1st Edition

Dilemmas in Abdominal Surgery A Case-Based Approach

    298 Pages 69 Color & 43 B/W Illustrations
    by CRC Press

    298 Pages 69 Color & 43 B/W Illustrations
    by CRC Press

    298 Pages 69 Color & 43 B/W Illustrations
    by CRC Press

    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


    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


    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)