A Massive Chylous Ascites With Severe Morbidity After Laparoscopic Donor Nephrectomy and Successful Treatment With Total Parenteral Nutrition and Octreotide.
A Massive Chylous Ascites With Severe Morbidity After Laparoscopic Donor Nephrectomy and Successful Treatment With Total Parenteral Nutrition and Octreotide. Exp Clin Transplant. 2019 Oct 11;: Authors: Zomorrodi A, Farshi A Abstract Kidney transplant is a choice option for treatment of chronic kidney failure because it is associated with cost-effective and normal quality of life. To increase the number of living kidney donors, laparoscopic and minimal invasive modalities have been introduced. Here, we present a case of a living donor with an extremely rare complication after laparoscopic donor nephrectomy that presented as massive chylous ascites. Kidney donor operation can be performed with the use of 3 modalities: traditional open, laparoscopic, and open with minimally invasive. All 3 modalities may be associated with some complications, including wound infection, hemorrhaging, and deep vein thrombosis. With regard to rare complications of chylous ascites after laparoscopic donor nephrectomy, few cases have been reported. To our knowledge, only 5 such cases have been reported thus far. Our patient, a 29-year-old male donor, received left donor nephrectomy via laparoscopy and was discharged 4 days later in good condition and without any problems. However, 3 weeks later, he presented with abdominal pain. During evaluation, massive ascites in the abdomen was observed and he was hospitalized. Abdominal paracentesis was performed and chylous ascites was dia...
Publication date: Available online 13 December 2019Source: Academic RadiologyAuthor(s): Farideh Mohtasham, Jamal Rahmani, Yousef Khani, Siamak Sabour
Conclusion: Although left-sided gallbladder is a very rare disease, it is possible to diagnose it preoperatively and perform laparoscopic cholecystectomy safely by adjusting port position. The common important features of left-sided gallbladder include distribution of the left portal vein crossing over to the right side of the liver and increased size of the left portal vein. These variations may have important clinical implications in the management of hepatic resection including donor hepatectomy. PMID: 31824885 [PubMed]
Conclusion: In conclusion, Frey's procedure appears to be a less burdensome surgical procedure. Thus, it could be the first option for management of patients with large pancreatic stone. PMID: 31824884 [PubMed]
CONCLUSION: Rehabilitation with PENS improved kinematics in both tasks and decreased EMG activity. This suggests that rehabilitation with PENS may improve muscle function during functional tasks. PMID: 31825893 [PubMed - as supplied by publisher]
CONCLUSIONS: The observed changes in CoM motion at POST2 may be associated with atypical running biomechanics that can translate to greater mediolateral impulses, potentially increasing the risk of injury. This study demonstrates the use of an accelerometer as an effective tool to detect atypical CoM motion for runners due to fatigue, recovery, and musculoskeletal pain in real-world environments. PMID: 31825892 [PubMed - as supplied by publisher]
Primary extrarenal Wilms tumor of the gynecologic tract is extremely rare with scattered case reports occurring in the ovary, uterine corpus and cervix. Only 9 cases of primary ovarian Wilms tumor have been reported to date. Here, we provide an extensive literature review and describe 2 patients with ovarian Wilms tumor: a 36-yr-old female (patient 1) and a 16-yr-old female (patient 2), both presenting with abdominal pain and suspected ovarian torsion. They were each found to have unilateral ovarian masses measuring>15 cm in size which were removed by unilateral salpingo-oophorectomy. Microscopically, the tumors ...
PET/MRI is better than MRI alone for the detection and staging of nodes and...Read more on AuntMinnie.comRelated Reading: Can FDG-PET/MRI replace biopsy in breast cancer cases? PET/MRI sheds light on cerebral vascular risk factors PET/MRI can pinpoint causes of chronic extremity pain SNMMI: FDG-PET/MRI improves pain diagnosis, management PET/MRI offers view to atherosclerotic disease origin
Complex Information for Anesthesiologists Presented Quickly and Clearly
Conclusion: there is no increased risk of doing the lymph node dissection early on. Dr. Eggener-CON Basics Lymph node dissections rarely done, even for large tumors, because there is no proven therapeutic or staging benefit for low risk patients. A Mayo study revealed no data showing therapeutic benefit in high risk patients. For clinically node negative high risk patients, there is staging value but no proven therapeutic benefit. Rate of positive nodes is associated with stage and grade; the higher the stage and grade, the more likely there will be positive nod...