Surgery Commons^™

Colovaginal Fistula In A Patient Without A Hysterectomy, Austin Moore, Mollie Ahn, Anthony Macaluso

North Texas GME Research Forum 2024

Introduction: A majority of case reports and review studies exploring the incidence of colovaginal fistulas typically involve patients of older age with a history of both a hysterectomy and at least one episode of symptomatic diverticular disease. Colovaginal fistulas rarely occur in patients who have not had a prior hysterectomy. Case Description: A 52 year old female presented to colorectal surgery clinic with a history of multiple episodes of sigmoid diverticulitis who now had passage of air and stool from her vagina. She was confirmed to have evidence of a colovaginal fistula from her sigmoid colon to her …

Impact Select Comorbidities Outcomes Following Colon Resection Sigmoid Volvulus, Caroline Elizabeth Williams, Alessandra Cabrera, Melissa Moreno, Amir H. Sohail

North Florida Division GME Research Day 2024

No abstract provided.

Minimally Invasive Compared To Open Urgent Colectomy Outcomes In The Setting Of Major Lower Gastrointestinal Bleeding, Nicholas Herold, Alessandra Cabrera, Sanjan Kumar

North Florida Division GME Research Day 2024

No abstract provided.

Horner’S Syndrome, A Rare Complication Of Transcarotid Artery Revascularization, Mollie Ahn, April Miller, Shonda Banegas, Edic Stephanian, Morgan Collom

North Texas GME Research Forum 2024

Extracranial carotid artery aneurysm is a rare sequela of atherosclerosis, trauma, and conditions of chronic inflammation. Standard treatments include antiplatelet medications, open resection, or endovascular stenting. Transcarotid artery revascularization (TCAR) has become a well-recognized alternative treatment in the past few decades. This case study documents the first reported case of Horner’s syndrome post-TCAR for an internal carotid artery (ICA) aneurysm. A 68 year-old male with intermittent double vision was referred to vascular surgery clinic with brain CT angiography showing a 9mm saccular aneurysm with dissection flap of the right cervical ICA. Prior attempts by neuro-interventional radiology were unsuccessful due to …

Post-Operative Infection Following Abdominal Hysterectomy With Or Without Surgical Drains, Dylan Gallegos, Dominique Barnes

Central & West Texas GME Research Day 2024

No abstract provided.

Recurrent Bleeding Of Innominate Artery Treated With Covered Stent In A Patient With Tracheoesophageal Fistula, Sandra Iskandar, Benjamin Fegale

Far West Division GME Research Day 2024

No abstract provided.

Analysis Of Ecmo Usage In Trauma Patients At A Major Level 1 Trauma Center, April Miller, Megan Post, Crescens Pellachia, John Bini, Morgan Collom

North Texas GME Research Forum 2024

INTRODUCTION: ECMO has been used for decades in patients where adequate oxygenation could not be achieved using traditional efforts. Despite its increasing use in the trauma setting, there is a lack of published data to support its use and safety. This review will seek to answer among trauma patients who receive ECMO what their common demographics, injuries, co-morbidities, outcomes and adverse events are. METHODS: This is a single-center retrospective chart review conducted at an Level 1 trauma center between 2020 and 2023. Designation as trauma and ECMO utilization were the inclusion criteria. Patients under age 18 and non-trauma ECMO patients …

Prophylactic Antibiotics For Aspiration: Does It Prevent Pneumonia?, Akash Patel, James Dunne, Himani Patel

South Atlantic Division GME Research Day 2024

No abstract provided.

Late Mortality Following Severe Hypothermia In A Trauma Patient, Francheska C. Razalan-Krause, Lawson W. Blake, Alvaro H. Fonseca

South Atlantic Division GME Research Day 2024

No abstract provided.

Examination Of Possible Risk Factors Associated With Incidence Of Cecal Volvulus Within The United States, Maxwell Otto

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

A Case Of Meckel's Diverticulum Enterolith Causing A Small Bowel Obstruction, Megan Bedard, Alexandra Moody, Emmett Mcguire

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Low Grade Appendiceal Mucinous Neoplasm: Intraoperative Diagnosis Of Tumor Origin, Sydney Parker, Caroline Keefer, Robert Markus

Central & West Texas GME Research Day 2024

No abstract provided.

Large Bowel Obstruction: Malignancy Vs Endometriosis, Which Is The Culprit?, Kayla Brown, Amar Shah, Robert Zaunbrecher, Megan Turley

Central & West Texas GME Research Day 2024

No abstract provided.

A Case Of Gastric Pneumatosis In A Trauma Patient With Gerd, Cyprien Jungels, Tyler Crawley, Michael Fisher, Glenda Quan

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

A Case Report: 21-Year-Old Trauma Patient With Hemoperitoneum And Discovered To Have A Ruptured Splenic Cyst, Taylor Messick-Ngo, Jordan Palmer, Nicholas Sheets

Far West Division GME Research Day 2024

No abstract provided.

Perforated Marginal Ulcer Resulting In A Gastropericardial Fistula: Endoscopic Management Of A Rare Complication After Roux-En-Y Gastric Bypass, Maximillian Starr, Andrew Nicholson, Kenneth Copperwheat

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Thinking Outside The Operating Room: An Effective Strategy For Stoma Outlet Obstruction, Tyler Wilson, Tadevos Makaryan, Tamir E. Bresler, Manabu Fujita

Far West Division GME Research Day 2024

No abstract provided.

