Dieulafoy Lesion in the Stomach

Dieulafoy disease is an uncommon cause of gastrointestinal system bleeding. Although the exact cause is not known, it is characterized by bleeding from abnormal submucosal vessels. There are many methods for diagnosis and treatment. In this case, a patient with a long-time undiagnosed stomach Dieulafoy lesion had a surgical resection. During the postoperative period the patient was discharged without any complication

Inflammatory pseudotumor of the spleen: Report of a case

We report the case of an inflammatory pseudotumor of the spleen in an asymptomatic 55-year-old woman, whose lesion was accidentally found and clinically misdiagnosed to be lymphoma. An inflammatory pseudotumor of the spleen was histopathologically diagnosed following a splenectomy. This lesion is a benign, reactive, and inflammatory process and its etiopathogenesis still remains elusive. The preoperative diagnosis is difficult and the optimal management of the asymptomastic patient with the disease is unclear. This entity should be kept in mind in the differential diagnosis of splenic space-occupying lesions

Colon injury following percutaneous endoscopic gastrostomy tube insertion

Percutaneous endoscopic gastrostomy (PEG) is used to provide a safe route for enteral feeding. However, serious complications may occur during the procedure, such as transverse colon injuries. It can be difficult to diagnose a colon injury after the procedure in a patient with cobormidities. Herein, we present a case of transverse colon injury following insertion of a PEG tube, discuss the possible complications of PEG, and review the recent literature. This case demonstrates the importance of careful PEG tube insertion and close follow-up of the patient's clinical status after a PEG procedure

Ischemia-reperfusion injury following superior mesenteric artery occlusion and strangulation obstruction

Background. Intestinal ischemia-reperfusion injury (IRI) is a serious and common clinical entity resulting in severe tissue injury. This study was designed to compare IRI in superior mesenteric artery (SMA) occlusion and strangulation obstruction (SO)

Laparoscopic operations on the spleen

Background: Advances in instrumentation and surgical technique have made it possible to perform minimally invasive surgery on parenchymal organs including the spleen. In splenic surgery, organ preservation has high priority due to the organ's important immunological functions. This must also be taken into consideration when doing laparoscopic procedures. material and Methods: Laparoscopic splenectomy and hemisplenectomy are performed using 3-4 trocars, with the patient in a right semilateral position. Blood vessels are dissected and the spleen mobilized using the ultrasound scalpel or LigaSure instrument. The vessels are carefully exposed and, in the case of hemisplenectomy, selectively dissected. For splenectomy, an endostapler with a vascular cartridge is usually used to server the hilar vessels. For partial resections, the parenchyma is also severed with an endostapler. In a 5-year period, 109 patients underwent this procedure. 15 of them had a resection of the lower pole and 29 of the upper pole. four patients had a subtotal resection and 61 were splenectomized. Results: Laparoscopic splenectomy or hemisplenectomy was successfully completed in 105 of 109 patients. Four patients had to be converted due to intraoperative bleeding. Hospital mortality was 0. In all cases in which a partial splenectomy was performed for diagnostic purposes a firm diagnosis could be established. Conclusion: Laparoscopic operations have proved to be feasible and advisable for spleens with a long axis up to 24 cm. laparoscopic technique can be seen as standard for normal-sized or slightly enlarged spleens. Patients with hematological diseases in whom the surgical risk is higher due to their comorbidity have the greatest benefit from these operations