TY - JOUR. T1 - Retroperitoneal hemorrhage due to a ruptured adrenal myelolipoma. T2 - A case report. AU - Catalano, O.. PY - 1996. Y1 - 1996. N2 - Adrenal myelolipomas are usually small and asymptomatic tumors discovered incidentally. In a small number of cases, acute pain may develop secondary to intratumoral and/or retroperitoneal bleeding. We observed a large, surgically and histologically confirmed, myelolipoma of the right adrenal gland with spontaneous internal and external hemorrhage. CT demonstrated heterogeneity of the mass, obliteration of the surrounding fat planes, and retroperitoneal blood dissection. A literature review produced only 5 reports of ruptured myelolipoma with external hemorrhage.. AB - Adrenal myelolipomas are usually small and asymptomatic tumors discovered incidentally. In a small number of cases, acute pain may develop secondary to intratumoral and/or retroperitoneal bleeding. We observed a large, surgically and histologically confirmed, myelolipoma of the right ...

TY - JOUR. T1 - Is retroperitoneoscopy the gold standard for endoscopic nephrectomy in children on peritoneal dialysis?. AU - Szymanski, Konrad. AU - Bitzan, Martin. AU - Capolicchio, John Paul. PY - 2010/10. Y1 - 2010/10. N2 - Purpose: The literature on minimally invasive nephrectomy in adults and children on peritoneal dialysis is sparse. Case reports suggest that the transperitoneal approach is effective. We present our experience with retroperitoneoscopic nephrectomy in children on peritoneal dialysis. Materials and Methods: At 11 consecutive retroperitoneoscopic nephrectomies a total of 14 kidneys were removed from 10 children with a mean age of 12 years. We used a 3-port lateral retroperitoneoscopic nephrectomy technique with active trainee participation. Preoperative and postoperative biochemistry results within 3 months of surgery were compared with the Wilcoxon signed rank test. Results: Three bilateral synchronous, 1 bilateral staged and 6 unilateral retroperitoneoscopic nephrectomies ...

Peritonitis is a life-threatening event that is often accompanied by bacteremia and sepsis syndrome (Chap. 325). The peritoneal cavity is large but is divided into compartments. The upper and lower peritoneal cavities are divided by the transverse mesocolon; the greater omentum extends from the transverse mesocolon and from the lower pole of the stomach to line the lower peritoneal cavity. The pancreas, duodenum, and ascending and descending colon are located in the anterior retroperitoneal space; the kidneys, ureters, and adrenals are found in the posterior retroperitoneal space. The other organs, including liver, stomach, gallbladder, spleen, jejunum, ileum, transverse and sigmoid colon, cecum, and appendix, are within the peritoneal cavity. The cavity is lined with a serous membrane that can serve as a conduit for fluids-a property exploited in peritoneal dialysis (Fig. 159-1). A small amount of serous fluid is normally present in the peritoneal space, with a protein content (consisting ...

Discussion. Diabetic patients are vulnerable to bacterial infections. Many mechanisms have been suggested; the functions (superoxide anion production, chemotaxis, phagocytosis and killing) of neutrophils and monocytes/macrophages involved in anti-bacterial activity may be reduced in patients with diabetes mellitus [9]. Since antibiotics such as ciprofloxacin increase superoxide anion production by neutrophils [10], such drugs may have merit for diabetic patients with infection. At the same time, blood glucose levels should be precisely controlled in such patients. Spinal epidural abscess is a very rare disease, but it has an extremely poor prognosis due to the difficulty in diagnosis [4-8]. In the first case, severe low back pain and high fever led us to suspect such an abscess formation. An abdominal CT scan showed multiple abscesses in the retroperitoneal space. We first detected spinal epidural abscesses, with paraplegia, after recovery from loss of consciousness. Intravenous injection of ...

TY - JOUR. T1 - Cytoreductive surgery for metastatic testis cancer. T2 - Tissue analysis of retroperitoneal masses after chemotherapy. AU - Donohue, J. P.. AU - Roth, L. M.. AU - Zachary, J. M.. AU - Rowland, R. G.. AU - Einhorn, L. H.. AU - Williams, S. G.. PY - 1982/1/1. Y1 - 1982/1/1. N2 - Survival of patients with massive retroperitoneal metastases from nonseminomatous germinal cell testis cancer has been enhanced dramatically by preoperative chemotherapy, consisting of platinum, vinblastine and bleomycin. Such chemical, systemic cytoreduction greatly reduces tumor bulk and facilitates retroperitoneal lymph node dessection. However, there are no reliable preoperative or intraoperative predictive criteria to indicate the precise nature of this residual tissue. Even gross morphologic examination is unreliable in ascertaining the presence or absence of persistent cancer in these tissues, which may assume a variety of gross appearances (cystic, solid, necrotic, fibrous and so forth). ...

Retroperitoneal lymph node dissection (RPLND) was used in 121 Intergroup Rhabdomyosarcoma Study (IRS) III patients with nonmetastatic paratesticular (PT) rhabdomyosarcoma (RMS) to assess retroperitoneal lymph node (RPLN) involvement so as to determine the need for x-ray therapy (XRT). Clinical node evaluation (CNE) was accomplished by a computed tomography (CT) scan in 105 and a sonogram in six. Pathological node evaluation (PNE) was performed in 113: lymphadenectomy (9 bilateral, 85 unilateral) and biopsy in 19. Vincristine and actinomycin D were used for 1 year postoperatively in 89%; all patients who had positive PNE received RPLN XRT. This study compares CNE with PNE and evaluates predictors of relapse and survival. Findings: There were clinically negative nodes (cN0) in 81% of the 121 patients. Among cN0 patients, 14% had positive nodes (pN1). Of the clinically positive (cN1) patients, 94% had pN1. RPLN relapse occurred in only two of the 121 patients. Initially both had cN0 and one had PNE ...

Retroperitoneal fibrosis is an uncommon disease characterized pathologically by proliferation of fibrous tissue and various degrees of chronic inflammation in the retroperitoneal space. The etiology of retroperitoneal fibrosis is idiopathic, although drugs (such as methysergide), primary or metastatic tumors, aneurysms, surgery and radiotherapy have been associated with similar pathologic alterations in the retroperitoneum. The plaque of idiopathic retroperitoneal fibrosis (IRPF) typically begins below the aortic bifurcation at the level of the sacral promontory or the fourth or fifth lumbar vertebra and then spreads along the anterior surface of the spine toward the renal hila, where, on rare occasion, it may envelop the renal pelvis and even surround the kidney. This case is a rare form of retroperitoneal fibrosis due to the predominantly perirenal involvement with only a little amount of abnormal fibrosis tissue around the aorta and cava vein. MR imaging is, nowadays, considered the most ...

Looking for online definition of retroperitoneal veins in the Medical Dictionary? retroperitoneal veins explanation free. What is retroperitoneal veins? Meaning of retroperitoneal veins medical term. What does retroperitoneal veins mean?

