Here, in the present case the authors report a patient with IVC injury repaired by venorrhpy and it can be performed by a team led by general surgeon. Inferior vena cava injuries remain a challenge for the skill, experience and diligence of a surgeon. Not only vascular surgeons, but all surgeons should be familiar with the principles of their treatment. A case of the inferior vena cava injury encountered after penetrating abdominal trauma in old age man with hemorrhagic shock with about 4 cm vertical tear of juxta-renal vena cava, survived due to immediate transportation, appropriate and successful perioperative fluid and blood resuscitation, prompt surgical management with team approach and critical postoperative surgical management without any residual complication. IVC injuries are associated with high mortality. Patients presenting with clinical and physiological evidence of shock and who require "damage control" surgery are more likely to suffer a worse outcome, particularly when multiple physiological derangements are present.
Adrenal gland cysts are rare indications of adrenal diseases, which are commonly asymptomatic. In radiological studies, these cysts, known as incidentalomas, are often detected by coincidence accounting for 6% of the population. Adrenal incidentalomas are commonly detected, and autonomous cortisol hypersecretion is the most prevalent abnormality associated with these masses. Since this complication is recurrent, it requires intermittent morphological and hormonal evaluation for several years. In this paper, we aimed to present the case of a 52-year-old woman with complaints of vague abdominal pain. After laparotomy, the tumor was removed, and umbilical herniorrhaphy was performed on the patient. Laparoscopic adrenalectomy is the first-line surgical treatment for this type of incidentaloma. Ultrasonography revealed an echogenic mass (diameter: 4 cm) in the left adrenal gland of the patient, which was not associated with hernia. In addition, CT-scan showed that the adrenal lesion was hypodense and heterogeneous (diameters: 81*53 mm) with sharp, irregular borders.
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