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

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

Robotic Repair of an Acquired Abdominal Intercostal Hernia. 机器人修复获得性腹肋间疝。

CRSLS : MIS case reports from SLS Pub Date : 2021-09-17 eCollection Date: 2021-10-01 DOI: 10.4293/CRSLS.2021.00061

Daniel Bergholz, J Ryan Obi, Robert Grossman, Taha F Rasul

{"title":"Robotic Repair of an Acquired Abdominal Intercostal Hernia.","authors":"Daniel Bergholz, J Ryan Obi, Robert Grossman, Taha F Rasul","doi":"10.4293/CRSLS.2021.00061","DOIUrl":"https://doi.org/10.4293/CRSLS.2021.00061","url":null,"abstract":"Introduction: Intercostal hernias are a rare clinical entity. They are divided into trans-diaphragmatic intercostal or abdominal intercostal hernias based upon the presence or absence of diaphragmatic injury. There are various means of repair for these hernias, including open, laparoscopic, and robotic approaches. We present the second known robotic repair of an abdominal intercostal hernia and review of the relevant literature.Case description: A 54-year-old morbidly obese male was found to have an abdominal intercostal hernia on the right between the 9th and 10th ribs. His symptoms were significant for a large, tender right chest wall mass. Through a three-port approach, polypropylene mesh and circumferential sutures were used to create a double-wall of reinforcement to secure the area of weakness.Discussion: This rare case of an intercostal hernia utilized robotic-assisted laparoscopic repair and led to a favorable outcome, whereby the patient reported significant improvement in pain, comfort, and quality of life. Thus, minimally invasive robotic surgery for this complex structural pathology can be safer and have less complications than other current treatments.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/ab/e2021.00061.PMC9387401.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438093","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

Multiple Myeloma Plasmacytoid Infiltration of the Gallbladder Presenting as Acute Cholecystitis. 多发性骨髓瘤胆囊浆细胞样浸润表现为急性胆囊炎。

CRSLS : MIS case reports from SLS Pub Date : 2021-08-04 eCollection Date: 2021-10-01 DOI: 10.4293/CRSLS.2021.00049

Fadi Alyass, Patrick N Narh-Martey

{"title":"Multiple Myeloma Plasmacytoid Infiltration of the Gallbladder Presenting as Acute Cholecystitis.","authors":"Fadi Alyass, Patrick N Narh-Martey","doi":"10.4293/CRSLS.2021.00049","DOIUrl":"https://doi.org/10.4293/CRSLS.2021.00049","url":null,"abstract":"Secondary distal plasmacytoma that arise from multiple myeloma is a common hematological malignancy that manifests in later stages of the disease. These plasmacytomas are known to cause extensive systemic organ damage. When extramedullary plasmacytomas reach the gallbladder or biliary ducts, expansion can mimic acute acalculous cholecystitis or cholangiocarcinoma. We report a case of a 56-year-old female with a history of aggressive course IgA κ chain multiple myeloma who presented with right upper quadrant abdominal pain with nausea and vomiting for one week duration. Her laboratory panel revealed liver function tests consistent with gallbladder etiology. Abdominal ultrasound and CT showed no evidence of cholelithiasis precluding to acute acalculous cholecystitis. Initial medical management did not show any improvement. A robotic cholecystectomy was performed, and a pathology review of the specimen found a neoplastic stricture of the gallbladder fundus, the histological evaluation of which revealed plasmacytoid cells originating from her primary multiple myeloma diagnosis. The patient's condition declined following surgery, postoperative presentation included metastatic liver thrombosis mimicking cholangiocarcinoma and the patient later expired with palliative care.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/02/e2021.00049.PMC9387365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438091","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

Appendix-Sparing Transabdominal Preperitoneal Laparoscopic Hernioplasty for a De Garengeot's Hernia: Video Demonstration. 保留阑尾的经腹膜前腹腔镜疝成形术治疗De Garengeot疝:视频演示。

CRSLS : MIS case reports from SLS Pub Date : 2021-06-08 eCollection Date: 2021-04-01 DOI: 10.4293/CRSLS.2020.00098

Alberto Gómez-Portilla, Elena Merino, Eduardo López de Heredia, Alberto Gareta, Esther Diago

