keyword
https://read.qxmd.com/read/38531080/immunocompetent-isolated-cerebral-mucormycosis-presenting-with-obstructive-hydrocephalus-illustrative-case
#1
JOURNAL ARTICLE
Khoa N Nguyen, Lindsey M Freeman, Timothy H Ung, Steven Ojemann, Fabio Grassia
BACKGROUND: Isolated cerebral mucormycosis is rare in immunocompetent adults and is only sparsely reported to be associated with obstructive hydrocephalus. OBSERVATIONS: Here, the authors report a case of obstructive hydrocephalus secondary to central nervous system mucormycosis without other systems or rhino-orbital involvement and its technical surgical management. A 23-year-old, incarcerated, immunocompetent patient with history of intravenous (IV) drug use presented with syncope...
March 25, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38529457/post-endoscopy-parotid-swelling-a-rare-complication
#2
Kamlesh Taori, Vijendra Kirnake, Vishal Padwale, Rupal Laddha, Parmeshwar R Junare
Parotid gland swelling, or parotitis, typically associated with infectious causes, can uncommonly result from non-infectious factors such as mechanical trauma following endoscopic procedures. We present a case of a 46-year-old female with liver cirrhosis who developed right parotid swelling shortly after undergoing endoscopy for evaluation of gastrointestinal symptoms. The patient's clinical course, imaging findings, and successful resolution with conservative measures are detailed. The etiology of post-endoscopy parotid swelling is multifactorial, involving potential mechanisms such as mechanical trauma, salivary gland dysfunction, infection, ductal obstruction, or allergic reactions to medications...
February 2024: Curēus
https://read.qxmd.com/read/38526573/results-of-a-novel-long-term-method-for-laparoscopic-skills-online-training
#3
JOURNAL ARTICLE
Cecilia Gigena, Ignacio Díaz, Soledad Valverde, Agustina Mariana Portu, Ana Clara Fortunato, Ruth Kaller, Mariano Bosich, Gastón Bellía Munzon, Carolina Millán
Introduction: Ensuring patient safety in minimally invasive surgery (MIS) within the field of pediatric surgery requires systematic and extensive practice. Many groups have proposed mastery learning programs encompassing a range of training methods. However, short courses often have a narrow focus on specific objectives, limiting opportunities for sustained training. Our aim was to analyze our results with an online long-term competency-based and supervised training. Methods: This is a retrospective cohort study with prospective data collection of scores and performance of trainees during online courses from October 2020 to April 2023...
March 22, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38524258/pancreatic-adenosquamous-carcinoma-presenting-as-a-gastric-lesion
#4
Dain Raina Kim, Travis Ogilvie, Matthew Woo
Pancreatic adenosquamous carcinoma, an uncommon subtype of pancreatic adenocarcinoma, is characterized by an aggressive course and poor prognosis, with the only method of cure being surgical resection at the time of diagnosis. It is a complex condition, as it presents nonspecifically and remains indistinguishable from pancreatic adenocarcinoma without imaging techniques despite its aggressive nature. We report an atypical case of pancreatic adenosquamous carcinoma, presenting with marked anemia, found on endoscopy to have a gastric mass...
March 2024: ACG Case Reports Journal
https://read.qxmd.com/read/38524003/an-unusual-and-protracted-course-of-a-haggitt-3-malignant-polyp-recurrence
#5
Pratik Raichurkar, Tae Jun Kim, Christopher Byrne
Timely detection of colorectal cancer recurrence is paramount, as treatment of early-stage recurrence greatly improves survival and outcomes. Current guidelines outline post-resection surveillance through endoscopy, CT imaging, and tumor markers for five years; however, there is minimal data to guide follow-up beyond this. We present the case of a 60-year-old female with locoregional recurrence 15 years after endoscopic mucosal resection of a low-grade Haggit level 3 sigmoid colon polyp. Unusually the recurrence was noted as an incidental finding following investigation of an elevated alpha-fetoprotein level post liver transplant, and a retrospective review of imaging revealed a calcified sigmoid mesentery mass...
February 2024: Curēus
https://read.qxmd.com/read/38519610/intensive-pre-operative-information-course-ipic-and-pre-operative-weight-loss-results-in-long-term-sustained-weight-loss-following-bariatric-surgery-11%C3%A2-years-results-from-a-tertiary-referral-centre
#6
JOURNAL ARTICLE
James Lucocq, Vikram Thakur, Georgios Geropoulos, Daniel Stansfield, Laura Irvine, Mhairi Duxbury, Andrew C de Beaux, Bruce Tulloh, Beverley Wallace, Brian Joyce, Lisa Harrow, Gillian Drummond, Peter J Lamb, Andrew G Robertson
INTRODUCTION: Outcomes of long-term (5-10-year) weight loss have not been investigated thoroughly and the role of pre-operative weight loss on long-term weight loss, among other factors, are unknown. Our regional bariatric service introduced a 12 week intensive pre-operative information course (IPIC) to optimise pre-operative weight loss and provide education prior to bariatric surgery. The present study determines the effect of pre-operative weight loss and an intense pre-operative information course (IPIC), on long-term weight outcomes and sustained weight loss post-bariatric surgery...
