Port site metastatic disease in ovarian carcinoma.

Introduction: Port-site metastases are a recognised complication of laparoscopy in the presence of malignancy. With the increased use of minimally invasive technology to surgically manage gynaecological malignancy, their incidence is likely to increase. We describe three cases where patients underwent laparoscopy prior to referral for definitive surgery.

Antegrade deligation of iatrogenic distal ureteric obstruction utilising a high pressure balloon dilatation technique.

Background: Iatrogenic trauma is the leading cause of ureteric injury with an incidence in abdominal and pelvic surgery varying between 0.4 and 2.5%.

Three dimensional reconstruction of CT scan images to aid the cardiac surgeon.

Minimally invasive techniques and approaches have the potential advantages of less operative stress and healthcare resource utilization but at the "cost" of less operative field of view. Newer imaging techniques utilizing three dimensional reconstruction of computed tomography scan images (3DCT) can aid the cardiac surgeon in visualizing the geometric relationships to plan and execute complex surgical procedures via minimally invasive or standard approaches. Multidetector-row CT scanning and post-processing yield these 3DCT images.

Elevated serum angiotensin converting enzyme levels in metastatic ovarian dysgerminoma.

A case of a 32-year-old XY genotype female is described, presenting with mediastinal and abdominal lymphadenopathy and associated with an elevated serum angiotensin I converting enzyme (SACE) level. Lymph node histology showed a malignant dysgerminoma of ovarian origin. Combined chemotherapy led to a radiological regression of the lymphadenopathy and coincided with a decrease in SACE concentration.