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

Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old. 一例23岁的胰腺和胃异位引起的空肠肠套叠。

CRSLS : MIS case reports from SLS Pub Date : 2023-09-04 eCollection Date: 2023-07-01 DOI: 10.4293/CRSLS.2023.00018

Caline McCarthy, Amendha Ware, Jay A Redan

{"title":"Jejunal Intussusception Secondary to Pancreatic and Gastric Heterotopia in a 23-Year-Old.","authors":"Caline McCarthy, Amendha Ware, Jay A Redan","doi":"10.4293/CRSLS.2023.00018","DOIUrl":"10.4293/CRSLS.2023.00018","url":null,"abstract":"Introduction: Pancreatic and gastric heterotopias are a rare presentation of pancreatic and gastric tissues located outside their expected location. The most common site of heterotopic pancreas is the gastric antrum, and the most common site of heterotopic gastric mucosa is the proximal esophagus. The two tissues rarely present simultaneously. Although lead-point intussusception secondary to simultaneous heterotypic gastric and pancreatic tissue is extremely rare, its management strategy is the same as other pathological lead-point intussusception.Case description: This report presents a 23-year-old female who presented to the emergency department with abdominal pain, vomiting, and gastrointestinal bleeding. Computed tomography scan revealed features of distal small bowel intussusception secondary to a solid mass lead point. Following laparoscopic assisted small bowel resection and incidental appendectomy, histopathology evaluation confirmed the diagnosis of heterotopic pancreatic and gastric tissue as the lead point. The patient had an uneventful postoperative period and was discharged in stable condition, free of symptoms.Discussion: Lead point intussusception of the jejunum in adults due to combined heterotopic tissue is extremely rare, with no reported cases in the literature. Prompt diagnosis and management are essential, with delays in treatments leading to a risk of perforation and mortality. If diagnosed, minimally invasive surgical approaches can treat obstruction and improve intraoperative and postoperative outcomes.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/12/e2023.00018.PMC10476238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171804","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

Swiss LithoClast® Trilogy Lithotripter for Use in Robotic Pyelolithotomy. 瑞士LithoClast®Trilogy碎石机，用于机器人Pyelolithotomy切开术。

CRSLS : MIS case reports from SLS Pub Date : 2023-09-04 eCollection Date: 2023-07-01 DOI: 10.4293/CRSLS.2023.00027

Micah Levy, Chih Peng Chin, Krishna T Ravivarapu, Osama Al-Alao, Francisca Larenas, Michael A Palese

{"title":"Swiss LithoClast® Trilogy Lithotripter for Use in Robotic Pyelolithotomy.","authors":"Micah Levy, Chih Peng Chin, Krishna T Ravivarapu, Osama Al-Alao, Francisca Larenas, Michael A Palese","doi":"10.4293/CRSLS.2023.00027","DOIUrl":"10.4293/CRSLS.2023.00027","url":null,"abstract":"Introduction: The Boston Scientific Swiss LithoClast® Trilogy lithotripter was intended for use in percutaneous nephrolithotomy. We performed, to our knowledge, the first two robotic pyelolithotomies using the Trilogy lithotripter for intracorporeal lithotripsy.Case description: Two cases are presented involving a 65-year-old female with a complete left staghorn calculus and hydronephrosis secondary to a left ureteropelvic junction (UPJ) obstruction, and a 69-year-old male with a large left staghorn calculus and multiple large left sided simple renal cysts. In both cases, a robotic pyelolithotomy was scheduled for stone removal along with concurrent UPJ repair and cyst decortication respectively. Following pyeloplasty and cyst decortication respectively, and following stone visualization, the 2.4-mm Trilogy probe was inserted into the 12-mm assistant port and under direct visualization the stone was fragmented and removed using Trilogy's built-in mechanisms. Both patients were treated successfully without complications and were found to be stone-free on follow-up.Conclusion: The Trilogy lithotripter may be an effective tool for stone management when introduced during robotic pyelolithotomy and provides additional optionality when manual extraction poses challenges.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/22/e2023.00027.PMC10476237.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10522983","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

Robotic-Assisted Repair of a Ureterosciatic Hernia with Combined Ureteral Stenting. 输尿管支架联合输尿管支架机器人辅助修复输尿管坐骨疝。

CRSLS : MIS case reports from SLS Pub Date : 2023-04-01 DOI: 10.4293/CRSLS.2023.00015

