CRSLS : MIS case reports from SLS最新文献_第4页

Superior Mesenteric Arterial Occlusion Following Laparoscopic Partial Fundoplication. 腹腔镜下部分基底吻合术后肠系膜上动脉闭塞。

CRSLS : MIS case reports from SLS Pub Date : 2022-07-01 DOI: 10.4293/CRSLS.2022.00040

Anne Collinson, Trevor Collinson, Ewan Macaulay

{"title":"Superior Mesenteric Arterial Occlusion Following Laparoscopic Partial Fundoplication.","authors":"Anne Collinson, Trevor Collinson, Ewan Macaulay","doi":"10.4293/CRSLS.2022.00040","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00040","url":null,"abstract":"A 62-year-old male with history and endoscopic findings consistent with gastroesophageal reflux underwent elective laparoscopic fundoplication. He developed severe abdominal pain four days postoperatively, and computed tomography (CT) angiogram of the abdomen demonstrated occlusion of the superior mesenteric artery due to dissection. The patient was administered intravenous heparin following vascular surgical advice, resulting in resolution of the pain within an hour and no subsequent complications. Laparoscopy-associated mesenteric vascular events are rare but associated with very high morbidity and mortality. Mesenteric arterial occlusion is most frequently reported following laparoscopic cholecystectomy but may occur following many common laparoscopic procedures. Presentation generally occurs hours to days following the procedure, with severe abdominal pain out of proportion with physical signs. If left unrecognized, patients progress to bowel and visceral ischemia, necrosis, and multiorgan failure. Mechanisms postulated to cause these mesenteric vascular events involve changes in splanchnic blood flow, reduced cardiac output and systemic venous return, and hypercapnia related to carbon dioxide insufflation. Diagnosis may be made promptly with CT angiography, and potentially treated with intravenous heparin alone, avoiding a laparotomy or bowel resection. This is the first reported case of successful anticoagulation causing resolution of the occlusion sufficient to avoid reoperation or bowel resection. Once identified, this condition should be treated in liaison with vascular surgery colleagues, which may require anticoagulation, endovascular, or open intervention.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/4c/e2022.00040.PMC9580412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10638074","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

Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure. 应用大视场全腹膜外入路、河停术和腹侧松解术治疗产后腹斜裂。

CRSLS : MIS case reports from SLS Pub Date : 2022-04-01 DOI: 10.4293/CRSLS.2022.00007

Masahito Kinoshita, Yoshio Nagahisa, Kazuyuki Kawamoto

{"title":"Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure.","authors":"Masahito Kinoshita, Yoshio Nagahisa, Kazuyuki Kawamoto","doi":"10.4293/CRSLS.2022.00007","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00007","url":null,"abstract":"Introduction: Diastasis recti abdominis usually occurs during pregnancy and delivery in young women with no surgical history, and can induce a severely negative body image, urogynecological symptoms, and musculoskeletal pain. However, the optimal surgical procedure for diastasis recti abdominis is undetermined, and minimally invasive surgery has not been adopted. Additionally, open repair causes scarring that is unlikely to improve negative body image and may even worsen it. We present a case of diastasis recti abdominis surgically treated using an extended-view totally extraperitoneal approach, Rives-Stoppa technique, and transversus abdominis release procedure.Case description: The patient was a 29-year-old woman who delivered transvaginally two weeks before presenting with bulging of the abdominal wall. Computed tomography revealed separation of the rectus. A three-month course of conservative therapy comprising exercises to strengthen the transversus abdominis was ineffective, and the patient had newly developed abdominal pain. Therefore, we performed surgical repair using the Rives-Stoppa technique and transversus abdominis release via the extended-view totally extraperitoneal approach. The postoperative course was uneventful, with no recurrence. This procedure may be superior to other methods in terms of cosmetic appearance, preventing infection, bowel adhesion, and recurrence.Discussion: In the case study, the Rives-Stoppa technique and transversus abdominis release via the extended-view totally extraperitoneal approach achieved a good therapeutic outcome for diastasis recti abdominis.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/da/e2022.00007.PMC9903251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9280972","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

Renal Hilum Injury with Veress Needle. Veress针损伤肾门。

CRSLS : MIS case reports from SLS Pub Date : 2022-04-01 DOI: 10.4293/CRSLS.2022.00019

