general surgery cases
Obstructive Ileus - Right Colon Flexure Cancer
Clinilcal case: a 92 year old lady presented with massive caecal distension. Although a palliative approach was considered, due to massive distension and cruel pain without relief we chose to perform...
Constipation as a Cause of Megacolon and Multiorgan...
Clinical case: a 49 year old female patient after previous ischemic stroke and left lower limb amputation in medical history presented with severe sepsis (CRP of above 700) and multiorgan dysfunction....
Abdominal Straight Xray of Peptic Perforation
X ray is showing the gas under right side of diaphragm. This indicates peptic perforation. It is an emergency condition and emergency surgery needed.
Suspected Dermoid Cyst on Lateral Malleolus of...
Surgical case: a 65 years old woman presented with a mass on the lateral malleolus of left leg. The size is spherical and painless. Margin is regular and it is movable. Not attached to bone or tendon....
Straight Abdominal X-Ray of Intestinal Obstruction...
A case of 80 years old male presented intestinal obstruction due to femoral hernia.
Critical View of Safety in LC
Strasberg's method, known as Critical View of Safety, is based on three criteria: first, only two structures can be clearly seen connected to the gallbladder; second, the lower one third of the gallbladder...
Cholesterolosis
Cholesterolosis of the gallbladder happens when cholesterol accumulates in the gallbladder, forming polyps. It is often symptomless, but pain, indigestion, fever, and jaundice may occur. If so, treatment...
Liver Necrosis
After difficult laparoscopic cholecystectomy. Iatrogenic ligation of the common hepatic artery resulting in wide areas of liver necrosis.
Critical View of Safety in Cholecystectomy
Laparoscopic cholecystectomy is associated with a higher incidence of biliary/vasculobiliary injuries than open cholecystectomy. Anatomical misperception is the most common underlying mechanism of such...
Inverted Y
The concept of the “Inverted Y” and the didactic anatomical “Five Triangles” associated with the proposal of dissection based on “Three Zones”, meets the need to establish...
Five Triangles in TAPP
Facilitating anatomical recognition: “the Five Triangles”The figure also illustrates in a didactic way the representation of five triangles.
Incomplete Jejunoileal Junction Atresia Chronic...
Late presentation of incomplete jejunoileal junction atresia with recurrent midgut volvulus ; chronic midgut volvulus in adult.
Rare Anatomical Variety of the Right Hepatic...
A 45-year-old lady who presents with pain in the right hypochondrium, without jaundice. Abdominal ultrasound showed a lithiasis of the gallbladder, without dilation of the main bile ducts. The liver function...
Type 2 Hiatal Hernia
A type II hiatal hernia, also known as a rolling hernia, occurs when the gastro-esophageal junction is anchored in the abdomen, and the gastric fundus migrates into the mediastinum through the hiatal...
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Shahram Nazari
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Abdulhakim Omer Altamimi Al-Tamimi
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Prasanna Kumar Reddy
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Palo Alto Center
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