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b) liver 0.14 mGy/MBq; c) kidneys 0.41 mGy/MBq; d) spleen 1.4 mGy/MBq; and f) bone marrow 0.022 mGy/MBq. The average absorbed dose per session to a tumor... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593052" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">THE QUARTERLY JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING 551 20.8 mGy/MBq; b) liver 0.14 mGy/MBq; c) kidneys 0.41 mGy/MBq; d) spleen 1.4 mGy/MBq; and f) bone marrow 0.022 mGy/MBq. The average absorbed dose per session to a tumor for a spherical mass of 20 g was estimated to be 20.8 mGy/MBq, depending on the histotype of the tumor. WHO toxicity grade 2 to 3 erythro-, leuko-and thrombo-cytopenia occurred in 9 (75%) cases observed about after the third session. Conclusion. In unresectable metastatic liver lesions positive for somatostatin receptors repeated, transhepatic high doses of [ 177 Lu]DOTA-TATE resulted in a more than promising therapeutic outcome with a partial response in 75% of the treated patients. Given the loco-regional modality character of the administration technique, no nephro-toxicity has been so far observed whereas a remarkable myelotoxicity was noticed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593052" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="ae2ad2a98f50d8d998268d5143f1d0fa" rel="nofollow" data-download="{"attachment_id":32673758,"asset_id":5593052,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32673758/download_file?st=MTc0MDk1NTc2MCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span></li><li class="js-paper-rank-work_5593052 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5593052"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5593052, container: ".js-paper-rank-work_5593052", }); 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b) liver 0.14 mGy/MBq; c) kidneys 0.41 mGy/MBq; d) spleen 1.4 mGy/MBq; and f) bone marrow 0.022 mGy/MBq. The average absorbed dose per session to a tumor for a spherical mass of 20 g was estimated to be 20.8 mGy/MBq, depending on the histotype of the tumor. WHO toxicity grade 2 to 3 erythro-, leuko-and thrombo-cytopenia occurred in 9 (75%) cases observed about after the third session. Conclusion. In unresectable metastatic liver lesions positive for somatostatin receptors repeated, transhepatic high doses of [ 177 Lu]DOTA-TATE resulted in a more than promising therapeutic outcome with a partial response in 75% of the treated patients. Given the loco-regional modality character of the administration technique, no nephro-toxicity has been so far observed whereas a remarkable myelotoxicity was noticed.","publication":null,"publication_with_fallback":null,"downloadable_attachments":[{"id":32673758,"asset_id":5593052,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/32673758/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/32673758/ARETAIEION_Protocol-libre.pdf?1391178233=\u0026response-content-disposition=attachment%3B+filename%3DARETAIEION_Protocol.pdf\u0026Expires=1740959360\u0026Signature=FRKFHeux8-lvdTF2TBVHaRaHF1jrBwy5Z2wNmpsumVRVF9WBVeB2zfN0J3C9--Q2hNSF3US7j6ZGXskB22d0lZz~quxavo7fuLU~c53ZZSTmR7CXYO2tgen028cajIhprkVP4-X~DNEwqekNH6iHrKdFO-RFK9ugLieym9a3nYpwvg2S1C5lQOZi82Rcz2kcKBsu-ryS4fucMEs5zPVfhgAoPl9szXwVb0t3b9uOHq3rL3DcCpMVbspWEmoUFb~npMt3n1-kDAwVGpxpZsRgAbC8uEFH5x2uvWOn9p0sHRVHzoDSQy-m~ppco8J9ndPJmlbLGiMJ5nevFgUUO6mjaQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/32673758/download_file?st=MTc0MDk1NTc2MCw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/32673758/mini_magick20190413-835-slxxkd.png?1555151745"}],"downloadable_attachments_with_full_thumbnails":[{"id":32673758,"asset_id":5593052,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/32673758/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/32673758/ARETAIEION_Protocol-libre.pdf?1391178233=\u0026response-content-disposition=attachment%3B+filename%3DARETAIEION_Protocol.pdf\u0026Expires=1740959360\u0026Signature=FRKFHeux8-lvdTF2TBVHaRaHF1jrBwy5Z2wNmpsumVRVF9WBVeB2zfN0J3C9--Q2hNSF3US7j6ZGXskB22d0lZz~quxavo7fuLU~c53ZZSTmR7CXYO2tgen028cajIhprkVP4-X~DNEwqekNH6iHrKdFO-RFK9ugLieym9a3nYpwvg2S1C5lQOZi82Rcz2kcKBsu-ryS4fucMEs5zPVfhgAoPl9szXwVb0t3b9uOHq3rL3DcCpMVbspWEmoUFb~npMt3n1-kDAwVGpxpZsRgAbC8uEFH5x2uvWOn9p0sHRVHzoDSQy-m~ppco8J9ndPJmlbLGiMJ5nevFgUUO6mjaQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/32673758/download_file?st=MTc0MDk1NTc2MCw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/32673758/mini_magick20190413-835-slxxkd.png?1555151745"}],"has_pdf":true,"has_fulltext":true,"page_count":9,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":6021,"name":"Cancer","url":"https://www.academia.edu/Documents/in/Cancer","nofollow":true},{"id":14195,"name":"Cancer Biology","url":"https://www.academia.edu/Documents/in/Cancer_Biology","nofollow":true}],"publication_year":null,"publication_year_with_fallback":null,"paper_rank":null,"all_time_views":184,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5593061" data-work_id="5593061" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5593061/Managing_injuries_of_hepatic_duct_confluence_variants_after_major_hepatobiliary_surgery_An_algorithmic_approach">Managing injuries of hepatic duct confluence variants after major hepatobiliary surgery: An algorithmic approach</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">AIM:To investigate injuries of anatomy variants of hepatic duct confluence during hepatobiliary surgery a n d t h e i r i m p a c t o n m o r b i d i ty a n d m o r t a l i ty o f these procedures. An algorithmic approach for the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593061" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">AIM:To investigate injuries of anatomy variants of hepatic duct confluence during hepatobiliary surgery a n d t h e i r i m p a c t o n m o r b i d i ty a n d m o r t a l i ty o f these procedures. An algorithmic approach for the management of these injuries is proposed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593061" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="83e134a9620b0c8490ef85867f1c3d9e" rel="nofollow" data-download="{"attachment_id":32673777,"asset_id":5593061,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32673777/download_file?st=MTc0MDk1NTc2MCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span></li><li class="js-paper-rank-work_5593061 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5593061"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5593061, container: ".js-paper-rank-work_5593061", }); 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It is most commonly associated with benign etiology and carries a high mortality rate which... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593067" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: Esophagopericardial fistula is a rare but life-threatening complication of benign, malignant or traumatic esophageal disease. It is most commonly associated with benign etiology and carries a high mortality rate which increases with delay in diagnosis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593067" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="260ff38f432954a3b338ee4f9add61fd" rel="nofollow" data-download="{"attachment_id":32673766,"asset_id":5593067,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32673766/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-5593067">+1</span><div class="hidden js-additional-users-5593067"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-5593067'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-5593067').html(); 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P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"},{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":21141,"name":"Fistula","url":"https://www.academia.edu/Documents/in/Fistula","nofollow":true},{"id":73606,"name":"World","url":"https://www.academia.edu/Documents/in/World","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true},{"id":847498,"name":"Pericardium","url":"https://www.academia.edu/Documents/in/Pericardium","nofollow":true},{"id":1680434,"name":"Mortality 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thoracic cavity and upper left abdominal quadrant presented with two progressively enlarging lipoma-like masses... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593070" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A 53-year-old male patient with a large hydatid cyst of the left hemidiaphragm and smaller secondary cysts located in the left thoracic cavity and upper left abdominal quadrant presented with two progressively enlarging lipoma-like masses in the left hypochondrium and under the left scapulae respectively. Total excision of all the cysts was performed through a bilateral subcostal incision, with the left hemidiaphragm near totally excised and replaced by a synthetic bilayer mesh. Marinis A, Fragulidis G, Karapanos K, Konstantinidis C, Brestas P, Vassiliou J, Smyrniotis V. Subcutaneous extension of a large diaphragmatic hydatid cyst. World J Gastroenterol 2006; 12(44): 7210-7212</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593070" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a1466c79b8eff515d18da864ac9d293f" rel="nofollow" data-download="{"attachment_id":32673770,"asset_id":5593070,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32673770/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-5593070">+2</span><div class="hidden js-additional-users-5593070"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://tzaneio.academia.edu/AthanasiosMarinis">Athanasios Marinis</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/ParaskevasBrestas">Paraskevas Brestas</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-5593070'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-5593070').html(); 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href="https://www.academia.edu/5593073/Adenocarcinoma_of_the_third_portion_of_the_duodenum_in_a_man_with_CREST_syndrome">Adenocarcinoma of the third portion of the duodenum in a man with CREST syndrome</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: CREST (Calcinosis, Raynaud's phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasias) syndrome has been rarely associated with other malignancies (lung, esophagus).This is the first report of a primary... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593073" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: CREST (Calcinosis, Raynaud's phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasias) syndrome has been rarely associated with other malignancies (lung, esophagus).This is the first report of a primary adenocarcinoma of the third portion of the duodenum in a patient with CREST syndrome.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593073" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c6cf344cadec62fa700b401010703037" rel="nofollow" data-download="{"attachment_id":32673767,"asset_id":5593073,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" 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We describe a 72-year-old patient who presented with episodes of melena and was subsequently investigated for a tumor of the antrum of the stomach. Surgical... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593075" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Gastric glomus tumors are rare mesenchymal tumors of the gastrointestinal tract. We describe a 72-year-old patient who presented with episodes of melena and was subsequently investigated for a tumor of the antrum of the stomach. Surgical resection revealed a 2 × 2 × 1.7 cm well circumscribed submucosal tumor, extending into the muscularis propria. The histopathologic examination of the specimen demonstrated a glomus tumor of the stomach. We discuss the preoperative investigation, the diagnostic problems and the surgical treatment of the patient with this rare submucosal lesion.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593075" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="7352d2cb346c1c29c7b20b63e4db0a83" rel="nofollow" data-download="{"attachment_id":32673768,"asset_id":5593075,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32673768/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span></li><li class="js-paper-rank-work_5593075 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5593075"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5593075, container: ".js-paper-rank-work_5593075", }); 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We describe a 72-year-old patient who presented with episodes of melena and was subsequently investigated for a tumor of the antrum of the stomach. Surgical resection revealed a 2 × 2 × 1.7 cm well circumscribed submucosal tumor, extending into the muscularis propria. The histopathologic examination of the specimen demonstrated a glomus tumor of the stomach. 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Technique of the Pancreatic Stump</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">Objectives: To evaluate the impact of the length of the isolated jejunal loop and the type of pancreaticojejunostomy on pancreatic leakage after pancreaticoduodenectomy.