scholarly journals Sister Mary Joseph nodule due to carcinosarcoma

2021 ◽  
Vol 9 (10) ◽  
pp. 3203
Author(s):  
Israel Salgado Adame
Keyword(s):  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Pelvic Malignancy ◽  
Gastrointestinal Malignancies ◽  
Gastrointestinal Malignancy ◽  
Fast Growing ◽  
Ovarian Cancers ◽  
Painful Mass ◽  
Surgery Department ◽  
Sister Mary Joseph

The Sister Mary Joseph Nodule is an eponymous term which describes a palpable umbilical nodule occurring as a result of metastasis of an intra-abdominal or pelvic malignancy. In approximately 50% of cases, this sign is associated with gastrointestinal malignancies. These include gastric, colonic and pancreatic (mainly body and tail) carcinoma. Gastrointestinal malignancy is found in 52% of the metastatic cases and gynecologic and genitourinary origin in 28%, with gastric and ovarian cancers being the most common. The next report is about a 62 year-old woman whose was referred to the surgery department due a painful mass on the abdominal wall that has appeared 3 months before as a fast-growing, with suspicious diagnosis of strangulated umbilical hernia.

Transversus Abdominis Plane and Rectus Sheath Blocks

2021 ◽  
pp. 81-88
Author(s):  
Natalea Johnson ◽  
Jorge A. Pineda
Keyword(s):  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Visceral Pain ◽  
Rectus Sheath ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Nerve Blocks ◽  
Rectus Sheath Block ◽  
Intercostal Nerves

Chapter 9 discusses truncal peripheral nerve blocks, which are utilized for supplemental analgesia for abdominal surgeries by providing local anesthesia to the anterior abdominal wall. These blocks are adjuvants because they will not block visceral pain. Unilateral analgesia to the skin, muscles, and parietal peritoneum of the abdominal wall is achieved. The transversus abdominis plane block (TAP) reliably provides analgesia to the lower abdominal wall in the T10–L1 distribution. Rectus sheath blocks anesthetize the terminal branches of the lower thoracic intercostal nerves and provide midline analgesia from the xiphoid process to the umbilicus. Surgical indications for TAP blocks include laparotomies, laparoscopies, inguinal hernia repairs, and appendectomies. Rectus sheath block indications include midline surgeries such as single-port appendectomies and umbilical hernia repairs.

Genital Edema in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD)

1984 ◽  
Vol 4 (4) ◽  
pp. 251-252 ◽  
Author(s):  
Reto Orfei ◽  
Klaus Seybold ◽  
Alfred Blumberg
Keyword(s):  
Peritoneal Dialysis ◽  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Peritoneal Fluid ◽  
Umbilical Hernia ◽  
Abdominal Wall Hernia ◽  
The Other ◽  
Processus Vaginalis ◽  
Isotope Technique ◽  
Peritoneal Scintigraphy

Two patients who developed massive genital edema while on CAPD were investigated by peritoneal scintigraphy with Tc99m-glucoheptonate. In one the genital swelling was due to an umbilical hernia and in the other it was due to an abdominal-wall hernia. After the hernia was repaired CAPD could be continued. We recommend peritoneal scintigraphy as a technique for the investigaiton of leakage of peritoneal fluid in patients undergoing CAPD. Recently genital swelling has been described as a complication of CAPD (I, 2). In one patient an isotope technique demonstrated an open processus vaginalis (1), and in four patients (2) scrotal or labial edema was due to an inguinal hernia. This communication describes two patients with genital edema which was due to an umbilical hernia in one, and to an abdominal wall hernia in the other.

scholarly journals Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Mohammadreza Tarahomi ◽  
Hamidreza Alizadeh Otaghvar ◽  
Nazila hasanzadeh Ghavifekr ◽  
Daryanaz Shojaei ◽  
Farhood Goravanchi ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Histopathological Examination ◽  
Middle Eastern ◽  
Abdominal Mass ◽  
Primary Diagnosis ◽  
Cystic Mass ◽  
Superficial Fascia ◽  
Primary Hydatid Cyst