Partial Anomalous Pulmonary Venous Return: To Fix Or Not To Fix?, Akshaj Pole, Jennifer Austin, Amnah Andrabi

North Texas GME Research Forum 2024

Patient is a 56-year-old male with a past medical history of type 2 diabetes, hypertension, prior MVA with chest trauma, and coronary artery disease with 2 prior stents in the obtuse marginal and right coronary artery who was brought to the ED for severe chest pain. Patient was immediately taken to the cath lab for cardiac intervention. Patient was identified to have 90-95% stenosis of his left circumflex but was unable to be stented due to tortuosity of the vessel and tight lesion. Due to patient’s multivessel coronary artery disease and newly diagnosed diabetes, patient was referred to cardiothoracic surgery …

Survival After Emergency Clamshell Thoracotomy With Bilateral Atrial Appendage Injuries, Jennifer Austin, Enrique Alvarez, Alicia Lay, Christian Minshall

North Texas GME Research Forum 2024

INTRODUCTION: The probability of survival is poor in patients who require a resuscitative thoracotomy, reported in the literature to be 9-20%. Outcomes are worse in patients who have suffered blunt trauma compared to penetrating trauma reported between 2-7%. Many studies have been done to evaluate clinical predictors of survival versus mortality. We present a case of high-mechanism blunt trauma with a high injury severity score of 34 who survived after an emergency clamshell thoracotomy with full neurological recovery.

CASE PRESENTATION: This case highlights a 28-year-old male who arrived as a transfer to a level 1 trauma center following high mechanism …

Transabdominal Gun Shot Wound Traversing Zone 2 Injuring Bilateral Kidneys Managed Non-Operatively, Margaret Rose, Saptarshi Biswas

South Atlantic Division GME Research Day 2024

No abstract provided.

From Angiogram To Fasciotomy: Rare Occurrence Of Compartment Syndrome In An Elderly Patient With Dvt, Maya Itani, Bita Crystal Behaeddin, Alan Patrus, Rafael Bustamante

East Florida Division GME Research Day 2024

No abstract provided.

Primary Resection Of Duodenal Neuroendocrine Tumor With Suspected Lymph Node Metastasis: A Case Report, Raleigh Payton, David Bassa, Furrukh Jabbar, Hassan Ahmed

North Texas GME Research Forum 2024

Introduction: Duodenal neuroendocrine carcinomas are an uncommon variant of Neuroendocrine tumors (NETs) that are typically non-functional with locoregional spread at the time of diagnosis. Management of these tumors is dependent on size, grade, stage, functional status and location.

Summary: A 66-year-old male presented with an incidental finding of low grade 3 centimeter duodenal NET on esophagogastroduodenoscopy (EGD) located in the second segment of the duodenum with evidence of lymphadenopathy on staging scans. In patients with suspected lymph node metastases, the first choice for curative intent is a pancreaticoduodenectomy (PD), also known as Whipple Procedure. We achieved surgical resection with free …

Case Review: Gallstone Ileus Over 50 Years After Cholecystectomy And Choledochoduodenostomy, Kathleen Mae Bryan, Sophia Jimenez, Alejandro Garcia

Central & West Texas GME Research Day 2024

No abstract provided.

Gallstone Illeus And Intra Operatrively Diagnosed Crohn's Disease, Joseph Daodu, Ali Siddiqui, Horeb Antonio Cano Gonzalez, Kendall Sowards

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

A Rare Case Of Lisinopril-Induced Small Bowel Angioedema: An Important Differential Diagnosis, Tanya Starr, Maximillian Starr, Philip Petrosky, Christopher Cummings

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Comparative Analysis Of Md And Do Candidates To A Surgical Residency Program, Duyen Quach, Rachel Wright, Vishal Patel, Scott Zimmerle, Brendan Rosamond, Jonathan Lall, Said Maldonado, Zuhair Ali, Rajeev Raghavan, Mike Liang

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Treatment Of Hyperkinetic Gallbladder With Cholecystectomy: A Case Report And Literary Review, Rachel Wright, Duyen Quach, Kayla Nguyen, Gabriella Tavera, Mike Liang

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Foreign Body Removed Through Laparotomy: A Case Report And Literature Review, Kayla Nguyen, Duyen Quach, David Ortiz, Dominique Norris, Srinivas Ramireddy, Jody Smith

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Deficiency In Detail Among Ventral Hernia Repair Operative Notes And The Impact On Patient Outcomes, Alexys N. Ramos, Duyen Quach, Kayla Nguyen, Said Maldonado, Nicole B. Lyons, Jonathan S. Lall, Scott Zimmerle, Brendan Rosamond, Ashlynn Mills, Yoolim Alex Seo, Angelica C. Rodriguez, Mike Liang

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Surgical Management Of Massive Localized Lymphedema: A Case Report, Joseph Daodu, Alexys Ramos, Rainna Coelho, Natalia Cavagnaro, Mike Liang

Gulf Coast Division GME Research Symposium 2024

No abstract provided.