Mesenteric Schwanoma
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Mesenteric Schwanoma is a rare condition We report this entity found in a patient admitted in surgical unit-I Jinnah hospital Lahore. He presented with Mass and continuous dull pain in lower abdomen On exploratory laparotomy the abdomen was found to be having two masses in the mesentery of small gut one about 18x10x5 cm and other 8x5x3 cm in size and diagnosis of mesenteric schwanoma was made on histological examinationKeywords:
Exploratory laparotomy
Acute abdomen
Objective: Laparotomy is commonly indicated in patients presenting blunt or penetrating trauma. This cross-sectional study is designed to evaluate the frequency and the causes of laparotomy following abdominal trauma. Materials and Methods: The data of 71 patients who underwent laparotomy as a result of abdominal trauma in Shohada Ashayer Hospital, Khorramabad were evaluated and a questionnaire was completed for each patient. All the data were analyzed statistically using SPSS. Results: Of 71 patients, 61 underwent positive laparotomy whereas, negative laparotomy was performed in 10 patients. The results from this study showed that the most common organ of the injury was spleen (19.7%), followed by other solid organs. The small intestine (16.4%) was found more prone to injuries in penetrating trauma. Incidence of blunt trauma injury due to road accidents was the greatest 50.82% and 20% of penetrating traumas were the result of a firearm. Conclusion: Abdominal trauma injury is common in our study population where spleen, small intestine and other solid organs are chiefly involved. Indications of laparotomy should be fully examined in order to avoid negative laparotomies and associated complications. Keywords: trauma, blunt, laparotomy, penetrating
Exploratory laparotomy
Penetrating Trauma
Blunt trauma
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Abdominal exploration followed by vascular bypass has been the standard of care for acute mesenteric ischemia (AMI), but there is increasing use of endovascular treatment with selective exploratory laparotomy.We performed a retrospective review of patients diagnosed with AMI who underwent mesenteric artery angioplasty or stenting at a single institution from 2010-2017. Patients were divided into 3 groups: those who did not undergo exploratory laparotomy; those who received endovascular treatment before laparotomy (post-reperfusion laparotomy group); and those who had endovascular treatment after laparotomy (pre-reperfusion laparotomy group).Patients who did not undergo exploratory laparotomy showed 85.7% (12/14) survival, compared with 63.6% (7/11) in the post-reperfusion group and 25.0% (2/8) in the pre-reperfusion group, P=0.077). Time to reperfusion was significant (P=0.009) in predicting survival for patients who underwent exploratory laparotomy.Emergent endovascular treatment prior to laparotomy seems to be associated with a higher survival.
Exploratory laparotomy
Mesenteric Ischemia
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OUR interest in retractile mesenteritis was first aroused when one of us (C.G.T.) was consulted on an exploratory laparotomy for a suspected tumor in the large bowel. The tumor was not found, and the only significant alteration was that of a large area of thickening and sclerosis at the root of the mesentery.A few months later we were faced with an almost identical situation. At an exploratory laparotomy for small-bowel obstruction, the suspected condition could not be detected, and both mesentery and mesosigmoid displayed areas of increased thickness, fibrosis and scarring. The pathological diagnosis in both these cases was . . .
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Previously, the management of gunshot wounds (GSWs) to the anterior abdomen required exploratory laparotomy; however, this was associated with a considerable number of non-therapeutic surgeries. The use of non-operative management (NOM) of GSW to the abdomen is controversial, with many surgeons sceptical to accept this into their practice. The NOM of GSW to the abdomen employed in a selected group of patients has been shown to be safe and acceptable. Penetrating GSW to the thoraco-abdomen, back and lateral abdomen has been the most successful compared to the anterior penetrating wound. Most of the anterior GSWs to the abdomen are associated with viscus injury and require exploratory laparotomy. We report the case of a 58-year-old male who presented with a single GSW to the epigastrium with a contrast computed tomography scan demonstrating grade 3 liver lacerations, contusion to the right adrenal gland, with moderate free fluids in the retroperitoneum and the pelvis. The patient was haemodynamically stable and managed successfully with NOM. It is one of the safe routes of anterior penetration of GSW to the abdomen and treated with conservative management.
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Gunshot wound
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Objective To decrease negative laparotomy in patients suffering from penetrating abdominal wounds. Methods The clinical data of 78 cases of penetrating abdominal wounds undergoing exploratory laparotomy before Jun. 1999 were retrospectively reviewed, and new indication was developed and was applied to 53 cases admitted between Jun. 1999 and Jun. 2000. Results Compared with the 91% of exploratory laparotomy in 78 cases before Jun. 1999, the rate of exploratory laparotomy of penetrating wounds of the abdomen in the 53 cases admitted after Jun. 1999 was 64%. The difference was significant(χ 2=14.51, P 0.01). Conclusions The new indication effectively decreases the negative laparotomy and is clinically applicable.
Exploratory laparotomy
Penetrating Trauma
Penetrating wounds
Acute abdomen
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Mesenteric Schwanoma is a rare condition We report this entity found in a patient admitted in surgical unit-I Jinnah hospital Lahore. He presented with Mass and continuous dull pain in lower abdomen On exploratory laparotomy the abdomen was found to be having two masses in the mesentery of small gut one about 18x10x5 cm and other 8x5x3 cm in size and diagnosis of mesenteric schwanoma was made on histological examination
Exploratory laparotomy
Acute abdomen
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Exploratory laparotomy
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Mesenteric panniculitis is a rare nonspecific inflammatory disease of the mesentery, and most of such cases have a chronic course. We have experienced a case of acute mesenteric panniculitis. A 23-year-old female admitted to our hospital with the complaints of abdominal pain and fever. An abdominal CT scan disclosed inflammatory changes of mesentery, yet exploratory laparotomy was done because of increasing abdominal pain. At laparotomy the mesentery of the small intestine was found to present an inflammatory thickness, and macroscopically it was diagnosed as mesenteric panniculitis. Histological diagnosis of biopsy was the same. In this patient remission could be attained by only antibiotic and non-steroidal anti-inflammatory drug therapy. In this paper we also reviewed 35 cases in the Japanese literature.
Exploratory laparotomy
Panniculitis
Acute abdomen
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Exploratory laparotomy
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Objective To decrease negative laparotomy in patients suffering from penetrating abdominal wounds. Methods The clinical data of 121 patients of penetrating abdominal wounds undergoing exploratory laparotomy form Jun. 1997 to Oct. 2004 were retrospectively reviewed. Results As absolutely acute indications of patients suffering from penetrating abdominal wounds, the rate of negative laparotomy was 32.2%(39/121). Conclusions None all of the patients suffering from penetrating abdominal wounds need acute operation. The rational acute indications effectively decrease the negative laparotomy
Exploratory laparotomy
Penetrating wounds
Penetrating Trauma
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