25,949 results match your criteria abdominal laparotomy


A Case of Necrotizing Soft Tissue Infection Secondary to Perforated Colon Cancer.

Cureus 2021 Sep 2;13(9):e17663. Epub 2021 Sep 2.

Surgery, Largo Medical Center, Largo, USA.

Necrotizing soft tissue infections are aggressive infections that cause necrosis of muscle, fascia, and tissue. They typically follow fascial planes that lack insufficient blood supply. Early drainage and debridement are essential for survival in these patients. Read More

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September 2021

Perforated Colon Cancer Associated With Post-operative Recurrent Bowel Perforations.

Cureus 2021 Sep 1;13(9):e17655. Epub 2021 Sep 1.

General Surgery, University of Central Florida College of Medicine, Orlando, USA.

Colon perforation is a major life-threatening condition associated with high morbidity and mortality, which often develops secondary to complicated diverticulitis and, less commonly, colon cancer. We describe the case of a 51-year-old female who had perforated colon cancer with concurrent diverticulosis. Based on history, physical exam, laboratory, and computed tomography (CT) findings on initial presentation, the patient was diagnosed with acute complicated diverticulitis. Read More

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September 2021

[Preliminary application and efficacy analysis of transumbilical single-incision plus one port robotic total mesorectal excision].

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Mar;24(3):269-271

Department of General Surgery, Daping Hospital, Army Medical University, Chongqing 400042, China.

To investigate the feasibility of transumbilical single-incision plus one port (SIPOP) robotic total mesorectal excision. Clinical data of a 70-year-old male patient with BMI 22.1 kg/m(2) who successfully underwent transumbilical single-incision plus 1 port robotic total mesorectal resection of upper rectal cancer at the General Surgery Department of Daping Hospital of Army Military Medical University on September 18, 2019 were retrospectively analyzed. Read More

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Comparison of outcomes and cost-effectiveness of laparoscopic and open appendectomies in public health services.

Rev Col Bras Cir 2021 11;48:e20213010. Epub 2021 Oct 11.

- Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.

Acute appendicitis is the leading cause of abdominal emergency surgery worldwide and appendectomy continues to be the definitive treatment of choice. This cost-effectiveness analysis evaluates laparoscopic versus open appendectomies performed in public health services in the state of Bahia (Brazil). We conducted a retrospective observational study using the database from the Department of Informatics of the Unified Health System (DATASUS). Read More

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October 2021

Decreasing Incisional Hernia by Teaching 4:1 Suture to Wound Length Ratio Early in Surgical Education.

J Surg Educ 2021 Oct 9. Epub 2021 Oct 9.

Department of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina. Electronic address:

Objective: Incisional hernia formation has become a major burden for our healthcare system. One factor that has been shown to reduce incisional hernia rates that can be impacted on by the surgeon is the ability to achieve a 4:1 suture to wound length ratio. The purpose of this study is to evaluate whether a focused educational program for surgical residents can help improve laparotomy closures and be successful in achieving 4:1 suture to wound length ratios. Read More

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October 2021

Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it's a diagnostic challenge?

Ital J Pediatr 2021 Oct 12;47(1):207. Epub 2021 Oct 12.

Department of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti Foggia, Foggia, Italy.

Background: Idiopathic hemoperitoneum in the newborn is an entity very rarely encountered in clinical practice.

Case Presentation: A case of scrotal hemorrhage (SH) associated with intrabdominal hemorrhaging and acute anemia is presented. Indications for early surgery included a massive scrotal hematoma, rapid onset of severe anemia, and unknown etiology. Read More

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October 2021

Challenging diagnostic work-up of a massive fluid-filled structure in the cranial abdomen of a cat.

Tierarztl Prax Ausg K Kleintiere Heimtiere 2021 Oct 12. Epub 2021 Oct 12.

Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation.

A 9-year-old female, neutered European shorthair cat was presented with acute vomiting, obvious jaundice and painful enlargement of the abdomen. Icteric skin and mucous membranes in addition to severe bilirubinaemia (mainly direct bilirubin) and a large increase in liver enzyme activities were the main findings at the initial examination. Radio- and ultrasonographic evaluation revealed a massive fluid-filled structure caudal to the liver displacing abdominal organs, in particular the stomach. Read More

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October 2021

Surgical management of duodenal web in an adult presenting with melaena; Case report and literature review.

Int J Surg Case Rep 2021 Oct 6;88:106488. Epub 2021 Oct 6.

Department of General Surgery, Waikato District Health Board, Hamilton, New Zealand.

