Juniper Publishers-Open Access Journal of Surgery

  Journal of Surgery -  JuniperPublishers Abstract Introduction:  Multiple Sclerosis (MS) is a debilitating autoimmune disorder, characterized by damage to the white matter of the central nervous system. Studies suggest a relationship between impaired cerebral venous blood flow and progressive destruction of white matter in the CNS. Altered cerebral venous architecture is a possible mechanism that may contribute to a compromised venous blood flow pattern in MS patients. Natural variations at junction located between the great cerebral vein (GCV) and the straight sinus (Ss) located within the cerebral venous drainage system can potentially exacerbate MS progression. Recent data indicates that abnormal cerebral venous hemodynamics contributes to the pathophysiology observed in MS through an unknown mechanism that increases hydraulic resistance. Objective:  This review aims to investigate if anatomical variations at the GSV and Ss junction elicit a profound effect on th...

  Journal of Surgery -  JuniperPublishers Abstract Background:  Mesenteric venous thrombosis (MVT) is a rare but potentially catastrophic clinical complication, which may lead to ischemia or infarction of the intestine. Methods:  We report here a case of superior mesenteric vein (SMV) thrombosis in a 21 year old male patient with no history of Crohn’s disease or other risk factors of thrombosis. Patient was admitted to the hospital with the signs and symptoms of small bowel obstruction. He was taken to the operating room after the initial diagnostic tests and underwent partial small bowel resection followed by end to end anastomosis. İntraoperative diagnosis was acute mesenteric ischemia (AMI). Results: Final pathological evaluation of the resected specimen was confirmed as demonstrating features of Crohn’s disease. Conclusion:  Crohn’s disease should be considered as one of the underlying causes when AMI is the diagnosis. Keywords:  Crohn’s disease; Acute ...

  Journal of Surgery -  JuniperPublishers Mini Review Recently in our hospital 54-year-old Indian female patient presented with pain right hypochondrium, underwent cholecystectomy 3 years back for the same pain, now presented in emergency with with severe persistent pain right side of abdomen and fullness abdomen for 2 days. On examination there was tenderness and guarding of the right lumbar, right hypochondriumregion, post surgery scar was normal, no hepatosplenomegaly. A laparotomy was performed, during which a large amount of mucinous material seen in subhepatic region along with bulky gelatinous appendicealretrocecal tumor not infiltrating the omentum were found. All mucinous substance aspirated and appendicectomy done. Colon and cecum was inspected and palpated with no recognition of infiltration and separate appendix. Pathologist confirmed mucinous tumor of appendix progressing to of pseudomyxomaperitonei, opinion of oncologist is being taken while writing the short rev...

  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 co...