Progressively increasing CA19-9 sounded the alarm of an intra-hepatic cholangiocarcinoma
Dandan Hu1, Yilei Mao2. 1Sun Yat-sen University Cancer Center, 2Peking Union Medical College HospitalPotential good prognosis of preclinical cholangiocarcinoma underwent laparoscopic liver segmentectomy. A 76 years old male presented to gastroenterology department on January 4, 2016, with progressively increasing carbohydrate antigen 19-9 (Ca19-9) level. Clinical manifestations only include a blood stool with less than 10ml/d,… Continue Reading
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THORACOSCOPIC THYMECTOMY – A CASE REPORT
Raj Gajbhiye, MS, Arati Kirange, MS, Ram Khare, MS, Vikrant Akulwar, MS, Lajpat Agrawal, MS, Sanjay Pal, MS. Government Medical College, Nagpur, Maharashtra, IndiaINTRODUCTION: Thymoma is one of the rare tumor entity benign or malignant arsisng from the epithelial cells of thymus gland, frequently associated with neuromuscular disorder Myasthenia Gravis. So, we are presenting this… Continue Reading
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Endoscopic Transmural Stents for Resolution of Duodenal Fistulas Following Necrotizing Pancreatitis
Carter C Lebares, MD, Stanley J Rogers, MD. UCSFBACKGROUND: Duodenal fistulas are uncommon but morbid complications of acute necrotizing pancreatitis. If percutaneous drainage fails, surgical correction via roux-en-Y diversion or pancreaticoduodenectomy can be required. While self-expanding metal stents have been tried, complications like migration and perforation have limited such use. Endoscopic transmural stents have successfully… Continue Reading
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Totally laparoscopic ALPPS combined with the microwave ablation for a patient with a huge HCC
Hua Zhang. Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan UniversityIntroduction: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a novel technique for resecting hepatic tumors that were previously considered unresectable due to the insufficient future liver remnant (FLR) which may result in postoperative liver failure (PLF). The procedure has been… Continue Reading
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Pancreatojejunal derivation (Puestow) by laparoscopy, about 2 cases
Mauricio Zuluaga, General and MIS surgeon1, Ivo Siljic, General and MIS surgeon1, Juan Carlos Valencia, General and MIS surgeon2, Uriel Cardona, General and MIS surgeon2. 1IJP Colombia, Hospitla Universitario Del Valle, Universidad Del Valle, 2IJP Colombia, Clinicafarallones, Clinica Desa, Cali ColombiaIntroduction: Chronic pancreatitis is a benign, irreversible inflammatory disorder characterized by the conversion of the… Continue Reading
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Hourglass gallbladder recognized during one-step laparoscopic cholecystectomy and ERCP for chronic cholecystitis and choledocholithiasis: A case report
Christopher F McNicoll, MD, MPH, MS1, Minh-Tri N Pham, MD1, Hasanali Z Khashwji, MD1, Charles R St. Hill, MD, MSc, FACS1, Nathan I Ozobia, MD, FACS2. 1UNLV School of Medicine, 2University Medical Center of Southern NevadaGallbladder anatomy is highly variable, and surgeons must be prepared to identify anomalies of form, number, and position. Variants include… Continue Reading
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Laparoscopic Management of Bronchogenic Cyst of Stomach: A Case Report
Veena Bheeman, MBBS, MS, Prem Vignesh Mohan, Vishwanath M Pai, MS, DNB, FRCS, FIAGES, Parimuthukumar Rajappa, MS. Sri Ramachandra Medical College and Research InstituteIntroduction: Bronchogenic Cysts are congenital cysts that arise as anomalous budding from the primitive tracheobronchial tree. Incidence of bronchogenic cyst in the wall of the stomach is extremely rare Case Description: A… Continue Reading
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Endoscopic magnet compression anastomosis for small bowel obstruction
