# Abdominal Pain — GCMD Library living collection

Everything in the library about abdominal pain — built automatically from dossiers that name it.

Updated: n/a · 5 episodes · 75 cited statements

## Episodes
### Diagnosis & Workup
- [Is It Endometriosis?](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431) — video · 4:58 · [machine version](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431.md)

### Surgical Management
- [Laparoscopic Partial Splenectomy for Splenic Cyst](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255) — video · 6:25 · [machine version](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255.md)

### Case-Based Learning
- [Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435) — video · 3:57 · [machine version](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435.md)
- [Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649) — video · 4:06 · [machine version](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649.md)
- [Laparoscopic Excision of an Abdominal Lymphatic Malformation](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247) — video · 4:56 · [machine version](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247.md)

## Chapters
- [0:00](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=0) Case presentation: appendiceal abscess with catheter complication (Ep 1)
- [2:14](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=134) Faculty discussion: drainage indications and complication management (Ep 1)
- [0:00](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=0) Case presentation: appendiceal abscess with catheter complication (Ep 2)
- [2:18](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=138) Faculty discussion of drainage approach and complication management (Ep 2)
- [0:01](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=1) Introduction: Endometriosis in Adolescents and Diagnostic Delay (Ep 3)
- [1:30](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=90) Systematic Laparoscopic Evaluation: Anterior Structures and Upper Abdomen (Ep 3)
- [3:00](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=180) Evaluation of Pelvic Structures and Posterior Compartment (Ep 3)
- [4:20](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=260) Clinical Tips and Systematic Approach (Ep 3)
- [0:06](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=6) Introduction and Clinical Presentation (Ep 4)
- [1:00](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=60) Initial Laparoscopic Exploration and Diagnostic Revision (Ep 4)
- [2:30](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=150) Identification of Gastric Origin and Dissection (Ep 4)
- [4:00](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=240) Excision Completion and Outcome (Ep 4)
- [0:03](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=3) Case presentation and port placement (Ep 5)
- [2:00](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=120) Initial dissection and devascularization (Ep 5)
- [4:00](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=240) Splenic transection and specimen removal (Ep 5)
- [5:20](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=320) Hemostasis and closure (Ep 5)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis (clinical) [Ep 1 · 0:00](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=0)
- CT showed a large collection at right iliac fossa (clinical) [Ep 1 · 0:30](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=30)
- Percutaneous drainage was performed by interventional radiology with catheter placement (clinical) [Ep 1 · 0:50](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=50)
- The patient exhibited bleeding through the catheter the next day (clinical) [Ep 1 · 1:05](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=65)
- Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was in the cecum (clinical) [Ep 1 · 1:15](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=75)
- The catheter was removed and the patient was managed with active observation and antibiotic treatment for 10 days (clinical) [Ep 1 · 1:35](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=95)
- Ultrasound one week later showed the abscess had resolved (clinical) [Ep 1 · 1:50](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=110)
- At 8 weeks follow-up, the patient was well and ultrasound was normal (clinical) [Ep 1 · 1:58](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=118)
- Interval appendectomy was not performed because the patient did not have appendicitis (clinical) [Ep 1 · 2:05](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=125)
- The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis — Figueroa (clinical) [Ep 2 · 0:00](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=0)
- On arrival to emergency room, the patient had an abdominal mass and CT showed a large collection at right iliac fossa — Figueroa (clinical) [Ep 2 · 0:30](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=30)
- Percutaneous drainage was performed by interventional radiology with catheter placement — Figueroa (clinical) [Ep 2 · 0:50](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=50)
- The next day after drainage, the patient exhibited bleeding through the catheter — Figueroa (clinical) [Ep 2 · 1:00](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=60)
- Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was positioned in the cecum — Figueroa (clinical) [Ep 2 · 1:10](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=70)
