scholarly journals Simultaneous laparoscopic cholecystectomy with abdominoplasty

2017 ◽  
Vol 4 (7) ◽  
pp. 2139
Author(s):  
Ahmed Abdel Monem Ibrahim
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Skin Flap ◽  
Abdominal Ultrasound ◽  
Surgical Removal ◽  
Port Placement ◽  
Cosmetic Procedure ◽  
Long Time ◽  
The Right ◽  
Abdominal Ultrasound Examination

Background: The use of laparoscope in surgical removal of gall bladder became one of the most popular surgical procedures and abdominoplasty which was used from long time even during 1900, mostly done as a separate surgical procedure in our research we combined both procedures in the patients subjected to the study.Methods: Thirty-two patients presented to our hospital with abdominal wall laxity and symptomatic cholelithiasis. All of them wanted to undergo a cosmetic procedure (abdominoplasty) to reduce the abdominal wall laxity. They were also diagnosed to have cholelithiasis and had intermittent episodes of pain in the right upper quadrant of the abdomen. The ports for laparoscopic cholecystectomy were made in such a way that all the ports sites were under the elevated skin flap that was excised during abdominoplasty, and there was no scar in the upper abdomen.Results: The procedure was completed without leaving any tell-tale signs of laparoscopic cholecystectomy, and this led to a better cosmetic result from the patients’ point of view.Conclusions:On conclusion, we recommend asking for abdominal ultrasound examination for all patients coming for abdominoplasty especially following weight loss after surgery for morbid obesity even if the patient is asymptomatic. We recommend the use of the technique which we used for port placement as it is convenient, easy, and has no side effects on patients in comparison with other techniques. 

scholarly journals Large benign retroperitoneal tumour in pregnancy

2015 ◽  
Vol 9 (7-8) ◽  
pp. 551 ◽  
Author(s):  
Csaba Berczi ◽  
Peter Osvath ◽  
Tibor Flasko
Keyword(s):  
Ultrasound Examination ◽  
Abdominal Ultrasound ◽  
First Trimester ◽  
Resonance Imaging ◽  
Surgical Exploration ◽  
Retroperitoneal Tumour ◽  
The Right ◽  
Abdominal Ultrasound Examination ◽  
In Pregnancy ◽  
Cystic Adenoma

A 31-year-old female was in the 13th week of pregnancy when an abdominal ultrasound examination revealed a large retroperitoneal tumour. Magnetic resonance imaging was carried out and the imaging described a 10-cm mass in diameter extending from the right kidney. Given that the patient was in her first trimester and that there was a suspicion of malignancy, further surgical exploration of the tumour was warranted. During the operation, the tumour was removed, but nephrectomy was not necessary. Histologic analysis of the resected tumour showed a mucinous cystic adenoma, and no signs of malignancy were present. Following the surgery, the pregnancy was otherwise uneventful and further complications did not occur. This case illustrates that surgery is recommended in patients with a retroperitoneal tumour early during a pregnancy, when a malignancy cannot be excluded.

scholarly journals A Case of Biliary Pancreatitis Which Subsided after Endoscopic Sphincterotomy during Pregnancy

2011 ◽  
Vol 2011 ◽  
pp. 1-2
Author(s):  
Gulbanu Erkan ◽  
Ibrahim Dogan ◽  
Seren Ozenirler ◽  
Candan Tuncer
Keyword(s):  
Endoscopic Sphincterotomy ◽  
Serum Amylase ◽  
Elevated Serum ◽  
Oral Intake ◽  
Pregnant Patient ◽  
Abdominal Ultrasound ◽  
Biliary Pancreatitis ◽  
Intravenous Antibiotic ◽  
The Right ◽  
Abdominal Ultrasound Examination

A 24-year-old pregnant patient was referred to us because of pain and tenderness in the right upper quadrant. Her liver enzymes and bilirubin levels were elevated; an abdominal ultrasound examination revealed gallstones within the gallbladder. Diagnosis of biliary pancreatitis was established based on elevated amylase levels. Oral intake was withheld; intravenous antibiotic therapy and total parenteral nutrition were administered. An endoscopic sphincterotomy without the use of fluoroscopy was performed. Abdominal pain and elevated serum amylase levels subsided after this procedure. In our case, biliary pancreatitis, which developed during pregnancy, responded well to the endoscopic sphincterotomy, and this procedure obviated the need for surgical intervention and prevented the recurrence of pancreatitis.

scholarly journals Chronic right lumbar suppuration following stone forgotten during laparoscopic cholecystectomy