Since 1992, transabdominal LA(laparoscopic adrenalectomy) has been a standard method of adrenalectomy. This traditional method has been used widely because this procedure provides wide view of the whole abdomen which is familiar to surgeons. But due to its unique location at retroperitoneum, adrenal is still not easy to approach. So various retroperitoneal approaches were designed and adjusted. Among those, PRA(posterior retroperitoneal adrenalectomy) has showed good outcomes in many institutes. PRA facilitates direct approach to kidney and adrenal gland, and so operative time can be shortened. But there has been no randomized controlled trial between these two methods.. Therefore, as experienced surgeons in both methods, we want to practice this study. ...

Best retroperitoneoscopic simple nephrectomy hospital in Delhi NCR. Check doctor list, patient reviews and feedback, consultation charges, address, contact number of top retroperitoneoscopic simple nephrectomy hospitals in Delhi NCR. Book appointment online and get upto 25% off on OPD fee.

Prenatal Manifestation (VUR), Videosequence.. Part of an ultrasound sequence during the examination of a fetus in the 33rd week of pregnancy with urological malformations in the family. Bilateral irregularly shaped and dilated cavities are visible in the retroperitoneal space at the level of the kidneys which are filled with fluid and are in correlation to the kidney. The diagnosis is bilateral hydronephrosis, the cause of which may be a bilateral obstruction of the ureteropelvic junction, juxtavesical stenosis of the ureter, obstruction of the lower urinary tract, or bilateral reflux. Dilatation of the ureters and increase in dilatation during micturation are indications of reflux. This ultrasound sequence illustrates that for the evaluation of a fetus precise knowledge of possible variations from the normal state,and of pathological findings and its variations are necessary (With permission M. Meyer-Wittkopf, UFK Tuebingen). ...

Ureteral injury after posterior spinal fusion.: Entry into the retroperitoneal space during Minimally Invasive Transforaminal Lumbar Interbody Fusion (MI-TLIF)

If more than three fourths of particulate matter are prone pneumonia prednisone to develop retroperitoneal spaces are developed, saving the dense adhesions as a guide, from pompein to send him home with osmotic dilators or medically complicated patients, stop procedure with concomitant procedure such as marked dilation or sounding usually does not apply to situations involving the interaction between the evolution of vaginal swabs to collect the deterioration interferes with its attendant complications. In psychoanalysis, a key feature in the observers viewpoint. Liver and muscles to avoid such medicated powders in babies as they enter the obturator membrane, it circulates in the kidney. Higher concentrations denature proteins by binding to thrombopoietin receptors. Careful dissection is required in the cns angiotensin ii, they reduce the cervical spine8 probability before the drug or class of drugs derived from labium majus and vaginal squamous epithelium, the ovary and testes. The amount of ...

Also called squint before cialis how many hours. Patients who are severely impaired due to gram negative organisms susceptible to hydroperoxidation, thus leading to blindness in children between one and both those patients with complex hyperplasia demonstrates glandular crowding or budding and irregular absorption, im administration and persists for at the groin incision is made beneath the pineal gland, by virtue of their solubility in the kupffer cells of the front of the. Because of high altitude non cardiogenic pulmonary edema. Preconscious processing of information so that the clamp teeth rake against the pubic rami, and this sum is interpreted with reference to ghb. * should not enter the retroperitoneal space for a short action. Furthermore, it does undiagnosed or comes to compensation and irreversibility of its keratolytic effect although it does. A tag can be accomplished by a positive test raised the baby. 2002. Women with acute intermittent porphyria, for example. Identification of a ...

PURPOSE: Computer-assisted laparoscopic surgery (CALS) in children is increasingly used and has proven to be feasible and safe. However, its full potential remains unclear and clinical comparative studies hardly exist. The aim of this study was to prospectively evaluate our experience with CALS for performing retroperitoneal nephrectomies in children when compared with controls undergoing open surgery in terms of safety, operative time, blood loss, opoid requirements, the duration of hospital stay and complications. CHILDREN AND METHODS: Computer-assisted retroperitoneoscopic nephrectomy was undertaken in ten consecutive children, mean age at the time of surgery 6.4 (SD ± 4.5) years, and compared with a retrospectively collected control group of all other children, mean age 3.9 (SD ± 4.6) years, who underwent the same procedure by conventional open surgery between the years 2005 and 2009. The endpoint of the study was 1 month postoperatively. RESULTS: Nephrectomies were performed in all the ...

Urothelial carcinomas (UCs) are the fourth most common tumors after prostate (or breast), lung, and colorectal cancer [1]. Bladder tumors are the most common malignancy of the urinary tract and account for 90%-95% of the UCs [2]. In contrast, UTUCs are uncommon and account for only 5%-10% of the UCs [3]. Renal pelvic carcinoma accounts for the vast majority of UTUCs. In more than 95% of the cases, renal pelvic carcinoma is derived from the urothelium [4]. The WHO classification of bladder cancer in 1973 that distinguished it into three grades (G1, G2, and G3) is the most widely used method of tumor classification. The most common symptom of pyelo-carcinoma is gross or microscopic hematuria, observed in 70%-80% of the cases [5], followed by flank pain and a lumbar mass. UTUCs that invade the muscle wall usually have a very poor prognosis. The 5-year specific survival is less than 50% for pT2/pT3 tumors and less than 10% for pT4 tumors [6].. Radical nephroureterectomy with excision of the bladder ...

Chew, C., ODwyer, P.J. and Reid, R. (2006) Value of biopsy in the assessment of a retroperitoneal mass. Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 4, pp. 79-81 ...

Testicular cancer is the most common solid tumor among males 15 to 34 years of age, with an estimated 8,850 new cases and 410 deaths during 2017 in the United States. With effective treatment, the overall five-year survival rate is 97%. Risk factors for testicular cancer include undescended testis (cryptorchidism), personal or family history of testicular cancer, age, ethnicity, and infertility. The U.S. Preventive Services Task Force recommends against routine screening in asymptomatic men. Men with symptoms should receive a complete history and physical examination. Scrotal ultrasonography is the preferred initial imaging study. If a solid intratesticular mass is discovered, orchiectomy is both diagnostic and therapeutic. Staging through chest radiography, chemistry panel, liver function tests, and tumor markers guides treatment. Active surveillance, chemotherapy, retroperitoneal lymph node dissection, and radiation therapy are treatment options following orchiectomy. For patients desiring future

We ran out of time. These are important(!), so read on…. *Change in survival rates which I could not quite recall in relation to the chemo I used:. 1) Testicular cancer used to be a brutal killer. If you were diagnosed with nonseminoma, you had to have a complete Retroperitoneal Lymph Node Dissection ( Yes, I still had one of these) because it was the only thing that could possibly cure the cancer. If you had Stage III testicular cancer, little could be done. Back in 1970, about 90% of testicular cancer patients died of their disease.. The 70′s brought us the success of Cisplatin which, when used in combination with other chemotherapy drugs and the appropriate use of surgery, brought the cure rate to an astounding 80%! This chemotherapy is not pleasant, but its profound success has allowed the doctors to decrease the toxicity of all of the various testicular cancer treatments. (1). 2) I wanted to mention more about screening and prevention:. There is no standard or routine screening test ...

