scholarly journals A case of choledochal cyst complicated by biliary peritonitis

2007 ◽  
Vol 60 (9-10) ◽  
pp. 497-500 ◽  
Author(s):  
Radovan Cvijanovic ◽  
Radojica Jokic
Keyword(s):  
Choledochal Cyst ◽  
Ultrasound Examination ◽  
Abdominal Cavity ◽  
Normal Liver ◽  
Cyst Formation ◽  
North East ◽  
Rare Malformation ◽  
Extrahepatic Bile Ducts ◽  
One Year ◽  
The Right

Introduction. Choledochal cyst is a rare congenital malformation of the extrahepatic bile ducts. Its incidence varies among different populations, but it is highest in North East Asia. It is most frequent in childhood, and very rare in adults. Case report. A 7 year-old boy was admitted to the hospital with severe abdominal pain under the right rib margin. He presented with constant nausea, occasional jaundice and high colored urine. The following day the boy underwent ultrasound examination and computer tomography (CT). A choledochal cyst was found, and a CT-controlled puncture of the cyst was performed. An X-ray was taken by injecting contrast medium through the drain. A small leakage into the abdominal cavity was observed with subsequent peritonitis. The general condition of the child deteriorated and a decision was made to operate immediately. An upper medial laparotomy was performed. A cystic formation was noted in the hepatoduodenal ligament of 90x70 mm in dimension. The cyst was completely removed and a hepatico-jejunal anastomosis was performed. The child tolerated the surgery well and recovered quickly. Discussion. Cystic dilation of the common bile duct, known as choledochal cyst, is related to a rare malformation of this region. The exact mechanisam of cyst formation remains unknown. Choledochal cysts usually present in the early childhood, with higher frequency in females. The diagnosis is easily made, especially with the use of ultrasound and computed tomography. The treatment is usually surgical, and complete resection of the cyst with hepatico-jejunal anastomosis is the therapy of choice. Conclusion. One year later, ultrasound examination and specific dynamic tests (HIDA) showed normal liver function, and good anastomosis. .

scholarly journals Small intestinal herniation through the broad ligament in a mare outside of the gestation period – a case report

2018 ◽  
Vol 87 (4) ◽  
pp. 331-337
Author(s):  
Cristian Crecan ◽  
Iancu Morar ◽  
Mircea V. Mircean ◽  
Daniela Oros ◽  
Alexandra Muresan ◽  
...  
Keyword(s):  
Post Partum ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
Abdominal Ultrasound ◽  
Uterine Horn ◽  
Presumptive Diagnosis ◽  
Ultrasound Evaluation ◽  
Persistent Abdominal Pain ◽  
One Year ◽  
The Right

A Furioso-North Star mare, aged 8 years, was examined for colic signs. The mare had a history of dystocia and post partum vaginal lacerations, acute endometritis and laminitis approximately one year before the admission for colic. Signs of persistent abdominal pain, moderate distended abdomen, non-passage of manure, fever, tachycardia, tachypnoea, congested mucus membranes, and “toxic line” were recorded. No intestinal borborygmi were present in the four quarters of the abdomen. On rectal examination, the colon, the ventral band of the caecum, the right ovary and the uterine horn were palpated on the right side of the abdomen. The spleen, the nephrosplenic ligament, the left ovary and a firm, distended and painful small intestine (SI) loop were palpated on the left side. The left uterine horn and the adjacent broad ligament were not detectable. Percutaneous abdominal ultrasound evaluation revealed a large amount of fluid in the abdominal cavity, SI distention and absence of peristalsis. Abdominocentesis yielded approximately 20 ml of red-tinged peritoneal fluid with increased mean protein concentration (5.2 mg/dl), white blood cell count (12,550 cells/μl), and lactate (14 mmol/dl). A presumptive diagnosis of SI strangulation was made. Surgical resection of the affected intestinal loops was recommended. Due to poor prognosis and financial limitations, the mare was euthanized. Post mortem macroscopic diagnosis was a herniation of 3 metres of the mid-jejunum through the left mesometrium, resulting in a complete and complicated strangulation. To prevent this type of SI strangulation, we recommend transrectal palpation of the urogenital tract (including the broad ligament) after foaling. If a defect is identified, we recommend flank laparoscopy for correction.

