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Abdominal Pain
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Consideration of endometriosis should be included in all laparoscopies for abdominal pain in the adolescent female Is It Endometriosis? · 4:55
Is It Endometriosis?
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Are we missing endometriosis as a source of abdominal pain in young females? Drs Ceana Nezhat, Todd Ponsky and Rachel Hanke review a systematic process for intraoperative evaluation for endometriosis and its appearance. For more information
video4:58 · Jun 2019
I prefer to use the 10 millimeter ligature device, as I find that it compresses the tissues more securely and is less likely to simply fracture the spleen. Laparoscopic Partial Splenectomy for Splenic Cyst · 3:50
Laparoscopic Excision of an Abdominal Lymphatic Malformation
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video4:56 · Feb 2020
Laparoscopic Partial Splenectomy for Splenic Cyst
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video6:25 · Feb 2020
Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of... · 3:40
Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...
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During the Pediatric Surgery Tricks of the Trade and Difficult Cases: Innovative Solutions to Common Problems Course in 2013,Dr. Luis Mauricio Figueroa discusses colonic perforation as a complication of percutaneous drainage of appendiceal
video3:57 · Sep 2018
Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...
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Dr. Luis Mauricio Figueroa discusses colonic perforation as a complication of percutaneous drainage of appendiceal abscess.
video4:06 · Nov 2018
Expert statements from the recordings in this collection.
Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...
The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis
CT showed a large collection at right iliac fossa
Percutaneous drainage was performed by interventional radiology with catheter placement
The patient exhibited bleeding through the catheter the next day
Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was in the cecum
The catheter was removed and the patient was managed with active observation and antibiotic treatment for 10 days
Ultrasound one week later showed the abscess had resolved
At 8 weeks follow-up, the patient was well and ultrasound was normal
Interval appendectomy was not performed because the patient did not have appendicitis
A GlobalCast audience poll showed almost 60% would perform percutaneous drainage for a well-formed abscess
Faculty consensus was that the majority would place a percutaneous drain in this patient with a well-formed abscess
Small bowel injuries from percutaneous drains have been observed
Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern
When catheter perforation into bowel is recognized, backing the catheter out works fine
Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...
The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis
Figueroa0:00
On arrival to emergency room, the patient had an abdominal mass and CT showed a large collection at right iliac fossa
Figueroa0:30
Percutaneous drainage was performed by interventional radiology with catheter placement
Figueroa0:50
The next day after drainage, the patient exhibited bleeding through the catheter
Figueroa1:00
Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was positioned in the cecum
Figueroa1:10
After catheter removal, the team continued active observation and antibiotic treatment for 10 days
Figueroa1:25
One week later, ultrasound showed the abscess had resolved
Figueroa1:40
At 8 weeks follow-up, the patient was well and ultrasound was normal
Figueroa1:48
Because the patient did not have appendicitis, interval appendectomy was not considered
Figueroa1:58
A GlobalCast audience poll from a few months prior showed almost 60% would perform percutaneous drainage for a well-formed abscess instead of operating
The majority of faculty present would have placed a percutaneous drain in this patient with a well-formed abscess
Small bowel injuries from percutaneous drains have been observed by faculty
Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern
When a drain is found to be in the colon, backing the catheter out is an acceptable management approach
Faculty typically just remove the catheter when it is found to be in the colon
Laparoscopic Excision of an Abdominal Lymphatic Malformation
Abdominal lymphatic malformations can be discovered incidentally or become acutely symptomatic due to torsion, hemorrhage, rupture, or sudden enlargement.