ABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Gastric Dilatation/diagnostic imaging , Gastric Dilatation/surgery , Hypertension/complications , Pneumatosis Cystoides Intestinalis/diagnostic imaging , Abdominal Pain/etiology , Tomography, Emission-Computed/methods , Intubation, Gastrointestinal/methodsABSTRACT
INTRODUCTION: Paragangliomas (PG) are rare tumors derived from chromaffin cells that are located outside the adrenal gland and are capable of producing catecholamines. The treatment is based on a surgical resection, and there is controversy regarding the usefulness of previously carrying out an embolization and what is the most adequate surgical approach. CLINICAL CASE: We will present a 17-year-old woman with a retroperitoneal tumour in contact with the aorta and the inferior vena cava, treated with embolization prior to the surgical resection via laparotomy. DISCUSSION: The PG tumors are very infrequent and originate in the extra-adrenal chromaffin cells that exist in the vicinity of the components of the autonomic nervous system. Most of them (86%) produce catecholamines, are unique, sporadic, benign and more frequent in middle-aged women. Since they are radioresistant tumors, the only possibility for a cure is by a complete surgical excision. The preoperative embolization has been described mainly as the treatment of cervical PG, although its use in abdominal PG is more controversial and is not done in a systematic manner. CONCLUSION: We can conclude that the embolization of abdominal PG is not free of risks and that it has not been demonstrated that it significantly reduces the peri-operative bleeding or the surgical time. Probably, the embolization should be reserved for intensively hypervascularized and larger PGs.
Subject(s)
Gases , Gastric Dilatation/complications , Portal Vein , Acute Disease , Humans , Male , Middle AgedABSTRACT
Retroperitoneal cystic mesothelioma is a very rare lesion. The pathogeny is unclear and establishing a preoperative diagnosis versus others retroperitoneal cystic lesions is difficult. Thus, with increasing experience in laparoscopic retroperitoneal surgery, the use of this approach for exploration of a retroperitoneal mass of unknown origin may provide an alternative to classic open surgery and all the benefits of laparoscopy. We present two cases treated laparoscopycally and review the literature.
ABSTRACT
El mielolipoma es un tumor muy poco frecuente y su localización hepática resulta excepcional. Suele cursar de forma asintomática y su diagnóstico preoperatorio puede ser complicado. A continuación se presenta un nuevo caso de mielolipoma hepático y se hace una revisión de todos los casos descritos previamente en la literatura médica, en los que se destacan las características clinicopatológicas y radiológicas de estos tumores así como las posibilidades terapéuticas (AU)
Myelolipoma is a very uncommon tumor and is extremely rare in the liver. Patients are usually asymptomatic and preoperative diagnosis is often difficult. We report a new case of hepatic myelolipoma and review all the cases previously reported in the literature. Clinicopathologic and radiologic findings, as well as therapeutic options, are discussed (AU)
Subject(s)
Humans , Male , Middle Aged , Myelolipoma/diagnosis , Liver Neoplasms/diagnosis , Hepatectomy , Postoperative ComplicationsABSTRACT
The presence of biliary gallstones and surgical clips in the abdominal cavity after a laparoscopic cholecystectomy can cause complications, which even though they are uncommon, can be serious. We carried out a review of the various complications, their incidence, related risk factors, ways to deal with them and recommendations to reduce morbidity associated with the presence of ectopic material (gallstones and surgical clips) in the peritoneum.
Subject(s)
Abdomen , Cholecystectomy, Laparoscopic , Foreign Bodies/complications , Gallstones/complications , Gallstones/surgery , Postoperative Complications/etiology , Surgical Instruments , Humans , Practice Guidelines as TopicABSTRACT
Los cálculos biliares y clips abandonados en la cavidad abdominal tras una colecistectomía laparoscópica pueden dar lugar a complicaciones que, aunque poco frecuentes, pueden ser graves. Realizamos una revisión de las distintas complicaciones, su incidencia, factores de riesgo relacionados, manejo y recomendaciones para reducir la morbilidad relacionada con material ectópico (cálculos o clips) en el peritoneo (AU)
The presence of biliary gallstones and surgical clips in the abdominal cavity after a laparoscopic cholecystectomy can cause complications, which even though they are uncommon, can be serious. We carried out a review of the various complications, their incidence, related risk factors, ways to deal with them and recommendations to reduce morbidity associated with the presence of ectopic material (gallstones and surgical clips) in the peritoneum (AU)
Subject(s)
Humans , Male , Female , Calculi/complications , Calculi/surgery , Cholecystectomy, Laparoscopic/methods , Abdominal Abscess/complications , Abdominal Abscess/surgery , Tissue Adhesions/complications , Tissue Adhesions/diagnosis , Biliary Tract Surgical Procedures/methods , Laparotomy/methods , Risk Factors , Cholecystectomy, Laparoscopic , Abdominal Abscess/diagnosis , Cholecystectomy, Laparoscopic/trends , Abdominal Abscess , Tissue Adhesions/pathology , Tissue Adhesions/surgery , Tissue Adhesions , Gallbladder/injuries , Gallbladder/pathology , Gallbladder/surgeryABSTRACT
Wandering spleen is an uncommon entity, characterized by the anomalous position of the spleen, caused by the absence or laxity of its suspensory ligaments. The most common symptoms are usually due to intermittent or complete torsion of the splenic pedicle with subsequent infarction. We report a case of torsion of a wandering spleen. Laparoscopic splenectomy was performed and recovery was uneventful. Although few cases of wandering spleen treated laparoscopically have been reported in the literature, laparoscopy has been demonstrated to be a safe technique for the treatment of this entity.
Subject(s)
Laparoscopy , Splenectomy , Wandering Spleen/surgery , Adult , Humans , Male , Tomography, X-Ray Computed , Torsion Abnormality , Treatment Outcome , Wandering Spleen/diagnostic imagingABSTRACT
El bazo ectópico o errante (wandering spleen) es una anomalía muy infrecuente caracterizada por una mala posición del bazo como consecuencia de una ausencia o laxitud de los ligamentos suspensorios del bazo. Las manifestaciones clínicas suelen producirse por una torsión completa o intermitente del pedículo esplénico, con el consiguiente riesgo de isquemia del bazo. Presentamos un caso de bazo ectópico con torsión del pedículo, tratado mediante esplenectomía laparoscópica sin complicaciones. Aunque hay pocos casos comunicados en la literatura científica, la laparoscopia ha demostrado ser una técnica válida y segura en el tratamiento del bazo ectópico (AU)
Wandering spleen is an uncommon entity, characterized by the anomalous position of the spleen, caused by the absence or laxity of its suspensory ligaments. The most common symptoms are usually due to intermittent or complete torsion of the splenic pedicle with subsequent infarction. We report a case of torsion of a wandering spleen. Laparoscopic splenectomy was performed and recovery was uneventful. Although few cases of wandering spleen treated laparoscopically have been reported in the literature, laparoscopy has been demonstrated to be a safe technique for the treatment of this entity (AU)