The seat belt is designed for safety in a motor vehicle and should be worn to prevent severe injuries. But, the seat belt itself can be an injury factor in combination with deceleration forces applied to fixation points of mobile viscera. Here, we present a 23-year-man with traumatic transection of the appendix, highly mobile viscera, following seat belt injury.
Appendix ; Deceleration ; Motor Vehicles ; Seat Belts* ; Viscera

No abstract available.
Arteries ; Extremities ; Female ; Humans ; Thromboangiitis Obliterans ; Viscera

Anatomical variations of pancreatic head and uncinate process are rarely encountered in clinical practice. These variations are primarily attributed to the complex development of the pancreas. An unduly enlarged uncinate process of the pancreas overlapping the third part of duodenum was discovered during dissection. This malformation of the pancreatic uncinate process was considered to be due to excessive fusion between the ventral and dorsal buds during embryonic development. On further dissection, an avascular pancreatico-duodenal fold guarding the pancreatico-duodenal recess was observed. The enlarged uncinate process can cause compression of neurovascular structures and also cause compression of adjoining viscera. The pancreatico-duodenal recess becomes a potential site for internal herniation. This case is of particular interest to the gastroenterologists and surgeons performing surgical resections. Precise knowledge of embryogenesis of such pancreatic anomalies is necessary for understanding and thus treating many diseases of the pancreas.
Duodenum ; Embryonic Development ; Female ; Head ; Hypertrophy ; Pancreas* ; Pregnancy ; Viscera

Kaposi sarcoma is a lympho-angioproliferative disease of the skin and viscera. Because the natural history of Kaposi sarcoma is variable, the assessment of therapy may be difficult and optimal therapy has yet to be determined. Pentoxifylline has been used to treat various dermatologic diseases, but its effectiveness in Kaposi sarcoma has not been reported. We now report a case of Kaposi sarcoma in a 76-year-old man who improved after treatment with oral pentoxifylline.
Aged ; Humans ; Natural History ; Pentoxifylline ; Sarcoma, Kaposi ; Skin ; Viscera

Kaposi sarcoma is a lympho-angioproliferative disease of the skin and viscera. Because the natural history of Kaposi sarcoma is variable, the assessment of therapy may be difficult and optimal therapy has yet to be determined. Pentoxifylline has been used to treat various dermatologic diseases, but its effectiveness in Kaposi sarcoma has not been reported. We now report a case of Kaposi sarcoma in a 76-year-old man who improved after treatment with oral pentoxifylline.
Aged ; Humans ; Natural History ; Pentoxifylline ; Sarcoma, Kaposi ; Skin ; Viscera

A perineal hernia (PH) is formed by a protrusion of intra-abdominal viscera through a defect in the pelvic floor. This is a rare complication after a conventional abdominoperineal resection (APR). However, the risk of a PH may be increased after a laparoscopic resection because this technique can cause fewer postoperative adhesions, predisposing the small bowel to sliding down toward the pelvis. However, only a few case reports describe the transperineal approach for the repair of a PH after a laparoscopic APR. We present a case of a PH after a laparoscopic APR; the PH was repaired with synthetic mesh by using a transperineal approach. A transperineal approach using a mesh to reconstruct the pelvic floor is less invasive and more effective. We suggest that this technique should probably be the first choice for treating an uncomplicated PH that occurs after a laparoscopic APR.
Hernia* ; Hydrogen-Ion Concentration ; Pelvic Floor ; Pelvis ; Viscera

Duplication of renal pelvis and ureter is the most common congenital anomaly of that upper urinary tact. The three most important abnormalities associated with duplex kidneys are V-U reflux, ectopic ureter and ureterocele. There is no single method of treating V-U reflux with complete ureteric duplication which will apply to all cases. With reflux, the pole segment of duplicated kidney may be severly diseased and must be removed by partial nephroureterectomy. Another surgical approach to the problem of reflux in duplicated ureters is "common sheath" reimplantation generally. But there are high risk of injuries to pelvic viscera and vasculatures. We performed ipsilateral ureteroureterostomy (end-to-side anastomosis) using microsurgery for another alternative method. We found there are no risk of injuries to the pelvic viscera anti vasculatures, the procedure is very simple and the result is very excellent. Herein we report our cases with brief review of literatures.
Kidney ; Kidney Pelvis ; Microsurgery ; Replantation ; Ureter* ; Ureterocele ; Viscera

Infantile myofibromatosis is a rare benign tumor of childhood characterized by a myofibroblastic tumor in the skin, subcutaneous tissues, bones, and, occasionally, the viscera. The tumor may be solitary or multicentric. A solitary skeletal lesion most commonly occurs in the craniofacial region. We report a case of solitary infantile myofibromatosis of the skull, confirmed by excisional biopsy.
Biopsy ; Myofibroblasts ; Myofibromatosis* ; Skin ; Skull* ; Subcutaneous Tissue ; Viscera

Natural orifice translumenal endoscopic surgery (NOTES) involves the intentional perforation of the viscera with an endoscope to access the abdominal cavity and perform an intraabdominal operation. In a brief time period, NOTES has been shown to be feasible in laboratory animal and human studies. Easy access to the peritoneal cavity and complete gastric closure should be secured before NOTES can be recommended as an acceptable alternative in clinical practice. The concept of submucosal endoscopy has been introduced as a solution to overcome these two primary barriers to human NOTES application. Its offset entry/exit access method effectively prevents contamination and allows the rapid closure of the entry site with a simple mucosal apposition. In addition, it could be used as an endoscopic working space for various submucosal conditions. Herein, the detailed procedures, laboratory results and human application of the submucosal endoscopy will be reviewed.
Abdominal Cavity ; Animals, Laboratory ; Endoscopes ; Endoscopy ; Humans ; Peritoneal Cavity ; Viscera

Pelvic lipomatosis is a rare condition characteristized by the deposition of an excessive amount of benign adipose tissue in the bony pelvis. Tile proliferating adipose tissue may compress the pelvic viscera in varying degrees, including the pelvic portion of the ureters. Occasionally, marked bilateral ureteral obstruction may lead to the development of uremia. Computed tomography is emerging as useful diagnostic adjuvants in the confirmation of pelvic lipomatosis. A case of pelvic lipomatosis studied by CT and conventional radiography is presented.
Adipose Tissue ; Lipomatosis* ; Pelvis ; Radiography ; Uremia ; Ureter ; Ureteral Obstruction ; Viscera