March 22, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38511028/a-rare-case-of-primary-gastric-signet-ring-cell-carcinoma-a-review-of-guidelines-for-the-management-of-gastric-cancer
#7
Ronald Mauricio Blanco Montecino, Mikhail Sukhorosl, Mayi Ann Francis, Neeraj Kancherla, Ogbonnaya Akuma, Nkiruka Lauretta Nwangene, Shreyas Nandyal, Rohan Raj, Chinaza Mercy Akuma, Tamer Zahdeh, Sharanya Kaushik, Adil M Khan
Gastric carcinoma is the fifth most common and the third leading cause of cancer deaths worldwide. The incidence of diffuse-type gastric cancer, of which signet ring cell carcinoma is a subtype, is rising in the world. Due to non-specific gastritis-like symptoms, difficulty in assessing true tumor characteristics owing to its horizontal spread, and non-distinguishable endoscopic appearance from other gastric pathologies, the diagnosis of this subtype is challenging. We present a case of a 67-year-old woman with progressively worsening abdominal pain who came for an endoscopic ultrasound evaluation of an incidentally noted pancreatic cyst on a previous MRI...
March 2024: Indian Journal of Surgical Oncology
https://read.qxmd.com/read/38504409/train-the-paediatric-colonoscopy-trainer-course-assessment-of-perceived-value-in-improving-colonoscopy-teaching-practice
#8
JOURNAL ARTICLE
Rachel Mirzaali, John Anderson, Mike Thomson, Priya Narula
OBJECTIVES: Endoscopy teaching practice is variable, which inevitably affects the training provided. There is only one Train the Paediatric Colonoscopy Trainer (TPCT) course in the UK. Informal feedback has been positive, but its practical value has never been formally assessed. We aim to assess the practical value of the TPCT course and how attendees perceive their teaching practice compared to nonattendees. METHODS: A questionnaire based on the TPCT course learning aims and objectives was distributed to two groups of consultant paediatric gastroenterologists who teach colonoscopy in the UK; those who had attended the course (participants) and those who had not (controls)...
March 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38495736/amoebic-colitis-a-diagnostic-challenge-on-endoscopy-case-report
#9
Aimen Waheed, Sudarsanam Raman
Amoebic colitis remains a diagnostic challenge on colonoscopy given that its features resemble that of inflammatory bowel disease. We describe a similar case of a 66 years old male patient with multiple comorbidities including morbid obesity, end-stage renal disease requiring haemodialysis, IHD with PCI, T2DM, HTN and new onset dry cough for which he received a short course of steroids. He presented to the colorectal clinic with bleeding and mucus discharge per-rectum with no other symptoms related to bowel and non-specific colonoscopy findings with amoebic colitis only confirmed on histological diagnosis...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38494821/-a-case-of-conversion-surgery-for-stage-%C3%A2-atp-producing-gastric-cancer-with-distant-metastasis
#10
JOURNAL ARTICLE
Yosuke Egami, Keijiro Sugimura, Shinsuke Katsuyama, Toru Masuzawa, Kiminori Yanagisawa, Mitsuru Kinoshita, Ryo Ikeshima, Go Shinke, Masayuki Hiraki, Yoshiaki Ohmura, Taishi Hata, Yutaka Takeda, Kohei Murata
We report a case in which a patient with advanced gastric cancer with liver metastasis and bulky N showed marked tumor shrinkage with chemotherapy, and underwent conversion surgery. A 77-year-old male. Patient was referred to our department because of advanced gastric cancer. Upper gastrointestinal endoscopy revealed type 2 advanced cancer in the posterior wall of the gastric antrum. Abdominal CT showed thickening of the gastric wall in the same region and bulky lymph node enlargement and para-aortic lymphadenopathy behind the stomach...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494820/-long-term-complete-response-by-capeox-plus-nivolumab-chemotherapy-for-postoperative-recurrence-of-gastric-cancer-a-case-report
#11
JOURNAL ARTICLE
Shinsuke Katsuyama, Toru Masuzawa, Keijiro Sugimura, Kiminori Yanagisawa, Go Shinke, Mitsuru Kinoshita, Ryo Ikeshima, Masayuki Hiraki, Yoshiaki Ohmura, Taishi Hata, Yutaka Takeda, Kohei Murata
