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  1. Article ; Online: Gastric duplication cyst with a red flag presentation: a case report.

    Alagoo, Dinesh / Sellappan, Harivinthan / Jayasilan, Jayaprihyan / Azizan, Nornazirah / Hayati, Firdaus

    The Pan African medical journal

    2021  Volume 39, Page(s) 141

    Abstract: Gastric duplication cyst (GDC) is a rare congenital malformation of the gastrointestinal (GI) tract. Despite being benign in the entity, its complications vary from an asymptomatic abdominal mass to fulminant or massive GI bleeding. A 28-year-old lady ... ...

    Abstract Gastric duplication cyst (GDC) is a rare congenital malformation of the gastrointestinal (GI) tract. Despite being benign in the entity, its complications vary from an asymptomatic abdominal mass to fulminant or massive GI bleeding. A 28-year-old lady presented with unexplained GI haemorrhage, in which the upper endoscopy showed a classic feature of GI stromal tumour. The preoperative diagnosis was also confirmed by the computed tomography. She subsequently underwent surgical resection and the final histopathology was consistent with a benign entity of GDC.
    MeSH term(s) Adult ; Cysts/congenital ; Cysts/diagnosis ; Cysts/surgery ; Endoscopy, Gastrointestinal ; Female ; Gastrointestinal Hemorrhage/diagnosis ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Neoplasms/diagnosis ; Gastrointestinal Stromal Tumors/diagnosis ; Humans ; Stomach/abnormalities ; Stomach/surgery
    Language English
    Publishing date 2021-06-18
    Publishing country Uganda
    Document type Case Reports
    ZDB-ID 2514347-5
    ISSN 1937-8688 ; 1937-8688
    ISSN (online) 1937-8688
    ISSN 1937-8688
    DOI 10.11604/pamj.2021.39.141.29895
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Malignant Subcutaneous Perivascular Epithelioid Cell Tumor of Anterior Abdominal Wall.

    Gan, David Eng Yeow / Choy, Rebecca Xin Yi / Sellappan, Harivinthan / Hayati, Firdaus / Azizan, Nornazirah

    Oman medical journal

    2021  Volume 36, Issue 2, Page(s) e239

    Abstract: Perivascular epithelioid cell tumors (PEComas) are a family of rare mesenchymal tumors with discrete histological and immunohistochemical characteristics. Even rarer among them are cutaneous and subcutaneous PEComas. We describe a 34-year-old woman who ... ...

    Abstract Perivascular epithelioid cell tumors (PEComas) are a family of rare mesenchymal tumors with discrete histological and immunohistochemical characteristics. Even rarer among them are cutaneous and subcutaneous PEComas. We describe a 34-year-old woman who presented with a large anterior abdominal subcutaneous lesion showing intact overlying skin and no obvious invasion of the abdominal musculature. A wide local excision was performed. Histopathology revealed a solitary tumor measuring 75 × 55 × 90 mm with epithelioid cells in nests with thin fibrovascular septa and spindle cells. Resection margins were clear with no invasion to the skin or rectus sheath. Tumor cells were positive for HMB-45 but negative for other markers. This is the largest subcutaneous PEComa reported to date.
    Language English
    Publishing date 2021-03-23
    Publishing country Oman
    Document type Case Reports
    ZDB-ID 2571431-4
    ISSN 2070-5204 ; 1999-768X
    ISSN (online) 2070-5204
    ISSN 1999-768X
    DOI 10.5001/omj.2021.21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Choledochal cyst and aberrant biliary configuration along with situs inversus totalis: a case report.

    Gan, David Eng Yeow / Alagoo, Dinesh / Chan, Kheng Hooi / Choi, Rebecca Xin Yee / Sellappan, Harivinthan / Sharif, Mohd Sharifudin / Hayati, Firdaus

    The Pan African medical journal

    2021  Volume 38, Page(s) 398

    Abstract: Situs inversus totalis is the complete transpositioning of thoracoabdominal viscera into a mirror image of the normal configuration. Choledochal cyst is the congenital cystic dilation of the biliary tract. Both these conditions coexisting in a patient is ...