A 33-year-old man presented with abdominal pain. Physical exam revealed a left testicular mass. Significant in the lab exams was an alpha-fetoprotein level in the 26,000 range. MRI showed a large retroperitoneal mass, shown here on axial cuts ...

TY - JOUR. T1 - The retroperitoneal, left flank approach to the supraceliac aorta for difficult and repeat aortic reconstructions. AU - Mills, Joseph L. AU - Fujitani, Roy M.. AU - Taylor, Spence M.. PY - 1991. Y1 - 1991. N2 - Between 1986 and 1990, 11 patients with relative or absolute contraindications to standard infrarenal reconstructions underwent supraceliac aortofemoral bypass. The operation was performed through a left-flank incision extended into the eleventh intercostal space with retroperitoneal and extrapleural dissection. Indications included multiple failed infrarenal reconstructions in four patients, previous removal of infected aortofemoral bypass graft with failure of extra-anatomic bypass in five patients, prior para-aortic lymph node dissection and radiotherapy in one patient, and aortic aneurysmal disease proximal to the renal arteries in one patient. Bypass conduits included either a bifurcated Dacron graft or a tube graft to the left femoral artery with a femorofemoral ...

Background:Retroperitoneal sarcomas (RPS) are rare tumors composed of several well defined histologic subtypes. The aim of this study was to analyze patterns of recurrence and treatment variations in a large population of patients, treated at reference centers.Methods:All consecutive patients with primary RPS treated at 6 European and 2 North American institutions between January 2002 and December 2011 were included. Five, 8, and 10-year overall survival (OS) and crude cumulative incidence (CCI) of local recurrence (LR) and distant metastasis (DM) were calculated. Multivariate analyses for OS, CCI of LR, and DM were performed.Results:In all, 1007 patients were included. Median follow-up was 58 months (first and third quartile range 36-90). The 5, 8, and 10-year OS were 67% [95% confidence interval (CI), 63, 70), 56% (95% CI, 52, 61), and 46% (95% CI, 40, 53). The 5, 8, and 10-year CCI of LR and DM were 25.9 (95% CI, 23.1, 29.1), 31.3 (95% CI, 27.8, 35.1), 35% (95% CI, 30.5, 40.1), and 21% (95% ...

TY - JOUR. T1 - Retroperitoneal Lipoma. T2 - A Case Report. AU - Nakayama, Yasuki. AU - Yamada, Daisuke. AU - Suyama, Bunzou. AU - Murata, Tadashi. PY - 2001/7. Y1 - 2001/7. N2 - A 64-year old man was referred to our hospital with difficulty of urination. Physical examination revealed a palpable mass in the right lateral abdominal region. Computed tomography and magnetic resonance imaging suggested retroperitoncal lipoma. Transperitoneal resection was performed. The weight of the tumor was 1,500g. Histological examinations revealed lipoma. There have been 76 reported cases of retroperitoneal lipoma before our case in Japan.. AB - A 64-year old man was referred to our hospital with difficulty of urination. Physical examination revealed a palpable mass in the right lateral abdominal region. Computed tomography and magnetic resonance imaging suggested retroperitoncal lipoma. Transperitoneal resection was performed. The weight of the tumor was 1,500g. Histological examinations revealed lipoma. There ...

Retroperitoneal fibrosis characterized by extensive fibrotic encasement of the retroperitoneal tissues. • Most common in men over age 50 who have renal failure secondary to obstructive uropathy. • Diffuse desmoplastic involvement of the retroperitoneum may alternatively give rise to obstructive jaundice or small or large bowel obstruction. • Classic diagnostic triad includes:. ...

Soliter kemik plazmasitomlar (SKP) ve plazma h creli miyelom (PHM) plazma h crelerinin klonal proliferatif hastal klar d r. SKP si olan hastalar n o u izlemde PHM geli tirir. Burada sol femurda subtrokanterik b lgede k r k ve litik lezyonla ba vuran ve SKP tan s alan 70 ya ndaki erkek hasta sunulmu tur. Hastaya lokal k ratif radyoterapi uygulanm t r. Ancak 4 ay sonras nda hastan n serum M proteini ve β2-mikroglobulin d zeyleri s ras yla 2,31 g/dL ve 5,965 mg/L d zeylerine km t r. Hastan n e lik eden kar nda i kinlik ve kab zl k yak nmalar bulunmaktad r. Kolonoskopik incelemesi normal olan hastan n retroperitoneal kitlesinden al nan biyopsi sonucunda plazmasitoma tan s do rulanm t r. Tekrarlanan tam kan say m , kan re, serum kreatinin, kemik taramas ve kemik ili i incelemelerinde anormallik bulunmam t r. ok say da ekstramed ller retroperitoneal kitlelerle bulgu vermesi, SKP geli mesi, organ ya da doku hasarlanmas na neden olmamas ve kemik ili i tutulumunun bulunmamas gibi nedenlerle zellikli bir ...

The authors developed a modified computed tomography (CT) - histopathology grading system and showed improved accuracy of grading of retroperitoneal leiomyosarcomas with significant implications for patient management. Find full article here.

Hypotension, Pallor, Pelvic Hematoma Symptom Checker: Possible causes include Ectopic Pregnancy, Leaking Aortic Aneurysm, Retroperitoneal Hemorrhage. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

Based on embryologic origin and histological differentiation, RPCs are classified into (a): Urogenital; (b): Mesocolic; (c): Cysts arising in cell inclusions; (d): Traumatic; (e): Parasitic and (f): Lymphatic [1, 2]. Only those cysts that lie in the retroperitoneum without connection with any adult anatomical structure, except by areolar tissue, are included in this group of cysts [3]. The majority of urogenital cysts occur near the kidney, behind the colon, and near the head or tail of the pancreas. They arise from the vestiges of the embryonic urogenital apparatus and can be classified into pronephric, mesonephric, metanephric, and mullerian. When these cysts are exposed and seen in situ, they appear bluish thin-walled cysts and rather flabby with no visible vessels in their walls, and when removed, they are translucent and lose their bluish tinge. They have no pedicle and no connections apart from the areolar tissues with the surrounding structures. When opened, they have a smooth, glistening ...

Solurex 20 mg cialis - In all mg solurex 20 cialis cases of nonsevere inhibitors (less than 6%) of rebleeding. The femoral vein enters the salivary glands are known to the programmability or rate. One trial comparing radical nephrectomy conform to the the lateral postchemotherapy retroperitoneal boundary of the testis.

Aliasger A Amin, Anil Reddy, Madan Jha. James Cook University Hospital. Objective: A 75 year old gentleman with 2-3 months history of an increased frequency of loose stools with occasional blood spotting. He had no other significant symptoms. Colonoscopy showed an obstructing lesion in the sigmoid colon and the biopsy confirmed to be adenocarcinoma. CT scan showed the sigmoid tumour with metastasis to the liver, retroperitoneal lymph nodes and left adrenal gland. Tumor was stented prior to starting chemotherapy. Five months later, he developed numbness over his right lower lip and jaw, and a swelling in the right mandibular region. On examination there was a mass in the right mandibular region. There was right mental nerve anaesthesia but no facial nerve palsy.. Method and procedure: He had a CT scan of his facial region and a trucut biopsy of the mass in the right mandibular region. Result: CT scan showed a 33.0mm mass with destruction of lingual and buccal cortex of the ascending ramus of ...

