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https://www.readbyqxmd.com/read/29046099/neuroendocrine-tumours-within-a-meckel-s-diverticulum
#1
I Mora-Guzmán, J L Muñoz de Nova, E Martín-Pérez
A Meckel's diverticulum is a common anomaly of the gastrointestinal tract. Although the majority of patients do not have any symptoms, malignancies can develop inside these diverticula, with neuroendocrine tumours being the most common. Diverticulectomy is the best option for complicated diverticula but prophylactic resection of asymptomatic diverticula in adults remains controversial. We present a case series of three patients with a neuroendocrine tumour found in a Meckel's diverticulum. Given the number of asymptomatic diverticula not resected, it seems likely that incidental neuroendocrine tumours are more prevalent than thought previously...
October 19, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29040906/a-case-report-of-choledocholithiasis-33-years-after-cholecystectomy
#2
Xane Peters, Gannavarapu Bhargava, Antonio Gangemi
INTRODUCTION: Choledocholithiasis after cholecystectomy is rare and often attributed to surgical clip migration and subsequent nidus formation. PRESENTATION OF CASE: This case demonstrates choledocholithiasis following cholecystectomy with a latency period of 33 years. DISCUSSION: The patient presented with pain of the right upper quadrant (RUQ). Subsequent abdominal-pelvic CT imaging revealed dilation of the common bile duct. Further Endoscopic Retrograde Cholangiopancreatography was indicative of choledocholithiasis...
October 12, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29040483/results-of-surgical-treatment-of-cervical-esophageal-diverticula
#3
M Fraczek, A Karwowski, M Krawczyk, P M Paczkowski, B Pawlak, C Pszenny
On the basis of 20 years' experience, the authors present the immediate and long-term results of operative treatment of Zenker's diverticulum. Comparison of two methods of surgery - diverticulopexia (in 21 patients) and excision (in 16), both associated with upper esophageal sphincter myotomy - shows good immediate and longterm results (from 1 to 19 years), with disappearance of symptoms (dysphagia) in all patients. There was no perioperative mortality. Postoperative complications were most commonly of pulmonary origin and were observed in a third of patients in both groups...
November 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29034028/endovascular-treatment-for-kommerell-s-diverticulum-with-a-right-sided-aortic-arch
#4
Masanori Hara, Takeshiro Fujii, Muneyasu Kawasaki, Tomoyuki Katayanagi, Shinnosuke Okuma, Noritsugu Shiono, Keiichi Tokuhiro, Yoshinori Watanabe
We report a rare case of type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum in a 76-year-old woman. Endovascular treatment for Kommerell's diverticulum including intimal tear of the dissection was performed. At the 5-year follow-up, the patient was doing well, with no endoleak or dilatation of the Kommerell's diverticulum.
March 24, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29034021/endovascular-repair-for-kommerell-s-diverticulum-and-right-sided-aortic-arch
#5
Kei Kazuno, Seiichiro Murata
A 74-year-old man with hoarseness was diagnosed with a right-sided aortic arch and Kommerell's diverticulum by computed tomography (CT). The diverticulum had a maximum diameter of 33 mm, and surgical intervention was chosen because of the possibility of rupture. A right common carotid to right subclavian artery bypass was constructed, stent-graft was placed after the branching of the right common carotid artery, and coil embolization of the diverticulum was performed via left brachial artery. No leaks were found on postoperative CT...
March 24, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29030926/sternal-malformations-and-anesthetic-management
#6
REVIEW
John H Nichols, Viviane G Nasr
Shamberger and Welch classify sternal malformations into four types: thoracic ectopia cordis, cervical ectopia cordis, thoraco-abdominal ectopia cordis, and cleft sternum. Cleft sternum is the most common subset, with a reported incidence of 1 in 50,000 to 100,000 live births, representing 0.15% of all anterior chest wall malformations. Acostello et al further classify cleft sternum into complete or partial (superior, medium, inferior) with a simple superior partial cleft sternum being by far the most common with an orthotopic heart, intact pericardium, and normal skin coverage...
November 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29030789/foreign-bodies-in-sigmoid-colon-diverticulosis
#7
REVIEW
Ellen Ross, Patricia McKenna, John H Anderson
This review addresses the management of sigmoid colon diverticular disease associated with foreign bodies. In addition, two novel cases are presented. One case describes the management of diverticular bleeding secondary to a chicken bone and the other case reports retrieval of a retained EndoRings™ Device. The review identified 40 relevant publications including 50 subjects. Foreign bodies within sigmoid diverticular disease may be associated with inflammation, perforation, abscess and fistula. In current practice, diagnosis is often achieved with CT scan...
