1/46. An unusual cause of haemorrhagic ascites following blunt abdominal trauma.Slow intraperitoneal haemorrhage following blunt abdominal trauma may present as haemorrhagic ascites. Such haemorrhage is usually due to rupture of spleen, liver or damage to small bowel mesenteric vasculature. We encountered a patient with bleeding from ruptured exogastric leiomyoblastoma. Two cases of traumatic rupture of gastric leiomyosarcomas have been reported previously. The operative treatment is usually delayed and the diagnosis established only at laparotomy. We suggest a high level of suspicion and early laparotomy.- - - - - - - - - - ranking = 1keywords = rupture (Clic here for more details about this article) |
2/46. ascites in benign disease of the pancreas.ascites in benign disease of the pancreas is a rare observation. One patient with this condition is discussed. The key to the diagnosis is the raise of the amylase and protein content of the ascitic fluid. The condition is caused by pancreatic juice oozing into the free abdominal cavity through a rupture of the pancreatic duct or a pancreatic cyst. Surgical treatment may result in recovery.- - - - - - - - - - ranking = 0.33333333333333keywords = rupture (Clic here for more details about this article) |
3/46. Surgical approaches for pancreatic ascites: report of three cases.Pancreatic ascites can occur in association with the rupture of a pseudocyst or the disruption of a pancreatic duct during the natural course of chronic pancreatitis. We report herein the successful treatment of three patients with pancreatic ascites by performing a surgical procedure after 4-6 weeks of total parenteral nutrition (TPN) proved ineffective. The principles of our surgical procedure for pancreatic ascites are as follows: (1) minimum pancreatic tissue is resected; (2) surgical intervention to repair leaking sites is not necessary; (3) pancreatic duct drainage is facilitated by an intestinal Roux-en-Y loop; (4) An external drainage tube is inserted through the Roux-en-Y loop into the main pancreatic duct. All three patients who underwent our surgical procedure had a good outcome. Although the mean follow-up time is still only 18.3 months, their condition has improved, with no evidence of recurrent ascites. Thus, our surgical procedure should be considered as an appropriate treatment for pancreatic ascites because it can be applied for all types of leakage, including leakage from the posterior wall of pancreas; it preserves pancreatic function, especially endocrine function; and it enables preservation of the spleen.- - - - - - - - - - ranking = 0.33333333333333keywords = rupture (Clic here for more details about this article) |
4/46. laparoscopy extends the indications for liver resection in patients with cirrhosis.BACKGROUND: Clinical or biological evidence of liver failure is usually considered a contraindication to open liver surgery as it is associated with a prohibitive risk of postoperative death. methods: This report describes three patients who had resection of a superficial hepatocellular carcinoma suspected either to be ruptured, or at high risk of rupture, using the laparoscopic approach. All three patients had intractable ascites, in two superimposed on active hepatitis. Surgery was per- formed under continuous carbon dioxide pneumoperitoneum with intermittent clamping of the hepatic pedicle. RESULTS: Intraoperative blood loss was between 100 and 400 ml; no blood transfusion was required. The postoperative course was uneventful except for a transient leak of ascites through the trocar wounds. Duration of in-hospital stay was 6-10 days. liver function tests had returned to preoperative values within 1 month of surgery in all patients. CONCLUSION: The laparoscopic approach may enable liver resection in patients with cirrhosis and evidence of liver failure that would contraindicate open surgery.- - - - - - - - - - ranking = 0.66666666666667keywords = rupture (Clic here for more details about this article) |
5/46. Spontaneous splenic rupture due to subcutaneous heparin therapy.We report a case of spontaneous splenic rupture in a 59-year-old woman who was receiving 15,000 units of heparin subcutaneously (s.c. ) twice a day for deep venous thrombosis (DVT) prophylaxis. Her past medical history included multiple DVT, pulmonary emboli, and ovarian cancer stage III-C with known ascites. The diagnosis of splenic rupture was initially missed because of the ascites. This case illustrates both a previously undescribed complication of s.c. heparin therapy and a failure of ultrasound diagnosis. We emphasize the unique presentation, difficulty in diagnosis, and need for early surgical involvement to ensure the most favorable outcome.- - - - - - - - - - ranking = 2keywords = rupture (Clic here for more details about this article) |
6/46. Traumatic cardiac rupture with acute ascites.A rare accumulation of serous ascites following traumatic cardiac rupture is reported for a 21-year-old man transferred to the emergency center of our hospital from a community hospital suffering from severe shock due to a motorcycle accident. Computed tomography scan showed moderate pericardial and intrapelvic fluid accumulation strongly suggesting cardiac and visceral injuries. An emergency sternotomy disclosed a rupture of the right atrial appendage, successfully closed with primary sutures. A laparotomy was done to aspirate moderate serous fluid, which was clear and not bloody. edema of the retroperitoneal space and hepatic congestion were noted with no accompanying organ injury. ascites pathogenesis is unknown but appeared to be related to portal venous congestion induced by cardiac tamponade combined with massive intravenous fluid infusion done to correct the patient's deteriorating hemodynamics.- - - - - - - - - - ranking = 2keywords = rupture (Clic here for more details about this article) |
7/46. prenatal diagnosis of fetal urinary ascites.We report on a rare in utero appearance of the rupture of the fetal bladder caused by low urinary tract obstruction with subsequent urinary ascites. The findings on prenatal sonography, postnatal X-ray examinations and postnatal surgical treatment are described and the literature is reviewed.- - - - - - - - - - ranking = 0.33333333333333keywords = rupture (Clic here for more details about this article) |
8/46. Urinary ascites in children owing to extravasation of urine from the bladder.Three cases of urinary ascites in infants secondary to extravasation of urine from the bladder are reported. The first reported case of intraperitoneal extravasation from a perforated bladder resulting from an umbilical cutdown and the second reported case of an intraperitoneal rupture of a congenital diverticulum of the bladder are included. Successful management of urinary ascites was achieved by immediate diversion. The diagnosis of a vesical perforation should be considered in an infant presenting with ascites.- - - - - - - - - - ranking = 0.33333333333333keywords = rupture (Clic here for more details about this article) |
9/46. Spontaneous bladder rupture secondary to posterior urethral valves in a neonate.Bladder rupture is a rare cause of ascites in neonates. A review of literature revealed about 32 cases including both iatrogenic and spontaneous rupture. This case report describes a successfully treated case of spontaneous rupture of bladder with ascites in a neonate with posterior urethral valves.- - - - - - - - - - ranking = 2.3333333333333keywords = rupture (Clic here for more details about this article) |
10/46. The diagnosis and management of neonatal urinary ascites.Urinary ascites in a newborn infant is unusual and most commonly indicates a disruption to the integrity of the urinary tract. The following report describes a case of urinary ascites, probably due to bladder rupture caused by umbilical artery catheterization, associated with hyponatremia, hyperkalemia and elevated serum creatinine. This unusual biochemical profile is characteristic of urinary 'autodialysis' and was corrected by bladder drainage.- - - - - - - - - - ranking = 0.33333333333333keywords = rupture (Clic here for more details about this article) |
| | Next -> |