Publications by authors named "Jeffrey Robles"
Although rare, local anesthetic use has been associated with adverse central nervous system and cardiovascular adverse events. One complication is local anesthetic systemic toxicity (LAST), wherein the anesthetic agent inadvertently enters systemic circulation resulting in widespread inhibition of fast-gated sodium channels. Organs dependent on aerobic metabolism, such as the heart and brain, are especially susceptible to toxic injury resulting in cardiovascular collapse.
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- Median arcuate ligament syndrome (MALS) is a rare condition caused by the median arcuate ligament compressing the celiac trunk, which may result from improper development during embryonic growth.
- Though typically characterized by post-meal pain, weight loss, and an epigastric bruit, these symptoms can vary and often include vague issues like nausea and diarrhea.
- MALS is often discovered incidentally during abdominal imaging to investigate these nonspecific symptoms, as illustrated by a case involving a patient with a unique celiac trunk anatomy.
Article Synopsis
- Meckel's diverticulum, a developmental remnant from embryology, rarely presents with carcinoid tumors, and cases of both occurring together post-colectomy are uncommon.
- A 74-year-old male with a history of hypertension and diverticulitis experienced abdominal pain after undergoing a laparoscopic sigmoid colectomy due to cancerous changes in a polyp.
- Subsequent imaging revealed a perforated Meckel's diverticulum containing a carcinoid tumor, illustrating the complexities of postoperative complications and the need for careful monitoring of abdominal symptoms.