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At least 1,153 records · Page 64Linked to original sources
PubMed1992

[Atypical metastases from gastric carcinoma. A primary and isolated case localized in the abdominal wall].

The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported over the past decade; the most important reports of atypical secondary localisations are listed.

Abdominal Muscles↗
PubMed2001

[Primary actinomycosis of the abdominal wall. Description of 2 cases and review of the literature].

We report two cases of isolated abdominal wall actinomycosis and review 18 previously reported cases to further characterize the clinical findings and the therapeutic management of this syndrome. This diagnosis would be advocated in patients with a palpable abdominal mass of subacute appearance with a previous history of digestive medical illness, diabetes, abdominal surgery, or prolonged IUD use. In contrast with other actinomycosis locations, remarkable data were a more elevated mean age of patients; a female predominance; a prevalent location of mass in abdominal lower left quadrant; and a shorter duration of symptomatology before to diagnosis. The CT is the first choice for imaging study and percutaneous needle aspiration would be recommended for definite diagnosis. The long-term antibiotic therapy, with or without percutaneous drainage, is the first treatment choice because is very effective and made unnecessary a more invasive surgical management. The prognosis is excellent with adequated treatment.

Abdominal Muscles↗
PubMed1994

Abdominal wall haematoma complicating laparoscopic cholecystectomy.

Of 61 consecutive patients undergoing laparoscopic cholecystectomy, 4 (6.25%) developed abdominal wall haematomas. This complication of laparoscopic cholecystectomy may occur more commonly than existing literature suggests, and manifests in the post-operative period (days 2 to 6) by visible bruising, excessive pain or an asymptomatic drop in haematocrit. It is readily confirmed by ultrasonography. While no specific treatment is necessary apart from replacement of significant blood loss, the patient requires reassurance that this apparently alarming complication will rapidly resolve.

Abdominal Muscles↗
PubMed1998

Incidence of abdominal wall hernia in aortic surgery.

BACKGROUND: True aneurysms of the abdominal aorta and its branches are at least in part due to defects in the structural integrity of the arterial wall. Whether the defect is isolated to the vascular wall is unclear. If the structural weakness involves other tissues, patients with aneurysmal disease should have a higher incidence of collagen and fascial defects, such as abdominal and inguinal hernias. METHOD: We reviewed 100 patients who underwent elective aortic reconstruction for aneurysmal or occlusive disease. All patients were operated on by the same group of vascular surgeons, through a midline incision, with fascia closed using running absorbable suture. Midline incisional and inguinal hernias were identified, and all patients were followed up for at least 1 year. Comparisons between groups were made for established risk factors for ventral hernias. RESULTS: Incisional hernias occurred in 18 of 58 (31%) aneurysm patients, compared with 5 of 42 (12%) occlusive disease patients (P = 0.025). Inguinal hernias occurred in 11 of 58 (19%) aneurysm patients versus 2 of 42 (5%) occlusive disease patients (P = 0.037). Risk factors were equally distributed between the two groups. Neither the size of the aneurysm nor the presence of an iliac artery aneurysm affected the incidence of abdominal wall hernias in the aneurysm patients. CONCLUSION: This study emphasizes the increased incidence of abdominal wall hernias in patients undergoing aortic surgery for aneurysm disease compared with aortoiliac occlusive disease. The size of the aneurysm and the association of an iliac artery aneurysm did not affect the incidence of hernias among these patients. Genetic and biochemical abnormalities are considered as possible explanations.

Aged↗
PubMed1984

Varicose veins of the abdominal wall in a child. A case report.

A case of a venous malformation of the abdominal wall in a 13-year-old boy is hereby presented. This malformation, manifesting as varicosities which were present from infancy caused no disturbances other than cosmetic. Clinical, laboratory and radiological examinations revealed no underlying pathology linked with this malformation. Considering the patient's history, we assumed the varicosities to be sequelae of a deep thrombophlebitis of the right leg in infancy, although a congenital etiology was not excluded. The varicose veins were surgically excised with excellent postoperative results. To the best of our knowledge, no such case was previously reported in literature.