scholarly journals Tenon’s Cyst Presenting as a Long-Term Complication following Incision Cataract Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Prabhakar Srinivasapuram Krishnacharya
Keyword(s):  
Cataract Surgery ◽  
Male Patient ◽  
Late Complication ◽  
Cyst Formation ◽  
Complete Excision ◽  
Scleral Tunnel ◽  
Extracapsular Cataract Surgery ◽  
Bleb Formation ◽  
One Year ◽  
The Right

Context.Tenon’s cyst or conjunctival cyst formation is not uncommon late complication of traditional extracapsular cataract surgery; however, few reports are available in the literature.Aims.Large cystic swellings were clinically diagnosed as filtering blebs at the cataract incision site in two patients. The purpose of the case presentation is to discuss the factors leading to cyst formation, visual loss and cyst recurrence after its excision.Patients and Methods. Case 1.Sixty-one-year-old male patient presented with a bleb at superior limbal region in the right eye, two years after cataract surgery.Case 2.A giant bleb was found at the same region in the right eye of a 65-year-old male patient, eight years after cataract surgery.Results.Complete excision of the cyst was performed with conjunctival autograft in the first patient and followed up for two years. No recurrence of the cyst was observed. Internal wound gaping was seen on gonioscopy in the second patient.Conclusions.Unstable scleral tunnel could explain bleb formation in both the patients. Complete bleb excision with conjunctival auto-graft resulted in closure of the defect with no bleb recurrence during two-year follow-up. Over-filtration causing hypotonic maculopathy was the reason for decreased vision in the second case.

scholarly journals Unilateral agenesis of the right ovary and fallopian tube in an infertile patient with a normal uterus

2019 ◽  
Vol 76 (6) ◽  
pp. 641-644
Author(s):  
Ivana Rudic-Biljic-Erski ◽  
Mladenko Vasiljevic ◽  
Snezana Rakic ◽  
Sladjana Mihajlovic
Keyword(s):  
Fallopian Tube ◽  
Ultrasound Examination ◽  
Semen Analysis ◽  
Term Pregnancy ◽  
Renal Anomalies ◽  
Infertile Patient ◽  
Intrauterine Growth ◽  
The Third ◽  
One Year ◽  
The Right

Introduction. Unilateral ovarian and Fallopian tube agenesis is an extremely rare anomaly that is usually associated with uterine and renal anomalies. This anomaly is usually incidentally detected during laparoscopy or laparotomy performed for other indications. We have reported a rare case of unilateral ovarian and Fallopian tube agenesis in an infertile patient with a normal uterus. Case report. A 34-yearold infertile patient was admitted to our clinic for laparoscopy and hysteroscopy, indicated for the right Fallopian tube occlusion and an endometrial polyp. The patient underwent laparoscopy and hysteroscopy. Unilateral right ovarian and Fallopian tube agenesis was diagnosed during laparoscopy. Upon exploration of peritoneal surfaces, omentum and intestinal serosa, neither ectopic nor remnant tissues of the ovary or Fallopian tube were found. Renal anomalies were not identified on the ultrasound examination. The hormone panel and karyotype were normal. Her partner?s semen analysis was normal. The patient conceived spontaneously one year later. Serial ultrasound examinations showed normal fetal intrauterine growth and development. The patient vaginally delivered a live, female newborn at 40 weeks? gestation, weighing 3,350 grams, 53 cm long, with 9/10 Apgar scores at birth. The patient and her newborn were discharged home on the third postpartum day. Conclusion. Unilateral ovarian and Fallopian tube agenesis is rarely associated with a normal uterus. Laparoscopy is the gold standard in the diagnosis of ovarian and Fallopian tube agenesis. Unless other obstetric indications are present, this anomaly is not specific and it is not an indication for a Caesarean section, and vaginal delivery is a possibility at term pregnancy.

scholarly journals Benign ovarian teratoma in the dog with predominantly nervous tissue: A case report

2021 ◽  
Author(s):  
P Makovicky ◽  
AV Makarevich ◽  
P Makovicky ◽  
A Seidavi ◽  
L Vannucci ◽  
...  
Keyword(s):  
Case Report ◽  
Nervous Tissue ◽  
Ultrasound Examination ◽  
Distant Metastases ◽  
Histological Diagnosis ◽  
Histological Evaluation ◽  
Ovarian Teratoma ◽  
Embryonic Origin ◽  
One Year ◽  
The Right