October 13, 2017: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/29026736/giant-duplication-cyst-presenting-as-a-discharging-umbilicus
#8
Ravi Kumar Garg, Monika Bawa, Katragadda Lakshmi Narasimha Rao
Alimentary tract duplication cysts are rare congenital anomalies, most commonly located in the ileum, but may present anywhere from mouth to anus.Clinically, they may be asymptomatic, incidentally diagnosed or may present with obstruction, volvulus, intussusception or gastrointestinal bleed. Here we report a case of a one year old male child presenting in gasping state and shock. Despite the initial strong suspicion of Meckel's diverticulum and tubercular abdomen, the final diagnosis remained elusive till exploratory laparotomy was performed which revealed a duplication cyst of ileum with perforation into the umbilicus...
September 2017: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29026065/urethral-diverticulum-presenting-as-a-large-vaginal-mass-complicating-pregnancy-and-delivery
#9
Everett F Magann, Lisa S Newton, Susan A Barr
BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. On digital cervical examination, she was found to have a large semi-solid anterior vaginal mass, shown by trans-vaginal ultrasound to have a nearly solid appearance of a 5×7 cm mass with septation...
October 13, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/29023155/csf-venous-fistulas-in-spontaneous-intracranial-hypotension-imaging-characteristics-on-dynamic-and-ct-myelography
#10
Peter G Kranz, Timothy J Amrhein, Linda Gray
OBJECTIVE: The objective of this study is to describe the anatomic and imaging features of CSF venous fistulas, which are a recently reported cause of spontaneous intracranial hypotension (SIH). MATERIALS AND METHODS: We retrospectively reviewed the records of patients with SIH caused by CSF venous fistulas who received treatment at our institution. The anatomic details of each fistula were recorded. Attenuation of the veins involved by the fistula was compared with that of adjacent control veins on CT myelography (CTM)...
October 12, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28994879/meckel-s-diverticulum-present-as-pyogenic-liver-abscess
#11
Ahmed Nabil Gordah, Béchir Khalifa, Abdeljabbar Hlali, Mohamed Hédi Manai
No abstract text is available yet for this article.
November 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28994866/multiple-bile-duct-stones-comparison-of-two-surgical-techniques-done-at-laparotomy
#12
Sami Daldoul, Aymen Mabrouk, Ikram Messoudi, Anis Ben Dhaou, Sofiène Sayari, Aymen Baccari, Faten Souai, Mounir Ben Moussa
BACKGROUND: Biliary lithiasis is the most common surgical disease in Tunisia. Multiple bile duct stones are one of his most rare complications.It poses real problems with the best therapeutic approach. AIMS: To analyze the results of conventional surgery for multiple bile duct stones by comparing two techniques: The choledochotomy for stoneextraction followed by external biliary drainage and biliary-enteric anastomosis, to identify and to analyze the factors influencing the therapeuticchoice...
November 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28992802/preputial-diverticulum-dilation-in-a-goettingen-minipig
#13
Nora Denk, Claudia Senn, Bjoern Jacobsen, Tobias Schnitzer
Preputial dilation is an infrequently reported condition in pigs. The pathophysiology and etiology is unclear. Causes for diverticulum dilation are proposed to be chronic preputial diverticulitis with subsequent fibrosis of the preputial cavity, phimosis of the preputial orifice or the preputial diverticulum, but the large majority of cases are reportedly idiopathic in nature. Surgical interventions include ablative procedures, but many cases are not treated because of an assumed lack of clinical relevance in pigs not used for breeding...
January 1, 2017: Laboratory Animals
https://www.readbyqxmd.com/read/28989004/per-oral-endoscopic-myotomy-in-achalasia-with-large-esophageal-diverticulum-the-owl-eyes-sign
#14
Zaheer Nabi, D Nageshwar Reddy, Mohan Ramchandani
No abstract text is available yet for this article.
October 5, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28986932/usefulness-of-water-immersion-observations-to-identify-the-stigmata-of-hemorrhage-in-colonic-diverticular-bleeding
#15
Takaaki Kishino, Tomoko Kitaichi, Kazuyuki Kanemasa
One of the important issues associated with colonic diverticular bleeding is the low rate at which the stigmata of recent hemorrhage is identified [1-2]. The space of a colonic diverticulum is often narrow, which makes observations of this area challenging. We attempted to overcome this issue using water immersion. This article is protected by copyright. All rights reserved.
