Safe Completion of Laparoscopic Anterior Resection in a Patient With a Solitary Pelvic Kidney: A Case Report

Pelvic kidney, an ectopic renal mass caused by developmental failure, is a rare condition. Here, we report a case of laparoscopic anterior resection in a patient with a solitary pelvic kidney. A 76-year-old man was diagnosed as having rectosigmoid colon cancer. Preoperative computed tomography revealed a left ectopic kidney in his pelvis. Computed tomographic angiography and retrograde pyelography were performed preoperatively to identify the renal vessels and the ureter. To keep the surgical plane intact for complete mesocolic excision, a complete laparoscopic anterior resection was safely performed without open conversion, and there was no injury to the pelvic kidney. The patient was discharged on postoperative day eight without any complication. No deterioration of renal function was observed after surgery. This report describes a case of laparoscopic anterior resection that was safely performed without conversion to open surgery in a patient with a pelvic ectopic kidney.

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Mechanical Thrombectomy of Primary Distal Anterior Cerebral Artery Occlusion: A Case Report

Case Reports in Neurology ◽

10.1159/000502349 ◽

2019 ◽

Vol 11 (3) ◽

pp. 265-270 ◽

Cited By ~ 1

Author(s):

Hironori Haruyama ◽

Junji Uno ◽

Kenta Takahara ◽

Yosuke Kawano ◽

Naoki Maehara ◽

...

Keyword(s):

Case Report ◽

Cerebral Artery ◽

Mechanical Thrombectomy ◽

Anterior Cerebral Artery ◽

Rare Condition ◽

Computed Tomographic Angiography ◽

Artery Occlusion ◽

Sudden Onset ◽

Neurological Deficits ◽

Computed Tomographic

Objective: Primary anterior cerebral artery (ACA) occlusion is a rare condition and sometimes leads to significant neurological deficits. We herein report on the efficacy of mechanical thrombectomy (MT) in treating the distal ACA occlusion in a clinical setting. Case Presentation: A 76-year-old woman presented with a sudden onset of right hemiparesis. Computed tomographic angiography and perfusion imaging and subsequent analysis with RAPID software revealed acute left ACA occlusion with salvageable penumbra. The patient obtained a score of 11 on the National Institutes of Health Stroke Scale. MT was performed for occlusion of the left ACA (A4), and successful reperfusion (Thrombolysis in Cerebral Infarction score of 3) was achieved on the first attempt using a stent retriever. The patient’s recovery progressed well, and she was discharged 13 days after admission with a modified Rankin Scale score of 1. Conclusion: This case report demonstrates the clinical efficacy, safety, and favorable clinical outcome of treating a primary distal ACA occlusion with MT.

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A Rare Case of a Pedicled Mobile Thrombus in Right Atrium

The Heart Surgery Forum ◽

10.1532/hsf.1619 ◽

2016 ◽

Vol 19 (6) ◽

pp. 269 ◽

Cited By ~ 1

Author(s):

Xiaodong Li ◽

Liping Chen ◽

Xiumei Duan ◽

Xiaocong Wang

Keyword(s):

Right Atrium ◽

Histopathological Examination ◽

Rare Condition ◽

Computed Tomographic Angiography ◽

Right Atrial ◽

Atrial Thrombus ◽

Computed Tomographic ◽

Right Atrial Thrombus ◽

The Right ◽

Tomographic Angiography

Pedicled mobile thrombus in the right atrium is an extremely rare condition. Here, we described a case of a 42-year-old male hospitalized with complaints of chest pain and hemoptysis. Computed tomographic angiography of the pulmonary artery showed signs of embolism, and thoracic echocardiography indicated a pedicled mobile cloudy echo in the right atrium, which was initially suspected to be a myxoma. However, it was confirmed to be a thrombus by histopathological examination. Postoperatively, the patient was treated with anticoagulant therapy comprising of low molecular heparin and warfarin, and the patient recovered well. Thoracic echocardiography performed 3 months after surgery ruled out any recurrence of right atrial thrombus.

