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Thank you for accepting our invitation to present your abstract "An Unusual Presentation of Coccidioidomycosis with Peritoneal Involvement in an Immunocompetent Individual". Your response has been recorded by the SAGES office.

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Abstract ID: 84804
AbstractVideo Title: An Unusual Presentation of Coccidioidomycosis with Peritoneal Involvement in an Immunocompetent Individual
Session Name: iPoster Session (Non CME)
Program Number: P153
Display Date: Your iPoster will be on display Thursday, April 12, 2018 and Friday, April 13, 2018 from 10:00 AM - 4:00 PM
Your iPoster itself is the presentation. No further presentation is required and there is no time you will need to stand next to your iPoster to make a presentation.


We show that you have registered for the 16th World Congress of Endoscopic Surgery, jointly hosted by SAGES & CAGS.


NEW THIS YEAR: SAGES will have only digital posters at the 16th World Congress of Endoscopic Surgery, jointly hosted by SAGES & CAGS

You are now ready to get started editing your iPoster.

Using the login information below, you will be able to create an interactive, multimedia presentation with high-resolution images, detailed charts and diagrams, slide shows, high definition videos, audio files, and as much content as you feel is necessary to present your research in the detail it deserves.

Your iPoster will be displayed at the Congress on large format, high definition touch-screens. Visitors will be able to scroll through your content, click on images to enlarge them, and watch and listen to video and audio files if you choose to include them.

The URL to your editor is: sages2018-sages.ipostersessions.com
Your username is: jkrocker85@gmail.com
Your password is: DUNvw9Cj

When you have logged in, you will be taken to the iPosterSessions Editor Site, where you will find basic instructions, a list of your presentations, and a choice of 3 editing templates. Choose a template that appeals to you, and you can begin creating your iPoster.

DEADLINE: Please note that you must publish your presentation by Wednesday, March 28. Publishing allows us to confirm that your content will display properly on the screens at the meeting. You can continue to work on your iPoster even after publishing. You don’t have to re-publish if you make any changes.

For an overview of how visitors will see your iPoster at the meeting and some general information on working with the Templates, check out the Tutorials. And please be sure to study our Quick Guide. It contains important guidelines on using the editing tools.

For an overview of how visitors will see your iPoster at the meeting and some general information on working with the Templates, check out the Tutorials. And please be sure to study our Quick Guide. It contains important guidelines on using the editing tools.

General questions regarding the Congress should be addressed to abstracts@sages.org.

For all technical questions or help in creating your iPoster, please use the Support Button on the Main Tool Bar of your editing Template.

If you need help accessing the iPosterSessions Editor Site, please contact our access support here: access@ipostersessions.com

IMPORTANT: When you communicate with Support, please use this Conference Code: SAGES2018

Please note that the iPoster Session is not accredited for CME


If you would like SAGES to publicize your presentation, you can also submit a visual abstract to SAGES.

Visual abstracts are a pictorial representation of key findings of your research project. They are ideally suited for rapid dissemination through social media outlets such as Twitter and others. Visual abstracts can increase the visibility/impressions of your work by up to 8-fold!

Supplementary items:

  1. Primer on Visual abstracts: http://goo.gl/q5mAJJ
    • Edited by Dr. Andrew Ibrahim, MD, this public domain primer includes rationale and technical steps to create a visual abstract.
  2. YouTube video: http://goo.gl/KPZRnf
    • This 2 minute YouTube video presentation serves as a quick how-to for creation of a visual abstract.
  3. SAGES visual abstract templates: https://www.sages.org/wp-content/uploads/2013/09/Visual-Abstract-1-3-templates.pptx
    • 3 templates in PowerPoint have been created as a starting point for those that would like to use them. They are in Surgical Endoscopy colors. Authors are more than welcome to use these, modify these, or make their own.
    • Please see page 8-9, and page 21-25 in the Primer on Visual Abstracts for specifics on the fields ideas/suggestions/examples.

Copyright issues- authors should ensure that icons and images used are free to use without copyright. Some icons and images can be found in PowerPoint. Others can be found on the web (also see page 27 in the Primer on Visual Abstracts).

Google advanced image search will screen for free to use images. To do this, please follow these steps:

  1. Navigate to the advanced search feature in Google images: https://www.google.com/advanced_image_search
  2. Type the name/subject of your search, consider adding the word "clip art" to your search.
  3. Change the drop down box lower in webpage that says "Usage rights" to "Free to use or share".

