Giant pulmonary hydatid cyst is a rare entity reported in the preadult age group compared to adults. Definitive surgical management by video assisted thoracoscopic surgery (VATS) is promising and safe. Very few cases of giant complicated hydatid cyst by endoscopic intervention have been reported in the literature and we report a case managed by VATS in a teenager.
This video shows a robotic ileocecal resection in conjunction with a takedown of an enterovesicular fistula. The patient had a three year history of fistulizing Crohn’s disease and suffered from fecaluria and pneumaturia along with recurrent urinary tract infections. The video displays the dissection along with reconstruction using an intracorporeal anastomosis. Robotic techniques are feasible for use in treating inflammatory bowel disease.
We report the case of a 72 y/o male patient who was evaluated for a long-standing history of foul-smelling belching, halitosis and dyspepsia. He was diagnosed with a 8 cm gastric diverticulum. The operation was performed via a laparoscopic approach and the diverticulum was resected with an endoscopic stapler. The patient is symptom-free after the operation.
Gastrogastric fistulas occur in 3-6% of Roux en Y gastric bypass patients. They can cause abdominal pain, asymptomatic weight regain, and marginal ulcer formation. While surgical revision is the mainstay of treatment, we demonstrate a case of successful endoscopic suture closure of a large gastrogastric fistula causing persistent weight regain eight years after banded Roux en Y gastric bypass.
Background: We present a case of transanal endoscopic microsurgery (TEM) in an approach to rectal sleeve resection. A 46 year old man, with a history of immunosuppression, status post pancreas and kidney transplant, presented with a circumferential rectal stricture 7 cm from the anal verge, discovered on flexible sigmoidoscopy for concern of ischemic colitis. He recently had an endovascular repair of an aortic aneurysm (EVAR) with possible occlusion of the inferior mesenteric artery. The rectal