Dilemmas in Abdominal Surgery : A Case-Based Approach book cover
1st Edition

Dilemmas in Abdominal Surgery
A Case-Based Approach

ISBN 9780367187699
Published November 13, 2020 by CRC Press
298 Pages 69 Color & 43 B/W Illustrations

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Book Description

This book covers the management of surgical diseases "through the eyes" of a clinician by providing an evidence-based approach to specific clinical dilemmas. The chapters take the reader through a step-by-step "decision-making" approach to commonly encountered, but difficult to manage, situations where the editors share their rationale behind the process. Emphasis is placed on the use of tables and algorithms to simplify understanding. They aim to empower the readers with the ability to manage complex abdominal surgery scenarios in a streamlined manner, thus improving the care and outcome of patients.

Key Features

  • Targets specific, difficult to manage scenarios
  • Provides expert opinion/advice on how to tackle tricky situations
  • Covers both benign and malignant cases
  • Examines surgical dilemmas through illustrations

Table of Contents

Table of Contents


Chapter 1 Acute presentation - Boerhaave's Syndrome

Jon Shenfine

Chapter 2 Endoscopic Biopsy demonstrating High grade Dysplasia in Barrett's Oesophagus

David I. Watson

Chapter 3 Dysphagia 6 weeks following accidental corrosive ingestion

Vikram Kate, R. Kalayarasan, N. Ananathakrishnan

Chapter 4 Symptomatic Giant Hiatus Hernia with Intrathoracic Stomach

Tim Bright

Chapter 5 Non-metastatic esophageal cancer with enlarged carinal lymph nodes with previous sleeve gastrectomy

Apurva Ashok, Devayani Niyogi, Virendra Kumar Tiwari, Sabita Jiwnani, George Karimundackal, C S Pramesh

Chapter 6 Post Esophagectomy Mediastinal Leak

Devayani Niyogi, Virendra Kumar Tiwari, Apurva Ashok, Sabita Jiwnani, George Karimundackal, C S Pramesh

Chapter 7 Post Esophagectomy (for esophageal cancer) Neck leak

W.K. Ooi, S.M. Lagarde, B.P.L. Wijnhoven


Chapter 8 Obese patient (BMI 32) with reflux disease and diabetes mellitus

Jacob Chisholm & Lilian Kow

Chapter 9 Locally advanced Resectable Gastric cancer

Savio G. Barreto & Shailesh V. Shrikhande


Chapter 10 Locally advanced Unresectable Gastric cancer

Manish S Bhandare, Vikram A Chaudhari, Shailesh V Shrikhande


Chapter 11 Post Total Gastrectomy complications – Duodenal stump leak

Kailash Kurdia & Rajneesh Kumar Singh

Chapter 12 Post Total Gastrectomy complications – Esophago-jejunal anastomosis leak

Kailash Kurdia & Rajneesh Kumar Singh

Chapter 13 Metastatic Gastric GIST - with bleeding

Inian Samarasam & Senthilnathan K.


Chapter 14 2cm D1-2 anterior perforation presenting 24 hours later

Peush Sahni & Rajesh Panwar

Chapter 15 Biliary Leak after Pancreatoduodenectomy for duodenal

neuroendocrine tumours

Gayatri Balachandran and Sadiq S. Sikora

Chapter 16 Duodenal neuroendocrine tumors: a discrete 1 cm lesion on D2 - antipancreatic surface v/s pancreatic surface

Valentina Andreasi, Stefano Partelli, Francesca Muffatti, Massimo Falconi


Small and large Intestine

Chapter 17 Crohn’s Disease: Multiple diffuse strictures with 3 episodes of subacute intestinal obstruction in 1 year on Monoclonal Antibodies

Lohith Umapathi, Divya Manikandan, Govind Nandakumar

Chapter 18 An acute embolic event affecting the Superior Mesenteric Artery

Edward Travers, Alain Nguyen, Savio George Barreto

Chapter 19 Post-colonic anastomotic leak

Anu Behari

Chapter 20 Toxic Megacolon in Crohn’s colitis

Dayan De Fontgalland

Chapter 21 Colonic Perforation: Pelvic collection with air in a 40-year old haemodynamically stable patient

Varughese Mathai

Chapter 22 Non-obstructing small bowel neuroendocrine tumor with liver metastasis

Mufaddal Kazi, Manish S Bhandare, Vikram A Chaudhari, Shailesh V Shrikhande


Chapter 23 Trans-sphincteric fistula in ano with external opening 3cm from anal verge

