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Chao Cheng, Shuang Guo, Dakinah Eastman G B Kollie, Wanli Zhang, Jun Xiao, Jun Liu, Xiaoming Lu, Yong Xiao
RATIONALE: The mesenteric desmoid tumor requires special attention and the most demanding treatment. PATIENT CONCERNS: Here we present a rare case of a large mesenteric desmoid tumor secondary to familial adenomatous polyposis (FAP) in a 34-year-old man accepted the ex vivo resection, and intestinal autotransplantation. DIAGNOSES: A 34-year-old man was referred to our department with a 6-year history of intermittent hematochezia without any other discomfort after undergoing partial colectomy in February 2013, and 5 endoscopic mucosal resections of colon polyps between May 2012 and July 2015 due to pathological diagnosis of FAP...
May 2018: Medicine (Baltimore)
Ahmad Uzair Qureshi, Maliha Fansur, Sidra Shoaib Qureshi
Congenital trans-mesenteric hernias (CTMHs) are caused by rent in the mesentry of bowel. The lesions commonly present in pediatric age group. Adult CTMHs usually present with complication of the problem. The diagnosis is often late and is associated with morbidity as well as mortality due to bowel ischemia. There is no specific sign associated with this condition. A case is reported of a patient diagnosed with CTMH on high suspicion by the radiologist based on her finding of abnormal swirling of superior mesenteric artery on CT angiogram...
March 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Santosh K Ijeri, Praveen S Rathod, Rajshekar Kundargi, V R Pallavi, K Shobha, Shankaranand, C R Vijay, K Uma Devi, Uttam D Bafna
To report the clinical presentation and outcomes of a series of patients who presented with abdominal/pelvic mass or pelvic pain and were diagnosed with a gastrointestinal stromal tumor (GIST). Retrospective data were collected of all patients who presented with an abdominal/pelvic mass or pelvic pain between January 2010 and July 2015 and who were ultimately diagnosed with a GIST. The patients' medical records were reviewed. A literature review was also conducted. The event free survival and overall survival was calculated for all patients using Kaplan Meier curve (SPSS19-SPSS Inc...
March 2016: Indian Journal of Surgical Oncology
Mano Ananth Arivazhagan Brinda, Srinidhi Manjunath, Kanakapura Srinivasamurthy Balasubramanya, Basavaraju Nanjaiah
Small bowel volvulus is a rare and life threatening surgical emergency. Nearly 75% of volvulus occurs in colon and 25% occurs in small bowel. Small bowel volvulus is abnormal twisting of bowel loops around the axis of its own mesentry leading to twisting and occlusion of mesenteric vessels causing intestinal obstruction, venous engorgement, gangrene and perforation. Small bowel volvulus is more common in neonates and young adults and very rare in adults. We are reporting a first case of small bowel volvulus and gangrene caused by herniation of ovarian cyst through mesenteric defect and twisting of small bowel around the axis of ovarian cyst leading to closed loop obstruction, small bowel volvulus and gangrene...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
Mohammad Reza Vahdad, Ehsan Rahmanian, Sam Moslemi, Sultan Mohsen Najafi, Hamid Reza Foroutan
BACKGROUND: The natural orifice transluminal endoscopic surgery (NOTES) has become a commonly considered novel approach in the surgical field. The NOTES provide possibility of operation through the natural orifice and decreases the intentional puncture of the systemic organ and subsequent complications. Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J) is a novel method in minimally invasive surgery for total colectomy. The main goal of this study is to perform this new method on an animal model, to assess probable complication and to resolve probable issues by using patients that are candidate for total colectomy...
September 2015: Iranian Journal of Medical Sciences
Preeti Joseph, Richa Goyal, Preeti Bansal, Rajni Parmar, Sarjana Dutt
Gastrointestinal stromal tumours (GIST) are the most common mesenchymal neoplasms located in the alimentary tract. Stromal tumours that arise outside the gastrointestinal tract as primary tumour are designated as extra-gastrointestinal stromal tumours (EGIST). The EGIST are located in mesentry, omentum, retroperitoneum and rarely in pancreas. Only 19 cases of pancreatic EGIST (pEGIST) have been reported in the literature. Of these, there were only two cases of pEGIST with documentation of molecular alteration in C-Kit gene...
