scholarly journals The Use of an Anterior Abdominal Wall Peritoneal Flap in the Laparoscopic Repair of Vesicouterine Fistula

2014 ◽  
Vol 99 (5) ◽  
pp. 673-676 ◽  
Author(s):  
Nicel Tasdemir ◽  
Remzi Abali ◽  
Cem Celik ◽  
Cenk Murat Yazici ◽  
Didem Akkus
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Treatment Options ◽  
Laparoscopic Approach ◽  
Rare Type ◽  
Vesicouterine Fistula ◽  
Peritoneal Flap ◽  
Lower Segment Cesarean Section

Abstract Vesicouterine fistula (VUF) is a rare type of genitourinary fistula. Lower-segment cesarean section is the leading cause of VUF. Patients mostly present with the classical triad of menouria, amenorrhea, and urinary incontinence, with the history of a previous cesarean section. Conservative management with catheterization and open, laparoscopic, and robotic surgeries are the prescribed treatment options. We present the case of a 35-year-old woman who presented with cyclical menouria and urinary incontinence. After diagnosis of VUF by cystoscopy, the laparoscopic approach was chosen. During the procedure, we used anterior abdominal wall peritoneum and adjacent adipose tissue interposition for the first time, instead of omental interposition, because of the unavailability of omentum. The postoperative period was uneventful, and the procedure was successful. In conclusion, the laparoscopic approach is feasible and the anterior abdominal wall peritoneal flap can be used instead of omentum for tissue interposition when the omentum is not available.

scholarly journals Recurrent liver hydatid cyst and port site hydatid cyst in anterior abdominal wall in operated case of laparoscopic cystostomy for liver hydatid cyst: a rare complication

2021 ◽  
Vol 8 (11) ◽  
pp. 3495
Author(s):  
Swamy P. T. ◽  
Jayendra G. Vagadia ◽  
Jatin G. Bhatt ◽  
Jignesh P. Dave
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Rare Complication ◽  
Treatment Options ◽  
Laparoscopic Approach ◽  
Public Health Problem ◽  
Animal Husbandry ◽  
Port Site ◽  
Liver Hydatid Cyst

Hydatid disease, or echinococcosis, is a widespread zoonotic parasitic disease caused by a tapeworm that continues to be a clinical and public health problem worldwide, especially in areas where animal husbandry and subsistence farming form an integral part of community life. Location of cyst in different organs of body changes the diagnostic and therapeutic management of the cyst.  Four treatment options are currently available: radical surgery, conservative surgery, puncture-aspiration-injection-respiration (PAIR), and antiparasitic medical treatment. Surgery is gold standard for liver hydatid cyst and can be done by open/laparoscopic approach. We are reporting a case of recurrence of liver hydatid cyst with port site anterior abdominal wall hydatid cyst in a 40-year-old female patient operated previously for laparoscopic liver hydatid cystectomy. ­­­Port site hydatid cyst is a rare complication after laparoscopic hydatid cystotomy, but can occur due to lodgement of scolices at port site while removing daughter cyst at port site of laparoscopy.

scholarly journals Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature

2014 ◽  
Vol 8 (1-2) ◽  
pp. 48 ◽  
Author(s):  
Funda Gungor Ugurlucan ◽  
Ercan Bastu ◽  
Baris Bakir ◽  
Onay Yalcin
Keyword(s):  
Methylene Blue ◽  
Urinary Incontinence ◽  
Cesarean Section ◽  
Bladder Wall ◽  
Total Abdominal Hysterectomy ◽  
Definitive Treatment ◽  
Blue Dye ◽  
Bilateral Oophorectomy ◽  
Vesicouterine Fistula ◽  
Lower Segment Cesarean Section