Introduction: Duodenal web is a rare pathology presenting infrequently in adults. Diagnosis is challenging and definitive management is commonly delayed. We present a case of a patient with a late diagnosis of duodenal web, who underwent laparotomy, intraoperative gastroscopy and surgical removal of the web performed by two general surgeons. Read More

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October 2021

Staged laparotomy for acute non-traumatic intra-abdominal emergencies in a tertiary South African unit.

ANZ J Surg 2021 Oct 12. Epub 2021 Oct 12.

Department of Surgery, University of KwaZulu-Natal, Pietermaritzburg, South Africa.

Introduction: Patients undergoing laparotomy for emergency general surgery (EGS) have poor outcomes. Attempts have been made to improve these outcomes by adopting damage control principles known to benefit polytraumatized patients. Studies describing the use of staged laparotomy (SL) in EGS have been modest in size and heterogenous. Read More

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October 2021

Triple Intussusception in an Adult-A Rare Presentation of Adenocarcinoma Ileum.

Surg J (N Y) 2021 Oct 5;7(4):e271-e274. Epub 2021 Oct 5.

Department of Surgery, B. J. Government Medical College and Sassoon General Hospital, Pune, Maharashtra, India.

Intestinal intussusception is uncommon in adults. It occurs more often in the small intestine than in the colon. In adults, when small bowel intussusception occurs, it can be due to a malignant lead point. Read More

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October 2021

Superior Mesenteric Artery Thrombosis for Emergency Laparotomy in Covid-19 Patient: A Case Report.

Oman Med J 2021 Sep 28;36(5):e299. Epub 2021 Sep 28.

Department of Radiology and Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman.

The novel coronavirus disease 2019 (COVID-19) pandemic has caused significant morbidity and mortality worldwide. The most common symptoms include fever, cough, and shortness of breath (predominantly involving pulmonary function). However, there are lesser-known presentations that affect other systems too. Read More

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September 2021

Hemorrhagic cholecystitis with auto-avulsion.

Radiol Case Rep 2021 Dec 2;16(12):3739-3743. Epub 2021 Oct 2.

Department of Radiology and Medical Imaging, King Khalid University Hospital and College of Medicine, King Saud University, 7805, Riyadh 11472, Saudi Arabia.

Acute cholecystitis is a common condition, with varying presentations and complications, and is frequently treated in the emergency department. This case report illustrates hemorrhagic cholecystitis (HC) as a rare complication of cholecystitis. A 74-year-old woman presented to our emergency department with intermittent abdominal discomfort and continued vomiting after any oral ingestion as well as watery diarrhea. Read More

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December 2021

Leiomyoma of the uterine round ligament: A case report.

Exp Ther Med 2021 Nov 13;22(5):1285. Epub 2021 Sep 13.

First Department of Anaesthesiology, Aretaieion Hospital, University of Athens, Medical School, Athens 11528, Greece.

Leiomyomas are common benign tumours that can arise in any anatomical structure containing smooth muscle. Their localization in the uterine round ligament is rare, although leiomyomas are the most frequent tumour of this structure. Leiomyomas present as inguinal, labial or intra-abdominal masses, and are often misdiagnosed as hernias or enlarged lymph nodes. Read More

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November 2021

A novel surgical solution to impossible fascial closure due to contaminated abdominal cavities: A case report.

Int J Surg Case Rep 2021 Oct 6;87:106487. Epub 2021 Oct 6.

Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Introduction: Chronic, large, and old incisional hernias often lead to surgical complications and major hindrances during emergent laparotomies. The most challenging stages of the laparotomy in such cases occur during opening and fascial closure.

Case Presentation: This article explains the novel surgical technique employed for the complex abdominal closure upon concluding an emergent laparotomy on a 68-year-old female patient. Read More

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October 2021

Ascariasis in a 75-year-old man with small bowel volvulus: a case report.

BMC Infect Dis 2021 Oct 9;21(1):1045. Epub 2021 Oct 9.

Department of Veterinary Medicine and Animal Production, University of Naples Federico II, CREMOPAR, WHO Collaborating Centre for Diagnosis of Intestinal Helminths and Protozoa (ITA-116), Naples, Italy.

Background: Ascaris lumbricoides and Ascaris suum are the most common soil-transmitted helminths of humans and pigs, respectively. The zoonotic potential of A. suum has been a matter of debate for decades. Read More

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October 2021

One shot to control Pain: Decreasing postoperative opioid use in gynecologic oncology patients with intrathecal opioid injection.

Gynecol Oncol Rep 2021 Nov 6;38:100858. Epub 2021 Sep 6.

Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA, 92354.

Objectives: To determine whether regional anesthesia with single-shot intrathecal opioid injections (ITO) reduce postoperative pain and intravenous (IV) opioid use after exploratory laparotomy in major gynecologic surgeries.

