Laparoscopic resection of patent omphalomesenteric duct in an adult

Abstract

Abstract. We report a new approach for laparoscopic anatomical left lobectomy. Although laparoscopic limited resection of the liver has been reported, major liver surgery with a laparoscopic approach remains uncommon. Obstacles to routine laparoscopic surgery on the liver are mainly related to di culty in retraction with current instrumentation, di culty in assessing safe margins of resection without the use of tactile sense, and the di culty of safe parenchymal dissection laparoscopically. We introduce a hand-assisted method that can help in resolving the di culties and pitfalls associated with laparoscopic liver resection, and in making this surgery safer. The hand is the best atraumatic liver retractor in laparoscopic resection and facilitates the use of laparoscopic ultrasonography. Abstract. Patients with sphincter of Oddi dysfunction have a signi®cantly increased rate of pancreatitis after manometry or sphincterotomy, but septic complications after diagnostic endoscopic retrograde cholangiopancreatography (ERCP) in patients with sphincter of Oddi dysfunction type 2 have not been reported. We describe two patients with sphincter of Oddi dysfunction type 2 in whom Pseudomonas aeruginosa serotype 10 septicemia and multiple small hepatic abscesses developted, all within 48 h after they underwent diagnostic ERCP.The sepsis and hepatic abscesses resolved after successful intravenous antibiotic administration. Despite scrupulous examination of the duodenoscope washing machine and the bottle of water, the bacteria responsible for the sepsis could not be isolated. It is possible that despite disinfection, a nondetectable colony of P. aeruginosa remained in a part of duodenoscope and proliferated to reach a potentially hazardous level the following day.

A rare cause of small bowel obstruction in adults: persistent omphalomesenteric duct

“…Other types of symptomatic persistent OMD require different approaches, such as open surgical excision or laparoscopic excision. [8,11,12] In conclusion, small bowel volvulus due to persistent OMD is a very rare cause of intestinal obstruction in adults. However, in patients without any previous abdominal surgery, a correct diagnosis becomes more important.…”

“…[11] The most common presentation of a persistent duct (67%) is the Meckel's diverticulum, found in approximately 2% of the population. [12] Other OMD remnants occur infrequently.…”

Laparoscopic technique of resection of omphalomesenteric duct in the newborns

“…К настоящему времени опубликовано всего 2 случая успешной эн-доскопической резекции ОМП у взрослых пациен-тов [18,19].…”

Abdominal Wall Phlegmone Associated with an Omphalomesenteric Remnant in an Adult Male: Laparoscopic Repair

“…In contrast to the Meckel diverticulum, in OER a connection with the umbilicus persists. It is rarely seen in adults and only few cases of laparoscopic management have been reported thus far [4][5][6]. Chronic umbilical infection may be one of the clinical presentations.…”