Ovarian teratomas are rare neoplasms in female dogs, and they are characterised by the proliferation of tissues of embryonic origin. Most teratomas are benign, but a histological diagnosis is important for clinicians. The objective of this article is to describe a benign ovarian teratoma in a dog, which was found on the street and was appearing like pregnant. A veterinary inspection by palpation documented an enlarged abdomen with a mass of tough matter located on the right side in the abdominal-pelvic part. An ultrasound examination presumed neoplastic mass in region of ovary. A bilateral ovariohysterectomy was performed and the subsequent histological evaluation revealed a benign ovarian teratoma with a histochemically and immunohistochemically verified nervous tissue. After one year, no distant metastases were found and the dog was recognised as being clinically healthy without problems. On the basis of the ultrasonography diagnostics and histopathological analyses, we have demonstrated the occurrence of a benign ovarian teratoma in a dog.

scholarly journals Renal Mucinous Tubular and Spindle Cell Carcinoma;Case Report

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Mosab Abdalla Ali Alzubier ◽  
Abd Elmouniem Ali Elgasim ◽  
Sami Mahjoub Taha
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Spindle Cell ◽  
Abdominal Cavity ◽  
Spindle Cell Carcinoma ◽  
Flank Pain ◽  
One Year ◽  
The Right ◽  
Almost All

Mucinous tubular and spindle cell carcinoma (MTSCC) of the kidney is an uncommon recently recognized renal cell carcinoma. We reported A 60 year's old man who presented with right flank pain, abdominal swelling and one attack of hematuria. The intraoperative  finding was a  huge cystic swelling arising from the right kidney occupying almost all the abdominal cavity displacing the bowel to the left side of the abdomen. There was no ascites or evidences of metastasis. Right radical nephrectomy was done . Then the diagnosis of renal MTSCC was established. General condition of the patient was improved and one year prognosis was satisfactory. This  is the first reported case of MTSCC in Sudan, and the outcome of treatment was satisfactory .

The case of prenatal diagnosis of a germ cell tumor of the fetal ovary

2018 ◽  
Author(s):  
N.N. Bondarenko, E.Yu. Andreeva , N.B. Filippova
Keyword(s):  
Germ Cell ◽  
Germ Cell Tumor ◽  
Ovarian Tumor ◽  
Ultrasound Examination ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Cell Tumor ◽  
Fetal Ovary ◽  
Entire Abdominal Cavity ◽  
Spontaneous Delivery

A case of prenatal ultrasound diagnosis of a rare congenital ovarian tumor is presented. By ultrasound examination at 36–37 weeks of gestation the intra-abdominal mass 66  47  74 mm occupying the entire abdominal cavity was discovered. At 38 weeks of pregnancy spontaneous delivery occurred with girl weight 2840 g. On the eighth day after birth the child has been successfully undergone surgery. Histological examination revealed congenital germ-cell tumor with structures of dysgerminoma and yolk sac tumor.

scholarly journals A review of malignant pleural mesothelioma in a large North East UK pleural centre

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Declan C. Murphy ◽  
Alexander Mount ◽  
Fiona Starkie ◽  
Leah Taylor ◽  
Avinash Aujayeb
Keyword(s):  
Malignant Pleural Mesothelioma ◽  
Survival Rates ◽  
Case Series ◽  
Pleural Mesothelioma ◽  
Retrospective Case ◽  
Pleural Thickening ◽  
North East ◽  
Total Cohort ◽  
Anti Cancer ◽  
One Year

AbstractObjectivesThe National Mesothelioma Audit 2020 showed Northumbria to have low rates of histopathological confirmation, treatment and one-year survival rates for malignant pleural mesothelioma (MPM). We hypothesized that an internal analysis over a 10-year period provides valuable insights into presentation, diagnosis, treatment and outcomes.MethodsA single-centre retrospective case series of all confirmed MPM patients between 1 January 2009 and 31 December 2019 was performed. Demographics, clinical, radiological and histopathological characteristics and outcomes were collected. Statistical analysis was performed using SPSS V26.0.ResultsA total of 247 patients had MPM. About 86% were male, mean age 75.7 years. Dyspnoea (77.4%) and chest pain (38.5%) were commonest symptoms. 64.9 and 71.4% had pleural thickening and effusion, respectively. About 86.8% had at least one attempt to obtain a tissue biopsy, but histopathological confirmation in only 108 (43.7%). About 66.3% with PS 0 and 1 (62.7% of total cohort) had at least one anti-cancer therapy. Death within 12 months was associated with disease progression within 6 months (p≤0.001). Chemotherapy (p≤0.001) and epithelioid histological subtype (p=0.01) were protective.ConclusionsThis study confirms known epidemiology of MPM, demonstrates variability in practices and highlights how some NMA recommendations are not met. This provides the incentive for a regional mesothelioma multi-disciplinary meeting.

