Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a...Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomograghy (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.展开更多
Developmental abnormalities are rare in the liver.This study presents two case reports of ectopic liver.The first case was a 31-year-old male with clinical indication for laparoscopic appendectomy.Laparoscopy identifi...Developmental abnormalities are rare in the liver.This study presents two case reports of ectopic liver.The first case was a 31-year-old male with clinical indication for laparoscopic appendectomy.Laparoscopy identified a perforated appendix and an unknown tumorous lesion in the ligamentum hepato umbilicalis.The patient underwent a laparoscopic appendectomy,intraoperative lavage of the peritoneal cavity,and extirpation of the lesion in the ligamentum hepato umbilicalis.Histpathological examination of the excised tumor revealed that it comprised liver tissue with fibrinous changes.The tumor was completely separate from the liver with no connection.It was classified as an ectopic liver.No further therapy was required.The second case was a59-year-old male with a tumor on the upper pole of the spleen,incidentally diagnosed in an ultrasound examination.The biopsy raised suspicion of hepatocellular carcinoma.A positron emission tomography-computed tomography examination revealed accumulation of F-18 fluorodeoxyglucose only in the tumor.The patient underwent a splenectomy with a resection and reconstruction of diaphragm.After the hepatocellular carcinoma was confirmed,adjuvant therapy(sorafenib)was initialized.The operations and postoperative recoveries were uncomplicated in both cases.Despite the low incidence of ectopic liver and rare complications,it is necessary to maintain awareness of this possibility.The potential malignancy risk for ectopic liver tissue is the basis for radical surgical removal.Therapy for hepatocellular carcinoma in an ectopic liver follows the same guidelines as those followed for treating the"mother"liver.展开更多
文摘Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomograghy (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.
文摘Developmental abnormalities are rare in the liver.This study presents two case reports of ectopic liver.The first case was a 31-year-old male with clinical indication for laparoscopic appendectomy.Laparoscopy identified a perforated appendix and an unknown tumorous lesion in the ligamentum hepato umbilicalis.The patient underwent a laparoscopic appendectomy,intraoperative lavage of the peritoneal cavity,and extirpation of the lesion in the ligamentum hepato umbilicalis.Histpathological examination of the excised tumor revealed that it comprised liver tissue with fibrinous changes.The tumor was completely separate from the liver with no connection.It was classified as an ectopic liver.No further therapy was required.The second case was a59-year-old male with a tumor on the upper pole of the spleen,incidentally diagnosed in an ultrasound examination.The biopsy raised suspicion of hepatocellular carcinoma.A positron emission tomography-computed tomography examination revealed accumulation of F-18 fluorodeoxyglucose only in the tumor.The patient underwent a splenectomy with a resection and reconstruction of diaphragm.After the hepatocellular carcinoma was confirmed,adjuvant therapy(sorafenib)was initialized.The operations and postoperative recoveries were uncomplicated in both cases.Despite the low incidence of ectopic liver and rare complications,it is necessary to maintain awareness of this possibility.The potential malignancy risk for ectopic liver tissue is the basis for radical surgical removal.Therapy for hepatocellular carcinoma in an ectopic liver follows the same guidelines as those followed for treating the"mother"liver.
