CRSLS : MIS case reports from SLS最新文献_第3页

In Vitro Fertilization Cycle Outcomes for a Patient Undergoing Oocyte Retrieval following Ovarian Torsion. 卵巢扭转后接受卵母细胞回收的患者体外受精周期结果。

CRSLS : MIS case reports from SLS Pub Date : 2023-01-01 DOI: 10.4293/CRSLS.2022.00092

Roisin M Mortimer, Catherine Gordon, Serene Srouji

{"title":"In Vitro Fertilization Cycle Outcomes for a Patient Undergoing Oocyte Retrieval following Ovarian Torsion.","authors":"Roisin M Mortimer, Catherine Gordon, Serene Srouji","doi":"10.4293/CRSLS.2022.00092","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00092","url":null,"abstract":"Introduction: To report a case of ovarian torsion following ovarian hyperstimulation with subsequent detorsion and oocyte retrieval.Case description: The patient was diagnosed with torsion following acute onset abdominal pain following her leuprolide acetate trigger injection. The patient underwent diagnostic laparoscopy which confirmed right ovarian torsion. Following detorsion, the patient underwent oocyte retrieval as planned with 72 total oocytes and 70 mature oocytes retrieved. Thirty-six mature oocytes were cryopreserved; 34 were inseminated with conventional in vitro fertilization, of which 27 (79.4%) were fertilized. Sixteen blastocyst stage embryos were cryopreserved.Discussion: Ovarian torsion during ovarian hyperstimulation is a rare event, but consideration should be given to detorsion first, followed by oocyte retrieval. We demonstrate that mature oocytes can be retrieved even after temporary vascular compromise to the ovary with subsequent excellent fertilization and blastocyst conversion rates.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/34/e2022.00092.PMC10065751.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9326372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multidisciplinary Management of Cutaneous Gluteus Vaginal Fistula After Sacrospinous Ligament Fixation. 骶棘韧带固定后皮肤臀阴道瘘的多学科治疗。

CRSLS : MIS case reports from SLS Pub Date : 2023-01-01 DOI: 10.4293/CRSLS.2022.00085

Veronica Kim, Shadi Seraji, Bogdan A Grigorescu, Man Hon, Daniel H Hunt, Farr R Nezhat

引用次数: 1

Laparoscopic Repair of a Congenital Diaphragmatic Hernia Presenting with a Small Bowel Obstruction. 以小肠梗阻为表现的先天性膈疝腹腔镜修补术。

CRSLS : MIS case reports from SLS Pub Date : 2023-01-01 DOI: 10.4293/CRSLS.2022.00091

Roberto Torres-Aguiar, Victor Cabrera-Bou, Luis F Serrano

引用次数: 0

Recurrent Paravaginal Abscess: An Unusual Presentation of a Distal Ectopic Ureteral Remnant. 复发性阴道旁脓肿：输尿管远端异位残留物的不寻常表现

CRSLS : MIS case reports from SLS Pub Date : 2022-10-19 eCollection Date: 2022-07-01 DOI: 10.4293/CRSLS.2022.00044

Daniel Y Lovell, Amanda L Merriman, Kristi C Benjamin, Gerald B Taylor

{"title":"Recurrent Paravaginal Abscess: An Unusual Presentation of a Distal Ectopic Ureteral Remnant.","authors":"Daniel Y Lovell, Amanda L Merriman, Kristi C Benjamin, Gerald B Taylor","doi":"10.4293/CRSLS.2022.00044","DOIUrl":"10.4293/CRSLS.2022.00044","url":null,"abstract":"Introduction: Obstructed hemivagina ipsilateral renal agenesis (OHVIRA) is a rare syndrome with limited data on both treatment and postoperative sequelae, specifically of ectopic ureters to the vagina.Case description: This case study describes a 22-year-old patient with OHVIRA syndrome presenting with pelvic pain and drainage from a chronic vaginal abscess secondary to a remnant distal ectopic ureter after nephrectomy and proximal ureterectomy. Imaging was significant for a right paravaginal abscess. Previously, the patient was treated with conservative therapy and on presentation her evaluation confirmed a right paravaginal abscess. She subsequently underwent a robot-assisted incision and drainage of the paravaginal abscess and excision of the remnant distal ectopic ureter. She did well postoperatively without recurrence.Discussion: We discuss the successful surgical technique used to identify and excise a paravaginal abscess. We also highlight the unique anatomy of a patient with OHVIRA syndrome. Lastly, we underline the importance of a complete resection of an ectopic ureter to the vagina at the time of nephrectomy, given the potential risk of ascending chronic infection and recurrent abscess formation.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/a4/e2022.00044.PMC9903344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9280973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Two Cases of Heterotopic Pancreas of the Small Bowel Incidentally Found During Laparoscopic Bariatric Surgery. 腹腔镜减肥手术中意外发现小肠异位胰腺2例。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00052

Kyle Carey, Kristine Makiewicz, Marc Sarran, Alfonso Torquati, Steven Bonomo

{"title":"Two Cases of Heterotopic Pancreas of the Small Bowel Incidentally Found During Laparoscopic Bariatric Surgery.","authors":"Kyle Carey, Kristine Makiewicz, Marc Sarran, Alfonso Torquati, Steven Bonomo","doi":"10.4293/CRSLS.2022.00052","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00052","url":null,"abstract":"Background: We present two cases of incidentally found heterotopic pancreas during laparoscopic bariatric surgery. Heterotopic pancreas is a rare congenital anomaly where pancreatic tissue is located outside of the pancreas. These lesions may be encountered incidentally during surgery, which raise unexpected management questions.Case 1: A single pathology confirmed ectopic pancreas lesion encountered in the jejunem during laparoscopic Roux-en Y gastric bypass.Case 2: Two pathology confirmed heterotopic pancreas lesions encountered in the jejunem during laparoscopic Roux-en Y gastric bypass.Discussion: Heterotopic pancreas lesions are generally benign and encountered incidentally during intra-abdominal surgery. Surgeons must decide whether to resect the incidentally found mass. When encountered intraoperatively, a heterotopic pancreas lesion found in the small bowel without concerning features should be considered benign and does not warrant resection or biopsy.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/64/e2022.00052.PMC9673994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barbed Suture Causing Acute Small Bowel Obstruction Post Laparoscopic Sacrocolpopexy. 刺缝线引起腹腔镜骶骶固定术后急性小肠阻塞。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00058

Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari, Manoj Aggarwal

{"title":"Barbed Suture Causing Acute Small Bowel Obstruction Post Laparoscopic Sacrocolpopexy.","authors":"Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari, Manoj Aggarwal","doi":"10.4293/CRSLS.2022.00058","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00058","url":null,"abstract":"Introduction: A case report of small bowel obstruction related to barbed suture in a postoperative patient of laparoscopic sacrocolpopexy. Case Description: A 61 -year-old female with a body mass index of 27 with vault prolapse underwent laparoscopic sacrocolpopexy. The patient was discharged on postoperative day two. She presented again in the emergency department on the fifth postoperative day with complaints of frequent vomiting episodes with intermittent and colicky pain in the abdomen. Her imaging (computed tomography abdomen/pelvis with oral contrast) suggested distal small bowel mechanical obstruction at midileum with significant free fluid in the peritoneum. Emergency laparoscopic exploration was done. Peroperative V-LocTM 180 suture tail end barbs were found anchored to the mesentery of midileum causing a loop that led to compression and occlusion of distal bowel. The barbed suture tail end was detached from the mesentery and thus relieving the compression. No additional procedure was required for the bowel wall. The excess barbed suture tail end outside the peritoneum was trimmed. The postoperative course was uneventful. Conclusion: Bowel complication is an uncommon but serious issue following the use of barbed sutures. It should be used with utmost caution as none of the preventive measures are completely safe. Further studies need to be done for preventive measures.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/e6/e2022.00058.PMC9682608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Late Presentation of COVID-19 Induced Bowel Ischemia. COVID-19诱导的肠缺血的晚期表现。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00057

Hani Michael Annabi, Darrel Dodson, Bruce Applebaum, Benjamin Clapp

{"title":"A Late Presentation of COVID-19 Induced Bowel Ischemia.","authors":"Hani Michael Annabi, Darrel Dodson, Bruce Applebaum, Benjamin Clapp","doi":"10.4293/CRSLS.2022.00057","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00057","url":null,"abstract":"Introduction: Infection with COVID-19 may lead to extrapulmonary pathologies secondary to the systemic inflammatory effects of the virus.Case description: This case report discusses a 55-year-old female patient who presented with small bowel obstruction (SBO) several months after resolution of a COVID-19 infection. The patient was surgically treated with a small bowel resection, and eventually made a full recovery.Discussion: The pathophysiology of COVID-19-induced SBO can be explained by the prolonged inflammation and coagulation activation in the bowel's vasculature system. Under these circumstances, microthrombosis occurs in the bowel's microvasculature; the affected intestinal tissue becomes ischemic and infarcted. The damaged bowel is eventually replaced with fibrotic scar tissue, thus promoting bowel stricture and subsequent obstruction.Conclusion: COVID-19 can be responsible for both acute and chronic embolic and thrombotic events in the mesenteric vasculature, which acts as a risk factor in the manifestation of SBO.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/4c/e2022.00057.PMC9682609.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Post-Menopausal Bleeding in Two Patients with Sigmoid Neovaginoplasty. 乙状结肠新阴道成形术2例绝经后出血的评价。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00068

Jonathan Y Song, Yogesh Patel

引用次数: 0

Benign Finding or Malignancy: von Meyenburg Complexes Found during Laparoscopic Cholecystectomy. 良性或恶性:在腹腔镜胆囊切除术中发现的von Meyenburg复合物。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00080

Daniel Carrera, Jordan Rook, Darryl T Hiyama

引用次数: 0

Effective Port Placement for Left Sided Gallbladder Cholecystectomy. 左侧胆囊胆囊切除术的有效置入术。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00061

Joel Braverman, Kristine Makiewicz

{"title":"Effective Port Placement for Left Sided Gallbladder Cholecystectomy.","authors":"Joel Braverman, Kristine Makiewicz","doi":"10.4293/CRSLS.2022.00061","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00061","url":null,"abstract":"Introduction: Left sided gallbladder (sinistroposition) is a well described congenital abnormality that can pose an unexpected challenge for the surgeon, especially regarding port placement for safe and effective dissection.Case description: In this case, a 36 -year-old woman with biliary colic was taken to the operating room for elective cholecystectomy and found, after port placement, to have sinistroposition of the gallbladder. The operation was completed with relative ease using our typical port placement of a 5 mm port at Palmer's point, a 12 mm port at the umbilicus; and two additional 5 mm ports, one in the right midclavicular line, and one in the right anterior axillary line.Discussion: Multiple port placements for safe and effective dissection of a left sided gallbladder have been discussed. Identification of sinistropic gallbladder often occurs after ports are already placed in position for right sided cholecystectomy. In this case, our typical port placement where the operating surgeon's right-hand port is located at Palmer's point provided excellent positioning for dissection. No alterations to the surgeon's left-hand port or the assistant port were necessary. The dissection was able to be completed from familiar angles, so dissection and identification of anatomy was performed with relative ease. This is important as sinistroposition can at times lead to abnormalities of the biliary tree, though none were noted in this case.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/1f/e2022.00061.PMC9840200.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9333503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0