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Images in Surgery

Just another hollow-organ perforation?
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.

The answer is in the Bag
Images in Surgery

The answer is in the Bag

A mystery in the bursa (Latin: bag, sac) caused moderate clinical signs yet led to major abdominal surgery. We present a diagnosis with a plethora of nonspecific symptoms that poses a diagnostic challenge for both surgeons and radiologists.

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

When appendectomy is not the end of it
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.

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