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W Wayand - One of the best experts on this subject based on the ideXlab platform.
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laparoscopic resection of an accessory spleen in a patient with chronic Lower Abdominal Pain
Surgical Endoscopy and Other Interventional Techniques, 2002Co-Authors: M Wacha, J Danis, W WayandAbstract:During a diagnostic laparoscopy in a patient with chronic Lower Abdominal Pain we found a pediculated accessory spleen (AS) near the left adnex. The pedicle was dissected by ultrascision, it was cut by an Endo GIA, and the AS was extracted. AS occurs in 25-40% of the population. They are always situated on the left side: hilum of the spleen, splenic artery, pancreas, splenocolic ligament, greater omentum, mesenterium, adnexal region, and scrotum. In most cases they are asymptomatic. In hematological disorders they can take over the function of the original spleen after splenectomy. Sometimes, AS can mimic tumors in other organs, such as pancreas, kidney, or liver. Likewise, there are descriptions of AS in the scrotum, the spermatic cord, the adnexes, the uterus, the stomach, the small intestine, or the heart. In rare cases they can cause Pain because of cysts, abscesses, hemorrhage, or spontaneous rupture. In acute pedicle torsion an infarction can be caused presenting as acute abdomen, which is most often seen in young patients. In our case the Pain was caused by pedicle torsions or mechanical irritation of the adnex. The cause of the changing localization of the Pain was the long pedicle. In describing this case, we point out the advantage of diagnostic laparoscopy in patients with chronic Lower Abdominal Pain.
U Gaspard - One of the best experts on this subject based on the ideXlab platform.
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treatment of symptomatic pelvic varices by ovarian vein embolization
CardioVascular and Interventional Radiology, 1997Co-Authors: Patrizio Capasso, Christine Simons, Genevieve Trotteur, Robert F Dondelinger, Denis Henroteaux, U GaspardAbstract:Purpose Pelvic congestion syndrome is a common cause of chronic pelvic Pain in women and its association with venous congestion has been described in the literature. We evaluated the potential benefits of lumboovarian vein embolization in the treatment of Lower Abdominal Pain in patients presenting with pelvic varicosities.
Christian Phillips - One of the best experts on this subject based on the ideXlab platform.
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conservative management of spontaneous rupture of the urinary bladder
International Urogynecology Journal, 2011Co-Authors: Ismaiel Abu Mahfouz, Tim Sayer, Christian PhillipsAbstract:We report a very rare case of intra-peritoneal spontaneous rupture of the urinary bladder which was successfully managed conservatively in a 77-year-old woman, who presented with Lower Abdominal Pain, acute urinary retention and pelvic organ prolapse (POP). Computed tomography raised the suspicion of bladder rupture which was later confirmed by cystoscopy and cystogram. Following 8 weeks of urinary catheterisation, the bladder healed spontaneously. A subsequent sub-total Abdominal hysterectomy and sacrocervicopexy were performed to treat the POP. The management of bladder rupture is discussed.
David W Scheifele - One of the best experts on this subject based on the ideXlab platform.
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pelvic inflammatory disease associated with enterobius vermicularis
Archives of Disease in Childhood, 2002Co-Authors: T Tandan, Andrew J Pollard, D M Money, David W ScheifeleAbstract:A case of pelvic inflammatory disease in a sexually non-active 13 year old girl is described, with evidence of pinworms as the cause. Albendazole treatment cleared the infestation but the patient suffered subsequent bouts of Lower Abdominal Pain. The literature is reviewed regarding Abdominal pathology associated with ectopic migration of pinworms.
M Wacha - One of the best experts on this subject based on the ideXlab platform.
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laparoscopic resection of an accessory spleen in a patient with chronic Lower Abdominal Pain
Surgical Endoscopy and Other Interventional Techniques, 2002Co-Authors: M Wacha, J Danis, W WayandAbstract:During a diagnostic laparoscopy in a patient with chronic Lower Abdominal Pain we found a pediculated accessory spleen (AS) near the left adnex. The pedicle was dissected by ultrascision, it was cut by an Endo GIA, and the AS was extracted. AS occurs in 25-40% of the population. They are always situated on the left side: hilum of the spleen, splenic artery, pancreas, splenocolic ligament, greater omentum, mesenterium, adnexal region, and scrotum. In most cases they are asymptomatic. In hematological disorders they can take over the function of the original spleen after splenectomy. Sometimes, AS can mimic tumors in other organs, such as pancreas, kidney, or liver. Likewise, there are descriptions of AS in the scrotum, the spermatic cord, the adnexes, the uterus, the stomach, the small intestine, or the heart. In rare cases they can cause Pain because of cysts, abscesses, hemorrhage, or spontaneous rupture. In acute pedicle torsion an infarction can be caused presenting as acute abdomen, which is most often seen in young patients. In our case the Pain was caused by pedicle torsions or mechanical irritation of the adnex. The cause of the changing localization of the Pain was the long pedicle. In describing this case, we point out the advantage of diagnostic laparoscopy in patients with chronic Lower Abdominal Pain.