scholarly journals Unilateral lower abdominal wall protrusion and umbilical deviation

2016 ◽  
Vol 4 (4) ◽  
pp. 451-452 ◽  
Author(s):  
Kiyoshi Shikino ◽  
Masahito Miyahara ◽  
Kazutaka Noda ◽  
Yoshiyuki Ohira ◽  
Masatomi Ikusaka
Rheumatology ◽  
2017 ◽  
Vol 56 (suppl_2) ◽  
Author(s):  
Zainab Laftah ◽  
Jonathan N. Barker ◽  
Catherine M. Stefanato ◽  
Blanca Martin ◽  
Shirish Sangle ◽  
...  

2013 ◽  
Vol 98 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Takahito Kitajima ◽  
Mikihiro Inoue ◽  
Keiichi Uchida ◽  
Kohei Otake ◽  
Masato Kusunoki

Abstract Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surgery has not been reported, and here we present the first known case. A 26-year-old woman with a history of bladder exstrophy was aware of a painful induration at the operative scar located in the left lower abdominal wall, and presented at our hospital. Although the symptoms resolved, recurring exacerbation was observed after 9 months. Abdominal magnetic resonance imaging showed a heterogeneous mass 16 mm in diameter in the left abdominal wall with high signal intensity on T1W1 and T2W1 images. She underwent excisional biopsy of the lesion under general anesthesia. Histopathology confirmed the diagnosis of endometriosis. Eighteen months after surgery, she was well and free from recurrence.


2019 ◽  
Vol 210 ◽  
pp. 233-233.e1
Author(s):  
Ming-Yang Shih ◽  
Chen-Hao Wu ◽  
Jiaan-Der Wang

2014 ◽  
Vol 134 (6) ◽  
pp. 1313-1322 ◽  
Author(s):  
António Costa-Ferreira ◽  
Pedro Rodrigues-Pereira ◽  
Marco Rebelo ◽  
Luis O. Vásconez ◽  
Jose Amarante

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Christos Stefanou ◽  
Nicolaos Zikos ◽  
George Pappas-Gogos ◽  
Spyridon Koulas ◽  
Ioannis Tsimoyiannis

Penetrating abdominal trauma has been traditionally treated by exploratory laparotomy. Nowadays laparoscopy has become an accepted practice in hemodynamically stable patient without signs of peritonitis. We report a case of a lower anterior abdominal gunshot patient treated laparoscopically. A 32-year-old male presented to the Emergency Department with complaint of gunshot penetrating injury at left lower anterior abdominal wall. The patient had no symptoms or obvious bleeding and was vitally stable. On examination we identified 1 cm diameter entry wound at the left lower abdominal wall. The imaging studies showed the bullet in the peritoneal cavity but no injured intraperitoneal and retroperitoneal viscera. We decided to remove the bullet laparoscopically. Twenty-four hours after the intervention the patient was discharged. The decision for managing gunshot patients should be based on clinical and diagnostic findings. Anterior abdominal injuries in a stable patient without other health problems can be managed laparoscopically.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Davit Shahmanyan ◽  
Matthew T. Joy ◽  
Bryan R. Collier ◽  
Emily R. Faulks ◽  
Mark E. Hamill

Abstract Background Severe electrical burns are a rare cause of admission to major burn centers. Incidence of electrical injury causing full-thickness injury to viscera is an increasingly scarce, but severe presentation requiring rapid intervention. We report one of few cases of a patient with full-thickness electrical injury to the abdominal wall, bowel, and bladder. Case report The patient, a 22-year-old male, was transferred to our institution from his local hospital after sustaining a suspected electrical burn. On arrival the patient was noted to have severe burn injuries to the lower abdominal wall with evisceration of multiple loops of burned small bowel as well as burns to the groin, left upper, and bilateral lower extremities. In the trauma bay, primary and secondary surveys were completed, and the patient was taken for CT imaging and then emergently to the operating room. On exploration, the patient had massive full-thickness burns to the lower abdominal wall, five full-thickness burns to small bowel, and intraperitoneal bladder rupture secondary to full-thickness burn. The patient underwent damage-control laparotomy including enterectomies, debridement of bladder coagulative necrosis, and layered closure of bladder injury followed by temporary abdominal closure with vacuum dressing. The patient also underwent right leg escharotomy and partial right foot fasciotomies. The patient was subsequently transferred to the nearest burn center for continued resuscitation and comprehensive burn care. Conclusion Severe electrical burns can be associated with devastating visceral injuries in rare cases. Though uncommon, these injuries are associated with very high mortality rates. The authors assert that rapid evaluation and initial stabilization following ATLS guidelines, damage-control laparotomy, and goal-directed resuscitation in concert with transfer to a major burn center are essential in effecting a successful outcome in these challenging cases.


Sign in / Sign up

Export Citation Format

Share Document