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593079" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="8edb66c26becf81f94dec6c1046e256f" rel="nofollow" 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href="https://www.academia.edu/5593082/Surgical_Techniques_for_the_Management_of_Enteroatmospheric_Fistulae">Surgical Techniques for the Management of Enteroatmospheric Fistulae</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: An intestinal fistula in the “open abdomen” is called “enteroatmospheric” and is a great challenge for the surgeon because of the high mortality and morbidity rates associated with it. This report is a study of the surgical... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593082" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: An intestinal fistula in the “open abdomen” is called “enteroatmospheric” and is a great challenge for the surgeon because of the high mortality and morbidity rates associated with it. This report is a study of the surgical strategy for treating patients with enteroatmospheric fistulae.<br />Methods: During a 3-year period (2005–2007), two males and one female patient with a mean age of 63 years were referred to our surgical department for management of enteroatmospheric fistulae that developed after operations carried out for severe peritonitis, which was a consequence of sigmoid diverticulum rupture in two cases and disruption of an enters-enteric Roux-en-Y anastomosis after total gastrectomy for cancer in one.<br />Results: All patients were appropriately supported in a surgical intensive care unit, with administration of total parenteral nutrition and appropriate antibiotics to eliminate secondary infections. Several re-operations were necessary to treat the enteroatmospheric fistulae. Eventually, all patients were discharged after a lengthy hospital stay (45–145 days).<br />Conclusions: The essential principles of our operative strategy are: (1) early intervention; (2) a lateral surgical approach via the circumference of the open abdomen to avoid further damage to the exposed viscera; (3) excision of the involved bowel loop with an end-to-end anastomosis; (4) temporary abdominal closure and coverage of the open abdomen with an absorbable mesh, promoting tissue granulation; (5) skin grafting attempts; and (6) selective use of vacuum-assisted closure.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593082" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="26a0eee4e434a6bffb3ab15a61327a0a" rel="nofollow" data-download="{"attachment_id":46618022,"asset_id":5593082,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46618022/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="25144165" href="https://tzaneio.academia.edu/AthanasiosMarinis">Athanasios Marinis</a><script data-card-contents-for-user="25144165" type="text/json">{"id":25144165,"first_name":"Athanasios","last_name":"Marinis","domain_name":"tzaneio","page_name":"AthanasiosMarinis","display_name":"Athanasios Marinis","profile_url":"https://tzaneio.academia.edu/AthanasiosMarinis","photo":"https://0.academia-photos.com/25144165/6837223/7717872/s65__._.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-5593082">+2</span><div class="hidden js-additional-users-5593082"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/TKotsis">T. Kotsis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-5593082'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-5593082').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_5593082 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5593082"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5593082, container: ".js-paper-rank-work_5593082", }); });</script></li><li class="js-percentile-work_5593082 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 5593082; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_5593082"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_5593082 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="5593082"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 5593082; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=5593082]").text(description); $(".js-view-count-work_5593082").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5593082").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5593082"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1059" rel="nofollow" href="https://www.academia.edu/Documents/in/Early_Intervention">Early Intervention</a>, <script data-card-contents-for-ri="1059" type="text/json">{"id":1059,"name":"Early Intervention","url":"https://www.academia.edu/Documents/in/Early_Intervention","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8634" rel="nofollow" href="https://www.academia.edu/Documents/in/Operations_Strategy">Operations Strategy</a>, <script data-card-contents-for-ri="8634" type="text/json">{"id":8634,"name":"Operations Strategy","url":"https://www.academia.edu/Documents/in/Operations_Strategy","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="289271" rel="nofollow" href="https://www.academia.edu/Documents/in/Aged">Aged</a><script data-card-contents-for-ri="289271" type="text/json">{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5593082]'), work: {"id":5593082,"title":"Surgical Techniques for the Management of Enteroatmospheric Fistulae","created_at":"2014-01-03T04:51:37.126-08:00","owner_id":7980733,"url":"https://www.academia.edu/5593082/Surgical_Techniques_for_the_Management_of_Enteroatmospheric_Fistulae","slug":"Surgical_Techniques_for_the_Management_of_Enteroatmospheric_Fistulae","dom_id":"work_5593082","summary":"Background: An intestinal fistula in the “open abdomen” is called “enteroatmospheric” and is a great challenge for the surgeon because of the high mortality and morbidity rates associated with it. This report is a study of the surgical strategy for treating patients with enteroatmospheric fistulae.\nMethods: During a 3-year period (2005–2007), two males and one female patient with a mean age of 63 years were referred to our surgical department for management of enteroatmospheric fistulae that developed after operations carried out for severe peritonitis, which was a consequence of sigmoid diverticulum rupture in two cases and disruption of an enters-enteric Roux-en-Y anastomosis after total gastrectomy for cancer in one.\nResults: All patients were appropriately supported in a surgical intensive care unit, with administration of total parenteral nutrition and appropriate antibiotics to eliminate secondary infections. Several re-operations were necessary to treat the enteroatmospheric fistulae. Eventually, all patients were discharged after a lengthy hospital stay (45–145 days).\nConclusions: The essential principles of our operative strategy are: (1) early intervention; (2) a lateral surgical approach via the circumference of the open abdomen to avoid further damage to the exposed viscera; (3) excision of the involved bowel loop with an end-to-end anastomosis; (4) temporary abdominal closure and coverage of the open abdomen with an absorbable mesh, promoting tissue granulation; (5) skin grafting attempts; and (6) selective use of vacuum-assisted closure.","publication":"Surgical Infections","publication_with_fallback":"Surgical Infections","downloadable_attachments":[{"id":46618022,"asset_id":5593082,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46618022/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46618022/Surgical_Techniques2009-libre.pdf?1466348188=\u0026response-content-disposition=attachment%3B+filename%3DSurgical_Techniques_for_the_Management_o.pdf\u0026Expires=1740935849\u0026Signature=UXPAIePQiSEwCWKV-VhtWDWi4rFfjIvTNhhUuuUH02dQI6stZqhmKParGcfDLd0SV8k-D4rrOWETEWs-D0ZzbtS0Hjd6D~j04C1MgBTxPB4qdXKpWQctqSl7uvzHbfe~zzfpZk8ZWo6Yr0aAMudswlcdN~T0JeaG3CTQa8z3zQ84iGZQaf6~n64Tt3GDRXD2mY4E4yvjCSbe8OFEr4Ut8by-z43c4ElsW7OLid04ZqXk89ChArLBMauMDq8T5eSFg8xTzra6YgOymixd6MXunPOzDumAYlxyvHXib1Pk8vOdVwvn~ccKvDeUnrdF1aErhNt8XnExkUy1DjBgpng6FA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46618022/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46618022/mini_magick20190209-6525-iqbuvc.png?1549724275"}],"downloadable_attachments_with_full_thumbnails":[{"id":46618022,"asset_id":5593082,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46618022/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46618022/Surgical_Techniques2009-libre.pdf?1466348188=\u0026response-content-disposition=attachment%3B+filename%3DSurgical_Techniques_for_the_Management_o.pdf\u0026Expires=1740935849\u0026Signature=UXPAIePQiSEwCWKV-VhtWDWi4rFfjIvTNhhUuuUH02dQI6stZqhmKParGcfDLd0SV8k-D4rrOWETEWs-D0ZzbtS0Hjd6D~j04C1MgBTxPB4qdXKpWQctqSl7uvzHbfe~zzfpZk8ZWo6Yr0aAMudswlcdN~T0JeaG3CTQa8z3zQ84iGZQaf6~n64Tt3GDRXD2mY4E4yvjCSbe8OFEr4Ut8by-z43c4ElsW7OLid04ZqXk89ChArLBMauMDq8T5eSFg8xTzra6YgOymixd6MXunPOzDumAYlxyvHXib1Pk8vOdVwvn~ccKvDeUnrdF1aErhNt8XnExkUy1DjBgpng6FA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46618022/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46618022/mini_magick20190209-6525-iqbuvc.png?1549724275"}],"has_pdf":true,"has_fulltext":true,"page_count":6,"ordered_authors":[{"id":25144165,"first_name":"Athanasios","last_name":"Marinis","domain_name":"tzaneio","page_name":"AthanasiosMarinis","display_name":"Athanasios Marinis","profile_url":"https://tzaneio.academia.edu/AthanasiosMarinis","photo":"https://0.academia-photos.com/25144165/6837223/7717872/s65__._.jpg"},{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"},{"id":36824097,"first_name":"T.","last_name":"Kotsis","domain_name":"independent","page_name":"TKotsis","display_name":"T. Kotsis","profile_url":"https://independent.academia.edu/TKotsis","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1059,"name":"Early Intervention","url":"https://www.academia.edu/Documents/in/Early_Intervention","nofollow":true},{"id":8634,"name":"Operations Strategy","url":"https://www.academia.edu/Documents/in/Operations_Strategy","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged","nofollow":true},{"id":561974,"name":"SURGICAL TECHNIQUE","url":"https://www.academia.edu/Documents/in/SURGICAL_TECHNIQUE"},{"id":812290,"name":"Surgical Infections","url":"https://www.academia.edu/Documents/in/Surgical_Infections"},{"id":916082,"name":"Surgical","url":"https://www.academia.edu/Documents/in/Surgical"},{"id":1188229,"name":"Parenteral Nutrition","url":"https://www.academia.edu/Documents/in/Parenteral_Nutrition"},{"id":2463621,"name":"Postoperative Complications","url":"https://www.academia.edu/Documents/in/Postoperative_Complications"}],"publication_year":2009,"publication_year_with_fallback":2009,"paper_rank":null,"all_time_views":37,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5593087" data-work_id="5593087" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5593087/Adenocarcinoma_of_the_third_portion_of_the_duodenum_in_a_man_with_CREST_syndrome">Adenocarcinoma of the third portion of the duodenum in a man with CREST syndrome</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: CREST (Calcinosis, Raynaud's phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasias) syndrome has been rarely associated with other malignancies (lung, esophagus).This is the first report of a primary... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593087" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: CREST (Calcinosis, Raynaud's phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasias) syndrome has been rarely associated with other malignancies (lung, esophagus).This is the first report of a primary adenocarcinoma of the third portion of the duodenum in a patient with CREST syndrome.