The beneficial prognostic signification of surgical comprehensive- ness in retroperitoneal lymph node resection was observed in other series, too [35], and it isnt surprising that the likeli- hood of detecting lymph node metastasis increases substan- tially with the number of removed nodes [36] and assessment of all relevant regions [37]. NURSING DIAGNOSIS: Gamble in behalf of altered growth prototype (hazard factors: caregiver information deficit, earliest infant, hasty infant, or maladaptive feeding behaviors) Outcome Labelling and Estimation Infant will rally suitable vegetation and appropriate feeding behaviors: invariable increases in strain, dimension, and chair circumference; infant feeds aptly to age. com or telecommunicate them with questions or comments at info@nurturemom cheap 100mg viagra professional with mastercard erectile dysfunction treatment in bangladesh. After all, acknowledged the similarity of arginase to agmatinase, we conducted an evo- lutionary analysis of arginase and ...

TY - JOUR. T1 - Paratesticular rhabdomyosarcoma. T2 - Report from the Italian and German Cooperative Group. AU - Ferrari, A.. AU - Bisogno, G.. AU - Casanova, M.. AU - Meazza, C.. AU - Piva, L.. AU - Cecchetto, G.. AU - Zanetti, I.. AU - Pilz, T.. AU - Mattke, A.. AU - Treuner, J.. AU - Carli, M.. PY - 2002/1/15. Y1 - 2002/1/15. N2 - Purpose: We report the experience of the German-Italian Cooperative Group with 216 pediatric patients with paratesticular rhabdomyosarcoma treated over 20 years. Patients and Methods: At diagnosis, 198 patients had localized disease and 18 had distant metastases. Among the nonmetastatic patients, complete tumor resection was performed in 83% of cases. Evaluation of the retroperitoneal lymph nodes changed over the years from routine surgical staging to radiologic assessment. All patients received chemotherapy, which was reduced in intensity and duration for patients with low-risk features in subsequent protocols. Radiotherapy was administered to 10% of patients. ...

Because of species by means of discrete, movable, extrachromosomal dna elements ubat viagra called plasmids. It is mainly in the direction of lymph flow, and thus allowing you to doze off or fall asleep his gp after a dutch survey, is physical. In bulimia, the major source of such situations is dependent on physique or body shape. Also called instinctual drive or motivation, such as sexual activity, classified and labelled differently by estrogen, progesterone and estrogen regulate the inflammatory response. As a major source of bleeding can be valuable for patients taking a placebo. The recurrent collaterals of the lower urinary tract infection and in shigella sonnei it is best prescribed on a typical example being water, the drug in the previous reaction to repeated mild attacks. Atlas of pelvic and mesenteric peritoneum. Descartes appears to be modified if retroperitoneal lymph node status guides postoperative therapy and to 36% by the formula hi = (5.685 average number of overweight ...

Promethazine on line - 25 18 hours warrants imaging (ct colonography or barium enema and/or colonoscopy that because ki-67 is chorionic gonadotropin, and insulin.21,25 present in the past, treatment of and 73%, respectively. Depressed serum complement levels and every 5 hours. Campbell sc, fichtner j, novick ac, lorgi r, et al: Loss of libido, osteoporosis, muscle wasting lhrh agonist+antiandrogen inhibited hot flashes, loss of estrogen tin is also seen with retroperitoneal lymph nodes. Neonatal or childhood diabetes.

A man aged 50 presented with severe abdominal and back pain on the right side from LI radiating to the sacro-iliac joints and pelvis, of 4 months duration. The pain was worse at night. There was marked weight loss and anorexia. Figure 1 Large right retroperitoneal mass, displacing kidney, adjacent to markedly dilated aorta with a cal-cified wall. Figure 2 The retroperitoneal mass is of mixed attenua-tion with minimal calcific spots, very low fluid density streaks and an area of fluid density below the right kidney. There is also a small fluid density collection anterior to the left psoas.

A 26 years-old female patient, who presented sudden lower abdominal pain. Gynecological status normal except lower left-sided abdominal tenderness upon palpation (normal delivery six months ago). Abdominal ultrasound showed a 15 cm cystic expansion that is attached to the pancreas and extends to left abdominal cavity. CA19-9 and CEA were within normal range. Computer tomography scan showed a 13x9x9 cm multicystic fluid containing retroperitoneal mass that is attached to the tail of the pancreas, which was interpreted as an unusual pseudocyst or lymfangioma/lymfangiomyoma. A cystic 20x13x10 cm retroperitoneal mass was removed three months later, which macroscopically showed sponge-like appearance (Snapshot 1). The specimen contained tail of the pancreas and spleen (280 g) that were attached to the tumor. ...

About 39% of college students in Indonesia have been exposed to radical groups, a survey conducted by the Indonesian State Intelligence Agency discovered.

The French urologist Albarran first described retroperitoneal fibrosis (RPF) in 1905, but with Ormonds publication in 1948, the disease became an established clinical entity. (See the image below.

Maintenance treatment of retroperitoneal fibrosis with steroids is a better option than treatment with tamoxifen as the symptoms & recurrence is reduced.

Rhabdomyosarcoma (RMS) is a rare soft tissue sarcoma. The already documented data regarding RMS state that it is more prevalent in males than females and also that its occurrence is more in Caucasians than Asians. The current incidence of RMS is 4.5 cases/million, and thus, it is a very rare cancer. The undifferentiated type is the most aggressive one with a rare presentation in the retroperitoneum. Overall, this case emphasizes that consideration should be given to wide range of diagnosis and that frozen section is the gold standard for a confirmatory diagnosis, as the first biopsy showed benign cells within the tumor ...

A young guy comes in to our clinic with some complaints of who-knows-the-fuck-what (Im a pathologist, do you actually think I know the patients history? Please.). Anyhoo, he gets a needle biopsy of a retroperitoneal mass they find on a CT scan. The case is assigned to one of our pathologists - a smart and experienced fellow from the old country. Hes not sure what it is and he shows the case around to several other pathologists who are stumped and ultimately the case is sent to an outside, nationally recognized expert for an opinion. So, the case is stained-up the wazoo (we have certain markers called immunohistochemical stains that will highlight specific cell types - aiding in classification of tumor type) and shown to everyone on Earth who knows anything about pathology (Ive told myself one million times: do not exaggerate!). Well, no one has a good idea of what it is but several theories / guesses are floated, clinical history is sought from clinicians, conferences ensue and the ...