2017 ◽  
Vol 4 (4) ◽  
pp. 1494
Author(s):  
Mohamed Amine Elghali ◽  
Ikram Massoudi ◽  
Rafik Ghrissi ◽  
Tarek Dhibet ◽  
Fehmi Hamila
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Rare Complication ◽  
Surgical Removal ◽  
Difficult Diagnosis ◽  
Common Event ◽  
The Right

The breaking of the gallbladder during laparoscopic cholecystectomy east of a common event, and usually harmless, even if stone are missed. Exceptionally these calculations are causing persistent suppuration and may pose therapeutic problems. We report the case of a woman who presented a chronic suppurative the right lumbar pit months after laparoscopic cholecystectomy. This illustrates the observations difficult diagnosis of this rare complication and providing imaging. as in our case, surgical removal of the calculi is the only way to ensure healing.

scholarly journals Management of a hepatic hydatid cyst ruptured into the retroperitoneum and the abdominal wall muscles: A case report

2021 ◽  
Vol 24 (3) ◽  
pp. 149-152
Author(s):  
Seifeddine Baccouche ◽  
◽  
Mohamed Hajri ◽  
Sarraj Achref ◽  
Hammadi Ben Chaabene ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Wall ◽  
Biliary Tract ◽  
Hydatid Disease ◽  
Abdominal Ultrasound ◽  
Exceptional Case ◽  
Hepatic Hydatid Cyst ◽  
Posterior Abdominal Wall ◽  
Long Time ◽  
Hepatic Hydatid

Introduction. Hydatid disease is a zoonosis caused by the tapeworm Echinococcus granulosus. The liver is the most commonly involved organ, followed by lungs. The most common complications of hepatic hydatid cyst are rupture into the biliary tract and secondary bacterial infection. However, rupture into the retroperitoneum and the abdominal wall muscles is exceptional. Case presentation. We describe an unusual case of a 27-year-old female who was referred to our department for right flank pain for four months. Abdominal ultrasound and CT scan revealed a huge hydatid cyst in liver segment VI fistulizing to the retroperitoneum and the lateral and posterior abdominal wall muscles, causing anterior displacement of the right kidney, with two other cysts in segment II and VIII. Surgery was performed associated with perioperative antiparasitic chemotherapy. The cysts were unroofed and a resection of the protruding domes was performed. The hydatid material in the retroperitoneum and the muscles were completely evacuated by aspiration. Follow-up showed no recurrence. Discussion. Hepatic hydatid cyst rupture usually occurs into biliary tract, pleural cavity, bronchial tree and intraperitoneal cavity. Rupture into the retroperitoneum and the lateral and posterior abdominal wall muscles is exceptional. To our knowledge, this complication has never been documented before. The hydatid disease may involve insidiously for a long time to lead to such a complication. Surgery was inevitable in our case. It allowed to treat both the hydatid cyst and its complication. Conclusions. A rupture into the retroperitoneum and the abdominal wall muscles as a complication of a liver hydatid cyst is exceptional. In this presentation, we noticed that hydatid cysts can reach an extremely large size while remaining for a long time asymptomatic. We aim to highlight the significance of preventive measures and public health education to fight against the hydatid disease in endemic areas.

scholarly journals Giant melanotic neuroectodermal tumor of infancy (melanotic progonoma) of the head and neck: report of a malignant case

2017 ◽  
Vol 19 (5) ◽  
pp. 538-545 ◽  
Author(s):  
Giancarlo Nicosia ◽  
Pietro Spennato ◽  
Ferdinando Aliberti ◽  
Daniele Cascone ◽  
Lucia Quaglietta ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Lymph Nodes ◽  
Neuroectodermal Tumor ◽  
Surgical Removal ◽  
Radical Excision ◽  
Cervical Lymph Nodes ◽  
Advanced Tumor ◽  
Malignant Case ◽  
Long Time ◽  
The Right

