Cargando…
The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma
Neuroblastoma is the most common extra-cranial solid tumor in infants and young children, and accounts for approximately 8–10% of all childhood cancers. The International Neuroblastoma Staging System (The International Neuroblastoma Risk Group Staging System (INRGSS)) is based on the age of patient...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7918232/ https://www.ncbi.nlm.nih.gov/pubmed/33672809 http://dx.doi.org/10.3390/ijerph18041841 |
_version_ | 1783657879291559936 |
---|---|
author | Sosnowska-Sienkiewicz, Patrycja Januszkiewicz-Lewandowska, Danuta Mańkowski, Przemysław |
author_facet | Sosnowska-Sienkiewicz, Patrycja Januszkiewicz-Lewandowska, Danuta Mańkowski, Przemysław |
author_sort | Sosnowska-Sienkiewicz, Patrycja |
collection | PubMed |
description | Neuroblastoma is the most common extra-cranial solid tumor in infants and young children, and accounts for approximately 8–10% of all childhood cancers. The International Neuroblastoma Staging System (The International Neuroblastoma Risk Group Staging System (INRGSS)) is based on the age of patient and preoperative imaging, with attention paid to whether the primary tumor is affected by one or more of specific Image-Defined Risk Factors (IDRFs). Patients are classified into the following groups: locoregional L1 and L2 (absent or present IDRFs respectively), M stage (a disseminated form of neuroblastoma) and Ms (the stage present in children younger than 18 months of age with the disease spread to the bone marrow and/or liver, and/or skin). This publication is aimed to present an unexpected complication associated with an accidental ligation of the celiac trunk during resection of a neuroblastoma tumor in a 2.5-year-old boy after initial chemotherapy, initially with vascular IDRFs, stage L2. The consequences of this complication were pancreatic and spleen ischemia and necrosis, and ischemia and perforation of the common bile duct, gallbladder, stomach, and duodenum. Despite detailed diagnostic imaging (computed tomography, magnetic resonance), the presence of vascular IDRFs may result in an unexpected complication in the surgical treatment of neuroblastoma in children. |
format | Online Article Text |
id | pubmed-7918232 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79182322021-03-02 The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma Sosnowska-Sienkiewicz, Patrycja Januszkiewicz-Lewandowska, Danuta Mańkowski, Przemysław Int J Environ Res Public Health Case Report Neuroblastoma is the most common extra-cranial solid tumor in infants and young children, and accounts for approximately 8–10% of all childhood cancers. The International Neuroblastoma Staging System (The International Neuroblastoma Risk Group Staging System (INRGSS)) is based on the age of patient and preoperative imaging, with attention paid to whether the primary tumor is affected by one or more of specific Image-Defined Risk Factors (IDRFs). Patients are classified into the following groups: locoregional L1 and L2 (absent or present IDRFs respectively), M stage (a disseminated form of neuroblastoma) and Ms (the stage present in children younger than 18 months of age with the disease spread to the bone marrow and/or liver, and/or skin). This publication is aimed to present an unexpected complication associated with an accidental ligation of the celiac trunk during resection of a neuroblastoma tumor in a 2.5-year-old boy after initial chemotherapy, initially with vascular IDRFs, stage L2. The consequences of this complication were pancreatic and spleen ischemia and necrosis, and ischemia and perforation of the common bile duct, gallbladder, stomach, and duodenum. Despite detailed diagnostic imaging (computed tomography, magnetic resonance), the presence of vascular IDRFs may result in an unexpected complication in the surgical treatment of neuroblastoma in children. MDPI 2021-02-14 2021-02 /pmc/articles/PMC7918232/ /pubmed/33672809 http://dx.doi.org/10.3390/ijerph18041841 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Sosnowska-Sienkiewicz, Patrycja Januszkiewicz-Lewandowska, Danuta Mańkowski, Przemysław The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma |
title | The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma |
title_full | The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma |
title_fullStr | The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma |
title_full_unstemmed | The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma |
title_short | The Dramatic Consequences of an Accidental Ligation of the Celiac Trunk during Surgery Performed on a Child with Neuroblastoma |
title_sort | dramatic consequences of an accidental ligation of the celiac trunk during surgery performed on a child with neuroblastoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7918232/ https://www.ncbi.nlm.nih.gov/pubmed/33672809 http://dx.doi.org/10.3390/ijerph18041841 |
work_keys_str_mv | AT sosnowskasienkiewiczpatrycja thedramaticconsequencesofanaccidentalligationoftheceliactrunkduringsurgeryperformedonachildwithneuroblastoma AT januszkiewiczlewandowskadanuta thedramaticconsequencesofanaccidentalligationoftheceliactrunkduringsurgeryperformedonachildwithneuroblastoma AT mankowskiprzemysław thedramaticconsequencesofanaccidentalligationoftheceliactrunkduringsurgeryperformedonachildwithneuroblastoma AT sosnowskasienkiewiczpatrycja dramaticconsequencesofanaccidentalligationoftheceliactrunkduringsurgeryperformedonachildwithneuroblastoma AT januszkiewiczlewandowskadanuta dramaticconsequencesofanaccidentalligationoftheceliactrunkduringsurgeryperformedonachildwithneuroblastoma AT mankowskiprzemysław dramaticconsequencesofanaccidentalligationoftheceliactrunkduringsurgeryperformedonachildwithneuroblastoma |