1,917 results match your criteria left-sided abdominal


Inferior mesenteric plexus block under computed tomography guidance: A case report.

Medicine (Baltimore) 2021 May;100(19):e25866

Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, South Korea.

Rationale: Inferior mesenteric plexus block is indicated for left-sided lower abdominal pain. However, in patients with terminal cancer, severe abdominal pain can prevent the patient from maintaining the necessary posture during the procedure, and considerable anatomic deformation owing to extensive growth, invasion, and metastasis of the tumor in the abdominal cavity can make the procedure difficult. In these cases, performing the procedures under computed tomography (CT) guidance can ensure greater safety and accuracy. Read More

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Permanent IVC filter strut penetration into an abdominal aortic aneurysm.

BMJ Case Rep 2021 Jun 7;14(6). Epub 2021 Jun 7.

Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada.

An 85-year-old man with a known history of abdominal aortic aneurysm (AAA) presented to a vascular surgery clinic with a severely swollen, tender and erythematous left leg. An urgent CT angiogram demonstrated a left-sided, proximal deep vein thrombosis, and a permanent, Bird's Nest inferior vena cava (IVC) filter (Cook, Inc., Bloomington, Ind. Read More

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Left sided appendicitis - a surgical dilemma: Case report.

J Pak Med Assoc 2021 May;71(5):1483-1485

Department of East Surgical Ward, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.

Left-sided abdominal pain is an uncommon presentation of acute appendicitis. When a patient presents with this complaint, appendicitis can be difficult to diagnose, thus resulting in delayed definitive therapy and increased morbidity and mortality. In this report we discuss the case of a middle-aged man, who presented with left-sided abdominal pain, and was diagnosed to be suffering from acute appendicitis along with asymptomatic midgut malrotation. Read More

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Recurrent Hypoglycemia Due to a Massive Abdominal Tumor in a Nonagenarian: A Case Report and Review of the Literature.

Am J Case Rep 2021 Jun 5;22:e930727. Epub 2021 Jun 5.

Department of General Surgery, Naples Community Hospital, Naples, FL, USA.

BACKGROUND Whipple's triad is a rare condition that prompts urgent investigation. A rare cause of such a clinical presentation is excess production of insulin-like growth factor 2 (IGF-2) from a solitary fibrous tumor. CASE REPORT A 94-year-old man presented to the hospital following episodes of confusion, gait disturbance, and multiple falls secondary to hypoglycemia. Read More

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Typical histological pattern of seminoma and its immunoreactivity: A diagnostic challenge.

Clin Case Rep 2021 May 24;9(5):e04091. Epub 2021 May 24.

Department of Pathology Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka Bangladesh.

A 20-year-old man presented in the Department of Urology, with the complaint of left-sided lower abdominal lump for past 9 months. The patient denied of having any constitutional symptoms including weight loss. Read More

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HUMAN LATERALITY DISORDERS: PATHOGENESIS, CLINICAL MANIFESTATIONS, DIAGNOSIS, AND MANAGEMENT.

Am J Med Sci 2021 May 27. Epub 2021 May 27.

Boonshoft School of Medicine, Wright State University, 3640 Colonel Glen Highway, Dayton, OH, USA 45435-0001; Dayton VA Medical Center, 4100 West 3rd Street, Dayton, OH, USA 45417; Kettering Medical Center, 3535 Southern Boulevard, Kettering, OH, USA 45429. Electronic address:

Human laterality disorders comprise a group of diseases characterized by abnormal location (situs) and orientation of thoraco-abdominal organs and vessels across the left-right axis. Situs inversus totalis is mirror image reversal of thoraco-abdominal organs/great vessels. Situs ambiguus, better known as heterotaxy, is abnormal arrangement of thoraco-abdominal organs across the left-right axis excluding situs inversus totalis. Read More

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Small Cell Carcinoma of the Ovary, Hypercalcemic Type, in a 12-Month-Old Girl.

Pediatr Dev Pathol 2021 May 28:10935266211021213. Epub 2021 May 28.

Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Small cell carcinoma of the ovary, hypercalcemic type (SCCOHT) is a highly aggressive malignant tumor affecting predominantly young adults and adolescents with an average age of 23.9 at time of diagnosis. Up to two thirds of patients have paraneoplastic hypercalcemia. Read More

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Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease.

J Surg Case Rep 2021 May 17;2021(5):rjab187. Epub 2021 May 17.

