Idiopathic spontaneous lesser sac haemorrhage possibly due to endometrioma

2021 ◽  
Author(s):  
Adriel Guang Wei Goh ◽  
Yi Xiu Chua
Keyword(s):  
2002 ◽  
Vol 120 (3) ◽  
pp. 84-86 ◽  
Author(s):  
Gustavo Gibin Duarte ◽  
Belchor Fontes ◽  
Renato Sérgio Poggetti ◽  
Marcos Roberto Loreto ◽  
Paulo Motta ◽  
...  

CONTEXT: Internal hernias account for only 0.2 to 0.9% of the cases of intestinal obstruction. They do not have specific clinical manifestations, and are usually diagnosed during laparotomy for acute intestinal obstruction. Internal hernias through the lesser omentum are extremely rare. CASE REPORT: We report here the case of a 36-year-old patient who underwent exploratory laparotomy for acute intestinal obstruction. An internal hernia through the lesser omentum was found, with a strangulated ileal segment passing through the perforation into an abscess within the lesser sac. The surgical procedures included ileal resection, primary anastomosis, abscess removal, and placement of a drain in the lesser sac. The patient was reoperated 6 days later for abdominal sepsis; a lesser sac abscess was removed and the abdominal incision was left open. The patient stayed in the Intensive Care Unit for 15 days, and eventually left the hospital on the 28th post-admission day, with complete recovery thereafter. CONCLUSION: The early diagnosis of acute intestinal obstruction and immediate indication for laparotomy is the main task of the surgeon when faced with a case of acute abdomen with a hypothesis of internal hernia, so as to minimize severe postoperative complications, as illustrated by the present case.


BMJ ◽  
1956 ◽  
Vol 2 (4990) ◽  
pp. 462-463 ◽  
Author(s):  
J. G. Callanan
Keyword(s):  

Author(s):  
Elroy Weledji ◽  
Ngwane Ntongwetape

Being of embryonal tissue origin, the teratomas are rare in adults, typically occurring either in the gonads or in the sacrococcygeal region in infancy and childhood. We present a case of a teratoma in the lesser sac of an adult female managed by en-bloc resection with the infiltrating stomach segment.


Author(s):  
C. H. Lin ◽  
H. F. Hsieh ◽  
S. J. Chou ◽  
J. C. Yu ◽  
T. W. Chen ◽  
...  

2019 ◽  
Vol 7 (4) ◽  
pp. 108-114
Author(s):  
A. A. Kurtseva ◽  
E. S. Chernomortseva ◽  
M. G. Konyukhova

This essay is about the differences in the description of the upper story of the peritoneal cavity, the omental bursa and omental (epiploic) foramen, which connects the omental bursa (lesser sac) with the rest of the peritoneal cavity (greater sac). The difference in the description of the omental bursa causes misunderstanding during the study of the topic «The stories of the peritoneal cavity». The misunderstanding is especially well expressed when we teach the foreign students because there is a great difference in the description of the omental bursa in Russian and English literature. That is why we decided to analyze the data of the omental bursa in different literal sources. We analyzed 11 textbooks, 5 of the mare Russian and 6 of the mare English, most useful for the students during the preparing the material for Anatomy classes. The results are given in tables.


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