Unusual presentation of Loeys-Dietz syndrome: A case report of clinical findings and treatment challenges.

Background: Loeys-Dietz syndrome (LDS) is a rare autosomal dominant syndrome characterized by heterozygous mutations causing multisystemic alterations. It was recently described in 2005, and today at least six different subtypes have been identified. Classically presenting with aortic root enlargement or aneurysms and craniofacial and skeletal abnormalities, with specific arterial tortuosity at any site.

Conversion from mini bypass to laparoscopic Roux en Y gastric bypass in an emergency setting: Case report and literature review.

Introduction: It has been demonstrated that certain technique endpoints are key to the success for the OAGB and RYGB procedures but only a few texts in which post-operative complications are documented.

Presentation Of Case: 42-year-old male patient admitted to the emergency department for presenting abdominal pain located in the epigastrium for 4 days, melenic evacuations and syncope on one occasion. Two years prior to admission, the patient underwent a single anastomosis bypass for grade III obesity.

Laparoscopic T-tube choledochotomy for biliary lithiasis.

T-tube choledochotomy has been an established practice in common bile duct exploration for many years. Although bile leaks, biliary peritonitis, and long-term postoperative strictures have been reported and are directly associated with the placement or removal of the T-tube, the severity of these complications may often be underestimated by surgeons. We present the case of a 31-year-old male patient who developed biliary peritonitis and septic shock after removal of a T-tube and illustrate one of the catastrophic events that may follow such procedures.

[Endoscopic ultrasound guided fine needle aspiration biopsy: first experience in Mexico].

Background: Endoscopic ultrasound (EUS) -guided fine-needle aspiration (FNA) is a recently described diagnostic method that has demonstrated its usefulness in certain clinical conditions.

Material And Methods: Descriptive and retrospective analysis of the initial experience with EUS-guided FNA at the Hospital General "Dr Manuel Gea González", during the period between March, 1998 and December, 1999. A Pentax FG 32UA linear echoendoscope was used for all cases, as well as two different types of needles.

[Capsule endoscopy: The evolution in the diagnosis of small bowel diseases].

Wireless capsule endoscopy is a diagnostic procedure to study the pathology of the small intestine physiologically and painlessly. The capsule dimensions are 11 x 26 mm, and takes 2 picture per second whilst 8 hours. Unexplained occult gastrointestinal tract bleeding is the main indication, but everyday new indications for its use come to the literature.