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Clinical Surgery Pearls 02

 





































































































































































Clinical Surgery Pearls

Fistulization with urinary bladder resulting in

pneumaturia

Gastrocolic fistula

Acu te appendicitis/appendicular abscess

(obstructive appendicitis as a result of the growth

in the cecum)

Intussusceptions (always rule out a growth in all

cases of adult intussusception. There is no role for

hydrostatic reduction in adults).

Q 32. Having made the diagnosis of carcinoma

cecum, how do you manage the patient?

After doing investigationsin the form of X-ray chest

to rule out metastases in the lungs, ultrasound

abdomen to rule out metastases liver and free fluid,

the patient is prepared for resection.

Q 33. What are the preparations for surgery?

Make the patient fit for anesthesia (evaluate

cardiac, respiratory status)

Correction of anemia

Correction of hypoproteinemia

Dietary regulation

Bowel preparation

Prophylactic subcutaneous heparin

Prophylactic antibiotics.

Q 34. What is the role of mechanical bowel

preparation?

Dietary restriction in the form of liquid diet for

24 hours before surgery.

The role of mechanical bowel preparation for

elective surgery is highly controversial. There

is enough evidence in the literature for safe

surgery without mechanical bowel preparation.

Conventionally

Bowel washes

Laxativesin the form ofsodium picosulphate

Cleansing agents like Polyethylene glycol

(PEG) orally are given the day before.

Q 35. What is the role of antibiotic prophylaxis in

colonic surgery?

The routine practice of Nichol’s regime by giving

3 doses of antibiotics 18, 17 and 10 hours preoperatively with neomycin and erythromycin is no

longer practised.

A single dose of ampicillin—sulbactam or

quinolone and metronidazole or parenteral cefoxitin

are recommended for antibiotic prophylaxis (1 hour

before skin incision).

Q 36. How will you assess the operability? (PG)

a. After laparotomy look for metastases in

peritoneum (small white seed-like), liver, pelvic

deposits, Krukenberg’s tumor (metastatic

ovarian tumor) ascites and lymph nodes

b. Look for tumor mobility and adjacent structure

involvement

c. Liver metastases if found are not biopsied—it

will cause tumor dissemination

d. Hepatic metastases resection is done as a staged

procedure later

e. Tumor dissemination is not a contraindication

for resection of the primary.

Q 37. What is the surgical procedure of choice

when there is a cecal growth?

Right hemicolectomy is the operation of choice, where

a radical resection of the involved colon along with its

lymphovascular drainage is done. Any devascularized

segment should be removed in addition. Suspicious

lymph nodes are taken for biopsy.

Q 38. How much is the clearance required in

colonic resection?

The clearance of a minimum of 5–10 cm on either

side is recommended.

Contd...

Suspected Carcinoma of the Cecum

141

Q 39. What are the vessels ligated for right

hemicolectomy?

The ileocolic, right colic, and right branch of the middle

colic vessels are ligated for right hemicolectomy.

Q 40. What are the technical precautions taken

during surgery and how much ileum is removed?

 (PG)

The cecum is mobilized by incising the lateral

peritoneum which is carried around the hepatic

flexure

Take care not to injure the ureter, spermatic

vessels (in males) and duodenum

The mesentery of last 30 cm of ileum isremoved

The colon is divided as far as the proximal third

of transverse colon

The anastomosis is done between the rest of

ileum and transverse colon in layers.

Q 41. What is non touch technique of Turnbull? (PG)

Its usefulness has been debated. Here early ligation

of vascular pedicle and control of proposed

resection edges is done before mobilization of the

tumor bearing area. It aims to prevent the luminal,

vascular and lymphatic pathways for tumor emboli

or tumor cells while handling the lesion.

Q 42. What are the anatomical peculiarities of the

colon from anastomotic point of view?

1. The content of the colon is fecal matter and

therefore there is more chance for infection after

resection and anastomosis

2. The wall—longitudinal muscle coat is thin and

therefore there is more chance for anastomotic

leak

3. The arterial supply—It is precarious and special

(Fig. 10.1).

Fig. 10.1: Colonic blood supply

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Clinical Surgery Pearls

The colon is supplied by branches of the superior

mesenteric artery namely the ileocolic artery, the

right colic artery, and middle colic artery.

The inferior mesenteric artery arises from the

aorta opposite L3 vertebrae and the branches are

left colic artery and sigmoid arteries.

The marginal artery of drummond: It is present in

almost all patients. It is a single arterial trunk along

the concave part of large intestine from ileocecal

junction to rectosigmoid junction forming a

communicating channel between the superior and

inferior mesenteric artery. It gives off vasa recta

which run perpendicular to the colonic wall.

Meandering artery (Arc of Riolan):These are collateral

branches connecting proximal middle colic artery

to left colic artery. During colonic mobilization this

artery should be protected.

Griffith’s point: It is the weak point in the vascular

anastomosis between middle and left colic arteries.

Therefore it is important to avoid anastomosis at

the splenic flexure.

Sudek’s point: It is at the level of lowest sigmoid

and superior rectal artery. There is a higher chance

of avascularity if anastomosis is performed here.

Q 43. What is the lymphatic drainage of colon?

Lymph nodes are divided into four groups.

a. Epicolic—located on the bowel wall

b. Paracolic—located along the marginal artery

c. Intermediate—located along the colic vessels

d. Principal—located along SMA and IMA.

Q 44. What is white line of Toldt?

The ascending and descending colon has no

peritoneal covering on their posterior aspects but

has areolar tissue (fascia of Toldt), which represent

the embryonic fusion of mesentery to posterior

peritoneum. At the lateral parietal wall it reflects as

the white line of Toldt. This line is used as the plane

for avascular mobilization of the colon.

Q 45. Which part of the colon has the largest

diameter?

Cecum—7.5 cm

Narrowest part is rectosigmoid—2.5 cm.

Q 46. Which are the mobile portions of the colon?

Transverse colon and sigmoid colon. (The rest of

the colon is fixed).

Q 47. What are the ligaments attaching the

hepatic flexure of colon (which is fixed)?

Nephrocolic ligament

Hepatocolic ligament

Duodenocolic ligament.

Q 48. What is the attachment of splenic flexure?

Phrenicocolic ligament.

Q 49. What is the extent of descending colon?

It extends from the splenic flexure to the brim of

the true pelvis.

Q 50. What is the attachment of transverse

mesocolon?

The transverse mesocolon is attached to the

descending part of duodenum, to the head and

lower aspect of the body of the pancreas, and to

the anteriorsurface ofthe left kidney—horizontally.

Q 51. What is the attachment of mesosigmoid?

It is inverted ‘V’ shaped, the apex of this peritoneal

attachment is at the bifurcation of the left common

iliac vessels over the left sacroiliac joint (at the left

ureter). The right limb, comes down to the third

piece of sacrum and the left limb traverses along

the brim of the left side of pelvis (Fig. 10.2).

Suspected Carcinoma of the Cecum

143

Q 52. What is the management of carcinoma colon

when there is obstruction? (PG)

a. If risk factors are present—Resection plus

exteriorization of the bowel ends is preferred.

b. Healthypatients(norisk factors)—Resectionplus

primary anastomosis. If primary anastomosis is

done always do a protective colostomy.

c. Unresectable cases—Ileo transverse anastomosis is done or ileostomy.

Note: Primary anastomosis is worrisome in left

sided lesions because of increased anastomotic

dehiscence seen in dilated and edematous

unprepared bowel.

Q 53. What is the management of unresectable

lesion with widespread metastases and severe

comorbidity? (PG)

Colonic stenting (SEMS).

Complications of stenting are stent migration

and restenosis.

Q 54. What is “On - Table - Lavage”?

This is done for unprepared bowel during

emergency surgery. In left sided obstructed colonic

growths presenting as emergency, a Foley catheter

is introduced via terminal ileum to the cecum or

directly to cecum through an appendectomy stump

and the colon is irrigated. The colon is transected

above the growth and the effluent is collected

through a tubing (Boyle’s apparatus tubing), until

the colon is clean.

Q 55. What is the treatment of synchronous

lesion? (PG)

If lesions are in the same segment—segmental

resection

Iftheyarewidelyseparated—subtotal colectomy.

Q 56. What is CEA (Carcinoembryonic antigen)?

CEA (Carcinoembryonic antigen)

Itis a glycoprotein found in cell membrane of many

tissues including colorectal cancer

Some antigen enters the circulation and this is

identified by radioimmunoassay

Itis presentin other body fluidslike urine and feces

CEA is not specific for carcinoma of colorectum

It is present in other GI cancers, nonalimentary

cancers, and benign diseases

It is high in 70% of carcinoma colon

It is not useful as a screening investigation

It is useful for detecting recurrence after a curative

surgery if the serial CEA values are rising after 6–9

months

CEA level of > 2.5 ng/mL is significant

CEA level of > 5 ng/mL indicates poor prognosis

If preoperative elevated CEAdoes notfallto normal

within 2–3 weeks after resection, the resection is

incomplete or there is occult metastases

CEAvalues are highestin lung and liver metastases.

Fig. 10.2: Mesosigmoid attachment

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Clinical Surgery Pearls

Q 57. What is left hemicolectomy?

This is done for tumors of descending colon and

splenic flexure. Here resection of the colon from

splenic flexure to rectosigmoid is done.

Q 58. What is the treatment for sigmoid cancer?

Sigmoidectomy.

Q 59. What are the indications for total colectomy/

subtotal colectomy?

Multiple primary tumors

Completely obstructing sigmoid cancers

HNPCC

Transverse colon carcinoma.

Q 60. What is extended right hemicolectomy?

This is done for proximal transverse colon growth.

Q 61. What is extended left hemicolectomy?

This is done for distal transverse colon growth.

Note: For transverse colon growth subtotal

colectomy is another option.

Q 62. What are the surgical procedures of choice

for growth in various regions of the colon?

Surgical procedures of choice for growth in various

regions of the colon.

Site Surgical procedure

Cecum, ascending colon,

hepatic flexure

Right hemicolectomy

Proximal part of

transverse colon

Extended right

hemicolectomy

Distal transverse colon Extended left

hemicolectomy

Descending colon and

splenic flexure

Left hemicolectomy

Sigmoid colon Sigmoidectomy

Transverse colon, sigmoid

colon, multiple tumors,

HNPCC

Subtotal colectomy

Q 63. What are the peculiarities of cancer

secondary to ulcerative colitis?

May occur at many sites

May affect the colon more than rectum

They are high grade tumors

After 20 years the risk is 12%.

Q 64. What are the bad prognostic factors in

colonic cancer? (PG)

1. Depth of tumor invasion and nodal metastases

(most important)

2. Bowel obstruction—poor prognosis

3. CEA > 5 ng/mL

4. Right sided colon carry worse prognosis

5. Pathological variables

– Histological grade

Signet ring type-poor prognosis

Small cell carcinoma

Lymphovascular invasion.

Q 65. What is the indication for adjuvant therapy

in colorectal cancer? (PG)

In stage I lesion no further adjuvant therapy

In stage II and III – adjuvant therapy has most

important impact

In Stage II – 5FU and Leucoverin (folenic acid)

Folenic acid is a potentiator of 5 FU

(immunomodulator levamisole with 5 FU is

used less nowadays)

– Histopathologically positive lymph nodes is

an indication for chemotherapy.

In Stage III – FOLFOX 4 regimen

(Oxaliplatin and 5FU - 2 times a month for 12

cycles)

OR

FOLFIRI regimen (folic acid, and 5FU and

Irinotecan).

Suspected Carcinoma of the Cecum

145

Q 66. What is the most effective single chemotherapeutic agent for adenocarcinoma?

5-Fluorouracil.

Q 67. What is the follow-up for carcinoma colon?

Clinical examination once in six months.

Annual examination of the following:

CEA

Chest X-ray

Colonoscopy

LFT

CBC.

Q 68. What is fast track surgery?

It is a multimodal rehabilitation regimen for elective

colonic surgery for enhanced recovery consisting

of—

Fast track surgery

Preoperative counseling and optimization

Epidural catheter for pain control

General anesthesia using propofol (no nitrous

oxide)

No bowel preparation

Transverse abdominal incision instead of vertical

Continuous epidural analgesia for two days

Oral feeding with protein drink (60–80 gm protein/

day) from the day of surgery

Early mobilization

Laxative and prokinetics for bowel function from

the day of surgery

POP day 1 remove urinary catheter

POP day 2 remove epidural catheter

POP day 3 discharge after lunch.

For PG’s—What is new?

Cancer of the descending colon with obstruction current treatment choice is endoscopic stenting followed by

elective surgery after two weeks or Hartmann’s procedure or colostomy

All carcinomas arise from adenomas

All adenomas need not produce carcinoma

NSAIDs will reduce the number and size of polyps but will not prevent carcinoma

Full colonoscopy is a must for all colonic carcinoma

CEA – Indian patients are non secretors

For metastatic disease FOLFOX 4 cycles followed by surgery followed by 4 cycles of FOLFOX

Adjuvant—usually 8 cycles

Cheaper OP Regimen—Cape OX Regimen – Oxaliplatin and Capecitabine orally for 15 days

New agent for colonic cancer is Cetuximab—agent against Kras

Forsynchronous metastasisin liver two approaches are there (a) Surgery of liver along with primary (b) Surgery

of liver later (majority of surgeons favor the second approach).

11 Appendicular Mass

Case

Case Capsule

A 25-year-old female patient presents with history

of abdominal pain of 4 days duration. Initially the

pain started as a vague central abdominal pain in

the early morning hours. This pain was preceded

by loss of appetite. The patient was constipated

for a few days. She felt nauseated and vomited

once on the first day of pain. Later the pain shifted

to the right iliac fossa. Her pain is aggravated by

moving and coughing. The patient is married and

has two children. Her menstrual cycles are regular

having normal blood flow. Her last menstrual period

was 6 days back. There is no history of discharge

from vagina. On examination the patient looks

pale. There is mild pyrexia. The tongue is furred

and there is fetor oris (halitosis). Her pulse rate is

90 per minute. Abdominal examination revealed

a tender mass of 16 × 9 cm size in the right iliac

fossa with overlying muscle guard and rigidity

confined to the right iliac fossa. There is no intrinsic

movement for the mass and all the borders are

well made out except the lateral border. The mass

is intra-abdominal and intraperitoneal. There is no

extension of the mass below the inguinal region.

The rest of the abdomen is soft and nontender.

There is no free fluid demonstrated. The bowel

sounds are normally heard. On digital rectal

examination, the patient complained of pain deep

in the pelvis and the mass is palpable per rectum.

On vaginal examination movement of the cervix did

not cause pain. Other systems are normal.

Read the checklist of previous case

Checklist with special reference to this case

Acarefulgynecological history istaken inallwomen

Last menstrual period—to find out whether it is a

mid-menstrual pain (mittelschmerz) and to rule out

pregnancy

History of vaginal discharge—pelvic inflammatory

disease

History of dysmenorrhea

Pelvic examination to rule out adnexal and cervical

tenderness

HighvaginalswabtoruleoutChlamydia trachomatis

Urine for pregnancy test

Ultrasound abdomen.

Q 1. What is the most probable diagnosis in this

case?

Appendicular mass.

Q 2. What are the differential diagnoses?

Read the differential diagnosis ofrightiliac fossa

mass

Appendicular Mass

147

The patient being a female, in addition to those

conditions consider the following:

– Torsion of ovarian cyst/tumor

– Tubo-ovarian mass

– Ectopic pregnancy

Pelvic inflammatory disease

Uterine swellings.

Q 3. What are the diagnostic points in favor of

appendicular mass?

1. History of Murphy’s triad of symptoms—

migratory pain, vomiting/anorexia, and fever

2. Short duration

3. Patient—ill looking and febrile

4. Tender mass in the right iliac fossa

5. The tender mass is indistinct, dull to percussion

and fixed to the right iliac fossa (unlike ovarian).

Q 4. What are the clinical point in favor of an

ovarian cyst?

Clinical points in favor of ovarian cyst

Smooth, spherical with distinct edges

You cannot get below the swelling (arisesfrom the

pelvis)

It may be mobile from side to side (horizontally)

No up and down mobility

It is dull to percussion

The lower part of the swelling may be palpable

during pelvic examination

The movement of the cyst per abdominally will be

transmitted to the examining finger in the pelvis.

Q 5. What are the clinical points in favor of fibroid

uterus?

Fibroids can grow to enormous size and fill the

whole abdomen

It arises out of the pelvis and so lower edge is

not palpable

It is firm or hard

Bosselated or knobby

It is dull to percussion

Slight transverse mobility will be present.

Q 6. What is appendicular mass?

It is a complication of acute appendicitis. As a result

of small perforation in the appendix, the policeman

of the abdomen, i.e. omentum will come and try

to seal the perforation, as a protective mechanism

leading to mass formation. The mass is a palpable

conglomerate consisting of the inflamed appendix

(usually perforated), adjacent viscera namely cecum

and ileum and greater omentum. This is also called

phlegmon.

Q 7. What is appendicular abscess?

One should suspect appendicular abscess

during the course of conservative treatment of

appendicular mass. The clinical criteria for the

diagnosis of appendicular abscess are:

1. A rising pulse rate

2. Increasing or spreading abdominal pain

3. Increasing size of mass

4. Patient looking ill.

Q 8. What are the differences between appendicular mass and abscess?

Appendicular mass Appendicular abscess

1. Mass forms around the

3rd day

Abscess around 5 – 10

days

2. Fever absent Fever present

3. Local signs subside with

antibiotics

Local signs aggravate

with antibiotics

4. Leukocytosis will return

to normal

Rising leukocyte count

5. Imaging—absence of

fluid inside

Imaging—presence of

fluid inside

6. Clinically patient is not sick Patient is very sick

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Clinical Surgery Pearls

Q 9. What is initial management of appendicular

mass?

When a mass is diagnosed, the patient is not

operated but treated conservatively. It is a contraindication for appendicectomy. The classical

treatment is the so-called Ochsner-Sherren regimen

(conservative treatment). This consists of:

1. Bed rest (preferably hospitalized)

2. Fluid intake output chart

3. Mark out the limits of mass on the abdominal

wall (using a skin pencil)

4. Pulse, temperature and respiration chart (4th

hourly)

5. Initiate antibiotic therapy

6. Patientis given fluid diet only initially (ifrequired

IVfluidsmaybegiven—ifpatient cannottolerate

oral fluids)

7. Contrast enhanced CT is done to rule out abscess

inside.

Q 10. Why appendicectomy is contraindicated in

appendicular mass?

1. Immediate appendicectomy is technically more

difficult

2. Fear of disturbing the natural barrier present in

the mass

3. The mass will resolve without surgery (90% will

resolve with conservative treatment)

4. Operation can always be resorted to, should the

initial conservative trial fail.

Q 11. What is the indication for stopping the

conservative treatment and proceed to surgery?

1. Clinical deterioration

– rising pulse rate

Febrile

2. Failure of the mass to resolve

3. Peritonitis.

Q 12. What is the management of appendicular

abscess?

Traditionally appendicular abscess used to

be treated with surgery in the form of extraperitoneal drainage of the abscess.

But now sono-guided percutaneous catheter

drainage is the option.

Q 13. What are the indications for CT scan in

appendicitis?

Indications for CT scan in appendicitis

1. Equivocal clinical findings

2. Diagnostic dilemma

3. Appendicular mass/abscess

4. Older patients in whom, acute diverticulitis, neoplasms are differential diagnoses.

Q 14. What are the CT finding in appendicitis?

What are the advantages and problems of CT?

A distended appendix of more than 6 mm size

with intramural gas or with stranding of the

periappendiceal fat is indicative of inflammation.

CT scan has been demonstrated to have a

sensitivity ranging from 96–100% for the

appendix.

Utilization of CT has been associated with

decrease in the negative appendicectomy rate

[use of ultrasound is recommended for

evaluation of pelvic organs in women of childbearing age].

Note: A wholesale move to the routine use of spiral

CT for the diagnosis of appendicitis will emasculate

the clinical skills of the next generation of the

surgeons.

It is important not to substitute clinical

uncertainty for radiological ambivalence.

Appendicular Mass

149

Q 15. What is the CT classification of appendicular

abscess?

Group I – comprises phlegmons and abscesses

with maximum diameter smaller than

3 cm

Group II – Larger but well-localized abscesses

Group III – Includes extensive periappendicular

abscesses involving multiple intra or

extraperitoneal compartments.

Q 16. What is the management for each of these

CT groups?

Group I patients—antibiotic alone (identification of

pus collection alone is not an indication for drain)

Group II patients—percutaneous catheter drainage

Group III patients—surgical drainage.

Q 17. What are the complications of appendicular

abscess?

Complications of appendicular abscess

Obscure subacute intestinal obstruction

Formation of granulation tissue leading to frozen

pelvis

Stricture ofthe rectum subsequentto frozen pelvis

Pelvic abscess.

Q 18. What is the role of laparoscopy in

appendicular mass/abscess?

Appendicular abscess is considered a relative

contraindication for laparoscopy because of the

following reasons:

1. Spread of sepsis

2. Risk of injury to the bowel and mesentery

3. Periappendiceal adhesions.

Q 19. What is the sonological finding in acute

appendicitis?

Tense, tender, noncompressible tubular structure of

more than 6 mm size in the right iliac fossa.

Q 20. What is interval appendicectomy?

After treating an appendicular mass conservatively by Ochsner-Sherren regimen,

conventionally the patient is advised to undergo

appendicectomy after 6–12 weeks of waiting

period. This is nowadays shortened to the time

required for complete resolution of the mass.

However, now, many have questioned the

practice of interval appendicectomy, since

the recurrence rate of acute appendicitis after

management of the mass is only 10% (3–15%).

Routine interval appendicectomy is unnecessary

in the majority of patients.

An argument can be made in favor of interval

appendicectomy in patients who in the future,

may not have easy access to modern surgical

facilities.

Q 21. How to tackle the issue of missing or

missed diagnosis of a malignancy in cases of

appendicular mass?

It is recommended that patients over the age of

40 years undergo a barium enema examination

(double contrast) or a colonoscopy after successful

conservative treatment of appendicular mass.

Q 22. What is Alvarado score?

It is a clinical and laboratory based scoring system

devised to assist the diagnosis of acute appendicitis.

A score of 7 or more is strongly predictive of acute

appendicitis. A score of 5–6 is considered equivocal

and needs contrast enhanced CT examination to

reduce the rate of negative appendicectomy. In

Alvarado score, points are given for 3 symptoms,

3 signs, 2 laboratory findings. The mnemonic for

Alvarado score is—MANTRELS—migratory pain,

anorexia, nausea/vomiting, tenderness, rebound

tenderness, elevated temperature, leukocytosis,

shift to the left.

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Clinical Surgery Pearls

Alvarado score

 Score

Symptoms

• Migratory RIF pain 1

• Anorexia 1

• Nausea and vomiting 1

Signs

Tenderness (RIF) 2

Rebound tenderness 1

Elevated temperature 1

Laboratory

Leukocytosis 2

Shift to left (increase in the number 1

 of immature neutrophils) or banded

 forms

 Total score 10

Q 23. What is the acceptable negative appendicectomy rate?

It should ideally be less than 20% (with the

introduction of CT for the diagnosis of acute

appendicitis the negative appendicectomy rate

should be less than 5%)

If the rate is more it means we are over doing it

If the rate is very less it means we are too much

waiting, so that perforation will occur.

Q 24. In the course of an operation for presumed

acute appendicitis, the appendix is found to be

engulfed in a mass of uncertain etiology. How

to proceed?

The safe approach is a segmental intestinal resection

with primary ileocolonic anastomosis. Whether

a limited resection through the same incision or

to have a formal right colectomy depends on the

likelihood of malignancy.

Q 25. What are the differential diagnoses of right

iliac fossa pain of acute onset? (Fig. 11.1)

The Attic (the nasopharynx and thorax)

Tonsillitisin children (swallowed exudate causes

tonsil tummy)

Lobar pneumonia and pleurisy.

Upper storey (diaphragm to the level of the umbilicus):

Perforated peptic ulcer (the visceral content

passing along the paracolic gutter to the right

iliac fossa)

Acute pancreatitis

Acute cholecystitis

Leaking aortic aneurysm

Cyclical vomiting in children

Ruptured liver abscess.

The ground floor (umbilicus to the brim of pelvis):

Nonspecific mesenteric lymphadenitis

Meckel’s diverticulitis

Gastroenteritis

Enterocolitis

Intestinal obstruction

Intussusception

Carcinoma of the cecum

Diverticulitis

Torsion of appendix epiploicae

Mesenteric infarction

Leaking aortic aneurysm

Regional ileitis

Diverticulum of cecum (solitary)

Rectus sheath hematoma.

The basement (the pelvis):

Pelvic inflammatory disease

Salpingitis

Ectopic gestation

Ruptured ovarian follicle (mittelschmerz)

Appendicular Mass

151

Twisted right ovarian cyst

Endometriosis.

The backyard (the retroperitoneal structures):

Right ureteric colic

Right sided acute pyelonephritis.

The electrical installation (central nervous system)

Preherpetic pain ofthe righttenth and eleventh

dorsal nerves

Tabetic crisis

Spinal conditions

Pott’s disease of the spine,

– Secondary carcinomatous deposits

– Senile osteoporosis

– Multiple myeloma.

Fuel supply (blood)

Henoch-Schönlein purpura

Blood dyscrasias

Use of anticoagulants.

Other conditions:

Abdominal crisis of porphyria

Diabetic abdomen

Leukemic ileocecal syndrome

Clostridial septicemia.

Fig. 11.1: Appendicitis building

12 Obstructive Jaundice

Case

“Jaundice is the disease that your friends diagnose”

Sir William Osler (1849–1919)

Case Capsule

A 68-year-old male patient presents with epigastric

discomfort, anorexia and weight loss of 6 months

duration. Initially these complaints were dismissed

by his doctor. Later he noticed yellow discoloration

of urine and conjunctiva for the last two months.

The jaundice is painless and progressive. There is

no history of waxing and waning of symptoms.

At present he complaints of generalized itching

for the last 1 month. He passes clay-colored stools

for the last two months. He is a recently detected

diabetic. He is a heavy smoker for the last 50 years.

On examination he is ill built and cachexic. The

sclera is yellow orange in color (deeply jaundiced).

Scratch marks are seen in the abdomen and chest.

Abdominal examination revealed a globular mass

below the costal margin in the midclavicular line

impinging upon the examining hand on inspiration

of about 10 × 4 cm size. The mass is visible and

moving up and down with respiration. This mass

is better seen than felt and better palpated by

superficial palpation than deep palpation. The liver

is palpable about 4 cm below the costal margin.

It is firm in consistency, the edges are sharp and

the surface is smooth. There is no other palpable

mass in the abdomen. There is no free fluid. Digital

rectal examination is normal. There is a hard mobile

lymph node in the left supraclavicular area

between the two heads of sternomastoid muscle.

Read the checklist for abdominal examination

Checklist for history

Family history of jaundice: Gilbert’s familial nonhemolytic hyperbilirubinemia, Crigler-Najjar’s

familial nonhemolytic jaundice, Dubin-Johnson’s

familial conjugated hyperbilirubinemia

History of cigarette smoking: Carcinoma pancreas

History of alcoholism: Acute alcoholic jaundice

Highdietaryconsumption of meat: Carcinoma pancreas

History of transfusion: Hepatitis B

History of omphalitis: Infection of umbilicus →

incomplete obliteration of umbilical vein → jaundice

History of drugs: Chlorpromazine, Methyl testosterone, etc.

Historyofinjections, drug abuse, tattoos (hepatitis B)

Past history of biliary surgery (postoperative

stricture)

Contd...

Obstructive Jaundice

153

Family history of jaundice with anemia (hemolysis)

– Hereditary spherocytosis

Back pain: 25% of patients with carcinoma pancreas

(relief of pain in sitting position)

Whitish clay-colored stools: Suggestive of obstructive jaundice

Melena: Periampullary carcinoma (silver paintstool)

Waxing and waning of jaundice: Suggestive of CBD

stone and periampullary carcinoma

Diabetes mellitus: Early manifestation of 25% of

carcinoma pancreas

Charcot’s triad: Intermittent jaundice, pain and

intermittent fever.

Checklist for examination of a case of

obstructive jaundice

Examination in daylight for yellow discoloration—

sclera, skin, nails bed, posterior part of the hard

palate, under surface of the tongue

Look for presence of scratch mark in the lower limbs,

chest and abdomen—accumulation of bile salt

Look for migratory thrombophlebitis (Trousseau’s

sign seen in carcinoma pancreas

Look for spleen (hereditary spherocytosis)

Look forstigmata of liver disease—liver palms, spider

angioma, ascites, collateral veins on the abdomen

and splenomegaly

Look for a distended gallbladder → Courvoisier’s law

 • Gallbladder is better seen than felt. Better palpated

by superficial palpation than by deep palpation

Look for ascites

Look forleg ulcers—Hereditary spherocytosis, sickle

cell disease

Look for left supraclavicular nodes

Rectal examination—rectal shelf of Blumer,

presence of primary growth, color of stool, and

blood stained finger stall.

Q 1. What are the physical findings of an enlarged

gallbladder?

Physical findings of an enlarged gallbladder

It is better seen than felt

It is better felt by superficial palpation than deep

palpation

It appears from beneath the tip of the ninth rib on

the right side

It is ovoid and smooth and moves with respiration

It is dull to percussion

You cannot feel a space between the lump and the

edge of the liver.

Q 2. What are your points in favor of obstructive

jaundice?

It is a painless progressive jaundice

Presence of itching and scratch marks

Presence of palpable gallbladder

Loss of weight.

Q 3. What is the definition of jaundice?

Jaundice is yellow staining of body tissues produced

by an excess of circulating bilirubin. Normal serum

concentration is 5–19 mmol/L (0.2–1.2 mg/dL)

Jaundice is detected clinically when the level rises

above 40 mmol/L (2.5 mg/dL).

Q 4. How bilirubin is formed and how is bile

pigments metabolized?

Bilirubin is formed from hem, a compound of iron

and protoporphyrin and about 85% of that produced

daily comes from the breakdown of hem from

mature RBC’sin the reticuloendothelialsystem. 15%

is derived from heme compounds in liver and bone

marrow. This bilirubin is unconjugated (which is

insoluble in water) and transported attached to the

plasma proteins to the liver cells. In liver, conjugation

occurs and the conjugated bilirubin is called bilirubin

glucuronide (which is water-soluble) and transported

Contd...

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Clinical Surgery Pearls

to the bile ducts. Disturbance to the flow of bile

leads to stagnation and retention of conjugated

bilirubin. Therefore, in hemolytic anemia, liver is

overloaded with unconjugated bilirubin produced

from excessive breakdown of hem; hence the rise

in indirect bilirubin in prehepatic and hepatic

jaundice. In obstructive jaundice, the conjugated

bilirubin is raised (direct). Bacterial deconjugation of

bilirubin occurs in the colon to form stercobilinogen.

Part of this stercobilinogen is absorbed into the

circulation and re-excreted by the liver and kidneys

(urobilinogen). This stercobilinogen is partly

converted to stercobilin and excreted in the feces

(Fig. 12.1).

Q 5. What are the types of jaundice?

Jaundice is classified as:

A.

Prehepatic (hemolytic)

Hepatic

Posthepatic (obstructive).

B.

Intermittent

Continuous

Progressive.

C.

Painful jaundice

Painless jaundice.

Q 6. Can you differentiate the types clinically by

the color of jaundice?

Lemon yellow – Hemolytic jaundice

Orange – Hepatocellular jaundice

Deep and greenish – Obstructive jaundice

Q 7. Clinically what are the other differentiating

features of various jaundice?

Clinical features of various types of jaundice

Disease Symptoms Pain Jaundice

Hemolytic General

malaise,

loss of

weight

No pain Slow onset

and jaundice

persists

Infective

hepatitis

Loss of

appetite,

nausea,

malaise

Dull ache Gradual

onset and

disappearance

Gallstone Episodes

of flatulent

dyspepsia

Intermittent

severe pain

Sudden onset,

fades slowly in

days

Carcinoma

head of

pancreas

Loss of

weight,

loss of

appetite,

itching

Backache Progressive

jaundice

Fig. 12.1: Bile pigment metabolism

Obstructive Jaundice

155

Q 8. What are the causes for each type of jaundice?

Causes for prehepatic, hepatic and posthepatic jaundice

Prehepatic (hemolytic) Hepatic Posthepatic (obstructive)

• Hereditary spherocytosis

• Hereditary nonspherocytic anemia

• Sickle cell disease

• Thalassemia

• Acquired hemolytic anemia

• Hypersplenism

• Crigler-Najjar syndrome*

• Gilbert’s disease*

Hepatocellular—Acute viral hepatitis,

alcoholic cirrhosis

Dubin Johnson syndrome**

Cholestatic—Toxic drugs,

cholestatic jaundice of

pregnancy, postoperative cholestatic

jaundice, biliary cirrhosis

In the lumen—

• Gallstone

•  Parasites (hydatid, liver fluke

roundworms)

• Foreign body—broken T tube

• Hemobilia

• Benign stricture

• Malignant stricture

In the wall—

• Congenital atresia

• Traumatic strictures

• Choledochal cyst

• Caroli’s disease

• Tumors of bile duct

• Klatskin’s tumor

• Sclerosing cholangitis

Outside the wall—

• Carcinoma head of pancreas

• Periampullary carcinoma

• Porta hepatis metastasis

• Pancreatitis

• Chronic duodenal diverticulum

• Pseudocyst of pancreas

• Metastatic carcinoma

*Crigler-Najjar and Gilbert’s disease are due to defective uptake and conjugation of bilirubin and

therefore the hyperbilirubinemia is of the unconjugated type. They are differential diagnoses for

hemolytic jaundice.

**Dubin Johnson’s familial conjugated hyperbilirubinemia is a condition where the hepatic excretion

of conjugated bilirubin into the biliary system is impaired and therefore a differential diagnosis for

obstructive jaundice (Fig. 12.2).

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Clinical Surgery Pearls

Q 9. What is the problem of this classification?

Obstruction can occur without any evidence of a

lesion requiring surgical correction, e.g. intrahepatic

cholestasis due to drugs and early primary biliary

cirrhosis. A patient with viral hepatitis may have

considerable cholestasis suggesting obstruction.

A patient with obstructive jaundice may go on

to develop a degree of hepatocyte insufficiency

too. Hence, the classification has considerable

overlapping.

Q 10. How to differentiate the types of jaundice

biochemically?

There are two types of bilirubin—conjugated

(direct) and unconjugated (indirect).

The direct bilirubin is increased in obstructive

jaundice whereas the indirect bilirubin is increased

in hemolytic jaundice. In obstructive jaundice

conjugated bilirubin from the hepatocytes and

biliary radicles overflow into the bloodstream,

whereas in hemolytic jaundice, unconjugated

bilirubin overloads the liver and is detected as

elevated in blood.

The serum bilirubin levelrarely exceeds 4–5 mg/

dL in hemolytic jaundice.

The bilirubin exceed to 10–20 mg/dL in

obstruction due to neoplasm.

In obstruction due to stones usually itranges up

to 5 mg, rarely does it exceed 15 mg.

Fig. 12.2: common causes of obstructive jaundice

Obstructive Jaundice

157

Q 11. What is the role of liver enzymes in the

diagnosis of jaundice?

The two most important enzymes are ALT, AST and

alkaline phosphatase (ALP).

ALT above 1000 is suggestive of viral hepatitis

In alcoholic liver disease AST israised (AST : ALT

is >2)

Alkaline phosphatase is raised in obstructive

jaundice and infiltrative liver diseases like

tumor or granuloma.

Note: Normal values: ALT: 5 – 35 U/L

AST: 5 – 40 U/L

Q 12. What are the sources of alkaline phosphatase

and what are the conditions in which the enzyme

is increased?

There are three sources for alkaline phosphatase

1. Liver 

 Equal contribution 2. Bone

3. Intestine—Small contribution

In the liver, it is a product of epithelial cells of

the cholangioles

It is expressed in Bodansky units (previously

KA units)

Note: Normal value: 30 – 115 U/L.

Clinical conditions in which alkaline

phosphatase is increased

Intrahepatic cholestasis

Cholangitis

Extrahepatic obstruction

Focal hepatic lesions without jaundice

Solitary metastases

Pyogenic abscess

Granulomas

Bone tumors (primary and secondary).

Q 13. How to rule out alkaline phosphatase rise

because of bone pathology? (PG)

Serum calcium and phosphorus (which will be

abnormal in bony pathology)

5’ nucleotidase and γ-glutamyl transpeptidase

which are specific for obstructive jaundice.

Q 14. What is acholuric jaundice?

It is nothing but the result of hereditary spherocytosis.

It is called acholuric because there is no excretion of

bilirubin in the urine. In this condition, because of the

hemolysis as a result of spherocytosis, the bilirubin

produced is insoluble (unconjugated). This is not

filtered by glomerulus. There will be family history

of jaundice. In addition you get—

Pigmented stones in gallbladder

Enlarged spleen

Leg ulcers.

It produces hemolytic crisis—

Pyrexia

Abdominal pain

Nausea and vomiting

Extreme pallor.

The fragility of the RBC’s will be increased

because of the biconvex nature of the RBC in

contrast to the normal biconcave.

Q 15. What are the investigations for hemolytic

jaundice?

Investigations for hemolytic jaundice

1. Peripheral smear for spherocytosis

2. Osmotic fragility test for red cells (which will be

increased).

3. Reticulocyte count which will be increased

(compensatory hemopoesis)

4. Positive Coombs’ test.

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Clinical Surgery Pearls

Q 16. What is surgical jaundice?

Surgical jaundice is a condition where the

jaundice can be corrected by surgery. The

posthepatic jaundice is mainly included in this

category. Hemolytic conditions like hereditary

spherocytosis require splenectomy as part of the

treatment, but are not referred to commonly as

surgical jaundice.

Q 17. Any other classification for surgical jaundice?

Complete jaundice Carcinomaheadof

 pancreas

Intermittent jaundice Periampullary

 carcinoma

Chronic and incomplete Biliary stricture

Segmental Traumatic

Q 18. What is Courvoisier’s law?

Courvoisier first drew attention to the association

of an enlarged gallbladder and a pancreatic tumor

in 1890 and this law states.

“When the gallbladder is palpable and the patient

is jaundiced, the obstruction of bile duct causing the

jaundice is unlikely to be a stone because previous

inflammation will have made the gallbladder thick

and nondistensible.”

But he never said when the gallbladder is not

palpable, it is due to stones (that is, the converse

– jaundice without palpable gallbladder

certainly does not implicate stones).

Gallbladder is palpable only in 30% of cases of

carcinoma head of the pancreas.

There are exceptions to Courvoisier’s law

Exceptions to Courvoisier’s law

1. Stones, simultaneously occluding the cystic duct

and the distal CBD (Double impaction)

2. Pancreatic calculus obstructing the ampulla

3. Oriental cholangiohepatitis because of Clonorchis

sinensis (Ductal stones formed secondary to the

liver fluke infestation)

4. Mucocele/empyema of gallbladder

5. Carcinoma of the gallbladder with or without

jaundice—it’s although rare it can also cause a

palpable gallbladder (In 1 to 4 the gallbladder is

palpable in a jaundiced patient with stones)

6. Nodes in porta hepatis

7. Carcinoma gallbladder with multiple metastases in

liver.

Q 19. What is oriental cholangiohepatitis?

It is because of Clonorchis sinensis (Chinese liver fluke)

and in this condition, stones are formed primarily in

the bile ducts and therefore the gallbladder is often

palpable.

Q 20. What is choledochal cyst?

