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Related Concept Videos

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:
152
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

180
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....
180
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

649
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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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

345
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

360
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Related Experiment Video

Updated: Sep 18, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

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Splenic rupture secondary to diverticulitis: a case report.

Muhi Dean Barazi1, Malek Zanbrakji2, Patrick Stone3

  • 1Department of Biosciences, Rice University, 6100 Main Street, Houston, TX 77005, United States.

Journal of Surgical Case Reports
|June 26, 2025
PubMed
Summary

Atraumatic splenic rupture (ASR) is a rare condition. This case highlights a very rare instance of ASR occurring secondary to complicated diverticulitis, emphasizing the need for clinical awareness.

Keywords:
atraumatic splenic rupturediverticulitisspontaneous splenic rupture

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Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Atraumatic splenic rupture (ASR) is uncommon, often idiopathic or linked to various medical conditions.
  • Diverticulitis, particularly when complicated, is not a commonly recognized cause of ASR.

Observation:

  • A 49-year-old female experienced sudden severe abdominal pain post-discharge after non-operative treatment for perforated diverticulitis.
  • Imaging revealed a splenic subcapsular hematoma and gas, indicative of splenic rupture without any history of trauma.

Findings:

  • The patient underwent exploratory laparotomy, including splenectomy, distal pancreatectomy, and splenic flexure resection.
  • Surgical intervention led to a successful recovery.

Implications:

  • This case underscores the rare but serious association between complicated diverticulitis and atraumatic splenic rupture.
  • Clinicians must consider ASR in patients presenting with abdominal pain, even with a history of diverticulitis.