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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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