Atypical presentation of Wernicke encephalopathy due to thiamine deficiency in a patient post sleeve gastrectomy.

We present a case of a woman in her 20s who presented to the emergency department with a 1-month history of blurry vision, lower extremity weakness in both legs and progressive numbness involving the feet and anterior chest. On admission, the patient was unable to ambulate. She was 3 months status post laparoscopic vertical sleeve gastrectomy for weight loss and using transdermal vitamin patches for nutritional supplementation.

Case report: Concurrent intussusception and bleeding marginal ulcer in a patient with gastric bypass.

Introduction: The source of abdominal pain in patients with a history of gastric bypass can be difficult to determine. Synchronous disease processes may ultimately be the cause of their symptoms. Among the etiologies for hematemesis and obstruction in this population are the diagnoses of marginal ulcer and internal hernia.

Relationship between maternal arterial and foetal cord carbon dioxide tension and neonatal outcome in critically ill pregnant women at delivery.

Background And Aims: No studies have evaluated the relationship between maternal arterial partial pressure of carbon dioxide (mPaCO) and umbilical cord venous partial pressure of carbon dioxide (PCO) in critically ill pregnant women at delivery. Based on the studies in healthy pregnant women, an mPaCO target of ≤50 mmHg is a suggested threshold during mechanical ventilation in critically ill parturients. We evaluated the relationship between mPaCO and neonatal cord gases in critically ill parturients at delivery as the primary objective.

A Medium-Term Comparison of Quality of Life and Pain After Robotic or Laparoscopic Cholecystectomy.

Introduction: We sought to compare medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using validated quality of life (QoL) and pain assessments.

Materials And Methods: Patients who underwent RC or LC between 2012 and 2017 at a single academic institution were examined. Cases converted to open were excluded.

Case report: Splenic artery pseudoaneurysm mimicking a bleeding marginal ulcer in a patient with gastric bypass.

Introduction: Upper gastrointestinal (GI) bleeding in patients with roux-en-Y gastric bypass can be difficult to localize. Marginal ulcers are the most common cause, but a broad differential should be maintained in cases of severe bleeding, especially since the stomach and duodenum are not easily accessible by regular upper endoscopy.

Presentation Of Case: A 38-year-old female with Roux-en-Y gastric bypass presented with abdominal pain and hematochezia.