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  1. Article: Laparoscopic treatment of symptomatic Dunbar syndrome: a case report.

    Sergi, William / Depalma, Norma / D'Ugo, Stefano / Botrugno, Ivan / Manoochehri, Farshad / Spampinato, Marcello

    International journal of surgery case reports

    2022  Volume 93, Page(s) 106925

    Abstract: Introduction and aim of the study: Dunbar syndrome is a rare disorder due to the external compression of the celiac trunk by the median arcuate ligament. The symptoms include abdominal pain, nausea and vomiting with a significative reduction in patients' ...

    Abstract Introduction and aim of the study: Dunbar syndrome is a rare disorder due to the external compression of the celiac trunk by the median arcuate ligament. The symptoms include abdominal pain, nausea and vomiting with a significative reduction in patients' quality of life. Laparoscopy has proven to be a safe procedure. The aim of this study is to present a case of Dunbar syndrome undergoing laparoscopic surgery.
    Case presentation: A 40-year-old male patient presented at Emergency Room with upper abdominal pain and dyspepsia, related to food intake. A selective arteriography of the celiac trunk revealed stenosis due to compression of the celiac artery.
    Clinical discussion: Laparoscopic decompression of the celiac trunk by the median arcuate ligament was performed. Postoperative course was uneventful and the patient was discharged on the 5th postoperative day.
    Conclusion: Minimally invasive surgical division of the arcuate ligament is feasible and safe and it can restore patients' quality of life.
    Language English
    Publishing date 2022-03-09
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2022.106925
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Primary ovarian Burkitt's lymphoma presentation in a young woman: A case report.

    Sergi, William / Marchese, Tiziana Rita Lucia / Botrugno, Ivan / Baglivo, Arturo / Spampinato, Marcello

    International journal of surgery case reports

    2021  Volume 83, Page(s) 105904

    Abstract: Introduction and importance: Burkitt's lymphoma is one of the fastest growing human cancers and it needs a rapid diagnosis.: Case presentation: A young woman presented to our institution with acute abdominal pain, tenderness and constipation. ... ...

    Abstract Introduction and importance: Burkitt's lymphoma is one of the fastest growing human cancers and it needs a rapid diagnosis.
    Case presentation: A young woman presented to our institution with acute abdominal pain, tenderness and constipation. Ultrasound reported a right ovarian mass; at laparoscopy, we discovered ascites, peritoneal carcinomatosis and a voluminous pelvic mass.
    Clinical discussion: Diagnosis was confirmed as non-Hodgkin sporadic Burkitt's lymphoma: the careful workup was the key to initiate multiagent chemotherapy.
    Conclusion: Primary ovarian Burkitt's lymphoma, in a young woman in a non-endemic zone, is a rarity that represents a strong diagnostic challenge, but rapid identification can lead the patient to appropriate therapies and improvement of prognosis.
    Language English
    Publishing date 2021-04-27
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2021.105904
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  3. Article: Symptomatic acinar cell cystadenoma of the pancreas.

    Sergi, William / D'Ugo, Stefano / Libia, Annarita / Depalma, Norma / Marchese, Tiziana / Garritano, Stefano / Vadrucci, Stefania / Stasi, Elisa / Botrugno, Ivan / Manoochehri, Farshad / Spampinato, Marcello

    Journal of surgical case reports

    2023  Volume 2023, Issue 6, Page(s) rjad360

    Abstract: Acinar cystic transformation (ACT), also known as 'acinar cell cystadenoma', is an uncommon cystic neoplasm of pancreas with unknown malignant potential. This case regards a woman with symptomatic pancreatic head ACT, revealed with pathological exam of ... ...

    Abstract Acinar cystic transformation (ACT), also known as 'acinar cell cystadenoma', is an uncommon cystic neoplasm of pancreas with unknown malignant potential. This case regards a woman with symptomatic pancreatic head ACT, revealed with pathological exam of specimen after pancreaticoduodenectomy. A 57-years-old patient presented mild hyperbilirubinemia and recurrent cholangitis; she underwent to ERCP, EUS and MRI, and these exams revealed a large cyst of the pancreatic head that caused biliary compression. The discussion of the case by the multidisciplinary group indicated surgical resection. Pancreatic ACT is so rare, and its preoperative diagnosis is difficult. The symptoms of the patients and the features of the cyst are the criteria to choose a surgical resection.
    Language English
    Publishing date 2023-06-27
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad360
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  4. Article: Robotic-assisted distal pancreatectomy with splenectomy in a paediatric patient for solid pseudopapillary tumour.

