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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CASE REPORT: ULCERATIVE ROUX LIMB JEJUNITIS AFTER GASTRIC BYPASS
Madalyn Morse, DO, Mukund Srinivas, BS, Joon K Shim, MD, MPH, FACS. Wright State University Boonshoft School of MedicineINTRODUCTION: The differential diagnosis for abdominal pain after gastric bypass include dietary disorders, functional disorders, biliary disorders as well as pouch and remnant stomach disorders. With regards to small intestine disorders, the usual culprits are hernias, adhesions, stenosis,… 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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Duodenal stump blowout after SADI-S conversion to RYGB managed with a percutaneous duodenostomy tube. A case report and review of the literature.
Alvaro F Galvez, MD1, Daniel A Galvez, MD2, Alexander Onopchenko, MD3, Nicholas J Petruzzi, MD3. 1Hahnemann University Hospital, 2Virginia Commonwealth University Health System, 3Atlanticare Regional Medical CenterWe present the case of a 46-year-old male with a history of morbid obesity with an initial BMI of 44.7, who underwent an elective laparoscopic single anastomosis duodenal-ileal bypass… Continue Reading
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Pancreatic Heterotopia Mimicking an Internal Hernia
Leigh Gerson, DO1, Danielle Luchessi1, John Brady1, Timothy Harrison2. 1Philadelphia College of Osteopathic Medicine, 2Crozer Chester Medical CenterPancreatopic heterotopia is often an incidental finding on autopsy, but in some cases can lead to abdominal pain, obstruction, or intussusception. We present a case of pancreatic herterotopia mimicking an internal hernia on radiologic imaging. A 47 year old female… Continue Reading
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A Refractory Abscess of the Adrenal Gland Associated with Suboptimal Indwelling Catheter Management in a Diabetic Patient
Peng Yu, MD, PhD, Kathleen Hromatka, MD, Alan Posner, MD. Department of Surgery, SUNY Buffalo, Kaleida Health System, Buffalo, NYINTRODUCTION: Adrenal gland abscess is an extremely rare finding in adults. We present a case of a refractory adrenal abscess likely secondary to inadequate drainage of an adrenal cyst. CASE: The patient is a 53-year-old female… Continue Reading
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A case of Leiomyosarcoma of duodenum
Lavith Kuttichi, Vishwanath Pai, Pari Muthukumar. Sri Ramachandra medical collegeIntroduction: Leiomyosarcoma of the duodenum is a rare disease it can occurs in both sexes with approximately the same frequency. Peak incidence is in the 40 to 49 year age. Leiomyosarcoma is relatively infrequent compared to adenocarcinoma of the duodenum. It may develop from all parts… Continue Reading
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LEFT ADRENALECTOMY AND RETROPERITONEAL LYMPHADENECTOMY 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, Lucyeli L Amorim, Medical Student2. 1State Servers Hospital, 2University of PernambucoCase Report: A 26-year-old male patient who was diagnosed with high blood pressure at 18 years-old and presented tetraparesis and intense asthenia for six months.… Continue Reading
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An Unusual Presentation of Coccidioidomycosis with Peritoneal Involvement in an Immunocompetent Individual
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 SurgeryBackground: 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… Continue Reading
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INDOCYANINE GREEN CHOLANGIOGRAPHY TO DETECT ANOMALOUS BILIARY ANATOMY
Steven D Schwaitzberg, MD, Gabrielle Yee, MS. University at Buffalo Jacobs School of MedicineIntroduction: Common bile duct injury is the most feared complication of cholecystectomy. Imaging with indocyanine green (ICG) is a safe and effective technique to detect biliary anatomy in open, laparoscopic and robotic surgery. Several studies report detecting aberrant biliary anatomy with the… Continue Reading
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MALIGNANT SOLITARY FIBROUS TUMOR OF THE STOMACH: UNCOMMON DIFFERENTIAL DIAGNOSIS FOR GIST TUMORS
Elida Voth, BA1, Steve Serio, MD2, John Gross, MD3, Nicholas Dietz, MD3, Kalyana Nandipati, MBBS2. 1Creighton University School of Medicine, 2Department of Surgery, Creighton University School of Medicine, 3Department of Pathology, Creighton University School of MedicineSolitary fibrous tumors (SFT) are uncommon fibroblastic mesenchymal neoplasms that display a wide range of histologic behaviors. These tumors, which… Continue Reading
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APPENDICEAL DIVERTICULITIS, AN UNCOMMON BUT RELEVANT PATHOLOGY, SUCCESSFULLY TREATED WITH LAPAROSCOPIC APPENDECTOMY
Elizabeth A Verrico, DO, Lindsay Tse, DO, Maurizio Miglietta, DO. Hackensack Meridian Health PalisadesAppendiceal diverticulitits is an uncommon pathology that can clinically mimic acute appendicitis. Some radiographic distinctions have been reported, but final pathologic examination of the surgical specimen is required to confirm the diagnosis. Symptoms are often more mild, which can lead to a… 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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Portal Vein Thrombosis After Elective Laparoscopic Right Hemicolectomy for Recurrent Diverticulitis
Amanda Fazzalari, MD1, Laura Tafuri, MS, III1, Vladimir Coca-Soliz, MD2, Shady Macaron, MD, FACS1. 1Saint Mary's Hospital, 2University of MarylandBackground: Portal vein thrombosis (PVT) is a rare post-operative complication, which has been associated with a wide range of precipitating factors. Most commonly described associated conditions include; cirrhosis, bacteremia, myeloproliferative disorders and hypercoagulable states. PVT most… 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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