A 73-year-old man underwent upper gastrointestinal endoscopy during a medical check-up that revealed a Type 2 lesion in the anterior wall of the gastric body. The biopsy confirmed tub2. A contrast-enhanced CT scan revealed focal wall thickening and lymphadenopathy in the gastric body. The patient was diagnosed with gastric cancer(M, ante, Type 2, T4aN1M0, Stage ⅢA). Laparotomy total gastrectomy D2 dissection and Roux-en-Y reconstruction were performed. Pathological results were tub1, int, INF b, ly0, v1, pT4aN0M0, pStage ⅡB...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494186/laparoscopic-management-of-median-arcuate-ligament-syndrome-a-video-vignette
#12
JOURNAL ARTICLE
Santhosh Anand, Preethi Mahalingam, Loganathan Jayapal, Siddhesh Suresh, Tasgaonkar Ema
Median arcuate ligament syndrome (MALS) is a rare condition and a diagnosis of exclusion. We present a 30-year-old man, who had postprandial upper abdominal pain and weight loss of 6 kg in 3 months. His gastroscopy and abdominal ultrasound results were both unremarkable. Computed tomographic angiography showed characteristic compression of the celiac artery by thickened median arcuate ligament causing a 'J' shaped course of artery with poststenotic dilatation and dilated branches of the celiac artery. The patient underwent laparoscopic release of the median arcuate ligament...
March 15, 2024: Journal of minimally invasive surgery
https://read.qxmd.com/read/38489109/ectopic-bile-duct-concomitant-with-gastric-ulcer-hemorrhage-report-of-a-case
#13
JOURNAL ARTICLE
Yuiko Nagasawa, Masayuki Ohta, Yuki Shitomi, Hiroshi Satoh, Masanori Aramaki
BACKGROUND: An ectopic bile duct opening into the stomach is a rare congenital anomaly of the biliary system, and thus, there are few case reports with gastric ulcer hemorrhage. Herein, we presented a case of ectopic bile duct concomitant with gastric ulcer hemorrhage. CASE PRESENTATION: A 75-year-old woman was referred to our hospital because she repeatedly vomited blood and had melena. Endoscopic hemostasis was attempted for hemorrhage from a gastric ulcer located on the anterior wall of the antrum...
March 15, 2024: Surgical Case Reports
https://read.qxmd.com/read/38488404/total-laparoscopic-wedge-resection-for-an-intramural-ectopic-pregnancy-using-an-intraoperative-ultrasound-system-a-case-report
#14
Kotaro Kubo, Atsushi Fujikawa, Tomohiro Mitoma, Sakurako Mishima, Akiko Ohira, Satoe Kirino, Jota Maki, Eriko Eto, Hisashi Masuyama
Intramural pregnancy is a rare form of ectopic pregnancy, and the optimal treatment remains uncertain. We describe a 33-year-old woman (gravida 2, para 0) who visited our hospital with suspected ectopic pregnancy. The patient was asymptomatic and hemodynamically stable. Transvaginal ultrasonography revealed pregnancy at 6 weeks of gestation and a gestational sac and fetal heartbeat in the anterior muscular layer of the uterus, away from the endometrium. The fetal sac measured 26 mm. The serum human chorionic gonadotropin (hCG) level had increased to 27 655 mIU/mL...
April 2024: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/38481786/isolated-nonspecific-terminal-ileitis-prevalence-clinical-evolution-and-correlation-with-metachronous-diagnosis-of-crohn-s-disease-a-retrospective-study-and-review-of-the-literature
#15
JOURNAL ARTICLE
Evgenia Koureta, Pantelis Karatzas, Maria Tampaki, Theodoros Voulgaris, Efrosini Laoudi, Stratigoula Sakellariou, Ioanna Delladetsima, George Karamanolis, Jiannis Vlachogiannakos, George V Papatheodoridis
BACKGROUND: The existing literature does not provide adequate guidance on the diagnosis and management of patients with nonspecific terminal ileitis, while data regarding the percentage of patients who ultimately develop Crohn's disease (CD) are scarce. We evaluated the prevalence and natural course of nonspecific terminal ileitis in patients who underwent colonoscopy during a 11-year period. METHODS: All patients with endoscopic findings of terminal ileitis and nonspecific histological findings were included...