    Sergi, William / Depalma, Norma / Marchese, Tiziana / Manoochehri, Farshad / D'Ugo, Stefano / Garritano, Stefano / Botrugno, Ivan / Chiappini, Ambra / Libia, Annarita / Atzeni, Carlo Olla / Stasi, Elisa / Spampinato, Marcello G

    Journal of surgical case reports

    2023  Volume 2023, Issue 3, Page(s) rjad145

    Abstract: Solid pseudopapillary tumour is a rare low-grade malignant potential carcinoma of the pancreas that typically occurs in females in their third decade. It most commonly occurs in the tail of the pancreas, although any site can be affected. Surgical ... ...

    Abstract Solid pseudopapillary tumour is a rare low-grade malignant potential carcinoma of the pancreas that typically occurs in females in their third decade. It most commonly occurs in the tail of the pancreas, although any site can be affected. Surgical resection is the standard treatment and offers an excellent prognosis. We report a case of a 17-year-old female with an acute onset abdominal pain and a radiological diagnosis of a cystic lesion in the distal pancreas. A robotic-assisted distal pancreatectomy with splenectomy was performed. Robotic-assisted surgery is an emerging technique for the treatment of pancreatic neoplasms. This approach can be considered for younger patients, thanks to the potential advantages of the robotic Da Vinci Xi System.
    Language English
    Publishing date 2023-03-28
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad145
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  5. Article ; Online: Colonoscopy is mandatory after Streptococcus bovis endocarditis

    Cavazzi Emma / Dominioni Tommaso / Bombelli Elisa / Botrugno Ivan / Ferrari Alberta / Dionigi Paolo

    World Journal of Surgical Oncology, Vol 6, Iss 1, p

    a lesson still not learned. Case report

    2008  Volume 49

    Abstract: Abstract Background Even though the relationship between certain bacterial infections and neoplastic lesions of the colon is well-recognized, this knowledge has not been sufficiently translated into routine practice yet. Case presentation We describe the ...

    Abstract Abstract Background Even though the relationship between certain bacterial infections and neoplastic lesions of the colon is well-recognized, this knowledge has not been sufficiently translated into routine practice yet. Case presentation We describe the case of a 51-year-old man who was admitted to our Surgical Department due to rectal bleeding and abdominal pain. Preoperative colonoscopy, staging exams and subsequent surgery demonstrated a stenotic adenocarcinoma of the sigmoid colon, invading the left urinary tract and the homolateral bladder wall, with regional lymph nodes involvement and massive bilobar liver metastases (T4N1M1). After Hartmann's rectosigmoidectomy and despite systemic chemotherapy, a rapid progression occurred and the patient survived for only 5 months after diagnosis. Five years before detecting this advanced colonic cancer, the patient underwent aortic valve replacement due to a severe Streptococcus bovis endocarditis. Subsequent to this infection he never underwent a colonoscopy until overt intestinal symptoms appeared. Conclusion As this case illustrates, in the unusual setting of a Streptococcus bovis infection, it is necessary to timely and carefully rule out occult colon cancer and other malignancies during hospitalization and, if a tumor is not found, to schedule endoscopic follow-up. Rigorous application of these recommendations in the case described would have likely led to an earlier diagnosis of cancer and maybe saved the patient's life.
    Keywords Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Oncology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 610
    Language English
    Publishing date 2008-05-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: A Metachronous splenic metastases from esophageal cancer

    Vercelli Alessandro / Perfetti Vittorio / Brugnatelli Silvia / Fiandrino Giacomo / Cobianchi Lorenzo / Jemos Vassili / Botrugno Ivan / Maestri Marcello / Dionigi Paolo

    World Journal of Surgical Oncology, Vol 9, Iss 1, p

    a case report

    2011  Volume 105

    Abstract: Abstract The spleen is an infrequent site for metastatic lesions, and solitary splenic metastases from squamous cell carcinoma of the esophagus are very rare: only 4 cases have been reported thus far. These lesions are whitish nodules that are ... ...