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm 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class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span></li><li class="js-paper-rank-work_5593087 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5593087"><i class="u-m1x fa fa-bar-chart"></i><strong 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href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="420802" rel="nofollow" href="https://www.academia.edu/Documents/in/Colon_cancer">Colon cancer</a>, <script data-card-contents-for-ri="420802" type="text/json">{"id":420802,"name":"Colon cancer","url":"https://www.academia.edu/Documents/in/Colon_cancer","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="564878" rel="nofollow" href="https://www.academia.edu/Documents/in/Body_Weight">Body Weight</a>, <script data-card-contents-for-ri="564878" type="text/json">{"id":564878,"name":"Body Weight","url":"https://www.academia.edu/Documents/in/Body_Weight","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="995219" 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malignancies (lung, esophagus).This is the first report of a primary adenocarcinoma of the third portion of the duodenum in a patient with CREST syndrome.","publication":"World Journal of Surgical Oncology","publication_with_fallback":"World Journal of Surgical Oncology","downloadable_attachments":[{"id":32673771,"asset_id":5593087,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/32673771/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/32673771/1477-7819-6-106-libre.pdf?1391185316=\u0026response-content-disposition=attachment%3B+filename%3DAdenocarcinoma_of_the_third_portion_of_t.pdf\u0026Expires=1740778301\u0026Signature=QD6eJS4tPkx3hQgowbGgqeS9xl-IyKMPhgFYVYcigeIKOJU1BGd7xWxOnJRh7EuPwOOGobMe0ygsXmSEDpXrGDcLAjN38P3UpVMtWOh6Uu6u1pH4UG8PkM7SQGTsHwfzQYc5X9XZ1BzF~iLHlU0q27wEOMIUy1tvySVH6tQx20T1clkNn0vUFkTIJZkw6DNYFilyJ2334klj4IRoTVvfQvtlU3InTuEVxS6gLWkJOS9iZodbetnzZ57dj3OsWYwD24lIdDbB638oaLm0p-e2hlLZztVdb1c88yGkoqVvpNxFPZogyCN7wIrVwyIaMoah2N3JOv1UV5ryXVNvA0efdA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/32673771/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/32673771/mini_magick20220709-18771-rd7bdx.png?1657351632"}],"downloadable_attachments_with_full_thumbnails":[{"id":32673771,"asset_id":5593087,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/32673771/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/32673771/1477-7819-6-106-libre.pdf?1391185316=\u0026response-content-disposition=attachment%3B+filename%3DAdenocarcinoma_of_the_third_portion_of_t.pdf\u0026Expires=1740778301\u0026Signature=QD6eJS4tPkx3hQgowbGgqeS9xl-IyKMPhgFYVYcigeIKOJU1BGd7xWxOnJRh7EuPwOOGobMe0ygsXmSEDpXrGDcLAjN38P3UpVMtWOh6Uu6u1pH4UG8PkM7SQGTsHwfzQYc5X9XZ1BzF~iLHlU0q27wEOMIUy1tvySVH6tQx20T1clkNn0vUFkTIJZkw6DNYFilyJ2334klj4IRoTVvfQvtlU3InTuEVxS6gLWkJOS9iZodbetnzZ57dj3OsWYwD24lIdDbB638oaLm0p-e2hlLZztVdb1c88yGkoqVvpNxFPZogyCN7wIrVwyIaMoah2N3JOv1UV5ryXVNvA0efdA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/32673771/download_file?st=MTc0MDk1NTc2MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/32673771/mini_magick20220709-18771-rd7bdx.png?1657351632"}],"has_pdf":true,"has_fulltext":true,"page_count":4,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true},{"id":420802,"name":"Colon cancer","url":"https://www.academia.edu/Documents/in/Colon_cancer","nofollow":true},{"id":564878,"name":"Body Weight","url":"https://www.academia.edu/Documents/in/Body_Weight","nofollow":true},{"id":995219,"name":"ADJUVANT THERAPY","url":"https://www.academia.edu/Documents/in/ADJUVANT_THERAPY","nofollow":true},{"id":1289042,"name":"Pancreaticoduodenectomy","url":"https://www.academia.edu/Documents/in/Pancreaticoduodenectomy"},{"id":1745478,"name":"Adenocarcinoma","url":"https://www.academia.edu/Documents/in/Adenocarcinoma"}],"publication_year":2008,"publication_year_with_fallback":2008,"paper_rank":null,"all_time_views":16,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5593098 coauthored" data-work_id="5593098" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5593098/Management_of_a_ruptured_bile_duct_cyst">Management of a ruptured bile duct cyst</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">A case of a ruptured bile duct cyst in a 25-year-old male patient is presented. The initial management of the clinical presentation of acute abdomen consisted of an exploratory laparotomy and a T-tube cystostomy of a choledochal cyst. Two... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5593098" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A case of a ruptured bile duct cyst in a 25-year-old male patient is presented. The initial management of the clinical presentation of acute abdomen consisted of an exploratory laparotomy and a T-tube cystostomy of a choledochal cyst. Two months later, he was admitted to our surgical department. Preoperative evaluation showed a type IV-A choledochal cyst. The patient underwent excision of the choledochal cyst, cholecystectomy, and the construction of a Roux-en-Y end-to-side hepaticojejunostomy.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5593098" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="4c96a5afcd904caeb31c66c83498580e" rel="nofollow" data-download="{"attachment_id":46681274,"asset_id":5593098,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46681274/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="25144165" href="https://tzaneio.academia.edu/AthanasiosMarinis">Athanasios Marinis</a><script data-card-contents-for-user="25144165" type="text/json">{"id":25144165,"first_name":"Athanasios","last_name":"Marinis","domain_name":"tzaneio","page_name":"AthanasiosMarinis","display_name":"Athanasios Marinis","profile_url":"https://tzaneio.academia.edu/AthanasiosMarinis","photo":"https://0.academia-photos.com/25144165/6837223/7717872/s65__._.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-5593098">+1</span><div class="hidden js-additional-users-5593098"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-5593098'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-5593098').html(); 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container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_5593098 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="5593098"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 5593098; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=5593098]").text(description); $(".js-view-count-work_5593098").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5593098").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5593098"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="827314" rel="nofollow" href="https://www.academia.edu/Documents/in/Cholecystectomy">Cholecystectomy</a>, <script data-card-contents-for-ri="827314" type="text/json">{"id":827314,"name":"Cholecystectomy","url":"https://www.academia.edu/Documents/in/Cholecystectomy","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="985062" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Presentation">Clinical Presentation</a>, <script data-card-contents-for-ri="985062" type="text/json">{"id":985062,"name":"Clinical Presentation","url":"https://www.academia.edu/Documents/in/Clinical_Presentation","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1436067" rel="nofollow" href="https://www.academia.edu/Documents/in/Choledochal_Cyst">Choledochal Cyst</a><script data-card-contents-for-ri="1436067" type="text/json">{"id":1436067,"name":"Choledochal Cyst","url":"https://www.academia.edu/Documents/in/Choledochal_Cyst","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5593098]'), work: {"id":5593098,"title":"Management of a ruptured bile duct cyst","created_at":"2014-01-03T04:51:56.300-08:00","owner_id":7980733,"url":"https://www.academia.edu/5593098/Management_of_a_ruptured_bile_duct_cyst","slug":"Management_of_a_ruptured_bile_duct_cyst","dom_id":"work_5593098","summary":"A case of a ruptured bile duct cyst in a 25-year-old male patient is presented. The initial management of the clinical presentation of acute abdomen consisted of an exploratory laparotomy and a T-tube cystostomy of a choledochal cyst. Two months later, he was admitted to our surgical department. Preoperative evaluation showed a type IV-A choledochal cyst. The patient underwent excision of the choledochal cyst, cholecystectomy, and the construction of a Roux-en-Y end-to-side hepaticojejunostomy.","publication":"Journal of Hepato-biliary-pancreatic Surgery","publication_with_fallback":"Journal of Hepato-biliary-pancreatic Surgery","downloadable_attachments":[{"id":46681274,"asset_id":5593098,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46681274/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46681274/Management_of_a_ruptured-libre.pdf?1466529483=\u0026response-content-disposition=attachment%3B+filename%3DManagement_of_a_ruptured_bile_duct_cyst.pdf\u0026Expires=1740959361\u0026Signature=gFlaxhiCcOFI7o2mfMwWBkBIoa0ty5CwYw-LKzqOLQeN1e4oAU41ZA1c2uLY7gOR1~TJ8t3yZV3jQuNQ~1KHsJOZqXo6qeI-sTtYhrnk2SHY7H358nAFQhu4njjZxeTavM8U6FN8QX-VmRmFuAM-tiF2AYXXXAJhtVSeVMvS-FdH21XOa9V-g8yuMrmyMeRBtZgyBLyaXswyXY2vLwhpe-4uWpmFKv0DbiTEX6RhTClvyyS-VykjH8x5Vih3PA12fhxx4tW5W3x~7fc4p9aAeOM-zh7zJdux5azXAMm1hhVdc6-fgucLHW1JAv6oSN9xuBXNrpQNjnxzOsqPpEAIvg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46681274/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46681274/mini_magick20190209-21986-ww6eao.png?1549708889"}],"downloadable_attachments_with_full_thumbnails":[{"id":46681274,"asset_id":5593098,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46681274/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46681274/Management_of_a_ruptured-libre.pdf?1466529483=\u0026response-content-disposition=attachment%3B+filename%3DManagement_of_a_ruptured_bile_duct_cyst.pdf\u0026Expires=1740959361\u0026Signature=gFlaxhiCcOFI7o2mfMwWBkBIoa0ty5CwYw-LKzqOLQeN1e4oAU41ZA1c2uLY7gOR1~TJ8t3yZV3jQuNQ~1KHsJOZqXo6qeI-sTtYhrnk2SHY7H358nAFQhu4njjZxeTavM8U6FN8QX-VmRmFuAM-tiF2AYXXXAJhtVSeVMvS-FdH21XOa9V-g8yuMrmyMeRBtZgyBLyaXswyXY2vLwhpe-4uWpmFKv0DbiTEX6RhTClvyyS-VykjH8x5Vih3PA12fhxx4tW5W3x~7fc4p9aAeOM-zh7zJdux5azXAMm1hhVdc6-fgucLHW1JAv6oSN9xuBXNrpQNjnxzOsqPpEAIvg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46681274/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46681274/mini_magick20190209-21986-ww6eao.png?1549708889"}],"has_pdf":true,"has_fulltext":true,"page_count":3,"ordered_authors":[{"id":25144165,"first_name":"Athanasios","last_name":"Marinis","domain_name":"tzaneio","page_name":"AthanasiosMarinis","display_name":"Athanasios Marinis","profile_url":"https://tzaneio.academia.edu/AthanasiosMarinis","photo":"https://0.academia-photos.com/25144165/6837223/7717872/s65__._.jpg"},{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true},{"id":827314,"name":"Cholecystectomy","url":"https://www.academia.edu/Documents/in/Cholecystectomy","nofollow":true},{"id":985062,"name":"Clinical Presentation","url":"https://www.academia.edu/Documents/in/Clinical_Presentation","nofollow":true},{"id":1436067,"name":"Choledochal Cyst","url":"https://www.academia.edu/Documents/in/Choledochal_Cyst","nofollow":true},{"id":1477805,"name":"Acute Abdomen","url":"https://www.academia.edu/Documents/in/Acute_Abdomen"}],"publication_year":2007,"publication_year_with_fallback":2007,"paper_rank":null,"all_time_views":41,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14964291 coauthored" data-work_id="14964291" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14964291/Cutaneous_Metastatic_Adenocarcinoma_of_the_Colon_to_the_Scalp">Cutaneous Metastatic Adenocarcinoma of the Colon to the Scalp</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Cutaneous metastases from colorectal cancer are relatively uncommon presenting in fewer than 5% of patients but they are very important to recognize as they signify disseminated disease and poor prognosis. We describe a case a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14964291" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Cutaneous metastases from colorectal cancer are relatively uncommon presenting in fewer than 5% of patients but they are very important to recognize as they signify disseminated disease and poor prognosis. <br />We describe a case a 62-year-old patient diagnosed with scalp metastasis during his systemic chemotherapy treatment for a colorectal carcinoma stage IVb who underwent excisional biopsy of the metastatic lesion. <br />The identification of cutaneous metastases from colorectal cancer can radically alter therapeutic plans as they typically indicate a wide spread disease. Although they can be observed at any stage of malignancy, early recognition can lead to accurate and prompt diagnosis and timely treatment.<br /><br /><br />Keywords: Colorectal cancer; Scalp metastasis; Skin metastasis;<br />Cutaneous metastasis</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14964291" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="421fd83db30fe92b5b90d9564d8aa792" rel="nofollow" data-download="{"attachment_id":38490011,"asset_id":14964291,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/38490011/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="39865147" href="https://independent.academia.edu/AntoniosVezakis">Antonios Vezakis</a><script data-card-contents-for-user="39865147" type="text/json">{"id":39865147,"first_name":"Antonios","last_name":"Vezakis","domain_name":"independent","page_name":"AntoniosVezakis","display_name":"Antonios Vezakis","profile_url":"https://independent.academia.edu/AntoniosVezakis","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-14964291">+1</span><div class="hidden js-additional-users-14964291"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-14964291'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-14964291').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_14964291 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14964291"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14964291, container: ".js-paper-rank-work_14964291", }); });</script></li><li class="js-percentile-work_14964291 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14964291; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14964291"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14964291 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14964291"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14964291; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14964291]").text(description); $(".js-view-count-work_14964291").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14964291").removeClass('hidden') })</script></div></li></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_15364104 coauthored" data-work_id="15364104" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/15364104/Morel_Lavall%C3%A9e_Lesion_Report_of_a_Case_of_Unknown_Mechanism">Morel-Lavallée Lesion: Report of a Case of Unknown Mechanism</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Morel-Lavall´ee lesions are cystic lesions occurring between the subcutaneous tissue and the underlying layer of a fascia. The most frequent mechanism of occurrence is posttraumatic, usually after degloving injuries. The chain of events... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_15364104" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Morel-Lavall´ee lesions are cystic lesions occurring between the subcutaneous tissue and the underlying layer of a fascia. The most frequent mechanism of occurrence is posttraumatic, usually after degloving injuries. The chain of events leading to the occurrence of this lesion is the formation of a potential space between the subcutaneous tissue and the firmly attached deep fascia, which in<br />turn fills with blood and/or lymph and/or necrotic fat, secondary to disruption of the capillaries. We present a case of a 74-yearold male patient with a cystic lesion of the lateral surface of his left thigh increasing in size over a period of six months. Despite the meticulous history acquisition, we were unable to reveal any alleged mechanism of injury of the area. The patient underwent an MRI which revealed an ovoid cyst.The patient underwent surgical excision of the cyst.The pathology examination revealed a simple cyst, lined by a fibrous capsule and filled with serosanguineous fluid, thus confirming the diagnosis. The patient made a full recovery and since has been asymptomatic.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/15364104" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="6b217da189fded8bd39fb537b9b5fe89" rel="nofollow" data-download="{"attachment_id":38657462,"asset_id":15364104,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/38657462/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="39708480" href="https://independent.academia.edu/ElissaiosKontis">Elissaios Kontis</a><script data-card-contents-for-user="39708480" type="text/json">{"id":39708480,"first_name":"Elissaios","last_name":"Kontis","domain_name":"independent","page_name":"ElissaiosKontis","display_name":"Elissaios Kontis","profile_url":"https://independent.academia.edu/ElissaiosKontis","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-15364104">+2</span><div class="hidden js-additional-users-15364104"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-15364104'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-15364104').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_15364104 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="15364104"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 15364104, container: ".js-paper-rank-work_15364104", }); });</script></li><li class="js-percentile-work_15364104 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 15364104; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_15364104"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_15364104 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="15364104"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 15364104; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=15364104]").text(description); $(".js-view-count-work_15364104").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_15364104").removeClass('hidden') })</script></div></li></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_24535521 coauthored" data-work_id="24535521" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/24535521/Struma_ovarii_complicating_pregnancy_a_case_report">Struma ovarii complicating pregnancy: a case report.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Struma ovarii represents an ovarian mature teratoma with thyroid tissue comprising more than 50% of the ovarian tumor. It is a rare condition, representing approximately 1% of all ovarian tumors with a potential malignant transformation... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_24535521" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Struma ovarii represents an ovarian mature teratoma with thyroid tissue comprising more than 50% of the ovarian tumor. It is a rare condition, representing approximately 1% of all ovarian tumors with a potential malignant transformation 5% to10%. When it is combined with pregnancy, it renders its management in this circumstance is extreme challenging. The authors present a case of benign struma ovarii diagnosed as a right adnexal mass during first trimester of pregnancy with an uneventful clinical course.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/24535521" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="27d4b4ba2d1a442b6496ae57209e66c7" rel="nofollow" data-download="{"attachment_id":44866527,"asset_id":24535521,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44866527/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-24535521">+1</span><div class="hidden js-additional-users-24535521"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/CSofoudis">C. Sofoudis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-24535521'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-24535521').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_24535521 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="24535521"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 24535521, container: ".js-paper-rank-work_24535521", }); });</script></li><li class="js-percentile-work_24535521 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 24535521; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_24535521"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_24535521 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="24535521"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 24535521; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=24535521]").text(description); $(".js-view-count-work_24535521").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_24535521").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="24535521"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="271684" rel="nofollow" href="https://www.academia.edu/Documents/in/Gynecologic_Surgery">Gynecologic Surgery</a><script data-card-contents-for-ri="271684" type="text/json">{"id":271684,"name":"Gynecologic Surgery","url":"https://www.academia.edu/Documents/in/Gynecologic_Surgery","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=24535521]'), work: {"id":24535521,"title":"Struma ovarii complicating pregnancy: a case report.","created_at":"2016-04-18T14:52:26.020-07:00","owner_id":7980733,"url":"https://www.academia.edu/24535521/Struma_ovarii_complicating_pregnancy_a_case_report","slug":"Struma_ovarii_complicating_pregnancy_a_case_report","dom_id":"work_24535521","summary":"Struma ovarii represents an ovarian mature teratoma with thyroid tissue comprising more than 50% of the ovarian tumor. It is a rare condition, representing approximately 1% of all ovarian tumors with a potential malignant transformation 5% to10%. When it is combined with pregnancy, it renders its management in this circumstance is extreme challenging. The authors present a case of benign struma ovarii diagnosed as a right adnexal mass during first trimester of pregnancy with an uneventful clinical course.","publication":null,"publication_with_fallback":null,"downloadable_attachments":[{"id":44866527,"asset_id":24535521,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/44866527/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/44866527/Struma_ovarii-libre.pdf?1461016407=\u0026response-content-disposition=attachment%3B+filename%3DStruma_ovarii_complicating_pregnancy_a_c.pdf\u0026Expires=1740778302\u0026Signature=VlsLzRyza7GEgZJcf8wLZtfVzpV1YMi0DHU9aB78gWvRLoq9Dgx0Eblf~Er25NBGx54rS5SxxpGg2t4lWtlKxMT340Vxmou4dvkIrXgxwBfNjBivuijekT0Y4GgvuiaxI2Bs1OjLYSST5mPpdMPABPf3fqdQYhIZxMuSqqIi4ek~iHMeL5LVMlxkqMzHS6F96XAi-nol~b63za6quaM-WQC-pcECZJb08YHrRcWekg2ilOwoa9bZyFl178D3PjHJucxQLds63dcUw1T98jrCF1BAREJONF3gxbA-tFIgbkuJgZDn3oVFF0U7sR~X5vtlSANqMkRCZhdLcCvNbZNznA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/44866527/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/44866527/mini_magick20190213-25158-11oykp8.png?1550095847"}],"downloadable_attachments_with_full_thumbnails":[{"id":44866527,"asset_id":24535521,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/44866527/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/44866527/Struma_ovarii-libre.pdf?1461016407=\u0026response-content-disposition=attachment%3B+filename%3DStruma_ovarii_complicating_pregnancy_a_c.pdf\u0026Expires=1740778302\u0026Signature=VlsLzRyza7GEgZJcf8wLZtfVzpV1YMi0DHU9aB78gWvRLoq9Dgx0Eblf~Er25NBGx54rS5SxxpGg2t4lWtlKxMT340Vxmou4dvkIrXgxwBfNjBivuijekT0Y4GgvuiaxI2Bs1OjLYSST5mPpdMPABPf3fqdQYhIZxMuSqqIi4ek~iHMeL5LVMlxkqMzHS6F96XAi-nol~b63za6quaM-WQC-pcECZJb08YHrRcWekg2ilOwoa9bZyFl178D3PjHJucxQLds63dcUw1T98jrCF1BAREJONF3gxbA-tFIgbkuJgZDn3oVFF0U7sR~X5vtlSANqMkRCZhdLcCvNbZNznA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/44866527/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/44866527/mini_magick20190213-25158-11oykp8.png?1550095847"}],"has_pdf":true,"has_fulltext":true,"page_count":3,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"},{"id":51860581,"first_name":"C.","last_name":"Sofoudis","domain_name":"independent","page_name":"CSofoudis","display_name":"C. Sofoudis","profile_url":"https://independent.academia.edu/CSofoudis","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":271684,"name":"Gynecologic Surgery","url":"https://www.academia.edu/Documents/in/Gynecologic_Surgery","nofollow":true}],"publication_year":null,"publication_year_with_fallback":null,"paper_rank":null,"all_time_views":90,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_24535551 coauthored" data-work_id="24535551" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/24535551/Diagnostic_and_Therapeutic_Challenges_of_Intrahepatic_Biliary_Cystadenoma_and_Cystadenocarcinoma_A_Report_of_10_Cases_and_Review_of_the_Literature">Diagnostic and Therapeutic Challenges of Intrahepatic Biliary Cystadenoma and Cystadenocarcinoma: A Report of 10 Cases and Review of the Literature</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The objective of this study was to present our experience with intrahepatic biliary cystadenomas and cystadenocarcinomas in 10 patients surgically managed in our department. Intrahepatic biliary cystadenomas and cystadenocarcinomas are... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_24535551" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The objective of this study was to present our experience with intrahepatic biliary cystadenomas and cystadenocarcinomas in 10 patients surgically managed in our department. Intrahepatic biliary cystadenomas and cystadenocarcinomas are rare cystic tumors that are often misdiagnosed preoperatively as simple cysts or hydatid cysts. They recur after incomplete resection and entail a risk of malignant transformation to cystadenocarcinoma. A retrospective review was conducted of patients with histolog-ically confirmed intrahepatic biliary cystadenomas and cystadenocarcinomas between August 2004 and February 2013 who were surgically managed in our department. A total of 10 patients, 9 female and 1 male (mean age, 50 years), with cystic liver were reviewed. The size of the cysts ranged between 3.5 and 16 cm (mean, 10.6). Five patients had undergone previous interventions elsewhere and presented with recurrences. Liver resections included 6 hepatectomies, 2 bisegmentectomies, 1 extended right hepatec-tomy, and 1 enucleation due to the central position and the large size of the lesion. Pathology reports confirmed R0 resections in all cases. All patients were alive after a median follow-up of 6 years (range, 1–10 years), and no recurrence was detected. Intrahepatic biliary cystadenoma and cystadenocarcinoma should be considered in differential diagnosis in patients with liver cystic tumors. Because of the high recurrence rate and difficult accurate preoperative diagnosis, formal liver resection is</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/24535551" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="16ddc745553e2aaa49ffa5bf159d1491" rel="nofollow" data-download="{"attachment_id":44866572,"asset_id":24535551,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44866572/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="39618213" href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a><script data-card-contents-for-user="39618213" type="text/json">{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-24535551">+1</span><div class="hidden js-additional-users-24535551"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-24535551'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-24535551').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_24535551 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="24535551"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 24535551, container: ".js-paper-rank-work_24535551", }); });</script></li><li class="js-percentile-work_24535551 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 24535551; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_24535551"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_24535551 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="24535551"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 24535551; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=24535551]").text(description); $(".js-view-count-work_24535551").