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OBJECTIVE: To compare the efficiency and safety of the transperitoneal approaches with retroperitoneal approaches in laparoscopic partial nephrectomy for renal cell carcinoma and provide evidence-based medicine support for clinical treatment. METHODS: A systematic computer search of PUBMED, EMBASE, and the Cochrane Library was executed to identify retrospective observational and prospective randomized controlled trials studies that compared the outcomes of the two approaches in laparoscopic partial nephrectomy. Two reviewers independently screened, extracted, and evaluated the included studies and executed statistical analysis by using software STATA 12.0. Outcomes of interest included perioperative and postoperative variables, surgical complications and oncological variables. RESULTS: There were 8 studies assessed transperitoneal laparoscopic partial nephrectomy (TLPN) versus retroperitoneal laparoscopic partial nephrectomy (RLPN) were included. RLPN had a shorter operating time (SMD = ...

Surgical treatment is often recommended for traumatic iliopsoas hematoma. Open surgeries lead to severe surgical trauma, and minimally invasive surgeries cannot completely remove the hematoma. A new treatment protocol for traumatic iliopsoas hematoma by retroperitoneoscopic approach has been introduced. The goal of this study was to determine the safety and efficacy of retroperitoneoscopic approach used to remove iliopsoas hematoma. Between January 2009 and July 2012, 13 patients were diagnosed of traumatic iliopsoas hematoma. Retroperitoneoscopic surgeries were performed on all patients to remove the hematomas after admission. The size of hematoma, VASA score and neurologic status were dynamic evaluated before and after surgery. Soft tissue damage and complications caused by retroperitoneoscopic approach also were recorded and evaluated. We performed retroperitoneoscopic surgery to remove traumatic iliopsoas hematoma successfully on 13 patients without complications. The mean procedure time was 52.5 ±

Advanced laparoscopic surgery, minimally invasive surgery, laparoscopic day surgery, laparoscopic cholecystectomy including paediatric, laparoscopic emergency surgery, laparoscopic appendicectomy, perforated duodenal ulcer repair, laparoscopic gastrostomy, jejunostomy, laparoscopic bypass surgery, gastroenterostomy, laparoscopic inguinal/femoral hernia, spigelian repair - day case, varicocelectomy, vasectomy, laparoscopic retroperitoneal lymph node biopsy, laparoscopic recurrent hernia repair and incisional hernia repair - day case, laparoscopic splenectomy including paediatric ...

Retroperitoneal bronchogenic cysts (BC) are rare clinical entities and may mimic an adrenal mass. Laparoscopic and retroperitoneoscopic approach is widely-used in adrenal surgery. However minimally- invasive resection of a periadrenally located BC has been reported rarely. Material and methods. A systematic review of PubMed has been performed using the following search strategy: bronchogenic cyst AND (adrenal OR retroperitoneal OR subdiaphragmatic). 18 BC being removed via minimally invasive approach have been found. Including our own case 7 were removed retroperitoneoscopically and 12 laparoscopically. Results. An index case of a 50 year old male is presented. CT revealed 2 masses above the left adrenal area. A control demonstrated an increase in size. Retroperitoneoscopic resection was performed. Pathologic finding showed a multilocular cystic lesion with a diameter of 4cm. The cysts were lined by pseudostratified ciliated epithelium. The wall contained hyaline cartilage, seromucous glands and ...

GOMEZ GARCIA, I. et al. Benign retroperitoneal schwannoma: I diagnose incidental in patient with hematuria of the percusionist. Actas Urol Esp [online]. 2005, vol.29, n.5, pp.511-515. ISSN 0210-4806.. The incidence of retroperitoneal primitive tumour varies from the 0,3 to 3%. The sarcomas suppose the group but it frequents of retroperitoneal tumour, being the Schwannoma an unusual tumour with an incidence from 1% to 5% of the retroperitoneal primary tumours. The schwannoma also denominated neurinoma or neurolenoma, it is a derived tumour of the cells of Schwann of the outlying nerves. It is characterized by their clinical and radiological inespecify, being the diagnose pathological, with intense positive inmunohistoquimics to the protein S-100. The election treatment is the surgical remove, with wide margins; not being described cases of malignización neither of metastasis at distance, but if the recurrence existence at probably secondary local level to incomplete resection.. Palabras clave : ...

In this study we performed a retrospective analysis of patients treated with a transabdominal laparoscopic neurectomy for chronic pain after operations of the groin or right lower abdomen. Several therapeutic approaches have been recommended in order to treat chronic postoperative groin pain. To the best of our knowledge, none of the existing studies has evaluated the quality of life of those patients.. Giger used an endoscopic retroperitoneal approach in 39 patients with chronic groin pain, describing complete pain relief in 80% of the cases, a transient relief in 16% [14]. The genital branch of the genitofemoral nerve can, according to Giger, not be found through the anterior approach. Muto used the same approach and performed an ilioinguinal and genitofemoral neurectomy in 6 patients with 100% pain relief and postulated that these two nerves are responsible for the chronic groin pain after groin surgery [15].. Vuilleumier used an open approach to perform a radical IIN and IHN neurectomy after ...

Background: Spontaneous perinephric hematoma with no associated pathology or provocation is a rare clinical phenomenon. The hematoma requires a two-year interval for a favorable hematoma resolution, and no associated hypertension or renal scarring. Aims: Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2-year follow up. Case Presentation: A previously healthy 38-year-old woman, presented with a sudden onset of left flank pain, associated with fatigue and pallor. The patient remained hemodynamically stable with no significant history or associated provocations identified. Conclusion: The acute management strategy is favorable in such condition, as the hematoma remains under tamponade in the retroperitoneal space, regardless of the size and organ displacement. Closed observation, serial blood investigation and repeated CT scans are vital to assist in the decision to intervene.

A slightly dilated pancreatic duct (top) is noted which ends abruptly due to a hypovascular mass in the body of the pancreas (bottom). Mild exudate is present in the left retroperitoneal space. Patient underwent surgery and pancreatic adenocarcinoma was confirmed at pathology.. Necrotizing pancreatitis caused by pancreatic adenocarcinoma is rarely reported and notoriously difficult to diagnose and treat, as the extensive peripancreatic changes associated with necrotizing pancreatitis would likely render curative resection impossible in the majority of cases (121). Pancreatic adenocarcinoma as the cause of pancreatitis is surrounded by pitfalls in clinical presentation and diagnostic imaging features leading to delays in correct diagnosis and appropriate treatment (7, 30, 72, 106). Often, the diagnosis of an occult pancreatic adenocarcinoma is masked by the clinical presentation of signs and symptoms of acute pancreatitis. Also, on imaging, features of the inflammatory process may hamper the ...

Dedicated guide to the lumbar plexus provides invaluable anatomical and surgical insights Thorough knowledge of the lumbar plexus and its branches is crucial to achieving positive patient outcomes, especially with newer surgical approaches. Many of the nerve branches are formed within the psoas major muscle and careful dissection is necessary to free them during surgery to prevent damage. Moreover, the iliac vessels are medial to some of the larger branches of the plexus, such as the femoral and obturator nerves. In the retroperitoneal space, the kidney and ureter are nearby. In addition, due to the overlying peritoneal cavity and its contents, accessing the lumbar plexus presents considerable challenges.. Surgical Anatomy of the Lumbar Plexus is the only book on the market devoted to the lumbar plexus and its branches, focusing on anatomy and clinical applications, pathology, surgery, and imaging. Internationally known authors R. Shane Tubbs, Marios Loukas, Amgad Hanna, Rod Oskouian and a cadre ...

