Spontaneous Expulsion of a Biliary Stent via the abdominal wall: A rare complication: Case Report

Abstract We present a case report of an unexpected pathology in addition to a rare complication in a 62-year-old female following an anterior exenteration and an abdominal wall reconstruction. Initial biopsies characterised the malignancy as a potential urachal adenocarcinoma, but the final pathology revealed a solitary endometrial adenocarcinoma metastasis from endometrial cancer 6 years previously. Due to the nature of the tumour, an abdominal wall resection was required, and reconstruction involved a pedicled thigh flap. Post-operatively the small bowel herniated under the flap and this resulted in true mechanical small bowel obstruction. The loop of herniated bowel is visible on CT imaging in the area of the proximal thigh. The patient returned to theatre for an emergency laparotomy and the abdominal wall defect was closed instead with a surgical implant derived from animal tissue. The patient made an excellent recovery, was discharged home, and continues to do well. This patient is an example of excelling in adversity.

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Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

Sao Paulo Medical Journal ◽

10.1590/s1516-31802006000400012 ◽

2006 ◽

Vol 124 (4) ◽

pp. 234-236 ◽

Cited By ~ 10

Author(s):

Ruy Jorge Cruz Junior ◽

Jorge Nahas ◽

Luiz Francisco Poli de Figueiredo

Keyword(s):

Computed Tomography ◽

Case Report ◽

Abdominal Wall ◽

Rare Complication ◽

Gallbladder Disease ◽

Computed Tomography Scan ◽

The Past ◽

The Right ◽

High Degree ◽

Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

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Lateral abdominal wall hematoma as a rare complication after carotid artery stenting: a case report

World Journal of Emergency Surgery ◽

10.1186/1749-7922-4-39 ◽

2009 ◽

Vol 4 (1) ◽

pp. 39 ◽

Cited By ~ 3

Author(s):

Naoto Fukunaga ◽

Shizuo Ikeyama ◽

Jyunichiro Satomi ◽

Koichi Satoh

Keyword(s):

Case Report ◽

Carotid Artery ◽

Abdominal Wall ◽

Carotid Artery Stenting ◽

Rare Complication ◽

Lateral Abdominal Wall

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Case report: Embedded Continuous glucose monitor sensor

10.31219/osf.io/njdvx ◽

2021 ◽

Author(s):

Femi Adeniyi ◽

James Akinlua ◽

Shailendra Rajput

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Subcutaneous Tissue ◽

Rare Complication ◽

Rare Condition ◽

Surgical Removal ◽

Parental Anxiety ◽

Continuous Glucose Monitor ◽

Rare Presentation

INTRODUCTIONIn Children with Type 1 diabetes mellitus, embedment of Continuous glucose monitor sensor wire is a rare complication. Case Report We herein report a rare presentation of embedment of continuous glucose monitor sensor wire in a 5year old girl known to have T1DM. She presented after 1year 2month of being on the CGM with a 2-days history of a lump under the skin of her anterior abdominal wall which was confirmed on ultrasound scan as embedded sensor wire in the subcutaneous tissue of anterior abdominal wall. She was discussed with surgeon due to parental anxiety who reviewed her with the images and offered surgical removal of the sensor wire. She was discharged following a day case removal of the sensor wire with no follow up arranged.METHODSInformation for the report was retrieved from medical records after obtaining informed consent from the parents. DISCUSSIONThe definitive management of embedded CGM sensor is often conservative. Surgical retrieval of the sensor is recommended if suspicious of infection or portion of the sensor that is visible above the skin. In our case it was decided to remove the sensor wire surgically because of parental anxiety and choice.1904 The 8th Congress of the European Academy of Paediatric Societies - EAPS 2020Poster PresentationCONCLUSIONContinuous glucose monitoring sensor break and imbedded under the skin is a rare condition and management is often conservative. It worth being aware of the indications for investigation and possible surgical intervention such as overlie infection, visible part of the sensor above the skin, painful lump or patient’s choice.

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