It is a dilation or diverticula of all or a portion of the

common bile duct. Women are more affected than

men and Asians are more affected than Western

people. The incidence is very high in Japan. Various

causes are postulated:

Infectious agents

Reflux of pancreatic enzymes via long common

channel

Genetic

Autonomic dysfunction.

Q 21. What are the types of choledochal cysts? (PG)

Types of choledochal cyst

Type 1 Fusiform (85%)

Type 2 – Saccular

Type 3 – Choledochocele (wide mouth dilatation

of the common bile duct at its confluence

with duodenum)

Type 4 – Cystic dilatation of both intra and extrahepatic bile duct

Type 5 – Lakes of multiple intrahepatic cysts (Type 5

along with hepatic fibrosis is called Caroli’s

Contd... disease).

Contd...

Obstructive Jaundice

159

Alonso-Lej/Todani classification of choledochal cyst

Type I Classic cyst type characterized by cystic dilatation of CBD. Most common (50–85%) IA (Cystic); IB

(Fusiform); IC (Saccular)

Type II Simple diverticulum of extrahepatic biliary tree; located proximal to the duodenum (5%)

Type III Cystic dilatation of the intraduodinal portion of the extrahepatic CBD also known as choledochocele (5%)

Type IV Involve multiple cysts of intrahepatic and extrahepatic biliary tree

Type IV A Both intrahepatic and extrahepatic cysts (30–40%)

Type IV B Multiple extrahepatic cysts without intrahepatic involvement

Type V Isolated intrahepatic biliary cystic disease (Caroli’s disease) associated with periportal fibrosis or cirrhosis;

can be multilobar or confined to a single lobe.

Q 22. What is the treatment of choledochal cyst?

 (PG)

There is increased chance for malignancy, if part

of cyst is left behind. Therefore, complete excision

followed by hepaticojejunostomy is the treatment

of choice.

Q 23. What is Caroli’s disease? (PG)

It is a congenital cystic disease having saccular intrahepatic dilatation of the ducts. It may be isolated

or associated with:

– Congenital hepatic fibrosis

– Medullary sponge kidney

It may manifest as cholangitis or obstructive

jaundice.

Q 24. What is hemobilia? (PG)

It is a complication of hepatic trauma as a result

of bleeding from intrahepatic branch of the

hepatic artery into a duct. The triad of hemobilia

(Sandblom’s triad) consists of

– Biliary colic

– Obstructive jaundice

Occult/gross intestinal bleeding.

Causes for hemobilia

Trauma

Oriental cholangiohepatitis

Hepatic neoplasm

Rupture of hepatic artery aneurysm

Hepatic abscess

Choledocholithiasis.

The diagnosisis by Technicum 99m labeled RBC

scan and arteriogram.

Q 25. What is the treatment of hemobilia? (PG)

Therapeutic embolization using:

Stainless steel coils

Gel foam

Autologous blood clot.

Q 26. What are the causes for intermittent jaundice?

1. CBD stones

2. Periampullary carcinoma

3. Repeated hemolytic episode

4. Parasite

5. Hemobilia

6. Duodenal diverticula.

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Clinical Surgery Pearls

Q 27. What are the symptoms of a patient with

carcinoma head of pancreas?

Progressive jaundice 75% (it is possible to

get carcinoma head of the pancreas without

obstructive jaundice).

Pain: Pain is frequent even though classical

description is painless.

Hematemesis and melena in late cases.

Chills and fever when there is cholangitis.

Diabetes mellitus: Carcinoma pancreas induces

glucose intolerance resulting in diabetes

mellitus (25% of patients).

Courvoisier sign: Palpable gallbladder noted

only in 25% of patients with resectable lesions.

Q 28. How will you proceed to investigate the

given case of jaundice?

A. Investigations for diagnosis and staging are (Flow

chart 12.1):

1. Ultrasound e x a m i n a t i o n — l o o k f o r

intrahepatic biliary radicle dilatation

– Size of the CBD normally should be less

than 8 mm sonologically

– Dilatation of pancreatic duct (dilatation of

CBD and pancreatic duct is suggestive of

carcinoma head of the pancreas)

For biliary stones

For free fluid

For mass lesions (difficult to identify

pancreatic head malignancy in ultrasound because of the gas in intestines in

front of the organ)

For liver metastases.

2. Contrast enhanced helical CT

– Can identify the tumor in the head of

pancreas (Central zone of decreased

Flow chart 12.1: Management of pancreatic cancer

Obstructive Jaundice

161

attenuation will be present). Pancreatic

duct and bile duct dilatations are strong

evidence of pancreatic carcinoma

– Note the size of the tumor

– Infiltration to the adjacent structures like

portal vein

– Nodal involvement.

3. Endoscopy/ERCP (Endoscopic retrograde

cholangiopancreatography)—useful for non

dilated ducts—in the absence of mass in the

CT, ERCP is indicated. It is the most sensitive

test for such situations.

– The periampullary carcinoma can be

visualized

– Biopsy can be taken from the periampullary

lesion

– The lower limit of the growth can be

identified by ERCP

– Stenting can be done to relieve the

jaundice

– Sphincterotomy can be done to remove

the bile duct stone.

4. Endoscopic ultrasound

– To assess the operability

– Size of the tumor

– To know the involvement of mesenteric

lymph nodes, para-aorticnodes and

superior mesenteric vein

– Hepatic metastases.

5. Percutaneous transhepatic cholangiography

(PTC)—useful for dilated ductal system.

– The coagulation profile is checked and

antibiotic coverage is given. In this

procedure a pliable needle is inserted

under local anesthetic and sonological

guidance into the dilated biliary duct.

Should decompression of the biliary tree

be desired preoperatively, then a fine bore

catheter may be left in the ducts to allow

continuous drainage of bile.

– I t i s a l s o p o s s i b l e t o i n s e r t a n

endoprosthesis to relieve the obstruction

for unresectable lesions.

The PTC is ideal for demonstrating

the anatomy above an extrahepatic

obstruction and the upper limit of the

obstructing lesion can be identified by

injecting dye.

6. Upper GI series—to decide whether a

gastrojejunostomy is indicated or not. The

classical findings are (largely replaced by

Helical CT).

– Widening ofthe C-loop ofthe duodenum

in carcinoma head of the pancreas.

Reverse3 sign in periampullary carcinoma.

B. Biochemical investigations

• Total bilirubin, direct and indirect (direct

is increased obstructive and indirect is

increased in hemolytic jaundice (total and

direct bilirubin raised in hepatic).

Alkaline phosphatase—( o v e r 1 0 0

international unit is indicative of cholestasis

if bone disease is absent).

Total protein, albumin and globulin

(albumin and globulin levels are reversed in

chronic hepatocellular damage). Globulin

level will be very high in biliary cirrhosis. In

biliary obstruction per se there won’t be any

change in the values.

Serum transaminase levels are above normal

in viral hepatitis.

C. Coagulation profile—Prothrombin Time—normal

inhemolytic jaundice. Prolongedbut correctable

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Clinical Surgery Pearls

with vitamin K in cholestatic jaundice (provided

their remains some functioning liver tissue).

This will be prolonged and not correctable in

advanced hepatocellular disease.

Platelet count, bleeding time and clotting

time.

D. Urine examination

1. Absent urobilinogen indicates obstruction

to the common bile ducts.

2. Excess urobilinogen occurs in hemolytic

jaundice and sometimes in liver damage.

3. Absent bilirubin indicates hemolytic jaundice

(Bilirubin predominantly unconjugated).

4. Excess bilirubin is present in obstructive

jaundice.

E. Stool examination

1. Absence of bile pigment indicates biliary

obstruction (Clay-colored stool).

2. Positive occult blood indicates ampullary

carcinoma, bleeding esophageal varices and

alimentary carcinoma.

Q 29. What is the dose of vitamin K and how is

it given?

The dose of vitamin K is 10 mg and it is given IM

for 3 days.

The vitamin K1 (phytomenadione) is given

intravenously—10 mg daily for 3 days.

Q 30. What are the preoperative preparations if

you are planning for surgery?

1. Hydration

2. Nutrition

3. Correction of coagulation deficiency—vitamin

K, FFP, platelet transfusion, etc.

4. Correction of anemia.

Q 31. What are the indications for preoperative

biliary decompression? (PG)

Indications for preoperative biliary decompression

Bilirubin > 12 mg

Sepsis

Hepatorenal failure

Severe cardiopulmonary disease

Severe malnutrition.

NB: Routine drainage is not recommended.

Q 32. What is the other simple option for drainage?

Simple cholecystostomy, if other options are not

available.

Q 33. What are the causes for fever in jaundice?

Causes for fever in jaundice

1. Cholangitis 2. Hemolysis

3. Septicemia 4. Hepatic abscess

Q 34. What are the 3 important special risks in

obstructive jaundice? (PG)

1. Hypocoagulability

2. Renal failure—may be because of increased

bile pigment load on the tubules, increased

postoperative distal tubular reabsorption

of water and failure of liver to trap enteric

nephrotoxins

3. Sepsis of bile with or without calculi.

Q 35. What are the signs of unresectability in

carcinoma head of the pancreas?

1. Hepatic metastases

2. Distant metastases (Distant lymph nodes from

pancreatic head)

3. Ascites (Peritoneal metastases)

4. Encasement of superior mesenteric, hepatic or

celiac artery by tumor.

Note: Nowadays the superior mesenteric artery is

approached from behind as the first step before

Obstructive Jaundice

163

contemplating Wipple’s resection and if the artery

is involved resection is abandoned.

Q 36. Should portal vein involvement preclude a

resection? (PG)

Involvement of a short segment (< 1.5 cm) of portal

vein is not a contraindication to a curative resection.

Q 37. What is the treatment of itching because of

obstructive jaundice? (PG)

a. Cholestyramine—It is an ion exchange resin,

usually provides relief by binding bile salts in the

intestinal lumen, thus, inhibiting their reabsorption

into blood.

b. Opiates.

Q 38. What is the role of percutaneous biopsy

(Aspiration) of pancreatic tumor? (PG)

It is done under ultrasound/CT guidance

It is contraindicated in candidatesforsurgery—

risk of spreading

Done in patients with radiographic evidence of

unresectability

It is also done preoperatively in operable cases

Biopsy may miss the lesion because a variable

area of pancreatitis surround the tumor, leading

to sampling error.

Q 39. What are the complications of needle biopsy

of pancreatic tumor? (PG)

Pancreatitis

Fistula

Hemorrhage

Infection.

Q 40. What is the tumor marker for pancreatic

malignancy? (PG)

CA 19-9 (Carbohydrate antigen)—It is useful in

following the results of the treatment

CEA (Carcinoembryonic antigen).

Q 41. Perioperatively can you differentiate chronic

pancreatitis from carcinoma? (PG)

It is very difficult.

A hard noncystic mass in the head and

obstructive jaundice and dilatation of CBD is

more in favor of carcinoma.

Ahard noncystic massin the retroampullarypart

and no jaundice and no dilatation is in favor of

chronic pancreatitis.

Q 42. What are the signs of inoperability in

carcinoma head of pancreas?

Signs of inoperability in carcinoma head

of pancreas

Clinically

Supraclavicular nodes

Ascites

Rectal shelf of Blumer

Liver metastases, etc.

Preoperatively

Ascites

Liver metastases

Peritoneal metastases

Rectal shelf of Blumer

Involvement of the portal vein and superior

mesenteric vessels (preoperatively assess the

resectability after Kocherizing the duodenum and

passing the surgeon's finger between the pancreas

and the portal vein) – “Tunnel of love”.

Q 43. What are the surgical options for the

operable carcinoma head of the pancreas?

1. The classical Whipple’s p r o c e d u r e

(pancreaticoduodenectomy followed by

pancreaticojejunostomy/gastrostomy, choledochojejunostomy and gastrojejunostomy)

(Fig. 12.3).

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Clinical Surgery Pearls

2. Pylorus preserving pancreaticoduodenectomy

(PPPD).

The second procedure is favored nowadays.

Note: Currently the pancreatic head is accessed

from behind to see invasion of mesenteric artery

as the first step and if it is found to be involved, it is

considered inoperable.

Q 44. What is the morbidity and mortality of this

procedure? (PG)

Mortality is 3 – 5% in high volume center

Morbidity is around—40%—pancreatic leak—

10%—infection.

Q 45. What are the surgical options for inoperable

cases?

To relieve jaundice

1. After ruling out a low insertion of cystic duct,

a cholecystojejunostomy is done to relieve

the jaundice. This may be combined with a

jejunojejunostomy.

2. If there is low insertion of cystic duct, a

choledochojejunostomy is done to relieve the

obstruction.

Relieve duodenal obstruction

1. If duodenal obstruction (15% of cases) is suspected

in addition, a gastrojejunostomy is done.

2. Self-expanding metal stent placed endoscopically, is an alternative to gastrojejunostomy.

Q 46. What is the management of pain in

inoperable cases?

Transthoracic splanchnicectomy (dividing the

splanchnic nerve transthoracically preferably

through thoracoscope).

Q 47. What percentage of pancreatic head

malignancy is resectable?

At the time of presentation 90% are unsuitable for

resection because of local spread to the superior

mesenteric vein, para-aortic and mesenteric nodes

and liver metastases.

Q 48. What is the role of chemotherapy in

pancreatic cancer?

Chemotherapeutic agent of choice is 5 fluorouracil

(5FU)

A new drugGemcitabine produces remission in

15 – 25% of patients.

Q 49. What is the prognosis of carcinoma head of

the pancreas?

The overall median survival is only 20 weeks

Less than 3% of patients survive for 5 years

In carcinoma of the ampulla ofVater, the 5 years

survival after resection is 40%.

OBSTRUCTIVE JAUNDICE DUE TO STONES

Q 50. What are the manifestations of CBD stones?

The classical presentation is Charcot’s triad

consisting of:

Fig. 12.3: View of pancreaticojejunostomy

Obstructive Jaundice

165

Intermittent pain

Intermittent fever

Intermittent jaundice.

Q 51. What is cholangitis?

Obstruction of bile duct will lead on to bacterial

infection of the bile duct. Obstruction is synonymous

with infection. The obstruction may be partial or

complete. The causes for cholangitis are—

Choledocholithiasis

Biliary stricture

Neoplasms (15%)

Ampullary stenosis (less common)

Chronic pancreatitis

Pseudocyst

Duodenal diverticulum

Parasitic.

Q 52. What is the pathology of cholangitis ?

(PG)

The ductal pressure increases when there is

obstruction

Bacteria escape to the systemic circulation via

hepatic sinusoids

Organism willreach the blood and blood culture

will positive.

Q 53. What are the common organisms for

cholangitis ? (PG)

Organisms causing cholangitis

E. Coli

Klebsiella

Pseudomonas

Enterococci

Proteus

Bacteroides.

Q 54. What is Reynold’s pentad?

It is a manifestation of acute toxic cholangitis as a

result of obstruction of the bile duct (It is also called

suppurative cholangitis). It is a life-threatening

condition and should be managed as emergency.

The Pentad consists of:

Pain

Fever

Jaundice

Mental confusion

Shock.

Q 55. What is the management of acute toxic

cholangitis? (PG)

It is an emergency. The antibiotic of choice is

aminoglycoside and clindamycin/metronidazole.

The ductal system is decompressed by emergency

sphincterotomy or by transhepatic drainage. The

associated gallbladder pathology may be tackled

as an elective procedure later by laparoscopic

cholecystectomy.

Q 56. What is the management of obstructive

jaundice due to CBD stone?

The investigations and preparations are the same

as for obstructive jaundice. (which is given above).

There are 3 surgical options:

1. Endoscopic sphincterotomy initially, followed

by laparoscopic cholecystectomy preferably in

the same admission. (currently favored where

laparoscopic expertise is not available).

2. Laparoscopic cholecystectomy a n d

laparoscopic CBD exploration (if expertise is

available); the CBD exploration may be done

through the cystic duct or if the duct is more

than 1.5 cm through a choledochotomy.

3. Open—Laparotomy, cholecystectomy and CBD

exploration and stone removal.

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Clinical Surgery Pearls

Q 57. What are the contraindications for sphincterotomy?

Stone size more than 2 cm.

Stenosis of bile duct proximal to the sphincter.

Q 58. What is the management of bile duct

tumor? (PG)

The bile duct tumors may be benign or malignant.

The benign tumors are rare and far less common. The

malignant tumors are called cholangiocarcinomas.

Cholangiocarcinoma is a term now applied to

malignant intrahepatic, perihilar and distal extra

hepatic tumors of the bile ducts. The incidence

of this condition is rising. The management may

be palliative stenting or surgery. Most patients

will receive only palliative surgery. The consensus

of surgical opinion is that the surgical treatment

is difficult and should be reserved for the fittest

patients getting 5 mm clearance, node and liver

resection if required. In all cases, reconstruction is

made using hepaticojejunostomy (Roux–en–Y).On

the right side an extended right hepatic lobectomy

is done because of anatomical reasons. The length

of right hepatic duct is smaller in contrast to the left

which has got significant length of extrahepatic duct.

Q 59. What are the risk factors for cholangiocarcinoma? (PG)

These include:

Risk factors for cholangiocarcinoma

Sclerosing cholangitis

Chronic intrahepatic gallstones

Caroli’s disease

Choledochal cyst

Ulcerative colitis

Liver flukes.

Possible association:

INH (Inhibitor)

Methyldopa

Oral contraceptives

Asbestos.

Q 60. What is Klatskin tumor? (PG)

The perihilar cholangiocarcinoma is called Klatskin

tumor. About 50% of all cholangiocarcinomas are

Klatskintumor.Ofthe reminder,half are intrahepatic

and half are related to extrahepatic bile ducts.

Q 61. Is there any role for fine needle aspiration

cytology? (PG)

Percutaneous fine needle aspiration cytology is

absolutely contraindicated in patients who may

be operable.

Q 62. What is the Bismuth classification of

cholangiocarcinoma? (PG)

Type I – involving the common hepatic duct.

Type II – the growth involving the proximal

common hepatic duct that extends

to the bifurcation, but both hepatic

ducts are free.

Type III – growth involving one hepatic duct.

Type IV – is the hilar involving both hepatic and

proximal common hepatic ducts.

Q 63. What are the contraindications for

surgery? (PG)

Lymph node involvement

Encasement of hepatic hilar vessels.

Q 64. What is Taj Mahal resection? (PG)

The technique of central liver resection for

cholangiocarcinoma is called Taj Mahal resection

owing to the shape of the defect in the liver. This

involves removal of segments 1, 4 and 5 and the

relevant bile ducts.

Obstructive Jaundice

167

Q 65. What is the palliative surgical treatment? (PG)

Palliative surgicaldrainage isdoneby anastomosing

a Roux loop to the segment III duct.

Q 66. Is there any role for surgery in hereditary

spherocytosis?

Splenectomy is done

Gallbladder stones, if present are managed by

cholecystectomy.

Q 67. What type of gallstone you get in hereditary

spherocytosis?

Pigment stone.

For PG’s—What is new?

The imaging modality of choice for pancreatic malignancy is MDCT (Multi Detector Computed Tomography)

and angiography, MRI and MRCP

Tumor marker CA 19-9 is measured routinely in pancreatic carcinomas and levels greater than 1000 units/mL

have been found to be linked to unresectable disease

PTC—is an investigation done for proximal biliary obstruction and not routine

There is no role for mannitol in the preoperative preparation of obstructive jaundice patient. In fact, it will worsen

the renal function

Uncinate—First approach for pancreaticoduodenectomy—this approach issuitable forinfiltration ofthe superior

mesenteric vein or portal vein. It is also suitable for infiltration of the arterial axis

SMA—First approach for pancreaticoduodenectomy—It comprises early dissection of superior mesenteric

artery after kocherization of the duodenum along with the posterior pancreatic capsule. The advantage of this

technique is that the tumor infiltration of SMV, portal vein, or tumor proximity to SMA can be handled at the

initial stage or resection can be abandoned. This will reduce the chances of margin positive pancreatic head

resection. It will also help improved lymph node yield

The indications for preoperative biliary drainage are:- 1. Acute cholangitis (systemic sepsis of biliary origin is

called cholangitis), 2. Obstructive jaundice with secondary renal impairment, 3. Comorbidities delaying the

surgery

Classic Whipple’s operation is reserved for duodenal cancers

Removal oflymph nodes ofthe rightside ofthe hepatoduodenal ligament,posteriorpancreaticoduodenal nodes,

nodes to the right side of the superior mesenteric artery from the origin to the inferior pancreaticoduodenal

artery are important

Neoadjuvant chemotherapy is beneficial

For pancreatic leak irradiation of pancreas is useful

R1 cases needs postoperative radiotherapy

Multimodality treatment is now recommended for pancreatic carcinoma

Chemotherapeutic agents are 5FU, Cisplatin and alpha interferon

Gemcitabine alone or in combination with other drugs.

13 Varicose Veins

Case

Case Capsule

Middle-aged multiparous female patient presents

with dilated tortuous veins on both lower limbs of

10 years duration. She complains of dull ache felt

in the calves and lower leg that get worse through

the day especially during standing. It is relieved by

lying down for 30 minutes. She also complaints of

mild swelling of the ankle by the end of the day.

She does not give history of previous accidents,

major operations or prolonged illness. Her mother

and elder sister had similar complaints.

On inspection, large tortuous visible veins

are noted in the distribution of long saphenous

vein. Skin of the lower third of the medial side

of the right leg shows brown pigmentation and

there is an ulcer situated just above the medial

malleolus of the size of 7.5 × 5 cm. On palpation

there is pitting edema of the right ankle region.

The skin and subcutaneous tissue are thickened

over the area. Palpation along the course of the

long saphenous vein behind the medial border

of the tibia revealed three defects in the deep

fascia 5, 10 and 15 cm above the medial malleolus.

There is a palpable cough impulse in the groin at

the saphenous opening region. The veins collapse

when the patient lies down and the limb is elevated.

Trendelenburg test I and II are positive on the right

side and test I positive on left side. Modified Perthes

test is negative on both sides. Multiple tourniquet

test shows perforator incompetence in the right

leg corresponding to the fascial defects mentioned

above. Schwartz test is positive on right side. There

is no bruit heard over the veins.

The ulcer is of the size of 7.5 × 5 cm with a

sloping edge and the surrounding skin is purple

blue in color. The floor of the ulcer is covered with

pink granulation tissue. The base of the ulcer is fixed

to the deeper tissues. There is serous discharge

from the ulcer. Equinus deformity is present at the

ankle joint. Regional lymph nodes are enlarged,

firm in consistency and mobile (the vertical group

of inguinal nodes on right side). On abdominal

examination there is no vein seen crossing the

abdomen and there is no mass lesions. Per rectal

and per vaginal examination shows no pelvic cause

for the dilated tortuous veins. Examination of the

peripheral vascular system is normal.

Varicose Veins

169

Checklist for history

History of

Major surgery

Majorillness necessitating prolonged recumbency

Recentlong airtravel (economy classsyndrome)—

deep vein thrombosis

Sudden undue strain

Drug intake—hormone containing pills (like

contraceptives)

Computer professionals requiring long hours in a

sitting posture—E thrombosis

Occupation demanding prolonged standing

Family history of varicose veins.

Checklist for examination of varicose veins

Examine the patient in standing position

Expose the patient from umbilicus to the toes

Examine the front and back of the limb

Examine the limbs for inequality of circumference

Know the anatomy of long saphenous and short

saphenous veins with its named tributaries

Identify the anatomical distribution of the varicose

veins

Feel the veins—tender/fibrous /thrombosed

Examine the ankle—congestion, prominent veins,

pigmentation, eczema, ulcer

Pelvic examination to rule out secondary causes

of varicose veins—intrapelvic neoplasms (uterus,

ovary and rectum)

Examine the abdomen for dilated veins that will

be secondary to obstruction of inferior vena cava

(commonest cause—intra-abdominal malignant

disease)

Always do abdominal examination—forintrapelvic

tumor such as ovarian cysts, fibroid, cancer cervix,

abdominal lymphadenopathy

Look for large suprapubic veins and abdominal

varices which are present in cases of patients with

chronic iliac vein occlusion

Digital rectal examination

Auscultate the veinsto rule out continuous murmur

(for AV fistula)

Always examine theperipheralpulses—venous and

arterial disease often coexist.

Contd...

Contd...

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Clinical Surgery Pearls

Q 1. What are varicose veins?

By definition varicose veins are thin-walled,

tortuous, dilated, and lengthened veins with

incompetence of the contained valves. This

excludes the normal prominent and dilated veins

on healthy muscular legs in nonobese people.

Physiologically varicose vein is one that permits

reversal of flow through its faulty valves.

Q 2. What are the causes for varicose veins?

Congenital—rare (congenital absence of valves)

Primary varicose veins (cause not known, often

familial)—wall theory (weakness of walls) and

valve theory

Secondary varicose veins:

Post-thrombotic (destruction of valves)

– Post-traumatic

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171

– Pregnancy

Fibroids and ovarian cysts

Abdominal lymphadenopathy

– Pelvic tumors

– Retroperitoneal fibrosis

Ascites

– Iliac vein thrombosis

High flow and pressure states, e.g. AV fistula.

Q 3. How can you distinguish primary varicose

veins associated with a normal deep venous system

from varicose veins secondary to a diseased deep

venous system (the postphlebitic syndrome)?

Primary varicose veins Secondary varicose veins

Seen in early

adolescence

Positive family history

Saphenous distribution

alone is involved

Positive Trendelenburg—

1— test

No stasis sequelae

(dermatitis and

ulceration)

No morning ankle edema

Patent deep veins in

doppler and duplex

History of varicose veins

of long duration without

any previous acute event

like edema

Older age group

No family history

In addition to the

saphenous, the

perforators and the deep

veins are involved

Trendelenburg—1 and 2

positive

Stasis sequelae present

Ankle edema present

Deep veins and

perforators are abnormal

in Doppler and duplex

The limb is normal until

swelling begins as a

sudden event. Varicose

veins develop later

Note: Primary varicose veins can ultimately lead to

stasis sequelae, even ulceration because with time,

retrograde flow down the superficial system and back

into the deep system can produce sustained venous

hypertension. At this end-stage the appearance may

be indistinguishable from postphlebitic syndrome, but

the history is very different.

Q 4. What is the incidence of varicose vein?

About 20% of the population suffer varicose veins.

Q 5. How much blood is there in the venous

system?

About 70% of the body’s blood is in the venous

system at any one time and there are at least 3 times

as many veins as arteries in the limbs.

Q 6. What percentage venous blood is carried by

the superficial system?

10%.

Q 7. What is the anatomy of veins in the lower

limb?

The venous system in the lower limb has three

portions.

Superficial: Long saphenous system and short

saphenous system with their tributaries (they

terminate at the saphenofemoral and saphenopopl

junctions respectively.

Deep veins: Three pairs below the knee each with its

associated artery—anterior tibial, posterior tibial,

and peroneal. In the upper third of calf they join to

form the popliteal vein which proximally becomes

the superficial femoral vein.

Perforating veins: In the case of long saphenous

vein four sets:

Dodd’s perforator in relation to the subsartorial

canal.

Boyd’s perforator in relation to the calf muscles

just below the knee.

Cockett’s perforatorsjust above the ankle –5, 10,

and 15 cm above the malleolus.

Ankle perforators of May or Kuster.

In the case of short saphenous vein:

Bassi’s perforator—5 cm above the calcaneum

Soleus point perforator

Gastrocnemius point perforator.

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Clinical Surgery Pearls

Q 8. What is the anatomy of long saphenous

system?

This is the biggest vein in the body, arises in front of

the medial malleolus. It ascends behind the medial

femoral condyle along the medial aspect of the

thigh and terminates in the common femoral vein

through the saphenous opening in the groin. The

important tributaries are:

The posterior arch vein (Leonardo’s vein) (Fig

13.1)—starts behind the medial malleolus

and runs upwards to the long saphenous vein

joining it at the knee level. This vein is important

because it has 3–4 constant perforators—(the

cockett’s perforators) joining it at the posterior

border of the tibia linking the superficial with

the posterior tibial vein of the deep system. This

Fig. 13.1: Posterior arch vein

vein has a tendency to become varicose rather

than the long saphenous vein.

Anterior superficial tibial vein—ascend along

the shin and joins the long saphenous system

again at knee level (Fig. 13.2).

The medial andlateral accessory saphenous vein

(posteromedial and anterolateral) in the thigh

joining of the long saphenous vein at variable

levels near to the saphenofemoral junction.

The saphenofemoral junction tributaries—

superficial inferior epigastric, superficial

circumflex iliac and superficial external pudendal

(Fig. 13.2).

Fig. 13.2: Long saphenous

Varicose Veins

173

Q 9. What is the anatomy of the short saphenous

system?

The vein starts behind the lateral malleolus and

ascends superficially through the posterior aspect

of the calf to terminate in the popliteal vein after

piercing the deepfascia. In about 50%ofindividuals

the short saphenous vein terminates above the

popliteal fossa (Fig. 13.3).

Q 10. What is ‘Blow out syndrome’? (PG)

This was described by Cockett. When the valves

of the perforating veins become incompetent,

contraction of the muscle will result in retrograde

flow of venous blood from the deep to the

superficial veins. The resultant high pressure reflux

is called venous hypertension (describedbyCockett

as blow out syndrome).

Q 11. What are the functions of veins?

There are three principal functions.

Return of blood to the heart

Blood storage

Thermoregulation.

Q 12. What is the normal hemodynamics of venous

system in the lower limb? What is ambulatory

venous hypertension?

Normally the venous blood flow is from the superficial

to the deep system through the perforators if the

valves are competent. On standing the venous

pressure in the foot vein is equivalent to the height

of the column of blood extending from the heart

to the foot. Normally the pressure in the superficial

veins of the foot and ankle is around 80–100 mm

of Hg. The venous blood is pumped to the heart

from the limb by the series of muscle pumps in the

calf and thigh. They are called peripheral hearts.

In addition there is a foot pump that ejects blood

from the plantar veins during walking (there are

three pumps altogether— the foot pump, the calf

pumpandthighpump).Duringwalkingthepressure

within the calf compartment rises to 200–300 mm

of Hg and the blood is pushed up from the deep

system. During the relaxation of the calf muscle

the pressure within the calf falls to a low level and

the blood from the superficial veins flows through

the perforators to the deep veins. The pressure

in the superficial system will then automatically

fall to about 20 mm of Hg. When the perforators

are incompetent, the pressure in the superficial

system will not fall and eczema, skin damage and

leg ulceration develops. The failure of superficial

Fig. 13.3: Short saphenous vein venous pressure to fall during exercise is called

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Clinical Surgery Pearls

ambulatory venous hypertension and is the main

cause of venous leg ulceration. Incompetence of the

deep veins has a more severe effect on the venous

physiology than superficial venous incompetence

because the deep veins are much larger than the

superficial veins. Persistently raised venous pressure

tracks back to the microcirculation of the skin and

causes skin damage, resulting in venous ulceration.

Q 13. What are the causes for venous ulcer?

Venous ulcers occur in the following situations:

1. In patients with deep vein thrombosis (DVT)—

post-thrombotic limb

2. Ankle perforator incompetence

3. Sometimes long-standing superficial varicose

veins.

Q 14. What is the pathophysiology of venous

ulcer?

1. The fibrin-cuff theory of Browse:

Persistently raised venous pressure

Capillary proliferation and inflammation in the skin

and subcutaneous tissue (Like a glomerulus) ↓

increased capillary leakage

Perivascular cuff of fibrin, collagen type IV and

fibronectin around the capillaries

Fibrotic process affecting the skin and subcutaneous

fat (lipodermatosclerosis)

Barrier to diffusion preventing nutrient exchange ↓

Ulcer

Note: This theory is no more accepted because it has

been found that there is no physical barrier to the

diffusion.

2. White cell trapping theory (Dormandy)—

presently accepted theory:

Venous hypertension

Blood slows down in capillaries

White cells marginate and are trapped

Leukocyte sequestration

Activation of trapped leukocyte

Release of proteolytic enzymes

Damage to capillary endothelium

Leg ulcer

Q 15. What is venous claudication?

After deep vein thrombosis recanalization will

usually occur. When recanalization fails to occur

after iliofemoral venous thrombosis, venous

collaterals develop to bypass the obstruction

to the venous outflow. These collaterals usually

suffice while the patient is at rest. However, any

leg exercise induces increased arterial inflow to

the lower extremities along with a commensurate

increase in venous outflow requirements. This may

exceed the capacity of the venous collateral bed

resulting in venous hypertension. The pressure built

up is manifested as tight or bursting pain. Relief is

obtained with rest but not as prompt as in arterial

claudication. This pain is seen after walking and

towards the evening.

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175

Q 16. What are thread veins (dermal flares)?

They are smaller veins of 0.5 mm diameter seen in

the skin in varicosity. They are `usually purple or

red in color. These tiny veins are associated with

superficial venous incompetence in 30% of cases.

Q 17. What are reticular veins?

Reticular veins are small vessels of 1—3 mm in

diameter lying immediately beneath the skin. They

may present as small varices. These tiny varices are

associated with superficial venous incompetence

in about 30% of cases.

Q 18. What are the symptoms of varicose veins?

Symptoms of venous insufficiency

1. Asymptomatic

2. Cosmetic problems

3. Aching

4. Heaviness and cramps

5. Itching—especiallyonstanding(thewhole lower

leg may itch)

6. Venous claudication

7. Ankle swelling - towards the end of the day

8. Pigmentation on the medial aspect of lower leg

9. Eczema

10. Ulcer—on the medial aspect of lower leg (gaiter

area)

Note:

1. Aching, swelling, cramps, heaviness, itching are

absent in the morning and become evident and

aggravates as the day goes by

2. The severity of the symptoms is unrelated to the

size of the veins and is often more severe during

the early stages of the development of varices.

Based on symptoms patients may be classified into

three groups:

Group I

(Cosmetic only)

Group II

(Symptomatic)

Group III

(Complications)

• Venous

telangiectasia

• Thread veins

(0.5 mm)

• Reticular

varices (1–3

mm)

• Visible

varicose

veins

• Ache/

cramps/

tenderness

• Heaviness/

swelling

• Champagne

bottle leg

• Itch/restless

legs/

paresthesia

• Bleeding from

trauma

• Superficial phlebitis

• Ankle venous flare/

edema

• Atrophie blanche

• Venous eczema

•Lipodermatosclerosis

• Venous ulcers

Q 19. What is the cause for ankle edema?

Ankle edema is a feature of persistent venous

obstruction. In some patients veins remain

permanently blocked following a deep vein

thrombosis. This causes symptoms which are worse

than venous valvular incompetence. The passage of

time will allow recanalization and the ankle edema

may become less. The recanalized veins are likely

to be incompetent and the features of venous

hypertension may then predominate.

Q 20. From the location of varicose veins can you

identify the system affected?

1. Varicosities of the medial calf and thigh →

originate from great saphenous vein.

2. Varicosities on the posterior and lateral calf and

popliteal fossa → short saphenous system.

3. Varicosities in the groin and along the anterior

abdominal wall → iliac vein obstruction.

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Clinical Surgery Pearls

Q 21. What is Klippel-Trenaunay syndrome?

In this condition you get prominent veins along

the lateral aspect of thigh mostly present from very

young age, with dysplastic deep veins. The classical

clinical triad consists of:

a. Hemangiomas

b. Hypertrophy of soft tissue and over growth of

extremity

c. Varicose vein.

Q 22. What is postphlebitic syndrome?

It includes a chronically swollen limb with

hyperpigmentation, lipodermatosclerosis and

nonhealing ulcers with or without varicose veins

around the ankle. One of the common presentations

is a patient with chronic ulcer around the ankle. A

definite history of DVT may not be present in most

of these patients. Almost all of them will have

destroyed deep veins due to the previous DVT.

Q 23. What are the clinical tests to be done in a

patient suspected with varicose veins?

Tests for varicose veins

1. Morrissey’s cough impulse test

2. Brodie-Trendelenburg test—1 and 2

3. Modified Perthes’test

4. Multiple tourniquet test

5. Schwartz’s test—(tap sign)

6. Pratt’s test

7. Fegan’s test

8. Assessment of the short saphenous vein.

Q 24. What is Raju’s test? (PG)

This is a useful test for venous obstruction. With

patient lying supine, pressure is measured in the

veins of hand and foot. Normally the foot pressure is

equalto orslightly higher(by 5 mm ofHg)than the

hand pressure. In venous obstruction this difference

is more (10–15 mm of Hg).

Note: The venous pressure is measured by inserting

a cannula to the dorsal vein of foot and measuring

the pressure by a saline manometer with the help

of a three way.

Q 25. What is Morrissey’s cough impulse test?

In this test the patient is recumbent. The lower limb

is elevated and the veins are emptied. The limb is

elevated to about 30° and then the patient is asked

to cough. If there is saphenofemoral incompetence

expansile impulse is seen and felt at the saphenous

opening. One can also see retrograde filling of the

proximal part of the long saphenous vein.

Q 26. What is Brodie-Trendelenburg test?

The patient lies down on a couch and the limb

is raised to allow the blood to drain out of the

veins. The saphenous vein at the upper 3rd of the

thigh is then compressed with a tourniquet (the

saphenofemoral junction may be occluded with

the thumb). The patient is then asked to stand up.

The varices are observed for 30 seconds. Normally

the venous filling occurs from the periphery slowly

when the patient gets up and takes more than 20

seconds. When the tourniquet is released if the

veins fill rapidly from above, it indicates valvular

incompetence of the saphenofemoral junction. This

is a positive Trendelenburg-1 test.

If the veins fill rapidly from below despite the

applied tourniquet this indicates incompetence of

the perforating veins (here the tourniquet is not

released). This is a positive Trendelenburg-2 test.

Note:Test 1 is done first that is followed by the 2nd

test.

Q 27. How is the assessment for sapheno- popliteal

incompetence done? (short saphenous system).

This can be done in the same manner applying a

tourniquet around the calf below the popliteal fossa.

Varicose Veins

177

The long saphenous vein should simultaneously

be occluded at the upper thigh for accurate

interpretation.

Q 28. What is modified Perthes’ test?

This is a test for assessing the patency of the deep

veins. In this test, with the patient standing, a rubber

tourniquet is applied around the upper 3rd of thigh

tight enough to occlude the long saphenous vein

butnotthedeepveins(note—here the veins arenot

emptiedbefore the test).Nowthepatientis askedto

walk quickly for 5 minutes. If the patient complains

of bursting pain in the lower leg, it is proof that the

deep veins are occluded. The additional evidence

is that the superficial varicosities, if present, will

become more prominent as their exit is blocked

by the tourniquet.

In original Perthes’ test the affected limb is

wrapped with elastic bandage and then allowed

to walk.

Q 29. Is there any alternative test for assessing the

patency of deep veins ?

Apply a tourniquet at the upper third of the calf

with the patient in standing position. The patient is

asked to perform 10 repeated tip toe movements.

The patient will experience bursting pain.

Q 30. How is multiple tourniquet test done and

what is the purpose?

This is done for seeking the sites of perforators.

The patient is in the supine position. Elevate the

affected lower limb and empty the veins. The first

tourniquet is tied at the ankle, second one below

the knee, third one above the knee and the fourth

one below the saphenous opening. The purpose

of fourth tourniquet is to prevent retrograde filling

from above into the long saphenous vein.

Make the patient stand up, and ask the patient

to stand on toes. The resultant pumping action will

throw the blood from the deep system through the

perforators to the superficial. Now the tourniquets

are sequentially released from below upwards.

Look for varicosities at the ankle after releasing the

tourniquet at the ankle. Next release the tourniquet

at the calf below the knee. If the veins are prominent

here perforators in this region are incompetent.

Lastly release the tourniquet above the knee and

look for varicosities.

