# Abdominal Pain — GCMD Library living collection

Everything in the library about abdominal pain — built automatically from dossiers that name it.

Updated: n/a · 5 episodes · 58 cited statements

## Episodes
### Diagnosis & Workup
- [Is It Endometriosis?](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431) — video · 4:58 · [machine version](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431.md)

### Surgical Management
- [Laparoscopic Excision of an Abdominal Lymphatic Malformation](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247) — video · 4:56 · [machine version](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247.md)
- [Laparoscopic Partial Splenectomy for Splenic Cyst](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255) — video · 6:25 · [machine version](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255.md)

### Case-Based Learning
- [Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435) — video · 3:57 · [machine version](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435.md)
- [Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649) — video · 4:06 · [machine version](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649.md)

## Chapters
- [0:00](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=0) Case presentation: appendiceal abscess with catheter complication (Ep 1)
- [2:14](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=134) Faculty discussion: drainage indications and complication management (Ep 1)
- [0:00](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=0) Case presentation: appendiceal abscess with catheter complication (Ep 2)
- [2:18](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=138) Faculty discussion of drainage approach and complication management (Ep 2)
- [0:01](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=1) Endometriosis Incidence and Diagnostic Delay in Adolescents (Ep 3)
- [1:30](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=90) Appearance of Endometriosis in Adolescents (Ep 3)
- [2:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=120) Systematic Laparoscopic Examination Protocol (Ep 3)
- [3:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=180) Evaluation of Pelvic Structures (Ep 3)
- [4:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=240) Completion of Examination and Clinical Tips (Ep 3)
- [0:06](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=6) Introduction and Clinical Presentation (Ep 4)
- [1:20](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=80) Initial Laparoscopic Exploration and Revised Diagnosis (Ep 4)
- [3:00](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=180) Dissection and Excision from Gastric Mesentery (Ep 4)
- [4:00](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=240) Postoperative Course and Pathology (Ep 4)
- [0:03](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=3) Case presentation and port placement (Ep 5)
- [1:30](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=90) Devascularization of the superior splenic pole (Ep 5)
- [3:30](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=210) Splenic parenchymal transection (Ep 5)
- [5:00](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=300) Hemostasis and specimen removal (Ep 5)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis (clinical) [Ep 1 · 0:00](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=0)
- CT showed a large collection at right iliac fossa (clinical) [Ep 1 · 0:30](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=30)
- Percutaneous drainage was performed by interventional radiology with catheter placement (clinical) [Ep 1 · 0:50](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=50)
- The patient exhibited bleeding through the catheter the next day (clinical) [Ep 1 · 1:05](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=65)
- Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was in the cecum (clinical) [Ep 1 · 1:15](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=75)
- The catheter was removed and the patient was managed with active observation and antibiotic treatment for 10 days (clinical) [Ep 1 · 1:35](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=95)
- Ultrasound one week later showed the abscess had resolved (clinical) [Ep 1 · 1:50](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=110)
- At 8 weeks follow-up, the patient was well and ultrasound was normal (clinical) [Ep 1 · 1:58](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=118)
- Interval appendectomy was not performed because the patient did not have appendicitis (clinical) [Ep 1 · 2:05](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=125)
- The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis — Figueroa (clinical) [Ep 2 · 0:00](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=0)
- On arrival to emergency room, the patient had an abdominal mass and CT showed a large collection at right iliac fossa — Figueroa (clinical) [Ep 2 · 0:30](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=30)
- Percutaneous drainage was performed by interventional radiology with catheter placement — Figueroa (clinical) [Ep 2 · 0:50](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=50)
- The next day after drainage, the patient exhibited bleeding through the catheter — Figueroa (clinical) [Ep 2 · 1:00](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=60)
- Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was positioned in the cecum — Figueroa (clinical) [Ep 2 · 1:10](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=70)
- After catheter removal, the team continued active observation and antibiotic treatment for 10 days — Figueroa (clinical) [Ep 2 · 1:25](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=85)
- One week later, ultrasound showed the abscess had resolved — Figueroa (clinical) [Ep 2 · 1:40](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=100)
- At 8 weeks follow-up, the patient was well and ultrasound was normal — Figueroa (clinical) [Ep 2 · 1:48](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=108)
- Because the patient did not have appendicitis, interval appendectomy was not considered — Figueroa (clinical) [Ep 2 · 1:58](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=118)
- Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern (clinical) [Ep 2 · 3:40](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=220)
- The cyst was seen on an ultrasound performed for abdominal pain in a 14 year old girl. (clinical) [Ep 5 · 0:03](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=3)
