RESUMO
We present the case of a 43-year-old female who underwent cholecystectomy with choledochotomy and laparoscopic lithoextraction for choledocholithiasis, who came to the emergency room due to abdominal pain of 3 days' evolution. An abdominal CT scan showed a possible cholangitis with a liver abscess at the level of segment VI, with metal density material near to the lesion. The inflammatory process extended to the right iliac psoas.
Assuntos
Colecistectomia Laparoscópica , Coledocolitíase , Migração de Corpo Estranho , Adulto , Colecistectomia/efeitos adversos , Colecistectomia Laparoscópica/efeitos adversos , Coledocolitíase/cirurgia , Feminino , Migração de Corpo Estranho/diagnóstico por imagem , Migração de Corpo Estranho/etiologia , Migração de Corpo Estranho/cirurgia , Humanos , Instrumentos Cirúrgicos/efeitos adversosRESUMO
No disponible
Assuntos
Humanos , Feminino , Adulto , Linfangioma Cístico/diagnóstico por imagem , Linfangioma Cístico/cirurgia , Neoplasias Pancreáticas/diagnóstico por imagem , Neoplasias Retroperitoneais/diagnóstico , Laparoscopia/instrumentação , Neoplasias Pancreáticas/patologia , Neoplasias Pancreáticas/cirurgia , Neoplasias Retroperitoneais/complicações , Laparoscopia/métodos , Diagnóstico DiferencialRESUMO
A giant cystic lymphangioma in the pancreatic body-tail was diagnosed as an incidental ultrasound mass in a 41-year-old patient, with a progressive size that had increased in the last year by about 20 cm size. An ultrasound guided fine needle puncture was performed and the result was a benign cystic lesion. Given the increase in size, a surgical intervention was decided. A retroperitoneal cystic tumor dependent on the posterior pancreatic wall was identified and a full laparoscopic resection with pancreas and spleen preservation was performed. The pathological report confirmed the diagnosis of benign cystic lymphangioma. The patient was discharged on the fifth postoperative day without any remarkable complications. After one year of follow-up, the patient remains asymptomatic.
