Dissection of External Iliac Artery During Pediatric En bloc Kidney Transplant: Successful Rescue and Reimplant

Author(s):  
Amit Sharma ◽  
Brianna Ruch ◽  
Yahya Alwatari ◽  
Ankur Gupta ◽  
Francisco Albuquerque ◽  
...  
2021 ◽  
Vol 14 (2) ◽  
pp. e239466
Author(s):  
Sofia Isabel Tamesa Manlubatan ◽  
Marc Paul Jose Lopez ◽  
Carlo Martin Hilomen Garcia ◽  
Czar Louie Lopez Gaston

This is a case of a 50-year-old woman diagnosed with recurrent cervical adenocarcinoma presenting with chronic and persistent low back pain. She underwent myomectomy for myoma uteri 8 years prior. Histopathology report revealed cervical cancer. She underwent chemotherapy, brachytherapy and external beam radiotherapy. All surveillance work-up, over the years, were negative until she was found to have a solitary recurrent lesion in the right iliopsoas muscle on CT scan. A multidisciplinary team of surgeons collaborated to perform wide excision of pelvic recurrence en bloc right internal hemipelvectomy, right hemicolectomy en bloc resection of external iliac artery and vein, external ilio-iliac artery interposition graft and external iliac vein–common femoral vein bypass. Final histopathologic results showed adenocarcinoma with endometrioid features with associated poorly differentiated high-grade carcinoma involving the iliopsoas, cecum and terminal ileum. Two months postoperatively, the patient is ambulating with minimal assistance.


2017 ◽  
Vol 3 (2) ◽  
pp. 23
Author(s):  
Young-Nam Roh ◽  
Pyongwha Choi

Aggressive radical R0 resection is necessary for good prognosis in colorectal cancer with adjacent organ invasion. According to the location of the tumor, various pelvic organs are removed in en-block resection. However, en-block resection may be challenging in case with vascular invasion such as external iliac vessels because vascular specialist should be involved and vascular reconstruction is complex procedure than any other surgical procedure. We report the case of a 53-year-old man who underwent curative surgery for rectosigmoid colon cancer invading the left external iliac artery (EIA) and vein (EIV). En-bloc resection of the tumor including external iliac vessels and ureter was performed, and the resected EIA and EIV were reconstructed using the internal iliac artery and vein. This procedure is more physiologic than extra-anatomic bypass and eliminates the need of artificial graft. Consequently, its use may improve patency and decrease the risk of graft infection.


2005 ◽  
Vol 4 (3) ◽  
pp. 167
Author(s):  
P. Gontero ◽  
F. Fontana ◽  
E. Turello ◽  
G. Pretti ◽  
A. Panella ◽  
...  

Swiss Surgery ◽  
2001 ◽  
Vol 7 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Heim ◽  
Rosso

Die zystische Degeneration der Adventitia (ZAD) in der A.iliaca externa ist mit zehn in der Literatur beschriebenen Fällen ein seltenes Phänomen. Eine rasch auftretende, einseitige Ischämiesymptomatik bei jungen Patienten sollte daran denken lassen und eine erweiterte präoperative Abklärung zur Folge haben. Die klassische Therapie mit Gefässresektion und Veneninterponat wird seit jeher kontrovers diskutiert. Wir berichten über einen Fall mit rezidivfreiem Verlauf über drei Jahre nach Exarterektomie.


Sign in / Sign up

Export Citation Format

Share Document