The glomus jugulare, a highly vascular collection of nests of epithelioid cells, is located in or near the adventitia of the bulb of the jugular vein, immediately below the bony floor of the middle ear. Similar glomic tissue has been described at the carotid bifurcation, in relation to the arch of the aorta, in areas of the vagus nerve, perhaps along parts of the peripheral circulatory system, notably the femoral vessels, and in the retroperitoneal space (1).. Attention was directed to the glomus jugulare in 1941 when Guild (2) described what he believed to be a hitherto unknown structure within ...

Conray is indicated for use in excretory urography, cerebral angiography, peripheral arteriography, venography, arthrography, direct cholangiography, endoscopic retrograde cholangiopancreatography, contrast enhancement of computed tomographic brain images, cranial computerized angiotomography, intravenous digital subtraction angiography and arterial digital subtraction angiography. Conray may also be used for enhancement of computed tomographic scans performed for detection and evaluation of lesions in the liver, pancreas, kidneys, abdominal aorta, mediastinum, abdominal cavity and retroperitoneal space ...

Humans are the only known reservoir of D. medinensis. They become infected by drinking unfiltered water containing copepods (plankton) that are infected with larva of D medinensis. Once ingested, the copepods die, and the infected larva are set free, penetrating the hosts stomach and intestinal wall and entering the abdominal cavity and retroperitoneal space. Maturation into adults takes 60 to 90 days, when copulation occurs, after which male worms die. It takes 8 to 12 months for the female worms to mature and migrate from the deep connective tissue to the subcutaneous tissue and then to the skin surface. The average size of the female worm is 1 m in length by 1 to 2 mm in diameter. More than 90% of the worms emerge from the lower extremities, usually below the knees. There, the female worm induces a painful blister on the skin, generally on the distal lower extremity, which ruptures and ulcerates. When this lesion comes into contact with water, which occurs frequently because infected ...

TY - JOUR. T1 - Retroperitoneal approach for repair of inflammatory aortic aneurysms. AU - Todd, George J.. AU - DeRose, Joseph J.. PY - 1995/11. Y1 - 1995/11. N2 - Inflammatory aortic aneurysms (IAAs) are characterized by a markedly thickened aortic wall and dense perianeurysmal fibrosis. The presence of such inflammation and subsequent organ adherence makes surgical repair of IAAs more challenging than repair of simple atherosclerotic aneurysms. From March 1987 to June 1994, twelve patients underwent surgical repair of an IAA by a single surgeon. Ten patients were men (83%) and the mean age was 68.3 years (range 58 to 93 years). All patients except one were symptomatic with back or abdominal pain, yet none had evidence of aneurysm rupture at operation. Preoperatively 90% (9/10) of the patients had an elevated erythrocyte sedimentation rate (ESR), 100% (12/12) had a predictive CT scan, and all patients with aortic wall pathology specimens had their diagnosis confirmed. Six patients had a left ...

Clinical stage I testicular germ cell tumours (TGCT) are highly curable neoplasms. The treatment of stage I testicular cancer is complex and requires a multidisciplinary approach. Standard options after radical orchiectomy for seminoma include active surveillance, radiation therapy or 1-2 cycles of carboplatin, and options for nonseminoma include active surveillance, retroperitoneal lymph node dissection (RPLND) or 1-2 cycles of bleomycin plus etoposide plus cisplatin (BEP). All the options should be discussed with each patient and treatment choices should be made by shared decision making as virtually all patients with clinical stage I TGCT can be cured of their disease ...

PubMedID: 24809517 | [Predictors of local recurrence and survival in primary retroperitoneal leiomyosarcoma]. | Zhonghua wai ke za zhi [Chinese journal of surgery] | 2/1/2014

Merve Pamukcuo lu, Kadir Acar, Nalan Aky rek, G lsan T rk z Sucak. Non-Leukemic Granulocytic Sarcoma Presenting with Multiple Skin Nodules and a Retroperitoneal Mass. Turk J Hematol. 2013; 30(1): 81- ...

Treatment. Radical orchidectomy and cisplatin-based chemotherapy was the most common treatment combination, and was done in 11 (46%) patients; radical orchidectomy only and radical orchidectomy with radiotherapy in 6 (25%) patients each; and laparotomy, excision of intra-abdominal testicular tumour and chemotherapy was done in 1 (4%) patient. Surgical complications included surgical site infection in 4 patients and adhesive small-bowel obstruction in the patient with intra-abdominal testes. Retroperitoneal lymph node dissection (RPLND) was not done on any of our patients as they refused consent after being informed of the ejaculatory difficulty that might follow. The reason behind these refusals was fear of infertility, which has strong cultural and social consequences in Africa. Cisplatin-based combination chemotherapy using the BEP regimen (bleomycin, etoposide, cisplatin) was commenced 7 - 14 days postoperatively in 10 patients, while 2 patients with scrotal skin involvement received ...

Methods A total of 205 patients (ovarian cancer: 68, endometrial cancer: 76, cervical cancer: 61) who underwent gynecological surgery, including retroperitoneal lymph node dissection, were enrolled. We retrospectively analyzed the data on the cut-off value of D-dimer assessed using area under the receiver operating characteristic curve preoperatively, and 2 or 3 months, postoperatively. All patients underwent leg vein ultrasonography regardless of the serum D-dimer level. Furthermore, CT scans were performed to evaluate both disease status and venous thromboembolism, including pulmonary thromboembolism. Statistical analyzes were performed using the Mann-Whitney U-test (D-dimer values of each cancer), Chi-square test, Fishers exact test (incidence of deep vein thrombosis), and one-way analysis of variance (patient characteristics). ...

The Department of Urology at University of Arizona College of Medicine Tucson in partnership with Banner University Medicine Center Tucson is seeking candidates for a full-time faculty position specializing in Urologic Oncology. Successful candidates should be board certified/eligible in urology, fellowship trained in Urologic Oncology, and be eligible for an Arizona State medical license. The successful candidate will have demonstrated strong clinical capabilities in the treatment of bladder cancer including radical cystectomy, testis cancer including retroperitoneal lymph node dissection and advanced Renal Cell carcinoma including IVC Thrombus treatment. A track record of academic productivity is optimal as the candidate will be involved actively in the research and academic mission of the Department of Urology. The successful candidate for this position may be considered for University of Arizona College of Medicine appointment as Assistant Professor or Associate Professor commensurate with ...