- After catheter removal, the team continued active observation and antibiotic treatment for 10 days — Figueroa (clinical) [Ep 2 · 1:25](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=85)
- One week later, ultrasound showed the abscess had resolved — Figueroa (clinical) [Ep 2 · 1:40](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=100)
- At 8 weeks follow-up, the patient was well and ultrasound was normal — Figueroa (clinical) [Ep 2 · 1:48](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=108)
- Because the patient did not have appendicitis, interval appendectomy was not considered — Figueroa (clinical) [Ep 2 · 1:58](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=118)
- Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern (clinical) [Ep 2 · 3:40](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=220)
- Endometriosis is a common cause of abdominal pain in young adults. (clinical) [Ep 3 · 0:01](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=1)
- The overall incidence of endometriosis in adolescent females appears to be low based on diagnosis by pediatric surgeons. (epidemiological) [Ep 3 · 0:20](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=20)
- Pediatric surgeons are often the surgical gynecologists for many patients and frequently perform diagnostic laparoscopies for abdominal pain. (clinical) [Ep 3 · 0:40](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=40)
- Young patients who present to gynecology with chronic abdominal pain often saw 3 physicians prior to laparoscopy for confirmation of endometriosis, leading to a 23 month delay in treatment. (epidemiological) [Ep 3 · 1:00](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=60)
- In adolescence, endometriosis is more likely to appear as red and clear lesions. (clinical) [Ep 3 · 1:30](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=90)
- Evaluation should begin in the anterior cul-de-sac, the area above the bladder and anterior to the uterus. (guideline) [Ep 3 · 1:45](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=105)
- Red lesions with adhesions, dark lesions, red lesions, and white lesions along the bladder flap can be seen in the anterior cul-de-sac. (clinical) [Ep 3 · 2:00](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=120)
- Bilateral round ligaments should be evaluated as they insert into the inguinal canal. (guideline) [Ep 3 · 2:20](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=140)
- The appendix should be examined for endometriotic lesions, which may appear as multiple red lesions or a single red lesion at the tip. (clinical) [Ep 3 · 2:30](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=150)
- The bowel should be run with particular attention to the cecum and sigmoid colon, as they are often involved. (guideline) [Ep 3 · 2:55](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=175)
- The upper abdomen and diaphragm should be evaluated, including visualization of the liver, gallbladder, and stomach. (guideline) [Ep 3 · 3:10](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=190)
- Multiple white and dark lesions can be seen along the right hemi diaphragm in diaphragmatic endometriosis. (clinical) [Ep 3 · 3:30](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=210)
- Diaphragmatic endometriosis can become quite extensive with miliary distribution of lesions. (clinical) [Ep 3 · 3:45](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=225)
- The presacral space should be examined, looking from the aortic bifurcation cranially, the sacral promontory caudally, and common iliac vessels bilaterally. (guideline) [Ep 3 · 4:10](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=250)
- With lateral retraction of the ovary, multiple dark lesions can be demonstrated, with care taken to examine all surfaces of the ovary. (clinical) [Ep 3 · 4:30](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=270)
- Gentle manipulation of the fallopian tube may show dark lesions in the ampullary portion that can appear to partially obstruct indigo carmine dye extravasation. (clinical) [Ep 3 · 4:50](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=290)
- The pelvic side wall should be examined with gentle medial retraction of the ovary to visualize lesions over the ureter. (guideline) [Ep 3 · 5:15](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=315)
- White, red and clear lesions can be seen along the pelvic wall. (clinical) [Ep 3 · 5:30](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=330)
- Medial rotation of the rectosigmoid allows for evaluation of the right paracolic gutter. (guideline) [Ep 3 · 5:45](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=345)
- The posterior cul-de-sac may show a miliary pattern of fibrosis or isolated red and white lesions along the rectum. (clinical) [Ep 3 · 6:00](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=360)
- Peritoneal defects should be evaluated as they may hide endometriotic lesions. (guideline) [Ep 3 · 6:20](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=380)
