hernia: a case report and literature review on traumatic abdominal wall hernia in children

Hernia ◽

10.1007/s10029-010-0665-0 ◽

2010 ◽

Vol 15 (4) ◽

pp. 439-442 ◽

Cited By ~ 14

Author(s):

A. J. M. van Bemmel ◽

A. G. J. van Marle ◽

P. M. Schlejen ◽

R. F. Schmitz

Keyword(s):

Case Report ◽

Literature Review ◽

Abdominal Wall ◽

Abdominal Wall Hernia ◽

Traumatic Abdominal Wall Hernia ◽

Handlebar Hernia

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Coincident Port-site and Functional End-to-end Anastomotic Recurrences after Laparoscopic Surgery for Colon Cancer: A case report and literature review

The Journal of Medical Investigation ◽

10.2152/jmi.64.177 ◽

2017 ◽

Vol 64 (1.2) ◽

pp. 177-180 ◽

Cited By ~ 1

Author(s):

Koji Komori ◽

Takashi Kinoshita ◽

Oshiro Taihei ◽

Seiji Ito ◽

Tetsuya Abe ◽

...

Keyword(s):

Colon Cancer ◽

Case Report ◽

Laparoscopic Surgery ◽

Literature Review ◽

Port Site ◽

End To End

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