BACKGROUND Nonoperative management of blunt pediatric liver injuries has become the standard of care in the absence of hemodynamic instability. However, associated bile duct injuries remain as difficult challenges. Few case reports have demonstrated the benefits of conservative approaches, but others have found better outcomes with surgical intervention. In this study, we report on our experien...

BACKGROUND Although liver injury scale does not predict need for surgical intervention, a high-grade complex liver injury should alert the physician to expect an increased risk of hepatic complications following trauma. The aim of the current study was to define hepatic related morbidity in patients sustaining high-grade hepatic injuries that could be safely managed non-operatively. PATIENTS ...

https://www.videogie.org/cms/asset/6bf5f915-fe75-48cc-ad36-02774ea973ee/mmc1.mp4Loading ...(mp4, 77.12 MB) Download video EUS-guided FNA and lumen-apposing metallic stent deployment. A 66-year-old male patient with hypertension, unstable angina antiplatelet treatment, previous cholecystectomy presented to our institution a fever abdominal pain for the past 3 weeks. Blood analyses revealed leuko...

Air embolism during gastrointestinal endoscopy procedures is a rare phenomenon but can lead to a catastrophic and fatal event resulting from cardiovascular collapse and neurological injury. Oftentimes, the diagnosis is difficult because the cardiovascular and neurologic symptoms are not specific to systemic air embolism. High index of suspicion with early recognition and treatment is crucial in...