{"title":"Appendix-Sparing Transabdominal Preperitoneal Laparoscopic Hernioplasty for a De Garengeot's Hernia: Video Demonstration.","authors":"Alberto Gómez-Portilla, Elena Merino, Eduardo López de Heredia, Alberto Gareta, Esther Diago","doi":"10.4293/CRSLS.2020.00098","DOIUrl":"https://doi.org/10.4293/CRSLS.2020.00098","url":null,"abstract":"Background and Objectives: Less than 300 cases of a De Garengeot's hernia have been published. This rare femoral hernia with the vermiform appendix included appears almost exclusively on the right side, mainly in females, and it generally debuts as an incarcerated femoral hernia. Although most of the times there is a concomitant appendicitis, clinical signs of peritonitis are absent. The wide use of radiologic exams has not favored its preoperative diagnosis, but been usually found incidentally during a surgical emergency. The best surgical approach to a De Garengeot's hernia is not totally defined and many critical questions still remain unanswered. Open surgery is considered the standard treatment procedure, but since the emergence of laparoscopy for incarcerated hernias, this is certainly an option. Methods: We report the successful laparoscopic management of an 83-year-old woman who had been operated on her right inguinal hernia, with a Rutkow-Robbins' technique, 4 months earlier. She had noticed the protrusion of a lump in her right inguinal region for 2 months. Radiological studies were not conclusive. With a miss diagnosis of a recurrent incarcerated inguinal hernia, a minimal invasive endoscopic approach was performed. A representative case of this fully laparoscopic TAPP procedure is presented. Results: The patient made an uninterrupted recovery. She left the hospital the day after in a stable condition and has enjoyed good health since. Conclusion: A fully laparoscopic TAPP approach seems perfectly safe and feasible to treat this entity, and could be considered the first line alternative when enough expertise is available.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/70/e2020.00098.PMC9387389.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438016","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

Combined Endoscopic-Robotic Resection of a Giant Polyp to Avoid Colorectal Resection. 内镜-机器人联合切除巨息肉以避免结直肠切除术。

CRSLS : MIS case reports from SLS Pub Date : 2021-04-07 eCollection Date: 2021-01-01 DOI: 10.4293/CRSLS.2020.00097

Montserrat Guraieb-Trueba, Víctor Manuel Rivera-Méndez, Juan Carlos Sánchez-Robles

引用次数: 0

The Other Double Bubble Sign: Gastric Parastomal Hernia. 另一种双气泡征兆：胃旁疝。

CRSLS : MIS case reports from SLS Pub Date : 2021-04-07 eCollection Date: 2021-01-01 DOI: 10.4293/CRSLS.2020.00092

Kelly Johnson, Natalie Monroe, Bogdan Protyniak

{"title":"The Other Double Bubble Sign: Gastric Parastomal Hernia.","authors":"Kelly Johnson, Natalie Monroe, Bogdan Protyniak","doi":"10.4293/CRSLS.2020.00092","DOIUrl":"10.4293/CRSLS.2020.00092","url":null,"abstract":"Introduction: A parastomal hernia (PSH) is an abnormal herniation of an intra-abdominal organ or other tissue through an intentionally created fascial defect at an ostomy site. PSHs commonly involve reducible mobile segments of omentum, intra-abdominal fat, and bowel. However, PSHs may rarely involve fixed intra-abdominal organs such as the stomach. Case Description: A 68-year-old female underwent emergent Hartmann procedure for Hinchey III diverticulitis and subsequently developed a large reducible parastomal hernia. She was scheduled for an elective laparoscopic colostomy reversal. Prior to her scheduled reversal, the patient presented to the ED with anorexia, lack of colostomy output, emesis, and pain localized to her left lower quadrant. She was found to have gastric outlet obstruction secondary to herniation of the stomach through the left lower quadrant colostomy site. The patient was admitted and treated conservatively with resolution of her symptoms, but due to the high likelihood of recurrence, the decision was made to proceed with laparoscopic Hartmann colostomy reversal with coloproctostomy and primary closure of the fascia without mesh. Conclusion: The contents of a PSH can become incarcerated causing obstruction, strangulation, necrosis and even perforation over time. Fortunately, in this case, herniation of the stomach was recognized early. The patient underwent repair of the hernia defect in order to prevent recurrence of gastric herniation and its potential detrimental complications. The decision regarding the technical aspects of ostomy reversal in terms of mesh selection require further study. In our case, mesh was not used due to patient-specific factors and comorbidities.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/4a/e2020.00092.PMC9387391.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438362","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