scholarly journals Strangulated Femoral Hernia Turned to Be Peritoneal Cyst

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Dionysios Dellaportas ◽  
George Polymeneas ◽  
Christina Dastamani ◽  
Evi Kairi-Vasilatou ◽  
Ioannis Papaconstantinou
Keyword(s):  
Femoral Hernia ◽  
Correct Diagnosis ◽  
Mesenteric Cyst ◽  
Inclusion Cyst ◽  
Case Presentation ◽  
Peritoneal Inclusion Cyst ◽  
Femoral Ring ◽  
Careful Exploration ◽  
The Right ◽  
Caucasian Female

Introduction. A peritoneal inclusion cyst is a very rare mesenteric cyst of mesothelial origin usually asymptomatic. A rare case of an 82-year-old white Caucasian female with a femoral hernia containing a large peritoneal inclusion cyst, mimicking strangulated hernia, is presented herein.Case Presentation. The patient was admitted to our hospital suffering from a palpable groin mass on the right, which became painful and caused great discomfort for the last hours. Physical examination revealed a tender and tense, irreducible groin mass. An inguinal operative approach was selected and the mass was found protruding through the femoral ring. After careful dissection it turned out to be a large unilocular cyst, containing serous fluid, probably originating from the peritoneum. McVay procedure was used to reapproximate the femoral ring. Histologic examination showed a peritoneal inclusion cyst.Discussion. Peritoneal inclusion cysts are usually asymptomatic but occasionally present with various, nonspecific symptoms according to their size. Our case highlights that high index of clinical suspicion and careful exploration during repair of a hernia is mandatory in order to reach the correct diagnosis about hernia’s contents.

scholarly journals Rapid Growth of Pelvic Cyst during Pregnancy: A Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Yoko Fujimoto ◽  
Hironori Takahashi ◽  
Kenji Horie ◽  
Takeo Nakaya ◽  
Toshiro Niki ◽  
...  
Keyword(s):  
Rapid Growth ◽  
Progesterone Receptors ◽  
Mucinous Cystadenoma ◽  
Pelvic Mass ◽  
Pelvic Cavity ◽  
Inclusion Cyst ◽  
Multilocular Cyst ◽  
Peritoneal Inclusion Cyst ◽  
Cystic Tumors ◽  
The Right

We describe a patient with bilateral cystic tumors of the pelvis. The left one rapidly grew during pregnancy and combined with the right one, whose clinical course made diagnosis difficult. A pregnant woman with a history of laparotomy was referred to us due to suspected bilateral pelvic cysts. The left-sided cyst had rapidly grown to 27 cm in diameter and merged with the right cyst, forming a large cyst occupying the entire pelvic cavity in the third trimester. Considering this rapid growth, cesarean section and resection of the cyst were performed at 37th week. The resected cyst consisted of two components: a large unilocular cyst containing serous fluid and a multilocular cyst suggestive of ovarian mucinous cystadenoma in the right ovary. The wall of the former largely lacked lining epithelium, but it was partly continuous with the latter mucinous epithelium. Immunohistochemically, estrogen and progesterone receptors were focally positive in the cyst wall, suggesting that pregnancy-associated sex-hormones may have contributed to the rapid growth of the cyst. We diagnosed this condition as a peritoneal inclusion cyst margining with a right ovarian mucinous cystadenoma. Peritoneal inclusion cyst should be considered in the differential diagnosis of a rapidly growing pelvic mass during pregnancy.

scholarly journals Recto-Femoral Fistula Presenting as Emphysematous Cellulitis of the Knee: A Case Report & Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
P. K. Karampinas ◽  
D. S. Evangelopoulos ◽  
I. S. Benetos ◽  
E. Kavroudakis ◽  
J. Vlamis
Keyword(s):  
Early Identification ◽  
Nerve Palsy ◽  
Postoperative Morbidity ◽  
Low Back ◽  
Sciatic Nerve Palsy ◽  
Case Presentation ◽  
Good Patient ◽  
Good Patient Outcome ◽  
The Right ◽  
Caucasian Female