Q 31. What is Schwartz’s test? (Tap sign)

In standing position a tap is made on the long

saphenous varicose vein with the right middle

finger in the lower part of the leg after placing the

fingers of the left hand just below the saphenous

opening at the groin. A thrill (impulse) will be

felt in the left hand, if it is a varicosity of the long

saphenous system.

Q 32. What is Pratt’s test?

In this test Esmarch bandage is applied to the leg

from below upwards followed by tourniquet below

the saphenofemoral junction. Now the bandage is

released slowly keeping the tourniquet in position

to see the blow outs.

Q 33. What is Fegan’s test?

This is done for seeking the sites of perforators. In

the standing position mark the excessive bulges

within the varicosities. Now the patient lies down.

The affected limb is elevated to empty the varicose

veins, resting the heel against the examiners upper

chest. The examiner palpates along the line of the

marked varicosities carefully to find out gaps or

circular defects with sharp edges in the deep fascia

which transmit the incompetent perforators. They

are marked with an‘X’.

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Clinical Surgery Pearls

Tests for varicose veins

Sl. No Test for varicose vein Purpose of the test

1. Trendelenburg-1 To identify saphenofemoral incompetence

2. Trendelenburg-2 To identify perforator incompetence

3. Morrissey’s cough impulse test To identify saphenofemoral incompetence

4. Modified Perthes’test For noting the patency of the deep veins and ruling out deep vein

thrombosis—Clinically identified as bursting pain during walking and

increase in the prominence of varicosities

5. Multiple tourniquet test Done to identify the segment of perforator incompetence when

Trendelenburg test 2 is found positive

6. Schwartz’s test Demonstrates incompetent saphenofemoral junction by tapping below

just above the ankle region

7. Pratt’s test To demonstrate “blow outs” at the site of perforators

8. Fegan’s test Demonstrate deep fascial defects at the site of incompetent perforators

Q 34. What is CEAP (American Venous Forum 1994)

classification? (PG)

This acronym CEAP stands for:

C—Clinical classification

E—Etiological classification

A—Anatomic classification

P—Pathophysiological classification

C—Clinical classification—7 clinical grades have

been identified

Class 0—No visible or palpable sign of venous

disease

Class 1—Telangiectasis or reticular veins

Class 2—Varicose veins

Class 3—Edema

Class 4—Skin changes (pigmentation, eczema or

lipodermatosclerosis)

Class 5—Skin changes defined above with healed

ulceration

Class 6—Skin changes defined above with active

ulceration

E—Etiological classification—3 etiologies

Ec—Congenital

Ep—Primary (undetermined cause)

Es—Secondary (post-thrombotic, post-traumatic,

other causes)

A—Anatomic classification — 18 anatomic segments

have been described in 3 anatomic regions

As—Superficial veins

Ad—Deep veins

Ap—Perforating veins

P—Pathophysiological classification—3 pathologic

mechanisms

Pr—Reflux

Po—Obstruction

Pro—Reflux and obstruction

Q 35. What is gaiter area?

This is an area immediately above the medial

malleolus and less commonly above the lateral

malleolus where the changes of chronic venous

Varicose Veins

179

hypertension (venous stasis) are seen in the

form of lipodermatosclerosis, dermatitis, eczema,

pigmentation and ulceration.

Gaiter is a type of protective clothing for a

person’s ankles and legs below the knees. Gaiter

area is the area of lower extremity over which a

gaiter fits roughly from ankle to the proximal calf.

Q 36. What is champagne bottle leg (inverted beer

bottle appearance)?

The lipodermatosclerosis will present as palpable

induration in the gaiter area. Contraction ofthe skin

and subcutaneous tissue in this region will result in

narrowing of the ankle area. The combination of a

narrow ankle and prominent calf is referred to as

the champagne bottle.

Q 37. What is atrophie blanche?

In this condition the superficial veins are lost from

the skin and white patches develop. This is called

atrophie blanche. This indicate that the skin has

been severely damaged by the venous valvular

incompetence. Venous ulceration may develop in

these areas.

Q 39. What are the investigations for diagnosis?

Investigations for varicose veins

Duplex ultrasound imaging

Doppler ultrasound

Photoplethysmography

Venography (phlebography)—invasive

Ambulatory venous pressure studies

Raju’s test—arm foot venous pressure study

Ultrasound of the abdomen.

1. Duplex ultrasound imaging—The examination is

performed with the patient in standing position.

The examiner steadily work his way from the

groin to the ankle.

This is the most important noninvasive

investigation for practically all venous disorders.

It produces high quality pictures using a

combination of B mode imaging and Doppler

ultrasound. Anatomical, physiological and

functional details can be obtained. Venous

lumen, flow, direction and reflux of blood can be

visualized. The site of perforator incompetence

can be located with accuracy. It has replaced the

venography. All patients with recurrent varices,

history of previous DVT and patients with skin

changes should be fully investigated by using

duplex ultrasonography or venography.

2. Doppler ultrasound—This investigation is also

done in the standing position. A bidirectional

flow probe will identify venous reflux. The

Doppler probe isfirst placed over the saphenofemoral junction. With one hand the examiner

squeezes the calf to produce an acceleration of

bloodflowinthe veins.Thisisheardas a‘whoosh’

from the speaker of the Doppler machine. The

calf compression is released and look for any

reverse flow in the veins. This procedure is

repeated over the saphenopopliteal junction

and over other areas. The saphenopopliteal

junction is inconstant. it can be identified and

markedwithDoppler.Doppler assessmentisthe

minimum investigation required before treating

a patient with venous disease. The arterial

disease can also be excluded.

Four characteristics descriptions are patent,

augmented, spontaneous and phasic.

Patent Flow is heard at the anatomical

level of the vein

– Rarely does the flow completely

disappear with DVT

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Clinical Surgery Pearls

D V T i s associated with

continuous, high pitched signal

Augmented Firm, gentle compression ofthe

limb for a few seconds distal

to the vein should result in

augmentation of the flow

– Proximal compression followed

by release should also result in

augmentation

Augmentation produced by

proximal compression before

release or distal compression

after release indicates valvular

incompetence

Spontaneous DVTresultsinlossofspontaneous

flow

Anything causing vasoconstriction also causes loss of

spontaneity

Phasic – Variation with respiration is

called phasicity

A Valsalva maneuver should

decrease the signal and a deep

breath should augment the

signal with normal venous

physiology

This is lost in DVT.

3. Venography (Phlebography)—invasive- not done

now-a-days. For identifying incompetence of

the valves a descending phlebography is done

where the dye is injected into the femoral vein

with the patient standing.

Forrulingoutdeepveinthrombosisanascending

phlebography is done by injecting the dye to the

foot vein after occluding the superficial veins

above the ankle by a tourniquet.

4. Ambulatory venous pressure study—is not done

routinely. It is considered by many to be the gold

standard venous function test (the significance

of the pressure is described earlier).

5. Raju’s test—arm foot venous pressure study—

(described earlier).

Ultrasound of the abdomen—to rule out abdominal

pathology in suspected cases of secondary varicose

veins.

Q 39. What are goals of treatment?

Alleviation of pain

Reduction of edema

Healing of ulcers if present

Prevention of recurrence.

Compression remains the cornerstone of treatment.

Q 40. What is the contraindication for surgery?

Deep venous thrombosis. Superficial varices

developing after a venous thrombosis may be the

only route of venous drainage in the lower limb

and should not be removed until the patency of the

deep veins of the limb has been shown.

Q 41. What are the treatment options available?

(Flow chart 13.1).

Treatment options for varicose veins

Reassurance

Elastic compression stockings

Injection sclerotherapy—foamsclerotherapy, echosclerotherapy and microsclerotherapy

Surgical treatment

Laser therapy.

Q 43. What are the indications for treatment?

Better results are obtained with early treatment

before continuous reflux:

Varicose veins that cause discomfort

Varicose Veins

181

Cosmetic embarrassment

Complications like venous ulcers.

Q 43. What is the role of compression stockings?

The symptoms of varicose veins may be relieved

by the use of compression stockings. Which are

available in 3 grades—Class 1, 2 and 3.

Q 44. What are the agents used for injection

sclerotherapy?

STD—Sodium Tetradecyl Sulphate (3%)

Polidocanol

Ethanolamine oleate.

Q 45. What is the indication for sclerotherapy?

1. This is used to treat varicose veins in the

absence of junctional incompetence and

major perforating veins.

2. Used for smaller veins < 3 mm in size.

Q 46. What is the technique of injection sclerotherapy?

The sclerosant is injected into an empty vein and the

vein is compressed. The endothelial lining is destroyed.

If the vein is not compressed it will produce thrombosis

which will later get recanalized producing recurrence.

Flow chart 13.1: Management of varicose veins

182

Clinical Surgery Pearls

Q 47. What is foam sclerotherapy (by Tessari)?

In thistechnique the STD is drawn into one syringe

and air is taken in another syringe. Using a three

way, rapid too and fro movements of the piston

of the syringe, the foam is produced. This foam is

then injected into the long saphenous vein after

cannulation. The air is absorbed, the vein collapses

and the endothelial lining is destroyed. A much

larger volume can be injected into the vein with

a small quantity of sclerosant so that it will fill the

superficial varicosities. The patient is lying supine

with the leg elevated instead.

Q 48. What is echosclerotherapy? (PG)

When the procedure of foam sclerotherapy is done

under the guidance of duplex ultrasound imaging

it is called echosclerotherapy.

Q 49. What is the advantage of sclerotherapy?

The patients can undergo repeated treatment

sessions to ensure that all veins are removed.

Q 50. What are the complications of sclerotherapy?

Complications of sclerotherapy

Skin pigmentation

Injury to the skin and ulceration

Allergic reaction

Thrombophlebitis

Deep vein thrombosis.

Q 51. What is microsclerotherapy? (PG)

The thread veins and reticular varices are injected by

inserting a 30 G needle. The solutions used are STD

and polidocanol. After the injection compression

bandage is given for a period of 1–5 days.

Q 52. What is the surgical treatment of saphenofemoral incompetence?

Trendelenburg’s operation and stripping ofthe long

saphenous vein.

Q 53. What is the contraindication for Trendelenburg’s operation?

Whendeep vein thrombosis is destroying the main

axial limb vein and the patient will depend on the

superficial veins for venous drainage.

Q 54. What is Trendelenburg’s operation?

An oblique incision is made in the groin and the

long saphenous vein is exposed. The procedure has

got two portions:

a. Saphenofemoral flush ligation

b. Ligation of the proximal five tributaries:

1. The superficial external pudendal vein

2. The superficial inferior epigastric vein

3. The superficial circumflex iliac vein

4. The posteromedial vein (medial accessory

saphenous vein)

5. Theanterolateral(lateralaccessorysaphenous

vein).

Note: It is important that the femoral vein is

inspected carefully at least 1cm above and below

the saphenofemoral junction(SFJ) andalltributaries

in this situation ligated and divided.

Q 55. Why it should be combined with stripping

of the long saphenous vein?

The main principle of the surgical treatment

is to ligate the source of venous reflux and to

remove the incompetent saphenous trunk. The

Trendelenburg procedure alone is associated with

high rate of recurrence. To ensure elimination of as

much reflux as possible it is necessary to remove

the long saphenous vein. Similarly in case of

saphenopopliteal incompetence the part of the

short saphenous vein must be removed.

Q 56. What type of stripping is recommended for

saphenous vein?

To avoid injury to the saphenous nerve the long

saphenous vein should not be removed below the

Varicose Veins

183

midcalf level. The conventional way of removing

the longsaphenous veiniswitha stripper(Babcock).

Here the stripper wire is passed down the long

saphenous vein. The end is identified in the upper

calf and a 2 mm incision is made to retrieve the

stripper. An olive of about 8 mm diameter is

attached to the upper end and the saphenous vein

is removed by firm traction on the wire in the calf.

Q 57. What is invaginating stripping (inverting)?

 (PG)

The aim of this type of stripping is to reduce the

damage to the tissues around the vein. There will

be less pain and less bleeding in this operation. A

rigid metal pin stripper(Oesch) hasbeen developed

and this is passed down the inside of the saphenous

veinwhichisrecoveredfromtheupper calf.Astrong

suture is attached to the stripper and firmly ligated

to the proximal end of the vein. During pulling of

the stripper the long saphenous vein will invert and

can be delivered through a 2 mm incision in the

midcalf region. Here no olive is used.

Q 58. What are the nerves at risk during venous

surgery?

1. Saphenous nerve—this is likely to be injured

during stripping of the long saphenous vein

2. Sural nerve—this is likely to be injured during

stripping of the short saphenous vein.

Q 59. What is the peculiarity of the saphenopopliteal junction?

The saphenopopliteal junction is not constant. The

termination may lie from 2 cm below the knee to

15 cmabove the knee. Itis very importanttoidentify

the termination sonologically and mark it on the

skin before surgery.

Q 60. What is hook phlebectomy? (PG)

After stripping, the residual veins and tributaries

are left behind. These veins conventionally used

to be managed by incisions long enough to insert

artery forceps for ligating the veins. Now these

veins can be tackled by means of small hooks that

may be inserted through incisions of 1–2 mm size.

The closure of these small incisions is achieved

using adhesive strips. This gives excellent cosmetic

outcome.

Q 61. What is the postoperative management?

1. Compression bandaging is applied to the limb

at the end of the operation to prevent bruising.

2. Some surgeons apply compression to the limb

before stripping.

3. After two days the bandage may be replaced

with thigh length high compression stockings

(class 2).

Q 62. What is VNUS closure? (PG)

This is intraluminal destruction of the long and

short saphenous vein using ablation catheter under

ultrasound guidance.

Q 63. What are the complications of varicose vein

surgery? (PG)

Complications of varicose vein surgery

1. Pain, discomfort and bruising

2. Nerve injury—saphenous for long saphenous

surgery—Sural for short saphenous surgery

3. Venous thrombosis in residual varices

4. Deep vein thrombosis—1/1000 operations (give

prophylactic heparin when there is history of

previous DVT).

Q 64. What are the complications of varicose

veins?

Complications of varicose veins

Hemorrhage

Superficial thrombophlebitis

Contd...

184

Clinical Surgery Pearls

Eczema

Pigmentation

Lipodermatosclerosis

Deep vein thrombosis (rarely)

Venous ulcer

Marjolin’s ulcer

Calcification

Periostitis

Talipes equinus.

Q 65. What are the causes for superficial

thrombophlebitis ?

Causes for superficial thrombophlebitis

TAO (Buerger’s disease)

Occult carcinoma (visceral malignancy)

Varicose veins

Polycythemia

Iatrogenic—IV Injection.

Q 66. What is the classical location for venous

ulcer?

Just proximal to the medial and lateral malleolus

(gaiter area).

Q 67. What are the differences between venous

ulcer and varicose ulcer?

When the ulcer is secondary to deep venous

pathology or perforator incompetence producing

chronic venous hypertension, it is called venous

ulcer. When the ulcer is due to superficial

insufficiency alone, it is called varicose ulcer. It is

better to use the term venous ulcer because the

ulcer is not caused by the varicose veins but by the

disordered pattern of the venous blood flow.

Differences between varicose ulcer and venous ulcer

Varicose ulcer (40–50%) Venous ulcer

Due to pure superficial

venous insufficiency

(long standing SFJ

incompetence)

Due to incompetence of

the perforators and deep

venous incompetence. It

may be post-thrombotic

venous damage

History of long standing

superficial varicosity

History suggestive of

deep vein thrombosis

followed by lower limb

edema

Ankle edema may not be

there

Ankle edema, calf muscle

increase and narrow

ankle suggestive of deep

vein problem

Painless Painful

Does not penetrate deep

fascia

Penetrate deep fascia

Respond to surgical

treatment of the

superficial varicosity

Does not respond to

treatment

Q. 68. What are the most important causes for

leg ulceration?

Causes of leg ulcers

Peripheral arterial disease

Venous disease of the lower limb

Diabetes

Neuropathy

Infective ulcers

Traumatic ulcers

Malignant ulcers

Rheumatoid disease

Autoimmune disease—systemic sclerosis, SLE.

Contd...

Varicose Veins

185

Q 69. What are the characteristic features of

venous ulcer?

Features of venous ulcer

1. Seen at the gaiter area (usually on the medial

side)—lower 3rd of the leg (never found above the

junction of middle and upper third of leg)

2. The surrounding tissues show signs of chronic

venous hypertension—pigmentation, eczema and

lipodermatosclerosis

3. Presence of obvious varicose veins (may not be

visible sometimes)

4. The ulcer can take any shape

5. The edge will be sloping

6. The floor will be covered with granulation tissue/

slough/white fibrous tissue

7. The tendons and bone may be sometimes exposed

8. The base of the ulcer is fixed to the deeper tissues

9. The movements of the ankle joint may be limited

by the scarring of the ulcer—equinus deformity.

Q 70. What are the investigations in venous ulcer?

1. Examine the peripheral pulses to rule out arterial

problem

2. Examine the sensation to rule out neuropathy

3. Doppler ankle blood pressure

4. Duplex ultrasonography ofthe veins andarteries

5. Blood examination to rule out SLE, rheumatoid

disease

6. Biopsy of the ulcer.

Q 71. What is the management of venous leg

ulcers?

This consists of :

1. Management of the ulcer

2. Surgery forthe superficial venousincompetence

3. In patients with deep venous insufficiency

surgery may not be effective.

Q 72. Is it necessary to delay surgery until the ulcer

has healed? (PG)

It is not necessary and surgery may be carried out

before the ulcer has healed. It is found that the ulcer

healing is rapid in this situation.

Q 73. What is the management of ulcer?

The standard old regimen is called Bisgaard regime

consisting of:

Elevation of the limb

Elastocrepe bandage (compression stocking)

Exercise

Education.

Note:Docultureandsensitivity andgiveappropriate

antibiotics.

Biopsy of the ulcer if nonhealing

Blood examination—Blood sugar

 ESR

 Rheumatoid factor, etc.

Q 74. What is Marjolin’s ulcer?

Malignant change may occur in long standing

venous ulcers. This should be suspected, when

there is evidence of raised or rolled out edge. They

are nothing but squamous cell carcinoma.

Q 75. Is there any role for topical applications and

topical antibiotics?

No

Topical applications will not speed up healing

It will produce allergy and skin sensitization

Topical antibiotics are ineffective

If eczematousreaction isthere around the ulcer,

topical steroid may be useful.

Q 76. What is the role of compression?

A pressure of 30–45 mm of Hg applied to the

ulcer is found to be effective for healing of the

ulcer.

186

Clinical Surgery Pearls

Class III stockings exert about 30 mms of Hg

compression

The compression is applied to the ulcer region

alone (below knee stockings)

Those who cannot use compression stockings

use multilayer bandaging regimes (4 layer

bandage developed by Charing Cross Hospital,

London).This bandage is changed once ortwice

weekly.

Q 77. What is the principle of compression?

The exact mechanism by which compression is of

benefit is not known but the following physiological

alterations occur.

1. Relieves the leg edema

2. Controls the chronic venous insufficiency

3. Reduction in ambulatory venous pressure

4. Improvement in skin microcirculation

5. Increase in subcutaneous pressure preventing

transcapillary fluid leakage.

Q 78. What is the drug treatment for venous ulcer?

Drugs are inferior to compression bandaging. The

following drugs are used:

Aspirin Pentoxifylline

Prostaglandin E Calcium

Analog Dobesilate

Diosmin Flavonoids

Q 79. What is the role of systemic antibiotics in

venous ulcer?

Antibiotics have no effect on ulcer healing

Evidence of infection in the form of cellulitis and

fever, are indications for antibiotics.

Q 80. What is the treatment of deep venous

insufficiency? (PG)

The surgical treatment is difficult and being done

only in a few centers. The surgical options are:

a. Direct vein valve repair by valvuloplasty (Kistner)

b. Vein valve transposition

c. Transplantation of a segment of axillary vein.

Q 81. What is the indication for deep venous

surgery? (PG)

Those who have persisting swelling of the lower

limb after a previous venous thrombosis.

Q 82. What is the surgical treatment for deep

venous obstruction? (PG)

1. Palma operation: This involves mobilizing

the long saphenous vein in the opposite leg,

tunnelling the distal end of the LSV across

suprapubically and inserting it into the femoral

vein of the affected side below the obstruction.

2. May-Husni procedure: This is done for the

obstruction of the superficial femoral vein.

The long saphenous vein is connected to the

popliteal vein in the same limb allowing blood

to flow along the superficial vein.

Q 83. What is the treatment of perforator

incompetence?

1. Subfascial endoscopic perforatorsurgery (SEPS)

2. Foam sclerotherapy

3. Open subfascial ligation—Linton flap andDodd

and cocket procedure

4. Multiple perforator ligation.

Q 84. What are the new alternatives of treatment?

1. Radiofrequency ablation—a catheter is passed

up the saphenous vein from the lower leg and

withdrawn under ultrasound guidance while

radio frequency waves are used to destroy the

endothelial lining through a series of metal

prongs.

2. Endovenous laser ablation (EVLA)—A laser

probe is passed up inside a catheter inserted

into the lower part of the saphenous vein

Varicose Veins

187

under sono-guidance. Large amounts of

crystalloid fluid containing local anesthesia

are placed around the vein to separate the

skin from the laser probe to avoid cutaneous

burns. The laser probe is kept just below the

saphenofemoral junction and a set number of

joules are given to the endothelial lining. Flush

occlusion is not possible with radio-frequency

ablation and laser.

Poem on Varicose Veins

“Varicose vein disease is sometimes diagnosed

with ease,

But of the best attempts will meet with sad and

sorrowful defeat

So let us give you good advice

Examine once, Examine twice:

Examine from head to toes,

Before you dare to diagnose

More harm is done because you do not look

Than from not knowing what is in the book

Above all do not try to spot

Because you think you know a lot

Spot diagnosis you should hate

Until you are a surgeon great!

By then of course you will have learnt

Some lessons bitter and you daren’t”

14 Peripheral Occlusive

Vascular Disease

Case

Case Capsule

A 60-year-old male patient presents with left

calf muscle, thigh muscle and gluteal pain of 18

months duration. He gets a cramp-like pain only

while he walks and the pain disappears when he

stops walking. At the beginning of the walk he

gets numbness, pins and needles and paresthesia

in the skin of the foot. Initially the claudication

distance was about 200 meters. The walking

distance gradually shortened over a few months.

There is no history of chest pain, fainting, blurred

vision or weakness or paresthesia of the upper

limbs. For the last 3 weeks he gets continuous

severe pain aching in nature which is present at

rest throughout the day and night, mostly in the

foot and leg. After a few days he noticed black color

of the left big toe and ulcer in the left heel region.

The maximum pain he gets is at the junction of

black area of the big toe and the remaining normal

foot. He prefers to sleep sitting in a chair, if at all in

the bed, he hangs his leg over the side of the bed.

The patient is requesting for amputation of the leg.

On examination, the patient is found to be

hypertensive. The patient sits with the left knee

bent, holding the left foot still. He is unwilling

to lie flat. When the limb is kept horizontal the

foot is pale. The capillary filling is retarded. The

pulps of the toes show wasting. The veins of the

limb are empty and guttered. The entire left big

toe is gangrenous. A line of demarcation is seen

between the gangrenous area and the normal foot.

There is an ulcer of 4 × 3 cm size situated in the

left heel region. The floor of the ulcer is covered

with slough and the edge is punched out. The

surrounding area of the ulcer is very tender. The

skin temperature from midcalf downwards is cold.

The femoral, popliteal, dorsalis pedis and posterior

tibial pulses are absent on the left side. On the

right side all the pulses are present except dorsalis

pedis and posterior tibial. There is wasting of left

leg muscles. There is an audible bruit over the

right femoral artery. Cardiovascular system and

neurological examination are normal.

Checklist for history

Character of the pain, severity aggravating and

relieving factors

Claudication distance

History of sudden onset or gradual onset

History of smoking

History of diabetes mellitus

History of cardiac illness

Contd...

Peripheral Occlusive Vascular Disease

189

History of cerebrovascular accidents/TIA

History of dyslipidemias

History of superficial phlebitis

History of fainting, blurred vision, abdominal pain

History of impotence

Family history of atherosclerosis.

Checklist for examination

Always examine theheartbecause vasculardiseases

are part of the cardiovascular system

Listen for aortic, renal, celiac and iliac bruits

Look forsigns of congestive cardiac failure—raised

JVP, edema, basal creps, pleural effusion, ascites

Take blood pressure in both arms

Look for palpable thrill over the vessels

Examine all peripheral pulsesincluding both lower

limbs and upper limbs, common carotid arteries

and their bifurcation, facial and superficial temporal

vessels

Assessthe mentalstatus and speech abnormalities

Look for visual defects

Examine for evidence of motor and sensory

disorders—(hemiplegia of the contralateral leg,

arm and face)

Look for speech problems—aphasia

Ipsilateral temporary visual loss (Atheromatous

fragments in retinal vessels)

Look for nutritional changes (trophic changes)

of the toes, foot, fingertips and hands—thin and

atrophic skin, loss of pulp, brittle and deformed

nails, with loss of hair, wasting of muscles. Painful

cracks appear across the heel

Contd...

Look for ulceration in the pressure points and bony

prominences—the heel, malleoli, tips of toes, 5th

metatarsal head region, and ball of the foot.

Contd...

Contd...

190

Clinical Surgery Pearls

Q 1. What is the most probable diagnosis in this

case?

Peripheral occlusive arterial disease

Probably atherosclerotic obstruction

Level of obstruction being aortoiliac

With gangrene of the left big toe

Ischemic ulcer of left heel.

In all cases of peripheral occlusive vascular disease

ask the following questions

Find outthe level of occlusion clinically and include

it in the diagnosis?

Look for bruitin all arterial diseases overthe vessels

even if they are palpable—carotids, subclavian,

aorta, renal, celiac axis, and femoral

Find out the nature of obstruction? Thrombosis/

embolism

D ecid e whether patient needs invasive

investigations?

Invasive investigations are done only if patient is

suitable for surgery?

Assess the comorbid conditions?

Q 2. What are diagnostic points in favor of your

diagnosis?

Intermittent claudication

Ischemic rest pain

Absent popliteal, dorsalis pedis and posterior

tibial pulsations with audible bruit over the left

femoral

Ischemic ulcer (nonhealing heel ulcer)

Pallor of foot on elevation and pink color on

dependency

Gangrene of left big toe

Low ankle brachial index.

Q 3. Why this is a case of atherosclerosis rather

than TAO (Buerger’s)?

The difference between atherosclerosis and

Buerger’s disease are given below: In the given

circumstances the diagnosis is atherosclerosis.

Differences between ASO and Buerger’s disease

Feature Atherosclerosis Buerger’s

Age of onset Above 40 years 20–40 years

Sex Male > female Rare in women

Smoking Can occur without smoking

Seen only in

smokers

Progression of

disease

Proximal to

distal

Distal to

proximal

Venous

involvement

Not seen Common

Thrombophlebitis Not seen Common

Inflammatory

reaction

Not seen Common

Layer of vessel

affected

Affects the

intima

Affects all

layers—panarteritis, periarteritis, and

panphlebitis

Contd...

Peripheral Occlusive Vascular Disease

191

Site of lesion Large and

medium sized

arteries (aorta,

iliac, femoral

and popliteal)

Small arteries

Arteriography Proximal lesion Distal lesion

Collateral in

arteriography

Extensive

collaterals

(tree root

appearance)

Poor

collaterals

(cork screw

appearance)

Distal run off in

arteriogram

Usually present Usually absent

Bypass surgery Possible Not possible

Note: Atherosclerotic obstructionn (ASO)

Q 4. What is claudication?

Claudication meanslimping (Claudio = I limp). The

term is now used to describe the cramp-like muscle

pain which appears following exercise as a result of

inadequate arterial blood flow. The three criteria

for claudication are:

1. It is a cramp-like muscle pain (usually calf)

2. Pain develops only when the muscle is

exercised—(not present on taking the firststep

in contrast to osteoarthritis)

3. The pain disappears when the exercise stops

(contrast lumbar intervertebral disk nerve

compression).

Q 5. What are the types of claudication?

There are three types of claudication

1. Arterial claudication

2. Venous claudication

3. Neurogenic claudication.

Q 6. What is the cause for paresthesia in the skin

of the foot?

The patient notices numbness, pins and needles

and other paresthesia in the skin of the foot at

the when muscle pain begins. This is as a result

of shunting of blood from the skin to the muscle.

Q 7. What is the cause for claudication pain?

The cause of the pain can be explained as a response

to the accumulation of acidic, anaerobic metabolite

(P - substance) due to inadequate blood and oxygen

supplies to meet the requirements of the increased

activity. On stopping the activity the blood supply is

replenished, the anoxia is abolished and the painful

metabolites are washed away.

Q 8. What is claudication distance?

The distance a patient can walk on normal ground and

at a normal speed without pain and having to stop.

Q 9. What are the sites of claudication pain?

Depending on the level of occlusion, the site of

claudication pain will differ. The following chart shows

the claudication sites for each level of occlusion.

Levels of occlusion with clinical features

Level of occlusion Site of claudication and

other clinical findings

1. Absent ankle pulses Claudication of calf and foot

2. Femoropopliteal obstruction (femoral pulse

present and popliteal

pulse absent)

Unilateral claudication in

calf

3. Iliac vessel obstruction

(the femoral and distal

pulses absent)

Unilateral claudication in

thigh and calf and some

times buttock. Bruit over

iliac or femoral vessel

4. Aortoiliac obstruction

(a l l p u l s a t i o n s f ro m

femoral down absent on

both sides)

Bilateral claudication of

both buttocks, thighs

and calves. Presence of

bruit over both femoral

Impotence-common

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Q. 10. What is Leriche’s syndrome?

It occurs in men as a result of aortoiliac disease and

consists of:

Claudication of the hip, thigh and buttock

muscles (Gluteal claudication)

Atrophy of the leg muscles

Sexual impotence

Diminished/absent femoral pulses

Tran sien t numbness of the extremity

accompanies the pain and fatigue of claudication.

Q 11. What is the cause for impotence in Leriche’s

syndrome?

It is due to the lack of blood supply to the penis. The

penis is getting blood supply through the internal

iliac vessels which is occluded in this conditions.

Q 12. What is rest pain? What is the site of rest pain?

It is the continuous pain caused by severe

ischemia. This pain is present at rest throughout the day and night. The pain is relieved by

putting the leg below the level of the heart

(the patient hangs his legs over the side of the

bed and prefers to sleep sitting in a chair. In the

bed he often sits with the knee bent holding the

foot still to try and relieve the pain).

Therestpainusuallyoccursinthemost distal part

of the limb. The toes and the fore foot. If there is

associated gangrene the patient feels the pain at

the junction of the living and dead tissue.

Q 13. What is Boyd’s grading of claudication?

Boyd’s grading of claudication

Grade I Patient experiences pain after walking

some distance. Pain disappears and patient

continues to walk

Grade II Pain persists and still the patient continues

to walk

Grade III Pain compels the patient to take rest.

Q 14. What is Fontaine classification for the

severity of chronic ischemia?

Fontaine classification of limb ischemia

Stage I Asymptomatic

Stage II Intermittent claudication limiting lifestyle

•  IIa—Well compensated (> 200 meters)

more than 1 block

•  IIb—Poorly compensated < 200 meters

Stage III Rest pain due to ischemia

Stage IV Ulceration or gangrene due to ischemia.

Q 15. What is ischemic ulcer? What are the features

of ischemic ulcer?

Ischemic ulcer is an ulcer caused by

inadequate blood supply

The features of ischemic ulcers

They are usually found at the tips of toes/fingers

and over the pressure areas

The ulcer and surrounding tissues are very tender

The surrounding tissues are very cold

The edge of ischemic ulceris punched out(because

there is no attempt at healing)

Skinattheedgeoftheulcerisusuallybluegreyincolor

The floor may contain slough

Ischemic ulcers are very deep and penetrate down

to the bone and joints

Thebaseofulcermaybebone, ligamentsortendons.

Q 16. What are the causes for ischemic ulcerations?

Causes for ischemic ulcers

Large artery occlusion—Atherosclerosis

Embolism

Small artery occlusion

– Buerger’s disease

Diabetes

Embolism

Contd...

Peripheral Occlusive Vascular Disease

193

– Trauma

– Scleroderma

– Raynaud’s disease

Physical agents—radiation, electric burns

Systemic diseases affecting the vessels.

Q 17. How will you assess the skin temperature?

The skin temperature can be assessed reliably only

when both limbs are exposed to the same ambient

temperature for a full five minutes.Do not examine

immediately after pulling back the sheets. The

temperature assessment is done by back of the

fingers of the clinician because the palmar surface

of the hand is usually warm and moist and is not a

good temperature sensor as the cool dry back of

the fingers.

Q 18. What are the clinical tests to be carried out?

Clinical tests in a vascular case

Assess the skin temperature of the affected limb

Buerger’s vascular angle

Capillary filling time

Venous filling

Capillary refilling

Feel the peripheral pulsations

Crossed leg test of Fuchsig

Reactive hyperemia test

Test for upper limb

Adson’s test

Allen’s test

Elevated arm stress test.

Note:

Auscultate for bruit in all cases

Measure blood pressure in all cases.

Q 19. What is Buerger’s vascular angle?

It is the angle to which the leg must be raised before

it becomes white (pallor). In a normal person the

straightened limb can be raised by 90° and the

toes and foot will remain pink. In an ischemic leg

elevation to 15–30° may cause pallor. The angle is

directly proportional to the pressure in the small

vessels of the foot. The height in cm, between the

sternum and heel at the elevation when it becomes

pale is equal to the pressure in the foot vessel in

mm of Hg. A vascular angle < 20° indicates severe

ischemia.

Q 20. What is capillary filling time?

After determining the vascular angle by elevating

the limb, ask the patient to sit up and hang his legs

down over the side of the couch. A normal leg will

remain pink in color. The ischemic leg will slowly

turn from white to pink which is caused by the blood

filling the dilated skin capillaries. The time taken for

the foot to become pink is the capillary filling time.

More than 20–30 seconds indicates severe ischemia.

Q 21. What is venous filling?

The limb should be elevated for 30 seconds and

then laid flat on the bed. The veins collapse when

the legs are raised above the level of the heart.

But if the circulation is normal they do not empty

completely. Normal venous filling occurs within

5 seconds. When there is ischemia, the veins

collapse and become guttered at 10–15° elevation.

Normally at room temperature, the veins are

relaxed and full of blood when the patient is lying

horizontal. In ischemia the veins will be collapsed

and some times look like blue gutters.

Q 22. What is capillary refilling?

Press the tip of nail or the pulp of a toe or a finger

for 2 seconds. Then observe the time taken for

Contd...

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Clinical Surgery Pearls

the blanched area to turn pink after releasing the

pressure. This gives a crude indication of the rate of

blood flow in the capillaries.

Q 23. What are the peripheral pulsations to be

examined?

The arteries are palpated against a bone (where

it is crossing the bone). Diminution of a pulse can

be appreciated by comparing it with the pulse in

the other limb. The following arterial pulsations

are looked for against the areas mentioned below.

Pulsations Area to be examined

Dorsalis pedis

artery

Proximal intermetatarsal space on the dorsum of the foot, lateral to the tendon of extensor hallucis longus

The pulse is felt against the navicular bone and base of 1st metatarsal. Absent in 10% of populations

Posterior tibial

artery

Pulsation is felt against the medial aspect of the calcaneum, or against the back of the medial

malleolus

Peroneal artery 1cm medial to the lateral malleolus

Anterior tibial

artery

Midway between the malleoli against the lower end of the tibia just above the level of ankle at

the head of the talus

Popliteal

artery

(an easily

palpable

popliteal

artery may be

aneurysm)

Three methods:

1.  Flex the knee to 135° with the heel resting on the couch. The thumb of the examiner is on the

tibial tuberosity and the fingers over the lower part of the popliteal fossa. Press the neurovascular

bundle against the posteriorsurface of the tibia (in the upper part of popliteal fossa it is difficult

to palpate the artery because it is deep between the condyles of the femur)

2. The most reliable method is perhaps the most inconvenient. Here the patient is examined in

the prone position. Flex the knee to relax the popliteal fossa and feel the artery with fingertips

of both hands in the lower part of the fossa over the posterior surface of the upper end of tibia

(medial tibial condyle)

3. With the leg straight, place one hand of the examiner around the knee with the fingertips on

the midline of popliteal fossa and hyperextend the knee against this hand and the couch with

the other hand

Femoral

artery

At the groin mid way between the symphysis pubis and the anterior superior iliac spine against

the neck of femur

Radial artery Is felt at the wrist in front of the lower end of the radius laterally, lateral to the flexor carpi radialis tendon

Ulnar artery Is felt at the wrist against the lower end of the front of ulna, lateral to the flexor carpi ulnaris tendon

Brachial artery Is felt against the lower part of humerus, medial to the biceps brachii tendon

Axillary artery Felt in the apex of the axilla against the neck of the humerus

Subclavian

artery

Felt against the first rib in the middle of supraclavicular fossa

Common carotid artery

Felt medial to the sternomastoid muscle at the level of the thyroid cartilage against the carotid

tubercle (Chassaigne tubercle) of the 6th cervical vertebra

Facial artery Felt against the body of the mandible where the masseter is attached

Superficial temporal artery

Felt in front of the tragus of the ear against the temporal bone.

Peripheral Occlusive Vascular Disease

195

Q 24. What is disappearing pulse?

In arterial occlusion with well-developed collateral

circulations, the distal pulses will be normal to

palpation. The patient is exercised to the point of

claudication, which may unmask the effect of an

arterial obstruction by disappearance of the pulse.

The pulse will reappear after a minute or two after

rest. The exercise produces vasodilatation below the

obstructing lesion and the arterial inflow cannot

keep pace with the increasing vascular space and

the pulse disappears.

Q 25. What is crossed leg test of Fuchsig?

This test is done for the assessment of the patency

of the popliteal artery. The patient sits with legs

crossed in a chair. Oscillatory movements of the

foot occur synchronously with the pulsation of the

popliteal artery, if the artery is patent. Attention of

the patient is distracted from the legs.

Q 26. What is Adson’s test (for cervical rib/scalenus

anticus syndrome)?

The patient will be sitting in a chair and the radial

pulse of the patient is felt. Patient is asked to turn

the face to the same side where the pulse is being

felt. Now ask the patient to take a deep breath to

narrow the cervicoaxillary channel. If the radial

pulse disappears or becomes feeble it is suggestive

of a cervical rib or a scalenus anticus syndrome.

The purpose of taking deep breath is for allowing

the rib cage to move upwards so that it will narrow

the cervicoaxillary channel. The purpose of turning

the face to the same side is to contract the scalenus

anterior muscle.

Q 27. What is Allen’s test (to look for completeness

of the palmar arch formed by radial and ulnar

artery)?

This test is done for assessing the patency of radial

and ulnar arteries and digital arteries. The patient

is asked to clench his fist tightly and then the

clinician will compress the radial and ulnar arteries

at the wrist. The patient opens and closes the fist

several times for venous return. After 1 minute ask

the patient to open his fist. The palm will be white.

Now release the compression on the radial artery

and watch the blood flow to the hand. Normally

the hand will become pink immediately, whereas

if there is obstruction to the artery or one of the

digital arteries the concerned area will remain pale.

Slow flow into one finger caused by digital artery

occlusion will be apparent from the rate at which

that finger turns pink. Now repeat the procedure

by releasing the pressure on the ulnar artery first.

Q 28. What is elevated arm stress test (for thoracic

outlet syndrome)?

