An inflammatory myofibroblastic tumor (IMT) is a rare tumor in the abdominal cavity. A number of descriptive terms have been used to describe inflammatory tumors with myofibroblastic proliferation. The etiology and the biologic behaviors of IMTs are still unknown. Extensive pathologic examination is important to prevent misdiagnosis, and the need for long- term follow up is emphasized. Recently, we experienced a case of a huge inflammatory myofibroblastic tumor of the abdominal cavity in a young male. The patient had a painless mass in the entire abdomen. The resected specimen revealed a 15X14X12 cm3 mass involving the posterior rectus sheath, mesentery, ascending, and descending colon; and omentum. We present our experience with that along with a review of literature.
Abdomen ; Abdominal Cavity ; Abdominal Wall* ; Colon, Descending ; Diagnostic Errors ; Humans ; Male ; Mesentery ; Myofibroblasts* ; Omentum

It is quite common to see abnormal peritoneal folds in the abdominal cavity. Some of them might compress or strangulate the viscera and others might determine the direction of the flow of peritoneal fluid, pus or blood. Many unusual clinically important peritoneal folds such as Ladd's band, cysto-gastro-colic fold, omento-cystic fold, and cysto-colic fold have been reported earlier. Knowledge of these folds is important for radiologists, gastroenterologists, and surgeons. We report an unusual cysto-duodeno-colic fold observed during our dissection classes. The fold was seen to compress the duodenum and colon. The fold extended from the descending part of the duodenum and the transverse colon to the gallbladder. It enclosed the entire gallbladder. A case similar to this has not been reported yet. It is important for the gastroenterologists and laparoscopic surgeons to be aware of this fold to avoid misdiagnosis and iatrogenic injuries.
Abdomen ; Abdominal Cavity ; Ascitic Fluid ; Colon ; Colon, Transverse ; Diagnostic Errors ; Duodenum ; Gallbladder ; Omentum ; Peritoneal Cavity ; Peritoneum ; Suppuration ; Surgeons ; Viscera

Paraduodenal hernia is by far the most common form of congenital internal hernia. Chylous ascites is an accumulation of lymphatic fluid in the peritoneal cavity. It develops when the lymphatic system is disrupted due to traumatic injury or obstruction. A 40-year-old, woman showed up to the Emergency Department with severe, colicky abdominal pain. Tenderness and rebound tenderness were observed at the left abdomen. Abdominal CT confirmed a cluster of dilated proximal small bowel loops with ischemic change, without ascites. The patient underwent an emergency surgery to relieve bowel ischemia. As soon as the peritoneum was exposed, 1.5 L of chylous fluid was found. A hernial sac was found along the posterior side of the mesentery of the inferior mesenteric artery. We resected the hernial sac and pulled out the herniated small bowel. On the sixth day after the surgery, she was discharged without any complication.
Abdomen ; Abdominal Pain ; Adult ; Ascites ; Chylous Ascites* ; Emergencies ; Emergency Service, Hospital ; Female ; Hernia* ; Humans ; Ischemia ; Lymphatic System ; Mesenteric Artery, Inferior ; Mesentery ; Peritoneal Cavity ; Peritoneum ; Tomography, X-Ray Computed

The retroperitoneal space is that indefinite area in the lumber and iliac region which lies between the peritoneum and the posterior wall of the abdominal cavity. The term retroperitoneal cyst or tumor is usually confined by the pathologist to these arising from the structures situated in the retroperitoneal space. Retroperitoneal cysts are that of non-neoplastic nature and originated from retroperitoneal tumor Because the retroperitoneal space is rather extensive and adjacent organs are easily displaced, many of the cysts grow to a large size before giving any clinical manifestation. Frequently, when the patient is first seen, there is an indefinite abdominal mass the exact nature of which is obscure, and the diagnosis is not made until the time of surgical investigation.
Abdominal Cavity ; Diagnosis ; Humans ; Peritoneum ; Retroperitoneal Space

Spigelian hernia is an uncommon hernia of the ant. abdominal wall. Because of its insidious nature and nonspecific physical findings, the diagnosis of this hernia is often not made. Typically, the hernia orifice is small, and strangulation of the contents of the hernial sac can occur. Computed tomography permits the distinction between Spigelian hernia and other anterial abdominal wall or intraabdominal masses. Spigelian hernia requires surgical correction to prevent complication of acute abdomen with strangulation or incarceration. The typical site of a Spigelian hernia is at the level of the semicircular fold of Douglas known as the arcuate line. Spigelian hernia can occur above the umbilicus, high Spigelian hernia, but its very unusual site. We report a case of Spigelian hernia on upper abdomen and review the literature.
Abdomen* ; Abdomen, Acute ; Abdominal Wall ; Ants ; Diagnosis ; Hernia* ; Umbilicus