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Conversion during laparoscopic anterior resection for rectal cancer with a congenital solitary pelvic kidney: A case report

Asian Journal of Endoscopic Surgery ◽

10.1111/ases.12415 ◽

2017 ◽

Vol 11 (1) ◽

pp. 56-59 ◽

Cited By ~ 4

Author(s):

Koki Takeda ◽

Chu Matsuda ◽

Hidekazu Takahashi ◽

Naotsugu Haraguchi ◽

Junichi Nishimura ◽

...

Keyword(s):

Rectal Cancer ◽

Case Report ◽

Anterior Resection ◽

Pelvic Kidney ◽

Laparoscopic Anterior Resection

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Interventricular membranous septal aneurysm incidentally diagnosed during computed tomographic angiography in a patient with infrequent supraventricular tachycardia

Clinics and Practice ◽

10.4081/cp.2017.921 ◽

2017 ◽

Vol 7 (1) ◽

Cited By ~ 1

Author(s):

Munish Sharma ◽

Farhad Elmi

Keyword(s):

Congenital Heart Disease ◽

Congenital Heart ◽

Rare Condition ◽

Computed Tomographic Angiography ◽

Rare Clinical Entity ◽

Ventricular Septal Defects ◽

Computed Tomographic ◽

Septal Defects ◽

Tomographic Angiography

Interventricular membranous septal (IVMS) aneurysm is a rare condition with no accurate incidence. It is known to be associated with 0.3 % of congenital heart disease and 19 % of ventricular septal defects. IVMS aneurysm is often asymptomatic but can be complicated with right ventricular obstruction, rupture, thromboembolism, and conduction defects. Clinicians and radiologist should be aware about this rare clinical entity and evaluation of any possible underlying cardiac abnormalities should be performed. Conservative management with close follow up is the mainstay of management in the absence of complication.

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Endovascular Treatment of Aberrant Splenic Artery Aneurysm Presenting With Painless Progressive Jaundice: A Case Report and Literature Review

Vascular and Endovascular Surgery ◽

10.1177/15385744211005296 ◽

2021 ◽

pp. 153857442110052

Author(s):

Tiehao Wang ◽

Jiarong Wang ◽

Jichun Zhao ◽

Ding Yuan ◽

Bin Huang

Keyword(s):

Stent Graft ◽

Liver Dysfunction ◽

Splenic Artery ◽

Pancreatic Head ◽

Artery Aneurysm ◽

Rare Condition ◽

Computed Tomographic Angiography ◽

Initial Symptom ◽

Computed Tomographic ◽

Tomographic Angiography

Splenic artery (SA) originating from the superior mesenteric artery is a rare condition, and aneurysms in relation to this aberrant SA are even rarer. We reported the case of a 67-year-old female who presented with painless progressive jaundice for 2 months accompanied by thrombocytopenia and liver dysfunction. The computed tomographic angiography (CTA) showed an aberrant SAA located behind the pancreatic head along with the dilation of common bile duct. Stent-graft deployment in SMA and coil embolization of the aneurysm were performed. Her liver dysfunction and thrombocytopenia improved postoperatively. CTA at 2-year follow-up showed patency of stent-graft and SMA and the shrinkage of the excluded aneurysm sac. Considering the particular location of the aneurysm, painless progressive jaundice can be the initial symptom for the aberrant SAAs. This combined endovascular technique completely excluded the aneurysm and was beneficial for treating secondary liver dysfunction and thrombocytopenia.

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Successful Separation Of Craniopagus Parasiticus

Neurosurgery ◽

10.1227/01.neu.0000245587.23710.a6 ◽

2006 ◽

Vol 59 (5) ◽

pp. E1150-E1150 ◽

Cited By ~ 4

Author(s):

Mohamed Lotfy ◽

Sameh A. Sakr ◽

Basim M. Ayoub

Keyword(s):