Methods: A retrospective chart review of 315 consecutive cases of patients who underwent an exploratory laparotomy on the gynecologic oncology service from July 2015 to January 2018 was conducted. Single-shot ITO was offered to all patients undergoing open abdominal surgery. Read More

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November 2021

Ascaris lumbricoides and the surgical complications: our experience from Medical College Hospital.

Ir J Med Sci 2021 Oct 7. Epub 2021 Oct 7.

Department of General and Minimal Access Surgery, SKIMS Medical College, Srinagar, India.

Background: Intestinal ascariasis is considered as state subject in our valley of Kashmir. The aim of our study was to analyse the age, clinical presentation, diagnosis, surgical complications, and management of Ascaris lumbricoides in children and adults.

Methods: Total of 312 patients above 2 years of age with definite clinical and radiological diagnosis of intestinal ascariasis and associated complications were included in our study. Read More

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October 2021

Transglutaminase 2 moderates the expansion of mouse abdominal aortic aneurysms.

JVS Vasc Sci 2021 18;2:95-109. Epub 2021 May 18.

Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.

Objective: Previously published work has indicated that transcripts encoding transglutaminase 2 (TG2) increase markedly in a rat model of abdominal aortic aneurysm. This study determines whether TG2 and the related TG, factor XIII-A (FXIII-A), protect against aortic aneurysm development in mice.

Methods: C57BL/6J wild-type, knockout, knockout, and / double knockout mice were subjected to laparotomy and periaortic application of CaCl. Read More

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Minimally Invasive Elective Surgery as a Treatment of Bowel Invagination in a Peutz-Jeghers Syndrome Case.

Case Rep Gastroenterol 2021 May-Aug;15(2):495-500. Epub 2021 Jun 10.

General Surgery and Abdominal Organs Transplantation Department, 12th October University Hospital, Complutense University of Madrid, Madrid, Spain.

We present a case of a 24-year-old woman with Peutz-Jeghers syndrome, recurrent colic abdominal pain, and lower gastrointestinal bleed for the last 5 years. Colonoscopy showed hamartomas without any dysplasia. In the enteral magnetic resonance imaging, a distal jejunum and ileum invagination, secondary to hamartomas was detected. Read More

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Term Abdominal Pregnancy with Live Baby: Case Report from Hiwot Fana Specialized University Hospital, Eastern Ethiopia.

Int Med Case Rep J 2021 29;14:689-695. Epub 2021 Sep 29.

Department of Gynecology and Obstetrics, Haramaya University, Harar, Ethiopia.

Purpose: To present a rare case of term abdominal pregnancy with live baby.

Observation: A 30-year-old gravida VI para V, all alive, woman who did not remember her last menstrual period but was stated amenorrheic for 9 months visited Hiwot Fana Specialized University Hospital (HFSUH) with abdominal pain of two weeks duration. The woman was diagnosed with a term abdominal pregnancy and underwent a laparotomy. Read More

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September 2021

Status quo of the use of DCS concepts and outcome with focus on blunt abdominal trauma : A registry-based analysis from the TraumaRegister DGU®.

Langenbecks Arch Surg 2021 Oct 5. Epub 2021 Oct 5.

Department of Orthopaedics, Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery, and Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany.

Introduction: Damage control surgery (DCS) is a standardized treatment concept in severe abdominal injury. Despite its evident advantages, DCS bears the risk of substantial morbidity and mortality, due to open abdomen therapy (OAT). Thus, identifying the suitable patients for that approach is of utmost importance. Read More

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October 2021

Primary Ovarian Choriocarcinoma: Rare Entity.

Case Rep Obstet Gynecol 2021 24;2021:4545375. Epub 2021 Sep 24.

Hawassa University, College of Medicine and Health Science, Hawassa, Ethiopia.

Background: Primary pure ovarian choriocarcinoma is a rare aggressive tumor which can be nongestational arising from germ cells or gestational origin. Preoperative diagnosis of extrauterine choriocarcinoma is challenging due to nonspecific clinical presentation. . Read More

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September 2021

Eosinophilic Gastroenteritis Causing Small Bowel Diverticulosis and Volvulus: A Case Report.

Am J Case Rep 2021 Oct 5;22:e933180. Epub 2021 Oct 5.

Department of General Surgery, Saint Louis University, St Louis, MO, USA.

BACKGROUND Eosinophilic gastroenteritis is a broad classification of disease characterized by eosinophilic infiltration of the gastrointestinal tract in the absence of a stimulatory cause. Given the ability of eosinophilic gastroenteritis to affect the entire gastrointestinal tract, it can present in a variety of ways, from chronic intermittent pain to mechanical obstruction. We present a rare case in which eosinophilic gastroenteritis of the jejunum led to small bowel diverticulosis and volvulus, requiring surgery. Read More

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October 2021

Diagnosing penetrating diaphragmatic injuries: CT scan is valuable but not reliable.