Abdominal Muscles↗
PubMed1981

[Endometriosis in the abdominal wall (author's transl)].

The authors give 9 case histories of endometriosis localised to the abdominal wall : 3 of them in the umbilicus, 3 in laparotomy incisions (2 of those were Caesareans), 2 of them in the round ligaments at the external opening of the inguinal canal and 1 of them in the right rectus muscle sheath in the abdomen. The functional symptomatology is rhythmical according to menstruation; it is associated with a burning type of pain, a tumour and blood loss. Over and above the theories of aetiology that are now classical, namely tubal retrograde spill, and lymphatic or venous spread, it would seem that prostaglandins and in particular the ratio of P.G.E. divided by P.D.F2 alpha can play a big role. Although Danazol is an effective treatment for endometriosis, the treatment of choice is, in these lesions that are superficial in localisation and easily accessible, to cut them out surgically. This makes it possible on the one hand to look for other intra-abdominal lesions and also on the other hand to confirm the anatomy and pathology (this was done in 7 out of 9 of our cases).

Abdominal Muscles↗
PubMed1994

[Contribution of abdominal plasty in the treatment of uncomplicated eventrations of the abdominal wall].

From 1987 to 1993, surgery combining two techniques was performed for 12 patients with uncomplicated abdominal wall eventration and excess subcutaneous adipose tissue. In order to meet both the functional and aesthetic needs of these patients, the operations required the co-operation between the plastic surgery and the abdominal surgery teams. Abdominal plasty was required to repair muscle and aponeurosis damage and remove abdominal dermolipodystropy with minimal, good quality scars. The early and late results were evaluated on the basis of several parameters including: global abdominal morphology, parietal containment, scar formation, complications, and the effect of treatment. Optimal results require a pluri-disciplinary approach.

Abdominal Muscles↗
PubMed2004

Intramedullary spinal cord ganglioglioma presenting with abnormal abdominal wall movement. Case report.

The authors present a case of intramedullary ganglioglioma in a 6-year-old girl. Since the age of 4 months the patient had experienced a spontaneous wavy undulating movement of her anterior abdominal wall resembling a severe peristalsis. The movement was continuous even during sleep, and this symptom was named "belly dance." Magnetic resonance images revealed an intramedullary tumor with ill-defined borders, and the lesion was partially resected. The patient made a good recovery, although 4 years postsurgery her scoliosis had progressed.

Abdominal Wall↗
PubMed1998

Ileo-abdominal wall fistula caused by diverticulum of the ileum.

We report a very rare case of ileo-abdominal fistula caused by penetration of the ileal diverticulum. Small bowel diverticulosis is generally considered to be an innocuous condition. In this report, we describe a case of ileal diverticulitis associated with an abdominal wall abscess.

Abdominal Muscles↗
PubMed1996

Comparison of a new type of polytetrafluoroethylene patch (Mycro Mesh) and polypropylene prosthesis (Marlex) for repair of abdominal wall defects.

BACKGROUND: Two types of prosthetic material used for repairing hernial defects of the abdominal wall were compared: Mycro Mesh and Marlex. Mycro Mesh (MM) is a new polytetrafluoroethylene product of layered, microporous structure. Macroscopically, it presents regularly distributed, 2-mm orifices that perforate the biomaterial. Marlex (PL) is a well-known polypropylene mesh product with a macroporous structure. STUDY DESIGN: In 24 white New Zealand rabbits, a full-thickness (except skin) 5 x 7-cm defect was created in the anterior wall of the abdomen. Defects were repaired with either MM (n = 12) or PL (n = 12) implants and studied at 14, 30, 60, and 90 days after implantation. Samples of the interfaces between prosthesis and subcutaneous tissue, visceral peritoneum, and receptor tissue, respectively, were studied. Samples were processed for optical microscopy and scanning electron microscopy (SEM). An immunohistochemical study was made using RAM-11, a monoclonal antibody specific for rabbit macrophages. The tensile strength of the repairs was made using an Instron tensiometer on 2-cm wide transversal strips that included the prosthesis and its anchor zones to the receptor tissue. RESULTS: The formation of adhesions between the prosthesis and intestine was important with the PL implants but not with the MM implants. Optical microscopy and SEM showed formation of an organized connective tissue surrounding the MM implants. At 90 days, compact bridges of connective tissue linked the tissue on the subcutaneous and peritoneal sides of the prosthesis. The PL implants became integrated into a disorganized, highly vascularized connective tissue. The intensity of the macrophage response was similar in both prostheses and decreased between days 14 and 90 (Student-Newman-Keuls test p = 0.01). The tensile strength of the PL implants was greater than that of the MM implants. At 90 days, the tensile strength of the PL implants was mean equals 33.11 N and of the MM implants, mean equals 22.65 N (Mann-Whitney test p < 0.001). CONCLUSIONS: The tissue integration of the PL and MM implants differed; fewer visceral adhesions formed on MM than on PL; the macrophage reaction was not determinant of the success of failure of either biomaterial; and the tensile strength of the prosthesis-receptor tissue interface was much greater in the PL implants than in the MM implants.