    Abstract Situs inversus totalis is the complete transpositioning of thoracoabdominal viscera into a mirror image of the normal configuration. Choledochal cyst is the congenital cystic dilation of the biliary tract. Both these conditions coexisting in a patient is extremely rare. We hereby present a case of type IC choledochal cyst in a patient with situs inversus totalis presenting with biliary sepsis secondary to choledocholithiasis. Also detailed are the management and operative strategies employed to deal with this rare entity.
    MeSH term(s) Adult ; Biliary Tract Diseases/diagnosis ; Biliary Tract Diseases/pathology ; Choledochal Cyst/diagnosis ; Choledochal Cyst/pathology ; Choledocholithiasis/complications ; Female ; Humans ; Sepsis/diagnosis ; Sepsis/etiology ; Situs Inversus/diagnosis ; Situs Inversus/pathology
    Language English
    Publishing date 2021-04-23
    Publishing country Uganda
    Document type Case Reports
    ZDB-ID 2514347-5
    ISSN 1937-8688 ; 1937-8688
    ISSN (online) 1937-8688
    ISSN 1937-8688
    DOI 10.11604/pamj.2021.38.398.29228
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?

    De Simone, Belinda / Abu-Zidan, Fikri M / Chouillard, Elie / Di Saverio, Salomone / Sartelli, Massimo / Podda, Mauro / Gomes, Carlos Augusto / Moore, Ernest E / Moug, Susan J / Ansaloni, Luca / Kluger, Yoram / Coccolini, Federico / Landaluce-Olavarria, Aitor / Estraviz-Mateos, Begoña / Uriguen-Etxeberria, Ana / Giordano, Alessio / Luna, Alfonso Palmieri / Amín, Luz Adriana Hernández / Hernández, Adriana María Palmieri /
    Shabana, Amanda / Dzulkarnaen, Zakaria Andee / Othman, Muhammad Asyraf / Sani, Mohamad Ikhwan / Balla, Andrea / Scaramuzzo, Rosa / Lepiane, Pasquale / Bottari, Andrea / Staderini, Fabio / Cianchi, Fabio / Cavallaro, Andrea / Zanghì, Antonio / Cappellani, Alessandro / Campagnacci, Roberto / Maurizi, Angela / Martinotti, Mario / Ruggieri, Annamaria / Jusoh, Asri Che / Rahman, Karim Abdul / Zulkifli, Anis Suraya M / Petronio, Barbara / Matías-García, Belén / Quiroga-Valcárcel, Ana / Mendoza-Moreno, Fernando / Atanasov, Boyko / Campanile, Fabio Cesare / Vecchioni, Ilaria / Cardinali, Luca / Travaglini, Grazia / Sebastiani, Elisa / Chooklin, Serge / Chuklin, Serhii / Cianci, Pasquale / Restini, Enrico / Capuzzolo, Sabino / Currò, Giuseppe / Filippo, Rosalinda / Rispoli, Michele / Aparicio-Sánchez, Daniel / Muñóz-Cruzado, Virginia Durán / Barbeito, Sandra Dios / Delibegovic, Samir / Kesetovic, Amar / Sasia, Diego / Borghi, Felice / Giraudo, Giorgio / Visconti, Diego / Doria, Emanuele / Santarelli, Mauro / Luppi, Davide / Bonilauri, Stefano / Grossi, Ugo / Zanus, Giacomo / Sartori, Alberto / Piatto, Giacomo / De Luca, Maurizio / Vita, Domenico / Conti, Luigi / Capelli, Patrizio / Cattaneo, Gaetano Maria / Marinis, Athanasios / Vederaki, Styliani-Aikaterini / Bayrak, Mehmet / Altıntas, Yasemin / Uzunoglu, Mustafa Yener / Demirbas, Iskender Eren / Altinel, Yuksel / Meric, Serhat / Aktimur, Yunus Emre / Uymaz, Derya Salim / Omarov, Nail / Azamat, Ibrahim / Lostoridis, Eftychios / Nagorni, Eleni-Aikaterini / Pujante, Antonio / Anania, Gabriele / Bombardini, Cristina / Bagolini, Francesco / Gonullu, Emre / Mantoglu, Baris / Capoglu, Recayi / Cappato, Stefano / Muzio, Elena / Colak, Elif / Polat, Suleyman / Koylu, Zehra Alan / Altintoprak, Fatih / Bayhan, Zülfü / Akin, Emrah / Andolfi, Enrico / Rezart, Sulce / Kim, Jae Il / Jung, Sung Won / Shin, Yong Chan / Enciu, Octavian / Toma, Elena Adelina / Medas, Fabio / Canu, Gian Luigi / Cappellacci, Federico / D'Acapito, Fabrizio / Ercolani, Giorgio / Solaini, Leonardo / Roscio, Francesco / Clerici, Federico / Gelmini, Roberta / Serra, Francesco / Rossi, Elena Giulia / Fleres, Francesco / Clarizia, Guglielmo / Spolini, Alessandro / Ferrara, Francesco / Nita, Gabriela / Sarnari, Jlenia / Gachabayov, Mahir / Abdullaev, Abakar / Poillucci, Gaetano / Palini, Gian Marco / Veneroni, Simone / Garulli, Gianluca / Piccoli, Micaela / Pattacini, Gianmaria Casoni / Pecchini, Francesca / Argenio, Giulio / Armellino, Mariano Fortunato / Brisinda, Giuseppe / Tedesco, Silvia / Fransvea, Pietro / Ietto, Giuseppe / Franchi, Caterina / Carcano, Giulio / Martines, Gennaro / Trigiante, Giuseppe / Negro, Giulia / Vega, Gustavo Machain / González, Agustín Rodríguez / Ojeda, Leonardo / Piccolo, Gaetano / Bondurri, Andrea / Maffioli, Anna / Guerci, Claudio / Sin, Boo Han / Zuhdi, Zamri / Azman, Azlanudin / Mousa, Hussam / Al Bahri, Shadi / Augustin, Goran / Romic, Ivan / Moric, Trpimir / Nikolopoulos, Ioannis / Andreuccetti, Jacopo / Pignata, Giusto / D'Alessio, Rossella / Kenig, Jakub / Skorus, Urszula / Fraga, Gustavo Pereira / Hirano, Elcio Shiyoiti / de Lima Bertuol, Jackson Vinícius / Isik, Arda / Kurnaz, Eray / Asghar, Mohammad Sohail / Afzal, Ameer / Akbar, Ali / Nikolouzakis, Taxiarchis Konstantinos / Lasithiotakis, Konstantinos / Chrysos, Emmanuel / Das, Koray / Özer, Nazmi / Seker, Ahmet / Ibrahim, Mohamed / Hamid, Hytham K S / Babiker, Ahmed / Bouliaris, Konstantinos / Koukoulis, George / Kolla, Chrysoula-Christina / Lucchi, Andrea / Agostinelli, Laura / Taddei, Antonio / Fortuna, Laura / Agostini, Carlotta / Licari, Leo / Viola, Simona / Callari, Cosimo / Laface, Letizia / Abate, Emmanuele / Casati, Massimiliano / Anastasi, Alessandro / Canonico, Giuseppe / Gabellini, Linda / Tosi, Lorenzo / Guariniello, Anna / Zanzi, Federico / Bains, Lovenish / Sydorchuk, Larysa / Iftoda, Oksana / Sydorchuk, Andrii / Malerba, Michele / Costanzo, Federico / Galleano, Raffaele / Monteleone, Michela / Costanzi, Andrea / Riva, Carlo / Walędziak, Maciej / Kwiatkowski, Andrzej / Czyżykowski, Łukasz / Major, Piotr / Strzałka, Marcin / Matyja, Maciej / Natkaniec, Michal / Valenti, Maria Rosaria / Di Vita, Maria Domenica Pia / Sotiropoulou, Maria / Kapiris, Stylianos / Massalou, Damien / Veroux, Massimiliano / Volpicelli, Alessio / Gioco, Rossella / Uccelli, Matteo / Bonaldi, Marta / Olmi, Stefano / Nardi, Matteo / Livadoti, Giada / Mesina, Cristian / Dumitrescu, Theodor Viorel / Ciorbagiu, Mihai Calin / Ammendola, Michele / Ammerata, Giorgio / Romano, Roberto / Slavchev, Mihail / Misiakos, Evangelos P / Pikoulis, Emmanouil / Papaconstantinou, Dimitrios / Elbahnasawy, Mohamed / Abdel-Elsalam, Sherief / Felsenreich, Daniel M / Jedamzik, Julia / Michalopoulos, Nikolaos V / Sidiropoulos, Theodoros A / Papadoliopoulou, Maria / Cillara, Nicola / Deserra, Antonello / Cannavera, Alessandro / Negoi, Ionuţ / Schizas, Dimitrios / Syllaios, Athanasios / Vagios, Ilias / Gourgiotis, Stavros / Dai, Nick / Gurung, Rekha / Norrey, Marcus / Pesce, Antonio / Feo, Carlo Vittorio / Fabbri, Nicolo' / Machairas, Nikolaos / Dorovinis, Panagiotis / Keramida, Myrto D / Mulita, Francesk / Verras, Georgios Ioannis / Vailas, Michail / Yalkin, Omer / Iflazoglu, Nidal / Yigit, Direnc / Baraket, Oussama / Ayed, Karim / Ghalloussi, Mohamed Hedi / Patias, Parmenion / Ntokos, Georgios / Rahim, Razrim / Bala, Miklosh / Kedar, Asaf / Sawyer, Robert G / Trinh, Anna / Miller, Kelsey / Sydorchuk, Ruslan / Knut, Ruslan / Plehutsa, Oleksandr / Liman, Rumeysa Kevser / Ozkan, Zeynep / Kader, Saleh Abdel / Gupta, Sanjay / Gureh, Monika / Saeidi, Sara / Aliakbarian, Mohsen / Dalili, Amin / Shoko, Tomohisa / Kojima, Mitsuaki / Nakamoto, Raira / Atici, Semra Demirli / Tuncer, Gizem Kilinc / Kaya, Tayfun / Delis, Spiros G / Rossi, Stefano / Picardi, Biagio / Del Monte, Simone Rossi / Triantafyllou, Tania / Theodorou, Dimitrios / Pintar, Tadeja / Salobir, Jure / Manatakis, Dimitrios K / Tasis, Nikolaos / Acheimastos, Vasileios / Ioannidis, Orestis / Loutzidou, Lydia / Symeonidis, Savvas / de Sá, Tiago Correia / Rocha, Mónica / Guagni, Tommaso / Pantalone, Desiré / Maltinti, Gherardo / Khokha, Vladimir / Abdel-Elsalam, Wafaa / Ghoneim, Basma / López-Ruiz, José Antonio / Kara, Yasin / Zainudin, Syaza / Hayati, Firdaus / Azizan, Nornazirah / Khei, Victoria Tan Phooi / Yi, Rebecca Choy Xin / Sellappan, Harivinthan / Demetrashvili, Zaza / Lekiashvili, Nika / Tvaladze, Ana / Froiio, Caterina / Bernardi, Daniele / Bonavina, Luigi / Gil-Olarte, Angeles / Grassia, Sebastiano / Romero-Vargas, Estela / Bianco, Francesco / Gumbs, Andrew A / Dogjani, Agron / Agresta, Ferdinando / Litvin, Andrey / Balogh, Zsolt J / Gendrikson, George / Martino, Costanza / Damaskos, Dimitrios / Pararas, Nikolaos / Kirkpatrick, Andrew / Kurtenkov, Mikhail / Gomes, Felipe Couto / Pisanu, Adolfo / Nardello, Oreste / Gambarini, Fabrizio / Aref, Hager / Angelis, Nicola De' / Agnoletti, Vanni / Biondi, Antonio / Vacante, Marco / Griggio, Giulia / Tutino, Roberta / Massani, Marco / Bisetto, Giovanni / Occhionorelli, Savino / Andreotti, Dario / Lacavalla, Domenico / Biffl, Walter L / Catena, Fausto

