REPAIR OF PERFORATED GASTRIC ULCER WITH FALCIFORM PEDICLE FLAP
Michael Jaroncyzk, MD, Courtney E Collins, MD, MS, Vladimir P Daoud, MD, MS, Ibrahim Daoud, MD. St. Francis Hospital; Hartford CTIntroduction: Several decades ago, surgical training was saturated with procedures to treated peptic ulcer disease. Since the introduction of histamine-2 blockers and proton pump inhibitors, these procedures have dwindled significantly. However, there are still instances… Continue Reading
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Laparoscopic Resection of an Appendiceal Mucocele
Judi Anne B Ramiscal, MD, Yuen-Jing A Chen, MD, Carl J Tadaki, MD. University of Hawaii - Department of SurgeryIn selected patients, appendiceal mucocele can be removed laparoscopically. This patient presented with symptoms of abdominal pain and anorexia; imaging revealed a 13 x 6.5 cm structure consistent with an appendiceal mucocele and overlying appendicitis. The… Continue Reading
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Atypically Annular: An unusual presentation in an adult
Irene Isabel P Lim, MD, Paresh C Shah, MD, FACS. New York University Medical CenterMore commonly found in newborns, annular pancreas is associated with abnormal development resulting in a ring of pancreatic tissue around the duodenum. This is a case of a variant of annular pancreas presenting in adulthood. The patient is a forty-year old… Continue Reading
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ROBOTIC ASSISTED GRYNFELTT-LESSHAFT HERNIA REPAIR
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan Sandler, MD, Santiago Horgan, MD, FACS, Garth R Jacobsen, MD, FACS. University Of California - San DiegoCase report of a 62 year old female who presented with a right flank bulge, she was found to have a rare… Continue Reading
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Bouveret’s Syndrome: Endoscopic and Surgical Management of a Rare Form of Gallstone Ileus
Arthur Berg, DO, Joshua Klein, DO, Steven Shikiar, MD, Maurizio Miglietta, DO. Hackensack UMC PalisadesIntroduction: Bouveret’s Syndrome is a rare form of gallstone ileus in which an impaction of a gallstone in the duodenum results in a gastric outlet obstruction. Gallstone ileus accounts for approximately 2-3% of all cases of small bowel obstruction. The terminal… Continue Reading
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Chikungunya Disease: Infection associated with atypical presentation of Duodenal Perforation
Sughra Parveen Qureshi, Professor, Abdul Malik Magsi, Dr, Mariam Malik, Dr, Mazhar Iqbal, Dr, Mohammad Iqbal Khan, Dr, Imran Khan, Dr, Sarwar Qureshi, Dr. Jinnah postgraduate Medical CenterAbstract: Introduction: To observe surgical emergency of Duodenal perforation with atypical presentation in already diagnosed cases of Chikungunya disease. Methodology: This was an observational study that was conducted… Continue Reading
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Laparoscopic Spenulectomy: An Interesting Case Report
Riva Das, MD1, Daniel A Ringold, MD2, Thai Q Vu, MD2. 1Orlando Health, 2Abington Jefferson HealthIntroduction: Spenules, or accessory spleens, are a rare disease entity. Most often, they are asymptomatic, and found incidentally during radiographic workup for an unrelated problem. Torsion can cause a splenule to not only become symptomatic, but also confound the results of usual… Continue Reading
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Congenital Abdominal Adhesions in a Bariatric Patient
Matthew A Goldstein, MA, Kirill Zakharov, DO, Sharique Nazir, MD. NYU Langone BrooklynAdhesions are fibrotic bands that form between and among abdominal organs. The most common cause of abdominal adhesions is previous surgery in the area as well as radiation, infection and frequently occurring with unknown etiology. These bands occur among abdominal organs, commonly the… Continue Reading
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Median Arcuate Ligament Release for Celiac Compression Syndrome: Single Surgeon Experience
Brett M Baker, MD, MBA, MS, John F Kelly, MD, Donald R Czerniach, MD. Department of Surgery, University of Massachusetts Memorial Health Care, University Of Massachusetts Medical SchoolMedian Arcuate Ligament Syndrome (MALS) is a rare etiology of abdominal pain caused by narrowing of the celiac artery at its origin by the median arcuate ligament with… Continue Reading
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GASTROCOLOCUTANEOUS FISTULA FOLLOWING PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE PLACEMENT: CASE REPORT OF ENDOSCOPIC MANAGEMENT
Crystal J Yi, DO1, Eric Seitelman, MD2, Rajiv Datta Rajiv, MD2, Joel Lowenstein, MD2, Robert Amajoyi, MD2. 1St. John's Episcopal Hospital, 2South Nassau Communities HospitalPercutaneous endoscopic gastrostomy (PEG) is an alternative to laparotomy for open gastrostomy tube placement to provide enteral nutrition for those who are unable to pass nutrition orally. Despite being less invasive,… Continue Reading
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Intermittent Intussusception and Microcytic Anemia Caused by a Submucosal Jejunal Lipoma: A Rare Case Report
Lindsay Tse, DO, Elizabeth Verrico, DO, Maurizio Miglietta, DO. HUMC PalisadesLipomas of the gastrointestinal tract are rare benign soft tissue tumors that are often discovered incidentally. These lesions are often asymptomatic, but have occasionally been reported to have clinical significance as will be described in this case report. A 40 year old male initially presented… Continue Reading
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Laparoscopic management of Boerhaave’s Syndrome after a late presentation: A case report and literature review
Tahir Yunus, Hager Aref, Obadah Alhallaq. IMCBackground: Boerhaave’s syndrome involves an abrupt elevation in the intraluminal pressure of the oesophagus, causing a transmural perforation. It is associated with high morbidity and mortality. Having a nonspecific presentation may contribute to a delay in diagnosis and results in poor outcomes. Treatment is challenging, yet early surgical intervention… Continue Reading
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Laparoscopic Roux-En-Y Gastric Bypass with Pyloroplasty and Excision of Duodenal Mass
John A Primomo, MD1, Garth Davis, MD1, Ping Pan, MD2, Victoria Chang, MD3. 1University of Texas Health Science Center at Houston - Memorial Hermann Memorial City, The Davis Clinic, 2University of Texas Health Science Center at Houston - Houston Northwest Medical Center, 3University of Texas Health Science Center at HoustonPreoperative workup for revisional bariatric surgery… Continue Reading
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DOUBLE GALLBLADDER – A RARE ANOMALY?
Rosemary O.C. Oche, MD1, Konstantina Foufa, MD2, Ada M Krzak, BA3, Jan M Krzak, MD1. 1Department of Surgery South Jutland Hospital, Aabenraa, Denmark, 2Department of Radiology South Jutland Hospital, Aabenraa, Denmark, 3University of Cambridge, UKIntroduction: When searching for "Double Gallbladder" in PubMed, 129 results are obtained, many dated within the last decade (1). Unfortunately there… Continue Reading
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A Clinicopathological Study of Neuroendocrine Tumours of the Gastrointestinal Tract – A Case Series
Veena Bheeman, MBBS, MS, Pari M Rajappa, MBBS, MS, Vishwanath M Pai, MBBS, MS, DNB, Dip, MASFr, FRCSGlas, Sandhya Sundaram, MBBS, MD, Sushruthan M, MBBS, MD. Sri Ramachandra Medical CollegeIntroduction: Neuroendrocrine malignancies constitute 0.5% of all cancers. The gastrointestinal tract is the commonest site, followed by the lung. The last decade has seen a steady… Continue Reading
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