OBJECTIVE: To examine the bone proportional measurement standard on the chest and abdomen of modern women. METHODS: The height, weight and distances of bone proportional measurement chest and abdomen of 101 young females were measured. The height was divided by 75 to calculate the data of bone proportional measurement, and compared with the national standard published in 2006 and the ancient literature of Miraculous Pivot: Gudu. RESULTS: The bone proportional distances between two nipples and two coracoid processes of women were 8 cun and 12 cun respectively, which were in line with the 2006 national standard. The bone proportional distance from navel to superior margin of pubic symphysis (Qugu) was 6.5 cun, which was consistent with the ancient literature of Miraculous Pivot: Gudu. The bone proportional distance from suprasternal fossa to the middle point of xiphisternal synchondrosis (Qigu) was less than 9 cun, while the bone proportional distance from Qigu to navel was more than 8 cun, resulting in the ratio less than 9︰8. The bone proportional distance from suprasternal fossa to the middle point of xiphoid process was 9 cun, corresponding to the ratio of 9︰8 when comparing with the measurement from the middle point of xiphoid process to navel. CONCLUSION The bone proportional distance measurement between two nipples and two coracoid processes of women should follow the 2006 national standard, and the bone proportional distance measurement from navel to superior margin of pubic symphysis should follow the standard of Miraculous Pivot: Gudu. The middle point of xiphisternal synchondrosis should be replaced by the middle point of xiphoid process.
Abdomen ; Abdominal Cavity ; Acupuncture Points ; Bone and Bones ; Female ; Humans ; Umbilicus

Peritoneal mesothelioma is a rare disease which arises from the mesothelial lining cells in the peritoneum and spreads to the peritoneal wall, omentum and other abdomina1 organs. Aabestos is one etiologic factor and the other factors are genetic cause, radiation, exposure to toxic materials and recurrent yeritonitis. We experienced a case of multiple small nodular peritoneal mesothelioma after exposure to asbestos for over 20 years. He was a sailor and had worked in the engine department of the ship, in which he wrapped up the pipe of engine in asbestos. This person came to our hospital because of inconvenience due to a distended abdomen. Tumor markers were all within normal limits and there was no evidence of tuberculosis in the abdomen and chest. The CT findings of the abdomen were as follows: There was abundant ascites in the abdominal cavity and multiple small nodules on the parietal peritoneum and especially on the lower abdomen. The omentum thickened diffusely. It was difficult to distinguish from peritoneal mesothelioma and peritoneal carcinomatosis or intestinal tuberculosis. The laparoscopic findings were as follows: There were multiple small nodules on the parietal peritoneum and omentum. The small nodules were a gray white color and uneven compared to tuberculous peritonitis. Therefore, we observed the malignant mesothelial cells by means of the light microscope and electron microscope and concluded that this case was peritoneal mesothelioma.
Abdomen ; Abdominal Cavity ; Asbestos ; Ascites ; Carcinoma ; Humans ; Mesothelioma* ; Military Personnel ; Omentum ; Peritoneum ; Peritonitis, Tuberculous ; Rare Diseases ; Ships ; Thorax ; Tuberculosis ; Biomarkers, Tumor

A 66-year-old woman was admitted to our hospital because of a mass in the left abdomen. Ultrasonography, aortography and computed tomographic (CF) scanning revealed the mass occupying the entire left abdominal cavity and the left kidney displaced by huge and avascular mass. Also CT guided needle biopsy demonstrated liposarcoma. At operation, a huge yellow-brownish tumor found in the retroperitoneal space, was removed incompletely due to severe adhesion to the left external iliac artery The tumor was 12x11x10cm and weighed 560gm. Histologically, it was a pleomorphic type liposarcoma. She bas received adjuvant radiotherapy but recurred 10 months later.
Abdomen ; Abdominal Cavity ; Aged ; Aortography ; Biopsy, Needle ; Female ; Humans ; Iliac Artery ; Kidney ; Liposarcoma* ; Radiotherapy, Adjuvant ; Retroperitoneal Space ; Ultrasonography

Endometriosis is a common gynecological entity and characterized by the presence of endometrial glands and stroma outside the normal location in the uterine cavity. Endometriosis has been reported mostly in the pelvic cavity but anywhere in the body such as umbilicus, appendix, bladder, cervix, pleural cavity, lung, rectum, vagina, vulva and round ligaments. The abdominal wall is one of the most common sites of extrapelvic endometriosis and usually develops in association with a prior surgical scar. However, endometriosis involving the scarless abdomen is rare. We experienced an unusual presentation of a woman with abdominal wall endometriosis in the absence of previous surgery associated with recurrent pneumothorax in menstrual cycle. We report this case with brief review of the literature.
Abdomen ; Abdominal Wall* ; Appendix ; Cervix Uteri ; Cicatrix ; Endometriosis* ; Female ; Humans ; Lung ; Menstrual Cycle ; Pleural Cavity ; Pneumothorax ; Rectum ; Round Ligament of Uterus ; Umbilicus ; Urinary Bladder ; Vagina ; Vulva

Many ideal definitions have been proposed about the desirable shape and position of the appealing umbilicus. The attractive umbilicus is a moderately small umbilical size with an overall vertical orientation We would like to propose a new, simple and effective technique to correct a abnormal distorted large protruding umbilicus which developed on a 43 year-old man who undergone previous surgery. A inner circle 1cm in diameter, which was generally considered as a normal size, was drawn in the center of deformed umbilicus. Another outer circle, which was drawn between normal abdomen and deformed umbilicus, was horizontally divided into 2 portions. The upper portion of the outer ring was excised down to the dermal area and lower portion was deepithelized. The inner circle flap was meticulously defatted down to the abdominal wall fascia. Then, this inner circle was fixed to the fascia with 3-0 monofilament sutures at 3,9,12 o'clock direction for making a superior hood. Remnant outer circle was closed primarily with adjacent proper undermining. The natural looking umbilicus was shown until postoperative 2 weeks. A longitudinal deep umbilical depression was cosmetically pleasing. This new method of reduction umbilicoplasty is a safe, simple, and effective technique for aesthetically pleasing umbilicus.
Abdomen ; Abdominal Wall ; Depression ; Fascia ; Orientation ; Sutures ; Umbilicus