Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Mar 2006
Case ReportsTransduodenal excision of bleeding periampullary endocrine tumor as a bridge to pancreaticoduodenectomy in a Jehovah's Witness patient.
We discuss the case of a Jehovah's Witness patient who presented with a bleeding endocrine periampullary mass. Transduodenal excision of the ampullary mass was successfully performed as a bridge to pancreaticoduodenectomy in this critically ill patient. ⋯ The surgical approach to surgery and perioperative anemia in Jehovah's Witness patients is described. Finally, we reviewed the role of transduodenal excision in the management of ampullary tumors and describe its use as a bridge to pancreaticoduodenectomy in a patient with a malignant neoplasm of the ampulla.
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Peritoneal loose bodies are usually small, white or pale gray, pea-shaped objects with a smooth glistening surface, which lie free in the peritoneal cavity. They rarely cause symptoms and are usually found incidentally during laparotomy or autopsy. We herein report a patient with two giant peritoneal loose bodies that were found during laparotomy for partial small bowel obstruction.