Videolaparoscopic treatment for Wilkie syndrome developed 10 years after a Heller-Dor procedure for achalasia.
Felipe C Victer, MD, FACS, Pedro Henrique Salgado Rodrigues, MD, Andre M Silva, MD. Hospital Federal do Andaraímale 45 years old suffering from achalasia were submiited a heller dor procedure 10 years agor. Despite the fact of better life outcome, he begins to suffer difficulties to swallon in the last yera. During investigation it was… 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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Upper GI bleed in the setting of Fundoplication: An occult presentation of late onset gastric ischemia
Carmen Tugulan, MD, Christopher Mellon, DO, Keng-Yu Chuang, MD, Paul Anthony R Del Prado, MD. Maricopa Integrated Health SystemThis is a case of a 37 year old male with a previous history of a redo-hiatal hernia 5 years prior who presented with two episodes of upper gastrointestinal bleeding with no identifiable source noted on both… 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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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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SNAP, CRACKLE, POP: A CASE OF NON OPERATIVE PNEUMOPERITONEUM, PENUMORETROPERITONEUM AND PNEUMOMEDIASTINUM
Christopher De Jesus, MD, Neal Mineyev, MD, Yael Marks, MD, Parswa Ansari, MD. Lenox Hill Hospital The simultaneous finding of spontaneous pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema is an extremely rare presentation. We present a case of a patient in which the workup for abdominal pain resulted in a surprising but rather benign entity. There… Continue Reading
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Safe Laparoscopic Surgical Approach to GI Bleed in Jehovah’s Witness Patient
Emanuela S Alvarenga, MD, Heather Stewart, MD, Justin Lee, MD, Alexander Ramirez, MD, FACS. Florida State UniversityWe aimed to present the succesul therapeutic approach utilizing laparoscopy for safely removing a Gastrointestinal Stromal Tumor. Depicted is a 66 year old Jehova's witness female who presented to the emergency department for evaluation of bitemporal headache and dizziness… Continue Reading
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Ruptured Hepatic Aneurysm As First Presenting Symptom of Polyarteritis Nodosa
Shinban Liu, DO, Vadim Meytes, DO, Maria Roberto, DO. NYU Langone Hospital - BrooklynIntroduction: Polyarteritis nodosa (PAN) is a systemic transmural inflammatory vasculitis that affects medium-sized arteries. Inflammation of the vessel wall and intimal proliferation creates luminal narrowing which can lead to stenosis and insufficiency. The same inflammatory process causes disruption of the elastic lamina… 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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Rhabdomyosarcoma of the sternum in 2 years old child Challenges in the management
Mohammad Al-Onazi, MD, MME, Mohammed Babiker, MD. Prince Sultan Military Medical CitySternum or chest wall resection is performed for a variety of conditions such as primary and secondary tumors of the chest wall or the sternum. Sternum reconstruction has been a complex problem in the past due to intraoperative technical difficulties, surgical complications, and respiratory… Continue Reading
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RESECTION OF STROMAL TUMOR BY MINILAPAROSCOPY ASSISTED BY UPPER GI ENDOSCOPY: A CASE REPORT
Diego L Lima, MD1, Gustavo L Carvalho, MD, phD2, Gustavo H Belarmino de Goes, Medical Student2, Raquel N Cordeiro, Medical Student3, Gustavo A Carvalho, MD2. 1State Servers Hospital, 2University of Pernambuco, 3Health Faculty of PernambucoCase Report: A 62-year-old male patient, who had had melena for about a year. Upper GI endoscopy and biopsy showed a… 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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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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Remnant Stomach Perforation: A Unique Presentation of Obstructed Internal Hernia after Gastric Bypass
Katherine H Yancey, MD1, Andrew M O'Neill, MD2. 1Mission Health, 2MAHECIntroduction: Roux-en-Y gastric bypass (RYGB) is a frequently performed bariatric procedure, of which internal hernia (IH) is a known complication. We discuss a rare finding of occult gastric remnant perforation as a result of an obstructed IH in a post bypass patient. Methods: We present… Continue Reading
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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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