Ganglioneuroma of the Adrenal Gland and Retroperitoneum. A Report of an Unusual Case and Review of the Literature Introduction: Ganglioneuromas, benign tumors of sympathetic nervous system are rare to arise in adrenal gland. They are usually asymptomatic and hormonally silent. Majority of cases are detected incidentally during work up for other unrelated conditions. Currently histopathologic […]
INTRODUCTION: Primary repair of giant paraesophageal hernias is associated with high failure rates in the morbidly obese patients. A surgical approach to addressing both paraesophageal hernia and morbid obesity has not been explored in the surgical literature. METHODS: Three morbidly obese females (ages 39, 52 and 58 years with BMIs 46.8, 50 and 52.3 respectively) […]
Introduction: Wandering spleen is a rare anatomic anomaly resulting from congenital absence or laxity of the splenic ligaments. We present a case of a wandering spleen causing obstruction of the proximal Roux limb following laparoscopic gastric bypass (LGBP). No previous cases of this anomaly following bariatric surgery were reported. Case report: A 36 year-old female […]
Background: There are competing goals in the surgical treatment of esophageal cancer. One is to minimize the physiologic impact of the operation and the other is to maximize the resection of regional lymph nodes. The former can be accomplished with a transhiatal esophagectomy, and the latter is maximized with an open transthoracic/transabdominal en bloc resection. […]
A 43-year-old woman developed morning headaches, sweating, palpitations and uncontrolled hypertension for 12 months. She was known to have Von Hippel-Lindau and had previously had a left adrenalectomy in 1995 (open anterior approach) and a partial right adrenalectomy in 2000 (open lateral approach). She required an exploratory laparotomy in 1991 for a gunshot wound to […]