Submitting your Visual Abstract directly to SAGES does not guarantee that SAGES will publicize your Visual Abstract, but at SAGES discretion we may tweet out a copy of your Visual Abstract or publicize your Visual Abstract on the SAGES Meeting App, the SAGES website, or on monitors at the SAGES Annual Meeting.

To submit your Visual Abstract directly to SAGES, please go to: https://www.sages.org/visual-abstracts/?webkey=875194b7262ca52359232297164d46b8


All accepted abstracts will be published by the journal Surgical Endoscopy.


It is the responsibility of the author(s) to obtain permission from the original source to use any copyrighted materials as part of their presentation. To avoid infringements, it is recommended that copyrighted materials be avoided and that images and materials not previously published be used instead. SAGES accepts no responsibility for copyright infringements by the author(s).


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Hotel Reservations Scam

We would like to make you aware of a situation that has been affecting conferences nationwide. There are companies (Convention Housing Services, Global Housing, Global Travel, etc.) who claim to be the official housing bureau and ask to "assist" you with hotel reservations. They may disguise themselves as part of SAGES or CAGS, or may claim to represent the hotels listed above. They may note they can get better rates, the room block is filled, or use other sales pitch methods.

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As an iPoster Presenter, you are NOT REQUIRED to submit a manuscript to the SAGES journal Surgical Endoscopy however you are STRONGLY ENCOURAGED to submit a manuscript to the journal.

If you would like to submit a manuscript, it must be submitted electronically via the following website:


You may communicate with Bernie Richey at the Journal office via email at surgendosc@optonline.net or via telephone at 845-353-3106. The Journal can only answer questions about your manuscript submission to the Journal. For questions concerning your presentation at the meeting, please contact Dan Berlant at the SAGES office at abstracts@sages.org or via telephone at 310-437-0544 ext. 118.


Joseph D Krocker1, Benjamin Clapp, MD, FACS2 ; 1The Texas Tech Health Sciences Center Paul L Foster School of Medicine, 2The Texas Tech Health Sciences Center Department of Surgery

Background: Coccidioidomycosis is a fungal infection endemic to the southwestern United States, Central America and South America.  Coccidioides is ubiquitous in many of these endemic regions, with near 100% seroconversion in some communities.  Two-thirds of these mycotic infections may be asymptomatic.  The most common presentation of coccidioidomycosis consists of “flu-like” symptoms or pneumonia.  Less than five percent of symptomatic cases progress to disseminated coccidioidomycosis which may involve any organ system.  Very rarely infection may include the peritoneum.  We report a case of coccidioidomycosis with peritoneal involvement in an immunocompetent individual.

Case: A 36-year-old male presented to the Emergency Department with progressive abdominal pain.  He was seen and treated for pneumonia in the Emergency Department one week prior.  The patient worked outdoors in Arizona and was otherwise healthy with a family history of malignancy and blood disorders.  Fever, leukocytosis and ascites on computed tomography scan prompted a diagnostic laparoscopy which revealed peritoneal granulomas positive for Coccidioides.  The patient was treated outpatient with Fluconazole.

Discussion: Since 1939 this is the 38th reported case of peritoneal coccidioidomycosis to our knowledge.  The patient described in this case report was an otherwise healthy 36-year-old male; this is incongruent with many of the previously recorded cases which involved disseminated disease in immunocompromised patients.  The patient’s family history of malignancy and blood disorders suggests a potential underlying genetic predisposition that could account for this abdominal presentation.  Possible mutations include genes coding for the interleukin-12 β1 receptor and the signal transducer and activator of transcription 1 which have been implicated in increased coccidioidomycosis susceptibility.  Peritoneal infection presents a unique challenge in diagnosis.  In these cases coccidioidomycosis may not be suspected due to nonspecific symptoms and imaging, the infrequency of this extra-pulmonary manifestation and clinical characteristics that mimic the presentation of tuberculosis and malignancy.  Abdominal infections have been misdiagnosed as appendicular abscesses, iliopsoas abscesses, adnexal abscesses and pancreatic masses.  Consequently, the diagnosis of peritoneal coccidioidomycosis is often made after laparoscopic exploration of the abdomen and histopathology, as it was in this case report.

Conclusions: Coccidioidomycosis incidence is on the rise in endemic areas and it often falls on the surgeon to make the diagnosis in extra-pulmonary cases.  The peritoneal subset of coccidioidomycosis should be considered in endemic areas when a young, otherwise healthy patient presents with abdominal pain.  Failure to recognize the possibility of coccidioidomycosis may lead to unnecessary treatments and procedures. 

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