October 7, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28984718/endoscopic-treatment-of-the-zenker-diverticulum-with-flexible-endoscopic-myotomy-a-single-tertiary-center-experience
#16
Selçuk Dişibeyaz, Ufuk B Kuzu, Erkan Parlak, Fatih Saygili, Erkin Öztaş, Derya Ari, Burhan Şahin
INTRODUCTION: The Zenker diverticulum (ZD) is the most common type of esophageal diverticula. Management of ZD has different options; however, there is a recent increase in treatment with flexible endoscopic myotomy (FEM). In our study, we aimed to investigate the efficacy and safety of FEM among patients with ZD. MATERIALS AND METHODS: The data of patients who underwent FEM for ZD in our clinic between January 2008 and May 2016 were retrospectively analyzed. Myotomy was performed with a needle-knife sphincterotome by using pulse-cut or forced coagulation electrocautery mode...
October 3, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28983175/isolated-supravalvular-aortic-stenosis-with-left-ventricular-diverticulum-and-cleft-mitral-valve-surgical-repair-in-adulthood
#17
U M Nagamalesh, Ravi Shankar Shetty, Ravi Narayan, Anil Kumar, Ravi Naik, Sadath Uzma, K C Karthik Naidu
Supravalvular aortic stenosis is an uncommon but well characterized congenital narrowing of the ascending aorta above the level of the coronary arteries. It can be a familial disorder, can occur sporadically, or can be associated with Williams syndrome. We are reporting a very rare presentation of supravalvular aortic stenosis with associated left ventricular diverticulum and cleft mitral valve. Repair consisted of resection of the ascending aorta, patch augmentation of the aortic root, and mitral valve repair...
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28982792/prevalence-of-internal-auditory-canal-diverticulum-and-its-association-with-hearing-loss-and-otosclerosis
#18
K J Pippin, T J Muelleman, J Hill, J Leever, H Staecker, L N Ledbetter
BACKGROUND AND PURPOSE: Focal low-attenuation outpouching or diverticulum at the anterolateral internal auditory canal is an uncommon finding on CT of the temporal bone. This finding has been described as cavitary otosclerosis in small case reports and histology series. The purpose of this study was to establish the prevalence of internal auditory canal diverticulum and its association with classic imaging findings of otosclerosis and/or hearing loss. MATERIALS AND METHODS: Temporal bone CT scans of 807 patients, obtained between January 2013 and January 2016, were retrospectively reviewed to identify internal auditory canal diverticula and/or classic imaging findings of otosclerosis...
October 5, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28981351/ct-predictors-of-unfavorable-clinical-outcomes-of-acute-right-colonic-diverticulitis
#19
Dong Hwan Kim, Hyuk Jung Kim, Suk Ki Jang, Jae Woo Yeon, Kyung Sook Shin
OBJECTIVE: The purpose of this study was to retrospectively assess CT predictors of unfavorable outcomes of medical treatment in patients with right colonic diverticulitis. MATERIALS AND METHODS: Of 394 patients with right colonic diverticulitis diagnosed on the basis of CT findings from January 2010 through August 2013, we included 328 (190 men, 138 women; mean age, 41.3 ± 12.6 years) who had undergone medical treatment as inpatients. Two radiologists retrospectively reviewed the following CT findings associated with diverticulitis: number of diverticula per 10 cm of colon; length and thickness of affected colonic wall; diameter of inflamed diverticulum and abscess; presence of pericolic fluid collection, spilled feces, and contained air; and extent of fatty infiltration...
October 5, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28978602/small-bowel-obstruction-due-to-a-jejunal-enterolith-an-unusual-complication-of-jejunal-diverticulitis
#20
Lalita Malghan, Ashley Uttley, David Scullion
A 91-year-old woman presented with symptoms of acute bowel obstruction supported by clinical findings. A CT of the abdomen was performed which demonstrated jejunal diverticulosis with a single inflamed, wide necked diverticulum. A large enterolith was found to be impacted in the jejunum just distal to the area of inflammation resulting in small bowel obstruction. The patient underwent emergency laparotomy, which confirmed the CT findings. Small bowel resection was performed. The patient had an uneventful postoperative recovery...
October 4, 2017: BMJ Case Reports
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