This is a test for thoracic outlet syndrome. In this

test the patient is asked to keep both arms in

abducted position at 90°. The patient is then asked

to make fist and release it repeatedly on both sides

for 5 minutes. The patient will continue to do the

manoeuvre in the normal side. On the effected side

patient will get pain and paresthesia with difficulty

to continue the manuever.

Q 29. What is reactive hyperemia test?

This gives an indication of severity of the arterial

ischemia. Inflate sphygmomanometer cuff around

the limb to 250 mm ofHg forfive minutes and then

measure the interval between releasing the cuff and

appearance of red flush in the skin. In the normal

limb it appears within 1–2 seconds. In a severely

ischemic leg it may never appear.

Q 30. What is bruit?

It is the sound produced by the turbulent blood

flow through a stenotic arterial segment which is

transmitted distally along the course of artery.

When a bruit is heard over the peripheral vessel,

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Clinical Surgery Pearls

stenosis is present at or proximal to that level. It

is heard loudest during systole and with greater

stenosis it may extend into the diastole. The pitch of

the bruit rises as the stenosis become more marked.

When the vessel become completely occluded, the

bruit may disappear. Absence of bruit does not

indicate absence of occlusion. You need a bell on

your stethoscope to listen along the line of an artery.

Do not press too hard over a superficial artery.

Q 31. What are the common sites to listen for

bruits?

Common sites to listen for bruit

Name of artery Where to look for

Subclavian artery Supraclavicular fossa

Carotid Behind the angle of mandible

Renal artery Posteriorly below the 12th rib

Celiac axis Epigastrium

Femoral artery In the groin—half way between

the anterior superior iliac spine

and the symphysis pubis and

over the adductor canal (a hand’s

breadth above the knee).

Note: The systolic bruits are conducted distally. A

bruit at the level of angle of mandible without any

supraclavicular bruit means a carotid artery stenosis.

When a bruit is heard over supra clavicular fossa and

angle of mandible, the origin may be more proximal

i.e. aortic valve, aortic arch, brachiocephalic or

subclavian arteries.

Q 32. What are the investigations for diagnosis?

1. Doppler ultrasound

2. Ankle brachial pressure index (ABPI) -

(Cornerstone of diagnosis)

3. Duplex imaging

4. Arteriography—if intervention is planned

5. DSA (if required)

6. Magnetic resonance angiogram (MRA)

7. Plethysmography

8. Photoplethysmography Not routinely done

9. Transcutaneous oximetry.

Q 33. What is Doppler ultrasound?

The Doppler signal indicates moving blood. It

does not indicate that the blood flow detected is

sufficient to prevent limb loss. A continuous wave

of ultrasound signal is transmitted from the probe

at an artery. The reflected beam is picked up by a

receiver within the probe itself in a case of hand held

Doppler. The Doppler ultrasound equipment can

be used as a sensitive stethoscope in conjunction

with sphygmomanometer to assess the systolic

pressure in small vessels. This is possible even at

sites where the arterial pulse can not be palpated. It

can be used to assess the difference in arterial blood

pressure between segments of the limb and hence

can identify the site of stenosis. In the leg the cuff

is commonly placed above the ankle, mid calf, and

mid thigh to provide segmental pressure.

Note: Christian Johann Doppler enunciated

Doppler principle in 1842.

Q 34. What is ankle brachial pressure index (ABPI)?

The ABPI is a quick screening test and is the cornerstone

of diagnosis in arterial occlusion. A blood pressure cuff

is applied above the ankle and the systolic pressure

is determined using a Doppler probe at the dorsalis

pedis or posterior tibial artery region. Similarly systolic

pressure is recorded in the brachial artery using

Doppler probe. The higher systolic BP at the ankle

is divided by the brachial pressure to give the ABPI.

Normally it is more than 1 or about 1 (100%). Vascular

disease is confirmed if it is less than 0.9. The test may

be repeated after exercise. Normally ABPI will rise after

exercise. In occlusive arterial disease it will fall.

Peripheral Occlusive Vascular Disease

197

Q 35. What is the relationship between ABPI and

vascular symptoms?

ABPI Symptoms

> 0.9 None

0.5 to 0.8 Claudication

0.3 to 0.5 Rest pain

< 0.3 Gangrene

Q 36. What is the fallacy of ABPI?

In elderly patients or diabetics the tibial artery may

be calcified. An elevated pressure is recorded even

though the intraluminal pressure is low, since such

a vessel cannot be compressed leading to falsenegative examination. Wall calcification should be

suspected when ABPI is more than 1.2 or when the

value is out of proportion to the patients clinical status.

Q 37. What are the indications for Doppler and

ABPI? (PG)

1. For confirming the diagnosis.

2. Objective estimation of the degree of ischemia.

3. Follow-up of patients on conservative treatment.

4. Follow-up of patients after surgery (graft

surveillance). A successful bypass must demonstrate a significant increase in ABPI, even if the

distal pulse is not palpable.

5. For the diagnosis of diabetic vascular disease.

6. Prediction of healing of ischemic ulcers.

7. Deciding the level of amputation.

8. For intraoperative assessment of the Doppler

signal over the graft.

Q 38. What is duplex imaging?

The duplex imaging is a combination of B mode

ultrasound and Doppler. The B mode ultrasound

will image the vessels. The Doppler is then used to

insonate the imaged vessels and the Doppler shift

obtained is analyzed by a computer which will give

knowledge about the blood flow and turbulence.

The new machines are capable of color coding

indicating the direction of flow. High flow in a

segment suggest stenosis. The duplex imaging is

as accurate as arteriography.

Q 39. Do you recommend arteriography in all cases?

No. Arteriogram is undertaken only after deciding

intervention. This is because arteriography is

invasive and itis associatedwith risk (especially so in

the case of carotid arteries having the risk of stroke).

Q 40. What are the techniques available for

arteriography?

1. Translumbar method for aortography (not done

now-a-days)

2. The Seldinger technique.

Q 41. What is Seldinger technique?

It is a retrograde percutaneous catheter method

usually done through the femoral artery. It can also

be done through brachial and axillary vessels. The

catheter can be pushed up into the aorta and its

various branches depending on the requirement.

When vessels like superior mesenteric or inferior

mesenteric vessels are selectively cannulated and

dye is injected, it is called selective arteriography.

Through the radial artery or brachial artery the

coronary arteries can be cannulated and angiograms

obtained to search for coronary artery blocks.

Q 42. What are the complications of arteriogram?

 (PG)

1. Allergic

2. Anaphylactic reactions

3. Thrombosis of the vessel

4. Hematoma formation

5. Arterial dissection

6. Neurological dysfunction

7. Renal dysfunction.

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Clinical Surgery Pearls

Q 43. What are the dyes used for arteriography?

1. Meglumine diatrozoate

2. Ionohexal

3. Carbon dioxide

4. Gadolinium.

Q 44. What are the angiographic informations to

be looked for?

1. Site of the occlusion

2. Extent of the occlusion

3. Nature of occlusion

4. Run in—patency of the vessel proximal to the

occlusion

5. Distal run off—patency of the vessel distal to

the occlusion

6. State of collateral circulation.

Q 45. What is distal run-off?

It is the patency of the artery distal to the obstruction

demonstrated by arteriography. Arterial bypass

surgery is feasible only if a named distal artery is

open beyond the block where the anastomosis

can be done.

Q 46. What is run-in?

It is the state of arteries proximal to the stenosis

(whether it is normal or not). If the proximal artery

also is occluded the patient will not benefit from a

bypass. In a planned femeropopliteal bypass, it will

not function if the ipsilateral iliac artery has got a

significant stenosis.

Q 47. Is it possible to do arterial revascularization

in Buerger’s disease?

It is not usually possible because it is a disease of the

small arteries and distal run-off is absent.

Q 48. What is Digital substraction angiography (DSA)?

A computer system is used to digitize the

angiographic images. This allows precontrast

injection images to be substracted from the contrast

image, removing the extraneous background and

providing clarity. This can be carried out by injecting

the contrast intra-arterially or intravenously.

Intravenous injection of the contrast avoids arterial

puncture but the only problem is that large volumes

of contrast agent is required for the investigation.

Q 49. What is magnetic resonance angiography

(MRA)?

It is a multiplanar imaging without arterial puncture,

catheters, or ionizing radiation. The principle is

rearrangements of hydrogen atoms in a strong

magnetic field. We can image the vascular tree and

the soft tissue surrounding the vessel. The dye used

is called gadolinium (non-iodine containing). This

dye is not nephrotoxic and therefore can be used in

patients with compromised renal function.

Q 50. What is plethysmography? (PG)

It is a device to measure the volume of an organ

or extremity. The pulse volume recording, i.e. the

change in the volume of an extremity between

systole and diastole is a reflection of the pulsatile

blood flow. It is not routinely done.

Q 51. What is photoplethysmography? (PG)

It is a measurement of the blood in the cutaneous

microcirculation by detecting the reflection of

infra-red light.

Q 52. What is transcutaneous oximetry? (PG)

It is the measurement of intracutaneous oxygen

tension (PO2

) by placing the probe over the skin

surface. Normally it is 40–70 mm of Hg. When the

TCPO2

 is less than 30 mm of Hg, the part will go in

for gangrene.

Q 53. What is gangrene? (See definitions)

Macroscopic death of tissue with putrefaction is

called gangrene.

Peripheral Occlusive Vascular Disease

199

Q 54. How will you classify gangrene according

to etiology?

Causes for gangrene

1. Secondary to arterial obstruction

Atherosclerosis

Buerger’s disease

Embolism

Diabetic arteriopathy

Raynaud’s disease

Iatrogenic—intra-arterialinjectionlikethiopentone

2. Infective gangrene

Carbuncle

Gas gangrene

Fournier’s gangrene (gangrene of scrotum)

3. Traumatic

Direct arterial injury—Crushinjury,pressure sores

Indirect arterial injury—Injury to vessels atsome

distance from the site of gangrene, e.g. Injury to

popliteal artery by fractured lower end of femur

Physical agents—burns, scalds, frost bite,

electrical, irradiation, etc.

Chemical

4. Venous gangrene.

Note: Mnemonic for the secondary causes of

gangrene is BREASTED.

B – Buerger’s disease

R – Raynaud’s disease

E – Ergot intake

A – Arterial injection (Thiopentone)

S – Senile (Atherosclerosis)

T – Thrombosis

E – Embolism

D – Diabetes

Q 55. What is the clinical appearance of gangrene?

Gangrenous part lacks the following:

Arterial pulsation

Venous return

Capillary response to pressure

Sensation

Warmth

Function.

The color of the part varies from pallor, mottled

grey, dark brown, greenish black, and finally black.

Q 56. What is the cause for black appearance?

It is due to the formation of iron sulphide as a result

of disintegration of hemoglobin.

Q 57. What are the clinical types of gangrene?

a. Dry gangrene—slow arterial occlusion alone

—the affected part becomes dry and wrinkled.

b. Wet gangrene (moist gangrene)—arterial and

venous obstruction is present. Infection is

always present. The affected part is swollen

and discolored. The epidermis may be raised as

blebs. Crepitus may be palpated (gas forming

organisms).

Q 58. What is the line of demarcation?

It is zone of demarcation between the truly viable

and dead or dying tissues indicated on the surface

by a band of hyperemia and hyperesthesia. The

separation of the dead and living tissue is achieved

by the development of a layer of granulation tissue

which will advance into the dead tissue until it can

get nourishment.This is followed by ulceration and

final line of the demarcation.

In dry gangrene the separation is by aseptic

ulceration (final line of demarcation in a few days).

In moist gangrene the separation is by septic

ulceration (here there is more infection and

suppuration reaching the neighbouring living

tissues and the separation takes long time and will

be more proximal than dry gangrene). The moist

gangrene should be converted to dry gangrene.

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Clinical Surgery Pearls

Q 59. What is skip lesion?

Appearance of black patches on the other side of

the foot or proximally in the calf is suggestive of

spreading of gangrene due to arterial occlusion and

a proximal amputation may be required.

Q 60. What is pre-gangrene?

The term pre-gangrene is used by clinicians to

describe the changes in tissues indicating that the

blood supply to the part is precarious and it will

soon be inadequate to keep the tissues alive. The

principle symptom is rest pain and the signs are:

1. Pallor on elevation

2. Congestion when dependent

3. Coldness

4. Tenderness.

Q 61. What is the treatment of gangrene?

Exposure of gangrenous area for desiccation

Protection of local pressure areas (the skin of

heel and malleoli)

Removal of the hard desiccated skin for release

of pus in other areas

The gangrenous part must be removed

A limb saving attitude is required

Thepoorblood supplyproximalto the gangrene

in the given case can be improved by surgery or

percutaneous angioplasty.

General measures—control of diabetes

– Control of pain

– Treatment of cardiac failure

– Correction of anemia

– Improve tissue oxygenation.

Q 62. What is the difference between Raynaud’s

disease and Raynaud’s syndrome?

Raynaud’s disease is an idiopathic condition

occurring in young women due to abnormal

sensitivity of the arterioles to cold affecting upper

limbs more than the lower limbs.

Raynaud’s syndrome is a secondary phenomenon,

secondary to underlying systemic disorder often one

of the collagen diseases. The clinical features are

much more aggressive. It is seen in diseases like:

Collagen diseases

Peripheral arterial manifestations of the diseases

like:

Systemic lupus erythematosus (SLE)

Rheumatoid arthritis(RA) manifestations of the

disease

Vibration white finger (seen in those who are

using vibrating tools like pneumatic drills, chain

saws, etc.).

Q 63. What are the manifestations of Raynaud’s

disease?

Characteristically it is painful and paroxysmal and

the sequences are:

Blanching—constriction of arterioles

Dusky cyanosis—capillaries then dilate and fill

with deoxygenated blood

Red engorgement—the arterioles relax and

oxygenated blood returns to the capillaries

Gangrene is usually uncommon.

Q 64. What is the treatment of Raynaud’s disease?

1. Protection from cold—Electricallyheatedgloves

in winter

2. Avoidance of pulp and nail bed infection

3. Calcium antagonists—Nifedipine

4. Sympathectomy.

Q 65. What is the treatment of Raynaud’s

syndrome?

1. Treatment of the primary condition

2. Gangrene will occur in secondary and may

require multiple amputations

3. Nifedipine

4. Steroids

5. Sympathectomy is ineffective.

Peripheral Occlusive Vascular Disease

201

Q 66. What is acrocyanosis?

It is painless and not paroxysmal affecting the

young females producing cyanosis of fingers and

legs accompanied by paresthesia. Sympathectomy

may be useful.

Q 67. How will you classify limb ischemia?

Can be classified as—

Acute limb ischemia

Chronic limb ischemia

Acute on chronic limb ischemia.

Q 68. What is the basic difference between acute

and chronic limb ischemia? (PG)

Acute occlusion leads to gangrene unless

revascularization is done. Chronic occlusive

disease allows time for collateral arterial formation.

In chronic, mild ischemia gives rise to intermittent

claudication. But when the residual vessels are

unable to provide enough blood to support the

resting metabolic needs a state of critical ischemia

is reached accompanied by the symptoms of rest

pain and gangrene.

Q 69. What is critical limb ischemia? (PG)

Two criteria:

1. Recurring rest pain that persists for more than

2 weeks, requiring regular analgesics with ankle

systolic pressure of < 50 mm of Hg or toe systolic

pressure < 30 mm of Hg and ABPI < 0.5.

2. Ulceration or gangrene of the foot or toes with

similar hemodynamic parameters.

Q 70. What are the causes for chronic arterial

occlusion?

Common causes:

1. Atherosclerosis

2. Buerger’s disease

3. Arteritis—Takayasu’s disease, SLE

4. Post-traumatic—direct injury, radiation.

Rare causes:

1. External Thoracic outlet syndrome

 compression

 – Popliteal entrapment

2. Developmental Coarctation anomalies

3. Arterial wall – Fibromuscular dysplasia

disorders – Cystic medial necrosis.

Q 71. What is the management of the given case?

General measures

Stop smoking (vascular bypasswill get occluded

earlier in smokers)

Keep walking (exercise is to be encouraged,

walking within the limit of disability)

Care of the foot well fitting footwear

heel raise—the claudication

 distance can be improved

 by 1cm heel raise

Diet—weight reduction in obese patients

Control of diabetes and hypertension.

Pharmacological therapy

Analgesics—opioid should be avoided

Antiplatelet agents—aspirin – 75–300 mg

daily—Clopidogrel

Pentoxifylline 400–800 mg tablet 3 times daily

altersthe blood viscosity (useful in intermittent

claudication)

Naftidrofuryl oxalate (Praxilene)—May alter the

tissue metabolism and increase the claudication

distance

Prostaglandin E1 (Alpostin)—Useful in critical

limb ischemia in doses of 100 mg daily (over

10 hrs) for five days monthly × 6 months.

Surgical procedures

The given case needs above knee amputation

because of the nonhealing ischemic ulcer in the

heel with aortoiliac occlusion. His general condition

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Clinical Surgery Pearls

and comorbid factors makes him unsuitable for

aorto femoral revascularization. If patient’s general

condition is good and there is no ischemic ulcer

of the heel the following surgical procedures are

recommended for him.

Ray amputation of big toe

Aortofemoral bypass graft orifthe contralateral

femoral is normal a femoro-femoral cross over

graft or an axillofemoral bypass graft may be

tried for revascularization of the limb.

Q 72. What is the role of surgery in peripheral

vascular disease?

Can be divided into 3 broad groups.

1. Direct arterial surgery

Percutaneous transluminal angioplasty and

stenting

Endarterectomy

Bypass graft.

2. Lumbar sympathectomy

3. Amputations.

Q 73. What are the indications for direct arterial

surgery? (PG)

1. Critical limb ischemia

2. Severe intermittent claudication which is

incapacitating

3. To lower the level of the amputation.

Q 74. What is percutaneous transluminal angioplasty and where it is used?

It involves a femoral angiogram during which a

guide wire is inserted and a balloon catheter is then

inserted over the guide wire and positioned within

the stenosis. Now the balloon is inflated for 1minute

and then deflated. In cases where the vessels fail

to stay adequately dilated it may be possible to

hold the lumen using metal stent. The catheter is

removed. Now self-expanding stents are available.

It is used in the following situations.

Coronary artery (widely used)

Iliac vessels

Vessels of the lower limb

Vessels of the upper limb

Renal arteries

Mesenteric vessels.

Q 75. What is endarterectomy?

The occluded intima and a part of the media are

removed by coring them out through an artificial

plane created in the media. This is usually done for

large arteries like aorta. Nowadays it is rarely done.

Q 76. What is bypass graft? (PG)

Anative vein (usually saphenous vein) or a prosthetic

material is used for bypassing the obstruction in the

vessel.The bypass procedures can be classified as—

Anatomic, e.g. femoropopliteal bypass

Extra anatomic—femoro-femoral crossovergraft.

– iliofemoral crossover graft

– Axillobifemoral.

Q 77. What are the materials used for bypass graft?

Reversed long saphenous vein (the most useful

and successful conduit)—ifthe long saphenous

vein is not available short saphenous vein or arm

vein may be used.

PTFE (Poly Tetra Fluro Ethylene)

Dacron-twotypes—WovenandKnitted(Knitted

prosthesis are sealed with gelatin or collagen)

Humanumbilical vein(Glutaraldehyde—tanned,

Dacron supported).

Q 78. How will you choose the prosthetic

material? (PG)

It depends on the site of disease and the type of

operation.

The patients own saphenous vein gives the

best results when used either as a reversed conduit

or as in situ after valve disruption.

Peripheral Occlusive Vascular Disease

203

Q 79. What are the bypass operations done for

peripheral vascular disease?

Bypass operations depending on the

level of occlusion

Site of disease Type of operation

1. Aortoiliac

occlusion

Aortobifemoral bypass surgery.

2. Unilateral Iliac

occlusion alone

Percutaneous transluminal

angioplastyalone (PTA) with or

without stent or endarterectomy

I n p a t i e n t s u n a b l e t o

withstand abdominal surgery

femorofemoral or iliofemoral

crossover bypass graft (8 mm

PTFE or dacron graft tunnelled

subcutaneously above the pubis)

3. Bilateral iliac

occlusion with

pregangrenous

limb on one side

Axillofemoral graft to the

affected side with 8 mm PTFE

4. Superficial

femoral with

profunda femoris

occlusion

Femoropopliteal graft artery

using autogenoussaphenous

vein or human umbilical vein

Note:

For long distance claudication conservative

treatment is wise.

Salvage operationsshould not be performed for

intermittent claudication alone. Gangrene and

loss of limb may occur if the operation fails.

Any vein used for anastomosis requires a

diameter of at least 3 mm.

The size ofsuture material used for anastomosis

from groin down is 4/0–5/0 polypropylene.

Femoro-distal bypasses are usually carried out

using long saphenous vein preferably in situ.

Q 80. What is in situ bypass graft? (PG)

This is done for femoropopliteal bypass graft. The

long saphenous vein is not removed and reversed in

this operation. Instead it isleft in place (in situ) and

the valves disrupted with a valvulotome. The vein is

then anastomosed to the femoral artery proximally

and to the popliteal vessel distally.

Q 81. What is profundaplasty? (PG)

The common femoral artery and its branches are

exposed. After giving heparin IV and clamping the

vessel an incision is made into the common femoral

artery and carried down into the profunda dividing

the stenotic profunda origin. The arteriotomy

is then closed with a patch of vein to widen the

narrowed segment.

Q 82. What is the role of lumbar sympathectomy?

This should only be done if there is no chance for

direct arterial surgery or angioplasty. It has no role

in the treatment of intermittent claudication. The

indications are:

Nonhealing ischemic ulcers

Ischemic rest pain

Vasospastic conditions

Hyperhidrosis

Causalgia.

Q 83. What is lumbar sympathectomy?

In lumbar sympathectomy the second, third and

fourth lumbar sympathetic ganglia are removed.

The removal of bilateral first lumbar ganglia will

result in retrograde ejaculation. The operation can

be done either by open or laparoscopic method.

The open method is done by extra-peritoneal

approach using a loin incision. The sympathetic

trunk lies on the side of the bodies of the lumbar

vertebrae on the right side overlapped by IVC. Care

is taken not to mistake and remove small lymph

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Clinical Surgery Pearls

nodes and tendinous strip of psoas minor. It is also

important to avoid the genitofemoral nerve.

Q 84. What is chemical sympathectomy?

Under radiographic fluoroscopic control with

the patient in the lateral position after giving local

anesthesia a long spinal needle is inserted to seek

the side of vertebral body to reach the lumbar

sympathetic chain. 5 mL of phenol in water (1:16)

is injected after confirming the needle position

by injecting contrast agent. It is carried out in two

sites beside the bodies of second to fourth lumbar

vertebrae. It is important to avoid aorta, IVC and

ureters. It is contraindicated in patients taking

anticoagulants.

Q 85. What is the role of amputation?

Amputation is inevitable when the arterial surgery

and conservative treatment fail. The commonly

performed amputations are:

1. Ray amputations for gangrene of toes

2. Transmetatarsal for fore foot gangrene

3. Below knee (BK) amputation—if the gangrene

is limited to foot

4. AK (above knee) amputation—if the gangrene

is approaching to the leg.

Note:The BK amputation isfunctionally farsuperior

to AK amputation provided the popliteal is patent.

Discussion on Acute Lower Limb Ischemia

Q 1. What are the causes for acute limb ischemia?

The causes may traumatic or non-traumatic.

Non-traumatic

Common causes:

1. Embolism(commonestindevelopingcountries)

2. Thrombosis of a native artery—atsitesofarterial

stenosis due to disorders like atherosclerosis,

buerger’s disease, etc. Thrombosis of an

artery can occur in hypercoagulable states

like malignancy, protein C, protein S, and

antithrombin III deficiency.

3. Thrombosis of a bypass graft (commonest in

developed countries).

Rare causes:

1. Thrombosed popliteal artery aneurysm

2. Aortic dissection

3. Popliteal artery entrapment syndrome.

Q 2. What are the clinical features of acute

embolism?

Six Ps

Pain

Pallor

Pulseless ness

Paresthesia

Paralysis

Poikilothermia (cold limb).

Clinically important features are:

Sudden loss of previously palpable pulse

Coldness of the limb

Severe continuous pain

Sensory disturbances like tingling, numbness

and complete loss of sensation

Paralysis of the limb—which is usually a late

feature.

Q 3. What is the critical period for revascularization. (PG)

Ischemia of the tissues distal to the site of occlusion

begins from the moment of occlusion. The extent

of damage to various tissues depends on the cell

type and their metabolic rate. In the limb the

peripheral nerves are most sensitive to ischemia

Peripheral Occlusive Vascular Disease

205

followed by muscles, subcutaneous tissue and

skin. Reversible ischemia will occur after 6 hours.

Histological changes can develop by 4 hours of

warm ischemia. Pre-existing collaterals may delay

this event. By 12 hours ischemic muscles undergo

irreversible changes. Muscle rigidity will occur over

the next 12–24 hours.

Q 4. What are the clinical differences between

acute thrombosis and embolism?

Differences between thrombosis and embolism

Feature Thrombosis Embolism

Onset Gradual Sudden

History of

claudication

Common None

Contralateral

pulse

Often absent Normal

Source of

embolus

None Usually heart showing

either valvular disease

or fibrillation

Temperature

changes

Less marked More marked

Loss of

function

Slow - because

collaterals are

there

Rapid loss of function

(4–6 hrs)

Angiography Diffuse disease Minimal disease

 “ Tapered and

irregular cut off

Sharp cut off

 “ Collaterals welldeveloped

Few collaterals

Q. 5. What are the causes for peripheral arterial

embolism?

It is classified as cardiac, noncardiac and cryptogenic.

Cardiac—(80–90%)

Atrial fibrillation

Myocardial infarction

Cardiac valvular prosthesis

Rare causes like atrial myxoma.

Noncardiac

Atherosclerotic disease (plaques in proximal

arteries)

Aneurysm in proximal arteries

Noncardiac tumors

Foreign bodies—broken cannula.

Cryptogenic—Unknown inspite of investigation

(5–10% of cases).

Q 6. What is the classification for severity of acute

limb ischemia? (PG)

Class 1 (viable) – No persisting pain

 – No motor and sensory deficits

– Doppler signals audible

Class 2a (marginally threatened)

– Numbness/paresthesia

– Digital sensory loss

– No audible Doppler signals

Class 2b (immediately threatened)

 – Above and persistent ischemic pain

 – Sensory and motor deficit

Class 3 (irreversible)

 – Profound anesthesia and paralysis

may be early and late.

Q 7. What is the management of acute limb

ischemia? (PG)

Once the diagnosis is made patient should be

heparinized.

Contrast angiography is still considered the gold

standard investigation of choice.

C-arm facility and peroperative angiograms are

necessary.

The site of entry for angiogram should be

preferably the contralateral limb.

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Clinical Surgery Pearls

In case of bilateral lower limb problem the

brachial artery should be the entry point.

Immediate revascularization is required

either by surgical (embolectomy by Fogarty or

open thrombectomy with or without bypass

procedures) or endovascular procedures.

Class 1 and 2 – Angiography and

 thrombolysis

Class 2b and 3 early Emergency surgery

Class 3 late Delayed amputation

For distal embolism thrombolytic therapy is

preferred.

Q 8. What is embolectomy?

The femoral artery is exposed under general

anesthesia or local anesthesia.

Longitudinal arteriotomy is made after placing

vascular clamps.

A Fogarty catheter of appropriate size is passed

proximally, the bulb inflated, and catheter gently

pulled down to extract the blood clot. This is

repeated until a good antegrade flow is obtained.

The same procedure is repeated in the distal

artery until good back flow is obtained.

Heparin is given IV. (5000 units) and anticoagulation is continued postoperatively.

Arteriotomy is closed by continuoussuture with

5/0 or 6/0 polypropelene.

Fasciotomy ofthedistal muscle isrecommended

if the ischemic time has exceeded 6 hours.

Q 9. What is thrombolytic therapy? (PG)

This will bring about lysis of fibrin by stimulating

the plasmin system. It cannot be done in a limb

threatened with gangrene. It may take upto 48

hours to lyse the thrombus. Old clots cannot be lysed

by thrombolytic therapy.Duration ofthe procedure

is lengthy. The commonly used agents are:

Streptokinase (Abacterial enzyme)—Cheap but

antigenic—Anaphylaxis is a problem.

Urokinase (Extracted from renal parenchymal

cells).

Tissue plasminogen activator (TPA-Synthetic).

Q 10. What are the contraindications for Thrombolytic therapy? (PG)

Recent stroke

Recent surgery

History of GI hemorrhage

Pregnancy

Uncontrolled hypertension

Allergy to the agent.

15 Lymphoma

Case

Case Capsule

A 20-year-old male patient presents with weight loss,

malaise, pyrexia of unknown origin and drenching

night sweats that require change of cloths for the

last 9 months. There is neither history of pruritus,

nor alcohol intolerance. There is no abdominal pain

after drinking alcohol. He also complains of bilateral

supraclavicular swellings for the last 7 months which

is painless. There is no history of bone pain.

On examination the patient is febrile and

pale. There is a 10 × 6 cm size swelling in the right

supraclavicular region and 12 × 8 cm size swelling in

the left supraclavicular region. On palpation, there is

neither local rise of temperature nor tenderness over

the swelling. It appears to be a group of lymph nodes

on either side. It is possible to define individual

nodes and they are ovoid, smooth and discrete.

The nodes are having rubbery consistency. These

nodes can be moved from side to side. There is

no fixity of the nodes. The abdominal examination

revealed enlargement of the liver, about 4 cm

below the costal margin, firm in consistency and

the surface is smooth and edge is sharp. The spleen

is also enlarged. No palpable abdominal nodes

detected. There is no free fluid in the abdominal

cavity. Examination of other lymph node areas like

axillary and inguinal is normal. There is no evidence

of collaterals veins across the chest wall suggestive

of mediastinal mass. There is no venous congestion

of the neck. Examination of the genitalia is normal.

Read the checklist for examination of abdomen.

Checklist for lymph node examination in

section on short cases

Mnemonics for lymph node examination –‘PALS’ (short

case section)

P – Primary (examine the drainage area of the lymph

node for a primary lesion)

A – Another node (always look for another node when

one group is palpable)

L – Liver (always examine the ab domen for

enlargement of liver)

S – Spleen

Remember the 3 lymphatic water sheds of the skin

(on each side):

A vertical line through the sagittal plane of the body

divides the lymphatic drainage of the skin into 3

areas on each side. There is some communications

across the midline. The 3 areas on each side of

the body are demarcated from each other by two

horizontal lines one at the level of the clavicle,

the other at the level of the umbilicus. These lines

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Clinical Surgery Pearls

are the lymphatic water sheds and the skin lymph

flows in a direction away from them. Each line also

represents the meeting place of adjacent territories,

so that the cancer situated in one of these lines may

spread by two routes along the lymphatics running

away from the water shed, e.g. cancer situated

at the umbilicus may spread in four directions.

Viz: towards both axillae and both groins, as

lymphatics draining to these glands come into

communication at the umbilicus. Similarly a cancer

situated anywhere in the midline of the surface

of the body may spread in at least two directions

because of the lymphatic communication across

the midline. Thus, we get 3 groups of lymph nodes

draining the three areas.

1. Cervical lymph nodes

2. Axillary lymph nodes

3. Inguinal lymph nodes

The lymphatic above the clavicle will drain to

the cervical nodes.

The lymphatics below the clavicle up to the

level of umbilicus will drain to the axilla (both

front and back).

The lymphatics below the level of umbilicus

will drain to the inguinal nodes.

If axillary node is enlarged, examine the

following drainage areas—breast, front of

the chest and upper abdomen up to the

umbilicus, back of the chest down up to the

level of umbilicus, and the entire upper limb.

If the inguinal lymph node is enlarged,

examine the following drainage areas—the

lower abdomen from the level of umbilicus,

the corresponding area in the back, the

gluteal region, natal cleft, perineum, genitalia,

the lower part of the anal canal and the entire

lower limb. The lower limb lymphatics will

drain to the vertical group of nodes. The

remaining areas will drain to the horizontal

group of inguinal nodes. A digital rectal

examination must be done in all cases of

horizontal inguinal lymph node enlargement.

Whenthecervical lymphnodeisenlargedthe

drainage areas to be examined will start from

the scalp down to the level of the clavicle,

including examination of the oral cavity,

pharynx (oral and nasal) nasal sinuses and

the hidden areas.

Checklist for history

H/o weight loss(> 10% loss of weight in 6 months)

H/o fever occurring in a periodic fashion (PelEbstein fever)

H/o pruritus

Alcohol-induced nodal pain

Bone pain (lymphomatous infiltration)

Pallor

Family history of leukemias and similar illness.

Checklist for examination

Look for other groups of lymph nodes

Look for liver and spleen

Look for anemia

Look for jaundice

Look for venous congestion of the neck and upper

chest—superior venacaval obstruction produced

by mediastinal masses

Look for edema of both legs—abdominal masses

obstruct the inferior vena cava

Examine the skin for scaly elevated reddened

patches of skin—mycosis fungoides (dermatological manifestations of lymphoma).

Lymphoma

209

Q 1. What are the physical signs of an enlarged

spleen?

Physical signs of enlarged spleen

It appears from below the tip of the 10th rib

It enlarges along the line of the rib towards the

umbilicus

Definite notch will be felt (splenic notch)

One cannot get above it

Moves with respiration

It is dull to percussion

It is not bimanually palpable.

Contd...

Contd...

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Clinical Surgery Pearls

Q 2. How many times the spleen must be enlarged

for clinical palpation?

Traditionally it was taught that the spleen must

be enlarged 2–3 times before it become palpable.

According to Blackburn, spleen must be 1½ times

larger than normal, before it can be detected by

clinical methods.

Q 3. What is Kenawy’s sign?

This sign is seen in splenomegaly associated with

bilharzial cirrhosis of liver (Egyptian splenomegaly). It is also seen in portal hypertension

secondary to the above condition. The stethoscope is

applied beneath the xiphoid process. This will reveal

a venous hum which is louder on inspiration. This is

because of the engorgement of the splenic vein and

the hum is louder during inspiration because the

spleen is compressed during inspiration.

Q 4. What are the causes for splenomegaly?

The causes for splenomegaly can be classified as

follows:

Splenomegaly

Cause Conditions

Neoplastic •  Benign c o n d i t i o n s l i k e

hemangioma (commonest)·

• Malignant

 - Hodgkin’s lymphoma

  -  Non-Hodgkin’slymphoma(NHL)

  -  Myelofibrosis(abnormalproliferation of mesenchymal

elements in the bone marrow,

spleen, liver and lymph nodes)

  - Metastatic disease

Hematologic

malignancies

• Acute leukemia

• Chronic leukemia

Hemolyticnemias • Hereditary spherocytosis

• Autoimmune hemolyticnemia

•  Thalassemia (cooley’s anemia,

Mediterranean anemia)

• Sickle cell disease

Other blood

diseases

•  Idiopathic thrombocytopenic

purpura

• Pernicious anemia

• Polycythemia vera

• Erythroblastosis fetalis

Tropical

splenomegaly

• Malaria

• Kala-azar

• Schistosomiasis

• Tropical splenomegaly

• Trypanosomiasis

Infective • Bacterial

 - Typhoid, paratyphoid, tuberculosis, splenic abscess and

septicemia

• Viral

 - Infectious mononucleosis,

HIV related, psittacosis.

• Spirochaetales

  - Weil’s disease, syphilis

• Parasitic—Hydatid cyst

Metabolic •  Porphyria (hereditary error of

hemoglobin catabolism in which

porphyrinurea occurs— the

orange colored urine turns to a

port-wine color after exposure

to the air)

•  Gaucher’s disease (Lipid storage

disease)

• Amyloid

Collagen disease • Felty syndrome

• Still's disease

Nonparasitic cysts •  True cyst—(lined by flattened

epithelium) dermoid and

mesenchymal inclusion cyst

•  False cyst—(pseudocyst)

Circulatory disease • Portal hypertension

•  Segmentalportal hypertension

of pancreatic carcinoma Contd...

Contd...

Lymphoma

211

Q 5. What is hypersplenism?

Hypersplenism is an indefinite clinical syndrome

characterized by splenic enlargement, any

c o m b i n a t i o n o f a n e m i a , l e u k o p e n i a o r

thrombocytopenia, compensatory bone marrow

hyperplasia and improvement of the condition

after splenectomy.

Q 6. What are the clinical characteristics of lymph

nodes in lymphoma?

They cause lymphadenopathy in the posterior

triangle

The nodes are ovoid, smooth and discrete

Possible to define individual nodes even when

they are large (in contrast to tuberculosis)

The nodes are solid and rubbery

The nodes can be moved from side-to-side and

are rarely fixed to the surrounding structures.

Q 7. What is lymphoma?

It is a primary malignant neoplasm originating from

lymphoid tissue of the lymphatic system. There are

two types:

1. Hodgkin’s disease

2. Non-Hodgkin’s disease (NHL).

Q 8. What is lymphoid neoplasm?

Lymphoid neoplasm consists of the following:

Hodgkin’s

Non-Hodgkin’s lymphoma (NHL)

Lymphatic leukemia

Plasmacytoma.

Q 9. Why this new nomenclature of lymphoid

neoplasm is preferred over lymphoma?

Traditionally, neoplasms that typically present with an

obvious tumor or mass of lymph nodes or extra nodal

sites are called lymphomas and neoplasms that

typically involve the bone marrow and peripheral

blood without tumor mass are called leukemias.

However, we now know that many B and T/NK

– cell neoplasms may have both tissue masses and

circulating cells, either in the same patient or from

one patient to another. Thus, it is artificial to call

them different diseases, when in fact, they are just

different stages or phases of the same disease.

Neoplasmsthattypically produce tumor masses

are called lymphomas.

Neoplasms that typically have only circulating

cells are called leukemias.

Those that have both solid and circulating

phases are designated lymphoma/leukemia.

Plasma cell neoplasms including multiple

myelomas and plasmacytoma have their

origin from B cell are also now included under

lymphoid neoplasms.

B cell chronic lymphocytic leukemia and B cell

small lymphocytic lymphoma are simply different

manifestations of the same neoplasm. (Similarly,

lymphoblastic lymphoma and acute lymphoblastic

leukemia are different manifestations of the same

neoplasm).

Q 10. What is the classic cell of Hodgkin’s disease?

The Hodgkin’s lymphoma is defined by the

histological finding of Reed-Sternberg cells. They

are binucleate cells. The binucleate cell is having

vesicular nuclei and prominent eosinophilic

neucleoli (pennie on plate appearance or owl eye

appearance). The subtype is decided by the pattern

of lymphocyte infiltrate.

Q 11. What are the clinical features of mediastinal

lymph nodes?

When the nodes are large in the mediastinum,they

occlude the superior vena cava, causing venous

congestion in the neck and the development of

collateral veins across the chest wall. This is called

superior vena cava syndrome. It may also produce

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Clinical Surgery Pearls

dysphagia or hoarseness of voice. This is one of

the classic presentations for nodular sclerosis in

Hodgkin’s.

Q 12. What is the clinical feature of intraabdominal lymph node mass?

Large nodal masses in the abdomen can obstruct

the inferior vena cava and iliac veins producing

edema of both lower limbs.

Q 13. Can you differentiate Hodgkin’s lymphoma

from non-Hodgkin’s lymphoma (NHL) clinically?

What are the differences between Hodgkin’s and

NHL?

Clinically it is difficult to differentiate these

conditions. The differences are given in table 15.1.

Q 14. What is the probable diagnosis in this case?

Hodgkin’s disease.

Q 15. What are the points in favor of Hodgkin’s

disease?

