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  1. Article ; Online: Parenchymal-sparing hepatectomy for multiple bilobar colorectal liver metastases in a Jehovah’s witness

    Shehan Ratnayake / Duminda Subasinghe / Vihara Dassanayake / Sivasuriya Sivaganesh

    Journal of Liver Cancer, Vol 23, Iss 1, Pp 202-

    a case report

    2023  Volume 205

    Abstract: Parenchymal-sparing hepatectomy (PSH), though technically challenging, is emerging as a choice of treatment for colorectal liver metastases (CRLM). PSH in Jehovah’s witness (JW) patients, for whom transfusion is not an option, involves complex surgical ... ...

    Abstract Parenchymal-sparing hepatectomy (PSH), though technically challenging, is emerging as a choice of treatment for colorectal liver metastases (CRLM). PSH in Jehovah’s witness (JW) patients, for whom transfusion is not an option, involves complex surgical and medicolegal issues. A 52-year-old JW male with synchronous, multiple, bilobar liver metastases from a rectal adenocarcinoma was referred following neoadjuvant chemotherapy. At surgery, 10 metastatic deposits were observed and confirmed by intraoperative ultrasonography. Parenchymal-sparing non-anatomical resections were performed using a cavitron ultrasonic aspirator with the application of intermittent Pringle maneuvres. Histology confirmed multiple CRLMs with tumor-free resection margins. PSH is increasingly employed for CRLMs to preserve residual liver volume and minimize morbidity without compromising oncological outcomes. It is technically challenging, especially in the presence of bilobar, multi-segmental disease. This case illustrates the feasibility of performing complex hepatic surgery in special patient groups by meticulous planning and preparation involving multiple specialties and the patient.
    Keywords parenchymal-sparing hepatectomy ; jehovah’s witnesses ; colorectal liver metastases ; Internal medicine ; RC31-1245
    Subject code 610
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher Korean Liver Cancer Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Intrahepatic gallbladder duplication mimicking a hepatic cyst

    Sanjeewani Jagoda / Duminda Subasinghe / Yugantha Adhikari / Aruna Pallewatte / Sivasuriya Sivaganesh

    SAGE Open Medical Case Reports, Vol

    A case report

    2023  Volume 11

    Abstract: Gallbladder duplication is a rare anomaly of the biliary tree. Implications of misdiagnosis include unwarranted surgery and morbidity such as when liver resections are done suspecting cystic intraductal papillary neoplasm of the bile duct. The use of ... ...

    Abstract Gallbladder duplication is a rare anomaly of the biliary tree. Implications of misdiagnosis include unwarranted surgery and morbidity such as when liver resections are done suspecting cystic intraductal papillary neoplasm of the bile duct. The use of appropriate imaging, when suspected, facilitates diagnosis and avoids adverse surgical outcomes. We describe a case of an intrahepatic duplicate gallbladder containing calculi detected incidentally during a Focused Assessment Sonography for Trauma after a blunt trauma.
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Spontaneous omental infarction

    Duminda Subasinghe / Ravindri Jayasinghe / Gayani Ranaweera / Uditha Kodithuwakku

    SAGE Open Medical Case Reports, Vol

    A rare case of acute abdomen

    2022  Volume 10

    Abstract: Omental infarction is a rare but a sinister cause of acute abdomen. Preoperative diagnosis is challenging due to its rare nature. It poses nonspecific abdominal signs that can be easily mistaken with other more common intra-abdominal pathologies. We ... ...

    Abstract Omental infarction is a rare but a sinister cause of acute abdomen. Preoperative diagnosis is challenging due to its rare nature. It poses nonspecific abdominal signs that can be easily mistaken with other more common intra-abdominal pathologies. We report a case of a 37-year-old male patient presented with right lower quadrant abdominal pain with an elevation of inflammatory markers. His cross-sectional imaging did not a reveal specific diagnosis; therefore, a diagnostic laparoscopy was performed which revealed a non-inflamed appendix and an inflammatory mass formed by the ischemic omentum attached to the ascending colon. Diagnostic laparoscopy and subsequent laparotomy revealed spontaneous omental infarction. The histology of the resected specimen was in keeping with the omental necrosis. This case reflects the importance of considering omental infarction in patients presenting with abdominal pain and raised inflammatory markers. He made an uneventful recovery following surgery.
    Keywords Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Hepatic abscess following foreign body perforation of the colon