April 2015: Journal of Clinical and Diagnostic Research: JCDR
Paras K Pandove, Ashish Moudgil, Megha Pandove, Chandrashekhar, Divya Sharda, Vijay K Sharda
INTRODUCTION: Meckel's diverticulum is the most common congenital gastrointestinal anomaly. However, only 2% of cases are symptomatic. It can cause intestinal obstruction by various mechanisms as volvulus, adhesions, Littre's hernia, intussusception. CASE PRESENTATION: An unusual case of internal herniation of small bowel loops into complete hernia sac formed by unusual mesentery of Meckel's diverticulum which was present upto the adhesive band, extending from tip of the Meckel's diverticulum to the adjacent mesentery of small intestine leading to small bowel obstruction (SBO)...
2015: International Journal of Surgery Case Reports
Vikas Deep Goyal, Satish Kumar, Narvir Chauhan, Ankit Shukla, Rashmi Kaul
We present a case of 21-year-old female patient with history of pain abdomen and abdominal distension. The patient also had oedema of the limbs, puffiness of the face, pallor and palpable mass in the abdomen. Ultrasonography of the abdomen and computed tomographic angiogram was done and it showed presence of vascular mass along with arteriovenous malformation in the mesentry of small gut between distal branches of superior mesenteric artery and vein. Surgical excision of the mass with ligation and division of the arteriovenous malformation was done through midline laparotomy...
December 2014: Journal of Clinical and Diagnostic Research: JCDR
Abbas K Sidhic, Mannalakkal Ranjith, Karat Parambil Abid Ali, Pappala Rahul Tej
Leiomyosarcoma is extremely rare with a reported incidence of 1:350,000. So accurate preoperative diagnosis of mesenteric soft tissue tumor is generally difficult. Leiomyosarcoma is a malignant tumour arising from smoothcell lineage. Mesenteric leiomyosarcoma occurs most commonly in middle-aged individuals. We describe a case of leiomyosarcoma arising from the ileal mesentery in a 33 year old male patient. The diagnosis was based on histopathologic evaluation using immunohistochemical staining.
2015: International Journal of Surgery Case Reports
A L Khan, G K Ninan
Duplication of the small bowel is uncommon, and a sequestrated tubular duplication of the ileum that is isolated from the normal bowel and mesentry has not been previously described in the literature. We report one case of such a sequestrated duplication.
June 1996: Pediatric Surgery International
A Biswas, R Pal
Non - Chromaffin Paraganlioma arises in paraganglia of chemoreceptor system. It has been reported in the following sites-aortic bodies, superior vagal ganglion, auricular branch of vagus, inferior vagal nodose ganglion, superior laryngeal nerve, mandible, ciliary ganglion, bifurcation of pulmonary artery, pleura, femoral artery, pleura, femoral artery, retroperitoneal tissue, mesentry, coccyx and pineal body. Paraganglions of nasal cavity is a very rare occurance. A very few cases were reported before this.
December 1999: Indian Journal of Otolaryngology and Head and Neck Surgery
R Galhotra, K Saggar, K Gupta, P Singh
Extramedullary plasmacytoma (EMP) is an uncommon entity that most commonly involves nasopharynx and upper repository tract. Involvement of GIT occurs in approximate 10% of cases. According to WHO plasma cell tumors have been classified into two main groups: Multiple myeloma and plasmacytoma. Plasmacytoma includes solitary plasmacytoma of bone and solitary extramedullary plasmacytoma. EMP can be either primary without evidence of bone marrow involvement or may occur simultaneously with multiple myeloma representing extramedullary spread of the disease...
July 2012: Gulf Journal of Oncology
Madhumita Mukhopadhyay
OBJECTIVES: To determine the cause, presentation, anatomical distribution, diagnostic method, management and outcome of intestinal injuries from blunt abdominal trauma. METHODS: The study included 47 patients who underwent laparotomy for intestinal injuries from blunt abdominal trauma over a period of 4 years. A retrospective study was conducted and the patients were analyzed with respect to the cause, presentation, anatomical distribution, diagnostic methods, associated injuries, treatment and mortality...