Hydatid cyst caused byEchinococcus granulosusdemonstrates an endemic infection in several countries such as Middle Eastern countries. Liver is the most frequently involved organ, followed by the lung. The case we present is solitary primary localization of cyst in abdominal wall which is extremely rare. A 57-year-old woman presented with an abdominal wall lesion in umbilical area that had been evolving for about 2 years with recent complaint of pain and discomfort. We detected a midline abdominal mass12⁎13centimeters in diameter which was bulged out in umbilicus. Preoperative clinical diagnosis of incarcerated umbilical hernia was made due to its physical examination while surgical exploration disproved the primary diagnosis and we found cystic mass adherent to superficial fascia without any communication to peritoneal space. The cyst was excised completely without any injury or perforation of containing capsule. The diagnosis of hydatid cyst was confirmed by histopathological examination of specimen. The retrograde evaluation showed no involvement of other organs. The patient was followed for two years and no recurrence of hydatid disease has been observed. Hydatid cyst should be considered as a differential diagnosis of abdominal wall and umbilical lesions especially in endemic regions.

Anterior abdominal wall necrotizing fasciitis due to strangulated umbilical hernia: a diagnostic dilemma

Grand Rounds ◽  
2013 ◽  
Vol 13 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Michael Bartholomew Mwandri ◽  
Julius Chacha Mwita ◽  
Negussie Alula Bekele ◽  
Ibrahim Mohamed Ali ◽  
Michael Stephen Walsh
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Anterior Abdominal Wall ◽  
Diagnostic Dilemma

scholarly journals Synchronous Renal Cell Carcinoma and Gastrointestinal Malignancies

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Tamer J. Dafashy ◽  
Cameron K. Ghaffary ◽  
Kyle T. Keyes ◽  
Joseph Sonstein
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Surgical Intervention ◽  
Clear Cell ◽  
Case Series ◽  
Cell Renal Cell Carcinoma ◽  
Gastrointestinal Malignancies ◽  
Gastrointestinal Malignancy ◽  
Cell Renal Carcinoma

While renal cell carcinoma is the most commonly diagnosed neoplasm of the kidney, its simultaneous diagnosis with a gastrointestinal malignancy is a rare, but well reported phenomenon. This discussion focuses on three independent cases in which each patient was diagnosed with renal cell carcinoma and a unique synchronous gastrointestinal malignancy. Case1explores the diagnosis and surgical intervention of a 66-year-old male patient synchronously diagnosed with clear cell renal cell carcinoma and a carcinoid tumor of the small bowel. Case2describes the diagnosis and surgical intervention of a 61-year-old male found to have clear cell renal cell carcinoma and a mucinous appendiceal neoplasm. Lastly, Case3focuses on the interventions and management of a 36-year-old female diagnosed with synchronous clear cell renal carcinoma and hereditary nonpolyposis colorectal cancer. This case series examines each distinct patient’s presentation, discusses the diagnosis, and compares and contrasts the findings while discussing the literature on this topic.

scholarly journals Europos išvaržos asociacijos (EHS) pasiūlyta pilvo sienos išvaržų klasifikacija

2009 ◽  
Vol 7 (3-4) ◽  
pp. 0-0
Author(s):  
Sigitas Tamulis
Keyword(s):  
Inguinal Hernia ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Abdominal Wall Hernia ◽  
Abdominal Hernia ◽  
Epigastric Hernia ◽  
Surgical Practice ◽  
European Hernia Society ◽  
Hernia Inguinal

