scholarly journals Symptomatic cystic seminal vesicle: a laparoscopic approach for effective treatment

2013 ◽  
Vol 3 (6) ◽  
pp. 81 ◽  
Author(s):  
Anmar Nassir
Keyword(s):  
Renal Agenesis ◽  
Iliac Fossa ◽  
Preoperative Evaluation ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Uneventful Recovery ◽  
The Third ◽  
Laparoscopic Excision ◽  
Right Iliac Fossa Pain

This case report highlights a symptomatic cystic seminal vesiclelesion, treated laparoscopically. A young adult male known tohave congenital right renal agenesis presented with a history ofrecurrent right iliac fossa pain, as well as deep pelvic discomfort.The preoperative evaluation revealed a 7 x 4.5 x 4 cm cystic seminalvesicle mass. After discovery of the mass, the patient underwenta transperitoneal laparoscopic excision of the lesion. Thepatient was discharged on the third postoperative day and hadan uneventful recovery. There were no complications noted duringa routine follow-up. The laparoscopic approach was shownto be effective in the management of this rare condition.

scholarly journals Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases

2016 ◽  
Vol 38 (2) ◽  
Author(s):  
Mario Lima ◽  
Tommaso Gargano ◽  
Giovanni Ruggeri ◽  
Francesca Destro ◽  
Michela Maffi
Keyword(s):  
Choledochal Cyst ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Early Experience ◽  
Cyst Excision ◽  
Intrahepatic Bile Ducts ◽  
First Case ◽  
Laparoscopic Excision ◽  
Extracorporeal Anastomosis ◽  
Laparoscopic Removal

Choledochal cyst (CDC) is a congenital dilatation of the extra and/or intrahepatic bile ducts and it is a rare condition in western countries. Classical treatment consists of cyst excision and hepaticojejunostomy. The first case of a laparoscopic CDC excision was described in 1995 and since that time an increasing number of institutions have adopted this technique, with good success. We describe our early experience of 3 cases of CDC treated with laparoscopic approach. We used a 10 mm umbilical port for the camera, and four 3-5 mm operative ports. We performed the laparoscopic removal of the cyst and gallbladder, videoassisted preparation of the Roux-en-Y loop and laparoscopic hepaticjejunostomy. No post-operative complications occurred. Laparoscopic excision of CDCs has been supposed to give better observation, a better cosmetic result, potentially less postoperative pain, and a shorter recovery. The main argument for performing an extracorporeal anastomosis is that it decreases the operative time. We recommend caution to prevent injury to the pancreatic duct and biliary structures during dissection and anastomosis. Lifelong surveillance is mandatory, even after resection of the choledochal cyst.

scholarly journals Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

2015 ◽  
Vol 72 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Milica Petrovic ◽  
Violeta Rabrenovic ◽  
Dusica Stamenkovic ◽  
Neven Vavic ◽  
Zoran Kovacevic ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Situs Inversus ◽  
Iliac Fossa ◽  
Preoperative Evaluation ◽  
Situs Inversus Totalis ◽  
Mirror Image ◽  
Image Reversal ◽  
The Right

Introduction. Situs inversus totalis (SIT) represents a total vertical transposition of the thoracic and abdominal organs which are arranged in a mirror image reversal of the normal positioning 1. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with SIT and the longest donor follow-up period, along with analysis of the reviewed literature. Case report. The pair for pre-dialysis kidney transplantation included a 68-year-old mother and 34-year-old daughter at low immunological risk. Comorbidities evidenced in kidney donors with previously diagnosed SIT, included moderate arterial hypertension and borderline blood glucose level. Explantation of the left donor kidney and its placement into the right iliac fossa of the recipient were performed in the course of the surgical procedure. A month after nephrectomy, second degree renal failure was noticed in the donor. A 20-month follow-up of the donor?s kidney and graft in the recipient proved that their functions were excellent. Conclusion. In donors with previously diagnosed SIT the multidisciplinary approach, preoperative evaluation of the patient and detection of possible vascular anomalies are required to provide maximum safety for the donor.

scholarly journals Perinephric urinoma following spontaneous renal rupture in the third trimester of pregnancy: a case report and brief review of the literature

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ya Chen ◽  
Yun Fang Yan ◽  
Ying Zhang ◽  
Xianming Carroll ◽  
Hui Rong Li ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Urine Analysis ◽  
Rare Condition ◽  
Percutaneous Nephrostomy ◽  
Third Trimester ◽  
The Third ◽  
Appropriate Treatment ◽  
Perinephric Space ◽  
Renal Rupture

Abstract Background Spontaneous formation of urinoma is a rare condition, especially for pregnant women. We report a patient in the third trimester of pregnancy with a spontaneous renal rupture who then develops a urinoma from urine leaking into the perinephric space. Case presentation A 23-year-old primagravida was diagnosed with a spontaneous renal rupture and acute left loin pain accompanied by hematuria when she was 35 weeks pregnant. A sub-capsular perinephric cyst then developed to a size of 319 × 175 × 253 mm, and because of discomfort to the patient, we performed Cesarean section. After a healthy male newborn was delivered, fluid was suctioned from a large perirenal cyst that had an estimated size of 300 × 200 × 300 mm. A percutaneous nephrostomy tube was left in the cyst until CT showed no remaining fluid. In the six-month follow-up, the patient showed no perirenal extravasation according to an ultrasound scan, and the urine analysis and renal function tests were normal. Conclusion Close follow-up should be recommended for the patient who has renal rupture after conservative therapy, especially for pregnant woman. CT or MRI should be considered in addition to utilizing ultrasound in the management of pregnant women who present with urinomas. Percutaneous nephrostomy is suggested as an appropriate treatment for large urinomas.

