scholarly journals Case Report of Laparoscopic Treatment of Biliary Peritonitis Due to Double Organ Injury after Swallowing of Chicken Bone

Author(s):  
Ludmil Marinov
2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110199
Author(s):  
Young Hoon Sul ◽  
Yook Kim

Transcatheter arterial embolization (TAE) is the standard of care for haemodynamically-stable patients with blunt hepatic injury but it is sometimes impossible due to unfavourable vascular anatomies. This case report describes a 43-year-old male patient with abdominal pain following a motorcycle accident. Based on computed tomography (CT) findings, he was diagnosed with high-grade hepatic injury with coeliac axis stenosis (CAS) due to compression by the median arcuate ligament, and an aberrant right hepatic artery. Contrast-enhanced ultrasonography (CEUS) demonstrated multiple high echogenic tubular and ovoid structures suggestive of active bleeding within the injured liver area. Angiography revealed unique interlobar and intrahepatic collateral vessels between the right and left hepatic arteries. Liver haemorrhages were also identified. Catheterization of the feeding arteries through the collateral pathway was unsuccessful, so a decision was made to cannulate the stenotic portion of the coeliac trunk with a 5-Fr Yashiro catheter. After several attempts, the microcatheter was successfully advanced coaxially into the common hepatic artery. Embolization was performed with a 1:2 mixture of N-butyl cyanoacrylate and iodized oil. Successful haemostasis was confirmed following TAE. CEUS helped clinicians identify active bleeding following traumatic solid organ injury. TAE was a safe and effective treatment strategy. Before performing TAE, attention should be given to the presence of CAS associated with compression by the median arcuate ligament.


2021 ◽  
pp. 102650
Author(s):  
Karthik Kanamalla ◽  
Frank J. Salamone ◽  
Jose Vargas

Research ◽  
2014 ◽  
Vol 1 ◽  
Author(s):  
Frederick B Rogers ◽  
Amelia Rogers ◽  
Katelyn Rittenhouse ◽  
Brian Gross ◽  
Ashley Vellucci
Keyword(s):  

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Umberto Bracale ◽  
Francesco Pacelli ◽  
Marco Milone ◽  
Umberto Marcello Bracale ◽  
Maurizio Sodo ◽  
...  

Author(s):  
Han Yang ◽  
Yinlei Wang ◽  
Jie Gao ◽  
Ping Wang ◽  
Xingkang Jiang ◽  
...  

2021 ◽  
Author(s):  
Anna Marija Lescinska ◽  
Igors Ivanovs

Abstract Aim. The case report demonstrates a successful laparoscopic treatment of early postoperative small bowel obstruction after open strangulated umbilical hernia repair with mesh.Case report. An 86-year-old female was admitted to the hospital due to abdominal pain for 2 days localised in the umbilical region. A diagnosis of strangulated umbilical hernia was set, and emergency operative therapy was performed. On the third postoperative day the patient showed symptoms of bowel obstruction, confirmed on CT. An emergency laparoscopy proceeded. It revealed small intestine loop fixation to the mesh through the peritoneal defect. While separating the intestine a defect in bowel wall was found and sutured laparoscopically. Patient was discharged from the hospital on the 8th postoperative day.Conclusion. Laparoscopic treatment after open hernia surgery is an alternative access for redo surgery in early postoperative period. It provides acceptable results even in contaminated area without needs to reopen surgical wound.


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