Cervical and axillary lymph node enlargement

with hepatosplenomegaly

Clinical nature ofthe lymph nodes as mentioned

earlier

The age group of patient(younger age isin favor

of Hodgkin’s rather than NHL).

Q 16. What are the differential diagnoses?

NHL

Leukemias

Myeloproliferative disorders.

Q 17. Why cannot this be tuberculosis?

Tuberculosis will produce usually matting of

lymph nodes.

It will not produce hepatosplenomegaly.

Q 18. What are the causes for matting of lymph

nodes?

1. Acute lymphadenitis

2. Tuberculosis (Read tuberculosis of lymph nodes)

3. Late stages of lymphoma

4. Late stages of metastasis.

Q 19. What is the WHO Classification of lymphoma

(REAL classification)?

Revised European-American classification of

Lymphoid neoplasms).

It is a list of distinct disease entities, which are

defined by combination of morphology, immunophenotype and genetic features and which have

distinct clinical features. The classification includes

all lymphoid neoplasms: Hodgkin’s lymphoma,

non-Hodgkin’s lymphoma, lymphoid leukemias and

plasma cell neoplasms.

B Cell Neoplasms

Precursor B-cell Neoplasm

Precursor B-lymphoblastic leukemia/lymphoma

(precursor B-cell acute lymphoblastic leukemia).

Mature (peripheral) B-cell neoplasms

B-cell chronic lymphocytic leukemia/small

lymphocytic lymphoma

B-cell pro lymphocytic leukemia

Lymphoplasmacytic lymphoma

Splenic marginal zone B-cell lymphoma (with or

without villous lymphocytes)

Hairy cell leukemia

Plasma cell myeloma/plasmacytoma

Extra nodal marginal zone B-cell lymphoma of

MALT type

Nodal marginal zone B-cell lymphoma (with or

without monocytoid B cells)

Follicular lymphoma

Mantle cell lymphoma

Diffuse large B-cell lymphoma

Burkitt lymphoma/Burkitt cell leukemia.

Lymphoma

213

T Cell and NK Cell Neoplasms

Precursor T-Cell Neoplasm

PrecursorT-lymphoblastic lymphoma/leukemia

(precursor T-cell acute lymphoblastic leukemia).

Mature (peripheral) T/NK-cell neoplasms

T-cell pro lymphocytic leukemia

T-cell granular lymphocytic leukemia

Aggressive NK-cell leukemia

Adult T-cell lymphoma/leukemia (HTLVI +)

Extra nodal NK/T cell lymphoma, nasal type

Enteropathy—type T-cell lymphoma

Hepatosplenic T-cell lymphoma

Subcu taneous panniculitis-like T- cell

lymphoma

Mycosis fungoides/Sezary syndrome

Anaplastic large cell lymphoma, T/null cell,

primary cutaneous type

Peripheral T-cell lymphoma, not otherwise

characterized

Angioimmunoblastic T-cell lymphoma

Anaplastic large cell lymphoma, T/null cell,

primary systemic type.

Q 20. What is the staging of Hodgkin’s lymphoma?

Ann-Arbor staging

Stage Description

Stage I Involvement of a single lymph node

region (I) or localized involvement of a

single extra lymphatic organ or site in the

absence of any lymph node involvement

(1E) (rare in Hodgkin’s lymphoma)

Stage II Involvement of two or more lymph

node regions on the same side of the

diaphragm (II); or localized involvement

of a single extralymphatic organ or site

in association with regional lymph node

involvement with or without involvement

of other lymph node regions on the same

side of the diaphragm (IIE). The number

of regions involved may be indicated by

a subscript, as in, for example, II3

Stage III Involvement of lymph node regions on

both sides of the diaphragm (III) which

also may be accompanied by extra

lymphatic extension in association with

adjacent lymph node involvement (IIIE)

or by involvement of the spleen (IIIS) or

both (III E, S)

Stage IV Diffuse or disseminated involvement

of one or more extralymphatic organs,

with or without associated lymph node

involvement or isolated extralymphatic

organ involvement in the absence of

adjacent regional lymph node involvement,

but in conjunction with disease in distant

site (s). Any involvement of the liver or

bone marrow or nodular involvement of

the lung (s). The location of stage IV disease

is defined further by specifying the site

according to the notation.

Note:Allstages are havingA/B stagesdepending on

the absence or presence of B symptoms.

Q 21. What are B symptoms?

The B symptoms are:

Weightloss—unexplained weightloss of > 10%

of the usual body weight in 6 months prior to

diagnosis Contd...

Contd...

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Clinical Surgery Pearls

Fever—unexplained fever with temperature >

38°C

Drenching night sweats—that require change

of bedclothes.

Note:PruritusalonedoesnotqualifyforBclassification

nor does alcohol intolerance, fatigue or a short febrile

illness associated with suspected infection.

Q 22. What are the pathological types of Hodgkin’s

disease?

Major categories of Hodgkin’s lymphoma are:

Nodular lymphocyte predominance Hodgkin’s

lymphoma (NLPHL)

Classic Hodgkin’s lymphoma (CHL)—further

divisions given below:

Classic Hodgkin’s lymphoma

Sub type Characteristics

1. Lymphocyte rich

classic Hodgkin’s

lymphoma (LRCHL)

Uncommon-6%. Few

Reed-Sternberg cells

Diffuse lymphocytes –

excellent prognosis

2. Lymphocyte depletion

Hodgkin’s lymphoma

(LDHL)

Older males affected

Aggressive

Rare-2% Abundant ReedSternberg cells

Paucity of lymphocyte

3. Mixed cellularity

Hodgkin’s lymphoma

(MCHL)

Common 20 – 25%

often presents with

disseminated disease

4. Nodular sclerosis

Hodgkin’s lymphoma

(NSHL)

Commonest – 70%

Fibrosis present, ReedSternberg cells and

lymphocytes seen. Young

women affected Cervical

and Mediastinal disease

Q 23. What are the features of the lymphocyte

predominant Hodgkin’s lymphoma?

Considered to be an indolent B-cell lymphoma

More common in young men and old ages

Infradiaphragmatic disease common than

Hodgkin’s disease

Bulky disease and splenic involvement

uncommon

Natural history like low grade NHL

Can have delayed relapses

Can progress to large B-cell lymphomas.

Q 24. What is nodal/extra nodal disease?

For the purpose of coding and staging, lymph

nodes, Waldeyer’s ring, and spleen are considered

nodalor lymphatic sites.

Extra nodal or extra lymphatic sites include the

following:

Bone marrow

Gastrointestinal tract

Skin

Bone

Central nervous system

Lung

Gonads

Ocular adnexa

Liver

Kidneys and uterus.

Note:

Hodgkin’s lymphoma rarely presents in extranodal site

About 25%ofNHL is extra nodal at presentation

Mycosis fungoides (a type of NHL affecting the

skin) and MALT lymphomas are virtually always

extra nodal.

Lymphoma

215

Q 25. What is the ‘E Lesion’ for Hodgkin’s

lymphoma?

The Ann-Arbor system defined E as extra

lymphatic.

Disease in sites such as Waldeyer’s ring, the

thymus, and the spleen although extra nodal

is not extra lymphatic and therefore not

considered to be ‘E Lesion’.

According to the revised AJCC system the E

Lesion is defined as disease that involves extra

lymphatic sites (s) adjacent to site (s) of lymphatic

involvement but in which direct extension is not

necessarily demonstrable. Examples of E lesions

include extension into:

Pulmona ry parenchyma from adjacent

pulmonary hilar/mediastinal nodes

Extension into the anterior chest wall and into

the pericardium from mediastinal mass

Involvement of iliac bone from adjacent lymph

node

Involvement of lumbar vertebral body from

para-aortic nodes

Involvement of pleura from internal mammary

nodes

Involvement of thyroid from adjacent cervical

lymph nodes.

Note 1: It is proposed that for NHL, the E designation

should indicate the presentation of lymphoma in extra

nodal sites and the lack of an E designation should

indicate lymphoma presenting in lymph nodes.

Note 2: Liver is designated as H; bone marrow

designated as M and spleen is designated as S.

Q 26. In which core nodal region, the infraclavicular

nodes are included (Read core nodal regions in

NHL section)?

It is considered as part of the axilla.

Q 27. What are the other lymphatic structures

other than lymph nodes?

The lymphatic structures in the body:

Lymph nodes

Spleen

Appendix

Peyer’s patches

Waldeyer’s ring

Thymus.

Q 28. What is splenic involvement in Hodgkin’s

disease?

Evidence of one or more nodules in the spleen

of any size on imaging evaluation

Histologic involvement documented by biopsy

or splenectomy.

Note: Splenic enlargement alone is insufficient to

support a diagnosis of splenic involvement.

Q 29. What is hepatic involvement in Hodgkin’s?

One or more nodules in the liver of any size on

imaging

Histological involvement documented by

biopsy.

Note: Hepatic enlargement alone is insufficient.

Q 30. What is bone marrow involvement?

Bone marrow involvement must be documented

by biopsy from a clinically/radiographically

uninvolvedarea ofbone. Bonemarrowinvolvement

is designated by the letter M. Bone marrow

involvement is always considered as diffuse extra

lymphatic disease (stage IV).

Q 31. What are the unfavorable types of Hodgkin’s

disease?

1. The presence of B symptoms

2. Unfavorable histology—mixed cellularity and

lymphocyte depleted.

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Clinical Surgery Pearls

Q 32. What is the most important confirmatory

investigation for this case?

Lymph node biopsy.

Q 33. Is there any role for FNAC of the lymph node?

For the diagnosis of lymphoma a node biopsy is a

must in order to study the histological background

and architecture of the lymph node. FNAC can be

done as a screening investigation if more than one

node is palpable. The needle aspiration will produce

anomalies in the node and it will be difficult for the

histopathologist to interpret this node, if it is taken

for biopsy later.

Q 34. Which lymph node is taken for biopsy and

what are the precautions for lymph node biopsy?

The largest and most central node in a group is

most likely to be diagnostic.

The inguinal nodes are avoided because they

often show changes of chronic infection (if other

enlarged nodes are available).

A cervical node is preferred to the axillary or

inguinal group.

Always take an intact node for biopsy.

Biopsied node should be handled gently.

Imprint of freshly cut node may be done if this

is available (imprint cytology).

Avoid nodes which are aspirated for biopsy.

For imprint cytology purpose the node should

be send in a bottle containing saline.

Q 35. What is the staging work up?

Clinical staging includes:

Careful recording of medical history

Physical examination

Imaging of chest, abdomen and pelvis

Complete blood count

Blood chemistry

Bone marrow biopsy

Recommendations for the diagnostic evaluation

of patients with lymphoma.

A. Mandatory procedure

1. Biopsy,withinterpretationbyaqualifiedpathologist

2. History, with special attention to the presence and

duration of fever, night sweats, and unexplained

loss of 10% or more of body weight in the previous

6 months

3. Physical examination

4. Laboratory tests

a. Complete blood cell count and platelet count

b. Erythrocyte sedimentation rate

c. Liver function tests

5. Radiographic examination

a. Chest X-ray

b. CT of chest, abdomen and pelvis

c. Gallium scan

6. Bone marrow biopsy.

B. Ancillary procedures

1. Laparotomy andsplenectomy ifdecisionsregarding

management are likely to be influenced

2. Liver biopsy (needle), if there is a strong clinical

indication of hepatic involvement

3. Radioisotopic bone scans, in selected patients with

bone pain

4. CT of head and neck in extra nodal or nodal

presentation to define disease extent

5. Gastroscopy and/or GI series in patients with GI

presentations

6. MRI of spine in patients with suspected spinal

involvement

7. CSF cytology in patients with Stage IV disease and

bone marrow involvement, testis involvement, or

parameningeal involvement.

Q 36. What are the indications for bone marrow

biopsy?

B symptoms

Anemia

Lymphoma

217

Leukopenia

Thrombocytopenia.

Q 37. What is the role of staging laparotomy?

 (PG)

Staging laparotomy is not done nowadays after

CT has become part of the staging work up where

by most of the nodal status and disease process

can be ascertained. 40% of the patients require

chemotherapy because of the reasons mentioned

below and therefore, a staging laparotomy is

omitted.

It has got significant morbidity in 10% of

patients.

It is considered when the results are likely to

alter the treatment strategy (chemotherapy

vs radiation). If the chemotherapy will be

used regardless of the finding on laparotomy,

there is no need for staging laparotomy.

Hodgkin’s disease that is localized may be

curable by radiation therapy if all involved

nodes are included in the treatment field.

Non-Hodgkin’s lymphomas are usually treated

with chemotherapy because of wide-spread

nodal and extra-nodal involvement especially

of the bone marrow. Therefore, laparotomy is

unnecessary in NHL.

Considered only in specialsituations ofstage IIa

or less in which mantle radiation is planned.

In children, splenectomy will produce

overwhelming postsplenectomy sepsis(OPSI)—

0.1%/year

In 20% of the cases, the stage is upstaged by

staging laparotomy and therefore, will require

chemotherapy

About 20% of the patients will develop relapse

requiring chemotherapy.

Q 38. What are the important steps in staging

laparotomy? (PG)

In staging laparotomy the following procedures

are done:

Splenectomy

Wedge biopsy of liver

Biopsy—nodes of the paraaortic, splenic hilar,

hepatic, portal, and iliac nodes—the suspicious

nodes are clipped

Oophoropexy in women (childbearing age)

which will allow radiation therapy to be given to

the inverted ‘Y’ field which covers the iliac and

inguinal nodes without radiation damage to the

ovaries.

Q 39. Which are the nodal regions affected by

Hodgkin’s disease?

Mediastinal 60%

Pure infradiaphragmatic 3%

Extra nodal 5 – 10%

Splenomegaly 10%

Q 40. What are the etiological factors for Hodgkin’s

disease? (PG)

1. Siblings with Hodgkin’s disease

2. HLA antigens

3. Patients who have undergone tonsillectomy

4. Immunodeficiency states

5. Autoimmune disorders

6. Oncogenic viruses

7. Epstein-Barr virus(EBV)—Nuclearproteinin 40%

of Hodgkin’s

8. Lymphotropic viruses.

Q 41. What is the antigen in Hodgkin’s disease?

 (PG)

It is CD 30 positive, which is a surface antigen seen

in Reed-Sternberg cells.

Other CD markers:

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Clinical Surgery Pearls

NK cell—CD 54

Leukocyte antigen—CD 45

Stem cells—CD 34

T cells—CD 3, 4, 5, 15 and 30

B cells—CD 19, 20, 21, 22

Rituximab is a Monoclonal antibody against CD 20.

Q 42. What is the stage of the disease in the given

case?

Stage III because of the infradiaphragmatic

involvement.

Q 43. What is early stage disease?

Stage IA and IIA

Nonbulky disease.

Q 44. What is bulky disease? (PG)

10 cm diameter mass or more

Mediastinal disease with transverse diameter

exceeding 1/3rd of the transverse thoracic

diameter is defined as bulky disease.

Q 45. What is the treatment of Hodgkin’s disease?

The treatment is classified as:

Radiotherapy—curative radiation therapy is

given to 3 major fields known as:

Mantle

Para-aortic

Pelvic (inverted Y fields)

The lungs, heart, larynx, kidneys, gonads and

iliac crest are protected by shields

The dose ofradiotherapy is approximately 40-45

grey delivered at the rate of 10 Gy/week

When used with chemotherapy the dose of

radiation is reduced.

Chemotherapy

Combined modality—Radiation and Chemotherapy

Q 46. What is the indication for radiotherapy?

Localized disease—I A and II A.

Q 47. What is the indication for chemotherapy?

Stages III and IV are generally treated with

combination chemotherapy.

Q 48. What is the management of B symptoms

of I and II?

Even if the disease seems to be localized, B symptoms

and unfavorable histology (mixed cellularity and

lymphocyte depletion), usually calls for the use

of chemotherapy with or without radiation. The

relapse rates are high after radiation therapy alone.

Q 49. What is Mantle radiation?

Irradiation of -

Cervical

Axillary

Mediastinal

Hilar lymph nodes.

Q 50. What is Subtotal Lymphoid Irradiation

(STLI)? (PG)

Irradiation of Mantle area and upper abdominal and

para-aortic and splenic bed nodes.

Q 51. What is Total Lymphoid Irradiation (TLI)?

 (PG)

Irradiation of the pelvic field in addition to STLI is

given.

Q 52. What is the indication for chemotherapy for

early stage Hodgkin’s disease? (PG)

Chemotherapy is given to eradicate subclinical

disease outside the radiotherapy ports.

The ABVDregimen is used because ofthe better

toxicity profile and effectiveness.

Q 53. What is combined modality therapy?

 (PG)

This is done to prevent relapse, where radiation is

combined with chemotherapy. The indications are:

Unfavorable disease (Stage III and IV)

Lymphoma

219

Unfavorable histology (mixed cellularity and

lymphocyte depletion type)

Extensive splenic involvement

Children who cannot tolerate full dose of

radiotherapy.

Q 54. What is the chemotherapeutic regime for

Hodgkin’s disease (HD)?

There are two regimes:

ABVD regime

MOPP regime.

Q 54. What is ABVD regime?

(6 – 8 cycles)

It is a widely used regimen for Hodgkin’s disease.

The drugs used are:

Adriamycin

Bleomycin

Vinblastin

Dacarbazine.

Q 56. Why ABVD is preferred over MOPP?

Better disease free survival and over all survival

Better toxicity profile.

Q 57. What is MOPP regime?

The drugs used in this regime for the treatment of

Hodgkin’s disease are:

Nitrogen mustard

Vincristine (Oncovin)

Procarbazine

Prednisolone.

Q 58. What is high dose chemotherapy? (PG)

Chemotherapeutic drugs are given in high doses

with stem celltransplant(Bone marrow transplant).

Q 59. What are the problems of chemotherapy?

Infertility

Second cancers—leukemia, solid tumors like

breast and thyroid

Cardiopulmonary complications.

Q 60. What is radioimmunotherapy? (PG)

Thisisusuallygivenforrelapseforwhich131I labeled

anti CD30 Monoclonal antibodies are used

Dendritic cell vaccines against EB virus

Antibodies against CD3, CD28, CD25 are also

available.

Q 61. What are the bad prognostic factors?

Bulky disease

Anemia

High ESR

Inflammatory signs

Inguinal node involvement

Tissue eosinophilia

High serum LDH

Pathological grade

Sex: Male

Age > 45

WBC > 15000/cumm

Serum albumin < 4 gm

Stage 4 disease

Lymphocyte count < 600/cumm

NON-HODGKIN’S LYMPHOMA

Q 62. What is the definition of NHL?

It is a heterogenous group of B and T cell

malignancies having diversity in — cellular origin,

morphology, cytogenetic abnormalities, response

to treatment and prognosis.

Q 63. What are the features of NHL?

These are neoplasms of the immune system usually

presenting as disseminated and extra-nodal disease

of the old age. The peculiarities are:

1. Multicentricity

2. Wide spreading

3. Showing malignant cell in the blood

4. Leukemic transformation may occur in 10–15%

of patients.

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Clinical Surgery Pearls

Q 64. What are the clinical features of NHL?

1. Asymptomatic

2. B symptoms

3. Enlarged lymph nodes

4. Abdominal mass

5. GI symptoms—pain, vomiting, bleeding

6. Loss of weight.

Q 65. What are the predisposing factors?

 (PG)

The following predisposing factors are attributed:

1. Immunosuppression

2. Autoimmune diseases

– Hashimoto’s disease

– Sjogren’s syndrome.

3. Infective agents

EB virus – African Burkitt’s

AIDS related

– Nasopharyngeal lymphoma

– Transplant lymphoma

Lymphoma after infectious mononucleosis

HTLV-I infection – (Human T cell Lymphotropic Virus)

HTLV -II – T cell lymphoma and Leukemia

– H. pylori – Gastric lymphoma

Hepatitis C virus – 8 and 6

– Human herpes virus

4. Prior chemotherapy

5. Prior radiotherapy.

Q 66. What are the congenital disorders having

increased incidence of NHL? (PG)

Ataxia telangiectasia

Wiskott-Aldrich syndrome

Celiac disease.

Q 67. What are the core nodal regions?

They are as follows:

Right cervical(includingcervical,supraclavicular,

occipital and preauricular lymph nodes)

Left cervical nodes

Right axillary

Left axillary

Right infraclavicular

Left infraclavicular

Mediastinal lymph nodes

Hilar lymph nodes

Para-aortic lymph nodes

Mesenteric lymph nodes

Right pelvic lymph nodes

Left pelvic lymph nodes

Right inguinofemoral lymph nodes

Left inguinofemoral lymph nodes.

Q 68. Can NHL involve any other nodes other than

the core nodal regions?

Yes. NHL may involve the following nodes in

addition:

Epitrochlear lymph nodes

Popliteal lymph nodes

Internal mammary lymph nodes

Occipital lymph nodes

Submental lymph nodes

Preauricular lymph nodes

Many other small nodal areas.

Q 69. What is the E designation for NHL?

For NHL the E designation should indicate the

presentation of lymphoma in extra nodal site

and the lack of E designation should indicate

lymphomas presenting in lymph nodes. For

example, lymphoma presenting in thyroid gland

with cervical lymph node involvement should be

staged as IIE. Lymphoma presenting only in cervical

node is Stage I.

Lymphoma

221

Q 70. What are the extra nodal sites?

Extra nodal sites

Paranasal sinuses

Thyroid

GI tract

Liver

Testicles

Skin

Bone marrow

Bone

CNS

Lung

Gonads

Kidneys

Uterus

Ocular adnexa.

Q 71. What are the classifications for NHL?

1. Rappaport

2. Working classification

Low grade: B cell lymphomas

In te rmedia te grade: B cell o r T cell

(lymphoblastic group)

– High grade.

3. REAL (Revised European - American Lymphoma)/

WHO classification

B cell — precursor B cell cancers

—peripheral B cell neoplasms – Burkitt’s

T cell and natural killer cells (NK)

Precursor T-cell neoplasm

Peripheral T-cell and NK cell neoplasm –

Mycosis fungoides

– Intestinal T-cell lymphoma.

4. Functional classification (for treatment

purposes).

Indolent—smaller cells, differentiated cells

Low grade, very difficult to cure

– Progress to more aggressive type

Aggressive—larger cells, less differentiated

— Better chance for cure

Highly aggressive.

Q 72. Since low grade lymphomas can progress

to aggressive type, what are the criterion for

suspecting a disease transformation? (PG)

1. Increased LDH

2. Rapid enlargement of the nodes

3. Constitutional symptoms

4. Extra nodal disease.

Q 73. What is Burkitt’s lymphoma?

It is a B-cell tumor.

Q 74. What is Mycosis fungoides?

It has a T cell and NK cell origin and will manifest

as skin lesion. Skin is followed by lungs and lymph

node involvement (Cezary syndrome—circulating

T and NK cells).

Q 75. What is the staging of NHL?

The Ann-Arbor classification is used for staging (see

Hodgkin’s disease).

Q 76. What is stage IV disease?

By convention, any involvement of the following

calls for classification as stage IV disease.

Stage IV disease

Bone marrow

Liver

Pleura

CSF.

Q 77. What are the investigations required for

diagnostic evaluation of NHL?

Read the chart for Hodgkin’s lymphoma.

Q 78. What is the treatment of NHL?

Chemotherapy is the primary modality of treatment

in NHL, because NHL spreads widely and there is

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Clinical Surgery Pearls

early hematogenous spread. For localized disease

radiotherapy may be useful.

Indolent lymphoma—treatment

a. Localized—Radiotherapy

Disseminated—rarely curative

b. Palliation—watch and wait until they progress

to more aggressive type.

The quality of life is better here.

Aggressive

– Stage I and II—Radiation alone

Stage III and IV—CHOP regimen

– High dose chemotherapy—with autologous

marrow transplantation.

Q 79. What is the chemotherapeutic regime for

NHL?

NHL is generally treated with CHOP regimen, which

is combination chemotherapy of the following

drugs.

Cyclophosphamide

Adriamycin (is designated H – Hydroxydaunorubicin or Doxorubicin)

Oncovin

Prednisolone.

Q 80. What is CD - 20? (PG)

It is a cell surface protein involved in the

development and differentiation of natural B cells.

Q 81. What is Rituximab? (PG)

It is a monoclonal antibody that binds to the B cell

surface antigen CD-20.The dose is 375 mg/m2

 slow

IV infusion once weekly for 4 doses.

Q 82. What is the chemotherapeutic agent for CNS

lymphoma? (PG)

The CHOP therapy has poor penetration to the

blood brain barrier (BBB) and therefore it is

ineffective. It can be treated with whole brain

irradiation. Methotrexate is effective and it may

be given systemically or intrathecally.

Q 83. What is international prognostic index (IPI)

for NHL?

Five pretreatment characteristics were found to

be independent statistically significant factors for

prognosis.

International Prognostic Index

Age > 60 years

Ann-Arbor stage III or IV

Increased LDH

Reduced performance status (ECOG > 2)

Extra nodal site-one or more.

Q 84. What are the extra nodal sites which are

more aggressive?

1. GIT

2. Nasopharynx

3. Testis.

Q 85. What are the lymphomas having predilection

for CNS metastasis? (PG)

Testis

Paranasal sinuses

AIDS related.

Note: Prophylactic intrathecalmethotrexate is given

in such situations.

Q 86. What is the role of surgery in NHL?

1. For establishing the diagnosis

2. For resection of extra nodal GI lesions.

Q 87. What is the treatment of NHL of stomach

and small bowel?

It is controversial, whether to treat it with

chemotherapy or surgery. Resection is recommended because of the following reasons:

Lymphoma

223

Risk of perforation

Risk of fatal bleeding (with chemotherapy)

Stage 1 and 2 non bulky—H. pylori eradication

– if it disappears surveillance for three years.

Stage 1 and 2 bulky—Chemotherapy and

surveillance for three years.

Stage 3 and 4—Chemotherapy

Q 88. What is paraneoplastic syndrome? (PG)

Many tumors develop the ability to elaborate

hormones or cytokines that can have deleterious

consequences for the host. The effects may be

affecting a single organ system or systemic. The

common cancer sequelae like hypercoagulation,

cachexia, fever and anemia of chronic disease are

due to this syndrome.

16 Renal Swelling

Case

Case Capsule

A 55-year-old male patient presents with fever,

hematuria, flank pain and mass abdomen of 8

months duration. He also complains of loss of

weight. He noticed recently that his left side of the

scrotum and testes are hanging too low than what

it used to be. He is found to be hypertensive recently.

On examination his blood pressure is 166/110

mm of Hg. He is febrile and there is pitting edema of

both lower limbs. On examination of the abdomen,

distended subcutaneous veins are seen in the

anterior abdominal wall. The shape of the abdomen

is normal and it moves with respiration. On palpation

there is no local rise of temperature and tenderness.

There is a mass in the left lumbar region of about

15 × 12 cm size which moves with respiration (Fig.

16.1). The mass is firm in consistency and the surface

is smooth. All the borders of the mass are welldelineated. One can get above the swelling. The mass

is ballotable and bimanually palpable. Percussion

over the mass revealed that it is resonant. There is

no mass lesion on the right side. The supraclavicular

lymph nodes are not enlarged. Examination of

the genitalia revealed left sided varicocele. On

examination of the spine, there is no scoliosis. The

left renal angle is full and it is dull to percussion.

There is no bruit at the lumbar area adjacent to the

lumbar spine. Examination of the chest is normal.

There is no evidence of bony metastasis. (The mass

is intra-abdominal and retroperitoneal).

Fig. 16.1: Left lumbar mass

Renal Swelling

225

Read the checklist for abdomen.

Checklist for examination of suspected

renal swelling

1. Always check the blood pressure reading—

hypertension can be a cause or consequence of

renal disease (renal artery stenosis)—patient may

present with headache

2. Remember the triad of renal cell carcinoma—flank

pain, hematuria, and flank mass

3. Examine the genitalia for varicocele—tumor

thrombus in the renal vein

4. Examine for lower limb edema—tumor thrombus

in the inferior vena cava

5. Gross distension of the abdominal veins as a result

of venacaval obstruction Examine the contralateral

flank for bilateral renal swellings

6. Examine the renal angle—for fullness, tenderness

and dullness

7. Look for scoliosis—inflammatory conditions will

produce scoliosis with concavity towards the side

of the lesion

8. Auscultation for a bruit at the lumbar areas

adjacent to the lumbar spine at the level of L2

(renal artery stenosis)

9. Always examine the chest for pulmonary

metastasis

10. Always examine the bones for pain and

pathological fractures.

Q 1. What are the physical signs of an enlarged

kidney?

Physical signs of an enlarged kidney

1. It moves with respiration

2. It is resonant on percussion (because it is covered

by colon in front)

3. Fingers can be insinuated between the mass and

costal margin

4. Bimanual palpable

5. Ballotable.

Q 2. Why the kidney is moving up and down with

respiration?

Upper posterior aspect of the kidney is related to

the diaphragm (diaphragmatic area) and therefore

it will move up and down with respiration.

Q 3. What is Ballottement?

This sign is useful for the diagnosis of the following

conditions.

a. This is a sign used for the confirmation of

pregnancy of more than 3 months standing

b. For ballottement of kidneys

c. It is also used for mobile intraperitoneal fluid

filled swellings like ovarian cyst

d. Ballottement of swellings rising out of the pelvis

where one hand is laid over the hypogastrium

and the other inserted to vagina or rectum.

Q 4. What is renal ballottement?

The patient is supine and one hand of the examiner

is laid flat upon the abdomen, so that the greater

part of the flexor surfaces of the fingers overlies the

swelling. This hand is called the watching hand.

The slightly flexed fingers of the other hand are

insinuated behind the loin so that they contact

the area lateral to the sacrospinalis muscle. This

hand is the displacing hand. Short, quick, forward

thrusts are made by the displacing hand (posterior).

If these movements impart a bouncing sensation

to the anteriorly placed watching hands, the sign

is positive.

Q 5. What is the significance of a bimanually

palpable swelling?

It is a palpation done by both hands, right

hand placed anteriorly and the left hand placed

posteriorly. All the big abdominal masses in the loin

are bimanually palpable. Therefore, it is important to

decide with which hand the mass is better felt. If it

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Clinical Surgery Pearls

is better felt with the anterior hand, it is likely to be

arising from colon or one of the viscera. If it is better

felt with the posterior hand, it is likely to be kidney.

Q 6. What is the significance of scoliosis of lumbar

spine in a renal mass?

Scoliosis of lumbar spine with concavity towards

the affected side is a constant sign in inflammatory

conditions of the kidney like perinephric abscess.

Bending the trunk away from the side of lesion is

likely to cause more pain in such conditions.

Q 7. What is renal angle? What is the significance

of examination of renal angle?

It is the angle formed by the lateral border of the

sacrospinalis muscle and the last rib. The renal

angle is normally resonant to percussion because

of the colonic flexure in front of the kidneys. The

renal angle is dull, when there is enlargement of

the kidney.

The renal angle is checked for:

Fullness—when there is mass lesion/enlargement.

Tenderness—in inflammatory pathology.

Dullness—when there is mass lesion/enlargement.

Q 8. What is Murphy’s kidney punch? (The renal

angle test)

The patient sits up and folds his arms in front of

him. The thumb is then placed under the 12th rib

to the lateral side of the sacrospinalis muscle. Sharp

and jabbing movements are made with the thumb.

Initially the movements are very gentle and if the

patient is not experiencing pain, the strength is

increased. This test is useful for demonstration of

deep-seated tenderness.

Q 9. What is renal pain?

It is a persistent fixed ache situated mainly in the

costovertebral angle. If there is significant renal

enlargement, stretching of the peritoneum may

localize the pain more anteriorly to the upper and

outer quadrants of the abdomen. The pain is not

strictly lumbar.

Q 10. What is the triad of renal cell carcinoma (RCC)?

Triad of renal cell carcinoma

Hematuria—40%

Flank pain—30%

Palpable flank mass—20%

Note: Only 10% of patients have all these symptoms.

Q 11. What is the most probable diagnosis in this

case?

The first diagnosis will be a renal tumor.

Q 12. What are the differential diagnoses?

Clinically carcinoma of the descending colon can

have a clinical presentation like this.

The points against colon are:

Ballottementis positive thatisin favor of kidney

Renal angle is obliterated and dull

There are no bowel symptoms

In colon, the swelling will be better felt with

the anterior hand in bimanual palpation and

ballottement will be negative.

The other differential diagnoses of a renal mass are:

Differential diagnoses of renal mass other than colon

1. Hydronephrosis

2. Adult polycystic kidney disease

3. Tuberculosis

4. Adrenal tumors

5. Retroperitoneal tumors

6. Angiomyolipoma

7. Benign renal tumors

8. Xanthogranulomatous pyelonephrosis

9. Solitary cyst of the kidney

10. Abscess (Perinephric).

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227

Q 13. What is the definition of hydronephrosis?

Aseptic dilatation of pelvicalyceal system because

of partial or intermittent obstruction.

Q 14. What are the causes for unilateral

hydronephrosis?

Causes for unilateral hydronephrosis

1. Pelviureteric obstruction—

a. Congenital pelvi-ureteric junction stenosis

b. Stones in the renal pelvis

c. Tumors in the renal pelvis

d. Pressure from aberrant arteries

2. Ureteric obstruction

a. Stones

b. Tumor infiltration of the ureter—carcinoma

colon, rectum, cervix and prostate

c. Tumors of the ureter

d. Bladder tumors

e. Ureterocele.

Q 15. What are the causes for bilateral hydronephrosis?

Causes for bilateral hydronephrosis

Prostatic enlargement—benign or malignant

Urethral strictures and valves

Carcinoma of the bladder

Retroperitoneal fibrosis

Phimosis

Q 16. What is the most common tumor in this

age group?

Renal cell carcinoma (RCC) is the correct terminology.

The older names are:

Grawitz’s tumor

Hypernephroma

Adenocarcinoma

Clear cell tumor

The most common of the neoplasm of the kidney is RCC.

Q 17. Why is it called hypernephroma?

Hypernephroma means above the kidney. Grawitz

initially thought that they arose from adrenal rests

within the kidneys. Later on, Lubarsch stated that

these tumors are definitely adrenal in origin leading

to the term hypernephroma.

The tumors usually occupy the poles most

commonly the upper pole. The tumors of the hilum

are less common.

Q 18. Why is it called the ‘golden tumor’ and what

is the cut section appearance?

The tumor is yellowish because of the abundance of

lipids including cholesterol. It is also rich in glycogen

and exhibits areas of necrosis and hemorrhage.

Cut section appearance:

The tumors are irregular in shape with central

hemorrhage and necrosis. It is semitransparent.

The tumor is often divided into lobules by fibrous

septa, some of which are cystic.

Q 19. What is the histology of RCC?

Histologically it is an adenocarcinoma containing

clear, granular and spindle cells in varying

proportions.

Q 20. What are the pathological types of RCC?

Clear cell

Granular cell

Spindle cell

Sarcomatoid

Papillary

Chromophilic.

Q 21. What are the methods of spread of RCC?

1. Local

2. Lymphatic spread—lymph nodes of hilum and

later on to the para-aortic nodes.

3. Tumor thrombus into the veins—renal vein,

inferior vena cava and then up to the right heart—

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Clinical Surgery Pearls

pieces of growth may end up in the lungs where

they grow to form cannon ball secondary deposits.

4. Metastases to bone—they are highly vascular

and may pulsate (pulsatile bony metastasis DD

follicular carcinoma thyroid metastasis).

Q 22. What is the cause for hypertension in renal

tumors?

The renal cell carcinoma produces renin and thus

causes hypertension.

Q 23. What is the cause for erythrocytosis in renal

cell carcinoma (RCC)?

About 60% of the tumors will produce raised level

of erythropoietin. This will result in erythrocytosis

(not polycythemia).

Q 24. What is paraneoplastic syndrome?

Nonendocrine tumor producing ectopic hormone

inappropriate for the tissue of origin.

Q 25. What are the paraneoplastic syndromes

produced by renal cell carcinoma (RCC)? (PG)

1. Hypertension

2. Parathyroid hormone like substances—Hypercalcemia

3. Adrenocorticotropic hormone—Cushing

4. Human chorionotropic hormone

5. Kinin substances—fever (renal tumors may present as

pyrexia of unknown origin). Persistence of fever after

nephrectomy suggests the presence of metastasis

6. Thrombocytosis

7. Anemia

 8. Erythrocytosis

 9. Coagulopathy

10. Vasculopathy

11. Amyloidosis

12. Nephrotic syndrome

13. Stauffer’s syndrome (Hepatopathy)

14. Polymyalgia rheumatica

15. Cachexia

16. Skin rash.

Q 26. What is Stauffer’s syndrome? (PG)

It is a nonmetastatic liver dysfunction seen in cases

of hypernephroma.

Q 27. What is the importance of genitalia

examination in cases of renal tumors?

Renal carcinoma has a predilection for producing

occlusive thrombi in the renal vein and the inferior

vena cava. When the left renal vein is occluded it will

produce acute varicocele on the left side.

Q 28. Why varicocele is seen only on left side in

case of renal tumors?

The left renal vein is the vein of three paired organs

namely—the kidneys, the adrenal and the testis.

The right testicular vein joins the inferior vena cava

directly instead of the renal vein. On the left side

the left testicular vein joins the renal vein at right

angles. When there is tumor thrombus in the left

renal vein, the resultant pressure is transmitted to

the left testicular vein resulting in varicocele.

Q 29. What is the cause for lower limb edema in

renal tumors?

As mentioned earlier tumor thrombus will occlude

the inferior vena cava and manifest as lower limb

edema.

Q 30. What are the ectopic hormones produced

by RCC? (PG)

1. Parathyroid hormone like substances

2. Adrenocorticotropic hormone

3. Human chorionotropic hormone

4. Kinin substances.

Q 31. What are the causes for hematuria?

Causes for hematuria

Site Cause

Urethra Trauma

Contd...

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229

 Urethritis

 Stricture

 Stone

 Carcinoma of the urothelium

Prostate Benign prostatic hyperplasia (BPH

Carcinoma of the prostate

 Prostatitis

Bladder Cystitis

 Carcinoma

 Stone

 Trauma

 Schistosomiasis

Ureteric Stone

 Carcinoma of the urothelium

Renal Carcinoma of the kidney

 Stone

 Polycystic kidney

 Tuberculosis

 Carcinoma of the renal pelvis

 Trauma

 Glomerulonephritis

Note: Frank hematuria indicates a urological

malignancy until proven otherwise.

Q 32. What is clot colic?

When the patient is having hematuria, the clot will

obstruct the ureter and will present with clinical

features of ureteric colic.

Q 33. What are the investigations for this patient?

Investigations can be classified as:

Investigations for diagnosis

General investigations

Staging investigations.

General Investigations

1. Urine analysis—may reveal hematuria

2. ESR – may be increased but nonspecific

3. Hematocrit—elevated in RCC

4. Hb—anemia is present in RCC—with or without

hematuria (anemia unrelated to blood loss occur

in 20-40% of patients

5. Serum calcium—elevated in RCC

6. Alkaline phosphatase—increased.

Investigations for Diagnosis and Staging

1. X-ray chest—reveal ‘cannon balls’—it is the

metastatic lesions in the lungs from RCC.

2. Plain X-ray abdomen—Reveal calcified renal

mass and distortion of renal outline—only

20% contain demonstrable calcification (20%

of the masses with peripheral calcification are

malignant and 80% with central calcification

are malignant).

3. IVU—(initial technique for workup of

hematuria) the calyces may be stretched and

distorted. The typical ‘spider leg’ deformity

occupying the upper or lower pole (splaying of

calyceal system) is seen. It is important to know

the function of the contralateral kidney.