Melanotic neuroectodermal tumor of infancy is a rare congenital pigmented neoplasm of neural crest origin, locally aggressive, growing rapidly and developing during the 1st year of life. It most commonly arises from the maxilla, cranial vault, and mandible. Occasionally, it exhibits malignant behavior with local lymph nodes involvement. Cases misdiagnosed and left untreated for a long time can present challenges due to the tumor mass and infiltration. In these cases, adjuvant chemotherapy can be extremely helpful before radical excision.Authors of this report describe a 4-year-old boy from a developing country who was referred to their hospital with an ulcerated bulging lesion in the midline/right parietooccipital region, extending to the right laterocervical and parotid regions, resulting in significant craniofacial deformation. Magnetic resonance imaging of the brain revealed a highly enhancing tumor with intracranial and extracranial development extending mainly at the level of the right parietooccipital region, with lytic and hypertrophic alterations of the skull. The patient was managed with neoadjuvant and adjuvant chemotherapy and radically resective surgery on metastatic lymph nodes and the primary tumor of the skull. Scheduled radiotherapy was not performed, according to the parents' wishes. The patient returned to his native country where the lesion recurred, and he ultimately died approximately 10 months after the end of the treatment.The literature indicates that tumor removal alone has been the treatment of choice in most isolated cases, but in cases of highly advanced tumor with involvement of the skull and cervical lymph nodes, it is preferable to proceed with preoperative chemotherapy with the aim of reducing the tumor volume, allowing better technical conditions for complete surgical removal, and decreasing the risk of local recurrence or metastasis.

scholarly journals A Case Report of an Abdominal Wall Endometrioma

2021 ◽  
Vol 11 (11) ◽  
pp. 261-264
Author(s):  
Saima Najam ◽  
Messaoud Bounnah
Keyword(s):  
Abdominal Pain ◽  
Abdominal Wall ◽  
Abdominal Mass ◽  
Young Patients ◽  
Surgical Removal ◽  
Histopathological Diagnosis ◽  
Normal Delivery ◽  
Uterine Surgery ◽  
History Of ◽  
The Right

Abdominal wall endometrioma (AWE) is one of the rarest forms of the endometriosis, and usually found in the young patients, average age is 35years. The most common triad of the symptoms is, abdominal mass at or near the scar, cyclical pain and history of previous caesarean or any other gynecological surgery. Exact pathogenesis is unknown as average time of its presentation in the patients is highly variable from 3 months till 2 decades. It can be suspected on ultrasonography and CT scan and MRI are the modalities used to assess and stage the lesion prior to the surgery. Histopathological diagnosis is confirmatory. We are reporting 30 years old, Para 2, with history of first caesarean section 6 years ago followed by the normal delivery. She presented with the history of cyclical abdominal pain with the feeling of abdominal lump from last 3 months. On examination a slightly tender 5*4 cm extra abdominal mass was palpable above the right half of the previous transverse scar of the caesarean. After evaluation endometriosis was suspected and the patient opted for the surgical resection of the mass. The mass was removed in collaboration with the surgeons and the histopathology confirmed the diagnosis of the AWE. Conclusion: AWE is a dynamic yet incompletely known entity as a result of increasing number of the caesarean and gynecological procedures. It should be kept in the differential diagnosis of the patients coming with the cyclical abdominal pain and abdominal lump with the history of previous uterine surgery. Ultrasound and MRI are the main aiding modalities but the confirmation of the diagnosis is made only after histopathology. The surgical removal of the mass with negative margins represents the current best treatment. Key words: Abdominal wall, endometriosis, magnetic resonance imaging, ultrasonography.

Ultrasonographic visualisation of the mesenteric vasculature in horses with large colon colic

2019 ◽  
Vol 186 (15) ◽  
pp. 491-491
Author(s):  
Gabriel Manso-Díaz ◽  
David M Bolt ◽  
Javier López-Sanromán
Keyword(s):  
Abdominal Wall ◽  
Abdominal Ultrasound ◽  
Diagnostic Value ◽  
Control Group ◽  
Transabdominal Ultrasound ◽  
Transabdominal Ultrasonography ◽  
Dorsal Aspect ◽  
Mesenteric Vessels ◽  
Small Intestinal ◽  
The Right

BackgroundUltrasonographic visualisation of the mesenteric vasculature of the large colon (LC) from the right side of the abdomen in cases of displacement and volvulus has been described. However, the LC can move freely within the abdomen and its mesentery can potentially contact both sides of the abdominal wall.MethodsThirty-four horses presented with LC-related colic that had visible LC mesenteric vasculature visible on abdominal ultrasound were included. A control group was made including horses with confirmed small intestinal-related colic. The objective of this study was to evaluate the visibility of LC mesenteric vasculature with transabdominal ultrasonography in horses with LC-related colic and to determine its diagnostic value.ResultsThe LC mesenteric vasculature was identified on the right side of the abdomen in 16/34 horses with right dorsal displacement of the LC (RDDLC), 180° LC volvulus (LCV), 540° LCV or LC impaction. On the left side of the abdomen, LC mesenteric vessels were identified in 17/34 horses with left dorsal displacement of the LC (LDDLC), 180° LCV or RDDLC. Vessels were visualised on both sides in one horse with a 180° LCV. Presence of LC mesenteric vasculature in the dorsal aspect on the left side of the abdomen was significantly associated with LDDLC.ConclusionLC mesenteric vasculature can be visualised on transabdominal ultrasound from either side of the abdomen in horses with different forms of LC-related colic.