scholarly journals Appendicovesical fistula presenting as hypokalaemic hyperchloraemic metabolic acidosis: a case report

2019 ◽  
Vol 101 (6) ◽  
pp. e131-e132
Author(s):  
S Keane ◽  
GD Tebala
Keyword(s):  
Urinary Tract ◽  
Past History ◽  
Iliac Fossa ◽  
Fistulous Tract ◽  
Emergency Laparotomy ◽  
Metabolic Derangement ◽  
History Of ◽  
Right Iliac Fossa Pain ◽  
Tract Infections

A 52-year-old man was admitted with diarrhoea and faecaluria and referred recurrent urinary tract infections for over 20 years. He also reported a two-week hospital admission more than 20 years ago for right iliac fossa pain, which was managed conservatively. Computed tomography showed a fistulous tract extending from the bladder with an unclear connection to the bowel. Cystoscopy confirmed the presence of a vesical fistula and biopsy of the tract confirmed colonic mucosa. Flexible sigmoidoscopy was negative. A cystogram was requested as an outpatient procedure and the patient was discharged after antibiotic treatment. A few days after discharge the patient was readmitted as an emergency to critical care for severe hyperchloraemic hypokalaemic acidosis and a Glasgow Coma Score of 6/15. He was intubated and ventilated and his metabolic derangement was treated. As soon as his conditions improved, he underwent emergency laparotomy, which revealed the presence of a fistula between the caecal fundus and the bladder. The fistula was repaired and the patient recovered swiftly and completely and was discharged on postoperative day 5. At 12-month follow up the patient was completely symptoms-free, his bowel habits were normal and he has not had any urinary infection. Appendicovesical fistula is a rare and potentially lethal condition due to its metabolic consequences. Past history of right iliac fossa pain treated conservatively, diarrhoea and recurrent urinary tract infection must raise suspicion.

scholarly journals Intestinal Malrotation with Midgut Volvulus leading to Small Bowel Obstruction in a Young Adult: A Case Report

2020 ◽  
Vol 9 (2) ◽  
pp. 149-152
Author(s):  
Junaid Zia Hashmi ◽  
Talha Kareem ◽  
Masood ur Rauf Khan Hiraj
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Intestinal Malrotation ◽  
Uneventful Recovery ◽  
Midgut Volvulus ◽  
Left Iliac Fossa ◽  
Ladd’S Procedure

The developing intestine rotates around the superior mesenteric vessels during physiological herniation from 6th to 10th weeks of embryogenesis. Intestinal malrotation leading to midgut volvulus and small bowel obstruction is a rare condition. Patients who develop this condition usually present in the first year of their life. Intestinal malrotation is characterized by right sided duodenojejunal junction, caecum in left iliac fossa and a narrow mesentery. Ladd’s procedure is the treatment of choice which is done to restore the normal anatomy. We report the case of an 18-year-old male patient, who presented with intestinal malrotation in emergency department of Nishtar Hospital, Multan. It is an uncommon age for presentation of this anomaly. The patient had fecal peritonitis due to caecal perforation. He underwent Ladd’s procedure in which ileocolostomy was made after right hemicolectomy. The patient had an uneventful recovery after the surgery and had no complaints on follow up visit one week after the discharge.

scholarly journals Case Report: Intussepting mucocele appendix

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1939
Author(s):  
Tom Crawley-Smith
Keyword(s):  
Case Report ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Operative Management ◽  
Right Hemicolectomy ◽  
Malignant Potential ◽  
Rare Presentation ◽  
Mucocele Of The Appendix ◽  
Right Iliac Fossa Pain

Background: A case study of a presentation of a mucocele appendix, a rare condition accounting for 0.2% of appendicectomies. The case and operative management are discussed along with the possible progression to pseudomyxoma peritoneii and its differing management. Case: A 15-year-old girl had two presentations with atypical Right Iliac Fossa pain over 2 months. This was investigated with ultrasound and CT which revealed a calcified, intussusepting mucocele of the appendix. This was surgically resected with partial Right Hemicolectomy. The patient was discharged on day 3 with no complications. Discussion: The presentation, malignant potential, investigation and management of the mucocele appendix are discussed. The rare presentation of a mucocele appendix necessitates care to eliminate the risk of pseudomyxoma peritoneii. The operative management should minimise disturbance of the peritoneum in this presentation. In this case, due to an intersussepting nature a limited Right Hemicolectomy had to be performed. This is compared to the literature.

scholarly journals Recurrent vaginal cuff dehiscence after surgery for endometriosis: a technique for laparoscopic repair with an omental flap

