INTRODUCTION: Rapunzel syndrome is defined as a gastric trichobezoar with a tail that extends distally into the small intestine. It is a rare syndrome associated with psychiatric disease. We report a case of a giant gastric trichobezoar managed laparoscopically.
DESCRIPTION: We present the case of a 14 year-old female with a one-year history of colic abdominal pain that worsened 2 weeks prior to admission who was evaluated at our emergency department. On physical examination a palpable mass in
BACKGROUND
Diaphragmatic hernia is a rare condition in adults, most often traumatic in origin. Diaphragmatic injury occurs in 2.5-5% of blunt abdominal trauma, less than 20% in the right hemidiaphragm. Difficult to diagnose, 30-50% of diaphragmatic injuries are missed during the acute admission. As a result, patients may present years later with life-threatening visceral herniation. Repair is traditionally performed by open thoracic or abdominal approaches.
CASE PRESENTATION
We present the
This is a video presentation of a laparoscopic of a left paraduodenal hernia repair.
Background
Patient is a 26 male, with no past medical or surgical history, who has been experiencing episodic abdominal pain every 5 years for the last 15 years. He had two episodes in the last 5 months which required emergency room visits. Upper GI series showed a cluster of jejunum just left of the duodenum in the left upper quadrant, consistent with a left paraduodenal hernia. CT scan showed an encapsulated
This video demonstrates the laparoscopic repair of a large, incarcerated diaphragmatic hernia. The hernia was the result of an emergent esophageal perforation repair 7 years ago after an iatrogenic perforation. The video demonstrates the laparoscopic reduction of the incarcerated hernia, with the resulting defect extending up to the apex of the lung. Ultimately the defect was closed laparoscopically, and the patient did well without any postoperative complications.
A minimally invasive Ivor-Lewis esophagectomy was performed for esophageal cancer in a patient with a previous gastric bypass. An invasive adenocarcinoma located in the distal thoracic esophagus was discovered on endoscopy 5 years post gastric bypass necessitating an excision of the thoracic esophagus and the gastric pouch. The remnant stomach was fashioned into a gastric conduit, and reconstruction was performed using a circular stapled thoracic esophagogastric anastamosis.