Video-assisted thoracic surgery has been recognized as an acceptable technique for the treatment of early-stage lung cancer, with the potential advantage of lower postoperative pain than that experienced after open thoracotomy. However, the procedure cannot completely alleviate postoperative pain and paraesthesia and causes some degree of intercostal nerve damage. To minimize postoperative pain...

The common presenting symptoms of pancreatic cancer are abdominal pain, weight loss, and jaundice. Pancreatic adenocarcinoma presenting with diabetic ketoacidosis is a very rare emergent clinical condition. However, pancreatic ductal cystadenocarcinoma presenting with diabetic ketoacidosis was not reported. We describe a 60-year-old man with pancreatic cystadenocarcinoma presenting with diabeti...

Background and aims—Even if the motor activity of the gall bladder and sphincter of Oddi (SO) are integrated, it is not known if the presence of stones in the gall bladder aVects SO function. The aim of the study was to compare SO motor activity in patients with and without gall stones. Patients and methods—In a series of 155 patients consecutively submitted to endoscopic retrograde cholangiopa...

BACKGROUND Ischemic pancreatitis is a rare medical entity. The pancreatic tissue is susceptible to ischemia with the possibility of developing acute pancreatitis. The abdominal aortic aneurysm can be one possible cause of pancreatic hypoperfusion. CASE PRESENTATION We report the case of a 68-year-old man, Caucasian, with a history of a cluster of severe cardiovascular conditions, who presente...

BACKGROUND AND AIMS Even if the motor activity of the gall bladder and sphincter of Oddi (SO) are integrated, it is not known if the presence of stones in the gall bladder affects SO function. The aim of the study was to compare SO motor activity in patients with and without gall stones. PATIENTS AND METHODS In a series of 155 patients consecutively submitted to endoscopic retrograde cholangi...

Pancreatic tuberculosis (TB) is a rare but important entity to consider when evaluating a pancreatic mass, especially in patients from endemic areas. Its clinical and radiologic features may mimic those of a pancreatic neoplasm, making it a difficult clinical diagnosis. We present a case of a 31-year-old Indian man who presented with fevers, night sweats, weight loss, and epigastric pain. Abdom...

Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple ...

OBJECTIVE To evaluate the effect of timing of surgery on the long-term clinical outcome of surgery in chronic pancreatitis (CP). DESIGN Cohort study with long-term follow-up. SETTING Five specialized academic centers. PATIENTS Patients with CP treated surgically for pain. INTERVENTIONS Pancreatic resection and drainage procedures for pain relief. MAIN OUTCOME MEASURES Pain relief (pai...

Pancreatic tuberculosis is a rare condition but as a result of increasing migration, tuberculosis is expanding internationally. We present a case of pancreatic tuberculosis in a 25 years old woman who presented with fever, and epigastric mass with pain. CT scan finding was compatible with pancreatic abscess, laparoscopic finding showed caseous materials. Granuloma was found in histology of panc...