Jeremy Fridling, Brendan Gontarz, Joshua Stein, Vladimir Daoud

{"title":"Robotic-Assisted Repair of a Ureterosciatic Hernia with Combined Ureteral Stenting.","authors":"Jeremy Fridling, Brendan Gontarz, Joshua Stein, Vladimir Daoud","doi":"10.4293/CRSLS.2023.00015","DOIUrl":"https://doi.org/10.4293/CRSLS.2023.00015","url":null,"abstract":"Pelvic floor hernias represent a rare type of hernia and a rare etiology of pelvic symptoms. The rarest type of pelvic floor hernias are sciatic hernias, which present with a variety of symptoms depending on the hernia contents and location. Many different treatment approaches are described in the literature. A 73-year-old female presented to our outpatient minimally invasive surgery (MIS) clinic with one year of colicky left flank pain. She had previously presented to an emergency department, at which time a computed tomography (CT) scan demonstrated left-sided hydronephrosis in the setting of a left-sided ureterosciatic hernia. She was asymptomatic and had no palpable hernia bulge. An operative repair was offered based on her prolonged symptoms. The patient was brought electively to the operating room with minimally invasive and urological surgeons. A left ureteral stent was placed over a guidewire. A robotic repair was performed with a round piece of biosynthetic mesh, secured in place with fibrin glue. Sciatic hernias are an extremely rare etiology of pelvic symptoms and require a high index of suspicion to identify. Obstructive and neuropathic symptoms may be intermittent, so diagnosis is often made using CT imaging. We report a successful treatment with pre-operative ureteral stenting followed by a robotic repair using biologic mesh secured with fibrin glue fixation. We believe this is a durable repair although acknowledge that longer follow-up is needed to establish the longevity of our treatment modality.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/8b/e2023.00015.PMC10258871.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069577","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

Incarcerated Epiploic Appendix in a Spigelian Hernia Treated by Robotic-Assisted Surgery. 机器人辅助手术治疗Spigelian疝嵌顿性网膜阑尾。

CRSLS : MIS case reports from SLS Pub Date : 2023-04-01 DOI: 10.4293/CRSLS.2023.00008

Diego L Lima, Analena Alcabes, Valentina Viscarret, Raquel Nogueira, Flavio Malcher

引用次数: 0

Mixed Adeno-Neuroendocrine Neoplasms: Two Cases, One Institution. 混合性腺神经内分泌肿瘤：一个机构，两个病例。

CRSLS : MIS case reports from SLS Pub Date : 2023-01-15 eCollection Date: 2023-10-01 DOI: 10.4293/CRSLS.2023.00045

Casey Paterson, Gabrielle Perrotti, Bakhtawar Mushtaq, Jaclyn Heilman, Steven Fassler

引用次数: 0

Multiple Internal Hernias: A Complication of Laparoscopic Roux-en-Y Gastric Bypass. 多发性内疝：腹腔镜 Roux-en-Y 胃旁路术并发症。

CRSLS : MIS case reports from SLS Pub Date : 2023-01-15 eCollection Date: 2023-10-01 DOI: 10.4293/CRSLS.2023.00040

Annika G Samuelson, Leland F Damron, Zaid Haddadin, Sakib M Adnan, Marc Neff

{"title":"Multiple Internal Hernias: A Complication of Laparoscopic Roux-en-Y Gastric Bypass.","authors":"Annika G Samuelson, Leland F Damron, Zaid Haddadin, Sakib M Adnan, Marc Neff","doi":"10.4293/CRSLS.2023.00040","DOIUrl":"10.4293/CRSLS.2023.00040","url":null,"abstract":"Introduction: Internal hernias are the most common cause of small bowel obstruction following laparoscopic Roux-en-Y gastric bypass surgery (LRYGBP) with four distinct types. Herein, we report the clinical course of a patient with two independent hernias at the Petersen's space and a rarer subtype at the jejunojejunal window. A high index of suspicion for less common subtypes of internal hernias and the possibility of multiple, simultaneous internal hernias is critical.Case description: We describe the case of a 52-year-old female with a history of LRYGBP who presented with abdominal pain and emesis due to an internal hernia at Peterson's defect, requiring subsequent laparoscopic repair. On postoperative day three, the patient presented again with recurrent abdominal pain and emesis. Repeat exploratory laparoscopy found a separate internal hernia involving the jejunojejunal window with the previously repaired Petersen's defect intact.Discussion: This case illustrates a unique scenario of a patient post-LRYGBP with multiple internal hernias at the Peterson's space and the less common jejunojejunal window, which was missed during the index surgery. Failure to identify simultaneous hernias may result in additional invasive intervention and further morbidity.Conclusion: Multiple less-common variants of internal hernias may present simultaneously following LRYGBP.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"10 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473138","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

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