Highlights
Splenosis is an autotransplantation of splenic tissues throughout the body post splenic rupture or splenectomy.
Symptomatic when hematological diseases have recurred.
Abdominal splenosis may rarely be associated with abdominal pain and/or gastrointestinal symptoms.
Further evaluation and treatment is mandatory when bowel obstruction is present.
Treatment consists of resection of problematic splenic nodules.
HighlightsCongenital internal hernias are an infrequent condition resulting from the protrusion of abdominal organ through an intra-peritoneal defect.Left paraduodenal hernia is the most common types of congenital internal hernias.Landzert fossa is bounded by the fourth part of the duodenum from the right, the posterior peritoneum posteriorly, the inferior mesenteric vein, and left branches of the middle colic artery anteriorly.Laparotomy is mandated in cases of intestinal perforations, necrosis and hemodynamic instability.
AbstractDespite its first identification in 1885, intraluminal duodenal diverticulum remains a rare entity and only a few case reports are found in the literature. Its diagnosis is almost always delayed due to the lack of specific symptoms and to the very vague presentation consisting of mild epigastric discomfort. However, with the aid of new diagnostic modalities and imaging, it has become easier to diagnose this entity when its symptoms persist. Finally, it can remain undiagnosed in asymptomatic patients.
Currarino syndrome is a rare congenital disease and its appearance in adulthood is exceptional. It is neglected in the typical differential diagnosis of a presacral mass. This results in severe complications following simple mass resection.
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Purpose: This paper evaluates the outcomes of parathyroidectomy for primary hyperparathyroidism with
negative localization studies.
Methods: All patients with primary hyperparathyroidism with negative preoperative ultrasound and MIBI
scan who underwent parathyroidectomy were retrospectively included. Three groups were defined. Group
1 included the patients with negative ultrasound and MIBI. Group 2 included the patients with negative
ultrasound and positive MIBI. Group 3 included the patients with positive ultrasound and negative MIBI.
Results: In Group 1, 51% and 86% of patients had one adenoma and atypical localizations respectively.
Unique adenoma and atypical localizations were showed in 87% and 93% of patients in Group 2
respectively. In Group 3, 83% and 17% of patients had one adenoma and atypical localizations respectively.
No cervical hematoma was noted. Transient recurrent laryngeal nerve palsy occurred in 2 patients. Seven
patients required postoperative calcium supplementation for 2 to 5 months, and one had recurrent
hypercalcemia at follow-up. Cure rate was 98,3%.
Conclusion: When US and MIBI were negative, multiple lesions and atypical localizations were frequent.
The success rate and postoperative complications were not affected with this event.
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