Related Experiment Video
Updated: Jun 20, 2026
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
[Free mobile intra-abdominal "tumor"].
1Allgemein- und Viszeralchirurgie, Kliniken Böblingen im Klinikverbund-Südwest, Akademisches Lehrkrankenhaus der Universität Tübingen, Deutschland. m.buntrock@klinikverbund-suedwest.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 18, 2009
Summary
A rare, mobile 3 cm abdominal tumor was discovered and tracked for 2.5 years via imaging. Laparoscopic removal revealed it was a calcified appendix epiploicum, a benign condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intra-abdominal masses can present diagnostic challenges.
- Mobile, free-floating abdominal tumors are exceptionally rare.
Observation:
- A 3 cm abdominal mass was incidentally detected and monitored over 2.5 years.
- Serial imaging (ultrasound, CT scans) confirmed the mass's presence but showed variable locations within the abdominal cavity.
- The patient underwent successful laparoscopic removal of the mobile mass.
Findings:
- Histopathological examination identified the mass as a calcified appendix epiploicum.
- This finding suggests the mass was an appendage of the colon that became detached and mobile.
Implications:
- This case highlights the importance of considering rare differential diagnoses for mobile intra-abdominal masses.
- Laparoscopic surgery can be a safe and effective treatment for such conditions.
- Understanding the etiology of mobile masses aids in accurate diagnosis and patient management.
Related Concept Videos
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:23Assessment of the Abdomen III: Palpation
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
01:25Assessment of the Abdomen I: Inspection and Auscultation
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
01:20Ultrasound I: Abdominal Ultrasonography
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...