Leaque Ahmed - CRSLS https://crsls.sls.org MIS Case Reports of the Journal of the Society of Laparoscopic & Robotic Surgeons Wed, 02 Jan 2019 18:29:43 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://crsls.sls.org/wp-content/uploads/2026/01/cropped-cropped-SLS_logo_HR-32x32.png Leaque Ahmed - CRSLS https://crsls.sls.org 32 32 Stump Appendicitis Status Post Laparoscopic Appendectomy https://crsls.sls.org/2018-00052/ Wed, 02 Jan 2019 18:29:43 +0000 https://crsls.sls.org/?p=1645 Khuram Khan, MD, Saqib Saeed, MD, Shantanu Razdan, MD, Farhana Iqbal, MD, Marina Landa, MD, Leaque Ahmed, MD, Paritosh Suman, MD Department of Surgery, Harlem Hospital Center, Columbia University, New York, New York, USA (Drs Khan, Saeed, Razdan, Ahmed, and Suman). Department of Pathology, Harlem Hospital Center, Columbia University, New York, New York, USA (Dr […]

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]]> Khuram Khan, MD, Saqib Saeed, MD, Shantanu Razdan, MD, Farhana Iqbal, MD, Marina Landa, MD, Leaque Ahmed, MD, Paritosh Suman, MD

Department of Surgery, Harlem Hospital Center, Columbia University, New York, New York, USA (Drs Khan, Saeed, Razdan, Ahmed, and Suman).
Department of Pathology, Harlem Hospital Center, Columbia University, New York, New York, USA (Dr Landa).
Department of Internal Medicine, Richmond University Medical Center, Staten Island, New York, USA (Dr Iqbal).

ABSTRACT

Introduction: Appendectomy is one of the most commonly performed surgical procedures in the world. Over time, complications associated with appendectomy have declined. Stump appendicitis is one of the rare delayed complications of appendectomy. It involves infection of the residual appendix tissue that can occur after a patient has undergone appendectomy in which the stump was left behind. Patients present with abdominal pain associated with nausea and vomiting. Computed tomography scanning of the abdomen is diagnostic.

Case Description: We report the case of a 21-year-old man with stump appendicitis status post laparoscopic appen- dectomy at another hospital, which was successfully treated with laparoscopic completion appendectomy.

Key Words: Stump appendicitis, Laparoscopic appendectomy, Residual appendix, Abdominal pain, Completion appendectomy.

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]]> Role of Laparoscopy for the Diagnosis and Treatment of Perforated Duodenal Ulcers After Gastric Bypass Surgery https://crsls.sls.org/2018-00022/ Fri, 07 Sep 2018 16:37:28 +0000 https://crsls.sls.org/?p=1597 Khuram Khan, MD, Saqib Saeed, MD, Amrita Persaud, MS, RD, Sanjiv Gray, MD, Leaque Ahmed, MD Department of Surgery, Harlem Hospital Center, Columbia University, New York, New York, USA (all authors). ABSTRACT Introduction: Gastric bypass is a commonly performed surgery for morbid obesity. Duodenal ulcer perforation after laparoscopic Roux-en-Y gastric bypass is a rare occurrence, […]

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]]> Khuram Khan, MD, Saqib Saeed, MD, Amrita Persaud, MS, RD, Sanjiv Gray, MD, Leaque Ahmed, MD

Department of Surgery, Harlem Hospital Center, Columbia University, New York, New York, USA (all authors).

ABSTRACT

Introduction: Gastric bypass is a commonly performed surgery for morbid obesity. Duodenal ulcer perforation after laparoscopic Roux-en-Y gastric bypass is a rare occurrence, with approximately 25 cases reported in the literature. The diagnosis of a perforated duodenal ulcer after gastric bypass can present a challenge. Most peptic ulcers after gastric bypass surgery occur in the Roux limb as marginal ulcers with the symptom of acute epigastric pain. Ulceration and then subsequent perforation in the secretory limb can also present with acute abdominal pain, with or without free air in the peritoneal cavity on imaging studies.

Case Description:We report 2 rare cases of laparoscopic repair of a perforated duodenal ulcer after gastric bypass surgery, treated laparoscopically with a Graham patch.

Conclusions: Diagnostic laparoscopy is recommended for post–Roux-en-Y gastric bypass patients presenting with acute abdominal symptoms, to rule out internal hernias and other rare life-threatening diseases, such as perforated duodenal ulcer. Surgeons should be aware of this entity and be certain to rule it out. If found during exploration, the duodenal ulcer can be repaired with a laparoscopic Graham patch.

Key Words: Abdominal pain, Graham patch repair, Laparoscopic gastric bypass, Perforated duodenal ulcer.

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