October 2009: Oman Medical Journal
Mukul Vij, Vinita Agrawal, Ashok Kumar, Rakesh Pandey
BACKGROUND: Primary mesenchymal tumors of the gastrointestinal tract are a heterogeneous group of tumors with a wide clinical spectrum, of which gastrointestinal stromal tumors (GIST) typically occur in middle-aged to older individuals. This study evaluated the clinicopathological and morphological features of GIST of the intestinal tract. METHODS: The study included 108 gastrointestinal and 13 extra-gastrointestinal stromal tumors involving the mesentry and retroperitoneum between January 1989 and July 2007...
November 2010: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Narmada P Gupta, Satyadip Mukherjee, Rishi Nayyar, Ashok Kumar Hemal, Rajeev Kumar
PURPOSE: To demonstrate the technical feasibility of the transmesocolic approach of robotic pyeloplasty for left ureteropelvic junction obstruction (UPJO). PATIENTS AND METHODS: Between July 2006 and December 2007, 60 patients underwent robot-assisted pyeloplasty that included 33 cases on the right side and 27 cases on the left side. Of the 27 left-side cases, 24 were performed using a transmesocolic approach. Three left-side surgeries were performed by mobilizing the colon because of associated accessory vessel and renal calculi...
June 2009: Journal of Endourology
Alan P Meagher, Gareth Owen, Rohan Gett
PURPOSE: The formation of an end colostomy in obese patients can be technically demanding and often requires the creation of a particularly large defect in the abdominal wall. This is because of the thickness of the subcutaneous fat and mesenteric fat, and increased resistance or friction while negotiating the bowel and mesentry through the abdominal wall. METHODS: The use of an Alexis Wound Protector to circumferentially retract the abdominal wall defect and, thus decrease resistance or friction during stoma formation, is described (see Video, Supplemental Digital Content 1 and 2, which demonstrates the technique, http://links...
March 2009: Diseases of the Colon and Rectum
Shailaja Shukla, Sanjeet Kumar Singh, Mukta Pujani
Cystic hydatid disease may develop in almost any part of the body. Approximately 70% of the hydatid cysts are located in the liver followed by the lung (25%). The kidneys, spleen, mesentry, peritoneum, soft tissues and brain are uncommon locations for hydatid cysts. Renal involvement in echinococcosis is extremely rare. Hydatiduria accompanies only 10-20% of all cases of renal hydatidosis and is usually microscopic. Gross hydatiduria is an exceptional presentation of hydatidosis. We report an exceptionally rare case of multiple hydatidosis with cysts in the liver, spleen, kidney and peritoneal cavity, presenting with gross hydatiduria...
April 2009: Indian Journal of Pathology & Microbiology
Kim Hung Lee, Y H Tam, C K Yeung, K W Chan, J D Y Sihoe, S T Cheung, J W C Mou
PURPOSE: To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children. METHODS: This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The surgical technique is described and all the medical records were reviewed to assess the intraoperative and postoperative complications and follow-up problems. RESULTS: From October 2000 to April 2008, laparoscopic excision and reconstruction were attempted in 37 patients...
April 2009: Pediatric Surgery International
Nasir K Amra, Samir S Amr
Lipoblastoma or lipoblastomatosis is an uncommon fatty tumor seen in children up to the age of 5 years, with very rare exceptions above that age. It usually occurs in the extremities, but it can arise in other anatomical sites, including the head and neck area, trunk, mediastinum, mesentry, and retroperitoneum. We report a 9-month-old boy with mediastinal lipoblastomatosis showing unusually complex chromosomal aberrations. Five years following surgical excision that was incomplete as a result of the tumor's proximity to major blood vessels, the patient developed a recurrence of the tumor in the mediastinum with extension to the neck and spinal dura...
November 2009: Pediatric and Developmental Pathology
Koji Mitsuzuka, Akihiro Ito, Shunichi Namiki, Masanori Kato, Seiichi Saito, Yoichi Arai
A left renal tumor which was 11 cm in diameter and located at lower pole was founded in a 67 year-old male by CT scan for the examination of hypertension. The tumor extended in left renal vein slightly. Laparoscopic radical nephrectomy and partial colectomy were performed because the tumor adhered to mesentry firmly. The operative time was seven hours, and the estimated blood loss was about 30 ml.
May 2007: Nihon Hinyƍkika Gakkai Zasshi. the Japanese Journal of Urology
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