Horn-induced traumatic caudoventral abdominal wall hernia management and repair in an adult Highland cow

2020 ◽  
Vol 8 (3) ◽  
pp. e001121
Author(s):  
Caroline Knox Benham ◽  
Vincent Doré ◽  
Pierre-Yves Mulon
Keyword(s):  
Abdominal Wall ◽  
Body Wall ◽  
Abdominal Wall Hernia ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
History Of ◽  
The Right ◽  
Resection And Anastomosis ◽  
Haemorrhagic Diarrhoea

An adult Highland cow weighing 380 kg presented following a five-day history of inappetence, recumbency and trauma inflicted by herd-mates. Physical exam demonstrated significant swelling of the right ventral abdomen with skin excoriations. Abdominal ultrasound of the bulging area indicated significant oedema within pockets, thinning of the right body wall compared with the left side, as well as accumulation of free abdominal fluid. Severe mastitis was noted in three quarters of its udder. The patient was stabilised with intravenous fluids, electrolytes and a belly band. It developed severe, haemorrhagic diarrhoea over the following days, and an exploratory laparotomy was performed. A complete 50 cm-long abdominal wall laceration in the caudoventral right paralumbar fossa was repaired, and jejunal resection and anastomosis performed. The patient recovered with supportive care. Surgical complications included postoperative pneumonia and development of a surgical site infection. The patient maintains good quality of life.

scholarly journals Unusual Abdominal Wall Abscess Post-Laparoscopic Cholecystectomy

2021 ◽  
Vol 18 (3) ◽  
pp. 185-188
Author(s):  
Prashanth Annayyanapalya Thimmegowda ◽  
Krish Lakshman
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Uneventful Recovery ◽  
Essentially Normal ◽  
Abdominal Wall Abscess ◽  
Associated Symptoms ◽  
History Of ◽  
Loss Of Appetite ◽  
The Right ◽  
Abscess Wall

Cholecystectomy is the most commonly performed operation worldwide nowadays. Laparoscopic cholecystectomy (LC) is the gold  standard treatment of gallstones. We present a case of an 81-year-old male with a 3-months’ history of loss of appetite and weight with no associated symptoms. The patient had undergone an LC for symptomatic cholelithiasis 1 year previously, with an uneventful recovery. The clinical examination was essentially normal. A computed tomography (CT) of the abdomen and pelvis showed thickening of the right  perihepatic peritoneum measuring 15 × 15 × 3.5 cm, suggestive of chronic granulomatous lesion or atypical mesothelioma. We performed a diagnostic laparoscopy and found the lesion to be an abdominal wall abscess. The abscess cavity was deroofed, the pus was drained and a thorough wash out given. Surprisingly no stones or any foreign body were found in the cavity. Histology of the abscess wall showed non-specific inflammation. We report this case as a post-LC abdominal wall abscess with two peculiar features – (a) no systemic or local  symptoms, and (b) no association with spilt gallstones or other foreign bodies like sutures.  

scholarly journals Laparoscopic Cholecystectomy in Situs Inversus, a Novel Port Placement Technique, Two Case Reports, and Review of Literature

2021 ◽  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Epigastric Pain ◽  
Case Reports ◽  
Abdominal Ultrasound ◽  
Situs Inversus Totalis ◽  
Port Placement ◽  
Technical Problems ◽  
Anatomical Changes ◽  
Gallbladder Diseases

Background: Situs Inversus Totalis (SIT) is a rare and silent autosomal recessive disease in which all organs are on the opposite side. Diagnosis of gallbladder diseases will be difficult due to these anatomical changes. Laparoscopic cholecystectomy is the standard treatment for gallbladder diseases but is technically challenging for patients. Case presentation: Two 52- and 64-year-old women with known SIT who complained of intermittent epigastric pain and nausea after eating fatty and bulky meals were examined. With the help of abdominal ultrasound, a gallbladder on the left side of the abdomen with multiple gallstones was shown. Conclusion: Since the successful primary cholecystectomy was performed on a patient with SIT in 1991, several modifications have been made for port insertion. Surgeons try to overcome technical problems by making various adjustments compared to conventional laparoscopic cholecystectomy. Laparoscopic cholecystectomy in patients with SIT is safe. However, laparoscopic cholecystectomy is challenging due to anatomical changes in the SIT. Our proposed method of port placement helps right-handed surgeons for safer and easier dissection.

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