On the question of twisting the spleen

1930 ◽  
Vol 26 (4) ◽  
pp. 440-440
Author(s):  
V. I. Nizner

Surgical section.Meeting December 18, 1929Dr. V. I. Nizner. On the issue of twisting of the spleen The speaker demonstrated a patient, 30 years old, who was admitted to the Hospital Surgical Clinic of the University for pain in the lower abdomen, nausea, cramps during urination and the presence of a tumor in the left half of the abdominal cavity. She fell ill 3 days before admission to the clinic, at first bowel movement was normal, later stool retention and no winds.

2018 ◽  
Vol 11 (2) ◽  
pp. 151
Author(s):  
Alexander Alekceevich Andreev ◽  
Anton Petrovich Ostroushko

Vladimir Semyonovich Levit was born in 1883 and after graduation from the gymnasium he studied at the Medical Faculty of the University of Koenigsberg (1901-1906), worked in the Ardatov Zemstvo of the Simbirsk Gubernia. In 1914, Vladimir Semenovich defended his doctoral dissertation, became head of the surgical department of the Simbirsk Province Hospital, and began teaching at a paramedic school. V.S. Levit was elected privat-docent of the faculty surgical clinic of Tomsk University (1919), privat-docent (1922), then professor and head of the department of the faculty surgical clinic, dean of the medical faculty (1922-1926) of Irkutsk University, head of the department of hospital surgery of medical faculty. 2 Moscow University (since 1926), which is headed for 27 years. V.S. Levit for the first time in the USSR successfully resected cardia (1928), surgery for hernia of the esophageal aperture (1929). In 1936 he was awarded the title of Honored Scientist of the RSFSR. During the Great Patriotic War V.S. Levit was appointed chief surgeon of the Moscow Military District, deputy chief surgeon of the Soviet Army (1942), and in 1943 he became a major general of the medical service. Since 1950, V.S. Levit - chief surgeon of the Central Military Hospital. P.V. Mandrika. He published 120 scientific works, he was the editor of 3-volume manual, 2-volume textbook on surgery, the surgical section of the Great Medical Encyclopedia, the publication "The Experience of Soviet Medicine in the Great Patriotic War of 1941-1945." V.S. Levit was the editor of the magazine "Soviet Surgery" (later "Surgery") (1931-1953), a member of the editorial board of the journals "New Surgery", "Russian Clinic", "Central Medical Journal." He was the head and scientific consultant in the preparation of 23 candidate and 10 doctoral dissertations. V.S. Levit was a member of the International Surgical Society, chairman of the Moscow Surgical Society, a member of the Academic Council of the Ministry of Health of the USSR, and district Soviets of Working People's Deputies. V.S. Leviticus was awarded the Order of the Red Banner, the Patriotic War of the 2nd degree, the Red Star, medals. V.S. Leviticus died in 1961 in Moscow.


1980 ◽  
Vol 61 (5) ◽  
pp. 53-54
Author(s):  
I. I. Kluev ◽  
V. S. Belikov ◽  
V. I. Kluev

Of the 896 patients admitted to the surgical clinic of the Mordovian University in 1967-1976. for intestinal obstruction, 507 (56.6%) had adhesive intestinal obstruction or adhesive disease of the abdominal cavity. Adhesive disease of the abdominal cavity can occur at any age, but more often - from 20 to 50 years. The time elapsed from the operation to the onset of symptoms, adhesions (pain attacks), in 52 patients did not exceed 1 month, in 80 it was from 2 to 6 months, in 186 - from 6 months to 1 year, in 142 - from 1 year up to 5 years and in 47 - from 5 to 10 years or more.


2014 ◽  
Vol 23 (1) ◽  
pp. 109-111 ◽  
Author(s):  
Daniela Pedrassani ◽  
Hamilton Wendt ◽  
Erley Alexandre Rennau ◽  
Samuel Tibes Pereira ◽  
Simone Balão Taques Wendt

This study reports a case of parasitism by Dioctophyme renale in a supernumerary kidney and abdominal cavity of a female cat in Brazil. The three-year-old cat of indeterminate breed presented abdominal distension and was taken to the University of Contestado Veterinary Hospital in Canoinhas, state of Santa Catarina, since the owner suspected pregnancy. An ultrasound scan did not confirm pregnancy but revealed parasitism in the kidney. This case is worth reporting because domestic cats are rarely hosts of this nematode species.


Author(s):  
Masanori Kanemura ◽  
Atsushi Yoshida ◽  
Akihiko Toji ◽  
Yumi Murayama ◽  
Emi Iwai

Adnexal torsion frequently causes acute pelvic pain in women. Ovarian tumour torsion is common; twisting and torsion of a fallopian tube are rare. This report presents a rare case of fallopian tubal torsion requiring the management of a large hydrosalpinx with laparoscopic surgery. A 48-year-old woman reported with acute abdominal pain and lower abdomen tenderness. Transvaginal ultrasonography and Magnetic Resonance Imaging (MRI) showed a cystic mass on the anterior uterine surface. Emergency surgery was performed for a suspected torsion of the left ovarian cyst. In the abdominal cavity, the left fallopian tube was enlarged (neonatal head size), dark purple coloured, and exhibited a 180° torsion; the left ovary was normal. Laparoscopic left salpingectomy was performed and the postoperative course was uneventful. Surgical pathology revealed hydrosalpinx with torsion. As diagnosing isolated fallopian tube torsion before surgery is difficult, laparoscopic surgery is useful in diagnosing and treating isolated tubal torsion.


2021 ◽  
pp. 1-3
Author(s):  
Peter Kern ◽  
Paula Ulrich ◽  
Rainer Kimmig ◽  
Peter Kern

Background: Ectopic pregnancies occur predominantly in the fallopian tubes or ovaries. Very rarely, the distal part of the greater omentum may have close contact to the fallopian tubes and implantation of the embryo may occur in this part of the greater omentum. In the absence of signs of pregnancy in the uterus or the fallopian tubes, the greater omentum has to be closely examined for ectopic pregnancy. Case Presentation: A 22-year-old woman in her 4th week of pregnancy presents with spotting and severe pain in the right lower abdomen with a history of 2 cesarean sections. The sonographic examination showed a normal uterus with a thin endometrial line. The uterine cavity did not present with any signs of a gestational sac. A great amount of free fluid in the Douglas cavity suspicious of a hemoperitoneum. ßhCG-values in serum was highly elevated up to 16749 mU/ml and confirmed the suspicion of an ectopic pregnancy. A diagnostic laparoscopy was performed, during which a blood clot reaching from the right lower abdomen to the greater omentum was detected. After removing the blood clot, a normal-sized uterus with regular ovaries and no signs of a pregnancy in the fallopian tubes were seen. However, an abdominal adhesion in the right upper part of the omentum close to the liver with bleeding was seen. While examining the abdominal cavity for the cause of bleeding, a small cystic lesion adherent to the greater omentum – close the offspring from the colon – representing an ectopic pregnancy became apparent. A partial omentectomy of 9,5 cm x 5,5 cm x 2,5 cm was performed with the finding of trophoblast and embryoblast implantated in the infrahepatic part of the greater omentum. Conclusion: In cases of ectopic pregnancy with hemoperitoneum, special care has to be taken examining not only the fallopian tubes or ovaries but also the greater omentum, which may harbour an implanted trophoblast and embryoblast – even in the upper part directly beneath the liver – as presented in this case. In cases of ruptured ectopic pregnancy of the greater omentum, the cases may be dealt with laparoscopic partial omentectomy if the case is early detected.


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