    World journal of emergency surgery : WJES

    2022  Volume 17, Issue 1, Page(s) 61

    Abstract: Background: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis ... ...

    Abstract Background: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not.
    Methods: Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not.
    Results: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p < 0.0001), diabetes (p < 0.0001), and severe chronic obstructive airway disease (p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p < 0.0001), PIPAS score (p < 0.0001), WSES sepsis score (p < 0.0001), qSOFA (p < 0.0001), and Tokyo classification of severity of acute cholecystitis (p < 0.0001) were significantly higher in the COVID-19 group. The COVID-19 group had significantly higher postoperative complications (32.2% compared with 11.7%, p < 0.0001), longer mean hospital stay (13.21 compared with 6.51 days, p < 0.0001), and mortality rate (13.4% compared with 1.7%, p < 0.0001). The incidence of gangrenous cholecystitis was doubled in the COVID-19 group (40.7% compared with 22.3%). The mean wall thickness of the gallbladder was significantly higher in the COVID-19 group [6.32 (SD: 2.44) mm compared with 5.4 (SD: 3.45) mm; p < 0.0001].
    Conclusions: The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands.
    Language English
    Publishing date 2022-12-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2233734-9
    ISSN 1749-7922 ; 1749-7922
    ISSN (online) 1749-7922
    ISSN 1749-7922
    DOI 10.1186/s13017-022-00466-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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