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Images in surgery

Ein Bilderrätsel und seine Auflösung: Wir stellen eine Frage aus dem chirurgischen Alltag und beantworten sie.

Images in Surgery

Just another hollow-organ perforation?

A 38-year old female presented to the emergency department with a one-day history of acute pain in the upper right quadrant of the abdomen, increasing within the last few hours. Her medical history included a non-alcoholic fatty liver disease with moderate hepatic fibrosis, endometriosis and hypertension.

Just another hollow-organ perforation?
Images in Surgery

Dinner table syncope, epigastric pain and intracranial hemorrhage unveils the hidden danger

This 58-year-old male patient with no prior medical or surgical history (no medication, no substance abuse) was sitting at dinner with his wife, when he suddenly felt epigastric pain and upon standing up, lost consciousness, fell and hit his head on the floor. He regained consciousness upon arrival of the ambulance and, except for disorientation, was neurologically not impaired.

Dinner table syncope, epigastric pain and intracranial hemorrhage unveils the hidden danger
Images in Surgery

When appendectomy is not the end of it

An 80-year-old male patient presented to the emergency department with a one-day history of right lower quadrant abdominal pain with no associated nausea or vomiting. He had similar symptoms for which he underwent appendectomy 60 years ago.

When appendectomy is not the end of it
Images in Surgery

When diet doesn´t cut it

A 70-year-old male patient presented to the emergency department with a 4-day history of abdominal pain, vomiting, constipation and nausea. Similar episodes in the past year resolved after dietary modifications.

When diet doesn´t cut it
Images in Surgery

Upper endoscopy with unusual consequences

A 76-year-old patient presented in septic shock with diffuse abdominal pain two days after upper endoscopy. Fluid resuscitation and broad-spectrum antibiotics were administered. Initial diagnostics revealed an enlarged stomach wall. After further detoriation and development of an abdominal compartment syndrome a partial gastrectomy and open-abdomen treatment was performed. 

Upper endoscopy with unusual consequences
Images in Surgery

Aortic Puzzles: A Patient’s Journey

An 83-year-old patient presented at our emergency department with a 24-hour history of dizziness, balance impairment, chills, high fever of 39°C, as well as mild discomfort in both the left and right upper abdominal quadrants. 

Aortic Puzzles: A Patient’s Journey
Images in Surgery

Mysterious Gallbladder

A 71 year old female patient presented to the Emergency Department with diffuse abdominal pain in the right hemiabdomen with increasing intensity over the course of a few days, and a history of digestive issues. 

Mysterious Gallbladder

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