Purpose. The rectofemoral fistula represents a devastating complication of colorectal surgery. Its early diagnosis and treatment are critical to obtain a good patient outcome.Case Presentation. A 75-year-old Caucasian female patient presented with high fever, ileus, low back pain, sciatic nerve palsy, and infection of the right knee. After numerous surgical debridements and antibiotic therapies, a rectofemoral fistula was diagnosed.Conclusion. Increased doctors' alertness is mandatory for the early identification and surgical treatment of patients suffering from a rectofemoral fistula before the stage of diffuse infection has significantly decreases their postoperative morbidity and mortality.

scholarly journals Recurrent bilateral chorioretinitis with positive Lyme serology: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Reda Issa ◽  
Stephen A. M. DeSouza
Keyword(s):  
Incidental Finding ◽  
Posterior Uveitis ◽  
Unique Case ◽  
Case Presentation ◽  
History Of ◽  
Fluctuating Course ◽  
Blurry Vision ◽  
The Right ◽  
Caucasian Female ◽  
Current Report

Abstract Background It has been disputed whether Lyme is a true causative agent in posterior uveitis or an incidental finding. Case presentation This report presents a case of a 33-year-old Caucasian female with a remote history of Lyme disease who presented with blurry vision in the right eye. Exam and imaging revealed a right active chorioretinitis and positive Lyme serology. The patient was systemically treated with prednisone and antibiotics. Symptoms initially improved, but she later developed a localized choriocapillaritis in the left eye. Steroids and antibiotics were restarted many times with fluctuating course of the disease. The patient was then started on chronic steroid-sparing immunosuppression, which has controlled the condition without recurrence. Conclusions The current report presents a unique case of recurrent bilateral chorioretinitis with positive Lyme serology and raises the question of the existence of true Lyme-associated uveitis.

scholarly journals Amyand’s hernia associated with mesenteric chylous cyst in infant: a rare case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Supangat ◽  
Muhammad Yuda Nugraha ◽  
Meiske Margaretha
Keyword(s):  
Rare Condition ◽  
Mesenteric Cyst ◽  
Amyand’S Hernia ◽  
Case Presentation ◽  
Rare Case Report ◽  
The Right ◽  
Chylous Cyst ◽  
Chylous Mesenteric Cyst ◽  
Variable Presentation ◽  
Histopathology Examination

Abstract Background Amyand’s hernia is a rare condition approximately 0.4–0.6% of all inguinal hernias. Although rare, the Amyand’s hernia is worthy of discussion since the variable presentation that make clinical challenge to diagnose especially in infant. A mesenteric chylous cyst is rare disease and has not been reported in Amyand’s hernia. Case presentation We report an unusual case of Type II Amyand’s hernia with an enlarging chylous mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. A-2-months old infant presented with enlarging mass in the right scrotal. During laparotomy exploration, we found inguinal sac with intestinal and appendix content in the sac. In the edge site of the sac we found enlarging of mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. Based on the histopathology examination, the morphological feature is suitable for mesenteric chylous cyst appearance. Conclusion Presentation of mesenteric chylous cyst is rare, and there was no report about it in Amyand’s hernia. This unusual presentation should be considered by the surgeon, especially pediatric surgeon, in Amyand’s hernia cases.

scholarly journals Unusual Contents of the Femoral Hernia

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Ahmed Alzaraa
Keyword(s):  
Female Patient ◽  
Fallopian Tube ◽  
Clinical Examination ◽  
Femoral Hernia ◽  
Pelvic Cavity ◽  
Good Recovery ◽  
Case Presentation ◽  
Uterine Tube ◽  
Surgical Ward ◽  
The Right

Different contents in the femoral hernia have been reported in the literature, but herniation of the fallopian tube in a femoral hernia is very rare due to its normal anatomical position. Case Presentation. A female patient was admitted to the surgical ward for a lump in the right groin. Clinical examination confirmed a right femoral hernia. The patient underwent surgery to repair the hernia. Intraoperatively, the right uterine tube was found in the hernia. The tube was reduced back into the pelvic cavity and the hernia was repaired. After making good recovery, the patient was referred to the gynaecologist for further assessment. Conclusion. This case is educational as it highlights the importance of managing women with femoral masses with care.