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_24535551").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="24535551"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="250444" rel="nofollow" href="https://www.academia.edu/Documents/in/Hepatobiliary_surgery_and_Liver_transplantation">Hepatobiliary surgery & Liver transplantation</a><script data-card-contents-for-ri="250444" type="text/json">{"id":250444,"name":"Hepatobiliary surgery \u0026 Liver transplantation","url":"https://www.academia.edu/Documents/in/Hepatobiliary_surgery_and_Liver_transplantation","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=24535551]'), work: {"id":24535551,"title":"Diagnostic and Therapeutic Challenges of Intrahepatic Biliary Cystadenoma and Cystadenocarcinoma: A Report of 10 Cases and Review of the Literature","created_at":"2016-04-18T14:56:44.329-07:00","owner_id":7980733,"url":"https://www.academia.edu/24535551/Diagnostic_and_Therapeutic_Challenges_of_Intrahepatic_Biliary_Cystadenoma_and_Cystadenocarcinoma_A_Report_of_10_Cases_and_Review_of_the_Literature","slug":"Diagnostic_and_Therapeutic_Challenges_of_Intrahepatic_Biliary_Cystadenoma_and_Cystadenocarcinoma_A_Report_of_10_Cases_and_Review_of_the_Literature","dom_id":"work_24535551","summary":"The objective of this study was to present our experience with intrahepatic biliary cystadenomas and cystadenocarcinomas in 10 patients surgically managed in our department. Intrahepatic biliary cystadenomas and cystadenocarcinomas are rare cystic tumors that are often misdiagnosed preoperatively as simple cysts or hydatid cysts. They recur after incomplete resection and entail a risk of malignant transformation to cystadenocarcinoma. A retrospective review was conducted of patients with histolog-ically confirmed intrahepatic biliary cystadenomas and cystadenocarcinomas between August 2004 and February 2013 who were surgically managed in our department. A total of 10 patients, 9 female and 1 male (mean age, 50 years), with cystic liver were reviewed. The size of the cysts ranged between 3.5 and 16 cm (mean, 10.6). Five patients had undergone previous interventions elsewhere and presented with recurrences. Liver resections included 6 hepatectomies, 2 bisegmentectomies, 1 extended right hepatec-tomy, and 1 enucleation due to the central position and the large size of the lesion. Pathology reports confirmed R0 resections in all cases. All patients were alive after a median follow-up of 6 years (range, 1–10 years), and no recurrence was detected. Intrahepatic biliary cystadenoma and cystadenocarcinoma should be considered in differential diagnosis in patients with liver cystic tumors. Because of the high recurrence rate and difficult accurate preoperative diagnosis, formal liver resection is","publication":null,"publication_with_fallback":null,"downloadable_attachments":[{"id":44866572,"asset_id":24535551,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/44866572/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/44866572/intsurg-d-15-00025.1-libre.pdf?1461016666=\u0026response-content-disposition=attachment%3B+filename%3DDiagnostic_and_Therapeutic_Challenges_of.pdf\u0026Expires=1740959362\u0026Signature=NTm5KVv8chGHmXRY3wj4XGAUaZ8EFl~jcZj-DsRohzQJyeifbPFvURBQTjp0gpm4lPVL7xlMbszCMIOFyoqM4u3CF8H1SUwvNIpSn061ngm8lUVFGuezxqOo0jB~0LckC6hgWhZzWat9zv8qVTnj7qi5ymo5oW6r9ZhLQKUbGNdSNQxRCSHr7KIz3Pu8vfsGhSe3u4hv3c24R4tnYN-HUCuk1wWvyanUAQ1kLUT1XFJtJ~QZicq07BcMPjfI83zXUP~AgpAuY08YM9NeF3yGMa1UzQEHiKTk2MLhLJh2TqEG1SE2lAGKZzC8gUquCBhSb~rHF-PInhacuF4j0vVTJA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/44866572/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/44866572/mini_magick20190213-13673-24qsa2.png?1550095830"}],"downloadable_attachments_with_full_thumbnails":[{"id":44866572,"asset_id":24535551,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/44866572/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/44866572/intsurg-d-15-00025.1-libre.pdf?1461016666=\u0026response-content-disposition=attachment%3B+filename%3DDiagnostic_and_Therapeutic_Challenges_of.pdf\u0026Expires=1740959362\u0026Signature=NTm5KVv8chGHmXRY3wj4XGAUaZ8EFl~jcZj-DsRohzQJyeifbPFvURBQTjp0gpm4lPVL7xlMbszCMIOFyoqM4u3CF8H1SUwvNIpSn061ngm8lUVFGuezxqOo0jB~0LckC6hgWhZzWat9zv8qVTnj7qi5ymo5oW6r9ZhLQKUbGNdSNQxRCSHr7KIz3Pu8vfsGhSe3u4hv3c24R4tnYN-HUCuk1wWvyanUAQ1kLUT1XFJtJ~QZicq07BcMPjfI83zXUP~AgpAuY08YM9NeF3yGMa1UzQEHiKTk2MLhLJh2TqEG1SE2lAGKZzC8gUquCBhSb~rHF-PInhacuF4j0vVTJA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/44866572/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/44866572/mini_magick20190213-13673-24qsa2.png?1550095830"}],"has_pdf":true,"has_fulltext":true,"page_count":8,"ordered_authors":[{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"},{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":250444,"name":"Hepatobiliary surgery \u0026 Liver transplantation","url":"https://www.academia.edu/Documents/in/Hepatobiliary_surgery_and_Liver_transplantation","nofollow":true}],"publication_year":null,"publication_year_with_fallback":null,"paper_rank":null,"all_time_views":19,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_24535573 coauthored" data-work_id="24535573" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/24535573/A_Tailored_Approach_to_the_Management_of_Perforations_Following_Endoscopic_Retrograde_Cholangiopancreatography_and_Sphincterotomy">A Tailored Approach to the Management of Perforations Following Endoscopic Retrograde Cholangiopancreatography and Sphincterotomy</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background The management of endoscopic retrograde cholangiopancreatography (ERCP)-related perforations remains controversial. Τhe aim of the study was to determine the incidence of perforations following ERCP, their characteristics,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_24535573" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background The management of endoscopic retrograde cholangiopancreatography (ERCP)-related perforations remains controversial. Τhe aim of the study was to determine the incidence of perforations following ERCP, their characteristics, operative and non-operative management options and clinical outcome. Methods A retrospective review of ERCP-related perforations, during a 21-year period, was performed. Each perforation was categorized into types I to IV according to the location, mechanism and radiographic evaluation of the injury. Comparisons were made between patients treated operatively and non-operatively. Results Forty-four perforations (0.4%) occurred in 9,880 procedures. They were mainly caused by the passage of the endoscope (type I) in 7 (16%) and sphincterotomy (type II) in 30 (68%) patients. The management was non-operative in 32 (72%) and operative in 12 patients. In multivariate analysis, only the type of perforation (type I: endoscope-related) was found significant for predicting operative treatment. The hospital stay was longer for patients requiring an operation (median, 24 vs 9 days). The overall mortality was 2/44 (4.5%). There was no death in the non-operative group. Conclusions The need for immediate operative intervention should be based on the type of injury and clinical findings. Patients with type I perforations should be treated surgically and primary repair should be tried. Patients with type II injuries may be treated initially non-operatively. Delayed operative intervention will be required in a minority of these patients.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/24535573" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="666ad0f7bdc7bdfa8e3d4fe4b1f41103" rel="nofollow" data-download="{"attachment_id":44866608,"asset_id":24535573,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44866608/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="39618213" href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a><script data-card-contents-for-user="39618213" type="text/json">{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-24535573">+1</span><div class="hidden js-additional-users-24535573"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-24535573'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-24535573').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_24535573 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="24535573"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 24535573, container: ".js-paper-rank-work_24535573", }); });</script></li><li class="js-percentile-work_24535573 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 24535573; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_24535573"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_24535573 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="24535573"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 24535573; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=24535573]").text(description); $(".js-view-count-work_24535573").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_24535573").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="24535573"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="343756" rel="nofollow" href="https://www.academia.edu/Documents/in/Gastrointestinal_Endoscopy">Gastrointestinal Endoscopy</a><script data-card-contents-for-ri="343756" type="text/json">{"id":343756,"name":"Gastrointestinal Endoscopy","url":"https://www.academia.edu/Documents/in/Gastrointestinal_Endoscopy","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=24535573]'), work: {"id":24535573,"title":"A Tailored Approach to the Management of Perforations Following Endoscopic Retrograde Cholangiopancreatography and Sphincterotomy","created_at":"2016-04-18T15:00:30.906-07:00","owner_id":7980733,"url":"https://www.academia.edu/24535573/A_Tailored_Approach_to_the_Management_of_Perforations_Following_Endoscopic_Retrograde_Cholangiopancreatography_and_Sphincterotomy","slug":"A_Tailored_Approach_to_the_Management_of_Perforations_Following_Endoscopic_Retrograde_Cholangiopancreatography_and_Sphincterotomy","dom_id":"work_24535573","summary":"Background The management of endoscopic retrograde cholangiopancreatography (ERCP)-related perforations remains controversial. Τhe aim of the study was to determine the incidence of perforations following ERCP, their characteristics, operative and non-operative management options and clinical outcome. Methods A retrospective review of ERCP-related perforations, during a 21-year period, was performed. Each perforation was categorized into types I to IV according to the location, mechanism and radiographic evaluation of the injury. Comparisons were made between patients treated operatively and non-operatively. Results Forty-four perforations (0.4%) occurred in 9,880 procedures. They were mainly caused by the passage of the endoscope (type I) in 7 (16%) and sphincterotomy (type II) in 30 (68%) patients. The management was non-operative in 32 (72%) and operative in 12 patients. In multivariate analysis, only the type of perforation (type I: endoscope-related) was found significant for predicting operative treatment. The hospital stay was longer for patients requiring an operation (median, 24 vs 9 days). The overall mortality was 2/44 (4.5%). There was no death in the non-operative group. Conclusions The need for immediate operative intervention should be based on the type of injury and clinical findings. Patients with type I perforations should be treated surgically and primary repair should be tried. Patients with type II injuries may be treated initially non-operatively. Delayed operative intervention will be required in a minority of these patients.","publication":null,"publication_with_fallback":"Journal of Gastrointestinal Surgery","downloadable_attachments":[{"id":44866608,"asset_id":24535573,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/44866608/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/44866608/A_Tailored_Approach-libre.pdf?1461017076=\u0026response-content-disposition=attachment%3B+filename%3DA_Tailored_Approach_to_the_Management_of.pdf\u0026Expires=1740959362\u0026Signature=dAEJmmjauRpnLQ9j~r1bCm8EJMRRa4Yw33Fb1OvPQxZ3~a3L9mfbHyp2rpR-GcGCO0kodw1FkHemCFKt0qFN6IAP44XXCCHCXvZLSei2XqET7Y-Y~ChT~AmIsp3zCWBwQNeKg9se4XN5mxzPzui8XyVT8MFfBRZW9-fA3D0BjyzCb-KHtc2l3cIeNNcsZvecD7xfaOE0JLtMppUC9lZRNYCIeS3eWLxq3eHUA-MN8hXK4ZICJHP66b8q10Vmf7oyKsSQu09pi7xZ6nqf1yZhLS2moTEXa2Mo1TL0LYB4gaOvlNzS4UCwY~SEztejb2L2REWq0WsPieyBXVgddaHNog__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/44866608/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/44866608/mini_magick20190213-13676-p92d43.png?1550095826"}],"downloadable_attachments_with_full_thumbnails":[{"id":44866608,"asset_id":24535573,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/44866608/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/44866608/A_Tailored_Approach-libre.pdf?1461017076=\u0026response-content-disposition=attachment%3B+filename%3DA_Tailored_Approach_to_the_Management_of.pdf\u0026Expires=1740959362\u0026Signature=dAEJmmjauRpnLQ9j~r1bCm8EJMRRa4Yw33Fb1OvPQxZ3~a3L9mfbHyp2rpR-GcGCO0kodw1FkHemCFKt0qFN6IAP44XXCCHCXvZLSei2XqET7Y-Y~ChT~AmIsp3zCWBwQNeKg9se4XN5mxzPzui8XyVT8MFfBRZW9-fA3D0BjyzCb-KHtc2l3cIeNNcsZvecD7xfaOE0JLtMppUC9lZRNYCIeS3eWLxq3eHUA-MN8hXK4ZICJHP66b8q10Vmf7oyKsSQu09pi7xZ6nqf1yZhLS2moTEXa2Mo1TL0LYB4gaOvlNzS4UCwY~SEztejb2L2REWq0WsPieyBXVgddaHNog__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/44866608/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/44866608/mini_magick20190213-13676-p92d43.png?1550095826"}],"has_pdf":true,"has_fulltext":true,"page_count":7,"ordered_authors":[{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"},{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":343756,"name":"Gastrointestinal Endoscopy","url":"https://www.academia.edu/Documents/in/Gastrointestinal_Endoscopy","nofollow":true}],"publication_year":null,"publication_year_with_fallback":2011,"paper_rank":null,"all_time_views":45,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25667326" data-work_id="25667326" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25667326/Laparoscopic_excision_of_rectosigmoid_endometriotic_plaque_and_cul_de_sac_obliteration_in_deeply_infiltrating_endometriosis_a_case_report">Laparoscopic excision of rectosigmoid endometriotic plaque and cul de sac obliteration in deeply infiltrating endometriosis: a case report</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Summary Endometriosis represents a main cause of infertility and pelvic pain affecting 3-43 % among reproductive age women. Deep pelvic endometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25667326" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Summary<br />Endometriosis represents a main cause of infertility and pelvic pain affecting 3-43 % among reproductive age women. Deep pelvic<br />endometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral ligaments, rectum, rectovaginal septum,<br />vagina or bladder. The authors present a case of a 29-year-old patient who underwent laparoscopic excision of extensive endometriotic<br />plaque in rectovaginal septum accompanied with deeply infiltrating endometriosis (DIE) and chronic pelvic pain (CPP).