Gastrointestinal histoplasmosis mimicking peritonitis carcinomatosis: a rare case of an emergent surgical presentation of HIV de novo

AbstractGastrointestinal perforation due to infection, including disseminated histoplasmosis, is a rare cause of the surgical acute abdomen, especially in an apparently healthy patient. We describe a rare case of gastrointestinal histoplasmosis-induced small intestine perforation as the first manifestation of acquired immune deficiency syndrome in a healthy patient. Remarkably, the disease mimicked peritonitis carcinomatosis during explorative laparoscopy.

Journal of Surgical Case Reports - current issue

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Safety and Feasibility of Per-Oral Pyloromyotomy as Augmentative Therapy After Prior Gastric Electrical Stimulation for Gastroparesis

Publication date: Available online 11 October 2019Source: Journal of the American College of SurgeonsAuthor(s): Andrew T. Strong, John Rodriguez, Matthew Kroh, Jeffrey Ponsky, Michael Cline, Kevin El-HayekAbstractIntroductionFor medically refractory diabetic or idiopathic gastroparesis, gastric electrical stimulation (GES) is an excellent option for symptom control; however, a small subset of patients may develop recurrent or persistent symptoms. Per-oral pyloromyotomy (POP) (also described by some...

Journal of the American College of Surgeons

Fri Oct 11, 2019 14:47

Great Expectations? Future Competency Requirements Among Candidates Entering Surgery Training

Publication date: Available online 9 October 2019Source: Journal of Surgical EducationAuthor(s): Aimee K. Gardner, Katelyn J. Cavanaugh, Ross E. Willis, Daniel Dent, Henry Reinhart, Mark Williams, Michael S. Truitt, Bradford G. Scott, Brian J. DunkinINTRODUCTIONWe describe a multimethod, multi-institutional approach documenting future competencies required for entry into surgery training.METHODSFive residency programs involved in a statewide collaborative each provided 12 to 15 subject matter experts...

Journal of Surgical Education

Fri Oct 11, 2019 14:45

Surgery Program Director Turnover Correlates With Residency Graduate Failure on American Board of Surgery Examinations in Civilian Residency Programs

Publication date: Available online 9 October 2019Source: Journal of Surgical EducationAuthor(s): Davis H. Payne, Daniel L. Dent, Mohammed J. Al Fayyadh, Jason W. Kempenich, Ross E. Willis, Ronald M. Stewart, John R. Potts IIIPurposeThe Review Committee for Surgery requires a minimum program director (PD) tenure of 6 years. The impact of PD turnover on the performance of program graduates is unknown. We hypothesize that (1) the majority of PDs step down before 6-year tenure and (2) higher PD turnover...

Journal of Surgical Education

Fri Oct 11, 2019 14:45