Department of Obstetrics and Gynaecology, Joondalup Health Campus, Joondalup, WA, Australia.

Acute pelvic pain is a common complaint in reproductive age women and has a large differential diagnosis. Decision for conservative vs. surgical management is often dependent on clinical, biochemical and imaging findings. Read More

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Predictors of failed enema reduction in children with intussusception: a systematic review and meta-analysis.

Eur Radiol 2021 May 11. Epub 2021 May 11.

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Objective: To identify predictors of failed enema reduction in children with intussusception.

Methods: PubMed and EMBASE were searched for all studies published over a 20-year time frame, prior to March 25, 2020. Original articles that reported predictors of failed enema reduction were included. Read More

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Primary angiosarcoma of the spleen, a rare indication for splenectomy: a case report.

Int J Surg Case Rep 2021 May 29;82:105929. Epub 2021 Apr 29.

Department of Surgery, University of Minnesota Medical School, Minneapolis, MN 55414, United States of America.

Introduction And Importance: Primary angiosarcoma of the spleen is a rare condition with a nonspecific clinical presentation and is associated with a poor prognosis. We describe two patients with primary splenic angiosarcoma successfully treated with splenectomy and adjuvant chemotherapy.

Case Presentations: Case 1: A 50-year-old female presented with fatigue and left-sided rib, shoulder, and abdominal pain. Read More

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Left diaphragmatic rupture in vehicle trauma: Report of surgical treatment and complications of two consecutive cases.

Acta Biomed 2021 04 30;92(S1):e2021121. Epub 2021 Apr 30.

AUSL Piacenza, Department of Surgery.

Background And Aims: Diaphragmatic ruptures are associated with blunt abdominal or thoracic trauma and often occur in car and motorbike accident with a high energy impact.

Case Presentation: We report two cases of patients victims of car and motorbike accidents that were referred to the Emergency Department of our Hospital in August and September 2017 for a politrauma. The patients were both diagnosed with a left diaphragmatic rupture with herniation of the stomach in the chest, and decomposed fractures of the ribs. Read More

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Cryptorchidectomy with a paramedian or inguinal approach in domestic pigs: 47 cases (2000-2018).

J Am Vet Med Assoc 2021 May;258(10):1130-1134

Objective: To describe cryptorchidectomy performed with a paramedian or inguinal approach in domestic pigs and compare findings for commercial-breed pigs with those for pot-bellied pigs.

Animals: 47 client-owned (33 commercial-breed and 14 pot-bellied) pigs.

Procedures: Medical records were searched to identify pigs that underwent surgical treatment for cryptorchidism from 2000 to 2018. Read More

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Abdominal actinomycosis mimicking a transverse colon malignancy: a case report and review of the literature.

J Med Case Rep 2021 May 3;15(1):224. Epub 2021 May 3.

Department of Surgery, National Hospital of Sri Lanka, Colombo 10, Sri Lanka.

Background: Actinomycosis is a rare inflammatory bacterial disease caused by Actinomyces species which can infrequently affect the large intestine. Disseminated actinomycosis is reported as a rare complication associated with intrauterine devices. We report a case of intra-abdominal actinomycosis mimicking a transverse colon malignancy. Read More

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Changing Paradigms in the Management of Acute Uncomplicated Diverticulitis.

Scand J Surg 2021 May 3:14574969211011032. Epub 2021 May 3.

Department of Abdominal Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.

Left-sided colonic diverticulitis is a common condition with significant morbidity and health care costs in Western countries. Acute uncomplicated diverticulitis which is characterized by the absence of organ dysfunction, abscesses, fistula, or perforations accounts for around 80% of the cases. In the last decades, several traditional paradigms in the management of acute uncomplicated diverticulitis have been replaced by evidence-based routines. Read More

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Comparison of thoracic and abdominal deep inspiration breath holds in whole-breast irradiation for patients with left-sided breast cancer.

Breast Cancer 2021 Apr 28. Epub 2021 Apr 28.

Department of Radiation Oncology, Kyoto City Hospital, 1-2 Mibu Higashi Takadacho, Nakagyo-ku, Kyoto, 604-8845, Japan.

Background: The deep inspiration breath hold (DIBH) technique is effective for heart dose reduction in patients with left-sided breast cancer. In deep breathing, some women breathe in thoracic respiration; and others, in abdominal respiration. This study evaluated differences in dose reduction in organs at risk (OAR) and reproducibilities of the target and OAR between thoracic DIBH (T-DIBH) and abdominal DIBH (A-DIBH). Read More

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Anatomical framework for pre-operative planning of laparoscopic left-sided colorectal surgery: Potential relevance of the distance between the inferior mesenteric artery and inferior mesenteric vein.

