Left-sided gallbladders are rare anatomical variations and a result of an abnormal embryological process. The most frequent cause for a sinistroposition gallbladder is the presence of . We present a case of a 51-year-old male referred to the General Surgery consult due to cholelithiasis with a history of occasional post-prandial abdominal pain in the left hypochondrium and nausea associated with the ingestion of lipid-rich meals. The ultrasound revealed a gallbladder filled with calculous but without inflammatory signs or bile duct dilation, in the sinistroposition. Magnetic resonance imaging (MRI) confirmed and excluded further anatomic variations. The patient underwent a laparoscopic cholecystectomy due to symptomatic cholelithiasis without any complications and was discharged the following day. When faced with a patient with gallbladder/biliary duct disorders associated with one must have a high clinical index of suspicion to properly diagnose and the mental agility to adapt and further operate in a mirrored-positioned abdomen. In these situations the patient should always undergo a prior MRI to determine the correct anatomy of the biliary system and the surgeon should perform an intraoperative cholangiography if any other variations are suspected. The presence of thus imposes a surgical and diagnostic challenge. Although rare the surgeon must be aware of this possibility.
Background: Laparoscopic cholecystectomy is one of the most commonly performed surgeries worldwide. With the rise of online platforms like YouTube and WebSurg, surgical videos have become popular educational tools. However, the quality of these videos varies, raising concerns about their reliability.
Segmental thoracic spinal anesthesia (STSA) is emerging as a promising alternative for high-risk patients undergoing abdominal surgeries, particularly those who are not optimal candidates for general anesthesia (GA). By selectively targeting the thoracic spinal segments responsible for abdominal innervation, STSA aims to provide precise anesthesia and pain management while minimizing systemic side effects. This case series presents the outcomes of several critical patients who underwent abdominal surgeries under STSA.
Hemorrhagic cholecystitis is a rare and potentially life-threatening condition that requires immediate medical attention. If the gallbladder perforates, it can lead to even more severe complications. We present the case of a 27-year-old man with Glanzmann's thrombasthenia, a rare platelets disorder, who visited the emergency department twice before being diagnosed with this condition.
Background: Thrombotic microangiopathy (TMA) is a rare, life-threatening disorder characterized by microangiopathic hemolytic anemia, thrombocytopenia, and end-organ damage. Atypical hemolytic uremic syndrome (aHUS) is even less common, comprising less than 10% of hemolytic uremic syndrome (HUS) cases. aHUS in postpartum is associated with poor maternal outcomes, with the majority of cases resulting in end-stage renal disease.