Abdominal Muscles↗
PubMed1992

Prenatal differentiation of ventral abdominal wall defects. Are amniotic fluid markers useful adjuncts?

We retrospectively reviewed 29 cases of ventral abdominal wall defects to evaluate the usefulness of amniotic fluid markers in the prenatal assessment of those disorders. Amniotic fluid alpha-fetoprotein (AF-AFP) values were available in 17 cases diagnosed prior to 22 weeks' gestation and acetylcholinesterase (AF-ACE) values, in 21 cases. All 7 fetuses with a gastroschisis had an elevated AF-AFP, while only 2 of the 10 fetuses with an omphalocele had elevated values (P = .002). ACE was present in 80% of the cases of gastroschisis versus 27.3% of the cases of omphalocele (P = .03). With equivocal sonographic findings, a normal AF-AFP and negative AF-ACE may be more compatible with an omphalocele.

Acetylcholinesterase↗
PubMed2004

Host response after reconstruction of abdominal wall defects with porcine dermal collagen in a rat model.

OBJECTIVE: The purpose of this study was to compare the inflammatory response after implantation of Pelvicol with Prolene in a rat model. STUDY DESIGN: Full-thickness abdominal wall defects were created in 64 Wistar rats, and reconstructed with either Pelvicol or Prolene. Animals were sacrificed on days 7, 14, 30, and 90 to evaluate the presence of herniation, infection, adhesions, and changes in thickness and tensile strength of the implants. Histopathology and immunohistochemistry were performed to evaluate the collagen deposition and the inflammatory response. Statistics were done with unpaired t test and Mann-Whitney rank test. RESULTS: Pelvicol implantation induced infiltration of granulocytes, macrophages, and NK cells, which showed up-regulated expression of surface activation markers ICAM-1 and CD11b. This inflammatory response was significantly milder, and declined faster than in Prolene-implanted rats, and was also associated with fewer adhesions. Moreover, Pelvicol induced a slower, but more orderly collagen deposition, paralleling the surface of the implant. Pelvicol implants showed a slower increase in thickness and tensile strength early on, but this difference disappeared by day 90. CONCLUSION: Pelvicol induces a milder inflammatory response, less adhesion formation, more orderly collagen deposition than Prolene, and reaches a comparable tensile strength only after 90 days.

Abdominal Wall↗
PubMed1997

[Other abdominal wall hernias].

This paper is compound of diverse hernias of the antero-lateral and pelvic abdominal walls. Their unequal frequency is reflected by the unequal length of the related paragraphs. Their diverse anatomical sites are unified by the presence of a weak area defined by the absence of voluntary striated muscular fibers (those which are able to resist the intra-abdominal pressure waves). Their diagnosis, often difficult, ought to be better known and done prior to often deadly strangulation. Their treatment, at times discussed, can benefit from some progresses, like the use of prosthetic materials and, perhaps, calioscopic procedures; only an operation in due time can avoid the threatening strangulation of bowel.

Abdominal Muscles↗