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In conclusion, it is important to appreciate the anatomic and physiologic adaptations in pregnancy in order to accurately diagnose and treat cardiopulmonary disease states in the gravid woman. Without knowing what constitutes normalcy in pregnancy, inappropriate diagnosis and interventions may occur. Furthermore, this knowledge is fundamental for… (More)
OBJECTIVE To determine which mammographically guided breast biopsy technique is the most efficient in making a diagnosis in women with suspicious mammograms. SUMMARY BACKGROUND DATA Mammographically guided biopsy techniques include stereotactic 14-gauge core-needle biopsy (SC bx), stereotactic 11-gauge suction-assisted core biopsy (Mammotome [Mbx]),… (More)
BACKGROUND Lymphoepithelial cysts of the pancreas constitute a rare clinicopathologic entity. CASE REPORT We report a case of lymphoepithelial cyst of the pancreas and review the world literature. RESULTS Lymphoepithelial cysts are true pancreatic cysts lined by squamous epithelium and surrounded by mature lymphoid tissue. The cyst arises typically in… (More)
Introduction: Laparoscopic suturing is a tedious procedure which has a long learning curve. Hence, we sought to develop an alternative simple and reliable technique for laparoscopic tissue approximation to enhance laparoscopic reconstructive procedures. In this video, we present our method for using newly developed, nonperforating titanium clips (U.S.… (More)
A woman with rheumatoid arthritis presented with an abdominal mass and Clostridium perfringens septic arthritis in both wrists and shoulders. We believed this to be the first reported case of polyarticular septic arthritis due to Clostridium perfringens. Apatite, lipid, and cholesterol crystals in the shoulder joint effusions were a potential source of… (More)
A patient with previous appendectomy and diagnostic laparoscopy underwent elective laparoscopic cholecystectomy. At the conclusion of the procedure, a small bowel trocar injury was identified. Resection and anastomosis were performed extracorporally via the umbilical incision. The patient was discharged on the third postoperative day.