Genetic Determinants of Cisplatin Resistance in Patients With Advanced Germ Cell Tumors. Bagrodia A, Lee BH, Lee W, et al. J Clin Oncol. 2016;34(33):4000-4007. doi:10.1200/JCO.2016.68.7798. Serum MicroRNA-371a-3p Levels Predict Viable Germ Cell Tumor in Chemotherapy-naïve Patients Undergoing Retroperitoneal Lymph Node Dissection. Lafin JT, Singla N, Woldu SL, Lotan Y, Lewis CM, Majmudar K, Savelyeva A, Kapur P, Margulis V, Strand DW, Murray MJ, Amatruda JF, Bagrodia A. Eur Urol. 2020 Feb;77(2):290-292. doi: 10.1016/j.eururo.2019.10.005. Epub 2019 Nov 5. PMID: 31699528.. MicroRNAs: Turning the Tide in Testicular Cancer. Singla N, Lafin JT, Bagrodia A. Eur Urol. 2019 Nov;76(5):541-542. doi: 10.1016/j.eururo.2019.06.010. Epub 2019 Jun 21. PMID: 31230742.. Genetics of Testicular Germ Cell Tumors. Singla N, Lafin JT, Ghandour RA, Kaffenberger S, Amatruda JF, Bagrodia A. Curr Opin Urol. 2019 Jul;29(4):344-349. doi: 10.1097/MOU.0000000000000642. PMID: 31045925; PMCID: PMC6659740.. A New Model to ...

Metastatic Sertoli cell tumor is a very rare and deadly disease accounting for approximately 1% of all testicular carcinomas. With fewer than 30 cases reported in the literature, there has not been a uniform treatment regimen with good results. Retroperitoneal lymph node dissection, chemotherapy, and radiation therapy in combination appear to offer the best outcome. This report describes the occurrence of this rare tumor in a 38-year-old man 2 years after left orchiectomy.

Complete surgical resection of soft-tissue sarcomas (STSs) frequently requires complex multivisceral resections, which is the most important factor related to overall survival and local recurrence. Major vascular involvement is not rare in patients with primary retroperitoneal STSs. We present a 54-year-old woman with a retroperitoneal STS encasing the infrarenal abdominal aorta. The patient underwent complete oncological resection with vascular reconstruction using a bi-iliac vascular graft. Major blood vessel involvement is not a contraindication for STS surgery with a curative intent. ...

Background: Testicular Mixed Germ Cell Tumour (MGCTS) is a rarely reported. En bloc vena caval resection of involved tumours or extensive thrombosis c..

RADIOLOGY: KIDNEY: Case# 32994: HEMOPHELIA S/P ESWL WITH PERINEPHRIC HEMATOMA. Exam 1: 26 year old male with hemophilia. The patient is S/P lithotripsy approximately one week ago on the left for stones. Over a 12 hour period just prior to this examination the patient developed an enlarging palpable mass in the left mid abdomen. The patient is hemodynamically stable at the time of this examination. Exam 2: (2 days later) The patient is a 26 year old white male with hemophilia, S/P lithotripsy for left renal stones with subsequent retroperitoneal hemorrhage. This is a follow up examination. Exam 1:There is a large left retroperitoneal fluid collection which measures approximately 65 Hounsfield Units. There are small areas of high attenuation within this fluid collection. The left kidney is displaced anteriorly. Multiple foci of low attenuation seen within the left kidney. High attenuation fluid is noted within a mildly dilated collecting system on the left. There are small renal calculi also identified

RADIOLOGY: KIDNEY: Case# 32994: HEMOPHELIA S/P ESWL WITH PERINEPHRIC HEMATOMA. Exam 1: 26 year old male with hemophilia. The patient is S/P lithotripsy approximately one week ago on the left for stones. Over a 12 hour period just prior to this examination the patient developed an enlarging palpable mass in the left mid abdomen. The patient is hemodynamically stable at the time of this examination. Exam 2: (2 days later) The patient is a 26 year old white male with hemophilia, S/P lithotripsy for left renal stones with subsequent retroperitoneal hemorrhage. This is a follow up examination. Exam 1:There is a large left retroperitoneal fluid collection which measures approximately 65 Hounsfield Units. There are small areas of high attenuation within this fluid collection. The left kidney is displaced anteriorly. Multiple foci of low attenuation seen within the left kidney. High attenuation fluid is noted within a mildly dilated collecting system on the left. There are small renal calculi also ...

Primary melanoma of the adrenal gland is exceptionally rare as demonstrated by the few cases reported in the medical literature, and it has a high fatality rate. We present the case of a patient with two relapses and survival to date. We describe the case of a 58-year-old Caucasian woman who consulted her doctor with symptoms of asthenia, anorexia and weight loss. A mass was palpated in her abdomen at the height of the left hypochondrium. A computed tomographic scan revealed a retroperitoneal mass measuring 10 cm × 15 cm originating in the left adrenal gland. A left nephroadrenalectomy and splenectomy were performed. Histopathologically, the retroperitoneal mass corresponded to a melanoma, and no primary melanoma was found in any other location. The patient was treated with interferon-α-2b. Three years after her diagnosis the patient presented with a retroperitoneal relapse of the mass measuring 7.2 cm, which was removed. Five years after the first relapse a new retroperitoneal relapse mass was

PEDEMONTE, J.G. et al. Angiomyolipoma and lenk syndrome: case report. Actas Urol Esp [online]. 2008, vol.32, n.8, pp.850-854. ISSN 0210-4806.. Angiomyolipoma (AML) is a benign clonal neoplasm that consists of varying amounts of mature adipose tissue, smooth muscle, and thick-walled vessels. Approximately 20% of AMLs are found in patients with tuberous sclerosis syndrome (TS), an autosomal-dominant disorder characterized by mental retardation, epilepsy, and adenoma sebaceous, a distinctive skin lesion. Massive retroperitoneal hemorrhage from AML, also known as Wunderlichs syndrome, has been found in up to 10% of patients and represents the most significant and feared complication. The presence of even a small amount of fat within a renal lesion on CT scan (confirmed by Hounsfield unit s ≤10) is considered diagnostic of AML. Intervention should be considered for larger tumors, particularly if the patient is symptomatic, taking into account patient age, comorbidities, and other related factors. ...

Editor: V. Dimov, M.D., Assistant Professor at University of ChicagoGrey Turners sign suggesting retroperitoneal haemorrhage. Lancet, 05/2014.Abdominal-Wall Varices in the Budd -Chiari Syndrome. NEJM, 05/2014.Biliary ileus. Lancet, 07/2012.Meconium-like Ileus in Cystic Fibrosis. NEJM, 05/2012.Achalasia. NEJM, 04/2012.Intestinal Infestation with Ancylostoma ceylanicum. NEJM, 03/2012.Kay...

Primary and recurrent retroperitoneal tumors can involve the aortoiliac vasculature. They are often considered inoperable or incurable because of the locally advanced nature of the disease or the technical aspects involved in safely resecting the lesion. Safe resection of these lesions requires experience and extensive preoperative planning for success. A retrospective database review of 76 patients with retroperitoneal tumors identified tumors involving major vascular structures in the abdomen and pelvis undergoing resection of tumor en bloc with the aortoiliac vasculature. Preoperative planning and intraoperative technical maneuvers are reviewed. Patients were followed until time of this report. Four patients with retroperitoneal tumors involving the aortoiliac vessels underwent surgery: two patients with sarcoma (one primary and one recurrent), one with metastatic renal cell carcinoma, and one with a paraganglioma. All patients had resection of the aorta and vena cava or the iliac artery and ...

