scholarly journals Successful Laparoscopic Treatment of Infected Urachal Sinus in Adults: A Case Reportt

2021 ◽  
Vol 1 (2) ◽  
pp. 63-68
Author(s):  
Suphawat Laohawiriyakamol ◽  
Virote Chaleawpanyawong ◽  
Piyanun Wangkulangkul

Urachal sinus is a rare congenital anomaly. It is one type of the urachal abnormalities that results from incomplete regression of the fetal urachus. We report a case of urachal sinus in a 54-year-old male that presented with purulent discharge from the umbilicus. The treatment aims were the clearance of infection and complete removal of urachal remnants, which can transition to malignancy. A successful, two-stage procedure consisting of drainage with antibiotics, followed by laparoscopic surgery is described in our report.

Author(s):  
Suphawat Laohawiriyakamol ◽  
Piyanun Wangkulangkul ◽  
Worrawit Wanitsuwan ◽  
Siripong Cheewatanakornkul ◽  
Teeranan Laohawiriyakamol ◽  
...  

Annular pancreas is a rare congenital anomaly characterized by the presence of a pancreatic tissue of variable amount which completely or partially obstructs the second part of duodenum. It usually affects infancy, but in adulthood it can mimic a wide range of clinical entity. Gastrojejunostomy or duodenojejunostomy are common operations in adults because the duodenum is less mobile. We report a case of annular pancreas in a 60-year-old male that presented with clinical condition of gastric outlet obstruction and was successfully treated with a laparoscopic Roux-en-Y gastrojejunostomy.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Esin Kabul Gürbulak ◽  
Hamdi Özşahin ◽  
Yiğit Düzköylü ◽  
Ismail Ethem Akgün ◽  
Muharrem Battal ◽  
...  

Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1–3 per 3800 individuals. Unless properly diagnosed preoperatively, it can lead to biliary tract injuries and postoperative complications which may require reoperative surgeries. While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet. We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.


Author(s):  
Bhimarao Patil ◽  
Rashmi M. Nagaraju

Gall bladder duplication is a rare congenital anomaly, which may be asymptomatic or may present with disorders similar to that of a single gall bladder. The finding is important due to its association with biliary ductal and hepatic arterial anatomical variations, which may lead to inadvertent complications during laparoscopic surgery. We present a case of duplicated gallbladder with one of the gall bladder appearing large, elongated and coiled, without signs of cholelithiasis / cholecystitis. MRCP was helpful in tracing the two cystic ducts. This case emphasizes on importance of pre-operative anatomical delineation with MRCP in unsuspecting cases in order to minimize the incidence of post surgical complications.


BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guangjie Chen ◽  
Xiaohao Wang ◽  
Yijun Zhao ◽  
Linfeng Zhu ◽  
Daxing Tang

Abstract Background Splenogondal fusion (SGF) is a rare congenital anomaly characterized by abnormal association between the splenic tissue and the gonads or mesonephric remnants. SGF that requires separate two-stage laparoscopic staged Fowler-Stephen orchiopexy on both the left and right sides is extremely rare. SGF could be misdiagnosed as testicular malignancy and leads to unnecessary orchiectomy. Case presentation This is a case of an 8-month old male infant presented with bilateral cryptorchidism, B-mode ultrasound visualized the left and right testes in the lower abdominal cavity and the upper margin of the left testicle as a hypoechoic mass extending to the spleen, indicating an undescended right testis and possible SGF on the left side. Single-site laparoscopic examination confirmed the diagnosis of SGF on the left side and an undescended right testis. As both testes were high and the right spermatic vessel was poorly developed and short, a routine single stage orchiopexy would be difficult and risky, therefore, separate two-stage laparoscopic staged Fowler-Stephen orchiopexies for both sides were implemented. Stage 1 of the staged Fowler-Stephen orchiopexy for the right side was performed first without treating the left side, Stage 2 for the right side, separation of the left testis from the spleen as well as Stage 1 for the left side were performed 7 months later, and Stage 2 for the left side was performed 7 months after that. Follow-up ultrasound 1 year after the surgery revealed no obvious abnormalities in the shapes of the testes or their blood supply. This treatment strategy prevented unnecessary orchiectomy. Conclusions We reported a rare case of SGF that needed separate two-stage laparoscopic staged Fowler-Stephen orchiopexies for both sides, and a review of the recent literature. SGF is a rare congenital anomaly often diagnosed incidentally during exploration/surgery for scrotal swelling/mass, cryptorchidism or inguinal hernia in young patients. Surgeons, especially pediatric surgeons should be aware of this rare condition to avoid unnecessary, life-altering radical orchiectomy. When routine single stage orchiopexy is not feasible or risky for either side, separate two-stage laparoscopic staged Fowler-Stephen orchiopexies could be performed on both the left and right sides to avoid unnecessary orchiectomy.


2014 ◽  
Vol 60 (4) ◽  
pp. 160-162
Author(s):  
Liliana Gozar ◽  
Cristina Blesneac ◽  
Rodica Toganel

Abstract Background Cor triatriatum dexter is an extremely rare congenital anomaly, and in most cases, without hemodynamic significance. Congenital cytomegalovirus infection is the most common viral infection, the majority of infected infants being asymptomatic and only 5-15% being symptomatic in the neonatal period. Case report We present the case of a female infant, aged 3 months. Clinical examination reveals cranial and facial anomalies. The karyotype was normal. Laboratory tests revealed the presence of anti-CMV antibodies in urine. Imaging studies showed cerebral and renal anomalies. Echocardiographic exam revealed a congenital anatomical feature without hemodynamic significance - cor triatriatum dexter. Conclusions although cytomegalovirus infection is mostly asymptomatic, it can present as a complex pathological association, in which a congenital cardiac anatomical feature without hemodynamic significance, considered by some authors as an anatomical variant, can appear


Author(s):  
Nagendra Sardeshpande ◽  
Pratima Chipalkatti ◽  
Jainesh Doctor

A 23-year-old girl presented with severe cyclical lower abdominal pain during menstruation since menarche, which had increased since the last 4 years. Transabdominal ultrasound showed adnexal mass with no internal vascularity; MRI reported it as bicornuate uterus with one non-communicating right uterine horn with haematometra. On hysteroscopy there was evidence of septate uterus communicating only to the left ostia. Ultrasonography-guided hysteroscopic resection of septa with drainage of haematometra was done. Patient is presently asymptomatic.


Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 131-134 ◽  
Author(s):  
Surut Jianmongkol ◽  
Tala Thammaroj ◽  
Kitiwan Vipulakorn

Congenital metacarpal synostosis is a rare congenital anomaly in the hand, especially in our area. There were several reports of surgical techniques for correction deformities. We report this rare condition in our hospital and treatment with the metacarpal osteotomy and double bone blocks technique of grafting.


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