Parvez Sheikh & Atef Baakza

Chapter 24 FAP: 19-year old patient with severe rectal involvement

Paul Kolarsick & Steven Wexner

Chapter 25 Management of Rectal Cancer in a young woman

Dayan De Fontgalland

Gallbladder and Biliary Tree

Chapter 26 Acute Cholecystitis – 4 days duration with a palpable lump

Takanori Morikawa & Michiaki Unno

Chapter 27 Intra-operative cholangiogram shows < 1cm stone at the lower end

Michael Cox

Chapter 28 7mm Incidentally detected Gallbladder Polyp

Nisar Hamdani & V. K. Kapoor

Chapter 29 Gallbladder Cancer with obstructive jaundice and periportal lymph node

Arindam Mondal, Vikram A Chaudhari, Manish Bhandare, Shailesh V. Shrikhande

Chapter 30 Mid common bile duct cholangiocarcinoma involving the portal vein and right branch of hepatic artery

Charles Kimbrough & Timothy Pawlik


Chapter 31 Hydatid cyst of the liver

Rajeev Joshi, Murtaza Dadla, Sandeep Sangale

Chapter 32 Pyogenic Liver abscess

Rajeev Joshi, Murtaza Dadla, Sandeep Sangale

Chapter 33 Hepatocellular Carcinoma: 10 cm lesion in a Child-Pugh A Cirrhotic Patient

Masakazu Yamamoto, Shun-ichi Ariizumi

Chapter 34 Metastatic Colorectal Cancer: 3 Discrete 2cm lesions in the right lobe with a 1cm central lesion in the segment 2/3

Ganesh Nagarajan & Kaushal Kundalia

Chapter 35 Metastatic colorectal cancer bilobar metastatic disease that has completely disappeared following systemic chemotherapy

Yuki Kitano & Rene Adam


Chapter 36 Pyrexia 2 weeks after an attack of alcohol-induced acute pancreatitis

John A. Windsor

Chapter 37 10-Year History of Chronic Pancreatitis Presents with Pancreatic Head Mass

Courtney E. Barrows & Tara S. Kent

Chapter 38 Chronic Pancreatitis - Small duct disease with uncontrolled pain

Michael F. Nentwich, Jakob R. Izbicki

Chapter 39 Multifocal branch duct IPMN with 3cm lesion in head of pancreas in a 55-year-old lady

Atsushi Oba, Robert J. Torphy, Richard D. Schulick, Marco Del Chiaro

Chapter 40 Resectable pancreatic cancer post Roux-en-Y gastric bypass for obesity

Sarah Bormann & Savio George Barreto

Chapter 41 Managing a Grade C Pancreatic Fistula After Pancreatoduodenectomy

Maxwell T. Trudeau & Charles M. Vollmer

Chapter 42 Acute necrotizing pancreatitis post Pancreatoduodenectomy

Ibrahim Büdeyri, Onur Bayram, Christoph W. Michalski, Jörg Kleeff


Chapter 43 Grade 3 isolated splenic laceration with haemodynamic instability

Maria Grazia Sibilla, Sofia Battisti, Federico Coccolini

Inferior Vena Cava (IVC)

Chapter 44 Malignant IVC Leiomyosarcoma: approach to a 37-year old patient in whom the tumour involves the right renal vein

Richard Smith

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Savio George Barreto, MBBS, MS, FRACS, PhD, Division of Surgery and Perioperative Medicine, Flinders Medical Centre and SA Portfolio Advisor, Advanced Studies and Senior Lecturer, College of Medicine and Public Health, Flinders University, Adelaide, Australia

Shailesh V. Shrikhande, MBBS, MS, MD, Deputy Director, Gastrointestinal and Hepato-Pancreato-Biliary Surgical Services, Department of Surgical Oncology, Tata Memorial Center, Mumbai, India


This case-based book discusses a variety of clinical situations that general surgeons may encounter, and reviews a diverse variety of pathologies encountered in the abdomem. The chapters are all well done and do an excellent job of approaching each case with a succinct yet comprehensive review of the subject matter. Each chapter is clearly written and concise in its message. The pictures and diagrams are very well reproduced and clearly add to the overall message. This book is clearly written for senior surgical residents or practicing general surgeons. The topics that are discussed are well reviewed, providing the readers with expert opinion as well as pertinent, up-to-date literature. For a newly minted general surgeon or senior resident, this will be a good resource.

Peter Nau, MD, MS, FACS(University of Iowa Hospitals and Clinics)