- A CT scan showed a giant cyst measuring more than 10 centimeters in greatest diameter in the upper pole of the spleen. (clinical) [Ep 5 · 0:30](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=30)
- 25 millimeter ports and 210 millimeter ports are placed, with the camera at the umbilicus, the superiormost epigastric port for retraction, and the mid epigastric and left lower quadrant ports for working instruments. (clinical) [Ep 5 · 0:50](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=50)
- The use of 210 millimeter ports allows for a 10 millimeter energy device to be deployed parallel or perpendicular to the splenic axis as needed. (clinical) [Ep 5 · 1:30](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=90)
- All 3 midline port incisions are oriented vertically so that they can be included in a midline incision if conversion is necessary. (clinical) [Ep 5 · 1:50](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=110)
- The patient is positioned on a bean bag in a partial left lateral decubitus position, as is used for a laparoscopic splenectomy. (clinical) [Ep 5 · 2:10](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=130)
- The dissection starts by dividing the adhesions between the cyst and the left lobe of the liver. (clinical) [Ep 5 · 2:40](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=160)
- The short gastric vessels are divided in order to devascularize the superior pole of the spleen containing the cyst. (clinical) [Ep 5 · 3:05](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=185)
- The cyst closely approaches the hilum, so a hilar branch vessel is also divided. (clinical) [Ep 5 · 3:20](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=200)
- 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. (opinion) [Ep 5 · 3:50](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=230)
- Despite devascularization and despite using an energy device, a fair amount of bleeding should be expected during transaction. (clinical) [Ep 5 · 4:25](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=265)
- A suction device should be used to evacuate the blood intermittently as the transaction progresses. (clinical) [Ep 5 · 4:45](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=285)
- Once the transaction is complete, the posterolateral peritoneal attachments to the diaphragm and kidney are divided, resulting in complete detachment of the superior pole of the spleen containing the cyst. (clinical) [Ep 5 · 5:00](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=300)
- The raw surface of the spleen is then cauterized using spray coagulation set at 30 to 40. (clinical) [Ep 5 · 5:25](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=325)
- It is important to confirm complete hemostasis of the splenic surface. (clinical) [Ep 5 · 5:50](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=350)
- A large sheet of surgicel is then brought into the abdomen and draped over the raw surface of the spleen. (clinical) [Ep 5 · 6:00](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=360)
- An omental pedicle is also brought to the vicinity of the same surface. (clinical) [Ep 5 · 6:15](https://qa.library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=375)
- Endometriosis is a common cause of abdominal pain in young adults (clinical) [Ep 3 · 0:01](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=1)
- The overall incidence of endometriosis in adolescent females appears to be low based on diagnosis by pediatric surgeons (epidemiological) [Ep 3 · 0:20](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=20)
- Pediatric surgeons are often the surgical gynecologists for many patients and frequently perform diagnostic laparoscopies for abdominal pain (clinical) [Ep 3 · 0:40](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=40)
- Young patients who present to gynecology with chronic abdominal pain often saw 3 physicians prior to laparoscopy for confirmation of endometriosis, leading to a 23 month delay in treatment (epidemiological) [Ep 3 · 1:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=60)
- In adolescence, endometriosis lesions are more likely to be red and clear rather than the classic dark lesions (clinical) [Ep 3 · 1:30](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=90)
- The anterior cul-de-sac (the area above the bladder and anterior to the uterus) should be examined first in systematic evaluation for endometriosis (clinical) [Ep 3 · 2:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=120)
- Bilateral round ligaments should be evaluated as they insert into the inguinal canal (clinical) [Ep 3 · 2:20](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=140)
- The appendix should be examined for endometriotic lesions, including careful examination of the tip (clinical) [Ep 3 · 2:35](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=155)
- The bowel should be run with particular attention to the cecum and sigmoid colon, as they are often involved in endometriosis (clinical) [Ep 3 · 2:50](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=170)
- The diaphragm should be evaluated after visualizing the liver, gallbladder, and stomach (clinical) [Ep 3 · 3:05](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=185)
- Diaphragmatic endometriosis can become quite extensive with miliary distribution of lesions (clinical) [Ep 3 · 3:20](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=200)
- The presacral space should be examined from the aortic bifurcation cranially, the sacral promontory caudally, and common iliac vessels bilaterally (clinical) [Ep 3 · 3:40](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=220)
- All surfaces of the ovary should be examined with lateral retraction (clinical) [Ep 3 · 4:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=240)
- Gentle manipulation of the fallopian tube is necessary to visualize lesions in the ampullary portion (clinical) [Ep 3 · 4:15](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=255)
- Endometriotic lesions can partially obstruct indigo carmine dye extravasation from the fallopian tube (clinical) [Ep 3 · 4:25](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=265)
- The pelvic sidewall should be examined with gentle medial retraction of the ovary to visualize lesions over the ureter (clinical) [Ep 3 · 4:35](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=275)
- Medial rotation of the rectosigmoid allows for evaluation of the right paracolic gutter (clinical) [Ep 3 · 4:00](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=240)
- The posterior cul-de-sac may show a miliary pattern of fibrosis or isolated red and white lesions along the rectum (clinical) [Ep 3 · 4:10](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=250)
