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Inferior vena cava leiomyosarcoma in an octogenerian

Madhavan S, Junnarkar , Koh NW, Shelat VG

Inferior Vena Cava (IVC) leiomyosarcoma (LM) is a rare malignancy of mesenchymal origin with an incidence of 1/100,000. We present an 82-year-old lady with a past history of open cholecystectomy...
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Ectopic retained gallstone causing an abdominal wall abscess

D'cruz RT, Shelat VG

A 67-year-old lady was managed with percutaneous cholecystostomy for severe acute cholecystitis with septic shock. An interval laparoscopic subtotal cholecystectomy was done at 8 weeks. Her post-operative phase was complicated...
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Laparoscopic splenectomy for splenic rupture secondary to metastatic choriocarcinoma

Aloysius T, Shelat VG

Gestational choriocarcinoma is a rare and aggressive type of gestational trophoblastic neoplasia, which is characterized by early vascular invasion and widespread metastases. Choriocarcinoma metastasizes hematogenously, and bleeding from metastases is...
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Follicular dendritic cell sarcoma: Rare presentation of incidental large hepatic mass

Ang WW, Bundele MM, Shelat VG

Follicular dendritic cell sarcoma (FDCS) is a rare tumor, and it is even rarer for FDCS, to affect liver. FDCS is recognized as a distinct entity by the World Health...
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Acute haemoperitoneum due to small bowel metastases from hepatocellular carcinoma in a long term survivor following previous rupture

Shelat VG, Giron DM, Oo AM

We report a 75-year old patient, presenting with acute abdomen and hemorrhagic shock. He provided history of right hemihepatectomy performed 5 years ago, for ruptured hepatocellular carcinoma on a background...
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Gas-forming pyogenic liver abscess: A world review

Thng CB, Tan YP, Shelat VG

BACKGROUNDS/AIMS: Gas-forming pyogenic liver abscess (GFPLA) has an incidence of up to 30% of all pyogenic liver abscesses (PLA). GFPLA has higher mortality compared to non-GFPLA. Mere presence of gas...
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Are traditional scoring systems for severity stratification of acute pancreatitis sufficient?

Kiat TT, Gunasekaran SK, Junnarkar , Low JK, Woon W, Shelat VG

BACKGROUNDS/AIMS: Ranson's score (RS) and Glasgow score (GS) have been utilized to stratify the severity of acute pancreatitis (AP). The aim of this study was to validate RS and GS...
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Percutaneous transhepatic biliary drainage catheter fracture: A case report

Kwan JR, Low KS, Lohan R, Shelat VG

Percutaneous transhepatic biliary drainage (PTBD) is safe treatment for biliary decompression given certain indications. However, this is temporary until definitive drainage is established. We report on a 76-year-old lady with...
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Outcomes of an outpatient home-based prehabilitation program before pancreaticoduodenectomy: A retrospective cohort study

Chan KS, Junnarkar SP, Wang B, Tan YP, Low JK, Huey CWT, Shelat VG

Backgrounds/Aims: Prehabilitation aims for preoperative optimisation to reduce postoperative complications. However, there is a paucity of data on its use in patients undergoing pancreaticoduodenectomy (PD). Thus, this study aims to...
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Patient reported outcomes in elective laparoscopic cholecystectomy

Mak MH, Chew WL, Junnarkar , Woon WW, Low JK, Huey TC, Shelat VG

BACKGROUNDS/AIMS: Traditional outcome measures (e.g., length of hospital stay, morbidity, and mortality) are used to determine the quality of care, but these may not be most important to patients. It...
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Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score

Yu H, Chan EE, Lingam P, Lee J, Woon WW, Low JK, Shelat VG

BACKGROUNDS/AIMS: Previous studies have evaluated quality of life (QoL) in patients who underwent laparoscopic cholecystectomy (LC) for cholelithiasis. The purpose of this study was to evaluate QoL after index admission...
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