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Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
17 articles
Newest firstIntroduction and importance:Lemmel syndrome (LS) is a rare cause of obstructive jaundice resulting from compression of the distal common bile duct (CBD) by a periampullary duodenal diverticulum. The diagnosis is frequently missed due to nonspecific clinical features and subtle radiologic findings.Case presentation:A 39-year-old woman presented with recurrent epigastric pain, fever, and jaundice. Laboratory results…
Open article record in new tab ↗Introduction Cholelithiasis is common following metabolic and bariatric surgery (MBS), with gallstones developing in up to one-third of patients due to rapid weight loss and metabolic changes. Procedures such as Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB) alter gastrointestinal anatomy, complicating endoscopic access to the biliary tree and presenting challenges in the management of c…
Open article record in new tab ↗Introduction and importance Laparoscopic common bile duct (CBD) exploration with cholecystectomy in patients with situs inversus totalis (SIT) is technically demanding and warrants comprehensive knowledge of the mirror image anatomy along with laparoscopic orientation of the left upper quadrant. Case presentation In this case report, we present a female patient who presented with pain in the left hypochondrium, ye…
Open article record in new tab ↗Introduction Perforated peptic ulcer disease (PUD) is a critical condition that can present with atypical symptoms, leading to misdiagnosis and treatment delays. While PUD classically presents with peritonitis, rare cases may induce localized inflammatory responses, mimicking other abdominal pathologies such as acute cholecystitis. Presentation of case We report the case of a 29-year-old male with recurrent postpr…
Introduction and importance Penile strangulation is a rare urological emergency first described in 1755, often resulting from foreign object entrapment leading to vascular compromise, oedema, and potentially necrosis or gangrene. It is associated with delayed presentation due to patient embarrassment and lacks standardized management protocols. This report emphasizes the clinical challenges and outcomes associated…
Open article record in new tab ↗Introduction and importance Situs Inversus Totalis (SIT) is a rare condition characterized by the transposition of internal organs. Given the anatomical variations in SIT, surgeons must exercise extreme caution when performing laparoscopic cholecystectomy to avoid iatrogenic bile duct injury. Despite the high difficulty index associated with laparoscopic cholecystectomy in SIT, there is only one case report of com…
Introduction and importance Cocaine, the second most abused drug in Morocco after cannabis, has been associated with multiple cardiac, pulmonary, neurological, and digestive complications. Colonic perforation following cocaine abuse is relatively lesser-known and requires attention as abuse rates are increasing, and existing evidence is scarce. Only a few cases have been reported in medical literature. Case presen…
Open article record in new tab ↗Introduction and importance Internal and spontaneous bilio-digestive fistulas, without primary biliary disease, are an infrequent complication of the upper digestive tract. We report a case of a Hook-shaped distal common bile duct due to peptic ulcer mimicking cholangiocarcinoma. Case report A 63-year-old patient, with no medical history, presented to the emergency department with recent jaundice. Laboratory tests…
Open article record in new tab ↗Introduction The locally advanced pancreatic cancer has been steadily recognized as a potentially curable disease by a combination of chemotherapy and surgery. The remarkable effect of advanced chemotherapy would help surgeons do a function-preserving operation for advanced pancreatic cancer. Presentation of case A 73-year-old woman presenting with obstructive jaundice was diagnosed to have a 3-cm pancreatic body…
Introduction and importance Synchronous malignancies of gallbladder and biliary tree are together rare entity whose pathogenesis is yet unknown. We report the case of a triple synchronous cancer of 3 distinct location: gallbladder, common bile duct (CBD) and papilla of Vater. Case presentation An 84-years-old woman, was admitted to our Hospital with clinics features of obstructive jaundice. Dilatation of the bilia…
Introduction and importance Biliary tree neuroendocrine tumors (NET) are rare, with 100 cases in the literature, and have an excellent prognosis. Although they are rarely diagnosed before surgery, complete surgical excision offers optimal treatment. Case presentation We report a case of a 36-year-old female patient referred to the surgical team with obstructive jaundice for which she was investigated and found to…
Open article record in new tab ↗Objective Due to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected cases due to immobility or inadequacy of the jejunum. The following case will outline the management of a 32-year-old woman wit…
Open article record in new tab ↗Introduction Hemobilia due to pseudoaneurysm rupture is a rare, life-threatening complication of laparoscopic cholecystectomy (LC) that can cause rapid hemodynamic instability. Therefore, symptoms of hemobilia must be assessed carefully. Presentation of case An 88-year-old woman underwent LC in our hospital, and blood tests revealed elevation of hepatobiliary enzyme levels on postoperative day (POD) 12. Computed t…
Open article record in new tab ↗Introduction Although formerly considered a rarity, biliary endoclip-related complications are being diagnosed with increasing frequencies. Among these, migration of endoclip into the common bile duct (CBD) is a rare encounter that usually presents in the first two years after surgery. Presentation of case This case demonstrates a late biliary endoclip migration after laparoscopic cholecystectomy. Discussion An 82…
Open article record in new tab ↗Introduction Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and therapeutic procedure for biliary and pancreatic diseases. It is associated with low rate of complications. However, some complications as duodenal perforation can be fatal. Presentation of cases 852 patients underwent ERCP at our hospital, six patients had a duodenal perforation (0.7 %). All patients were admitted with clinical…
Open article record in new tab ↗Introduction Ampullary adenocarcinoma is a rare entity during pregnancy. It accounts for 0.5% of all gastrointestinal malignancies. The best treatment modality for resectable tumors with the best reported outcome is surgical resection in the form of pancreaticoduodenectomy (Whipple procedure). In this case report, we discuss the challenges in the management of ampullary adenocarcinoma in a pregnant patient. Case p…
Open article record in new tab ↗Introduction Mirizzi syndrome is a rare complication of gallstone disease that more rarely is associated with the formation of cholecystoenteric fistula. Presentation of case The patient presented with a five-day history of abdominal pain in the right upper quadrant (RUQ), nausea, and emesis. Further ultrasound (US) imaging demonstrated a large gallstone with associated thickened gallbladder with pericholecystic f…
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