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Displaying all articles - ( Showing 1 to 10 of 211 )
This 67-year-old man presented with periumbilical pain that radiated to the left upper quadrant. The pain was associated with mild abdominal distension, nausea, vomiting and decreased appetite. The initial diagnosis was infected teratoma based on seeing calcification on computed tomography. On laparotomy, a 20-cm Meckel’s diverticulum was found with enteroliths packed in the tip causing a microperforation (a,b). A segmental bowel resection with primary anastomosis was performed. Meckel’s enterolith is a rare possibility that should be considered in a patient with a picture of small bowel obstruction and calcification on imaging studies.
ALPPS technique modification placing a tourniquet in the Cantlie section line and portal vein ligation. Click here to watch the video (Supporting Information) and read the article.
Click here to listen to this highly entertaining and informative talk about the origins of surgery, practices of the early surgery and how that practice evolved. Delivered by Dr Robert D. Madoff, Professor of Surgery at the University of Minnesota and Editor in Chief of Diseases of the Colon & Rectum, the talk demonstrates the courage, perseverance and vision of early surgeons.
This 65-year-old man was treated for gastric outlet syndrome and jaundice due to pancreatic cancer with two metallic stents.The patient had a borderline resectable pancreatic cancer. Jaundice and gastric outlet syndrome were treated with metallic stents (WallFlex Duodenal 22 × 120 mm and WallFlex Biliary Fully Covered 10 × 60 mm; Boston Scientific, Natick, Massachusetts, USA) because neoadjuvant therapy was considered. Plain abdominal X-ray confirmed good positioning of both stents. One week later, he was admitted with bowel obstruction. Abdominal CT and plain X-ray revealed the impaction of both stents in the distal ileum (a). The patient underwent bowel resection (b) with anastomosis, cholecystectomy, with bile duct decompression through the cystic duct remnant, and gastrojejunostomy.
Full-thickness laparoendoscopic excision (FLEX) in a porcine colon. Click here to watch the video (Supporting Information) and read the article.
An 8-year-old boy presented with a 3-day history of left buttock and perianal pain; there was no pruritus ani. On clinical examination, a tender inflammatory swelling, corresponding to an abscess, was found in the left perianal region and extending laterally. Enterobius vermicularis infestation was diagnosed.
Three authors discuss their articles published in the July 2014 (101:8) issue. Areas discussed include breast cancer treatment influenced by molecular subtype, the slow movement towards towards breast-conserving surgery after NACT, and next-generation sequencing.
An 8-year-old boy presented with a 3-day history of left buttock and perianal pain; there was no pruritus ani. On clinical examination, a tender inflammatory swelling, corresponding to an abscess, was found in the left perianal region and extending laterally (a). On clinical examination, the anal crypts were of particular interest (b). The anal abscess was due an Enterobius vermicularis infestation. Numerous live threadworms were found at the dentate line within the anal crypts and in the lower rectum. The intersphincteric abscess was drained and three threadworms were found in the cavity. Mixed colonic organisms were cultured; the abscess space was laid open, and the child was treated with an anthelmintic agent (pyrantel). He made an uncomplicated recovery. E vermicularis infestation normally involves the caecum, appendix and ileum. Perianal abscesses due to E. vermicularis are rare, and it is supposed that they are because of worms passing into an anal gland.
Technique of self-expandable metal stent insertion. Click here to watch the video (Supporting Information) and read the article.
Resection of a recurrent tubulovillous adenoma at the level of a high colorectal anastomosis. Click here to watch the video (Supporting Information) and read the article.
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