A vesicouterine fistula is an abnormal communication between the bladder and the uterus. The most common cause is lower segment Cesarean section. Conservative treatment may be applied in some cases, but surgery is the definitive treatment. We present a 55-year-old woman with vesicouterine fistula after primary Cesarean section; she presented with urinary incontinence 30 years later. Methylene blue dye test was performed and drainage of urine dyed with methylene blue through the uterine cervix was observed. Diagnosis was confirmed with magnetic resonance imaging. Total abdominal hysterectomy and bilateral oophorectomy was performed and the bladder wall was sutured in a double layer with 2/0 polyglycolic suture. No complications developed and the patient did not suffer from any urinary incontinence afterwards. Vesicouterine fistula should be suspected in cases presenting with urinary incontinence even years after Cesarean section; diagnostic tests and, if necessary, appropriate surgery should be performed.

scholarly journals Youssef’s Syndrome following Cesarean Section

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Ozer Birge ◽  
Ertugrul Gazi Ozbey ◽  
Mustafa Melih Erkan ◽  
Deniz Arslan ◽  
Ilkan Kayar
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Diagnostic Tests ◽  
Vaginal Bleeding ◽  
Clinical Presentation ◽  
Definitive Treatment ◽  
Lower Segment ◽  
Vesicouterine Fistula ◽  
Lower Segment Cesarean Section ◽  
Variable Clinical Presentation

Youssef’s syndrome is characterized by cyclic hematuria (menouria), absence of vaginal bleeding (amenorrhea), and urinary incontinence due to vesicouterine fistula (VUF), the least common of the urogynecological fistulas. Youssef’s syndrome has a variable clinical presentation. A vesicouterine fistula is an abnormal pathway between the bladder and the uterus. The most common cause is lower segment Cesarean section. Conservative treatment may be appropriate in some cases, but surgery is the definitive treatment. Vesicouterine fistula should be suspected in cases presenting with urinary incontinence even years after Cesarean section. Diagnostic tests as well as necessary appropriate surgery should be performed on cases with suspected vesicouterine fistula. We present a 40-year-old multiparous woman with vesicouterine fistula after primary Cesarean section; she presented with urinary incontinence, hematuria, and amenorrhea 1 year after the birth. Here, we discuss our case with the help of previously published studies found in the literature.

scholarly journals Necrotizing fasciitis of anterior abdominal wall following cesarean section in a low-risk patient

2016 ◽  
Vol 2016 (7) ◽  
pp. rjw122 ◽  
Author(s):  
Manisha Chhetry ◽  
Basudeb Banerjee ◽  
Shanti Subedi ◽  
Ashok Koirala
Keyword(s):  
Cesarean Section ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Low Risk ◽  
Risk Patient ◽  
Wall Following

scholarly journals Laparoscopic Cholecystectomy in the Presence of Lumboperitoneal Shunt

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Alexandros Charalabopoulos ◽  
Abraham J. Botha
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Gallstone Disease ◽  
Laparoscopic Approach ◽  
Review Of The Literature ◽  
Nerve Stimulator ◽  
Occipital Nerve ◽  
Lumboperitoneal Shunt

Laparoscopic cholecystectomy remains the mainstay of treatment in patients with gallstone disease. Nowadays more than ever before, patients present with more comorbidities and entities that make the laparoscopic approach composite. One of these is the presence of lumboperitoneal (LP) shunts. Herein, we describe a case of successful laparoscopic cholecystectomy in a patient with an LP shunt and an occipital nerve stimulator in the anterior abdominal wall. We describe alterations in technique, aiming at surgeons that perform laparoscopic cholecystectomies with useful tips in order to successfully deliver the operation. A brief review of the literature in the current subject is also given.

scholarly journals A Case of Type 2 Youssef’s Syndrome following Caesarean Section for Placenta Previa Totalis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Sefa Kurt ◽  
Funda Obuz
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Placenta Previa ◽  
Rare Complication ◽  
Clinical Problem ◽  
Diagnosis And Treatment ◽  
Rare Type ◽  
Vesicouterine Fistula

Vesicouterine fistula is a rare type of urogenital fistulas. It is most commonly observed after cesarean section (C/S) due to iatrogenic reasons. In this article, a case of a vesicouterine fistula which developed after C/S operation is presented. This was the patient’s second C/S and this time placenta previa totalis was the primary pathology. Since it is a rare complication, we found it interesting, and, in this article, this clinical problem was discussed with details about diagnosis and treatment in light of the literature.