Injury 2021 Sep 17. Epub 2021 Sep 17.

Division of Trauma, Emergency Surgery and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, 2051 Marengo Street, IPT, C5L100, Los Angeles, CA, 90033, USA. Electronic address:

Background: The diagnosis of penetrating isolated diaphragmatic injuries can be challenging because they are usually asymptomatic. Diagnosis by chest X-ray (CXR) is unreliable, while CT scan is reported to be more valuable. This study evaluated the diagnostic ability of CXR and CT in patients with proven DI. Read More

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September 2021

Gastrointestinal Intramural Pancreatic Pseudocysts in a Dog: A Case Report and Human Literature Review.

J Am Anim Hosp Assoc 2021 Oct 4. Epub 2021 Oct 4.

A 9.5 yr old Yorkshire terrier presented with chronic intermittent vomiting and lethargy of 1.5 yr duration that progressed to generalized weakness. Read More

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October 2021

Intra-Abdominal Desmoplastic Small Round Cell Tumor: Current Treatment Options and Perspectives.

Front Oncol 2021 15;11:705760. Epub 2021 Sep 15.

Department of Abdominal Cancer, Cancer Center, West China Hospital of Sichuan University, Chengdu, China.

Intra-abdominal desmoplastic small round cell tumor (IDSRCT) is a rare and highly malignant soft tissue neoplasm, which is characterized by rapid progression and poor prognosis. The mechanism underlying the development of this neoplasm remains elusive, but all cases are characterized by the chromosomal translocation t (11;22) (p13; q12), which results in a formation of EWSR1-WT1 gene fusion. The diagnosis of IDSRCT is often made with core-needle tissue biopsy specimens or laparoscopy or laparotomy. Read More

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September 2021

A Case Report on Life-Threatening Lower Gastrointestinal Bleeding: A Rare Presentation of Mucinous Adenocarcinoma of the Appendix.

Case Rep Surg 2021 21;2021:2349737. Epub 2021 Sep 21.

Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.

Introduction: A life-threatening lower gastrointestinal bleeding from mucinous adenocarcinoma of the appendix is a rare occurrence. Diagnosing and management of such a condition are challenging. . Read More

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September 2021

USG Guided Quadaratus Lumburoum Block and Low Dose Spinal Anesthesia in Abdominal Surgeries.

J Nepal Health Res Counc 2021 Sep 6;19(2):402-407. Epub 2021 Sep 6.

Department of Anaesthesiology, Critical Care and Pain Medicine, Civil Service Hospital, Kathmandu, Nepal.

Background: The postoperative analgesic efficacy of trans-muscular quadratus lumborum block in abdominal surgeries is well established; however, its intraoperative safety and efficacy as an anesthetic is still being explored. This retrospective case review was conducted to investigate the efficacy and safety of combined quadaratus lumburoum block and low-dose subarachnoid block for anesthesia in complex abdominal operations.

Methods: Perioperative data of 29 patients, who underwent abdominal operations during the period of June/2019 to October/2019 under the combined technique, was analyzed. Read More

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September 2021

A rare anatomical variation complicating a diffuse abdominal pain presentation: A case report of colonic perforation in situs inversus totalis.

Int J Surg Case Rep 2021 Sep 27;87:106456. Epub 2021 Sep 27.

Division of Trauma, Acute Care Surgery & Critical Care, Department of Surgery, Hackensack Meridian Health, USA.

Introduction: Situs inversus totalis (SIT) is a rare anatomical variation of the thoracic and abdominal organs. It is a congenital anomaly with an incidence of 1:10,000 to 1:20,000. Patients with SIT do not have a decreased survival rate as compared to patients without SIT because SIT generally does not have a pathophysiologic significance. Read More

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September 2021

Appendiceal carcinoid in a pediatric patient with Peutz-Jeghers syndrome: A case report and comprehensive literature review.

Medicine (Baltimore) 2021 Oct;100(39):e27389

College of Medicine, QU Health, Qatar University, Doha, Qatar.

Rationale: Peutz-Jeghers syndrome (PJS), a rare autosomal dominant disorder, is characterized by mucocutaneous pigmentations, hamartomatous polyps in the gastrointestinal tract, and a high risk of developing various malignancies. To the best of our knowledge, only 1 case of appendiceal carcinoid associated with PJS has been previously reported in the pediatric population.

Patient Concerns: We report a 7-year-old girl who was admitted for severe, intermittent abdominal pain and cramps, nausea, and vomiting. Read More

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October 2021