Ann Anat 2021 Sep 24;237:151743. Epub 2021 Apr 24.

Department of Dermatology, University Hospital of Lübeck, Ratzeburger Allee 160, D-23562 Lübeck, Germany; Dermatological Sciences, University of Manchester, Oxford Road, Manchester, UK.

Background: The medial-to-lateral approach is favored by most colorectal surgeons for laparoscopic retroperitoneal dissection and mobilisation of the left colon. The peritoneal access window, i.e. Read More

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September 2021

Gastrointestinal Stromal Tumor as a Rare Cause of Abdominal Mass: A Case Report and Literature Review.

Cureus 2021 Mar 23;13(3):e14070. Epub 2021 Mar 23.

Internal Medicine, BronxCare Health System, New York, USA.

Gastrointestinal stromal tumors (GISTs) are soft tissue sarcomas that can arise from any part of the digestive system. GISTs represent 1% of gastric neoplasms. We report a rare case of a GIST tumor in a 59-year-old woman who presented with abdominal pain and weight loss. Read More

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Primary Epiploic Appendagitis: A Case Report.

Cureus 2021 Mar 23;13(3):e14060. Epub 2021 Mar 23.

Health Management, Private Hurrem Sultan Hospital, Istanbul, TUR.

Primary epiploic appendagitis (PEA) is a rather uncommon and self-limiting cause of acute abdomen managed conservatively. Overlapping clinical features with other common causes of acute abdomen usually requiring surgical intervention, and rare occurrences have led to misdiagnosis of the condition and unnecessary surgical intervention. However, with identification of definite characteristic features on imaging (computed tomography [CT] scan) has led to easier diagnosis and avoidance of exploratory laparotomy. Read More

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A Rare Inflammatory Myofibroblastic Tumor of the Mitral Valve With Systemic Embolism in a Child.

World J Pediatr Congenit Heart Surg 2021 Apr 26:2150135120956629. Epub 2021 Apr 26.

Division of Pediatric Critical Care, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USA.

Inflammatory myofibroblastic tumors (IMTs) represent mesenchymal tumors that occur in the lungs, abdomen, or pelvis. Cardiac IMTs are rare, usually right-sided, and when left-sided can cause sudden cardiac death by coronary occlusion. We report a child with symptoms of embolization to the right kidney and the femoral artery, and a mobile mass in the left atrium attached to the mitral valve. Read More

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A case of subcapsular renal hematoma status post celiac artery thrombectomy.

Authors:
Peter Iskander

Int J Surg Case Rep 2021 Apr 19;81:105798. Epub 2021 Mar 19.

Introduction: 30 year old male with no significant past medical history presenting to the hospital with significant left-sided abdominal pain.

Case Presentation: Patient was found to have a thrombus within the celiac artery for which he underwent a catheter assisted thrombolysis procedure. Hypercoagulable work-up revealed evidence of a JAK 2 V617F mutation which is indicative of Polycythemia Vera. Read More

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Bilateral delayed traumatic diaphragmatic injury.

J Surg Case Rep 2021 Apr 14;2021(4):rjab052. Epub 2021 Apr 14.

Department of Visceral Surgery, Kantonsspital Aarau, Aarau, Switzerland.

A 47-year-old patient presented at our emergency department with acute epigastric pain. A thoracic X-ray showed a partially intrathoracic stomach as well as bowel left sided. A following computed tomography scan diagnosed a diaphragmatic hernia. Read More

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Diaphragm hernia after debulking surgery in patients with ovarian cancer.

Gynecol Oncol Rep 2021 May 31;36:100759. Epub 2021 Mar 31.

Gynecology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Over 80% of patients with epithelial ovarian cancer present with advanced disease, FIGO stage III or IV at the time of diagnosis. The majority require extensive upper abdominal surgery to obtain complete gross resection. This may include splenectomy, distal pancreatectomy, partial hepatectomy, cholecystectomy, and usually diaphragmatic peritonectomy or resection. Read More

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A case of Spigelian hernia after laparoscopic incisional hernia repair.

Asian J Endosc Surg 2021 Apr 13. Epub 2021 Apr 13.

Department of Surgery, Hyogo Prefectural Kakogawa Medical Center, Kakogawa, Japan.

