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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Is an Incidental Meckel's Diverticulum Truly Benign?

Caroline C Jadlowiec1, Jennifer Bayron1, William T Marshall2

  • 1University of Connecticut Integrated General Surgery Residency Program, Farmington, CT 06030, USA.

Case Reports in Surgery
|March 5, 2015
PubMed
Summary

The surgical management of asymptomatic Meckel

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Meckel's diverticulum is the most common congenital gastrointestinal abnormality, affecting ~2% of the population.
  • The management of asymptomatic Meckel's diverticulum in adults is controversial due to low symptomatic risk versus minimal resection risk.

Purpose of the Study:

  • To evaluate the management of incidentally discovered Meckel's diverticulum in an elderly patient.
  • To discuss the implications of finding a carcinoid tumor within Meckel's diverticulum.

Main Methods:

  • Case report of an elderly patient requiring emergent surgery.
  • Incidental intraoperative finding of Meckel's diverticulum.
  • Pathological review of the resected diverticulum.

Main Results:

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  • Meckel's diverticulum was incidentally found during emergent surgery in an elderly patient.
  • Final pathology revealed a carcinoid tumor within the resected Meckel's diverticulum.
  • Carcinoid tumors in Meckel's diverticulum are a rare occurrence.

Conclusions:

  • The incidental finding of Meckel's diverticulum with a carcinoid tumor supports its resection, even when asymptomatic.
  • This case suggests that resection of incidentally found Meckel's diverticulum may be warranted in patients of all ages.
  • Further research into the incidence and management of Meckel's diverticulum with associated tumors is needed.