Hepatic Glucagonoma in a Post-bariatric Female Patient: A Case Report.

Glucagonomas, neuroendocrine tumors originating from the pancreas marked by excessive glucagon secretion, present a diagnostic challenge due to their rarity and diverse symptomatology. In this report, we present a 47-year-old female with a history of bariatric surgery, diabetes mellitus, and deep vein thrombosis who exhibited weight loss, anemia, migratory necrolytic erythema on the lower limbs and groin, and fecal incontinence. Imaging revealed liver secondary lesions without an identifiable primary tumor. After undergoing surgery, a pathologic examination of the excised tissue confirmed that the lesions were a glucagonoma. This case underscores the imperative of how common side effects of bariatric surgery could mask symptoms, delaying the diagnosis of glucagonomas.

Marjolin's Ulcer After Saphenectomy: A Case Report.

Chronically injured areas have the possibility of transforming into malignant tissue, with squamous cell carcinoma being the most common type. This rare entity is known as Marjolin's ulcer. Most of these ulcers derive from chronic burn wounds. This case report exhibits a rare Marjolin's ulcer that developed on a 50-year-old male with a previous saphenectomy on his left leg. The patient was brought to the operating room (OR), for excision of the ulcer with a rotation flap to correct the defect. There is still no definite treatment protocol for Marjolin's ulcer. In the present article, the most common treatments are discussed. The main takeaway of this case is the prevention of Marjolin's ulcer by timely treating ulcerative lesions.

Bile Leak Due to Luschka Duct Injury After Laparoscopic Cholecystectomy: A Case Report.

Bile leak is a common complication after laparoscopic cholecystectomy. Anatomical variations in the biliary tree can go unnoticed by the surgical team and cause complications such as this. This case report presents a patient admitted to the emergency department a week after a laparoscopic cholecystectomy due to abdominal pain and nausea. After a computed tomography, the patient was brought to the operating room for an exploratory laparoscopy, where an injured Luschka duct was found. The biliary tree has many variations that the surgeon should be aware of to minimize the risk of complications of this nature after laparoscopic cholecystectomy. There are imagining techniques with various grades of effectiveness, but in the end, the surgeon's expertise and experience are the main factors in avoiding these complications.