scholarly journals Synchronous Fibromatosis Indistinguishable from Suspected Synchronous Gastrointestinal Stromal Tumor: A Case Report

2021 ◽  
Vol 59 (241) ◽  
pp. 919-921
Author(s):  
Anup Chalise ◽  
Ashish Prasad Rajbhandari ◽  
Ramesh Dhakhwa
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Gold Standard ◽  
Wide Local Excision ◽  
Palliative Treatment ◽  
Anterior Abdominal Wall ◽  
Treatment Options ◽  
Desmoid Tumors ◽  
Gastrointestinal Tumor ◽  
Immunohistochemistry Staining

Desmoid tumors most commonly occur in the anterior abdominal wall in approximately 50% of cases and are locally aggressive. We describe a case of a 38-year-old lady who was investigated as a case of gastrointestinal tumor. Post-operative immunohistochemistry staining showed the presence of a synchronous desmoid in the abdominal wall and proximal ileum. Wide local excision remains the gold-standard of treatment with pharmacotherapeutics and radiotherapy serving as adjuvant or palliative treatment options.

scholarly journals A Rare Case of Nocturnal Urinary Incontinence and Menuria after Lower Segment Cesarean Section

2016 ◽  
Vol 2 (1) ◽  
pp. 23-25
Author(s):  
Sindhu Bhute ◽  
Priyakshi Chaudhry ◽  
Deepti S Shrivastava ◽  
Suhas Jajoo
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Rare Case ◽  
Urinary Continence ◽  
Lower Segment ◽  
Gnrh Analog ◽  
Obstructed Labor ◽  
Lower Segment Cesarean Section ◽  
Youssef Syndrome ◽  
Selection Of

ABSTRACT Misgav Ladach technique for lower segment cesarean section (LSCS) is considered advantageous universally, but debate still continues about nonclosure in layers and further consequences; hence, careful selection of cases and intraoperative decision of closure in layers is important. The classical Youssef's syndrome comprises cyclic hematuria, amenorrhea, menuria, and complete urinary continence in a patient who had LSCS. Hereby, we present a case report of a woman who suffered with chronic pelvic pain, menuria, and nocturnal eneuresis after her LSCS for obstructed labor, although not exactly the same as Youssef syndrome but rare in occurrence and relieved after adhesiolysis and gonadotropin-releasing hormone (GnRH) analog therapy. How to cite this article Chaudhry P, Shrivastava DS, Bhute S, Jajoo S. A Rare Case of Nocturnal Urinary Incontinence and Menuria after Lower Segment Cesarean Section. J Med Sci 2016;2(1):23-25.

scholarly journals Laparoscopic approach of excision of anterior abdominal wall actinomycosis

2021 ◽  
Vol 8 (2) ◽  
pp. 733
Author(s):  
Satkunan Mark ◽  
Mohd Firdaus ◽  
Mohd Muselim ◽  
Lewellyn Rajakumar
Keyword(s):  
Abdominal Wall ◽  
Sigmoid Colon ◽  
Anterior Abdominal Wall ◽  
Iliac Fossa ◽  
Abdominal Mass ◽  
Laparoscopic Approach ◽  
Open Approach ◽  
En Bloc ◽  
Left Iliac Fossa ◽  
Laparoscopic Excision

Actinomycosis of the abdominal wall is a rare disease. While most of the reported cases are women, we present a 42-year-old male with an abdominal mass for 4 months. Clinical examination of the abdomen revealed a well circumscribed mass in the left iliac fossa. CT abdomen showed an anterior abdominal wall mass with infiltration to the sigmoid colon however colonoscopy ruled out intraluminal origin. In contrast to traditional open approach, a laparoscopic approach was done. The abdominal wall tumour and sigmoid colon was resected en- bloc and continuity restored extra- corporeally through a small incision. Histopathology of the specimen reported an abdominal wall actinomycosis and patient was discharged with antibiotics. Laparoscopic approach was successful as the tumour was small. We therefore conclude that an initial laparoscopic assessment can be advocated and a laparoscopic excision is always possible if the features are favourable.  

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