2024: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://read.qxmd.com/read/38480470/a-case-of-concurrent-follicular-lymphoma-and-lung-cancer-requiring-differentiation-from-lymph-node-metastasis
#16
Yutaka Takahara, Sumito Nagae, Aika Yamagata, Yoshihito Iijima, Akihiro Shioya, Sohsuke Yamada, Hidetaka Uramoto
Lung cancer complicated by follicular lymphoma has rarely been reported in the literature. A 69-year-old male with an abnormal shadow on a chest radiograph was referred to our hospital. A mass in the right lung was seen on chest computed tomography (CT). Positron emission tomography-CT showed fluorodeoxyglucose accumulation in the esophagus and multiple intra-abdominal lymph nodes, in addition to the right lung lesion. The lung lesion was diagnosed as a pulmonary adenocarcinoma after biopsy. Upper and lower gastrointestinal endoscopies did not reveal the presence of a tumor...
March 13, 2024: Thoracic Cancer
https://read.qxmd.com/read/38479623/endoscopic-submucosal-dissection-for-early-esophageal-adenocarcinoma-low-rates-of-metastases-in-mucosal-cancers-with-poor-differentiation
#17
JOURNAL ARTICLE
Andreas Probst, Felix Kappler, Alanna Ebigbo, David Albers, Siegbert Faiss, Ingo Steinbrück, Andreas Wannhoff, Hans-Peter Allgaier, Ulrike Denzer, Viktor Rempel, Roland Reinehr, Dani Dakkak, Matthias Mende, Jürgen Pohl, Tina Schaller, Bruno Märkl, Anna Muzalyova, Carola Fleischmann, Helmut Messmann
BACKGROUND AND AIMS: Endoscopic resection (ER) is accepted as standard treatment for intramucosal esophageal adenocarcinoma (EAC) with well or moderate differentiation. Poor differentiation (PD) is judged as a risk factor for lymph node metastasis (LNM) and surgery is recommended. However, the evidence for this recommendation is weak. Study aim was to analyze the clinical course of patients after ER of EAC with PD. PATIENTS AND METHODS: Patients undergoing endoscopic submucosal dissection for EAC were included from 16 German centers...
March 11, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38468643/a-challenging-case-of-endoscopic-third-ventriculostomy
#18
Mohammed Yassaad Oudrhiri, Rayhane Hamdaoui, Zakaria Tlemcani, Yasser Arkha, Abdessamad El Ouahabi
BACKGROUND: Although controversial, endoscopic third ventriculostomy (ETV) in the management of Myelomeningocele and Chiari type II malformation-related hydrocephalous is gaining wider popularity and use. With variable success rates, it can be proposed as a first or second option after shunt malfunction. ETV in post-infectious hydrocephalus may also be considered as an alternative to shunting. With reported success rates of 50-60%, failure is attributed to anatomical reasons and/or to pathological subarachnoid space scarring that may result from infectious processes...
2024: Surgical Neurology International
https://read.qxmd.com/read/38466470/conversion-surgery-for-stage-iv-gastric-cancer-with-multiple-liver-metastases-with-a-complete-pathological-response-to-s-1-plus-oxaliplatin-therapy
#19
JOURNAL ARTICLE
Teruki Sakoh, Kojiro Eto, Shiro Iwagami, Naoya Yoshida, Keisuke Kosumi, Masaaki Iwatsuki, Yoshifumi Baba, Yuji Miyamoto, Daiki Yoshii, Hideo Baba
Although patients with stage IV gastric cancer who respond well to systemic chemotherapy can be treated with gastrectomy, the prognosis of patients with multiple liver metastases is poor. We herein describe a patient with stage IV gastric cancer with multiple liver metastases who underwent conversion surgery after systemic treatment with S-1 plus oxaliplatin. The patient was a 62-year-old man. Upper gastrointestinal endoscopy revealed a 30-mm type 2 tumor in the greater curvature of the stomach at the anterior wall, and biopsy revealed a poorly differentiated adenocarcinoma...
March 11, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38460292/secondary-amenorrhea-as-the-first-presentation-of-krukenberg-tumor-arising-from-the-gastroesophageal-junction-in-a-34-year-old-woman-a-case-report
#20
Bassam Hassan, Lava Abdullah, Firas Hussein, Aghiad Issa, Thanaa Al-Assi, Zuheir Alshehabi
INTRODUCTION: Krukenberg tumors account for 9 % of metastatic ovarian tumors, they usually originate from the stomach and colon and are microscopically characterized by the presence of mucus-filled signet-ring cells. Krukenberg tumor originating from the gastroesophageal junction is extremely rare, which limits establishing proper diagnosis and management. PRESENTATION OF CASE: A 34-year-old women presented with a complaint of amenorrhea, ultrasonography showed bilateral ovarian masses, pathological studies revealed Krukenberg tumor, immunohistochemistry of the tumor was positive for (CK1, and CK20)...
March 1, 2024: International Journal of Surgery Case Reports
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