4. Ultrasonography—Can define solid and cystic

lesions. The ultrasound will reveal solid mass

within the renal parenchyma in RCC. It can also

identify venacaval tumor thrombus.

5. CT scan and CT urography (contrast enhanced)—

it is the diagnostic procedure of choice when

a solid renal mass is identified in ultrasound

(delineates RCC in 95% of cases) RCC will show

heterogeneous enhancing lesion (in 80%).

In addition to diagnosis, CT is also useful for:

Local staging

Involvement of perinephric fat

Hilar lymph nodes

Tumor thrombus in renal vein and IVC.

Contd...

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Clinical Surgery Pearls

6. MRI — It is the investigation of choice for renal

vein and venacaval thrombi. MR angiography

is useful for mapping the blood supply of the

tumor and the relationship of the tumor to

adjacent structures.

7. Isotope bone scanning—It is indicated in patients

with bone pain, elevated alkaline phosphatase

and known metastasis cases.

8. Renal angiography—It is not done nowadays

after the CT became available. The practice of

preoperative embolization has also waned.

Q 34. What are the risk factors for RCC? (PG)

Cigarette smoking

Coffee drinking

Cadmium exposure

Von Hippel-Lindau disease (Cerebellar hemangioblastoma, retinal angiomatosis, bilateral renal cell

carcinoma)

Adult polycystic kidney disease

Acquiredrenalcysticdiseaseinendstagerenaldisease.

Q 35. What is the tumor suppressor gene in Von

Hippel-Lindau renal cancer? (PG)

Suppressor gene on 3p

Q 36. What is Robson’s staging?

Stage 1 Tumor confined within the renal

parenchyma

Stage 2 Extracapsular extensions into the

perinephric fat or the adrenal but within

Gerota’s fascia

Stage 3 Spread to the regional nodes and

lymphatics within the Gerota’s layer and

or tumor thrombus invasion of the wall of

the renal vein or IVC

Stage 4 Adjoining organ invasion—colon,

posterior muscle wall or distant metastasis.

Q 37. What is the TNM Staging as per AJCC 7th

edition? (PG)

Primary Tumor (T)

TX Primary tumor cannot be assessed

T0 No evidence of primary tumor

T1 Tumor 7 cm or less in greatest dimension,

limited to the kidney

T1a Tumor 4 cm or less in greatest dimension,

limited to the kidney

T1b Tumor more than 4 cm but not more than

7 cm in greatest dimension limited to the

kidney

T2 Tumor more than 7 cm in greatest dimension,

limited to the kidney

T2a Tumor more than 7 cm but less than or equal

to 10cm in greatest dimension, limited to the

kidney

T2b Tumor more than 10 cm, limited to the kidney

T3 Tumor extends into major veins or perinephric

tissues but not into the ipsilateral adrenal

glands and not beyond Gerota’s fascia

T3a Tumor grossly extends into the renal vein or

its segmental (muscle containing) branches,

or tumor invades perirenal and/or renal sinus

fat but not beyond Gerota’s fascia

T3b Tumor grossly extends into the vena cava

below the diaphragm

T3c Tumor grossly extends into the vena cava

above the diaphragm or invades the wall of

the vena cava

T4 Tumor invades beyond Gerota’s fascia

(including contiguous extension into the

ipsilateral adrenal gland).

Regional Lymph Node (N)

NX Regional lymph nodes cannot be assessed

N0 No regional lymph node metastasis

N1 Metastasis in regional lymph node (s)

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231

Distant Metastasis (M)

M0 No distant metastasis

M1 Distant metastasis

Anatomic stage/prognostic groups

Renal cell carcinoma

Stage T N M

I T1 N0 M0

II T2 N0 M0

III T1 or T2 N1 M0

T3 N0 or N1 M0

IV T4 Any N M0

Any T Any N M1

Q 38. This patient is having stage II RCC. What is

the management?

Stage I, II and IIIA are best treated by radical

nephrectomy.

Q 39. What is radical nephrectomy?

This is an en-block removal of the following

structures.

Kidney

Surrounding Gerota’s fascia (including the

ipsilateral adrenal)

Renal hilar lymph nodes

Proximal half of the ureter.

Q 40. What are the approaches for nephrectomy?

 (PG)

The kidney may be approached by the following

routes:

1. Loin incisions (Retroperitoneal)

– Transcostal starts from the angle of 12th rib

and goes for 8–15 cm beyond the tip of the

12th rib

– Subcostal – from the renal angle downwards

and forwards between the12th rib and iliac

crest and stops 4–5 cm above the anterior

superior iliac spine

– Supracostal – between the 11th and 12th rib

– Lumbotomy – the incision starts from

the upper border of the 12th rib vertically

downwards along the lateral border of the

erector spinae and then forwards to the iliac

crest for 10 cm

– Nagamatsu is used for better renal artery

control—this incision starts at the angle of

11th rib down to the 12th rib angle and then

along the 12th rib to the umbilicus. This is an

extrapleural retroperitoneal approach.

2. Abdominal (Transperitoneal) — this approach

has as the advantage that the renal pedicle and

inferior vena cava can be widely exposed.

– Midline

– Paramedian

– Transverse abdominal (for bilateral renal

tumors).

3. Thoracoabdominal

For lesions of the upper pole, and lesions

invading the inferior vena cava.

Q 41. What are the precautions to be taken in

radical nephrectomy? (PG)

The vascular pedicle should ligated before the

kidney is mobilized (malignant cells will be

released into the circulation)

Initially the renal artery is ligated in continuity

(massive bleeding during mobilization is less

likely)

Palpate the renal vein gently to rule out tumor

thrombus (renal vein extension may embolize to

the pulmonary circulation during nephrectomy).

If it is empty, it is divided between ligatures

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Clinical Surgery Pearls

The renal artery is then divided and the kidney

mobilized

Theureteristhentraceddownwards anddivided

and ligated at appropriate level.

Q 42. If the renal vein or inferior vena cava is

invaded what is the procedure? (PG)

The surgeon must obtain control of the cava

above and below

Cardiac bypass may be required, if there is

extension into the thorax (Get the cardiac team)

and the tumor thrombus may be removed from

the right side of the heart.

Q 43. Is there any role for partial nephrectomy

(nephrone sparing surgery)?

Yes. Partial nephrectomy is recommended in the

following situations:

Patients with tumors in solitary kidney

Those with diabetes mellitus

Patients with renal insufficiency

Tumors under 4 cm size (Even with normal

opposite kidney)

(In patients with negative surgical margins the

prognosis will be the same as that of the radical

nephrectomy).

Q 44. What is the role of laparoscopic nephrectomy?

It is becoming the gold standard in institutions with

appropriate expertise. Laparoscopic radical or partial

nephrectomy has been advocated as a method equal

to the open approach with the following advantages:

Less blood loss

Shorter hospitalization

Less pain

Earlier return to normal activity.

Q 45. What is the treatment for a patient with

solitary pulmonary metastasis? (PG)

Joint surgical removal of both the primary lesion

and metastatic lesion is recommended.

Q 46. Is there any role for preoperative arterial

embolization? (PG)

This will not improve survival rate. It is recommended

as a single treatment in symptomatic patients with

nonresectable primary lesions.

Q 47. What is the role of radiotherapy?

It is useful only for the treatment of symptomatic

bone metastases.

Q 48. What are the chemotherapeutic agents used

in RCC? (PG)

Vinblastine

Medroxy progesterone—for metastatic RCC.

Q 49. What is the role of immunotherapy? (PG)

Interferon alpha—15 – 20% response rate

IL-2 (interleukin)

Combination of interferon alpha and IL-2.

Q 50. What is the prognosis of RCC? (PG)

Removal of even the largest neoplasm may cure

the patient. In operable cases, 70% are well after 3

years and 60% after 5 years.

Q 51. What are the bad prognostic factors? (PG)

Tumor invasion beyond the capsule

Macroscopic involvement of renal vein and IVC

Lymph node involvement.

Q 52. What is congenital polycystic kidney disease?

It is a hereditary condition transmitted by autosomal

dominant trait affecting both kidneys (one kidney

may contain larger cysts than the contralateral).

The disease manifests in 2nd or 3rd decade of life

and usually does not manifest before the age of 30

years. The etiology is uncertain. In 18% of cases,

there is associated congenital cystic liver disease.

The pancreas and lungs are occasionally affected.

The disease is more common in women. The most

important theory is failure of fusion between the

secretory part and collecting system during the

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233

development (the secretory part is developed from

the meta-nephrogenic tissue cap, and collecting

part from the ureteric bud).

Q 53. What is the genetic abnormality in polycystic

kidney disease? (PG)

There are two types:

1. Autosomal recessive polycystic kidney disease

(ARPKD)—Previously called infantile. In this

condition small cysts arise from collecting ducts

resulting in bilateral symmetrical enlargement.

Occurs in 1/14000 births and may be detected in

utero. Infants usually die of respiratory failure.

2. Autosomal dominant polycystic kidney disease

(ADPKD)—The gene located on chromosome 16p.

Another gene responsible is PKD 2gene located in

chromosome 4q 21-23. ADPKD occurs in 1/1000

individuals.

Q 54. What is the median age for end stage renal

disease?

In PKD1—54 years

In PKD2—74 years

Q 55. What are the manifestations of polycystic

disease?

Manifestations of polycystic disease of kidney

Uppe r abdominal mass (bilateral knobby

enlargement)

Hypertension—present in 75% of patients above

20 years

Loin pain—becuase of the weight of the organ or

stretching of the capsule

Uremia—large volumes of urine of low specific

gravity (10:10 or less)—chronic renal failure

(headache, drowsiness, vomiting and anorexia)

Infection—pyelonephritis

Hematuria—rupture of cyst into the renal pelvis.

Q 56. What is the gross appearance of polycystic

disease?

The gross appearance is that of a collection of

bubbles beneath the renal capsule. The renal

parenchyma is riddled with cysts of varying sizes

containing clear fluid, thick brown material or blood.

Q 57. What are the investigations for polycystic

disease of the kidney?

IVU—Enlarged kidneys with marked elongation

of the calyces which are compressed by the cysts.

The spider leg deformity or bell-like appearance

Ultrasound multiple cystsin both kidneys,some

times in liver and other organs

CT.

Q 58. What are the treatment options for polycystic

disease of the kidney?

Medical—Low protein diet, treatment of

infection, anemia and renal failure

Dialysis

Renal transplantation is the ideal treatment

Rovsing’soperation—(deroofingthecysts)—This

is a palliative procedure for relieving the pressure

on the parenchyma, and for reducing the pain.

The open operation is not done nowaday. If

required, it can be done laparoscopically.

Q 59. What is Dietl’s crisis?

This is seen in intermittent hydronephrosis. After

an attack of acute renal pain, swelling appears in

the loin. After a few hours following the passage

of a large volume of urine, the pain is relieved and

the swelling disappears. This is called Dietl’s crisis.

Causes for disappearing mass:

1. Dietl’s crisis

2. Intussusception

3. Choledochal cyst

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Clinical Surgery Pearls

4. Communicating pseudocyst

5. Worm mass

6. Fecal impaction.

Q 60. What are the clinical features of

hydronephrosis due to idiopathic pelviureteric

junction obstruction?

Renal colic

Renal mass

Intermittent hydronephrosis.

Q 61. What is the IVU finding in hydronephrosis?

The minor calyces lose their normal cupping

They become flattened

Finally the classical clubbing is seen

In very advanced cases the thin rim of poorly

functioning renal parenchyma may give a faint

nephrogram around the dilated calyces—the

soap bubble appearance.

Q 62. What is the most helpful test to establish the

dilatation because of obstruction?

Isotope renography using DTPA (Diethylene

Triamine Penta Acetic acid) 99Tc – DTPA is used for

this investigation.

Q 63. What is the principle behind 99Tc - DTPA?

The DTPA is injected intravenously, which is filtered

by the glomeruli and not absorbed. When the DTPA

is labeled with 99Tc it will emit gamma rays. The

passage of this technetium labeled DTPA through

the kidneys can be tracked using a gamma camera.

When the ureter is obstructed, the marker is trapped

in the renal pelvis and will not be washed out, even

if the flow of urine is increased by administering

frusemide.

Q 64. What is Whitaker test?

A percutaneous puncture of the kidney is made

through the loin and fluid is infused at a constant

rate with monitoring of intrapelvic pressure. An

abnormal rise in pressure confirms obstruction. This

test is done occasionally.

Q 65. What is RGP (Retrograde pyelogram)?

After cystoscopy, the affected ureter is cannulated

and dye is injected, which will reveal the anatomy

of obstruction. This is done when the kidneys are

not functioning in IVU in order to get an idea about

the site of obstruction before surgery.

Q 66. What are the indications for surgery in

idiopathic pelviureteric junction obstruction

(PUJ)?

Increasing hydronephrosis

Bouts of renal pain

Parenchymal damage

Infection.

Q 67. What are the operations available for PUJ?

The operations are classified into dismembered

Pyeloplasty and nondismembered pyeloplasty.

The example of nondismembered is Foley’s VY

– Pyeloplasty.

Anderson-Hynes is dismembered pyeloplasty, is

the most commonly performed operation (it can be

done laparoscopically or by open method).

Endoscopic pyelolysis—The disruption of the

pelviureteric junction is done by specially designed

balloon passed up the ureter under radiographic

control.

Q 68. What is the indication for nephrectomy in

hydronephrosis?

Conservation of renal parenchyma is the aim.

Nephrectomy is considered only when the renal

parenchyma has been largely destroyed. If renal

function is adequate (> 10% of total renal function

surgical repair of the stenosis is done.

17 Pseudocyst of Pancreas

Case

Case Capsule

A 45-year-old male patient presents with history of

upper abdominal pain, epigastric fullness, nausea

and occasional vomiting of 6 weeks duration. He

is a chronic alcoholic and gives history of hospital

admission for acute abdominal pain two months

back. For the last one week he gives history of

severe pain over the epigastric region with mild

fever and rigors. There is no history of trauma.

On general examination, there is mild icterus

and pallor. On abdominal examination the upper

abdomen shows fullness. The abdomen moves

with respiration and the umbilicus is normal. There

are no dilated veins seen in the abdominal wall. On

palpation of the abdomen there is a firm, tender

mass of 20 × 16 cm size (20 cm horizontal and 16

cm vertical) in the epigastrium extending to both

hypochondriums. The lower border of the swelling

is indistinct. The upper limit is not palpable. On

both sides the mass goes beneath the costal margin.

It does not move with respiration and there is

no intrinsic mobility. The surface of the swelling

is smooth. The mass is resonant to percussion.

The plane of the swelling is intra-abdominal and

retroperitoneal. The rest of the abdomen is normal.

There is no free fluid demonstrated and normal

bowel sounds are heard. Digital rectal examination

revealed no abnormality. The hernial orifices and

genitalia are normal. The left supraclavicular nodes

are not enlarged. The renal angles are normal.

Read the checklist for abdominal examination

Checklist for history in the case of

pseudocyst examination

Historyof acute abdominalpainsuggestiveof acute

pancreatitis

History of trauma

History of chronic abdominal pain

History of alcoholism

History of jaundice—because of pressure from

pseudocyst.

Q 1. What are the physical features of pseudocyst

of pancreas?

Physical features of pseudocyst of pancreas

1. Epigastric mass with indistinct lower edge

2. The upper limit may or may not be palpable

3. It is resonant to percussion (because of the

overlying stomach)

4. There is no movement with respiration (minimal

movement may be there)

5. The mass will be firm or soft but it is not possible to

elicit fluctuation or fluid thrill

6. The mass may be tender.

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Clinical Surgery Pearls

Q 2. What is pseudocyst?

This is a collection of pancreatic juice enclosed in

a wall of fibrous or granulation tissue that arises

following an attack of acute pancreatitis (old

definition is collection of fluid in the lesser sac).

Q 3. Why it is called pseudocyst?

It denotes absence of an epithelial lining. The true

cyst is lined by epithelium.

Q 4. What is the time gap between the attack of

acute pancreatitis and pseudocyst?

Usually it is four weeks.

Q 5. What are the types of pseudocyst?

The pseudocysts may be:

Acute pseudocyst or Chronic pseudocyst.

Another classification is

Postnecrotic: Following an attack of necrotizing

pancreatitis (Confined to the lesser sac or into

the retroperitoneal space or to the mesentery

of small or large bowel)

Peripancreatic: Associated with chronic

pancreatitis

Intrapancreatic cyst: In advanced chronic

pancreatitis(majority intheheadofthepancreas).

Q 6. What is acute pseudocyst?

It is a fluid collection arising in association with an

episode of acute pancreatitis of > 4 weeks duration

and surrounded by well-defined wall of granulation

or fibrous tissue.

Q 7. What constitutes the fibrous tissue in the

wall of the cyst?

It is constituted by the inflammatory fibrosis of the

following:

Peritoneum

Mesentery

Serous membrane.

Q 8. What are the locations of the pseudocyst?

Lesser sac

Neck

Mediastinum

Pelvis

Q 9. What is the incidence of acute pseudocyst?

It develops in about 2% of cases of acute pancreatitis.

Q 10. Can you get multiple pseudocysts?

Yes. The cysts are single in 85% cases and multiple

in the remainder.

Q 11. What is chronic pseudocyst?

Chronic pseudocyst is a collection with a welldefined wall that arises in a patient with chronic

pancreatitis, without antecedent episode of acute

pancreatitis. It may also occur in trauma victims

(after a blow) and alcoholics. The mechanism

consists of ductal obstruction and formation of a

retention cyst that loses its epithelial lining as it

goes beyond the confines of the gland. It may also

occur sometimes as iatrogenic after splenectomy.

Q 12. What is pancreatic abscess?

It is a circumscribed peripancreatic collection of pus

occurring late (more than 4 weeks) after the onset

of acute pancreatitis. Infected collections identified

earlier are classified as either infected acute fluid

collection or infected pancreatic necrosis.

Q 13. What is the difference between pseudocyst

and acute fluid collection?

The acute fluid collection occurs early in the course

of acute pancreatitis (less than 4 weeks) and is

lacking a wall of fibrous or granulation tissue and is

located in or near the pancreas (in pseudocyst there

is a wall of fibrous or granulation tissue).

Q 14. What is the nature of fluid in acute pseudocyst?

It is a collection enzyme rich pancreatic juice and

may contain small amounts of necrotic debris.

Pseudocyst of Pancreas

237

Q 15. What are the investigations for the diagnosis

of pseudocyst?

Serum amylase—elevated (ifthe serum amylase

remains elevated for 3 weeks, about half will

have pseudocyst).

Leukocytosis—(about 50% of patients).

Bilirubin—elevated (suggestive of biliary

obstruction).

CT scan is the diagnostic study of choice (the

size, shape of the cyst and its relationship to

other viscera can be seen).

Acute cysts are irregular in shape, chronic cysts

are circular.

An enlarged pancreatic duc t may be

demonstrated in chronic pancreatitis.

A dilated CBD would suggest biliary obstruction

either from the cyst or as a result of pancreatitis.

Ultrasound—to follow changes in size of acute

pseudocyst and to study the gallbladder

ERCP—not done routinely (If CT shows ductal

abnormalities and if LFT is abnormal)

Upper GI series—to look for site of gastric or

duodenal obstruction. The cyst will push the

stomach wall anteriorly (the retrogastric space

will be increased).

Q 16. What is the role of ERCP in pseudocyst?

The ERCP will reveal the communication of the

cyst to the pancreatic duct. Based on this, the

pseudocysts are classified as—

Communicating—communicating to the

pancreatic duct

Noncommunicating.

Q 18. What are the differential diagnoses in

pseudocyst?

Differential diagnoses of pseudocyst of pancreas:

Pancreatic abscess

Pancreatic carcinoma (if gallbladderis palpable)

Neoplastic cyst—cystadenoma or cystadenocarcinoma (about 5% of all cases of cystic

pancreatic masses)

Other epigastric masses.

Q 18. What are the complications of pseudocyst?

The complications are—

1. Pancreatic pseudocyst hemorrhage—resulting

from autodigestion of the pancreas leading

to erosion of splenic, gastroduodenal, or

pancreaticoduodenal artery. This will result in

false aneurysm of the artery in the cyst wall.

The clinical presentations of hemorrhage in

the cyst are:

Increasing epigastric pain

Increase in the size of abdominal mass

Shock

2. Hematemesis and melena—cyst eroding into

the stomach

3. Rupture of the cyst into the peritoneal cavity—

peritonitis and shock—emergency surgery with

irrigation of the peritoneal cavity and drainage

for the pseudocyst.

4. Infection—high fever, chills and leukocytosis

(percutaneous drainage or internal drainage is

the treatment).

Q 19. What are the indications for intervention in

pseudocyst?

Indications for intervention in pseudocyst

Persisting pain

Pressure effects caused by increasing size

Cysts of > 6 cm size

Cysts of > 6 weeks duration.

Q 20. Why the procedure is done after 6 weeks?

The cyst wall is mature enough only after 6 weeks

to hold sutures for anastomosis of the gut.

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Clinical Surgery Pearls

Q 21. Why 6 cm size is taken as cut off for

treatment?

Thechanceforspontaneousresolutionistherein40%

of cases if the cysts are smaller and therefore expectant

management is recommended in smaller cyst.

Q 22. What is the cause for jaundice in a patient

with pseudocyst?

It is usually caused by pressure from the cyst on the

bile duct—Wadsworth syndrome.

Q 23. What are the therapeutic options for the

management of pseudocyst?

See the algorithm for the management of

pseudocyst (Flow chart 17.1).

Q 24. What are the internal drainage procedures

available for pseudocyst?

The internal drainage may be:

Endoscopic—endoscopic cystogastrostomy or

cystojejunostomy

Laparoscopic

Open.

Q 25. What are the viscera to which internal

drainage procedures are carried out?

Cys togas t ros tomy— technically simpler

(Recurrence and GI hemorrhage occur after

this procedure)

Cystojejunostomy (Roux-en-Y)—is the most

versatile

Cystoduodenostomy—risk of biliary injury.

Q 26. What is the prerequisite for the internal

drainage?

Cyst wall should be sufficiently mature for

anastomosis (usually 4–6 weeks).

Q 27. What is external drainage?

The external drainage is done when the wall

surrounding the fluid collection is too fragile for

internal drainage. It can be done under sonological

guidance. This is also called percutaneous catheter

drainage.

Q 28. What is the incidence of recurrence of

pseudocyst after catheter drainage? (PG)

The recurrence is 4 times greater after external

drainage than after internal drainage.

Q 29. What are indications for external drainage

(nonsurgical drainage)? (PG)

Critically ill patients

Infected pseudocyst

Uncomplicated pseudocyst

To shrink a huge pseudocyst occupying half of

the abdominal cavity.

Q 30. What is the complication of external

drainage? (PG)

Pancreaticocutaneousfistula in 20–30%of patients.

Q 31. Is there any other method of external

drainage? (PG)

A percutaneous drainage where a catheter is passed

through the anterior abdominal wall, the anterior wall

of the stomach and through the posterior stomach into

the cyst. After several weeks the catheter is removed.

Q 32. What are the essential steps of cystogastrostomy?

Upper midline incision

Anterior gastrotomy (longitudinal incision in the

anterior wall of stomach)

Identify an area where the cyst wall is maximum

bulging to the lumen of the stomach

A 4 cm longitudinal window is created in the

posterior wall along with the cyst wall (evacuate

the contents of the cyst)

A fullthickness mattresssuture is used to suture

the edge of the posterior gastrotomy and cyst

wall together

Pseudocyst of Pancreas

239

Flow chart 17.1: Management of pseudocyst of pancreas

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Clinical Surgery Pearls

The anterior gastrotomy is closed

The abdomen is closed.

Q 33. What are the important things to be done

with the pseudocyst during surgery? (PG)

Aspirate the cyst fluid and send for culture and

sensitivity.

Send the cyst fluid for CEA (> 400 ng/mL

suggestive of mucinous neoplasm) and amylase

estimation.

Take biopsy from the cyst wall (this will rule out

a cystic tumor).

Q 34. What will happen to the passage of food

after cystogastrostomy? (PG)

Surprisingly the food will not go to the cyst cavity

and the cystogastrostomy will get obliterated

within a few weeks and heal in due course of time.

Q 35. What is the recurrence rate for pancreatic

pseudocyst? (PG)

Its 10% (Recurrence is more frequent after external

drainage).

Q 36. What is the postoperative complication of

cystogastrostomy? (PG)

Hemorrhage occurs rarely.

Q 37. What is excision for pseudocyst? (PG)

This is the most definitive treatment. Usually this is

done for chronic pseudocysts in the tail of gland.

This is usually recommended for cysts following

trauma.

Q 38. What is the treatment of pseudocyst

hemorrhage? (PG)

Angiographic embolization

Subsequen t elective treatment of the

pseudocysts (after several weeks)

Emergency laparotomy and ligation of the

bleeding vessel after opening the cyst, and

drainage of pseudocyst

For lesions in the pancreatic head, pancreaticoduodenectomy may be required.

Q 39. What is Degidio and Schein classification? (PG)

Type I Type II Type III

Occurrence Acute Acute in

chronic

Chronic

Pancreatic duct Normal Diseased

but no

stricture

Stricture

present

Communication

with duct

No No With

communication

18 Retroperitoneal Tumor

Case

Case Capsule

A 55-year-old male patient presents with backache

and pain radiating down the left lower limb of

6 months duration. He in addition complains of

anorexia and loss of weight. For the last 3 months

he complains of distension of abdomen. There is

no history of therapeutic irradiation. There is no

family history of swelling all over the abdomen.

On examination, the patient is afebrile; the

blood pressure is 140/86 mm of Hg. There is pitting

edema of the left lower limb. On examination of

the abdomen, there is distension of abdomen

which is more towards the left half. A big

bosselated mass of 25 × 15 cm (25 cm vertically

and 15 cm horizontally) is felt in the left half of

the abdomen occupying the left lumbar region,

left hypochondrium and left iliac fossa. The mass

is firm in consistency and does not move with

respiration. All the borders except the lateral

border are well-defined. Medially it is not crossing

the midline. It is bimanually palpable, but not

ballotable. It is intra-abdominal as demonstrated

by the cough test. The mass is not falling forwards

as demonstrated by examination in the knee elbow

position and therefore retroperitoneal. There is

no intrinsic mobility for the mass. On percussion

there is resonance over the mass. The rest of the

abdomen is normal. There is no free fluid in the

abdomen and there is no organomegaly. Normal

bowel sounds are heard on auscultation. There is

no evidence of varicocele. The hernial orifices are

normal. The left lower limb pulsations are normal

and there is no neurological deficit in the left lower

limb. Chest examination is normal.

Read the checklist for abdominal examination.

Checklist for history

History of therapeutic radiation

History of exposure to vinyl chloride family

History of Gardner’s syndrome

Family history of Gardner’s

Familial retinoblastoma

Risk factorssuch asNeurofibromatosis, Li-Fraumeni

syndrome

Historyofhypertension—becauseof catecholamine

production

History of back pain and leg pain

History of hypoglycemia—liposarcoma produces

insulin

History of precocious puberty

History of myoclonus in children.

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Clinical Surgery Pearls

Checklist for examination

Take the temperature—RP tumors produce fever

Take the blood pressure—tumors produce

catecholamines

Check the plane and remember the clinical points

for retroperitoneal tumors given below:

Look for dilated abdominal veins—because of the

pressure on vena cava

Look for lower limb edema

Look for varicocele

Look for ascites(nonmalignant ascites of RP tumor)

Look for features of Costello syndrome.

Q 1. What is the most probable diagnosis in this

case?

Retroperitoneal tumor.

Q 2. What are the clinical points in favor of

retroperitoneal tumor?

Clinical points in favor of retroperitoneal tumor

The mass is intra-abdominal as demonstrated by

head raising test (Carnet’s test)

The mass is not falling forwards in the knee

elbow position (suggesting the plane to be

retroperitoneal)

Th e re i s no movement with respiration

(retroperitoneal swelling will not move)

The mass is fixed (no intrinsic movement)

The massisresonant on percussion because of the

intestinal loops in front

Themassisnot crossingthemidline (retroperitoneal

swellings usually will not cross the midline).

Q 3. What is the most probable diagnosis in this

case?

Malignant retroperitoneal tumor, most probably

liposarcoma.

Q 4. Why liposarcoma?

It is the most common retroperitoneal sarcoma

in adults.

Q 5. What is the age group affected in liposarcoma?

Usually 40–70 years and they are asymptomatic in

early stages.

Q 6. What is the cause for left lower limb edema

and pain in this patient?

These are symptoms of compression on the iliac

veins. The backache and lower limb pain in this

case is due to stretching of the lumbar and pelvic

nerves.

Q 7. What are the symptoms and signs of

liposarcoma?

Symptoms and signs of liposarcoma

Mass abdomen (91%)

Mass pelvis (21%)—DD ovarian malignancy

Abdominal pain and discomfort (71%)

Anorexia, vomiting, fatigue

Weight loss

Caval compression—limb edema, varicocele,

ascites (nonmalignant), dilated abdominal veins

Back pain and leg pain—compression and

stretching of lumbar and pelvic nerves

Fever.

Q 8. What is retroperitoneum?

According to Ackerman retroperitoneum is defined

as:

A region of the trunk covered—

Anteriorly by the parietal peritoneum

Superiorly by the 12th rib and diaphragm

Inferiorly by the pelvic diaphragm and fascia of

the levator ani and coccygeus

Posteriorly by the fascia of the muscles of the

anterior abdominal wall.

Retroperitoneal Tumor

243

Q 9. Is it a real space?

It is an actual or potential space.

Q 10. What are the contents?

The contents are structures of mesodermal and

endodermal origin with their embryonic remnants.

This consists of loose connective tissue, fat, nerves,

lymphatics and lymph nodes.

Q 11. What about the retroperitoneal organs?

Tumors of the retroperitoneal organs are not

included in the retroperitoneal tumors traditionally

(like kidneys, adrenals, pancreas and ureters).

Q 12. What is the incidence of retroperitoneal

tumors?

They are uncommon heterogeneous group of tumors

arising either primarily in the retroperitoneum or

metastasisfromelsewhere.The incidence is 0.3 to3%.

Q 13. What is the classification?

Classification

Retroperitoneal Retroperitoneal

tumors tumors

Cystic Solid Benign Malignant

Cystic swelling is usually benign

Majority are accidentally discovered

Majority ofthe solid tumors are malignant(75–95%)

Q 14. What are the benign swellings?

Classification of benign tumors

Lipomas

Neurofibromas, neurilemmomas

Leiomyomas

Extra-adrenal chromaffinomas (pheochromaftinomas may be malignant)

Mucinous cystadenomas

Hemangiopericytomas

Paragangliomas.

Q 15. What is Costello syndrome? (PG)

It is a syndrome consisting of mental retardation

and benign tumors usually papillomata. Children

with Costello syndrome develop embryonal

rhabdomyosarcoma.

Q 16. What is Paraganglioma? (PG)

Features of paraganglioma

They are tumors of embryonal origin from the

neural crest

May arise from any location along the aorta or the

sympathetic chain

Theymaybe functioningornonfunctioning(secrete

norepinephrine)

20% are catecholamine secreting

May be multiple

Malignant paragangliomas can occur

0.1 – 0.5% cases produce hypertension

Mayproducesyndromesimilartopheochromocytoma

May be familial (hereditary paragangliomas)

Associatedwith vonHippel-Lindau disease and RET

proto-oncogene.

Q 17. What is the pathology in paraganglioma?

 (PG)

The paraganglioma may arise from type I or type

II cells.

Type I cells are chromogranin A positive (NSE

positive).

Type II cells are S 100positive (withgoodprognosis).

Q 18. What are the features of retroperitoneal

neurilemmomas? (PG)

They are well-demarcated round or oval mass in

CT with heterogeneous contrast enhancement.

Nonenhancement of the lesion may be due to cyst

formation or tumor calcification.

Q 19. What is mucinous cyst adenoma? (PG)

Mucinous cyst adenoma and cyst adenocarcinoma

are similar to ovarian mucinous tumors.

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Clinical Surgery Pearls

Q 20. What is hemangiopericytoma? (PG)

They are vascular benign tumors derived from

pericytes. They are very bulky and silent tumors.

Treatment is excision.

Q 21. What are the malignant retroperitoneal

tumors?

They may be Primary or Secondary.

Primary Secondary (metastatic)

Sarcomas

Lymphomas

Malignant variety of germ

cell tumors (common in

children and are benign)

Teratocarcinoma

Endodermal sinus tumor

Tumors of embryonal origin

Urogenital ridge tumors

Adenocarcinoma

Endometrium

Prostate

Pancreas

Lung

GIT

Squamous cell carcinoma

(SCC) cervix, vagina and

lung

Chordoma

Q 22. What is the origin of malignant retroperitoneal tumors?

They may originate from mesodermal, neurectodermal or embryonic remnant

75% mesodermal in origin

24% neurectodermal

1% embryonic remnant

The most common malignancy is sarcoma.

Q 23. What is the most common retroperitoneal

malignancy?

Sarcoma.

Q 24. What is the most common sarcoma?

Liposarcoma isthe most common sarcoma in adults.

Liposarcoma – 50%

Leiomyosarcoma – 29%

Malignant fibrous histiocytoma (MFH).

[In children the most common sarcoma is

Rhabdomyosarcoma:

18% present with neurological deficit

37% with distant metastasis.

Q 25. What are the etiological factors for retroperitoneal sarcoma? (PG)

Etiological factors for retroperitoneal sarcoma

Idiopathic

History of therapeutic radiation

Exposure to vinyl chloride

Thorium dioxide

Familial disorders

Gardner’s syndrome

Familial retinoblastoma

Neurofibromatosis

Li-Fraumeni syndrome

Germ line mutations of p53 (chapter 17)

Q 26. What is the origin of liposarcoma?

About 1/3rd of the liposarcoma originate from

perinephric fat.

Q 27. What is the cause of death in liposarcoma?

Local treatment failure is the cause of death

Distant metastasis is rare (30% of cases)—liver

and lungs.

Q 28. What is the pathology of liposarcoma?

They may be well-differentiated or highly aggressive

and undifferentiated. The tumor grows along the

fascial planes and envelops rather than directly

invading the nearby organs. Histologically they

exhibit meningothelial like whorls. Metaplastic

bone is seen in these whorls. Myofibroblastic or

osteoblastic differentiation may occur.

Q 29. What are the sarcomas which will spread to

the lymph nodes?

Lymph node spread is rare (< 5%). The following

sarcomas spread to the lymph nodes.

Retroperitoneal Tumor

245

Q 33. What are the MRI findings in various

sarcomas? (PG)

Liposarcoma—decrease in signal in T1 W increase

in signal in T2 W

MFH – Heterogeneous signal pattern

Hemangiopericytoma is multiloculated, cystic

mass with areas of solid tissue.

Q 34. What is the role of retroperitoneoscopy? (PG)

It is not established for routine use. The sensitivity

of this investigation for lymphoma is 84%, for

Hodgkin’s is 94%, for metastasis 95% and for

retroperitoneal tumors 100%. In future this may

replace CT guided biopsy.

Q 35. What is the metastatic evaluation for RP

sarcoma?

CT scan of the chest.

Q 36. Why CT scan of the chest is preferred over

X-ray chest? (PG)

The X-ray chest may not show metastasis because

sarcoma metastasizes to the periphery of the lung

which may be missed in X-ray chest.

Q 37. What is the TNM staging (AJCC 7th edition)?

 (PG)

TNM Staging

Primary Tumor (T)

Tx – Primary tumor cannot be assessed

T0 – No evidence of primary tumor

T1 – Tumor 5 cm or less greatest dimension

T1a – Superficial tumor

T1b – Deep tumor

T2 – Tumor more than 5 cm in greatest dimension

T2a – Superficial tumor

T2b – Deep tumor

Regional Lymph Node (N)

Nx—Regional lymph nodes cannot be assessed

N0—No regional lymph node metastasis

N1—Regional lymph node metastasis

Sarcoma with lymph node metastasis

Rhabdomyosarcoma

Lymphangiosarcoma

Epitheliod sarcoma.

Q 30. What are the paraneoplastic syndromes of

the retroperitoneal tumors? (PG)

1. Liposarcoma/Lipoma –Intermittent hypoglycemia

(Insulin like substance production or rapid use of

glucose by metabolically active sarcoma)

2. Paragangliomas – Catecholamine excess

3. Germ cell tumors – Precocious puberty

4. Neuroblastoma – Myoclonus in children

Q 31. How will you proceed to investigate?

Investigations in a case of retroperitoneal tumor

Helical CT with contrast enhancement

MRI

CT scan of the chest/X-ray chest—to rule out

metastasis

PET scan

Retroperitoneal core needle biopsy under CT/USG

guidance

IVU

Retroperitoneoscopy

Laboratory investigations –

Alpha - fetoprotein

HCG

Liver function tests

Renal function tests

Role of FNAC Recurrence

 Metastasis

Lymph node involvement.

Q 32. What are the advantages of MRI over CT? (PG)

Greater accuracy than CT (100% vs 80%)

Extent of recurrence can be identified

Points out areas of desmoplastic reaction.

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Clinical Surgery Pearls

Distant Metastasis (M)

M0 – No distant metastasis

M1 – Distant metastasis

Gx – Grade cannot be assessed

G1 – Grade 1

G2 – Grade 2

G3 – Grade 3

Q 38. What is the staging as per AJCC 7th edition?

 (PG)

AJCC Staging

Stage of

the disease

T

stage

N

stage

M

stage

Grade of

tumor

Stage IA T1a N0 M0 G1, GX

T1b N0 M0 G1, GX

Stage IB T2a N0 M0 G1, GX

T2b N0 M0 G1, GX

Stage IIA T1a N0 M0 G2, G3

T1b N0 M0 G2, G3

Stage IIB T2a N0 M0 G2

T2b N0 M0 G2

Stage III T2a,T2b N0 M0 G2

Any T N1 M0 Any G

Stage IV Any T Any N M1 Any G

Q 39. What is the grading as per AJCC 7th edition?

 (PG)

The AJCC 7th edition incorporates a three tiered

grading system determine by three parameters—

mitotic activity, extent of necrosis and differentiation.

Each parameter is scored: differentiation (1–3),

mitotic activity (1–3) and necrosis (0–2). The scores

are summed to designate grade.

Grade 1 2 or 3

Grade 2 4 or 5

Grade 3 6 to 8

Q 40. What is the significance of nodal involvement?

Nodal involvement has very poor prognosis.

Outcome of the N1 is similar to M1 disease.

Q 41. What is the treatment of retroperitoneal

liposarcoma?

Complete en-block surgical excision at first

laparotomy is the treatment of choice. This is

possible only in 30% of cases.

Q 42. What are the preoperative preparations and

precautions?

Bowel preparation

Consent for removal of whole or part of the

adjacent organs

Consent for fecal or urinary diversion

Arrange adequate blood

Operation is undertaken at a tertiary referral

center.

Q 43. What anesthesia is used for surgery? (PG)

Hypotensive anesthesia.

Q 44. What are the incisions recommended?

Midline incision for pelvic level tumors and

thoracoabdominal for upper level tumors.

Q 45. What is the clearance required for en-block

excision?

Best results are seen in which a surgical margin of

3 cm or more can be obtained beyond the tumor.

Q 46. What is the most difficult area for clearance?

 (PG)

If a plane of dissection is there posteriorly, the

clearance will be adequate. Decide whether the

tumor has traversed along a spinal nerve root into

the spinal canal and its cord.

Q 47. What is the role of radiotherapy?

Radiotherapy has a definite role in lowering

the incidence of local recurrence. The dose

recommended is 5500 cGy. Radiotherapy will delay

Retroperitoneal Tumor

247

the progression of the disease but does not improve

the survival.

