RESUMEN
Cholelithiasis occurs when a stone forms in the gallbladder; when symptoms develop, the condition is termed symptomatic cholelithiasis. The correlation between bariatric surgery and post-operative symptomatic cholelithiasis has long been established. Presented is a case of a 56-year-old female status post-Roux-en-Y gastric bypass who developed symptomatic cholelithiasis and subsequently underwent cholecystectomy with the removal of an 8-centimeter (cm) gallbladder stone. This case report explores the benefits and limitations of watchful waiting versus prophylactic concomitant cholecystectomy among bariatric surgery patients, noting the difference between the bariatric sleeve and bypass anatomy for managing biliary complications.
RESUMEN
Obesity is a growing health concern worldwide, with bariatric surgeries such as gastric bypass providing an effective treatment choice. However, a rare complication of gastric bypass is a duodenal ulcer. Currently, there is no exact incidence of this complication, and only a few case reports have been published in the literature. Presented is a case of a 32-year-old patient, eight years status post gastric bypass, who was evaluated for surgical repair of a large anterior perforated duodenal ulcer. This case report explores the relationship between patient history and gastric bypass surgery in the case of duodenal ulcer formation and perforation, as well as the diagnostic difficulty and modalities for duodenal ulcers in post-gastric bypass patients.
RESUMEN
General surgeons frequently handle patients who present with an unknown neck mass. Due to the nature of diseases, medial neck soft tissue masses often manifest with variable etiologies and clinical signs and symptoms. Establishing a thorough evaluation of neck masses based on differential diagnoses is essential. The clinical evaluation of neck masses usually includes a thorough history and physical examination, advanced imaging techniques such as magnetic resonance imaging (MRI), ultrasonography, contrast-enhanced computed tomography (CT), and fine-needle aspiration biopsy. From a surgeon's standpoint, proper knowledge of tissue structure, anatomy, and pathology, and applying fundamental surgical principles ensure a successful management of such lesions. This case report intends to reveal the pathological and clinical nature of an unknown neck mass in a 60-year-old female, which was postoperatively diagnosed as an epidermal inclusion cyst (EIC). This report also intends to indicate the significance of surgical intervention to prevent EIC complications and improve patient's life quality.