Carter Lebares, MD, Sandhya Kumar, MD, Matthew Lin, Nicholas Fidelman, MD, John Cello, MD, Michael Harrison, MD, Stanley Rogers, MD. University of California San FranciscoINTRODUCTION: Endoscopic entero-enteral bypass could change our approach to small bowel obstruction in patients with prohibitively high operative risk. Magnetic compression anastomoses have been well-vetted in animal studies, but remain infrequent… Continue Reading
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Congenital Agenesis presenting as a Small Contracted Gallbladder
Desiree Raygor, MD, Ruchir Puri, MD. University of Florida Health JacksonvilleCholecystectomy is one of the commonest operations in general surgery [1]. Occasionally chronic cholecystitis can lead to a small contracted gallbladder. This diagnosis can be misleading as it may represent congenital agenesis of the gallbladder [2]. A 28-year-old female with a past history of pancreatitis… Continue Reading
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A laparoscopic aneurysm ligation for aneurysm of left inferior phrenic artery: A case report
Hanlim Choi1, Dong-Hee Ryu1, Jae-Woon Choi1, Yanjie Xu2. 1Chungbuk National University Hospital, 2Chungbuk National University College of MedicineThere are many reports upper abdominal major arterial aneurysms. However, an aneurysm of left inferior phrenic artery had never been reported. A 48-year-old woman with liver cirrhosis associated with hepatitis B viral infection was referred to department of… Continue Reading
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Post CPR liver injury in a pregnant lady
Yousef Almuhanna, Vatsal Trivedi, Fady Balaa. University of OttawaA 34 years old female, G7 and 10 weeks pregnant, was brought to the hospital by EMS, after being found on the floor in her toilette surrounded by vomitus and urine. Mother-in-law, who happens to be at the house that time, have heard severe retching followed by… Continue Reading
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Mesenteric Panniculitis: A Case Report
Sarrath Sutthipong, MD, Chumpunut Chuthanan, MD, Chinnavat Sutthivana, MD, Petch Kasetsuwan, MD. Bhumibol Adulyadej Hospital, Bangkok, ThailandBackground: Mesenteric panniculitis (MP) is a rare, benign and chronic fibrosing inflammatory disease that affects the adipose tissue of the mesentery of the small bowel and colon. The specific etiology is unknown and no clear information about the incidence.… Continue Reading
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Internal Hernia caused by a Free Intraperitoneal Staple after Laparoscopic Appendectomy.
Lisa M Angotti, MD, MS, Christopher Decker, MD, Todd Beyer, MD. Albany Medical CenterBackground: Laparoscopic appendectomy is the gold standard for treatment of acute appendicitis. Stapled closure of the appendiceal stump is often performed and has been shown to have several advantages. Few prior cases have been reported demonstrating complications from free staples left within… Continue Reading
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Video-Assisted Thoracoscopic Pulmonary Wedge Resection in a Patient with Hemopytsis and Intralobar Sequestration: A Case Report
Mary K Lindemuth, MD, Subrato J Deb, MD. The University of Oklahoma Health Science CenterCase Report: A 19-year-old male with history of Noonan’s syndrome, bronchitis, and asthma presented with acute hemoptysis. While chest x-ray was unremarkable, a computed tomography angiogram of his chest was significant for intralobar pulmonary sequestration in the right lower lobe. The… Continue Reading
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RESECTION OF GIANT MESENTERIC AND OVARIAN CYSTS BY HYBRID MINIMALLY INVASIVE TECHNIQUE: A CASE REPORT
Diego L Lima, MD1, Gustavo L Carvalho, MD, phD2, Raimundo H Furtado, MD2, Gustavo H Belarmino de Goes, Medical Student2, Natália L Costa, Medical Student2. 1State Servers Hospital, 2University of PernambucoCase Report: a 51 years-old female patient with history of an increased mass and weight loss of 7 kilograms in 15 months, associated with vomiting… Continue Reading
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