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Small Bowel Obstruction Secondary to Partial Malrotation of the Gut: A Case Report.
Cureus
January 2025
General Surgery, Womack Army Medical Center, Fort Liberty, USA.
This case report presents a unique clinical presentation of small bowel obstruction secondary to congenital partial malrotation of the gut in adults. Partial malrotation may have variable clinical presentations and this case highlights a constellation of patient history, radiographic signs, and operative findings leading to appropriate diagnosis and successful surgical management. A 56-year-old female patient presented with severe abdominal pain, nausea, and anorexia.
View Article and Find Full Text PDFImaging and management of complications post biliary-enteric anastomosis.
Abdom Radiol (NY)
January 2025
University of Virginia, Charlottesville, USA.
Article Synopsis
- Biliary-enteric anastomosis (BEA) is a surgical procedure used for issues related to bile ducts and is crucial during liver transplants, with imaging playing a vital role in identifying complications.
- Various imaging techniques like ultrasound, CT, MRI, and nuclear scintigraphy provide different insights, with ultrasound enabling quick assessments and CT offering detailed anatomy.
- Common complications from BEA include bile leaks and strictures, and effective imaging is essential for their early detection and management, ultimately leading to better patient outcomes.
Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors.
J Vis Exp
December 2024
Department of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University;
Robot-assisted pancreaticobiliary junction resection is a surgical technique employed to treat benign duodenal tumors. The procedure involves several key steps: making a longitudinal incision in the duodenum, excising the tumor at the pancreaticobiliary junction, inserting a biliary stent, connecting the biliary and duodenal mucosa, and suturing the duodenal incision during phase I. The robotic system enhances visibility, facilitates precise operations, minimizes duodenal traction injuries to the duodenum and surgical trauma, ensures accurate suture and fixation of bile duct stents, connects the bile duct and duodenal mucosa and reduces postoperative recovery time.
View Article and Find Full Text PDFGiant Duodenal Brunneroma: Report of a Rare Case and Review of the Literature.
Am J Case Rep
December 2024
Department of Visceral Surgery, Hospital of the Canton of St. Gallen, St. Gallen, Switzerland.
BACKGROUND Brunneromas are among the rarest benign tumors of the upper gastrointestinal tract. They arise from the Brunner's glands and patients have a good prognosis if treated timely and radically. Because symptoms are rare, their diagnosis can be challenging, especially regarding the smaller ones.
View Article and Find Full Text PDFChallenges in managing duodenal intussusception: A rare cause of gastric outlet obstruction in adults.
Turk J Surg
June 2024
Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Article Synopsis
- - Intussusception in adults is rare, with ileocolic being the most common type and duodenal intussusception (DI) being the rarest; this study discusses five adult cases of DI, highlighting their presentation, diagnosis, and treatment.
- - The patients, primarily women aged 18-45, mainly presented with gastric outlet obstruction (GOO) and weight loss, all diagnosed via contrast-enhanced CT scans with benign polyps identified as lead points requiring surgical intervention.
- - Surgical treatment varied, with some patients receiving local excision and others undergoing more extensive procedures like pancreaticoduodenectomy; post-operative recovery was generally smooth, emphasizing the importance of anatomical knowledge for managing this complex condition.
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