Sigitas TamulisVilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinika, Bendrosios chirurgijos centras, Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Šiuo metu Lietuvos chirurginėje praktikoje vartojama daug įvairių pilvo sienos išvaržų klasifikacijų, tačiau nėra vienos paprastos, unifikuotos, informatyvios, išsamios ir kartu lengvai atsimenamos išvaržų klasifikacijos. Tai sunkina gydymo rezultatų vertinimą, naujų gydymo būdų diegimą ir integraciją į Europos ir pasaulio pilvo sienos išvaržų diagnostiką, gydymą ir klinikinius tyrimus. Šio darbo tikslas – apžvelgti iki šiol naudotas klasifikacijas ir pateikti EHS klasifikaciją. Reikšminiai žodžiai: pilvo siena, išvarža, pirminė pilvo sienos išvarža, pooperacinė pilvo sienos išvarža, bambos išvarža, kirkšninė išvarža, epigastrinė išvarža, baltosios pilvo linijos išvarža, juosmeninė išvarža, Špigelio išvarža, pilvo sienos išvaržų klasifikacija. The european hernia society (ehs) abdominal hernia classification Sigitas TamulisVilnius Universitety, Clinic of Gastroenterology, Nephrourology and Surgery, Vilniaus University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] A number of abdominal wall hernia classifications are used in surgical practice in Lithuania. However, there is a lack of one simple, practical, informative, well memorizable, unified and integrated classification intended for all the surgical society. The purpose of this article was to review the abdominal wall hernia classifications commonly used in Lithuania and to present the new abdominal hernia classification proposed by the European Hernia Society. Key words: abdominal wall hernia, inguinal hernia, classification, incisional hernia, ventral hernia, umbilical hernia, epigastric hernia.

scholarly journals Laparoscopic herniorrhaphy in children

2015 ◽  
Vol 37 (2) ◽  
Author(s):  
Mirko Bertozzi ◽  
Laura Marchesini ◽  
Simonetta Tesoro ◽  
Antonino Appignani
Keyword(s):  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Laparoscopic Repair ◽  
Umbilical Hernia ◽  
Operative Time ◽  
Abdominal Wall Defect ◽  
Laparoscopic Herniorrhaphy ◽  
Internal Inguinal Ring ◽  
Unilateral Inguinal Hernia ◽  
The Mean

The authors report their experience in laparoscopic repair of inguinal hernias in children. From May 2010 to November 2013, 122 patients with inguinal hernia underwent laparoscopic herniorrhaphy (92 males and 30 females). Telescope used was 5 mm, while trocars for the operative instruments were 3 or 2 mm. After introducing the camera at the umbilical level and trocars in triangulation, a 4-0 nonabsorbable monofilament suture was inserted directly through the abdominal wall. The internal inguinal ring was then closed by N or double N suture. All operations were performed in one-day surgery setting. In the case of association of inguinal and umbilical hernia an original technique was performed for positioning and fixing the umbilical trocar and for the primary closure of the abdominal wall defect. The postoperative follow-up consisted of outpatient visits at 1 week and 1, 3, and 6 months. The mean age of patients was 38.5 months. Of all patients, 26 were also suffering from umbilical hernia (19 males and 7 females). A total of 160 herniorrhaphies were performed; 84 were unilateral (66 inguinal hernia, 18 inguinal hernia associated with umbilical hernia), 38 bilateral (30 inguinal hernia, 8 inguinal hernia associated with umbilical hernia). Nine of 122 patients (6 males and 3 females) were operated in emergency for incarcerated hernia. A pre-operative diagnosis of unilateral inguinal hernia was performed in 106 cases. Of these patients, laparoscopy revealed a controlateral open internal inguinal ring in 22 cases (20.7%). The mean operative time was 29.9±15.9 min for the monolateral herniorrhaphies, while in case of bilateral repair the mean operative time was 41.5±10.4 min. The mean operative time for the repair of unilateral inguinal hernia associated with umbilical hernia was 30.1±7.4 while for the correction of bilateral inguinal hernia associated with umbilical hernia 39.5±10.6 min. There were 3 recurrences (1.8%): 2 cases in unilateral repair and 1 case a unilateral recurrence in a bilateral repair. No other complications were seen. Laparoscopic repair of inguinal hernia in children performed in this experience resulted a safe and effective procedure.

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