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2 Polish Journal of Surgery

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Foreign Body Impaction Within the Pseudopylorus after Mason's Vertical Bariatric Gastroplasty - A Case Report

100%

Szczęsny W. , Dąbrowiecki S. , Szmytkowski J. , Reśliński A.

2010

tom 82

nr 11

631-633

A rare case of solid foreign body impaction within the pseudopylorus created during Mason's bariatric vertical banded gastroplasty is discussed in the report. The patient was referred to the authors' center with symptoms of high gastrointestinal obstruction, which had appeared 48 hours prior to admission. The situation was resolved by endoscopic removal of the impacting foreign body with the use of Dormia basket. Anastomoses and strictures resulting from bariatric procedures are a frequent location of food bolus obstructions and bezoars. It is therefore important to perform a diagnostic gastroscopy prior to performing a bariatric procedure in order to check for preexisting conditions, including malignant tumors.

An unusual case of a tuberculous granuloma of the liver presenting thirteen years after intravesical BCG – therapy for bladder cancer

88%

Szczęsny W. , Szylberg Ł. , Słupski M. , Marszałek A. , Szmytkowski J.

Polish Journal of Surgery

2021

tom 93

nr 5

1-5

The authors present the case of a female patient with a tumor of segment VII of the liver, which was postoperatively identified as a tuberculous granuloma. The patient was admitted for elective surgery for a liver tumor, which had been diagnosed a few months before. Computed tomography and nuclear magnetic resonance were performed, based on which focal nodular hyperplasia was suspected. Thirteen years prior to admission the patient had undergone a transurethral resection of superficial bladder carcinoma, followed by adjuvant intravesical Bacillus Calmette-Guérin (BCG-therapy). Upon surgery, segment VII of the liver was resected; postoperative course was uneventful. After the identification of granuloma, the patient was referred to a phthysiatric clinic for further diagnostics and treatment. The authors have deemed this case worthy of reporting primarily due to the exceptionally long period between the completion of BCG therapy and the onset of hepatic tumor.