2021 ◽  
Vol 14 (3) ◽  
pp. e239540
Author(s):  
Gerard-Peter Frank ◽  
Johann Rhemrev ◽  
Marinke Westerterp ◽  
Jim English
Keyword(s):  
Laparoscopic Approach ◽  
Omental Flap ◽  
Sexually Active ◽  
Management Options ◽  
Vaginal Cuff ◽  
Vaginal Evisceration ◽  
Tissue Healing ◽  
Laparoscopic Excision ◽  
Vaginal Cuff Dehiscence

Vaginal evisceration is a rare but severe complication after hysterectomy or colpotomy and is generally successfully repaired by reapproximating healthy tissue edges of the vagina. Recurrent vaginal cuff dehiscence is problematic especially in sexually active women. We describe two cases of recurrent vaginal cuff dehiscence. The first patient had a hysterectomy for endometriosis. The second patient underwent laparoscopic excision of an endometriotic nodule at the vaginal vault. The vaginal cuff dehiscence was repaired by a laparoscopic approach employing an omental flap to enhance tissue healing. This closure technique turned out to be successful at follow-up in both cases. In case of recurrent vaginal cuff dehiscence, management options are limited. Our case report offers a laparoscopic treatment option by using an omental flap. This procedure can be used when conventional repair fails.

scholarly journals Paediatric cystic ovarian torsion masquerading appendicitis

2021 ◽  
Vol 14 (2) ◽  
pp. e239188
Author(s):  
Smriti Kapoor ◽  
Shoaib Saeed ◽  
Dinesh Balasubramaniam
Keyword(s):  
Clinical Examination ◽  
Inflammatory Markers ◽  
Clinical Presentation ◽  
Iliac Fossa ◽  
Ovarian Torsion ◽  
Atypical Presentation ◽  
Open Appendicectomy ◽  
History Of ◽  
Right Iliac Fossa Pain

A 7-year-old girl presented with a 2-day history of right iliac fossa pain, fever and elevated inflammatory markers. Clinical examination supported a diagnosis of appendicitis. The patient was taken to theatre for an open appendicectomy the following morning. Intraoperatively, a right-sided ovarian haemorrhagic cyst with 360 degrees torsion was discovered. The ovary was torted along with the cyst. Both were detorted and the abdomen was closed. The patient was discharged 48 hours later, with gynaecology outpatient follow-up 6–8 weeks later. Paediatric ovarian torsions caused by a haemorrhagic cyst greater than 2 cm are rare. Here, we discuss an atypical presentation of ovarian torsion and how the clinical presentation can mimic appendicitis.

scholarly journals Conservative Treatment of Carpometacarpal Dislocation of the Three Last Fingers

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Hélène Jumeau ◽  
Philippe Lechien ◽  
Florence Dupriez
Keyword(s):  
Emergency Department ◽  
Conservative Treatment ◽  
Literature Review ◽  
Closed Reduction ◽  
Rare Condition ◽  
Posterior Dislocation ◽  
Chronic Instability ◽  
The Third ◽  
Physician Awareness

Posterior carpometacarpal (CMC) dislocation is a rare condition. Treatment is usually surgical though no strict consensus can be found upon literature review. If diagnosed early and no associated fractures are found, CMC dislocation could benefit from conservative treatment comprising closed reduction and splint immobilisation. We report the case of a 26-year-old man diagnosed with a posterior dislocation of the third, fourth, and fifth CMC joints after a fall of 1.5 meters, treated by external reduction under procedural sedation and immobilisation with a cast for 6 weeks. Evolution was excellent with no relapse observed during follow-up. Our aim is to increase physician awareness of CMC dislocation so that they seek this injury in the emergency department. Unrecognised CMC dislocation can lead to neurovascular injuries as well as chronic instability and early articular degeneration.

scholarly journals Solitary Cecal Diverticulitis: An Unusual Cause of Acute Right Iliac Fossa Pain—A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Nikolaos Mudatsakis ◽  
Marinos Nikolaou ◽  
Konstantinos Krithinakis ◽  
Michail Matalliotakis ◽  
Nikolaos Politis ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Acute Abdominal Pain ◽  
Iliac Fossa ◽  
Clinical Signs ◽  
Uneventful Recovery ◽  
Western World ◽  
Management Options ◽  
Alternative Therapeutic Approach ◽  
Cecal Diverticulitis ◽  
Right Iliac Fossa Pain

Solitary cecal diverticulitis is a rare cause of acute abdominal pain in the Western world. Its clinical presentation, in most cases, mimics acute appendicitis. A 38-year-old Caucasian man presented with acute abdomen and clinical signs of acute appendicitis. Laparotomy was performed and revealed an inflammatory, solitary diverticulum of the cecum. A typical appendectomy was performed and a catheter was inserted for draining percutaneously the inflamed diverticulum of the cecum. The patient had an uneventful recovery and was discharged on the 4th postoperative day. This frequently misdiagnosed condition, in most cases, is being suspected and identified intraoperatively as acute appendicitis. The aim of this study is to review the available different surgical management options and to present an alternative therapeutic approach that may be valuable under specific circumstances.

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