Appendiceal Diverticulum Masquerading as Acute Appendicitis

Appendiceal diverticula present as rare clinical findings and are most often confused with acute appendicitis due to similar presentation. The incidence in such cases is reported at a rate no greater than 1%. We present a rare case of a 65-year-old female treated for acute appendicitis who was instead found to have acute sequelae of appendiceal diverticulosis

Congenital pericardioperitoneal hernia in a patient with Loeys-Dietz syndrome

We present a four and half month old male with Deitz Syndrome who underwent repair of a congenital anterior Pericardioperitoneal hernia with a mesh and was noted to have a persistent right umbilical hernia that may have been the contributing etiology

Choledochoduodenostomy for calculi in the infant

We present an unusual case of common bile duct (CBD) obstruction from gallstones in a premature infant treated by common duct exploration and choledochoduodenostomy in an abdomen with a ventriculoperitoneal shunt. We present this as an alternative method of treatment when an endoscopic method is not feasible and when a common duct -tube is thought to be suboptimal. Keywords: Biliary calculi, Choledochoduodenostom

Gastric Perforation with Omental Patch Repair: A Rare Complication of Pulmonary Resuscitation in COVID-19 Pneumonia

A 71-year-old male, diagnosed with coronavirus disease 2019 (COVID-19), was admitted to the medical-surgical floor for supportive treatment. The patient received bag-mask ventilation (BMV) secondary to severe hypoxia and reendotracheal intubation in the hospital on day eleven. A chest X-ray following reintubation noted concern for intra-abdominal air. Significant abdominal distention and subsequent diagnostic imaging showed pneumoperitoneum and a possible perforation of the stomach. The patient underwent an exploratory laparotomy with omental patching for a gastric perforation. Amidst the height of the COVID-19 pandemic, several important findings have been made through the disease sequelae of this individual patient

Jejunal Intussusception: A Rare Adult Presentation of Lymphoid Hyperplasia

A 21-year-old African-American male presented to the emergency room with a sudden diffuse onset abdominal pain of one day duration. CT findings revealed mild telescoping of loops of small bowel and mesenteric fat in the left mid abdomen with no apparent masses. The patient underwent an exploratory laparoscopy revealing intussusception of the mid jejunum. As a fair amount of distention compromised safe navigation of the bowel, laparoscopic resection was not warranted at this time. Open approach allowed for segmental resection of the affected segment of the small bowel. This was followed by primary anastomosis. Pathological findings revealed focal reactive lymphoid hyperplasia with marked congestion in the lamina propria of the jejunum. The patient had an unremarkable postoperative period and recovered with no further complications