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh reinforcement is often performed in clinical practice. We herein describe a patient who developed a Spigelian hernia at the edge of the mesh due to rupture of the muscular layer in the abdominal wall. A 69-year-old woman developed a left-sided abdominal bulge 15 months after laparoscopic ventral hernia repair. Read More

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The outcome of laparoscopic assisted orchidopexy in very young children: A single hospital experience.

J Pediatr Urol 2021 Mar 17. Epub 2021 Mar 17.

Rotating Doctor, Department of Pediatric Surgery, Salmaniya Medical Complex, P.O. Box 12, Manama, Bahrain. Electronic address:

Introduction: Early orchidopexy has been linked to improved long term outcomes of fertility and reduced malignancy rates. However, the optimal age of intervention has been subject to change over the years.

Objective: This study aims to study males aged 6 months or less who undergo laparoscopic assisted orchidopexy for intraabdominal testes to establish the safety, efficacy, and benefit in the defined age group. Read More

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Evacuation Technique of Left-Sided Inferior Vena Cava for a Successful Open Repair of a Large Juxtarenal Aortic Aneurysm.

Vasc Specialist Int 2021 Mar;37(1):41-45

Department of Radiology, School of Medicine of University of Patras, Patras, Greece.

We report a case of successful open repair of a 7.5-cm juxtarenal abdominal aortic aneurysm (AAA) in the presence of a left-sided inferior vena cava (LS-IVC) crossing the aorta at the level of the renal arteries in a 72-year-old man. The orifice of the right renal artery was slightly caudal to that of the left renal artery and concomitant occlusive diseases of both iliac arteries were present. Read More

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Splenic infarction as a complication of covid-19 in a patient without respiratory symptoms: A case report and literature review.

IDCases 2021 20;24:e01062. Epub 2021 Mar 20.

Department of General Surgery, Hospital do Trabalhador, Av. Rep. Argentina, 4406 - Novo Mundo, Curitiba, Paraná, 81050-000, Brazil.

Introduction: Multiple studies suggest that SARS-CoV-2 infection is associated with a pro-thrombotic state and thrombotic events have been recorded in several organs and systems. We report a patient with no respiratory symptoms, presented with abdominal pain and an extensive splenic infarction after COVID-19.

Case Report: A 67 year-old man was admitted to the emergency department with a moderate, dull, left-sided abdominal pain. Read More

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Left-sided appendicitis due to situs inversus totalis.

Clin Case Rep 2021 Mar 4;9(3):1791-1792. Epub 2021 Feb 4.

Department of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.

Situs inversus may mimic the pain localization of acute abdomen. In patients with acute abdomen, especially elderly patients who are medically healthy, physicians should cautiously diagnose the etiology of acute abdomen in combination with imaging studies. Read More

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Acute Diaphragmatic Injuries Associated with Traumatic Rib Fractures: Experiences of a Major Trauma Centre and the Importance of Intra-Pleural Assessment.

J Chest Surg 2021 Feb;54(1):59-64

Department of Cardiothoracic Surgery, St. George's Hospital, London, UK.

Background: Diaphragmatic injuries following blunt or penetrating thoraco-abdominal trauma are rare, but can be life-threatening. Rib fractures are the most common associated injury in patients with a traumatic diaphragmatic injury (TDI). We hypothesized that the pattern of rib fracture injuries could dictate the likelihood of acute TDIs. Read More

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February 2021

Management of colonic diverticulitis.

Authors:
Anne F Peery

BMJ 2021 03 24;372:n72. Epub 2021 Mar 24.

University of North Carolina School of Medicine, Chapel Hill, NC 27599-7555, USA

Left sided colonic diverticulitis is a common and costly gastrointestinal disease in Western countries, characterized by acute onset of often severe abdominal pain. Imaging is necessary to make an initial diagnosis and determine disease severity. Colonoscopy should be done six to eight weeks after diagnosis to rule out a missed colon malignancy. Read More

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Jejunal perforation secondary to migrated biliary stent.

J Surg Case Rep 2021 Mar 15;2021(3):rjab057. Epub 2021 Mar 15.

General Surgery, Queensland Health, Logan Hospital, Meadowbrook, Queensland 4131, Australia.

An 80-year-old female presented with acute left-sided abdominal pain. Cross-sectional imaging demonstrated a contained perforation around a migrated biliary stent within a large incisional hernia. Significant surgical background included an open cholecystectomy complicated by bile leak and insertion of a biliary stent 2. Read More

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