    Abstract Abstract The spleen is an infrequent site for metastatic lesions, and solitary splenic metastases from squamous cell carcinoma of the esophagus are very rare: only 4 cases have been reported thus far. These lesions are whitish nodules that are macroscopically and radiologically similar to primary splenic lymphomas. We report a case of metachronous splenic metastases from esophageal cancer and multiple splenic abscesses, which developed nine months after apparently curative esophagectomy without adjuvant chemotherapy. The patient underwent splenectomy dissection followed by adjuvant chemotherapy, but liver and skin metastases developed, and the patient died 9 months later.
    Keywords splenic metastases ; esophageal cancer ; splenic abscesses ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Oncology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2011-09-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
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  7. Article ; Online: Natural orifice transumbilical cholecystectomy using a tri-port trocar and conventional instruments.

    Pagano, Duilio / Echeverri, Gabriel J / Gridelli, Bruno / Spada, Marco / Botrugno, Ivan / Bartoccelli, Carlo

    Journal of the American College of Surgeons

    2010  Volume 210, Issue 6, Page(s) 1013–4; author reply 1014

    MeSH term(s) Biliary Tract Diseases/surgery ; Cholecystectomy, Laparoscopic/instrumentation ; Cholecystectomy, Laparoscopic/methods ; Equipment Design ; Humans ; Laparoscopes ; Surgical Instruments ; Treatment Outcome
    Language English
    Publishing date 2010-06
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1016/j.jamcollsurg.2010.03.016
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    Uk I Zs.61: Show issues Location:
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  8. Article ; Online: Colonoscopy is mandatory after Streptococcus bovis endocarditis: a lesson still not learned. Case report.

    Ferrari, Alberta / Botrugno, Ivan / Bombelli, Elisa / Dominioni, Tommaso / Cavazzi, Emma / Dionigi, Paolo

    World journal of surgical oncology

    2008  Volume 6, Page(s) 49

    Abstract: Background: Even though the relationship between certain bacterial infections and neoplastic lesions of the colon is well-recognized, this knowledge has not been sufficiently translated into routine practice yet.: Case presentation: We describe the ... ...

    Abstract Background: Even though the relationship between certain bacterial infections and neoplastic lesions of the colon is well-recognized, this knowledge has not been sufficiently translated into routine practice yet.
    Case presentation: We describe the case of a 51-year-old man who was admitted to our Surgical Department due to rectal bleeding and abdominal pain. Preoperative colonoscopy, staging exams and subsequent surgery demonstrated a stenotic adenocarcinoma of the sigmoid colon, invading the left urinary tract and the homolateral bladder wall, with regional lymph nodes involvement and massive bilobar liver metastases (T4N1M1). After Hartmann's rectosigmoidectomy and despite systemic chemotherapy, a rapid progression occurred and the patient survived for only 5 months after diagnosis. Five years before detecting this advanced colonic cancer, the patient underwent aortic valve replacement due to a severe Streptococcus bovis endocarditis. Subsequent to this infection he never underwent a colonoscopy until overt intestinal symptoms appeared.
    Conclusion: As this case illustrates, in the unusual setting of a Streptococcus bovis infection, it is necessary to timely and carefully rule out occult colon cancer and other malignancies during hospitalization and, if a tumor is not found, to schedule endoscopic follow-up. Rigorous application of these recommendations in the case described would have likely led to an earlier diagnosis of cancer and maybe saved the patient's life.
    MeSH term(s) Colon/microbiology ; Colonic Neoplasms/diagnosis ; Colonoscopy ; Endocarditis, Bacterial/etiology ; Humans ; Male ; Middle Aged ; Streptococcal Infections/etiology ; Streptococcus bovis
    Language English
    Publishing date 2008-05-12
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2118383-1
    ISSN 1477-7819 ; 1477-7819
    ISSN (online) 1477-7819
    ISSN 1477-7819
    DOI 10.1186/1477-7819-6-49
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Incidental carcinoma in multinodular goiter: risk factors.

    Botrugno, Ivan / Lovisetto, Federico / Cobianchi, Lorenzo / Zonta, Sandro / Klersy, Catherine / Vailati, Alberto / Dionigi, Paolo / Jemos, Vassili

    The American surgeon

    2011  Volume 77, Issue 11, Page(s) 1553–1558

    Abstract: The aim of the study was to analyze the frequency of incidental thyroid carcinoma (unknown tumor smaller than or equal to 10 mm) in a consecutive series of 462 total thyroidectomies for multinodular goiter and to investigate the clinical risk factors for ...