scholarly journals EP.FRI.749 Facial augmentation surgery: Perception vs. Reality

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Kashan Saber ◽  
Shadaab Mumtaz ◽  
Chrysavgi Oikonomou
Keyword(s):  
Subsequent Removal ◽  
Case Presentation ◽  
Facial Surgery ◽  
The United Kingdom ◽  
Patient Reported ◽  
The Face ◽  
History Of ◽  
Facial Augmentation ◽  
The Right ◽  
Caucasian Female

Abstract Background In recent years, aesthetic surgeries have gained significant momentum. A recent audit identified that more than 28,000 cosmetic surgeries were performed in the United Kingdom (UK) in 2018.1. We present an unfortunate case of morbid complications related to the use of malar implant for cosmesis. Case Presentation A 63-year-old Caucasian female presented to the Emergency department with sepsis related to a large painful, tender swelling of the right side of the face. There was discharge of pus from two cutaneous sinuses with additional ectropion/chemosis of the right eye. An orocutaneous communication due to infection/migration of the implant was also noted. The patient reported a history of bilateral malar implants placement three years ago. The patient initially required emergency drainage & subsequent removal of the infected malar implant. Discussion Malar implants provide suitable volume enhancement providing structural and aesthetic benefits including the ‘high cheek bone’ appearance. It is generally considered to be a safe surgical technique with multiple approaches possible to insert the implant. including transoral approach). Spadafora (1971) & Hinderer (1972) first described the use of malar implants for facial augmentation.2,3 Rayess et al.(2017) conducted a 10 year review of complications related to facial implants & noted that 75% of complications related to malar implants were due to infection with 38% of these implants needing removal.4 Conclusion There is a surge in presentations of complications related to cosmetic facial surgery and knowledge of these adverse effects is essential to appropriately manage these patients & their concerns.

scholarly journals Laparoscopic repair of femoral hernia involving the bladder with coexisting indirect inguinal hernia in a young man: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ryoma Yokoi ◽  
Shigetoshi Yamada ◽  
Yuji Hatanaka ◽  
Hiroki Kato
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
Preperitoneal Space ◽  
Bladder Injury ◽  
Anatomical Landmarks ◽  
Indirect Inguinal Hernia ◽  
Case Presentation ◽  
Femoral Ring ◽  
Left Inguinal Region

Abstract Background Bladder hernias are rare conditions that are difficult to diagnose preoperatively; many cases are diagnosed intraoperatively or postoperatively due to bladder injury. Most bladder hernias are direct inguinal hernias that involve the bladder in obese men older than 50 years old. We describe a rare case of a left femoral hernia involving the bladder in a young man. Case presentation A 32-year-old man with a bulge in the left inguinal region underwent laparoscopic transabdominal preperitoneal repair. Laparoscopy revealed a left indirect inguinal hernia. When the preperitoneal space was dissected toward the Retzius space along the vesicohypogastric fascia, the bladder was found to be protruding into the femoral ring and adhere to the hernial orifice severely. The bladder was reduced carefully without causing injury. After dissection, we repaired the left myopectineal orifice with a mesh. The patient was discharged on postoperative day 1 without complications. No recurrences or symptoms were noted at the 12-month follow-up. Conclusions A femoral hernia involving the bladder in a young man is rare. This case demonstrated that dissection along anatomical landmarks is important for preventing injuries to the bladder because even young men may have bladder hernias.

scholarly journals Spontaneous enterocutaneous fistula in a patient with femoral hernia: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anup Chalise ◽  
Ashish Prasad Rajbhandari ◽  
Lok Bahadur Kathayat ◽  
Rabin Koirala
Keyword(s):  
Case Report ◽  
Epidural Anesthesia ◽  
Femoral Hernia ◽  
Enterocutaneous Fistula ◽  
Exploratory Laparotomy ◽  
Fecal Fistula ◽  
Case Presentation ◽  
Ileocecal Junction ◽  
Femoral Ring