Q 48. What is the role of IORT (Intraoperative

radiotherapy)? (PG)

The IORT reduces local recurrence and reduces

radiation enteritis.

Q 49. What is the chemotherapeutic agent of

choice for RP sarcoma? (PG)

Adriamycin—as a single agent—15–35%response.

This may be combined with granulocyte macrophage colony stimulating factor (GM-CSF). There

are three important regimes.

1. AIM—Adriamycin, Iphosphamide, Mesna

2. AD—Adriamycin and Dacarbazine

3. MAID—Mesna, Adriamycin, Ifosfamide and

Dacarbazine.

Q 50. What are the important prognostic factors?

 (PG)

The two most important factors are:

Histological grade

Completeness of surgical excision (R0).

Q 51. What is the prognosis of RP sarcoma? (PG)

A 5-year-survival of 62–92% for well-differentiated

tumor afterradical excision. 16–48%in undifferentiated tumors.

Q 52. What is the local recurrence rate? (PG)

About 40–82% with median time of 15 monthsto 44

months.

Q 53. What is the follow-up? (PG)

Physical examination every 2–3 months

If symptoms occur do CT/MRI

Asymptomatic patients—CT/MRI to be done at

every 6 months for first 3 years.

Retroperitoneal Cystic Lesions

Q 54. What are the cystic lesions of the retroperitoneum?

Cystic lesions of the retroperitoneum

Cystic lesions from the developmental remnants

(Wolffian) of urogenital tract situated near the

kidney

Retroperitoneal mesenteric cyst

Teratomatous and dermoid cysts

Abdominal cystic lymphangioma (lymphogenous

cyst)

Parasitic cysts.

Q 55. What are the clinical features of the abdominal cystic lymphangioma?

This is usually seen in infants and children (3 months

to 5 years). The most common presentation is

abdominal pain. 30% of the children present with

mass abdomen. 90%ofthe cysts are intraperitoneal.

10%are retroperitoneal. Children may present with

complications like intestinal obstruction.

Q 56. What is the diagnostic investigation?

USG abdomen.

Q 57. What is the treatment of the abdominal

cystic lymphangioma?

Surgical excision.

Q 58. Can you get abdominal cystic lymphangioma

in adults?

Yes. There will be a history of long duration. Acute

presentations are rare in adults.

19 Testicular Malignancy

Case

Case Capsule

A 40-year-old male patient presents with lower

abdominal pain, loss of appetite and loss of

weight of 6 months duration. The right testis

was absent from the scrotum from childhood. He

developed a swelling in the right inguinal region

at the age of 15 years which was operated, the

nature of surgery is not known. He gives history of

infertility since 10 years. There is no history of chest

pain, dyspnea or hemoptysis.

On examination there is pallor. There is no jaundice

and no generalized lymphadenopathy. Abdominal

examination revealed fullness in the right side of

the hypogastrium and right iliac fossa-region. On

palpation, there is a firm mass of 18 × 12 cm (18 cm

horizontal and 12 cm vertical) occupying the right

side of the hypogastrium and right iliac fossa. All the

borders of the mass except the lower border are well

defined. One cannot get below the mass. The mass

is fixed and the surface is nodular. The rest of the

abdomen is normal. Liver is not palpable. There is

no free fluid in the abdomen. The supraclavicular

lymph nodes are not enlarged.

On examination of the genitalia, the right

scrotal sac is found to be empty with absence of

rugae. The left testis is small and atrophic. The

left vas is normally palpated. Pubic hair and other

secondary sexual characteristics are normal. There

is no gynecomastia (Fig. 19.1).

Testicular Malignancy

249

Read the checklist for abdominal examination.

Checklist for history

History of trauma

Undescended testis

Scrotal surgery

Nausea and vomiting—retroduodenal metastasis

Cough and dyspnea—pulmonary metastasis

Backache—retroperitoneal metastasis

Bone pain—skeletal metastasis.

Checklist for examination

Look for empty hemiscrotum with absent rugae

Look forlowerlimb edema (unilateral or bilateral)—

Pressure from the retroperitoneal nodes

Gynecomastia—seen in 5% of cases

Supraclavicular lymph nodes, iliac lymph nodes

Look for secondary hydrocele

Palpate the abdomen in the supraumbilical region

for retroperitoneal nodes

Rule out liver metastasis

Examine the chesttoruleoutpulmonarymetastasis

Look for pallor (in advanced cases).

Q 1. What is the most probable diagnosis in this

case?

Malignant tumor arising from the undescended

testis. Most probably seminoma.

Q 2. Why seminoma?

That is the most common tumor in the undescended

testis.

Age group is also in favor of seminoma.

Q 3. What is the clinical sign for undescended

testis?

Emptyhemiscrotumwithabsentrugaeissuggestive

of undescended testis.

Q 4. What is “sign of the vas”?

In testicular neoplasm the vas deferens is normal,

whereas it is thickened in inflammatory lesions of

the testis and epididymis. In order to differentiate

tumor from inflammation, this clinical sign is used.

Q 5. What will happen to the undescended testis?

Degenerative changes will occur in the seminiferous

tubules. The lining cells become progressively

atrophic and hyalinized with peritubal fibrosis.

Degenerative changes begin to occur at 2 years of

age. If not corrected all bilaterally, cryptorchidism

in adult males becomes sterile.

Q 6. What is the chronology of descent of testis?

The testis is formed in front of the kidneys from

the genital fold medial to the mesonephros

Fig. 19.1: Hypogastric mass (undescended right testis)

Contd...

Contd...

250

Clinical Surgery Pearls

(Wolffian body) in early fetal life. They lie in the

retroperitoneum below the developing kidneys.

The primitive testis is attached to the posterior

abdominal wall by the mesorchium. Its descent

is a complicated process, which depends on

the gubernaculum testis, steroid hormones

and maternal gonadotropins. The testis is intraabdominal up to 7 months of intrauterine life.

Shortly before birth the testis reaches the bottom

of the scrotum being invaginated into a tube

of peritoneum—the processus vaginalis. The

chronology of descent is as follows:

Chronology of descent of testis

3rd month of – from loin to iliac fossa

intrauterine life

4–7 months of – rest at the site of internal ring

intrauterine life

7th month of – it is travelling through the

intrauterine life inguinal canal

8th month of – lies at the external ring

intrauterine life

9th month of – it enters the scrotum, reaching

intrauterine life its base at or after birth

Note: The descent may continue after birth, 50%

reaching the scrotum during the first month of life.

Q 7. What are the complications of undescended

testis?

Mnemonic—MAT SHOP

M – Malignancy

A – Atrophy – because of recurrent minor trauma

T – Torsion

S – Sterility – in bilateral cases

H – Hernia – in 95% there is patent processus

vaginalis and 25% develop clinical hernia

O – Orchitis (epididymo – orchitis)

P – Pain – because of trauma.

Q 8. What are the positions of undescended testis?

1. Intra-abdominal—(33%) lying extra peritoneal

just above the internal ring

2. In the inguinal canal—(50%) it may or may not

be palpable there

3. In the superficial inguinal pouch—(50%) it must

be distinguished from retractile testis.

Q 9. What is superficial inguinal pouch?

Failure of the testis to descend into the scrotum

may be caused by the presence of a dense layer of

subcutaneous tissue at the neck of the scrotum. As a

result of this, the testis turns upwards to lie in a pouch

just above and superficial to the external inguinal

ring. The testis is therefore felt in the subcutaneous

tissue just above and lateral to the pubic tubercle.

Q 10. What is the difference between ectopic testis

and incompletely descended testis?

An incompletely descended testis will lie along the

line of the normal descent at the neck of scrotum,

over the external ring to the canal and on the

posterior abdominal wall. In this situation, the

testis is palpable only when it is at or outside the

external ring. The ectopic testis is always palpable

in contrast to incompletely descended testis and it

is not in line of the normal descent.

Q 11. What are the common positions of ectopic

testis?

Common positions of ectopic testis

1. Femoral triangle—confused with lymph node

2. Base of the penis

3. Perineum

4. Superficial inguinal pouch.

Q 12. What is the timing of surgery for undescended

testis?

It is usually done between 6 months to 1 year of age

(the degenerative changes will start at the age of 2 years).

Testicular Malignancy

251

Q 13. What is the fertility after orchidopexy?

Unilateral orchidopexy—fertility rate is 80%

Bilateral orchidopexy—fertility rate is 50%.

Q 14. What is retractile testis?

During childhood the testis are mobile. In children

< 3 years with very active cremasteric reflex due

to the small size of testis the gonad will retract

into the external ring or within the canal. It can be

manipulated back into the mid or lower scrotum.

No treatment is required in this condition.

Q 15. What is ‘vanishing’ testis?

It is a condition where the testis develops but

disappears before birth. The most likely cause is

prenatal torsion.

Q 16. What is true agenesis?

It is very rare. Laparoscopy is useful in distinguishing

true agenesis from cryptorchidism with intraabdominal testis.

Q 17. What are the anomalies associated with

cryptorchidism?

Thisisseen in 15%of cryptorchidism.The following

are the associated anomalies:

Anomalies associated with cryptorchidism

Klinefelter’s syndrome

Hypogonadotropic, hypogonadism

Prune belly syndrome

Horse shoe kidney

Renal agenesis or hypoplasia

Exstrophy of the bladder

Ureteral reflux

Gastroschisis

Cloacal exstrophy.

Q 18. What is the incidence of undescended testis?

4% of full-term infants

30% in premature babies.

Q 19. Can the unilateral cryptorchid develop malignancy in the normally descended contralateral testis?

Yes. 10% of patients with history of cryptorchidism

develop malignancy in contralateral testis.

Q 20. What is the risk of malignancy according to

the position of the testis in undescended testis?

The relative risk for malignancy in:

Intra-abdominal testis – 1 in 20

Inguinal testis – 1 in 80.

Q 21. What is the most common pathological type

of malignancy seen in undescended testis?

Seminoma

Embryonal carcinoma—It is seen nowadays in

patients in whom the testis has been brought down.

Q 22. Will orchidopexy change the malignant

potential of the cryptorchid testis?

No. It facilitates examination and tumor detection.

Q 23. What are the factors responsible for the

malignant change in cryptorchidism?

Factors responsible for malignant change in

cryptorchidism

1. Abnormal germ cell morphology

2. Gonadal dysgenesis

3. Elevated temperature

4. Interference of blood supply

5. Endocrine dysfunction.

Q 24. What are the differential diagnoses of a solid

swelling in the testis?

Differential diagnoses of solid swelling in the testis

1. Testicular tumor

2. Acute and chronic epididymo-orchitis

3. Hematocele

4. Gumma

5. Orchitis (mumps).

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Q 25. What is ‘billiard ball’ testis? Histopathological Classification

Syphilisin adultswill cause interstitial inflammation

turning the testis into a round, hard and insensitive

mass, which is called‘billiard ball testis’.

Q 26. What is Gumma of the testis?

Gumma of the testis is due to syphilis. The testis is

painless and therefore presents as a lump on the

surface of the testis or enlargement of the whole

organ. The testicular sensation is lost early. H/o

exposure will be there. A search is made for stigmata

of syphilis like Clutton’s joint, interstitial keratitis,

etc. It is indistinguishable from tumor. If untreated

it will breakdown to form Gummatous ulcer.

Q 27. What is the relationship of testicular tumor

and trauma?

Many patients attribute the symptoms of the

swelling to trauma. But thisisto be ignored. We do

not know whether the lump is due to the hump

or the hump is due to the lump!!

Q 28. What is the most common starting point of

the tumor in the testis?

Lower pole of the body of the testis, later they

occupy the whole of the testis.

Q 29. What is the classification for testicular

tumors?

Various classifications are there:

Dixon and Moore

WHO

British tumor panel

Histopathological classification.

The testis is composed of actively dividing germ

cells, the supporting cells and connective tissue

stroma. The tumors of the testis arise from the

actively dividing germ cells. Comprising 90 – 95%

and the rest contributed by nongerminal neoplasms.

The histopathological classification is given below:

Q 30. What is teratoma? What is the classification

of teratoma?

Teratoma arises from totipotent cells in the rete

testis and contains a variety of cell types with

predominance of one or more cells. The usual

variety is yellowish in color with cystic spaces

containing gelatinous fluid. Cartilaginous areas

Testicular Malignancy

253

are often present. The tumor may be as small as a

peanut or as large as a coconut.

Testicular Panel Classification of Teratoma

Teratoma differentiated (TD)—Uncommon.

Even though there is no histologically recognizable malignant component, it cannot be

considered benign. It may contain cartilage,

muscle and glandular tissue.

Malignant teratoma intermediate or Teratocarcinoma (MTI) (most common) (A and BType).

Contains definitely malignant and incompletely

differentiated components.

Malignant teratoma anaplastic or Embryonal

carcinoma (MTA). The cells are presumed to be

derived from yolk sac and are responsible for

elevation of AFP.

Malignant teratoma trophoblastic (MTT)—

Uncommon

It contains syncytial cell mass with malignant villous

or papillary cytotrophoblast (choriocarcinoma). It

produceschorionicgonadotropin(hCG).Itisoneofthe

most malignant tumors having spread by bloodstream

and lymphatics early.

Q 31. What are the differences between seminoma

and teratoma?

No. Seminoma Teratoma

1. Age group: 35 – 45

(older age group)

20 – 35 (younger age

group)

2. Cut surface is

homogeneous and

pinkish in color

Yellowish in color with

cystic spaces containing

gelatinousfluid. Cartilages

are often present

3. Origin: histologically

arising from seminiferous tubules

Originate from totipotent

cells in the rete testis

containing variety of cell

types

4. Cell type: Oval cells

with clear cytoplasm

and prominent acidophilic neucleoli

Cell type depends on the

type of teratoma – TD,

MTI, MTA, MTT

5. Main spread by

lymphatics

Spread by bloodstream

6. Sensitive to

radiotherapy

Not sensitive to

radiotherapy

Note: The non seminomatous tumors are classified

into three groups – Good risk, Intermediate risk

and bad risk

TheHCGvalue will be >50,000 for bad risk and <

50,000 for good risk. The intermediate risk values

are in between.

Q 32. What is Leydig cell tumor?

It is an interstitial cell tumor arising from Leydig cells,

which masculinizes. They are prepubertal tumors

causing sexual precocity and extreme muscular

development. The regression of the symptoms

is incomplete after orchidectomy because of the

hypertrophy of the contralateral testis.

Q 33. What is Sertoli cell tumor?

They are interstitial cell tumor arising from Sertoli

cells, which produces feminizing hormones. This will

produce gynecomastia, loss of libido and aspermia.

These tumors are benign and orchidectomy is curative.

Q 34. What are the testicular tumors producing

gynecomastia?

Teratoma

Contd... • Feminizing tumors (Sertoli).

Contd...

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Q 35. What is the cause for gynecomastia in

testicular tumor?

Raised β-hCG is responsible for gynecomastia.

Q 36. What are the etiological factors for testicular

tumors?

Etiological factors for testicular tumors

Congenital—Cryptorchidism (3–14 times greater

incidence than normal)

Acquired

Trauma

Viral—Mumps (Atrophy of testis)—atrophic testis

is more prone for malignancy

AIDS

Hormones—Estrogen administration results in

Leydig cell tumor—Testicular tumor in children of

mother’s treated with diethyl stilbestrol

Ethnic factors

Environmental factors

Klinefelter’s syndrome.

Q 37. What are the modes of spread of testicular

tumor?

1. Local – Local involvement to epididymis and

cord is hindered by tunica albuginea

2. Lymphatic

3. Hematogenous.

Q 38. What is the lymphatic drainage of testis?

From the testis several lymphatic vessels emerge

from the mediastinum testis and accompany the

gonadal vessels in the spermatic cord. Where the

spermatic vessels cross ventral to the ureter, some

of these lymphatics diverge medially and drain

into the retroperitoneal lymph nodes, while others

follow the spermatic vessels to their origin and

reach the para-aortic nodes.

Lymphatics from the medial side of the testis

may run with the artery to the vas and drain into a

node at the bifurcation of the common iliac artery

(common iliac nodes).

The inguinal lymph nodes are affected when

the scrotal skin is involved.

Q 39. What you mean by landing zones for

lymphatics?

The primary landing zones for right testicular

tumor lies in the interaortocaval nodes immediately

below the renal vessels. (At the level of L2 lumbar

vertebrae). The ipsilateral lymphatics will also go

to paracaval, preaortic and right common iliac and

external iliac nodes.

For the left testicular tumor it lies in the true paraaortic nodes just below the left renal vessels. (Left

renal hilum). The ipsilateral distribution also includes

para-aortic, preaortic and left common iliac nodes.

The metastasis reach the common iliac, external

iliac and inguinal nodes usually secondary to

retrograde spread because of large volume disease.

Q 40. Clinically what is the level of retroperitoneal

nodes?

Above the umbilicus in the abdomen.

Q 41. What is the spread beyond the regional

nodes?

The retroperitoneal lymphatics empty into the

cisterna chyli via the right and left lumbar trunks.

From here, it will reach the left supraclavicular nodes.

From the para-aortic nodes, the lymphatics

will reach the retrocrural nodes and from there

it will reach the mediastinal nodes (posterior

mediastinum). Involvement of the anterior

mediastinum is rare.

Q 42. What is the method of contralateral spread?

 (PG)

The contralateral spread is usually seen with right

sided tumors especially in large volume tumors

Testicular Malignancy

255

(rare with left sided tumors). If the patient has

undergone herniorrhaphy, vasectomy or other trans

scrotal procedures unrelated to the tumor, pelvic

and inguinal nodes may get enlarged.

Q 43. What is the mechanism of inguinal node

metastasis?

This will occur only if the tunica albuginea has been

invaded by the tumor or as a result of previous surgical

procedures like orchidopexy or herniorrhaphy.

Q 44. What are the sites of extranodal metastasis?

Sites of extranodal metastasisin order of decreasing

frequency are:

Lung

Liver

Brain

Bone

Kidney

Adrenal

GI tract

Spleen.

Q 45. Can testicular tumor occur bilaterally? (PG)

Yes. About 2–3% of testicular tumors are bilateral.

They may occur simultaneously or successively.

Primary bilateral tumors occur synchronously or

asynchronously.

Q 46. What is the most common cause for bilateral

testicular tumor? (PG)

Testicular lymphoma

Seminoma isthemost commonbilateralprimary

tumor.

Q 47. How will you size the testis? (PG)

They can be sized according to Prader orchidometer.

Q 48. When examining the testes, which side is

examined first?

The normal side is examined first.

Q 49. What is the incidence of testicular tumor? (PG)

They make up 1–2% of the male cancers

The life time probability of developing a tumor

of the testis is 0.2%

The highest incidence is seen in Scandinavia

Lowest incidence is in Africa and Asia

Highersocioeconomic classhashigherincidence

Incidence is 4 timesinwhites comparedtoblack.

Q 50. Why testicular tumor is more common on

the right side?

There is increased incidence of cryptorchidism on

the right side and therefore tumor is more common

on the right side.

Q 51. What are the clinical features of testicular

tumor?

Painless enlargement of the testis 90% (Dull ache,

sensation of heaviness in the lower abdomen,

anal area or scrotum) acute testicular pain due to

infarction or intratesticular hemorrhage is seen in

about 10% of cases.

Extra testicular manifestations

Cough and dyspnea—pulmonary metastasis

Anorexia,nausea,vomiting(retroduodenalmetastasis)

Supraclavicular lymph node metastasis

Back pain—retroperitoneal metastasis

Lower extremitiesswelling—venacaval obstruction

(unilateral or bilateral limb)

Metastaticpara-aortic lymphnodes(presentbehind

and above the umbilicus)

Gynecomastia (5% of cases)

Bone pain (skeletal metastasis)

CNS involvement (spinal cord/root involvement)

Asymptomatic (10%)—identified incidentally.

Q 52. What is the incidence of secondary hydrocele

in testicular tumors?

Its 10%. The secondary hydrocele is usually lax.

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Clinical Surgery Pearls

Q 53. What is the cause for thickening of the

spermatic cord? (PG)

This is a late feature and it is because of the

cremasteric hypertrophy and the enlargement of

the testicular vessels.

Q 54. What is the importance of testicular

sensation in tumors?

The testicular sensation is lost completely in the

early stage of the tumor. This sign is better not

demonstrated because of the fear of dissemination. Palpation of the tumor also should be

avoided to the minimum.

Q 55. What is “hurricane tumor”?

It is a ferocious type of malignancy that kills the

patients in a matter of weeks because of the rapid

spread of the tumor.

Q 56. Can you feel the epididymis separately in

testicular tumor?

Epididymis is normal during initial stages. But it

becomes more difficult to feel as it is flattened and

incorporated in the growth in later stages.

Q 57. What are the tumor markers?

Tumor markers for testicular tumors

1. α - Fetoprotein (AFP)

2. b - Human chorionic gonadotropin (b-hCG)

3. Lactate dehydrogenase (LDH).

Q 58. What is the significance of serum tumor

markers? (PG)

In 85% of patients at least 1 marker is raised.

Markers are used for assessment of tumor regression

and recurrence.

Remember!!Tumoris possiblewithout elevation

of the tumor marker.

Q 59. What is the significance of LDH? (PG)

Itisincreased in 60%of nonseminomatousGCT and

80% of patients with advanced seminoma.

It has independent prognostic significance in

patients with advanced germ cell tumor.

Increase in the serum concentration is a reflection

of tumor burden, growth rate and proliferation.

Q 60. What is the significance of AFP? (PG)

AFP is elevated in 70%of nonseminomas(notin

pure seminomas)—restricted to embryonal cell

carcinoma and endodermal sinus tumor (yolk

sac tumor).

If AFP is elevated in seminoma, suspect nonseminoma elements in either the primary or

metastasis.

The normal adult concentration is usually

< 15 ng/mL.

The physiological half-life is 5–7 days.

Q 61: What is the significance of b-hCG? (PG)

It is a glycoprotein produced by 65% of nonseminomas and 10% ofseminomas(all patients

with choriocarcinoma and 40% patients with

embryonal carcinoma).

It is produced by syncytiotrophoblasts.

Half-life of b-hCG is 24–48 hours

Q 62. What are the investigations in a patient with

suspected testicular tumor?

Investigations in testicular tumor

1. Blood—radioimmunoassay of tumor markers

2. Chest—radiograph – for pulmonary metastasis

3. Ultrasound—ofthe affected testis and abdomen—

abdomen for lymph nodes and liver metastasis

4. CT/MRI—for intra-abdominal and intrathoracic

secondaries

5. IVU—deviated or obstructed ureters as a result of

the retroperitoneal nodes will be demonstrated

6. High orchidectomy.

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257

Q 63. What is the sonological finding in testicular

tumor? (PG)

Sonologically the tumor will appear as hypoechoic

lesion. It may also reveal secondary hydrocele.

Q 64. Why high orchidectomy is included along

with investigations?

Orchidectomy is considered as the basic

investigation in testicular tumors. It is essential to

remove the primary tumor to obtain the histological

type of malignancy. The pathological knowledge is

important for the AJCC staging because the tumor

status in this staging is always PT0, PT1, etc.

Q 65. What is the incision for high orchidectomy?

Transinguinal incision.

Q 66. Why not transscrotal incision?

If a transscrotal incision is made in testicular tumor,

the tumor will spread to the lymphatic territory of

the inguinal nodes (testis will normally drain to

para-aortic nodes). Therefore, if transscrotal incision

is made, the inguinal nodes also must be tackled by

radiotherapy. This must be avoided. There are three

things to be avoided in testicular tumors:

Three Nos in testicular tumors

No transscrotal incision

No transscrotal aspiration

No transscrotal biopsy.

Q 67. What is high orchidectomy (inguinal

orchidectomy)? (PG)

Through a transinguinal incision the spermatic

cord is displayed by dividing the external oblique

aponeurosis. A soft clamp is placed across the

cord as the initial step to prevent dissemination of

malignant cells as the testis is mobilized into the

wound. The cord is then doubly ligated at the level

of the deep inguinal ring and divided, so that the

testis can be removed.

Q 68. What is Chevassu maneuver? (PG)

During the above procedure when the testis is

brought to the inguinal wound, if there is doubt

regarding the diagnosis, the testis should be

bisected along its anterior convexity so that its

internal structure can be examined by frozen

section. If a tumor is ruled out the bisected testis

can be closed and returned to the normal position.

Q 69. If the patient is explored by transscrotal

route already what is the course of action? (PG)

Hemiscrotectomy and radiation of inguinal nodes

is recommended.

Q 70. What is the clinical staging?

Clinical staging of testicular tumors

Stage 1—Tumor confined to the testis

Stage 2—Nodes below the level of the diaphragm—

spread to regional lymph nodes—

retroperitoneal, para-aortic

Stage 3—Nodes above the level of the diaphragm—

spread beyond the retroperitoneal nodes,

to the mediastinum or extra lymphatic

metastasis

Stage 4—Pulmonary or hepatic metastasis

Q 71. What is the TNM staging (AJCC 7th Edition)?

 (PG)

T stage

*The extent of primary tumor is usually classified

after radical orchiectomy and for this reason; a

Pathological Stage is assigned using the prefix P

*pTX Primary tumor cannot be assessed

pTO No evidence of primary tumor(e.g. histologic

scar in testis)

pTis Intratubular germ cell neoplasia (carcinoma

in situ)

pT1 Tumor limited to the testis and epididymis

without vascular/lymphatic invasion, tumor

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Clinical Surgery Pearls

may invade into the tunica albuginea but not

the tunica vaginalis

pT2 Tumor limited to the testis and epididymis

with vascular/lymphatic invasion, or tumor

extending through the tunica albuginea with

involvement of the tunica vaginalis

PT3 Tumor invades the spermatic cord with or

without vascular/lymphatic invasion

pT4 Tumor invades the scrotum with or without

vascular/lymphatic invasion

Note: Except for pTis and pT4, extent of primary

tumor is classified by radical orchiectomy. TX may be

used for other categories in the absence of radical

orchiectomy.

N Stage (Clinical)

NX Regional lymph nodes cannot be assessed

N0 No regional lymph node metastasis

N1 Metastasis with a lymph node mass 2 cm

or less in greatest dimension; or multiple

lymph nodes, not more than 2 cm in greatest

dimension

N2 Metastasis with a lymph node mass more

than 2 cm, but not more than 5 cm in greatest

dimension; or multiple lymph nodes, any one

mass greater than 2 cm but not more than 5

cm in greatest dimension

N3 Metastasis with a lymph node mass more

than 5 cm in greatest dimension.

Pathological N Stage (pN)

pNX Regional lymph nodes cannot be assessed

pN0 No regional lymph node metastasis

pN1 Metastasis with a lymph node mass 2 cm or

less in greatest dimension and less than or

equal to 5 nodes positive, not more than 2

cm in greatest dimension

pN2 Metastasis with a lymph node mass more

than 2 cm but not more than 5 cm in

greatest dimension; or more than 5 nodes

positive, not more than 5 cm; or evidence of

extranodal extension of tumor

pN3 Metastasis with a lymph node mass more

than 5 cm in greatest dimension

M stage

MX Distant metastasis cannot be assessed

M0 No distant metastasis

M1 Distant metastasis

M1a Non regional nodal or pulmonary metastasis

M1b Distant metastasis other than to non- regional

lymph nodes and lungs

Serum Tumor Markers (S)

SX Markerstudiesnot availableornotperformed

S0 Marker study levels within normal limits

S1 LDH<1.5 XN* and hCG(mIU/mL) <5000 and

AFP (ng/ml) < 1000

S2 LDH 1.5 – 10 X N or hCG (mIU/mL) 5000 –

50,000 or AFP (ng/mL) 1000 – 10,000

S3 LDH > 10 X N or hCG (mIU/mL) > 50,000 or

AFP (ng/mL) > 10,000

*Nindicates upperlimit of normalforthe LDHassay.

Q 72. What is the management of testicular

tumors?

The management of seminomas and nonseminomatous germinal cell tumors is different.

Q 73. What is the management of seminoma?

After high orchidectomy seminoma is treated with

radiotherapy (because seminoma is a radio sensitive

tumor) for stage 1 and nonbulky for stage 2.

Over a 3-week-period administer 2500 cGy

hockey stick field including the following nodes

Para-aortic,paracaval,bilateral commoniliac and

external iliac nodal regions

Testicular Malignancy

259

Recently the radiation is confined to the paraaortic area alone

With history of herniorrhaphy and orchidopexy

include the contralateral inguinal region

shielding the contralateral testis

Mediastinal radiation is currently avoided

(chemotherapy is more effective).

Q 74. Is there any role for semen banking? (PG)

If the function of the contralateral testis is in

question, this should be considered. The semen of

the patient may be collected and preserved if the

patient is desirous of having children.

Q 75. What are the indications for chemotherapy

in seminoma? (PG)

Bulky abdominal disease

Metastasis.

Q 76. What is the chemotherapeutic regimen? (PG)

It is treated with four cycles of chemotherapy with

BEP regimen

Bleomycin

Etoposide

Cisplatin.

Q 77. What is the treatment of residual abdominal

mass after chemotherapy? (PG)

Residual tumor of more than 3 cm is treated by

surgery.

Q 78. What is the management of nonseminomatous germ cell tumor?

After high orchidectomy, patients are treated with

Retroperitoneal Lymph Node Dissection (RPLND)

except bulky disease or distant metastasis.

Q 79. What are the approaches for RPLND? (PG)

Transabdominal

Thoracoabdominal.

Q 80. What is bulky disease? (PG)

All patients with retroperitoneal mass > 5 cm (high

burden disease).

Q 81. What is the most important problem of

RPLND? (PG)

Retrograde ejaculation.

Q 82. What is the extent of RPLND? (PG)

The standard RPLND is a bilateral dissection from

renal vessel down to aortic bifurcation, along the

external iliac artery to the deep inguinal ring on

the affected side. The following lymph nodes are

removed on both sides.

Lymph nodes removed in RPLND

Paracaval

Interaortocaval

Para-aortic

Preaortic

Common iliac nodes.

Q 83. What is the contraindication for RPLND? (PG)

Choriocarcinoma. Here the disease issystemic and

the treatment is multi agent chemotherapy.

Q 84. What are the indications for withholding

RPLND? (PG)

Normal serum markers

No nodes in abdominal CT

No distant metastasis.

The rationale behind this policy is that only 20%

of such patients will develop disease and in such a

situation patient should be ready for regular follow-up.

Q 85. What is the follow-up of such a patient? (PG)

Physical examination

CT abdomen 3 monthly for first two years, 6

monthly thereafter

Tumor markers.

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They are done monthly for the first year, every 2

monthly for the second year and 3–6 months thereafter.

Q 86. What is modified RPLND (Nerve sparing

RPLND)? (PG)

This involves bilateral dissection above the origin

of the inferior mesenteric artery and unilateral

dissection confined to the side of the tumor below

the origin of the inferior mesenteric artery. This

preserves the important sympathetic fibers from

the contralateral side thus, maintaining ejaculation.

Q 87. What is the treatment of extensive retroperitoneal nodes with chest metastasis? (PG)

High orchidectomy and multi agent chemo

followed by excision of the persistent mass in the

retroperitoneum.

Q 88. What are the alternative drugs for chemotherapy? (PG)

Ifosfamide/Doxorubicin.

Q 89. What is the prognosis of nonseminomatous

germ cell tumor? (PG)

Stage II 90%cure rate at 5 years

Stage III 70%cure rate at 5 years

Choriocarcinoma 35% at 5 years

Q 90. What is the management of the given

case?

In this patient the tumor is arising from intraabdominal testis. It should be removed transabdominally and the further management depends

on the histopathology. Considering his age, the

pathology is likely to be seminoma and therefore

he requires radiotherapy.

20 Portal Hypertension

Case

Case Capsule

A 55-year-old male patient presents with melena

of one week duration. He is a chronic alcoholic

and gives history of three bouts of hematemesis

in the last 2 months. He complains of distension

of the abdomen, abdominal discomfort, and

lethargy for the last 6 months. He gives history

of jaundice in the childhood. His sleep pattern is

not altered. There is no history of treatment with

NSAIDs, paracetamol and anti- tuberculous drugs.

There is no history of omphalitis in the newborn

period. There is no history of chronic pancreatitis or

history of convulsions.

On general examination, the patient is ill

looking, poorly nourished and there is obvious

muscle wasting. He is fully oriented. There is no

memory impairment. The speech is normal. There

is pallor and mild icterus. Both lower limbs show

pitting type of edema. Clubbing of the fingers

and toes are seen. About 10 spider nevi spots are

present in the front of the chest, face and arms

(1 mm size bright red spots with radiating small

branches spreading to 2 mm diameter. They fade

completely when compressed with finger and

refill as soon as the pressure is released). Patient

has got bilateral gynecomastia. There is loss of

pubic and axillary hair. There is no evidence of

palmar erythema. Skin bruising is noted in the right

forearm of about 5 × 4 cm size. There is no flapping

tremor and there is no fetor hepaticus.

On examination of the abdomen, there is

generalized distension of the abdomen and

the umbilicus is everted. There are no caput

medusae. There is shifting dullness and fluid

thrill demonstrated. Dipping palpation revealed

splenomegaly. On auscultation a venous hum is

heard in the epigastrium that is louder on inspiration.

On examination of the genitalia, both testes are

found to be small and soft suggestive of testicular

atrophy. Central nervous system examination

showed no evidence of encephalopathy. The

cardiovascular system is normal and there are no

features suggestive of constrictive pericarditis or

tricuspid valve incompetence.

Read the checklist for abdominal examination.

Checklist for history

History of alcoholism

Previous jaundice

Schistosomiasis

Valvular heart disease, constrictive pericarditis

Abdominal tumors—extrinsic compression

Hematemesis and melena.

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Clinical Surgery Pearls

Checklist for examination

Stigmata of liver disease (refer chapter on liver)

Triad of portal hypertension namely esophageal

varices, ascites and splenomegaly

Look for jaundice

Features of encephalopathy

Look for anemia

Look for pitting edema of lower limbs

Look for ascites

Look for hepatosplenomegaly

Look for caput medusae

Look for testicular atrophy

Look for gynecomastia

Look for Kenawy’s sign—venous hum, heard

louder on inspiration in the epigastrium in portal

hypertension

Look for Cruveilhier-Baumgarten syndrome—loud

venous hum at umbilicus in case of portal hypertension.

Q 1. What is the probable diagnosis in this case?

Cirrhosis of liver with portal hypertension.

Q 2. What are the points in favor of portal hypertension?

1. History of alcoholism

2. History of upper GI bleed

3. Melena

4. Hepatosplenomegaly on examination

5. Mild icterus

6. Presence of ascites.

Q 3. What are the causes for ascites?

Causes for ascites are:

Hepatic causes

– Cirrhosis with portal hypertension

– Hypoalbuminemia of any cause

Malignant ascites

– Secondary to any primary or metastatic malignancy

Infective

– Tuberculous peritonitis

– Bacterial peritonitis

– Primary peritonitis

Congestive

– Right sided heart failure

– Budd-Chiari syndrome

– Constrictive pericarditis

Miscellaneous causes

– Pancreatic ascites

– Chylous ascites

Meig’s syndrome

– Pseudomyxoma peritonei.

Q 4. What are the causes for general fullness of

the abdomen?

It may be due to:

Fat

Fluid

Flatus

Feces

Fetus.

Q 5. What is the minimum amount of fluid required

to demonstrate free fluid in the abdominal cavity?

The minimum amount of fluid to demonstrate

clinical ascites is 1500 mL.

Q 6. What is the minimum amount required

radiologically to demonstrate fluid within the

peritoneal cavity?

The minimum amount required radiologically to

demonstrate ascites is 150 mL.

Q 7. What are the types of ascitic fluid?

Contd... May be transudate or exudates.

Portal Hypertension

263

Q 8. What are the differences between transudate and exudates?

Differences between transudate and exudate

Transudate Exudates

Protein Low—most of which is albumin < 1gm/dL High—(2.5 – 3.5 gm/dL)

High content of fibrinogen

Specific gravity < 1.012 > 1.020

Glucose content Same as plasma Low < 60 mg/dL

pH > 7.3 < 7.3

LDH Low High

Cellular debris Few cells More cells

Cause Obstruction to the venous outflow

from liver (ultrafiltrate of blood plasma

and results from imbalance across the

vascular endothelium) permeability of

endothelium—normal

Inflammatory extravascular fluid formed by

the escape of fluid, proteins and blood cells

from the vascular system into the interstitial

tissue or body cavities because of increased

vascular permeability

SAAG (Serum ascites

albumin gradient)

> 1.1 (Ascitic fluid has less albumin than

serum)

< 1.1 (Ascitic fluid has more albumin than

serum)

Q 9. What are the signs of ascites?

Signs of ascites

Puddle sign—mild ascites

Shifting dullness—moderate ascites

Fluid thrill—severe ascites

Tanyon sign—the umbilicus is pushed upwards in

ovarian cyst and downwards in ascites

Q 10. What is puddle sign?

This is a clinical method to demonstrate minimum

amount of fluid in the peritoneal cavity. The patient

is positioned in the knee elbow position and the

abdomen is percussed around the umbilicus that

will reveal dullness.

Q 11. How will you demonstrate shifting dullness?

Ask the patient to turn on to his left side, wait for a

minute so that the fluid gravitates. Start percussion

from the right side to the left noting where the

resonant area becomes dull and then mark the

spot on the abdominal wall. Then the patient is

asked to turn slightly on to his right side and after

1 minute if shifting dullness is present, the dull area

will become resonant and vice versa.

Q 12. How will you demonstrate fluid thrill?

An assistant places the edge of his hand firmly on

the center of the abdomen in order to damp down

a fatthrill.The abdominal wall on one side isflicked

and the hand on the other side of the abdomen

feels the thrill.

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Clinical Surgery Pearls

Q 13. How will you differentiate ascites from

ovarian cyst (Pelvic mass)?

Differences between ascites and ovarian cyst

Ascites Ovarian cyst

• Dullness* Is dull in the

flanks and hypogastrium

Pelvic mass is

dull in the hypogastrium only

and flanks are

resonant

• Ruler test—a

flat ruler is

placed on

the abdomen

just above

the anterior

superior iliac

spine and

pressed firmly

backwards

Negative In the case of

ovarian cyst,

the pulsations

of the aorta are

transmitted

to the fingers

through the

ruler

• Position of

umbilicus

The umbilicus

is displaced

downwards

The umbilicus

is displaced

upwards

Note: *Mechanism of dullness—The ovarian cyst

displaces the loops of intestine to the flanks and

occupies the middle of the abdomen. Hence, the

dullness is felt over the mass in the hypogastrium

while the flanks are resonant. Ascitis fluid displaces

the loops of intestines to the middle of the abdomen.

The flanks are occupied by the ascitic fluid that on

percussion shows dullness while the floating loops of

intestine are resonant over the middle of the abdomen

(around the umbilicus).

Q 14. What is dipping palpation?

It is a special technique to palpate organs or tumors

in cases of ascites. The pads of fingers are placed

on the abdomen and then by a quick push, the

abdominal wall is depressed. By this method an

enlarged liver is felt easily so also a tumor mass.

Q 15. What is the definition of upper GI bleed?

Upper GI bleed is a bleeding located between

the oropharynx and the ligament of Treitz (lower

GI bleeding is a bleeding arising from distal to

ligament of Treitz).

Q 16. What is hematemesis?

Vomiting of blood thatis eitherfresh and unaltered

or digested by gastric secretion.

Q 17. What is melanemesis?

Vomiting of altered blood is called melanemesis.

Q 18. What is the cause for coffee ground vomitus?