<br />Key words: Endometriosis; Rectovaginal septum; Laparoscopy.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25667326" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="9974a0bb08647f332a538677a5610c26" rel="nofollow" data-download="{"attachment_id":46005082,"asset_id":25667326,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46005082/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span></li><li class="js-paper-rank-work_25667326 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25667326"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25667326, container: ".js-paper-rank-work_25667326", }); });</script></li><li class="js-percentile-work_25667326 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 25667326; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_25667326"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25667326 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25667326"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25667326; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25667326]").text(description); $(".js-view-count-work_25667326").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25667326").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25667326"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="410785" rel="nofollow" href="https://www.academia.edu/Documents/in/Endometriosis">Endometriosis</a><script data-card-contents-for-ri="410785" type="text/json">{"id":410785,"name":"Endometriosis","url":"https://www.academia.edu/Documents/in/Endometriosis","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25667326]'), work: {"id":25667326,"title":"Laparoscopic excision of rectosigmoid endometriotic plaque and cul de sac obliteration in deeply infiltrating endometriosis: a case report","created_at":"2016-05-27T16:10:29.995-07:00","owner_id":7980733,"url":"https://www.academia.edu/25667326/Laparoscopic_excision_of_rectosigmoid_endometriotic_plaque_and_cul_de_sac_obliteration_in_deeply_infiltrating_endometriosis_a_case_report","slug":"Laparoscopic_excision_of_rectosigmoid_endometriotic_plaque_and_cul_de_sac_obliteration_in_deeply_infiltrating_endometriosis_a_case_report","dom_id":"work_25667326","summary":"Summary\nEndometriosis represents a main cause of infertility and pelvic pain affecting 3-43 % among reproductive age women. Deep pelvic\nendometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral ligaments, rectum, rectovaginal septum,\nvagina or bladder. The authors present a case of a 29-year-old patient who underwent laparoscopic excision of extensive endometriotic\nplaque in rectovaginal septum accompanied with deeply infiltrating endometriosis (DIE) and chronic pelvic pain (CPP).\nKey words: Endometriosis; Rectovaginal septum; Laparoscopy.","publication":null,"publication_with_fallback":"PubMed","downloadable_attachments":[{"id":46005082,"asset_id":25667326,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005082/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005082/2099_Laparoscopic_excision-libre.pdf?1464390802=\u0026response-content-disposition=attachment%3B+filename%3DLaparoscopic_excision_of_rectosigmoid_en.pdf\u0026Expires=1740778302\u0026Signature=K6CnoTvnrRaNaOq4VcmaPEX2f0xOWAsEJ1VmgMmgMoGK3xEwfoWPdPJlip9kXvVft5y4C3xj7hnqB58Z~p11~3dua6qT9dH5GQL~T0fQb~HCs~4q2okzZBHrYT~pz93X9LSB3tOKONMR2pdtBPFj5EKAc16ukpFmPxvAUhWN5VAcgKhqs1ndc6HGGKhuuXG9x6Np0mDqUcx~Vp9t1DyE5yKySpambROgSyjEUUNn10CqxAcK0leQVzGWA3HhdFFD0i3CZ4cj2pM0eUZ77LYiXv7bsmyo08E8m5dxkTqx7w4JMTIguoaWthzLjOckMS-x4XknpvLiNBMM~O6cG9zgSA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005082/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005082/mini_magick20190210-1169-jx5sri.png?1549849770"}],"downloadable_attachments_with_full_thumbnails":[{"id":46005082,"asset_id":25667326,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005082/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005082/2099_Laparoscopic_excision-libre.pdf?1464390802=\u0026response-content-disposition=attachment%3B+filename%3DLaparoscopic_excision_of_rectosigmoid_en.pdf\u0026Expires=1740778302\u0026Signature=K6CnoTvnrRaNaOq4VcmaPEX2f0xOWAsEJ1VmgMmgMoGK3xEwfoWPdPJlip9kXvVft5y4C3xj7hnqB58Z~p11~3dua6qT9dH5GQL~T0fQb~HCs~4q2okzZBHrYT~pz93X9LSB3tOKONMR2pdtBPFj5EKAc16ukpFmPxvAUhWN5VAcgKhqs1ndc6HGGKhuuXG9x6Np0mDqUcx~Vp9t1DyE5yKySpambROgSyjEUUNn10CqxAcK0leQVzGWA3HhdFFD0i3CZ4cj2pM0eUZ77LYiXv7bsmyo08E8m5dxkTqx7w4JMTIguoaWthzLjOckMS-x4XknpvLiNBMM~O6cG9zgSA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005082/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005082/mini_magick20190210-1169-jx5sri.png?1549849770"}],"has_pdf":true,"has_fulltext":true,"page_count":4,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":410785,"name":"Endometriosis","url":"https://www.academia.edu/Documents/in/Endometriosis","nofollow":true}],"publication_year":null,"publication_year_with_fallback":2016,"paper_rank":null,"all_time_views":69,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25667361" data-work_id="25667361" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25667361/Clinical_Spectrum_and_Management_of_Caustic_Ingestion_A_Case_Series_Presenting_Three_Opposing_Outcomes">Clinical Spectrum and Management of Caustic Ingestion: A Case Series Presenting Three Opposing Outcomes</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objective: Unusual clinical course Background: Ingestion of caustic substances is a medical emergency in both the adult and pediatric population and is associated with high morbidity and mortality. The extent of injuries after ingestion... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25667361" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objective: Unusual clinical course Background: Ingestion of caustic substances is a medical emergency in both the adult and pediatric population and is associated with high morbidity and mortality. The extent of injuries after ingestion of caustic substances depends on the nature, amount, and concentration of the agent and on the exposure time. Acutely, caustic substances may cause massive hemorrhage and gastrointestinal tract perforation; the most markedly affected cases require urgent surgical treatment. Patients surviving the initial event may present with aorto-enteric or gastro-colic fistulae, esophageal strictures, dysphagia, and increased risk of esophageal cancer as long term sequelae. Case Report: The features of three cases of caustic ingestion are reported to demonstrate significantly different complaints presented at the emergency department. Two patients had free gastric perforation, one at presentation, and one delayed. The third patient presented with late severe strictures of the esophagus and pylorus. The outcomes of the three patients are discussed in detail along with the most current management strategies. Conclusions: Among adults, ingestion of caustic substances is usually associated with more severe lesions due to the increased amount of ingested substance, as compared with pediatric patients. The most serious presentation is that of visceral perforation, most commonly of the stomach and rarely of the esophagus. Management involves urgent resuscitation with correction of fluid and electrolyte and acid-base abnormalities and immediate surgical exploration in those patients with signs of perforation. Once the perioperative period is managed successfully , the long-term results can be satisfactory. Managing of strictures or else reconstructive procedures must be well timed to allow for psychological and nutritional rehabilitation.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25667361" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b8c798b5abc3da3b0b70b676a6e13e40" rel="nofollow" data-download="{"attachment_id":46005117,"asset_id":25667361,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46005117/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span></li><li class="js-paper-rank-work_25667361 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25667361"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25667361, container: ".js-paper-rank-work_25667361", }); });</script></li><li class="js-percentile-work_25667361 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 25667361; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_25667361"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25667361 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25667361"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25667361; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25667361]").text(description); $(".js-view-count-work_25667361").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25667361").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25667361"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="6106" rel="nofollow" href="https://www.academia.edu/Documents/in/Trauma_Studies">Trauma Studies</a><script data-card-contents-for-ri="6106" type="text/json">{"id":6106,"name":"Trauma Studies","url":"https://www.academia.edu/Documents/in/Trauma_Studies","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25667361]'), work: {"id":25667361,"title":"Clinical Spectrum and Management of Caustic Ingestion: A Case Series Presenting Three Opposing Outcomes","created_at":"2016-05-27T16:15:21.950-07:00","owner_id":7980733,"url":"https://www.academia.edu/25667361/Clinical_Spectrum_and_Management_of_Caustic_Ingestion_A_Case_Series_Presenting_Three_Opposing_Outcomes","slug":"Clinical_Spectrum_and_Management_of_Caustic_Ingestion_A_Case_Series_Presenting_Three_Opposing_Outcomes","dom_id":"work_25667361","summary":"Objective: Unusual clinical course Background: Ingestion of caustic substances is a medical emergency in both the adult and pediatric population and is associated with high morbidity and mortality. The extent of injuries after ingestion of caustic substances depends on the nature, amount, and concentration of the agent and on the exposure time. Acutely, caustic substances may cause massive hemorrhage and gastrointestinal tract perforation; the most markedly affected cases require urgent surgical treatment. Patients surviving the initial event may present with aorto-enteric or gastro-colic fistulae, esophageal strictures, dysphagia, and increased risk of esophageal cancer as long term sequelae. Case Report: The features of three cases of caustic ingestion are reported to demonstrate significantly different complaints presented at the emergency department. Two patients had free gastric perforation, one at presentation, and one delayed. The third patient presented with late severe strictures of the esophagus and pylorus. The outcomes of the three patients are discussed in detail along with the most current management strategies. Conclusions: Among adults, ingestion of caustic substances is usually associated with more severe lesions due to the increased amount of ingested substance, as compared with pediatric patients. The most serious presentation is that of visceral perforation, most commonly of the stomach and rarely of the esophagus. Management involves urgent resuscitation with correction of fluid and electrolyte and acid-base abnormalities and immediate surgical exploration in those patients with signs of perforation. Once the perioperative period is managed successfully , the long-term results can be satisfactory. Managing of strictures or else reconstructive procedures must be well timed to allow for psychological and nutritional