Abstract Background Enterocutaneous fistula commonly occurs in the post-operative setting. However, a handful of cases have been reported to occur secondary to strangulation of hernia, mostly femoral due to the narrow femoral ring through which this type of hernia passes through. Case presentation We encountered a case of spontaneous fecal fistula, which occurred in the setting of an incarcerated femoral hernia. The patient did not develop peritonism, or obstruction, throughout the course of the disease. The hernia ruptured on day 7 of incarceration. Exploratory laparotomy under epidural anesthesia revealed a femoral hernia with ileum as content, arising approximately 20 cm from the ileocecal junction. Reduction of the contents was done, and a resection performed along with repair of the hernia. Conclusion As very few literature describe the formation of spontaneous fecal fistula, we discuss the presentation in this report.

scholarly journals Embolization of the false lumen using IMPEDE-FX embolization plugs as part of treatment of an infrarenal post-dissection aneurysm: a case report

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Anne-Jet S. Jansen ◽  
Paul M. van Schaik ◽  
Jasper M. Martens ◽  
Michel M. P. J. Reijnen
Keyword(s):  
Case Report ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
False Lumen ◽  
True Lumen ◽  
Case Presentation ◽  
Type A Dissection ◽  
Prospective Trials ◽  
The Right ◽  
Embolization Procedure

Abstract Background This case report demonstrates the value of IMPEDE-FX plugs in an embolization procedure of a false lumen of an infrarenal post-dissection aneurysm. Case presentation A 69-year-old patient was treated with mitral valve replacement, complicated by a Stanford type-A dissection. After 9 years he presented with an enlarging infrarenal post-dissection aneurysm. The false lumen was embolized using multiple IMPEDE-FX plugs as part of the treatment in addition to embolization of the inferior mesenteric artery and overstenting of the re-entry in the right iliac artery. At 15 months the CTA showed a fully thrombosed false lumen and remodeling of the true lumen. Conclusions The false lumen of an infrarenal post-dissection aneurysm can successfully be embolized using IMPEDE-FX embolization plugs as part of the treatment strategy. Prospective trials on patients with non-thrombosed false lumina are indicated.

scholarly journals Effective erector spinae plane block for postoperative analgesia in a pyothorax patient who underwent emergency re-open thoracotomy—a case report

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Izumi Kawagoe ◽  
Daizoh Satoh ◽  
Mariko Fukui ◽  
Kenji Suzuki ◽  
Eiichi Inada
Keyword(s):  
Postoperative Analgesia ◽  
Transverse Process ◽  
Erector Spinae ◽  
Open Thoracotomy ◽  
Case Presentation ◽  
Lung Lobectomy ◽  
Erector Spinae Plane Block ◽  
Lower Lung ◽  
The Right ◽  
Vein Stenosis

Abstract Background The appropriate choice of postoperative analgesia for pyothorax surgery is unclear since local infection could contaminate the catheter used for regional blocks and bacteremia can lead to disordered coagulation. We performed erector spinae plane block (ESPB) in a pyothorax patient undergoing emergency re-open thoracotomy. Case presentation An 81-year-old male with internal jugular vein stenosis on aspirin therapy was scheduled for pyothorax drainage and residual middle lobectomy 14 days after he underwent open right lower lung lobectomy for lung cancer. ESPB was performed with injection of 20 ml of 0.375% levobupivacaine at the Th5 transverse process of the right side under ultrasound guidance. Although he needed intravenous pentazocine for pain on postoperative day 0, no more analgesics were required postoperatively. NRS score ranged from 0 to 1 thereafter. Conclusions ESPB provided effective postoperative analgesia following emergency re-open thoracotomy for our pyothorax patient. ESPB might be the appropriate choice for postoperative analgesia following pyothorax surgery.

Sign in / Sign up

Export Citation Format

Share Document