Magnetic Resonance ◽

Dominican Republic ◽

Rare Condition ◽

Good Health ◽

Computed Tomographic Angiography ◽

Computed Tomographic ◽

Duration Of Surgery ◽

Osseous Defect ◽

Craniopagus Parasiticus ◽

Surgical Separation

Abstract OBJECTIVE Craniopagus parasiticus is an extremely rare condition. The first attempt to separate such twins was performed in the Dominican Republic in 2004. The infant died 7 hours after surgery. The aim of this report is to present a case in which surgical separation was successfully performed on February 18, 2005. In February 2006, the child was still alive and in relatively good health. METHODS The authors operated on a patient with craniopagus parasiticus at Benha Pediatric Hospital in Egypt, 45 km north of Cairo. The child was 10 months old when the surgery was performed. By minimizing the time of surgery and adequate control of intraoperative bleeding, a successful surgical separation was achieved. Computed tomography, magnetic resonance imaging, magnetic resonance angiography, and computed tomographic angiography provided the information necessary to perform surgery. RESULTS The child underwent operation at the age of 10 months; the duration of surgery was 9 hours. Bleeding was the most serious problem, with the child receiving four liters of blood. The main arterial supply to the parasite was via the middle cerebral artery and was ligated in the Sylvian fissure. Bleeding, however, was mostly venous and was mainly controlled by diathermy and thrombin soaked packs of Surgicel, as well as clipping. After separation of the parasitic head, the dura was repaired using artificial dural grafts. Free bone flaps from the parasite were used to cover the osseous defect in the autosite. Skin flaps from the parasite were also used to cover the cranium. CONCLUSION This is the second case of craniopagus parasiticus in which separation was attempted. The first patient, operated on in the Dominican Republic, died 7 hours after surgery. In the present case, the child is still alive and without neurological deficit.

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Early Postoperative Anastomotic Obstruction Due to an Intraluminal Blood Clot After Laparoscopic Anterior Resection: A Case Report

Annals of Coloproctology ◽

10.3393/ac.2020.06.11.2 ◽

2020 ◽

Vol 36 (5) ◽

pp. 349-352

Author(s):

Soon Keun Kwon ◽

Jin Soo Han ◽

Jihyun Seo ◽

Yong Sik Yoon

Keyword(s):

Computed Tomography ◽

Anterior Resection ◽

Blood Clot ◽

Healthy Woman ◽

Rare Condition ◽

Endoscopic Approach ◽

Low Density ◽

Intraoperative Endoscopy ◽

Laparoscopic Anterior Resection ◽

Anastomosis Site

Early postoperative anastomotic obstruction after colorectal surgery rarely develops. Herein, we present a case of a 50-year-old healthy woman who had an early postoperative anastomotic obstruction which was revealed caused by a blood clot and successfully managed by endoscopic approach. The patient was discharged after laparoscopic anterior resection and visited the emergency department one day after because of abdominal pain. Computed tomography showed that the anastomosis site was obstructed with low-density material. Intraoperative endoscopy was performed under general anesthesia and blood clot filling the lumen were identified. As the scope was advanced to the blood clot with air inflation, the blood clot was evacuated. The anastomosis site could be obstructed by blot clot with mucous debris albeit it is a rare condition. An endoscopic approach seems to be the first option in the diagnosis and treatment of postoperative obstruction at the anastomosis site and it could prevent unnecessary laparotomy.

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Diagnostic workup and endovascular treatment of popliteal artery trauma

VASA ◽

10.1024/0301-1526/a000756 ◽

2019 ◽

Vol 48 (1) ◽

pp. 65-71 ◽

Cited By ~ 1

Author(s):

Cheong J. Lee ◽

Rory Loo ◽

Max V. Wohlauer ◽

Parag J. Patel

Keyword(s):

Vascular Injury ◽

Gold Standard ◽

Imaging Techniques ◽

Computed Tomographic Angiography ◽

Vascular Trauma ◽

Endovascular Techniques ◽

Computed Tomographic ◽

Arterial Injuries ◽

Arterial Trauma ◽

Peripheral Arterial

Abstract. Although management paradigms for certain arterial trauma, such as aortic injuries, have moved towards an endovascular approach, the application of endovascular techniques for the treatment of peripheral arterial injuries continues to be debated. In the realm of peripheral vascular trauma, popliteal arterial injuries remain a devastating condition with significant rates of limb loss. Expedient management is essential and surgical revascularization has been the gold standard. Initial clinical assessment of vascular injury is aided by readily available imaging techniques such as duplex ultrasonography and high resolution computed tomographic angiography. Conventional catheter based angiography, however, remain the gold standard in the determination of vascular injury. There are limited data examining the outcomes of endovascular techniques to address popliteal arterial injuries. In this review, we examine the imaging modalities and current approaches and data regarding endovascular techniques for the management popliteal arterial trauma.

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