    Duminda Subasinghe / Ravindri Jayasinghe / Uditha Kodithuwakku / Nilesh Fernandopulle

    SAGE Open Medical Case Reports, Vol

    A case report

    2022  Volume 10

    Abstract: Liver abscess following foreign body perforation of the gastrointestinal tract is uncommon. Preoperative diagnosis is challenging as the ingestion of foreign body most often goes unnoticed with non-specific presentation. We report a case of a 68-year-old ...

    Abstract Liver abscess following foreign body perforation of the gastrointestinal tract is uncommon. Preoperative diagnosis is challenging as the ingestion of foreign body most often goes unnoticed with non-specific presentation. We report a case of a 68-year-old male patient presenting with abdominal pain and anorexia. His investigations and cross-sectional imaging revealed a liver abscess. A colonoscopy performed to find an etiology revealed an incidental finding of a colonic perforation from an impacted denture, which was successfully removed endoscopically. Therefore, pyogenic liver abscesses remain a therapeutic challenge despite advances in imaging and therapy. The case reflects the importance of investigating for etiology of unexplained liver abscesses. The patient made an uneventful recovery following abscess drainage by image-guided pigtail stent insertion. The colonic perforation was managed conservatively.
    Keywords Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Double gallbladder—intraoperative finding at laparoscopic cholecystectomy

    Duminda Subasinghe / Malith Hasintha Guruge / Sivasuriya Sivaganesh

    SAGE Open Medical Case Reports, Vol

    Literature review

    2022  Volume 10

    Abstract: Duplication of the gallbladder is a rare entity. It is often appreciated at surgery and has a higher propensity for complications and conversion to open surgery. We report a case of laparoscopic recognition and removal of a duplicated gallbladder opening ...

    Abstract Duplication of the gallbladder is a rare entity. It is often appreciated at surgery and has a higher propensity for complications and conversion to open surgery. We report a case of laparoscopic recognition and removal of a duplicated gallbladder opening into the bile duct through separate cystic ducts, in a young male presenting with biliary colics. Both cystic ducts were clipped and divided, and cholecystectomy completed laparoscopically. Although uncommon, awareness of this anomaly may contribute to minimising iatrogenic bile duct injuries.
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Pancreatic Desmoplastic Small Round Cell Tumour - A Rare Presentation of Painful Obstructive Jaundice

    Duminda Subasinghe / Chathuranga Tisara Keppetiyagama / Hemantha Sudasinghe / Sivasuriya Sivaganesh / Niranthi Perera / Thurairajah Skandarajah

    JOP Journal of the Pancreas, Vol 15, Iss 6, Pp 618-

    2014  Volume 621

    Abstract: Context Pancreatic desmoplastic small round cell tumour (DSRCT) is an extremely rare malignancy of which very few reports exist. It follows an aggressive course and has a dismal prognosis. Case Report A twenty four - year - old male presented with a one ... ...

    Abstract Context Pancreatic desmoplastic small round cell tumour (DSRCT) is an extremely rare malignancy of which very few reports exist. It follows an aggressive course and has a dismal prognosis. Case Report A twenty four - year - old male presented with a one month history of rapidly progressive obstructive jaundice associated with abdominal pain suggestive of a biliary colic. Method Contrast-enhanced CT (CECT) of the abdomen revealed a pancreatic head mass. He underwent a pancreatico-duodenectomy and adjuvant chemotherapy and is disease free one year after surgery. Conclusion This is the first reported case of a pancreatic head DSRCT, discovered in a young male investigated for a short history of painful obstructive jaundice.
    Keywords Desmoplastic Small Round Cell Tumor ; Pancreas ; Medicine ; R ; Internal medicine ; RC31-1245 ; Specialties of internal medicine ; RC581-951 ; Diseases of the digestive system. Gastroenterology ; RC799-869
    Subject code 610
    Publishing date 2014-11-01T00:00:00Z
    Publisher E S Burioni Ricerche Bibliografiche
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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