    Abstract The aim of the study was to analyze the frequency of incidental thyroid carcinoma (unknown tumor smaller than or equal to 10 mm) in a consecutive series of 462 total thyroidectomies for multinodular goiter and to investigate the clinical risk factors for this type of malignancy. A retrospective, single-center study of outcome data collected from patients with preoperative diagnosis of multinodular goiter who underwent total thyroidectomy at the General Surgery Unit of Pavia (Italy) between January 2000 and December 2008 was performed. Possible risk factors for malignancy were: gender, age, time of evolution of goiter, presence of a dominant nodule in multinodular goiter, hyperthyroidism, history of radiation to the neck, residence in an area of endemic goiter, prior thyroid surgery, calcifications in the goiter detected by neck ultrasound or chest X-rays, and a family history of thyroid diseases. In a 9-year period, 462 patients underwent total thyroidectomy. We found 41 cases of incidental thyroid carcinoma; the most common histopathological type was papillary. The multivariable analysis demonstrated that the clinical variables associated with occult carcinoma were a personal history of radiation therapy to the neck, the presence of calcifications detected by ultrasound or neck X-rays, and a family history of thyroid diseases; residence in an area of endemic goiter was a protective factor. A personal history of radiation to the neck, detection of calcifications by ultrasound or by neck X-rays, and a family history of thyroid diseases should be considered clinical risk factors for malignancy in multinodular goiter.
    MeSH term(s) Biopsy, Fine-Needle ; Carcinoma, Papillary/diagnosis ; Carcinoma, Papillary/epidemiology ; Carcinoma, Papillary/surgery ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Goiter, Nodular/diagnosis ; Goiter, Nodular/epidemiology ; Goiter, Nodular/surgery ; Humans ; Incidence ; Incidental Findings ; Italy/epidemiology ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Thyroid Gland/diagnostic imaging ; Thyroid Gland/pathology ; Thyroid Neoplasms/diagnosis ; Thyroid Neoplasms/epidemiology ; Thyroid Neoplasms/surgery ; Thyroidectomy ; Time Factors ; Ultrasonography
    Language English
    Publishing date 2011-11
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.106: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: A metachronous splenic metastases from esophageal cancer: a case report.

    Botrugno, Ivan / Jemos, Vassili / Cobianchi, Lorenzo / Fiandrino, Giacomo / Brugnatelli, Silvia / Perfetti, Vittorio / Vercelli, Alessandro / Maestri, Marcello / Dionigi, Paolo

    World journal of surgical oncology

    2011  Volume 9, Page(s) 105

    Abstract: The spleen is an infrequent site for metastatic lesions, and solitary splenic metastases from squamous cell carcinoma of the esophagus are very rare: only 4 cases have been reported thus far. These lesions are whitish nodules that are macroscopically and ...

    Abstract The spleen is an infrequent site for metastatic lesions, and solitary splenic metastases from squamous cell carcinoma of the esophagus are very rare: only 4 cases have been reported thus far. These lesions are whitish nodules that are macroscopically and radiologically similar to primary splenic lymphomas. We report a case of metachronous splenic metastases from esophageal cancer and multiple splenic abscesses, which developed nine months after apparently curative esophagectomy without adjuvant chemotherapy. The patient underwent splenectomy dissection followed by adjuvant chemotherapy, but liver and skin metastases developed, and the patient died 9 months later.
    MeSH term(s) Biopsy ; Carcinoma, Squamous Cell/diagnosis ; Carcinoma, Squamous Cell/secondary ; Carcinoma, Squamous Cell/surgery ; Diagnosis, Differential ; Endoscopy, Gastrointestinal ; Esophageal Neoplasms/pathology ; Esophageal Neoplasms/surgery ; Esophagectomy ; Fatal Outcome ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Splenectomy ; Splenic Neoplasms/diagnosis ; Splenic Neoplasms/secondary ; Splenic Neoplasms/surgery ; Tomography, X-Ray Computed
    Language English
    Publishing date 2011-09-16
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2118383-1
    ISSN 1477-7819 ; 1477-7819
    ISSN (online) 1477-7819
    ISSN 1477-7819
    DOI 10.1186/1477-7819-9-105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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