Needle Before Knife: An Alternate Management Plan for Symptomatic Pneumoperitoneum

1Farheen Raza, 1Khalid Shakeel Babar, 1Maria Rauf, 1Sadia Babar, 1Bilqees Yawar Faiz 1Shifa International Hospital, Islamabad, Pakistan   Case Report: Pneumoperitoneum refers to presence of free intraperitoneal air. There are many causes of pneumoperitoneum including spontaneous, iatrogenic and viscus perforation. For decades laparotomy has remained the standard surgical approach for management of pneumoperitoneum in symptomatic…

Biliary Ablation for Sectoral Duct Injury to Avoid Surgery

1Almamoon I. Justaniah, 2Sami Boshnaq 1King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia; 2Annor Specialist Hospital, Makkah, Saudi Arabia   Purpose: To present a case of sectoral duct injury post cholecystectomy managed by percutaneous drainage and chemical biliary ablation. Material(s) and Method(s): A 23-year-old female presented with bile leak secondary to sectoral duct…

Glue Embolization of Gastrobronchial Fistula Post Sleeve Gastrectomy

1Abdulmajeed Bin Dahmash, 1Shaima Ahmed Abdulrahman, 1Aljabriyah Alfutais, 1Omar Bashir, 1Mohammad Arabi, 1Mohammed Almoaiqel 1Vascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children’s Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia   Case Report: Staple line leak is reported in 1-5% post sleeve gastrectomy. Leak…

Percutaneous Transhepatic Laser Lithotripsy of Intrahepatic Biliary Stones

1Sherif Hegab, 1Khaled Elrefaey, 1Islam Korayem, 1Shady Hegab 1Alexandria University Hospitals, Alexandria, Egypt   Case Report: A 45 years old male patient presented with obstructive jaundice due to stricture at choledocho-jejunostomy anastomosis. He had past history of cholecystectomy with injury to the CBD followed by bilio-enteric anastomosis. MRCP revealed tight stricture at the surgical anastomosis…