Daniel Nassar, Michael Shu, Rebeccah Stevens, Ruthia Chen, Abeer Eddib

引用次数: 0

Extragonadal Perirectal Mature Cystic Teratoma in the Adult Male. 成年男性肛外直肠周围成熟囊性畸胎瘤。

CRSLS : MIS case reports from SLS Pub Date : 2022-04-01 DOI: 10.4293/CRSLS.2022.00035

Pranamya Mahankali, Liam Trimble, Diana Panciera, Hui Li, Thaer Obaid

{"title":"Extragonadal Perirectal Mature Cystic Teratoma in the Adult Male.","authors":"Pranamya Mahankali, Liam Trimble, Diana Panciera, Hui Li, Thaer Obaid","doi":"10.4293/CRSLS.2022.00035","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00035","url":null,"abstract":"Background: Extragonadal abdominopelvic teratomas in adults are extremely rare, and those in males are exceedingly rare. These masses are most commonly found incidentally and require surgical excision for diagnostic confirmation after a thorough workup.Case presentation: This is a case report of a 49-year-old male who presented to a urology office with symptoms of hematuria, incidentally, found to have a pelvic mass on computed tomography urogram prompting colorectal surgical evaluation and subsequent laparoscopic complete excision. The clinical presentation, radiographic findings, and histopathological findings are described along with a literature review of extragonadal abdominopelvic mature cystic teratoma, also referred to as a sacrococcygeal teratoma.Discussion: A broad differential diagnosis was generated for this patient with a pelvic mass after complete work-up, consisting of a dermoid or epidermoid cyst, liposarcoma, or sacrococcygeal teratoma. Radiological features can aid in the diagnostic confusion that may present in the adult patient.Conclusion: Albeit rare in the male and adult population, sacrococcygeal teratoma is a plausible differential diagnosis for a pelvic mass. Underrepresented in the literature in regard to guidelines on management, complete surgical excision is the gold standard, with laparoscopy being a reasonable approach.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/5a/e2022.00035.PMC9580607.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10630242","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: 3

A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy. V型异常右肝管从胆囊管分叉:术中胆管造影对腹腔镜胆囊切除术安全技术的重要补充。

CRSLS : MIS case reports from SLS Pub Date : 2022-03-28 eCollection Date: 2022-04-01 DOI: 10.4293/CRSLS.2022.00005

Hema M Narlapati, Simon H Telian, Gregory S Peirce, Adam J Kaplan

引用次数: 0

De Garengeot Hernia: A Total Extraperitoneal Approach to a Femoral Hernia Repair. De Garengeot疝:全腹膜外入路股疝修补术。

CRSLS : MIS case reports from SLS Pub Date : 2022-03-14 eCollection Date: 2022-04-01 DOI: 10.4293/CRSLS.2021.00088

Kaitlyn Oldewurtel, John Ground, Marc Neff

引用次数: 0

Palliative Endoscopic Salvage of a Functionally Obstructed Gastrojejunostomy - Report of Technique. 姑息性内镜下挽救功能性梗阻胃空肠造口术-技术报告。

CRSLS : MIS case reports from SLS Pub Date : 2022-02-25 eCollection Date: 2022-01-01 DOI: 10.4293/CRSLS.2021.00094

Elias A Chamely, Bryan Hoang, Nadim S Jafri, Melissa M Felinski, Kulvinder S Bajwa, Peter A Walker, Jaideep Barge, Erik B Wilson, Putao Cen, Shinil K Shah

