Jacobs Journal of Surgery
Volume 2 Issue 3
A Rare Case of Colon Perforation due to Colon Diverticulitis and Adenocarcinoma
Ping-Tze Chen MD, Chi-Yi Lin MD, Hong-Ming Chao MD
Colon perforation initially presents as peritonitis but can rapidly progress to septic shock, which has a high mortality rate. Here, we report on a 79-year-old male with a history of past asthma and type II diabetes mellitus. The patient presented to the emergency department after suffering from abdominal pain and tarry stool for several days. His vital signs were normal; however, a blood test revealed elevated levels of band form neutrophils. A physical examination further revealed diffuse abdominal tenderness and muscle guarding.
Nephroprotective Strategy in Aortic Surgery: A Review of 3 Cases
Bryce Renwick, Mohammad Goodarzi, Daniel Forbes, Colette Pickard, Donald Bain, Raj Velu, Doanld B Reid
Close liaison between urology and vascular teams is an essential component of modern aortic surgery. The close anatomical relations of the aorta and urinary tract, together with the unique demands placed on the renal tract by aortic surgery, necessitate that safe and effective aortic intervention can only be achieved with an optimised nephroprotective strategy.
Total Thoracoscopic Anatomical Right S1a+S2a Bisubsegmentectomy
Taijiro Mishina, MD PhD*, Atsushi Watanabe, MD PhD, Masahiro Miyajima, MD PhD, Junji Nakazawa, MD
Total thoracoscopic segmentectomy or subsegmentectomy is a very difficult procedure for early stage non-small cell lung cancer. There are few reports on thoracoscopic subsegmentectomy. A 63-year-old male with gradually enlarging ground glass lesions in right lung segment 2 was admitted to our institute for surgical diagnosis and treatment. Preoperative threedimensional computed tomography precisely showed the tumor location in intersegmental plane between segment 1 and segment 2, and the complex segmental/subsegmental vessel structure.
Adult Infected Salmonella Complicated with Appendicitis
Chung-Yen Lin# MD, Hsuan-Chu Hsu# MD, Chi-Yi Lin MD, Hong-Ming Chao* MD
Salmonella is transmitted via a variety of consuming contaminated food products or water. The incidence of non-typhoidal Salmonella infection increased steadily in the past two decades. Enteric infection in many people is clinically mild and selflimited or even asymptomatic. However, some serious complications have been reported in children. This report described a case of adult woman who presented with symptoms including right lower quadrant abdominal pain, nausea and vomiting, fever, and diarrhea for one day at emergency room