The median arcuate ligament syndrome, also known as Dunbar syndrome, is caused by stenosis of the celiac trunk due to compression by diaphragmatic fibres. The incidence of this condition remains unclear and its clinical presentation is multifarious. Diagnosis is established by angio-computed tomography to determine the extent of stenosis and the existence or not of collateral circulation. Surgical intervention ...
Enquadramento: A duodenopancreatectomia cefálica (DPC) é uma cirurgia complexa, realizada principalmente para o tratamento de neoplasias malignas ou pré-malignas da cabeça do pâncreas, região periampular e ducto biliar distal. O correto manuseamento macroscópico das amostras de DPC é fundamental para uma avaliação histopatológica precisa, incluindo a origem do tumor, o envolvimento das margens/superfícies cirúr...
A 44 year-old previously healthy woman presented a persistent epigastric pain. Computed tomography revealed a saccular aneurysm with a diameter of 25x20 mm in the first jejunal artery and also a stenosis in the celiac trunk associated with median arcuate ligament syndrome, turning the hepatic perfusion dependent of the gastroduodenal artery flow. Through a midline laparotomy, celiac axis was exposed, and median...
Aims: case-report of a toracoscopic enucleation of esophageal lipoma. Lipomas of the gastrointestinal tract are rare, and those of the esophagus are extremely rare. Surgical enucleation is indicated in case of symptoms or an unclear diagnosis. Toracoscopic enucleation has been developed as a preferred approach for most lesions in recent years. Methods: clinical data collected from computerized records of the pa...
Introduction: Laparoscopy has become the standard approach for the majority of splenectomy cases. This procedure bears low morbidity and mortality rates, with significant patient advantages. This article is a retrospective review of 45 patients submitted to laparoscopic splenectomy in our Center, and a comparison of the obtained data with those of other reports. Methods: Retrospective review of 45 patients subm...