{"title":"Palliative Endoscopic Salvage of a Functionally Obstructed Gastrojejunostomy - Report of Technique.","authors":"Elias A Chamely, Bryan Hoang, Nadim S Jafri, Melissa M Felinski, Kulvinder S Bajwa, Peter A Walker, Jaideep Barge, Erik B Wilson, Putao Cen, Shinil K Shah","doi":"10.4293/CRSLS.2021.00094","DOIUrl":"https://doi.org/10.4293/CRSLS.2021.00094","url":null,"abstract":"Background: Gastric outlet obstruction secondary to foregut gastrointestinal malignancies can be managed with a variety of medical, endoscopic, and surgical options. Laparoscopic gastrojejunostomy is an option for those patients who are able to tolerate an operation as a long-term palliative option. This operation may be associated with some significant postoperative technical and nontechnical complications, including delayed gastric emptying. This paper describes an incision-less, endoscopic option that we propose can be used to salvage a functionally obstructed gastrojejunostomy.Case description: A 57-year old male patient had a history of pancreatic adenocarcinoma causing gastric outlet obstruction and underwent a previously created surgical gastrojejunostomy at an outside hospital. His procedure was complicated by anastomotic leak and essentially persistent obstructive symptoms secondary to delayed gastric emptying. Though his anastomosis was demonstrably patent, these symptoms were thought to be secondary to a functional obstruction at the gastrojejunostomy. After repeated workups and many failed attempts to treat these symptoms, he ultimately underwent endoscopic placement of an uncovered colonic stent into the efferent limb of his gastrojejunostomy. This allowed for preferential drainage of gastric contents down the efferent limb, and improvement of his delayed gastric emptying.Conclusions: In a select group of patients with advanced foregut malignancy, and with high re-operative risks, salvage endoscopic stenting may be useful in the palliation of symptoms from a functionally obstructed gastrojejunostomy.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/7a/e2021.00094.PMC9387390.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33437651","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

Suburethral Endometriosis as Clinical Finding of Extensive Disease. 广泛疾病的临床表现:喉下子宫内膜异位症。

CRSLS : MIS case reports from SLS Pub Date : 2022-01-25 eCollection Date: 2022-01-01 DOI: 10.4293/CRSLS.2021.00080

Ceana H Nezhat, Maria Hincapie, Anar Gojayev, Adi Katz

{"title":"Suburethral Endometriosis as Clinical Finding of Extensive Disease.","authors":"Ceana H Nezhat, Maria Hincapie, Anar Gojayev, Adi Katz","doi":"10.4293/CRSLS.2021.00080","DOIUrl":"https://doi.org/10.4293/CRSLS.2021.00080","url":null,"abstract":"Objective: Endometriosis spreading to the vagina is rare, present in only 0.02% of women with symptomatic endometriosis. Suburethral lesion site is exceptional. In an extensive literature review only 4 cases of suburethral endometriosis were identified. Our objective is to present a case of primary vaginal suburethral endometriosis in a 31-year old patient who underwent laparoscopic evaluation and to perform a literature review on this topic.Methods and procedures: Case report presentation based on information extracted from patient database. A review of literature with a Medline search using key words urethral endometriosis, suburethral endometriosis, or urethral diverticulum was undertaken.Results: This case report describes a case of a 31-year old female patient referred for severe pelvic pain, worsening during menstruation. On physical examination a 2 cm suburethral endometriotic lesion was found as the initial presentation. Her examination was also significant for enlarged, tender uterus and adnexa. Based on examination and imaging, adenomyosis and endometriosis were suspected. Surgical evaluation revealed extensive endometriosis with lymph node involvement at laparoscopic exploration. The review of literature revealed only 4 cases where suburethral endometriosis was previously identified.Conclusion: Primary vaginal suburethral endometriosis, although rare, could be an indication of extensive endometriosis. This case highlights the importance of careful clinical examination, surgical excision, and laparoscopic evaluation when identifying suburethral vaginal endometriotic lesions.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/36/e2021.00080.PMC9387368.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33437653","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

Treatment of Giant Esophageal Epiphrenic Diverticulum Using Robotic-Assisted Surgery. 机器人辅助手术治疗巨大食管肾憩室。

CRSLS : MIS case reports from SLS Pub Date : 2021-12-17 eCollection Date: 2022-01-01 DOI: 10.4293/CRSLS.2021.00068

Renato Sommer, Joao Vicente Machado Grossi, Gabriela Rumi Grossi Harada, Mauricio Krug Seabra, Leandro Totti Cavazzola, Artur Pacheco Seabra

引用次数: 1

Plasmablastic Lymphoma Causing Adult Intussusception After Cardiac Transplantation. 心脏移植后浆母细胞淋巴瘤引起成人肠套叠。

CRSLS : MIS case reports from SLS Pub Date : 2021-11-02 eCollection Date: 2021-10-01 DOI: 10.4293/CRSLS.2021.00069

Jeffrey Silverstein, Helen Liu, David Shin, David Berler

引用次数: 0