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Showing posts from September, 2020

Juniper Publishers| Left-Sided Gastroschisis: Case Report and Some Anatomic and Technical Considerations

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  Journal of Surgery -  JuniperPublishers Abstract Conclusion:  Gastroschisis, a congenital periumbilical abdominal wall defect/malformation, allows intrauterine herniation of intestines at the right side of the umbilical cord. Its pathogenesis is still blurred as no tenable explanations or specific causes are found that can elucidate its increasing incidence presently in place among teenager and very young pregnant women. Left-gastroschisis is a rare variant of the commoner right-sided gastroschisis. It is sporadic in its prevalence and has as well an etiology unknown. When left-sided gastroschisis is present, one should be aware that an increased number of associated extra-intestinal abnormalities are likely. Our case has HIV exposure as a potential factor that could have had a role in the ontogenesis of the defect. Keywords:  Left-sided gastroschesis; HIV exposure; Fascia alba split technique Go to Introduction Gastroschisis is a well known clinical entity of a congenital periumbili

Juniper Publishers| Splenic Rupture by Tubular Drain in a Patient with Necrotizing Pancreatitis

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  Journal of Surgery -  JuniperPublishers Abstract Background:  Severe acute pancreatitis is an acute abdominal disease that possesses a powerful systemic inflammatory response, and can progress quickly, going from the stage of local pancreatic damages to the dysfunction of several organs, with the development of multiple local and systemic complications. Aim:  In this article, a case of splenic perforation by abdominal drain will be described, as a late complication of pancreatic necrosectomy, in a patient with severe acute pancreatitis. Methods:  The information was obtained through data from medical records and photographic registers of the diagnosed methods to which the patient has been submitted, andrevision of medical literature. Results:  F.L.S, female, 54 years old, hospitalized at Health House São Lucas Hospital presenting intense abdominal pain and elevation of pancreatic enzymes. During the hospitalization, the patient developed a sepsis and a new abdominal CT scan showed ne

Juniper Publishers| Follicular Variant of Papillary Carcinoma Thyroid with Submandibular Lymph Node Metastasis

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  Journal of Surgery -  JuniperPublishers Abstract Follicular variant of papillary carcinoma of thyroid (FVPTC) constitutes approximately 10% of papillary carcinoma of thyroid. Classic papillary carcinoma of thyroid (PTC) and the follicular variant of PTC have similar prognostic implications. The encapsulated follicular variant of PTC is usually quite indolent with an excellent prognosis. We report herein a case of a right follicular variant of papillary carcinoma thyroid with right submandibular lymph node metastasis. The diagnosis of follicular variant of papillary carcinoma of thyroid was made after histopathological examination of specimen after surgery. Go to Introduction Follicular variant of papillary carcinoma of thyroid (FVPTC) whether invasive or not, behaves like usual PTC, with multiple tumor foci in the gland in many cases, lymphatic invasion and nodal metastases, and rare hematogenous spread [1,2]. FVPTC is defined by the presence of tumor cells arranged almost entirely i