scholarly journals Late presentation of extrauterine adenomyomas after laparoscopic morcellation at hysterectomy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammed Nagdi Zaki ◽  
Aafia Mohammed Farooq Gheewale ◽  
Nada Ibrahim ◽  
Ibrahim Abd Elrahman
Keyword(s):  
Case Report ◽  
Transvaginal Ultrasound ◽  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Laparoscopic Hysterectomy ◽  
Pathology Report ◽  
Presacral Space ◽  
Gnrh Analogue ◽  
Power Morcellation ◽  
The Right

Abstract Background An adenomyoma is a well circumscribed form of adenomyosis and can be located within the myometrium, in the endometrium as a polyp, or extrauterine with the last being the rarest presentation amongst the three. With the ongoing advancement in gynecological surgery, the use of electromechanical morcellators have made the removal of large and dense specimens possible with minimally invasive techniques. However, it has also caused an increase in complications which were previously rare. Whilst the tissue is being grinded within the abdominal cavity, residual tissue can spread and remain inside, allowing for implantation to occur and thereby giving rise to recurrence of uterine tissue as a new late postoperative complication. Case presentation A 45-year-old woman presented with worsening constipation and right iliac fossa pain. Her past surgical history consists of laparoscopic supra-cervical hysterectomy that was indicated due to uterine fibroids. Computerized tomography and magnetic resonance imaging were done, which showed an irregular lobulated heterogeneous mass seen in the presacral space to the right, located on the right lateral aspect of the recto-sigmoid, measuring 4.5 × 4.3 × 4.3 cm in size. A transvaginal ultrasound revealed a cyst in the left ovary. The patient had a treatment course over several months that included Dienogest (progestin) and Goserelin (GnRH analogue) with add-back therapy. In line with the declining response to medications, the patient was advised for a laparoscopic ovarian cystectomy. During the surgery, an additional lesion was found as a suspected fibroid and the left ovarian cyst was identified as pockets of peritoneal fluid which was sent for cytology. The surgical pathology report confirmed adenomyosis in both specimens, namely the right mass and the initially suspected fibroid. Conclusion In this case report, we showcase a rare occurrence of an extrauterine adenomyoma presenting two years post laparoscopic morcellation at hysterectomy. This poses questions regarding the benefits versus risks of power morcellation in laparoscopic hysterectomy.

scholarly journals Right-sided Bochdalek hernia in an adult with hepatic malformation and intestinal malrotation

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Naoki Enomoto ◽  
Kazuhiko Yamada ◽  
Daiki Kato ◽  
Shusuke Yagi ◽  
Hitomi Wake ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Abdominal Cavity ◽  
Three Dimensional ◽  
Simulation Software ◽  
3D Simulation ◽  
Diaphragmatic Defect ◽  
Intestinal Malrotation ◽  
Intestinal Loop ◽  
Bochdalek Hernia ◽  
The Right

Abstract Background Bochdalek hernia is a common congenital diaphragmatic defect that usually manifests with cardiopulmonary insufficiency in neonates. It is very rare in adults, and symptomatic cases are mostly left-sided. Diaphragmatic defects generally warrant immediate surgical intervention to reduce the risk of incarceration or strangulation of the displaced viscera. Case presentation A 47-year-old woman presented with dyspnea on exertion. Computed tomography revealed that a large part of the intestinal loop with superior mesenteric vessels and the right kidney were displaced into the right thoracic cavity. Preoperative three-dimensional (3D) simulation software visualized detailed anatomy of displaced viscera and the precise location and size of the diaphragmatic defect. She underwent elective surgery after concomitant pulmonary hypertension was stabilized preoperatively. The laparotomic approach was adopted. Malformation of the liver and the presence of intestinal malrotation were confirmed during the operation. The distal part of the duodenum, jejunum, ileum, colon, and right kidney were reduced into the abdominal cavity consecutively. A large-sized oval defect was closed with monofilament polypropylene mesh. No complications occurred postoperatively. Conclusion Symptomatic right-sided Bochdalek hernia in adults is exceedingly rare and is frequently accompanied by various visceral anomalies. Accurate diagnosis and appropriate surgical repair are crucial to prevent possible incarceration or strangulation. The preoperative 3D simulation provided comprehensive information on anatomy and concomitant anomalies and helped surgeons plan the operation meticulously and perform procedures safely.

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