Related Experiment Video
Updated: Jan 23, 2026
03:42
Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
1.1K
Aortic abdominal dissection after retroperitoneal laparoscopic paraaortic lymphadenectomy
Martina Aida Angeles1, Olivier Meyrignac2, Carlos Martínez-Gómez1,3
1Department of Surgical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse (IUCT) - Oncopole, Toulouse, France.
Gynecologic Oncology Reports
|June 18, 2019
Summary
Acute aortic dissection is a rare complication following retroperitoneal laparoscopic paraaortic lymph node dissection. Early CT scans are crucial for diagnosing abdominal pain post-surgery.
Area of Science:
- Urology
- Cardiovascular Surgery
- Oncology
Background:
- Retroperitoneal laparoscopic paraaortic lymph node dissection is a surgical procedure for cancer staging.
- Acute aortic dissection is a rare but serious complication of this procedure.
Observation:
- Patients presenting with abdominal or groin pain post-lymphadenectomy may have aortic dissection.
- Aortic dissection should be considered in the differential diagnosis for such symptoms.
Findings:
- Uncomplicated type B aortic dissection can be managed effectively during the subacute phase.
- Contrast-enhanced computed tomography (CT) is essential for early diagnosis in patients with post-operative abdominal pain.
Implications:
- Prompt diagnosis and management of aortic dissection post-lymphadenectomy can improve patient outcomes.
- Paraaortic lymph node dissection should ideally be performed at specialized cancer centers with expertise in managing potential complications.
Related Concept Videos
01:25Abdominal Aorta
2.2K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.2K
01:20Ultrasound I: Abdominal Ultrasonography
1.5K
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...
1.5K
01:19Abdominal Regions and Quadrants
16.8K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
16.8K
01:15Aortic Regurgitation I: Introduction
536
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
536
01:25Aortic Regurgitation III: Medical Management
416
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
416
01:17Aortic Regurgitation IV: Nursing Management
297
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
297