- Peritoneal defects should be evaluated as they may hide endometriotic lesions (clinical) [Ep 3 · 4:25](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=265)
- Hemosiderin deposits can look similar to red endometriotic lesions, but wash away with suction and irrigation (clinical) [Ep 3 · 4:35](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=275)
- Vaginal exam, rectal exam, and sigmoidoscopy are key adjuncts to evaluate depth of endometriotic lesions (clinical) [Ep 3 · 4:45](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=285)
- Consideration of endometriosis should be included in all laparoscopies for abdominal pain in the adolescent female (opinion) [Ep 3 · 4:55](https://qa.library.globalcastmd.com/watch/is-it-endometriosis-1431?t=295)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- A GlobalCast audience poll showed almost 60% would perform percutaneous drainage for a well-formed abscess — The host summarizing the discussion [Ep 1 · 2:14](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=134)
- Faculty consensus was that the majority would place a percutaneous drain in this patient with a well-formed abscess — The host summarizing the discussion [Ep 1 · 2:55](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=175)
- Small bowel injuries from percutaneous drains have been observed — The host summarizing the discussion [Ep 1 · 3:30](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=210)
- Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern — The host summarizing the discussion [Ep 1 · 3:40](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=220)
- When catheter perforation into bowel is recognized, backing the catheter out works fine — The host summarizing the discussion [Ep 1 · 3:50](https://qa.library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=230)
- 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 host summarizing the discussion [Ep 2 · 2:18](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=138)
- The majority of faculty present would have placed a percutaneous drain in this patient with a well-formed abscess — The host summarizing the discussion [Ep 2 · 2:55](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=175)
- Small bowel injuries from percutaneous drains have been observed by faculty — The host summarizing the discussion [Ep 2 · 3:30](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=210)
- When a drain is found to be in the colon, backing the catheter out is an acceptable management approach — The host summarizing the discussion [Ep 2 · 3:52](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=232)
- Faculty typically just remove the catheter when it is found to be in the colon — The host summarizing the discussion [Ep 2 · 4:00](https://qa.library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=240)
- Abdominal lymphatic malformations can be discovered incidentally or become acutely symptomatic due to torsion, hemorrhage, rupture, or sudden enlargement. — The host summarizing a resource [Ep 4 · 0:06](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=6)
- A 15-year-old girl presented with several days of non-localizing abdominal pain. — The host summarizing a resource [Ep 4 · 1:00](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=60)
- Ultrasound followed by CT scan demonstrated a large cystic mass thought to be of adnexal origin extending into the upper abdomen. — The host summarizing a resource [Ep 4 · 1:08](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=68)
- Initial laparoscopic exploration supported the presumptive diagnosis of a cystic mass arising from the pelvis. — The host summarizing a resource [Ep 4 · 1:35](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=95)
- Further manipulation demonstrated non-pelvic origin with normal adnexa. — The host summarizing a resource [Ep 4 · 1:45](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=105)
- The mass was connected by a torsed pedicle traveling over the transverse colon through the greater omentum. — The host summarizing a resource [Ep 4 · 1:55](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=115)
- Further dissection demonstrated the omentum to be simply adherent to the torsed pedicle and not the source of it. — The host summarizing a resource [Ep 4 · 2:15](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=135)
- The mass was attached to the gastric wall and extended posterior to the stomach into the lesser sac. — The host summarizing a resource [Ep 4 · 2:45](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=165)
- A ligature device was used to separate the mass from the gastric wall at the junction. — The host summarizing a resource [Ep 4 · 3:15](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=195)
- The greater curvature was completely intact and uninvolved following excision. — The host summarizing a resource [Ep 4 · 3:45](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=225)
- The mass arose from the lesser curvature mesentery and occupied the lesser sac. — The host summarizing a resource [Ep 4 · 3:52](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=232)
- The stomach was tested for leak after installation of dilute methylene blue through the nasogastric tube; none was identified. — The host summarizing a resource [Ep 4 · 4:05](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=245)
- The mass was removed through the 10 millimeter umbilical port. — The host summarizing a resource [Ep 4 · 4:16](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=256)
- The patient was started on oral intake a few hours after the operation and discharged the following day. — The host summarizing a resource [Ep 4 · 4:22](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=262)
- All symptoms resolved postoperatively. — The host summarizing a resource [Ep 4 · 4:30](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=270)
- A screening ultrasound one year after excision showed no recurrence. — The host summarizing a resource [Ep 4 · 4:33](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=273)
- Lymphatic malformation was diagnosed grossly and histologically. — The host summarizing a resource [Ep 4 · 4:39](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=279)
- Had this lesion been approached by a Pfannenstiel incision, a correct diagnosis and excision would not have been possible without a second laparotomy incision. — The host summarizing a resource [Ep 4 · 4:46](https://qa.library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=286)

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