It is due to vomiting of blood that has been in the

stomach long enough for gastric acid to convert

hemoglobin to acid hematin.

Q 19. What is hematochezia?

Passage of bright red blood per rectum is called

hematochezia. The bleeding source may be from

colon, rectum or anus. If the intestinal transit is

rapid during brisk bleeding in the upper intestine,

bright red blood may be passed unchanged in

the stool.

Q 20. What is melena?

It is defined as the passage of a black, tarry stool.

Usually it is because of bleeding from the upper GI

tract. But it can be produced by blood entering the

bowel at any point from mouth to the cecum. The

black color is because of the formation of hematin

that is a product of oxidation of heme by intestinal

and bacterial enzymes.

Q 21. What is the minimum amount of intestinal

bleeding required to produce melena?

About 50 to 100 mL of blood in the stomach.

Q 22. How long it will take to clear a melena of a

bleed of about 1000 mL of blood in the GI tract?

Three to five days.

Portal Hypertension

265

Q 23. What is the minimum amount of blood

required in the stool for a positive occult blood

test?

More than 10 mL (normal subjects lose about

2.5 mL of blood per day in their stool from minor

mechanical abrasion.

Q 24. What are the causes for upper GI bleeding?

Causes for upper GI bleeding

Common causes

1. Peptic ulceration—gastric ulcer, duodenal ulcer,

stomal ulcer

2. Esophagogastric varices

3. Gastritis

4. Mallory-Weiss syndrome

5. Acute mucosal lesions—(erosions)—they do

not extend through the muscularis mucosa and

therefore called erosions, not ulcers

6. Stress ulceration (secondary to shock, sepsis

following operation,trauma, etc.)—itis because of

decreased splanchnic blood flow and not because

of increased gastric secretion.

Uncommon causes

7. Reflux esophagitis

8. Gastric neoplasms

9. Curling’s ulcer—erosion of stomach and

duodenum in burns

10. Cushing ulcer—after head injury and cranial

operations

11. Steroid induced—steroid ulcers

12. Hiatal hernia

13. Duodenal diverticulum

14. Miscellaneous

 – vascular lesions such as

 – Angioma

 – Rendu-Osler-Weber syndrome

 – Aortoenteric fistula

 – Hematobilia.

Q 25. What is the most important investigation

for diagnosis in this case?

Esophagogastroduodenoscopy: It can be done in

emergency situations when the patient’s general

condition is stabilized.

Q 26. What is the endoscopy finding for varices?

Varices appear as 3 or 4 large tortuoussubmucosal

bulging vessels running longitudinally in the distal

esophagus. The bleeding site may be identified. The

lesion may be obscured by blood.

Q 27. What is the endoscopic grading of

esophageal varices?

Grade 1—visible, nontortuous

Grade 2—tortuous, nonprotruding

Grade 3—protruding (normal mucosa in between

the columns)

Grade 4—like grade 3, no normal mucosa.

Q 28. What is “varices upon varices”?

The small vessels seen on the surface of varices

endoscopically are called varices upon varices.

Q 29. What are the endoscopic signs of prediction

for bleeding?

Endoscopic signs of prediction for bleeding

Varices upon varices

Red wale marking

Cherry red spot

Hematocystic spot

Blue varices

Erosions on mucosa.

Q 30. Any role for upper GI barium series?

Barium studies are neither sensitive nor specific.

A barium swallow outlines the varices in 90% of

the cases. But they are difficult and dangerous in

bleeding patients.

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Clinical Surgery Pearls

Q 31. Is it possible to have bleeding duodenal

ulcer in patients with esophageal varices?

Yes. It isto be stressed that even in known patients of

esophageal varices, it is important to repeat the upper

GI endoscopy so as to exclude a bleeding peptic ulcer.

Q 32. What are the important investigations in

upper GI bleeding?

Important investigations in upper GI bleeding

1. Endoscopy

2. LFT—bilirubin is usually elevated, serum albumin

is often decreased

3. Hemoglobin—anemia may be as a result of

bleeding, hypersplenism or nutritional deficiency

4. Coagulation profile—PT, APTT, INR, platelet count

may be deranged in cirrhosis

5. Ultrasound abdomen—for identifying the size of

portal vein, the status of liver (cirrhotic or not), for

ascites, the amount of collaterals, etc.

6. Splenoportography—for identifying the site of

obstruction

7. Ascitic fluid study

8. Liver biopsy—for confirming the cause of portal

hypertension.

Q 33. What are the peculiarities of portal vein?

Itis unique in thatitstarts and endsin capillaries

It has no valves.

Q 34. What is the normal portal pressure? What is

the pressure in portal hypertension?

Normally it ranges from 7–10 cm of saline. In portal

hypertension the portal pressure exceeds 10 cm of

saline averaging around 20 cm of saline.

Q 35. How portal vein is formed?

It is formed in front of the inferior vena cava (IVC)

and behind the neck of the pancreas by union of

the superior mesenteric and splenic vein. This union

occurs at the level of the second lumbar vertebrae.

The vessel is 5–8 cm long and passes up and to the

right in the gastrohepatic omentum (lesser) to enter

the hilum of liver where it immediately divides into

right and left branches. In the liver right branch is

short and supplies the caudate lobe of the liver and

then divides into anterior and posterior branch. The

longer left branch of the portal vein runs to the left

in the porta hepatis.

Q 36. What is the mechanism of development of

collateral circulation in portal hypertension?

The obstruction to the flow of portal venous

blood in the liver promotes expansion of collateral

channels between the portal and systemic venous

system. When the portal pressure reaches around

40 cm of water (30 mm of Hg) the hepatic resistance

reaches a point of occlusion of the portal vein

and diverts the flow through collaterals without

significantly increasing in pressure.

Q 37. What are the sites of portosystemic

anastomosis?

Sites of portosystemic anastomosis and the

resulting manifestations are:

Sl. No Site Portal Systemic Manifestation

1. Lower end of esophagus Coronary vein from

stomach

Esophageal vein

draining to azygos

and vena cava

Esophageal var ices and

hematemesis

2. Around the umbilicus Veins along the

falciform ligament

Epigastric veins Radiating veins from

umbilicus—caput medusae

Contd...

Portal Hypertension

267

3. At the lower end of rectum Superior rectal vein Middle and inferior

rectal veins

Anorectal varices (they are

submucosal veins extending

upwards well above the level

of hemorrhoids and are easily

compressible)

4. In front of the kidney at the

back of the colon

Vesselsof peritoneum

and colon

Vessels of the kidney

(Veins of Retzius)

5. Bare area of the liver Liver veins Diaphragmatic veins –

(See Fig. 20.1)

Contd...

Fig. 20.1: Portosystemic anastomotic sites

This place is rich in the submucosal veins that

expands disproportionately in patients with portal

hypertension.

Q 39. What is the pathogenesis of rupture of

varices?

There are two theories.

1. Erosion from without (esophagitis)

2. Explosion from within (by increased pressure).

Q 40. Can you get isolated gastric varices without

esophageal varices?

Yes. Isolated thrombosis of the splenic vein causes

localized splenic venous hypertension. This will

result in development of large collaterals from

spleen to gastric fundus. From there the blood

returns to the main portal system through the

gastric coronary vein.

Q 41. How will you assess the functional status of

the liver disease?

Many scoring systems are available. The Child - Pugh

classification is one of the standard systems to

assess the functional status in liver disease.

Q 38. What are the sites of spontaneous bleeding

in portal hypertension?

It is seen only from gastroesophageal junction.

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Clinical Surgery Pearls

Child-Turcotte-Pugh classification of functional

status in liver disease

Parameter Numerical

score

1 2 3

Class – A

[Risk - Low]

Class – B [Risk

- Moderate]

Class – C

[Risk- High]

Ascites Absent Slight to

Moderate

Tense

Encephalopathy

None Grade I - II Grade III

- IV

Serum albumin

(g/dL)

> 3.5 2.8 – 3.5 < 2.8

Serum bilirubin

mg/dL

< 2 - 0 2.0 – 3.0 > 3.0

Prothrombin

time (seconds

above control)

< 4.0 4.0 – 6.0 > 6.0

Total Child - Turcotte-Pugh Risk

score classification

5 – 6 A Low risk

7 – 9 B Moderate risk

10 – 15 C High risk

Q 42. What is Child’s classification?

Child’s classification of hepatocellular function in

cirrhosis.

Q 43. What are the causes for portal hypertension?

A. May be because of increased resistance to flow:

Prehepatic

Hepatic

Posthepatic.

B. Increased portal blood flow—(because of the

tremendous reserve capacity of the liver to

accommodate increased blood flow, this is

uncommon).

Banti’s syndrome

Tropical splenomegaly

Myeloid metaplasia.

Prehepatic causes

Thrombosis of portal vein

Thrombosis of splenic vein

Congenital stenosis or atresia

Extrinsic compression by tumors.

Hepatic causes

Cirrhosis—portal, postnecrotic, biliary, Wilson’s

disease, hemochromatosis

Congenital hepatic fibrosis

Idiopathic portal hypertension

Schistosomiasis

Chronic active hepatitis

Acute alcoholic liver diseases.

Posthepatic causes

Budd-Chiari syndrome (hepatic vein thrombosis)

Veno-occlusive disease

Cardiac diseases—constrictive pericarditis, valvular

heart disease, right heart failure, etc.

Q 44. What are the important common causes for

portal hypertension?

Common causes for portal hypertension

1. Cirrhosis

a. Cirrhosis (alcoholic)—85%

b. Postnecrotic cirrhosis

c. Biliary cirrhosis

2. Extrahepatic portal venous thrombosis (children

and younger patients)

3. Idiopathic portal hypertension (Southern Asia)

4. Schistosomiasis (Egypt).

Portal Hypertension

269

Q 45. What is the cause of abnormal resistance in

the portal system in cirrhosis?

The resistance is predominantly postsinusoidal

thought to be because of:

Distortion of the hepatic veins by degenerating

nodules

Fibrosis of perivascular tissue around the

sinusoids and hepatic veins

Centrilobular swelling and fibrosis produce

portal hypertension in acute alcoholic hepatitis

in the absence of cirrhosis.

Q 46. What is wedged hepatic vein pressure?

A catheter is wedged in a tributary of the hepatic

veins that will permit estimation of the pressure in

the afferent veins to sinusoids.

Q 47. What is the site of obstruction in

schistosomiasis?

Schistosomiasis produces presinusoidal obstruction

because of deposition of parasite ova in small portal

venules. This produces inflammation followed by

fibrosis.

Q 48. What is Budd-Chiari syndrome?

This is a condition affecting mainly young females.

The obstruction is in the hepatic veins as a result of

hepatic vein thrombosis or congenital webs (venous

web). The liver becomes congested as a result of

obstruction, resulting in impaired liver function

and portal hypertension. The patient also develops

ascites and esophageal varices. If chronic, the liver

progresses to cirrhosis. It is important to rule out the

cause for venous thrombosis such as:

Procoagulantstatessuch as protein C, protein S

and antithrombin III, deficiencies

Myeloproliferative disorders.

Q 49. What is the CT finding in Budd-Chiari

syndrome? (PG)

Ascites

Large congested liver (early)

Small cirrhotic liver(late)withgross enlargement

of segment I (caudate lobe).

Q 50. What is the cause for enlargement of

segment? (PG)

Segment I is having direct venous drainage to the

IVC(inferior vena cava).When there is atrophy ofthe

rest of the liver because of hepatic vein obstruction,

there will be gross enlargement of this segment.

Q 51. How will you confirm the diagnosis of BuddChiari syndrome? (PG)

This is done by hepatic venography through a

transjugular approach. This will reveal occlusion of

the hepatic veins.

Q 52. What is the treatment of Budd-Chiari

syndrome? (PG)

If cirrhosis is not established—TIPSS or shunt

surgery

If cirrhosisis established—Livertransplantation

Lifelong anticoagulation with warfarin may be

required.

Q 53. What is TIPSS?

Transjugularintrahepaticportosystemic stentshunt

(TIPSS) was introduced 1988 as an emergency

treatment for variceal hemorrhage not responding

to medical management and endoscopic

sclerotherapy. The procedure is done under

local anesthesia and sedation using fluoroscopic

guidance and ultrasonography. A guide wire is

inserted through the internal jugular vein and

then via the superior vena cava, hepatic veins and

hepatic parenchyma to a branch of the portal vein.

The track in the parenchyma is then dilated with a

balloon catheter and a metallic stent is inserted.

This will produce satisfactory drop in portal venous

pressure, by shunting blood from portal system to

the inferior vena cava directly.

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Clinical Surgery Pearls

Q 54. What are the complications of TIPSS? (PG)

Perforation of liver capsule and fatal intraperitoneal hemorrhage

TIPSS occlusion—further variceal hemorrhage

Post-shunt encephalopathy (40%)

Stenosis of the shunt (50% at one year).

Q 55. What is the cause for post-shunt encephalopathy after TIPSS? What is the incidence? (PG)

The portal blood bypassing the detoxification

effects of the liver will enter the systemic circulation

resulting in a confusional state. It occurs in 40%

of patients similar to the surgical shunts. The

early manifestations are subtle and mental and

personality changes may be overlooked in the

postoperative period. Restlessness, irritability and

insomnia are common. Neuromuscular signs of

unsustained clonus, increased tendon reflexes

and extensor plantar are seen. Blood ammonia

determination is unreliable. Finally more obvious

confusion, drowsiness, stupor and coma develop.

Q 56. What is Banti’s syndrome? (PG)

It is defined as a liver disease secondary to primary

splenic disease. It was erroneously considered as the

cause of portal hypertension but now it is known

that it is as a result of cirrhosis.

Q 57. What are the criteria by which you categorize

a patient to low-risk category in upper GI bleed?

 (PG)

Low-risk—upper GI bleed

1. Age < 75 years

2. No unstable comorbid illness

3. No ascites evident on physical examination

4. Normal PT (prothrombin time)

5. Systolic BP above 100 within 1 hour after admission

(with or without fluid resuscitation)

6. Nasogastric aspirate free of fresh blood.

Q 58. What is the management of variceal

bleeding? (flow chart 20.1)

Emergency admission and following management

is carried out.

1. Monitor the patient for BP, pulse, CVP, hematocrit,

hourly urine output

2. Peripheral and central venous access

3. Arrange adequate blood (initially 10 units)

4. Serial hematocrit determination—is best for

monitoring continued blood loss and appropriate

replacement of the lost blood

5. Nasogastric aspiration—look for the color of the

aspirate (blood or altered blood is present or not)

6. Stabilize the patients

7. Endoscopy within 24 hours after admission (in

80% the bleeding source can be identified).

Two lesions are identified in 15% of patients

8. Upper GI series if endoscopy is equivocal

9. Medical management—vasopressin, terlipressin,

somatostatin analog (octreotide)

10. Mechanical—balloon tamponade

11. Interventional—endoscopic sclerotherapy/

banding

12. Prevent encephalopathy

13. Injection vitamin K to correct emergent coagulopathy (fresh frozen plasma may be required to

correct coagulopathy).

14. Maintain fluid and electrolyte balance

15. Surgical—emergency shunt

 – Esophageal transection and anastomosis

 – Devascularization procedures.

Q 59. What is the initial therapy of choice?

Endoscopic sclerotherapy or banding

Vasopressin or propranolol may or may not be

included

Portal Hypertension

271

Balloontamponade (nolongerusedroutinely)—

reserved for special situations.

Q 60. What is sclerotherapy?

Through the fiberoptic endoscope 1–2 mL of the

sclerosant solution is injected into the varix either

intravariceally or paravariceally in a circumferential

pattern at the gastroesophageal junction and

subsequently also injected 3–4 cm proximal to the

junction. Following the injection, the endoscope is

advanced into the stomach and is keptthere for 4–5

minutes in order to compress the varices. It may be

done as emergency procedure or elective procedure.

Methods of sclerotherapy

a. Intravariceal—obliteration of varices

b. Paravariceal—perivascular cicatrization

c. Combined method of injection.

Flow chart 20.1: The management of portal hypertension

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Clinical Surgery Pearls

Q 61. What are the sclerosants used? (PG)

The commonly used sclerosants

Fatty acid derivatives

– Sodium morrhuate (5%)

– Ethanolamine oleate (5%)

Synthetic products

STD (Sodium Tetradecyl Sulphate)—1–3%

– Polidocanol (Hydroxy Polyethoxy dodecan (HPD

also called aethoxysklerol - 1%

Other agents—Butyl cyanoacrylate

Mixture of sclerosants.

Q 62. What is the mechanism of sclerotherapy? (PG)

It will cause:

Intimal injury

Thrombosis ofsubmucosal vessels(in 24 hours)

Superficial and deep ulceration (5–7 days)

Submucosal fibrosis (1month).

Q 63. How often sclerotherapy is repeated? (PG)

During active bleeding:

It is repeated on 3rd day and 7th day

Afterresolving edema repeatthe procedure 3–4

weeks after the last injection

5 to 6 procedures may be required for total

obliteration

Endoscopic evaluation is done 3 to 6 months

after this.

Q 64. What is a successful sclerotherapy? (PG)

If the aspirate is clear within 12 hours, it is

considered successful

If unsuccessful repeat sclerotherapy 3 times at

an interval of 12 hours.

Q 65. What is the success rate of sclerotherapy? (PG)

Sclerotherapy controls bleeding in 80–95% of

patients.

Q 66. What is prophylactic sclerotherapy? (PG)

When sclerotherapy is given for a patient with

esophageal varices without history of bleeding,

it is called prophylactic sclerotherapy

When sclerotherapy is given during bleed free

intervals, it is called chronic sclerotherapy

When it is given during hemorrhage, it is called

acute sclerotherapy.

Q 67. What are the complications of sclerotherapy?

 (PG)

Complications may be classified as:

1. Minor

– Substernal pain

– Esophagitis (48 hours)

Fever—25%

2. Major

Esophageal

Ulceration—(7 days)

– Perforation (5 – 19 days)

– Stricture (4 months)

Pulmonary and mediastinal

– Pleural effusion right side

– Atelectasis

– Chylothorax right side

– ARDS

3. Rare—Superior mesenteric vein thrombosis.

Q 68. What is the treatment of gastric fundal

varices? (PG)

Injection sclerotherapy with butyl cyanoacrylate

or

Endoscopic banding.

Q 69. What is endoscopic banding?

The varix is lifted with suction tip and a small rubber

band is slipped around the base. The varix necroses

leaving behind a superficial ulcer. The rebleeding

episodes are less in banding, so also the morbidity

compared to sclerotherapy.

Portal Hypertension

273

Q 70. What is the role of vasopressin?

The vasopressin will lower the portal blood flow

and portal pressure by directly constricting

splanchnic arterioles. This will reduce the portal

flow. Vasopressin alone controls acute bleeding in

80% of patients and this is increased to 95% when

used in combination with balloon tamponade.

Q 71. What are the complications of vasopressin?

Complications of vasopressin

1. Myocardial infarction

2. Cardiac arrhythmias

3. Intestinal gangrene

4. Reduction in cardiac output

5. Reduces hepatic blood flow

6. Reduces renal blood flow.

Q 72. How can one prevent the complications of

vasopressin?

Simultaneous administration of nitroglycerin or

isoproterenol along with vasopressin.

Q 73. What is the dose of vasopressin?

It is given as an IV infusion in the dose of 0.4 units/

mt. The infusion is better than bolus injection. The

nitroglycerinecanbegivenIVorsublingually(20units

in 10 mL of 5% dextrose IV over 10 minutesinitially).

Q 74. What is Terlipressin?

It is a synthetic vasopressin analog. It undergoes

gradual conversion to vasopressin in the body. It

causes fewer cardiac side effects than vasopressin.

Dose 2 mg bolus injection IV 6th hourly.

Q 75. What is the role of octreotide acetate?

It is a long-acting synthetic somatostatin analog.

The action is similar to vasopressin but without

significant side effects. This is the drug of choice

for the pharmacological control of acute bleeding

varices.

Dose: 100 µg initial bolus, followed by continuous

infusion of 25 µg/h for 24 hours.

Q 76. What is the effectiveness of pharmacological

control?

Vasopressin alone is superior to placebo

Vasopressin and nitroglycerine is superior to

vasopressin alone.

Q 77. What is the role of Sengstaken-Blakemore

tube?

It is used for temporary hemostasis initially (balloon

tamponade). It has got 3 lumens with 2 balloons

which can be inflated (esophageal balloon and

gastric balloon). The balloons are inflated in the

lumen of gut (gastric balloon is inflated with 250

ml of air, and esophageal balloon to a pressure of

40 mm of Hg). The third lumen is for aspiration of the

gastric contents. The tube is introduced transorally.

After inflating the two balloons, traction is applied

to the tube so that gastric balloon compresses the

collateral veins at the cardia of the stomach. The

contribution of esophageal balloon compression

is negligible. The balloon should be temporarily

deflated after 12 hours to prevent pressure necrosis

of the esophagus.

Q 78. What are the complications of this tube?

Aspiration of pharyngeal secretions and

pneumonia

Esophageal rupture (this balloon is therefore

infrequently used)

Pressure necrosis of the esophagus.

Q 79. What is the success rate of balloon

tamponade?

Above 75% of the actively bleeding patients can be

controlled by balloon tamponade. When bleeding

has stopped, it should be left in place for another

24 hours.

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Clinical Surgery Pearls

Q 80. What is Minnesota tube?

This tube has got a 4th lumen to aspirate the

esophagus proximal to the balloon.

Q 81. What is the role of TIPSS in the management

of portal hypertension (read the answer in the

initial part of this chapter)? (PG)

It is useful for the control of acute bleeding and

to prevent rebleeding (the portal hypertension

also is controlled)

Patients with advanced liver disease are

considered for TIPSS

TIPSS is used as a bridge to transplantation

It should not be regarded for definitive therapy

(the shunt remains open for up to a year)

Less severe cirrhosis patients—consider for

shunt surgery/devascularization.

Q 82. What are the surgical options? (Flow Chart 20.1)

Surgical procedures may be classified as:

– Emergency procedures

– Elective surgical procedures.

Q 83. What are the emergenc y surgical

procedures? (PG)

Surgical procedures are rarely considered for

the acute management of variceal hemorrhage,

since the morbidity and mortality are high

The increasing availability of TIPSS and liver

transplantation is another factor

Initial bleeding is usually controlled with

sclerotherapy/banding

The main indication for surgery is a Child’s

grade—Acirrhoticpatientinwhomthebleeding

has been controlled by sclerotherapy

1. Emergency shunt operations

2. Emergency esophageal transection (stapled

transection)

3. Emergency devascularization.

Note:All these procedures are usually done as

elective procedures.

Q 84. What is the principle of shunt surgery and

what are the types of shunt surgery?

They reduce the pressure in the portal circulation by

diverting the blood into the low-pressure systemic

circulation. The different types of shunts are:

Nonselective (portacaval)

1. Side-to-side—portacaval, mesocaval, renosplenic, etc.

2. End-to-side—portacaval (total)

3. Mesocaval (H)

Selective

1. Distalsplenorenal (lienorenal) (Warren shunt)—

it is time consuming in emergency situations

2. Left gastric vena caval (Inokuchi).

Q 85. What are the advantages of selective

shunt? (PG)

They preserve blood flow to the liver while

decompressing the left side of the portal

circulation, that is responsible for esophageal

and gastric varices.

Selective shunts are associated with lower

incidence of portosystemic encephalopathy (PSE).

Q 86. What is total shunt (Eck fistula)? (PG)

This is an end-to-side shunt that completely

disconnects the liver from the portal system. The

portal vein is transected near its bifurcation in the

liver hilum and anastomosed to the side of the

inferior vena cava. The hepatic stump of the vein

is over sewn. This type of shunt gives immediate

and permanent protection from variceal bleeding

and somewhat easier to perform than side-to-side

portacaval shunt. Encephalopathy is less compared

to side-to-side shunt.

Portal Hypertension

275

Q 87. What is mesocaval shunt?

A segment of prosthetic graft or internal jugular

vein is anastomosed between the inferior vena cava

and the superior mesenteric vein. It is useful in cases

of portal vein thrombosis. The portal flow to the liver

is lost in this procedure. The portal flow to the liver

can be preserved by reducing the diameter of the

graft to 8 mm (from 12–20 mm). This will decrease

the incidence of encephalopathy, still preventing

variceal hemorrhage.

Q 88. What is central splenorenal shunt? (PG)

Here splenectomy is performed and the splenic vein

is anastomosed to the renal vein.

Q 89. What are the emergency shunt surgical

procedures commonly performed? (PG)

1. End-to-side portacaval

2. H - mesocaval shunt.

Q 90. What is the contraindication for shunt

procedure? (PG)

A good transplantation candidate should not be

subjected to portosystemic shunt or other shunt.

Generally, Child’s class A, patients are candidates

for portal decompression and class C patients are

candidates for transplantation.

Q 91. How will you select a shunt procedure? (PG)

For elective portal decompression—distal

splenorenal shunt (Warren)

If ascitesispresent—end-to-sideportacavalshunt

Severe ascites—side-to-side shunt

Budd-Chiari syndrome

Emergency decompression—end-to-side or H

mesocaval.

Q 92. What are the results of portosystemic

shunts? (PG)

Incidence of recurrent variceal bleeding—10%

5-year-survival for alcoholic liver disease—45%

Encephalopathy15–25%(severeencephalopathy

in 20% of alcoholic after total shunt)

Patency of shunt—90%.

Q 93. What is esophageal transection (stapled

transection)?

In many surgical units, it is the first choice when

nonsurgical methods fail. It must be done as soon

as a second attempt at sclerotherapy has failed. It

must be viewed as an emergency procedure and

not a definitive treatment.

Circular stapling device is used for resecting and

reanastomosing a ring of the lower esophagus. This

procedure is being replaced by TIPSS in centers

where it is available.

Q 94. What are the devascularization procedures?

 (PG)

The devascularization procedures reduce proximal

gastric blood flow.

These procedures are not done nowadays.

1. Gastroesophageal decongestion and splenectomy

of Hassab—Allthe vessels exceptthe left gastric

vessels are ligated.

2. Sugiura procedure—it is done in two stages. The

first stage is transthoracic and the dilated venous

collaterals between esophagus and adjacent

structures are divided. The esophagus is then

transected and reanastomosed. The second

stage is done by laparotomy after the first stage

ifthepatientisbleeding (butdeferred 4–6weeks

in the elective cases). The upper 2/3rds of the

stomach is devascularized, selective vagotomy,

pyloroplasty and splenectomy are performed.

Q 95. What is the definitive treatment for portal

hypertension because of cirrhosis?

In cirrhosis the basic pathology is failing liver

cells and none of these procedures will rectify

276

Clinical Surgery Pearls

the problem. Therefore, the definitive treatment

is liver transplantation. Any young patient with

cirrhosis who has survived an episode of variceal

hemorrhage should be considered a candidate for

liver transplantation. Any other form of treatment

carries a much higher mortality rate within the

subsequent 1–2 years.

Q 96. What are the contraindications for liver

transplantation? (PG)

Contraindications for liver transplantation

1. Age > 65 years

2. Ischemic heart disease

3. Cardiac failure

4. Chronic respiratory disease

5. Continued alcohol use

6. Previous surgical shunt (relative).

Q 97. What is the procedure of choice during the

preparation period for transplantation? (PG)

Transjugular intrahepatic protosystemic shunt

(TIPSS).

Q 98. What is the treatment of nonbleeding

varices (prophylactic therapy)?

There is a 30% chance for bleeding at some point

for this group of patients. Of those who bleed

50% die. Patients who have bled once from

varices have a 70% chance of bleeding again. The

treatment of patients with varices that have never

bled is referred to as prophylactic therapy. Thus,

we have prophylactic sclerotherapy, prophylactic

propranolol, etc. The therapy of patients who

have bled before is referred to as therapeutic. The

prophylactic therapy consists of the following:

a. Prophylactic sclerotherapy

b. Prophylactic propranolol.

Q 99. What is the action of propranolol?

This beta-adrenergic blocking agent decreases

cardiac output and splanchnic blood flow and

therefore reduces the portal blood pressure.

Chronic propranolol therapy in a dose of 20–160 mg

twice daily decreases the frequency of rebleeding

by 40%. It also reduces the overall mortality.

Q 100. What is left sided portal hypertension?

It is caused by isolated splenic vein thrombosis.

Q 101. What are the causes of ascites in portal

hypertension?

Decreased colloid osmotic pressure (decreased

proteins)

Increased hydrostatic pressure

Lymphatic blockage.

Q 102. What are the complications of ascites?

Complications of ascites

Umbilical hernia

Spontaneous bacterial peritonitis

Respiratory embarrassment.

Q 103. What is the treatment of ascites in portal

hypertension?

1. Medical

– Spironolactone 25 mg bd orally

Limit sodium intake.

2. Ascitic tap—slow gradual tapping is done

3. Shunt operations

Leveen shunt (peritoneovenous shunt—

peritoneal cavity to internal jugular vein)

Denver shunt—Peritoneal cavity to internal

jugular vein with a subcutaneous chamber

that can be milked when blocked.

Portal Hypertension

277

Q 104. What is the management of encephalopathy?

1. Protein-free diet

2. Oral Lactulose—30 mL tid

3. Oral neomycin—1–2 g 6th hourly (not given in

renal impairment)

4. Parenteral nutrition—(calories from carbohydrate sucrose is preferred over glucose)

5. Administration of 50% glucose in central vein.

Q 105. What is hepatorenal syndrome?

Acute renal failure without apparent cause may

occur in patients with liver disease at any time

during hospitalization. This is due to impaired renal

perfusion. Other possible causes include infection,

drug toxicity, etc. They usually succumb to hepatic

failure.

21 Mesenteric Cyst

Case

Case Capsule

A 15-year-old girl presents with abdominal

distension and recurrent colicky type of abdominal

pain of two months duration. There is no associated

vomiting and no other complaints. There is no

history of respiratory infection preceding the attack.

There is no alteration in bowel habits.

On general examination, she is afebrile, not ill

looking. There is no generalized lymphadenopathy

and no icterus. There is no circumoral pallor. On

examination of the abdomen, a central abdominal

fullness is noticed on inspection. A spherical

swelling of 15 cm diameter is situated in the

umbilical region, all the borders of which are welldefined. The surface of the swelling is smooth.

The swelling moves freely at right angles to the

line of attachment of the mesentery. It is dull to

percussion, however, the surrounding areas are

resonant. On fixing the swelling with the help of

the patient’s hand, it appears to be fluctuant. The

swelling cannot be pushed to the pelvis. There is

neither shifting dullness nor fluid thrill. There is

no organomegaly. The hernial orifices are normal.

On digital rectal examination, it is not possible to

feel the swelling from below. The supraclavicular

nodes are not enlarged.

Read the checklist for abdominal examination.

Checklist for history

Checklist for examination

Look for

Circumoral pallor—mesenteric adenitis

Cervical lymph nodes—seen in mesenteric

lymphadenitis

Shifting tenderness, which is a sign of mesenteric

adenitis

Free movement in a plane at right angles to the

attachment of mesentery (from left of the umbilicus

to the right iliac fossa)

A zone of resonance around the swelling.

Q 1. What is the probable diagnosis in this case?

Mesenteric cyst.

Q 2. What are the differential diagnoses?

Differential diagnoses of central abdominal

cystic swelling

Ovarian cyst

Omental cyst

Cyst of the mesocolon

Tuberculous abscess in the mesentery

Hydatid cyst of the mesentery

Contd...

Mesenteric Cyst

279

Pancreatic pseudocyst

Inflammatory cyst

Serosanguinous cyst—may be traumatic in origin

Retroperitoneal cyst.

Q 3. What are the characteristics of mesenteric

cyst?

1. A cystic swelling in the center of the abdomen

2. It moves at right angles to the line of attachment

of the root of the mesentery, but only slightly,

parallel to the root of the mesentery

3. Fluid thrill will be present

4. It is dull to percussion

5. One can get below the swelling (unlike ovarian cyst)

6. There is a zone of resonance around the cyst.

Q 4. What is the line of attachment of mesentery?

It is attached to the posterior abdominal wall to

the left of the 2nd lumbar vertebrae and passes

obliquely to the right and inferiorly to the right

sacroiliac joint and is 15 cm long.

Surface marking in the abdomen:

An oblique line starting 2.5 cm to the left of the

midline and 2.5 cm below the transpyloric plane and

extending downwards and to the right for about 15

cm.

Direction of movement of mesenteric cyst is

showing in Figure 21.1.

Q 5. What is the “sign of mesenteric cyst”?

Tillaux Triad

1. Soft swelling at the level of umbilicus

2. Movement perpendicular to mesentery

3. Dull note over the swelling surrounded by

resonance.

The lump moves in a plane from the right

hypochondrium to the left iliac fossa, but not in

the plane at right angles to this.

Q 6. What is mesenteric cyst and what is the

classification?

They are developmental lesions

Classification of mesenteric cyst

Chylolymphatic (commonest variety)

Enterogenous

Urogenital remnant

Dermoid (teratomatous cysts).

Q 7. What is the age group affected by mesenteric

cyst?

Most frequently in the second decade

Less often 1 – 10 years

Exceptionally in infants under 1year.

Contd...

Fig. 21.1: Mesentery (small intestine) attachment

direction of movement of mesenteric cyst

280

Clinical Surgery Pearls

3. Hemorrhage into the cyst

4. Infection

5. Peptic ulceration (when it contains ectopic

gastric mucosa)

6. Perforation

Q 11. How will you differentiate it from omental

cyst?

A lateral radiograph or ultrasound or CT scan will

show the cyst in front of the intestines, if it is an

omental cyst.

Q 12. What are the investigations in a suspected

case of mesenteric cyst?

1. Plain X-ray will show calcified lymph nodes in

tuberculous mesenteric lymph nodes

2. Barium meal and follow through hollow viscera

will be found to be displaced around the cyst or

lumen of the intestine may be seen narrowed

3. Ultrasoundabdomenwillrevealthe cysticnature

and the origin of the cyst

4. IVU to rule out hydronephrosis if ultrasound is

not done

5. CT scan

6. Needle aspiration and instillation of radio-paque

water-soluble contrast media.

Q 13. What is the treatment of chylolymphatic

cyst?

Enucleation in toto

After major portion of the cyst has been

dissected free, a portion abutting on the

intestine or a major blood vessel can be left

attached after destroying its lining.

Q 14. What is the treatment of enterogenous cyst?

Enucleation is contraindicated

Resection of the cyst with adherent portion of

the intestine followed by intestinal anastomosis

Q 8. What are the differences between

chylolymphatic cyst and enterogenous cysts?

Differences between chylolymphatic cyst and

enterogenous cysts

Chylolymphatic cyst Enterogenous cysts

• Arises from congenitally

misplaced lymphatic

tissue with no efferent

communication with

lymphatic system

• Arisesfromadiverticulum

of the mesenteric border

of the intestine which has

become sequestrated

from the intestinal canal or

duplication of the intestine

• Wall is thin—connective

tissue lined by endothelium

• Thicker wall—lined by

m u c o u s m e m b r a n e

(sometimes ciliated)

• Filled with clearlymph or

chyle (milky)

• Content is mucinous

(colorless or yellowish

brown)

• Blood supply is independent of that of the

adjacent intestines

• Common blood supply

with intestine

• Usually enucleation is

possible without resection of the gut

• Removal always entails

resection of the related

portion of intestine

Q 9. What is the cause for recurrent attacks of

abdominal pain?

It may be due to—

1. Torsion of the mesentery

2. Temporary impaction of food bolus in the

intestine narrowed by the cyst.

Q 10. What are the complications of the cyst?

Complication of mesenteric cyst

1. Torsion of the cyst

2. Rupture of the cyst

Contd...

Contd...

Mesenteric Cyst

281

If a very large segment of small intestine is

implicated, an anastomosis should be made

between the apex of the coil of small intestine

and the cyst wall (the cyst wall will hold sutures

well).

Q 15. What is the role of marsupialization?

This is an old form of treatment not recommended

nowadays because of the fear of fistula and

recurrence.

Q 16. What is the surgical treatment if it is an

omental cyst?

Omentectomy.

Q 17. What are the neoplasms of the mesentery?

They are classified as benign and malignant.

Benign Malignant

• Lipoma • Lymphoma

• Fibroma • Secondary carcinoma

• Fibromyxoma

Q 18. What is the management of benign

neoplasms?

Benign tumors are excised in the same way as

mesenteric cyst, along with resection of the

adjacent intestine.

Q 19. What is the management of malignant

neoplasms?

Biopsy confirmation

Chemotherapy for lymphoma

Chemotherapy for secondary carcinoma.

Q 20. How does tuberculous lymphadenitis occur?

The tubercle bacilli are usually ingested and they

enterthe mesenteric lymph node by way of Peyer’s

patches. The organism may be human or bovine. It

can occur after ingestion of raw milk. It may affect

a single lymph node or multiple lymph nodes

presenting as massive abdominal swelling.

Q 21. What is pseudomesenteric cyst?

When tuberculous mesenteric lymph nodes breakdown, the tuberculous pus may remain between

the leaves of the mesentery and cystic swelling

similar to mesenteric cyst is formed. When such

a situation is found the pus is evacuated without

soiling the peritoneal cavity and anti tuberculous

treatment is instituted.

Q 22. What is the cause for yellow-colored lymph

nodes in the ileocecal region?

Metastasis from carcinoid of the appendix will give

rise to yellow color for the lymph nodes.

Q 23. What are the causes for calcified shadows in

the plain radiograph of the abdomen?

Causes for radiopaque shadow in

plain X-ray abdomen

1. Renal or ureteric stone (renalstones are uniform in

density, take the shape of pelvicalyceal system and

lies superimposed on the shadows of the vertebral

column in the lateral view)

2. Gallstones are (less dense in the center and in front

of the vertebral bodies on the lateral view)

3. Pancreatic calculi

4. Calcified tuberculous lymph node—usually in

the ileocecal region and line of attachment of the

mesentery—outline isirregular and the nodes are

mottled like black berry

5. Phlebolith

6. Calcified costal cartilage

7. Fecolith

8. Stone in the appendix

9. Calcified renal artery

10. Calcified aneurysm of the abdominal aorta

11. Chip fracture of the transverse process of the

vertebrae.

282

Clinical Surgery Pearls

Q 24. How long it will take for calcification to occur

in tuberculous lymph nodes?

Eighteen months.

Q 25. Will the nodes be noninfective in such a

situation?

No. The node need not be defunct. So infection is

still possible.

Q 26. What is the cause for acute non specific

ileocecal mesenteric adenitis?

The etiology of this condition is unknown, it

affects children and unusual after puberty. Some

cases are associated with Yersinia infection of

the ileum. In other situations unidentified virus is

blamed. Respiratory infection precedes an attack of

mesenteric adenitis. This is a self-limiting disease. It

is called nonspecific in order to distinguish it from

tuberculous mesenteric adenitis.

Q 27. What are the clinical manifestations of

nonspecific mesenteric adenitis?

Central abdominal pain lasting for 10–30 minutes

Associated circumoral pallor

Vomiting is common

No alteration in bowel habits

Intervals of complete freedom from pain

The patient seldom looks ill

Temperature may be elevated but never exceeds

38.5

Tenderness along the line of mesentery

Shifting tenderness(afterthe patientlies on the left

side for a few minutes the tenderness shift to the

left side)

Pelvic peritoneum is tender to palpation.

Q 28. What will be the total leukocyte count like?

There is often leukocytosis in contrast to

tuberculosis.

Q 29. What is the treatment of nonspecific

mesenteric adenitis?

Bed rest for a few days (if the diagnosis can be

made with certainty).

If appendicitis cannot be excluded do

laparoscopy followed by appendectomy if

requir



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