rehabilitation.","publication":null,"publication_with_fallback":"American Journal of Case Reports","downloadable_attachments":[{"id":46005117,"asset_id":25667361,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005117/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005117/897778-libre.pdf?1464390974=\u0026response-content-disposition=attachment%3B+filename%3DClinical_Spectrum_and_Management_of_Caus.pdf\u0026Expires=1740959362\u0026Signature=SgDVDmUu8PT8gSMZvJLeM5uCXSL2ApM5wla0LhAczOz8NUMjkkW1UgHA5JIKREL-7naNuPZ3jX71UnlGl90N0qk0YLKz8IdVDyOyBIgpGh4Lqx3fNfJe2xHV9Tp1-9mte0Z0vjE7bLcaSQs1Cd3wZivffw-inNC6uDtmicf0ZA8zBK7O7EF1WFjzY3MT-tdstedmyTQ7tJmG4f6~E1r5yIjBh6mNzp103aF2tmUcZjYlsCzsGZqHXrJ3Wa4Og6DMG6tjfw5Y76AbpmkSP-X4iGYCkwqgOs1VGyHfYDGRUaUQUZtmCkLWzEiGS3BkkQLJ7Q5HARPgRkrnQeOAX4taVg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005117/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005117/mini_magick20190210-1169-r5og9a.png?1549849765"}],"downloadable_attachments_with_full_thumbnails":[{"id":46005117,"asset_id":25667361,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005117/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005117/897778-libre.pdf?1464390974=\u0026response-content-disposition=attachment%3B+filename%3DClinical_Spectrum_and_Management_of_Caus.pdf\u0026Expires=1740959362\u0026Signature=SgDVDmUu8PT8gSMZvJLeM5uCXSL2ApM5wla0LhAczOz8NUMjkkW1UgHA5JIKREL-7naNuPZ3jX71UnlGl90N0qk0YLKz8IdVDyOyBIgpGh4Lqx3fNfJe2xHV9Tp1-9mte0Z0vjE7bLcaSQs1Cd3wZivffw-inNC6uDtmicf0ZA8zBK7O7EF1WFjzY3MT-tdstedmyTQ7tJmG4f6~E1r5yIjBh6mNzp103aF2tmUcZjYlsCzsGZqHXrJ3Wa4Og6DMG6tjfw5Y76AbpmkSP-X4iGYCkwqgOs1VGyHfYDGRUaUQUZtmCkLWzEiGS3BkkQLJ7Q5HARPgRkrnQeOAX4taVg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005117/download_file?st=MTc0MDk1NTc2Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005117/mini_magick20190210-1169-r5og9a.png?1549849765"}],"has_pdf":true,"has_fulltext":true,"page_count":7,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}],"research_interests":[{"id":6106,"name":"Trauma Studies","url":"https://www.academia.edu/Documents/in/Trauma_Studies","nofollow":true}],"publication_year":null,"publication_year_with_fallback":2016,"paper_rank":null,"all_time_views":42,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25667368 coauthored" data-work_id="25667368" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25667368/Effects_of_Lornoxicam_on_Anastomotic_Healing_A_Randomized_Blinded_Placebo_Control_Experimental_Study">Effects of Lornoxicam on Anastomotic Healing: A Randomized, Blinded, Placebo-Control Experimental Study</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Introduction and Aim. With the implementation of multimodal analgesia regimens, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) are often administered for optimal pain control and reduction of opioid use. The aim of the study was to examine... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25667368" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Introduction and Aim. With the implementation of multimodal analgesia regimens, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) are often administered for optimal pain control and reduction of opioid use. The aim of the study was to examine the effects of lornoxicam, a NSAID, on anastomotic healing employing an animal model. Materials and Methods. A total of 28 Wistar rats were randomly assigned in two groups. All animals underwent ascending colonic transection followed by an end-to-end hand sewn anastomosis. Group 1 received intraperitoneally lornoxicam before and daily after surgery. Group 2 received intraperitoneally an equal volume of placebo. Half of the animals in each group were euthanized on the 3rd pod and the remaining on the 7th pod. Macro-and microscopic indicators of anastomotic healing were compared using a two-tailed Fisher exact test. Results. The lornoxicam group significantly decreased fibroblast in growth and reepithelization of the mucosa at the anastomotic site on the 3rd pod and significantly increased occurrence of deep reaching defects, necrosis, and microabscess on the 7th pod. Conclusion. Lornoxicam administration during the perioperative period adversely affects histologic parameters of intestinal anastomotic healing. These effects of lornoxicam administration were not found to induce significant increase of anastomotic dehiscence in the rat model.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25667368" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0d7c36b25d490acc78a004c78ea0cefc" rel="nofollow" data-download="{"attachment_id":46005125,"asset_id":25667368,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46005125/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-25667368">+2</span><div class="hidden js-additional-users-25667368"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/ElissaiosKontis">Elissaios Kontis</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-25667368'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-25667368').html(); 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container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25667368 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25667368"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25667368; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25667368]").text(description); $(".js-view-count-work_25667368").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25667368").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25667368"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="30561" rel="nofollow" href="https://www.academia.edu/Documents/in/Experimental_Research">Experimental Research</a><script data-card-contents-for-ri="30561" type="text/json">{"id":30561,"name":"Experimental Research","url":"https://www.academia.edu/Documents/in/Experimental_Research","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25667368]'), work: {"id":25667368,"title":"Effects of Lornoxicam on Anastomotic Healing: A Randomized, Blinded, Placebo-Control Experimental Study","created_at":"2016-05-27T16:17:10.890-07:00","owner_id":7980733,"url":"https://www.academia.edu/25667368/Effects_of_Lornoxicam_on_Anastomotic_Healing_A_Randomized_Blinded_Placebo_Control_Experimental_Study","slug":"Effects_of_Lornoxicam_on_Anastomotic_Healing_A_Randomized_Blinded_Placebo_Control_Experimental_Study","dom_id":"work_25667368","summary":"Introduction and Aim. With the implementation of multimodal analgesia regimens, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) are often administered for optimal pain control and reduction of opioid use. The aim of the study was to examine the effects of lornoxicam, a NSAID, on anastomotic healing employing an animal model. Materials and Methods. A total of 28 Wistar rats were randomly assigned in two groups. All animals underwent ascending colonic transection followed by an end-to-end hand sewn anastomosis. Group 1 received intraperitoneally lornoxicam before and daily after surgery. Group 2 received intraperitoneally an equal volume of placebo. Half of the animals in each group were euthanized on the 3rd pod and the remaining on the 7th pod. Macro-and microscopic indicators of anastomotic healing were compared using a two-tailed Fisher exact test. Results. The lornoxicam group significantly decreased fibroblast in growth and reepithelization of the mucosa at the anastomotic site on the 3rd pod and significantly increased occurrence of deep reaching defects, necrosis, and microabscess on the 7th pod. Conclusion. Lornoxicam administration during the perioperative period adversely affects histologic parameters of intestinal anastomotic healing. These effects of lornoxicam administration were not found to induce significant increase of anastomotic dehiscence in the rat model.","publication":null,"publication_with_fallback":null,"downloadable_attachments":[{"id":46005125,"asset_id":25667368,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005125/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005125/4328089-4-libre.pdf?1464391152=\u0026response-content-disposition=attachment%3B+filename%3DEffects_of_Lornoxicam_on_Anastomotic_Hea.pdf\u0026Expires=1740959363\u0026Signature=EtHKT~tuEP0p4KoQ64ec7BRzQPQNpLIf7f6MtQ7w6TVZD~tVFqPzjltEqCX7FcTjavfZ2cWjfS4spDqDvBGz~rcOic3f-OynOOmp07~WwuQBfktqZTVJxBPQIjKUw2-Mf~QZfzyWXu86p4CN93nVpi~ZNIviRMsWxQm8CVLUZeJAAclhQ-IeD5lpE1SNtKBf9WvCpSyezbrdEp2iPN~~kPePBYGdjupHIVDyE70tLYwSMeu0IwlnZcZwurVxHmDwxEPDr5xtSDoRMNFEdAfaGAJEDR51Ah12VpmaJrRnELukAig9HI6psQdD9SDL-L~uyk7zxGndu93jsUJHgtPakg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005125/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005125/mini_magick20190210-1172-1qqisf7.png?1549849769"}],"downloadable_attachments_with_full_thumbnails":[{"id":46005125,"asset_id":25667368,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005125/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005125/4328089-4-libre.pdf?1464391152=\u0026response-content-disposition=attachment%3B+filename%3DEffects_of_Lornoxicam_on_Anastomotic_Hea.pdf\u0026Expires=1740959363\u0026Signature=EtHKT~tuEP0p4KoQ64ec7BRzQPQNpLIf7f6MtQ7w6TVZD~tVFqPzjltEqCX7FcTjavfZ2cWjfS4spDqDvBGz~rcOic3f-OynOOmp07~WwuQBfktqZTVJxBPQIjKUw2-Mf~QZfzyWXu86p4CN93nVpi~ZNIviRMsWxQm8CVLUZeJAAclhQ-IeD5lpE1SNtKBf9WvCpSyezbrdEp2iPN~~kPePBYGdjupHIVDyE70tLYwSMeu0IwlnZcZwurVxHmDwxEPDr5xtSDoRMNFEdAfaGAJEDR51Ah12VpmaJrRnELukAig9HI6psQdD9SDL-L~uyk7zxGndu93jsUJHgtPakg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005125/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005125/mini_magick20190210-1172-1qqisf7.png?1549849769"}],"has_pdf":true,"has_fulltext":true,"page_count":7,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"},{"id":39708480,"first_name":"Elissaios","last_name":"Kontis","domain_name":"independent","page_name":"ElissaiosKontis","display_name":"Elissaios Kontis","profile_url":"https://independent.academia.edu/ElissaiosKontis","photo":"/images/s65_no_pic.png"},{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":30561,"name":"Experimental Research","url":"https://www.academia.edu/Documents/in/Experimental_Research","nofollow":true}],"publication_year":null,"publication_year_with_fallback":null,"paper_rank":null,"all_time_views":30,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25667394 coauthored" data-work_id="25667394" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25667394/Non_functioning_pancreatic_endocrine_tumors_eleven_year_experience_in_a_single_institute">Non-functioning pancreatic endocrine tumors: eleven-year experience in a single institute</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose: Non-functioning pancreatic endocrine tumors (NF-PETs) comprise the majority of pancreatic endocrine tumors. We present our experience from the management of 18 patients with NF-PET. Methods: From May 2002 to June 2013, 18... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25667394" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose: Non-functioning pancreatic endocrine tumors (NF-PETs) comprise the majority of pancreatic endocrine tumors. We present our experience from the management of 18 patients with NF-PET. Methods: From May 2002 to June 2013, 18 patients were admitted in our hospital for the management of NF-PETs. We analyzed their clinical presentation, preoperative evaluation , surgical and postoperative management and the outcome. Results: The tumor was located in the pancreatic head in 13 (72%) patients and in the body and tail of the pancreas in the remaining 5 (28%). Four patients (22%) had stage IIIa, 7 (39%) stage IIIb and 7 (39%) stage IV. Twelve (67%) patients with pancreatic head tumor underwent pancre-atoduodenectomy (PD). In one case (5%), the tumor was deemed unresectable and the remaining 5 (28%) patients underwent distal pancreatectomy and splenectomy (DPSP). Four (22%) patients with unilobar metastatic liver disease underwent hemihepatectomy or segmentectomy. Periopera-tive mortality was 0%. Postoperatively, all stage IV patients received peptide receptor radionuclide treatment (PRRT). The 5-year overall survival rate was 61%, with a median survival of 71 months, whereas the 5-year overall survival rate after diagnosis of hepatic metastases was 45%. Conclusion: Surgical resection is the gold standard for the treatment of NF-PETs. A formal resection appears to be the standard procedure when malignancy is verified or suspected. Aggressive surgery should be undertaken in patients with locally advanced or metastatic NF-PETs, as it may prolong survival. In stage IV patients, intra-arterial PRRT, after super-selective catheterization of the hepatic artery, is a promising therapeutic modality.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25667394" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="bd0e1fceaa8541b437e816bcb564b1cc" rel="nofollow" data-download="{"attachment_id":46005132,"asset_id":25667394,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46005132/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7980733" href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a><script data-card-contents-for-user="7980733" type="text/json">{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-25667394">+1</span><div class="hidden js-additional-users-25667394"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-25667394'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-25667394').html(); 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container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25667394 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25667394"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25667394; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25667394]").text(description); $(".js-view-count-work_25667394").