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Related Concept Videos

Appendicitis01:19

Appendicitis

33
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...
33
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

951
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
951
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

4.5K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.5K
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

4.7K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
4.7K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

1.2K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.2K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

926
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
926

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Related Experiment Video

Updated: May 5, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

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Occult bladder injury after laparoscopic appendicectomy.

Meher Lad1, Sarah Duncan, Darren K Patten

  • 1Department of General Surgery, North Middlesex Hospital, London, UK.

BMJ Case Reports
|November 26, 2013
PubMed
Summary

A rare complication of laparoscopic appendicectomy, intraperitoneal bladder perforation, occurred in a patient. This highlights the need for meticulous surgical preparation and careful instrument handling to prevent serious patient outcomes.

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Area of Science:

  • Minimally invasive surgery
  • Surgical complications
  • Laparoscopic surgery

Background:

  • Minimally invasive procedures offer benefits like reduced pain and shorter hospital stays.
  • Laparoscopic surgery requires extensive training and meticulous preparation.
  • Preventing complications is crucial in all surgical procedures.

Observation:

  • A 35-year-old patient developed redness, swelling, and oliguria two days post-laparoscopic appendicectomy for a perforated appendix.
  • Delayed CT scan revealed contrast leakage around the bladder into the peritoneal cavity.
  • This indicated an intraperitoneal bladder perforation, a rare surgical complication.

Findings:

  • The patient underwent urinary catheterization for six days.
  • A follow-up CT cystogram confirmed the absence of leakage into the peritoneal cavity.
  • This case demonstrates a rare but serious complication following laparoscopic appendicectomy.

Implications:

  • Thorough pre-operative preparation is essential in laparoscopic surgery.
  • Careful instrument manipulation during routine procedures can minimize risks.
  • Awareness of rare complications like intraperitoneal bladder perforation is vital for surgical teams.