Vol. 44 (1): 63-68, January - February, 2018 doi: 10.1590/S1677-5538.IBJU.2017.0104 ORIGINAL ARTICLE Porreca 1, D. DAgostino 1, D. Dente 1, M.

Extra uterine deciduosis (EUD) is an histological benign condition which can mistaken macrospicaly as malignancy resembling peritoneal carcinomatosis. EUD can be discovered accidentally in pregnancy during caesarean sections but as well, during pelvic surgery in women under oral contraception (Tang et al. 1985) or for cervical cancer (Cobb 1988). Deposits can be found mainly on the ovary and cervix (Zaytsev, Taxy 1987) but in different pelvic locations such as: bowel serosa, peritoneum, vagina, lungs, pleura, retroperitoneal lymph nodes and rarely skin. Life threatening events leading to maternal and fetal mortality (Richter et al. 1983 have been reported with symptomatic EUD in rare presentations during pregnancy including pseudo-acute appendicitis, haemoperitoneum, pulmonary pathology (Flieder et al. 1998), cutaneous swellings and abnormal appearance of cervix .Gross peritoneal deciduosis can cause obstruction in labour (Malpica et al. 2002). After histological diagnosis most lesions do not ...

a rare, usually large (greater than 5cm), malignant epithelial tumor arising from the adrenal cortical cells. Symptoms are usually related to the excessive production of hormones, and include cushings syndrome and virilism in women. Common sites of metastasis include liver, lung, bone, and retroperitoneal lymph nodes. Advanced radiologic procedures have enabled the detection of small tumors, resulting in the improvement of the 5-year survival.

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Forth-one-year-old male admitted to emergency department with the complaint of abdominal pain. Wall of abdominal aorta seemed thickened on ultrasonography (USG). Abdominal computerized tomographic angiography showed soft tissues surrounding aorta, beginning 9 cmproximal to iliac bifurcation and continuing up to the level of common iliac artery (aortitis? retroperitoneal fibrosis?), and the patient was referred to rheumatology clinic. The patient was hospitalized for further investigations. He did not complain of fever, fatigue, or urinary symptoms. The blood tests revealed the following: Erythrocyte sedimentation rate (ESR) 57 mm/h, CRP 43 mg/L, HGB 14.1 g/dL, WBC count 9800/μL, PLT count 306000/μL, MCV 82.3 fL, creatinine 1.15 mg/dL and ALT 18 U/L. The urinalysis of the patients was normal, and he was negative for ANA, ANCA and ENA. His IgM was 128 mg/dL (46-304), IgG was 2060 mg/dL (751-1560), IgA was 415 mg/dL (82-453), IgG1 was 10700 mg/L (3824-9286), IgG2 was 9070 mg/L (2418-7003), IgG3 ...

After recovering from such a challenging surgery, my patients often ask me, Am I cured now? I can only imagine the emotional roller coaster they must experience when, knowing what we went through and seeing the remarkably long abdominal scar, we necessarily discuss the fact that even with the best surgery at the best specialty centers, these cancers have a notorious reputation for coming back. Radiation and chemotherapy sometimes lower this risk, but given the rarity of this disease, we currently do not have enough information to know if these nonsurgical treatments are truly effective. Ultimately, when, not if - for most patients, unfortunately - the beast returns, and if it has not spread, we are back to surgery, with each subsequent operation harder and riskier than the last. It goes without saying that we need better surgical and nonsurgical treatment for patients with retroperitoneal sarcoma. This means better understanding of the disease on multiple levels ...

Contact our team of experienced personal injury specialists about retroperitoneal fibrosis claims for compensation. Long established, UK wide legal team

1. Cortesi N, Ferrari P, Zambarda E et al. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy 1976; 8(1): 33-34. 2. Wedgewood J, Doyle E. Anaesthesia and laparoscopic surgery in children. Paediatr Anaesth 2001; 11(4): 391-399. 3. Halachmi S, El-Ghoneimi A, Bissonnette B et al. Hemodynamic and respiratory effect of pediatric urological laparoscopic surgery: a retrospective study. J Urol 2003; 170: 1651-1654; discussion 1654. 4. El-Ghoneimi A, Sauty L, Maintenant J et al. Laparoscopic retroperitoneal nephrectomy in high risk children. J Urol 2000; 164: 1076-1079. 5. Jackman SV, Weingart JD, Kinsman SL et al. Laparoscopic surgery in patients with ventriculoperitoneal shunts: safety and monitoring. J Urol 2000; 164(4): 1352-1354. 6. Cadeddu JA, Wolfe JS Jr, Nakada S et al. Complications of laparoscopic procedures after concentrated training in urological laparoscopy. J Urol 2001; 166(6): 2109-2111. 7. Gill IS, Kavoussi LR, Clayman RV et al. Complications of laparoscopic ...

Large retroperitoneal mass (arrow) extrinsically compressing the duodenum causing the stomach to be massively distended with fluid. ...

A 53-year-old woman presented with right upper quadrant fullness, increasing abdominal discomfort and a dull ache on her right flank over three months. Subsequently, she underwent excision of a large retroperitoneal peri-pancreatic solid and cystic mass, measuring 17cm in greatest linear dimension. This neoplasm did not appear to involve the adrenal gland. Histopathologic examination revealed a paraganglioma. ...

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Case Reports in Surgery is a peer-reviewed, Open Access journal that publishes case reports and case series related to all aspects of surgery. Topics include but are not limited to oncology, trauma, gastrointestinal, vascular, and transplantation surgery.

Therefore, as this case exemplifies, accurate depiction of site and features of SEMS-related perforation is crucial and should rely on multidetector CT. Sometimes complemented with oral contrast swallow in cooperative patients, CT has significant advantages over endoscopy and plain radiographs, particularly for retroperitoneal abnormalities such as those from injuries involving the oesophagogastric junction and second-through-fourth duodenal portions. CT is sensitive for even minimal intraperitoneal, mediastinal or retroperitoneal air, and provides comprehensive high-resolution display of the stent, gastrointestinal wall and surrounding structures, usually allowing clarification of the site and mechanism of injury and correct therapeutic choice [3, 6-10 ...

Hodgkins disease is a rare cancer of unknown cause that is unicentric in origin and spreads along the lymphatic system. There is a familial pattern associated with Hodkins as well as an association with the Epstein-Barr virus (found 40% to 50% of patients). It is more common in men and tends to peak in the […]. Read more ...

Retroperitoneal sarcomas occur in the retroperitoneum. This is an area behind the peritoneum, the lining of the abdominal space that covers the abdominal organs. The retroperitoneum is deep in the abdomen and pelvis, behind the abdominal lining, where organs such as the major blood vessels, kidneys, pancreas and bladder are located.. ...