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25667394").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25667394"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="15052" rel="nofollow" href="https://www.academia.edu/Documents/in/Surgical_Oncology">Surgical Oncology</a><script data-card-contents-for-ri="15052" type="text/json">{"id":15052,"name":"Surgical Oncology","url":"https://www.academia.edu/Documents/in/Surgical_Oncology","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25667394]'), work: {"id":25667394,"title":"Non-functioning pancreatic endocrine tumors: eleven-year experience in a single institute","created_at":"2016-05-27T16:18:22.600-07:00","owner_id":7980733,"url":"https://www.academia.edu/25667394/Non_functioning_pancreatic_endocrine_tumors_eleven_year_experience_in_a_single_institute","slug":"Non_functioning_pancreatic_endocrine_tumors_eleven_year_experience_in_a_single_institute","dom_id":"work_25667394","summary":"Purpose: Non-functioning pancreatic endocrine tumors (NF-PETs) comprise the majority of pancreatic endocrine tumors. We present our experience from the management of 18 patients with NF-PET. Methods: From May 2002 to June 2013, 18 patients were admitted in our hospital for the management of NF-PETs. We analyzed their clinical presentation, preoperative evaluation , surgical and postoperative management and the outcome. Results: The tumor was located in the pancreatic head in 13 (72%) patients and in the body and tail of the pancreas in the remaining 5 (28%). Four patients (22%) had stage IIIa, 7 (39%) stage IIIb and 7 (39%) stage IV. Twelve (67%) patients with pancreatic head tumor underwent pancre-atoduodenectomy (PD). In one case (5%), the tumor was deemed unresectable and the remaining 5 (28%) patients underwent distal pancreatectomy and splenectomy (DPSP). Four (22%) patients with unilobar metastatic liver disease underwent hemihepatectomy or segmentectomy. Periopera-tive mortality was 0%. Postoperatively, all stage IV patients received peptide receptor radionuclide treatment (PRRT). The 5-year overall survival rate was 61%, with a median survival of 71 months, whereas the 5-year overall survival rate after diagnosis of hepatic metastases was 45%. Conclusion: Surgical resection is the gold standard for the treatment of NF-PETs. A formal resection appears to be the standard procedure when malignancy is verified or suspected. Aggressive surgery should be undertaken in patients with locally advanced or metastatic NF-PETs, as it may prolong survival. In stage IV patients, intra-arterial PRRT, after super-selective catheterization of the hepatic artery, is a promising therapeutic modality.","publication":null,"publication_with_fallback":"PubMed","downloadable_attachments":[{"id":46005132,"asset_id":25667394,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005132/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005132/jbuon-libre.pdf?1464391179=\u0026response-content-disposition=attachment%3B+filename%3DNon_functioning_pancreatic_endocrine_tum.pdf\u0026Expires=1740959363\u0026Signature=OV~eSiKBV1kLf~ICatzrTQJAf~flTGcvb0yP3bfulyKBe7qpSaL6nSwRrszM89XlvLxnjXh2Y4ZYX9EpzIWwkK3st5~rPUuWW1QZhVcfCQrgjEVKWKY1wub0YBCGU1Xp-CZIn6dUHJ1pqnOvEmvgIuBCJNLPFstkH4CKh0SU-LWDuvMYl0wech81akH78SWF53zhcW-~6slAzDcmyhw6Rw0ry2opPTsRnvyii7T9XfpkermlJyfRUNKfCAxm5UO8fc9dAxHacFDQ22ywQtbB9R1fLCfl2fxYWUsBrwoiONXgilwj~4-Yf-xVt3dHIdwg~MbUzqzQVuA8XVNsLA5zKg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005132/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005132/mini_magick20190210-25341-15toulg.png?1549849790"}],"downloadable_attachments_with_full_thumbnails":[{"id":46005132,"asset_id":25667394,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/46005132/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/46005132/jbuon-libre.pdf?1464391179=\u0026response-content-disposition=attachment%3B+filename%3DNon_functioning_pancreatic_endocrine_tum.pdf\u0026Expires=1740959363\u0026Signature=OV~eSiKBV1kLf~ICatzrTQJAf~flTGcvb0yP3bfulyKBe7qpSaL6nSwRrszM89XlvLxnjXh2Y4ZYX9EpzIWwkK3st5~rPUuWW1QZhVcfCQrgjEVKWKY1wub0YBCGU1Xp-CZIn6dUHJ1pqnOvEmvgIuBCJNLPFstkH4CKh0SU-LWDuvMYl0wech81akH78SWF53zhcW-~6slAzDcmyhw6Rw0ry2opPTsRnvyii7T9XfpkermlJyfRUNKfCAxm5UO8fc9dAxHacFDQ22ywQtbB9R1fLCfl2fxYWUsBrwoiONXgilwj~4-Yf-xVt3dHIdwg~MbUzqzQVuA8XVNsLA5zKg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/46005132/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/46005132/mini_magick20190210-25341-15toulg.png?1549849790"}],"has_pdf":true,"has_fulltext":true,"page_count":4,"ordered_authors":[{"id":7980733,"first_name":"Georgios","last_name":"Fragulidis","domain_name":"uoa","page_name":"GeorgiosPFragulidisMDPhD","display_name":"Georgios P Fragulidis","profile_url":"https://uoa.academia.edu/GeorgiosPFragulidisMDPhD","photo":"https://0.academia-photos.com/7980733/6087644/6903113/s65_georgios.fragulidis.jpg"},{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":15052,"name":"Surgical Oncology","url":"https://www.academia.edu/Documents/in/Surgical_Oncology","nofollow":true}],"publication_year":null,"publication_year_with_fallback":2014,"paper_rank":null,"all_time_views":21,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25667406 coauthored" data-work_id="25667406" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25667406/Eosinophilic_Cholangitis_A_Challenging_Diagnosis_of_Benign_Biliary_Stricture_A_Case_Report">Eosinophilic Cholangitis—A Challenging Diagnosis of Benign Biliary Stricture A Case Report</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">When confronting a biliary stricture, both benign and malignant etiologies must be carefully considered as a variety of benign biliary strictures can masquerade as hilar cholangiocarcinoma (CCA). Therefore, patients could undergo a major... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25667406" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">When confronting a biliary stricture, both benign and malignant etiologies must be carefully considered as a variety of benign biliary strictures can masquerade as hilar cholangiocarcinoma (CCA). Therefore, patients could undergo a major surgery despite the possibility of a benign biliary disease. Approximately 15% to 24% of patients undergoing surgical resection for suspected biliary malignancy will have benign pathology. Eosinophilic cholangitis (EC) is a rare benign disorder of the biliary tract, which can cause obstructive jaundice and can pose a difficult diagnostic task. We present a rare case of a young woman who was referred to our hospital with obstructive painless jaundice due to a biliary stricture at the confluence of the hepatic bile ducts, with a provisional diagnosis of cholangiocarcinoma. Though, during her work up she was found to have EC, an extremely rare benign cause of biliary stricture, which is characterized by a dense eosinophilic infiltration of the biliary tree causing stricturing, fibrosis, and obstruction and which is reversible with short-term high-dose steroids. Despite its rarity, EC should be taken into consideration when imaging modalities demonstrate a biliary stricture, especially if pre-operative diagnosis of malignancy cannot be made, in the setting of peripheral eosinophilia and the absence of cardinal symptoms of malignancy. (Medicine 95(1):e2394) Abbreviations: ALT = alanine transaminase, AMA = antimitochondrial antibody, ANA = antinuclear antibody, ASMA = antismooth muscle antibody, CA 19–9 = Carbohydrate Antigen 19–9, CCA = cholangiocarcinoma, CEA = carcinoembryonic antigen, CEUS = contrast enhanced ultrasound, EC = eosinophilic cholangitis, ERCP = endoscopic retrograde cholangiopancreatogtaphy, GGT = gamma-glutamyl transferase, HES = hypereosinophilic syndrome, HIV = human immunodeficiency virus, IHD = intrahepatic duct, MRCP = magnetic resonance cholangiopancreatography, WBC = white blood cell count.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25667406" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="38568cff8e133ddcaeb36daf4a9d651e" rel="nofollow" data-download="{"attachment_id":46005144,"asset_id":25667406,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46005144/download_file?st=MTc0MDk1NTc2Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="39618213" href="https://independent.academia.edu/APolydorou">Andreas Polydorou</a><script data-card-contents-for-user="39618213" type="text/json">{"id":39618213,"first_name":"Andreas","last_name":"Polydorou","domain_name":"independent","page_name":"APolydorou","display_name":"Andreas Polydorou","profile_url":"https://independent.academia.edu/APolydorou","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-25667406">+2</span><div class="hidden js-additional-users-25667406"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uoa.academia.edu/GeorgiosPFragulidisMDPhD">Georgios P Fragulidis</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/ElissaiosKontis">Elissaios Kontis</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-25667406'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-25667406').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_25667406 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25667406"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25667406, container: ".js-paper-rank-work_25667406", }); });</script></li><li class="js-percentile-work_25667406 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 25667406; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_25667406"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25667406 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25667406"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25667406; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25667406]").text(description); $(".js-view-count-work_25667406").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25667406").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25667406"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="740783" rel="nofollow" href="https://www.academia.edu/Documents/in/Hepatobiliary_and_Pancreatic_Surgery">Hepatobiliary and Pancreatic Surgery</a><script data-card-contents-for-ri="740783" type="text/json">{"id":740783,"name":"Hepatobiliary and Pancreatic Surgery","url":"https://www.academia.edu/Documents/in/Hepatobiliary_and_Pancreatic_Surgery","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25667406]'), work: {"id":25667406,"title":"Eosinophilic Cholangitis—A Challenging Diagnosis of Benign Biliary Stricture A Case Report","created_at":"2016-05-27T16:21:42.323-07:00","owner_id":7980733,"url":"https://www.academia.edu/25667406/Eosinophilic_Cholangitis_A_Challenging_Diagnosis_of_Benign_Biliary_Stricture_A_Case_Report","slug":"Eosinophilic_Cholangitis_A_Challenging_Diagnosis_of_Benign_Biliary_Stricture_A_Case_Report","dom_id":"work_25667406","summary":"When confronting a biliary stricture, both benign and malignant etiologies must be carefully considered as a variety of benign biliary strictures can masquerade as hilar cholangiocarcinoma (CCA). Therefore, patients could undergo a major surgery despite the possibility of a benign biliary disease. Approximately 15% to 24% of patients undergoing surgical resection for suspected biliary malignancy will have benign pathology. Eosinophilic cholangitis (EC) is a rare benign disorder of the biliary tract, which can cause obstructive jaundice and can pose a difficult diagnostic task. We present a rare case of a young woman who was referred to our hospital with obstructive painless jaundice due to a biliary stricture at the confluence of the hepatic bile ducts, with a provisional diagnosis of cholangiocarcinoma. Though, during her work up she was found to have EC, an extremely rare benign cause of biliary stricture, which is characterized by a dense eosinophilic infiltration of the biliary tree causing stricturing, fibrosis, and obstruction and which is reversible with short-term high-dose steroids. Despite its rarity, EC should be taken into consideration when imaging modalities demonstrate a biliary stricture, especially if pre-operative diagnosis of malignancy cannot be made, in the setting of peripheral eosinophilia and the absence of cardinal symptoms of malignancy. (Medicine 95(1):e2394) Abbreviations: ALT = alanine transaminase, AMA = antimitochondrial antibody, ANA = antinuclear antibody, ASMA = antismooth muscle antibody, CA 19–9 = Carbohydrate Antigen 19–9, CCA = cholangiocarcinoma, CEA = carcinoembryonic antigen, CEUS = contrast enhanced ultrasound, EC = eosinophilic cholangitis, ERCP = endoscopic retrograde cholangiopancreatogtaphy, GGT = gamma-glutamyl transferase, HES = hypereosinophilic syndrome, HIV = human immunodeficiency virus, IHD = intrahepatic duct, MRCP = magnetic resonance cholangiopancreatography, WBC = white blood cell 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