- Hemosiderin deposits can look similar to red lesions, but wash away with suction and irrigation. (clinical) [Ep 3 · 4:58](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- To evaluate depth of lesions, vaginal exam, rectal exam, and sigmoidoscopy are key adjuncts. (guideline) [Ep 3 · 4:58](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- Consideration of endometriosis should be included in all laparoscopies for abdominal pain in the adolescent female. (guideline) [Ep 3 · 4:58](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- Evaluation should be routine and systematic. (guideline) [Ep 3 · 4:58](https://origin-library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- The lymphatic malformation arose from the mesentery of the gastric lesser curvature. (clinical) [Ep 4 · 0:30](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=30)
- Initial ultrasound and CT scan demonstrated a large cystic mass thought to be of adnexal origin extending into the upper abdomen. (clinical) [Ep 4 · 0:50](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=50)
- Initial laparoscopic exploration supported the presumptive diagnosis of a cystic mass arising from the pelvis. (clinical) [Ep 4 · 1:10](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=70)
- Further manipulation demonstrated non-pelvic origin with normal adnexa. (clinical) [Ep 4 · 1:25](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=85)
- The mass was connected by a torsed pedicle traveling over the transverse colon through the greater omentum. (clinical) [Ep 4 · 1:35](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=95)
- An omental origin was initially suspected but further dissection demonstrated the omentum to be simply adherent to the torsed pedicle and not the source of it. (clinical) [Ep 4 · 1:50](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=110)
- The mass was discovered to be connected to another large cyst attached to the gastric wall, extending posterior to the stomach into the lesser sac. (clinical) [Ep 4 · 2:30](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=150)
- A ligature device was used to separate the mass from the gastric wall and gastric mesentery. (clinical) [Ep 4 · 2:55](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=175)
- Following excision, the greater curvature was completely intact and uninvolved. (clinical) [Ep 4 · 3:15](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=195)
- The mass arose from the lesser curvature mesentery and occupied the lesser sac. (clinical) [Ep 4 · 3:30](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=210)
- The stomach was tested for leak after installation of dilute methylene blue through the nasogastric tube, and none was identified. (clinical) [Ep 4 · 3:50](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=230)
- The mass was easily removed through the 10 millimeter umbilical port. (clinical) [Ep 4 · 4:05](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=245)
- The patient was started on oral intake a few hours after the operation and discharged the following day. (clinical) [Ep 4 · 4:15](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=255)
- All symptoms resolved postoperatively. (clinical) [Ep 4 · 4:25](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=265)
- A screening ultrasound one year after excision showed no recurrence. (clinical) [Ep 4 · 4:30](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=270)
- Lymphatic malformation was diagnosed grossly and histologically. (clinical) [Ep 4 · 4:38](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=278)
- Had this lesion been approached by a Pfannenstiel incision, a correct diagnosis and excision would not have been possible without a second laparotomy incision. (opinion) [Ep 4 · 4:45](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=285)
- The cyst was an epidermoid cyst of the spleen measuring more than 10 centimeters in greatest diameter in the upper pole. (clinical) [Ep 5 · 0:03](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=3)
- The cyst was discovered on ultrasound performed for abdominal pain in a 14 year old girl. (clinical) [Ep 5 · 0:03](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=3)
- Port placement uses 2 five-millimeter ports and 2 ten-millimeter ports, with the camera at umbilicus, superiormost epigastric port for retraction, and mid-epigastric and left lower quadrant ports for working instruments. (clinical) [Ep 5 · 0:50](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=50)
- The use of 2 ten-millimeter ports allows for a 10 millimeter energy device to be deployed parallel or perpendicular to the splenic axis as needed. (clinical) [Ep 5 · 1:40](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=100)
- All 3 midline port incisions are oriented vertically so that they can be included in a midline incision if conversion is necessary. (clinical) [Ep 5 · 1:40](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=100)
- The patient is positioned on a bean bag in a partial left lateral decubitus position, as is used for a laparoscopic splenectomy. (clinical) [Ep 5 · 2:10](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=130)
- The short gastric vessels are divided in order to devascularize the superior pole of the spleen containing the cyst. (clinical) [Ep 5 · 3:00](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=180)
- The cyst closely approaches the hilum, requiring division of a hilar branch vessel. (clinical) [Ep 5 · 3:50](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=230)
- The 10 millimeter ligature device is preferred for splenic transection because it compresses the tissues more securely and is less likely to simply fracture the spleen. (opinion) [Ep 5 · 4:20](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=260)
- Despite devascularization and despite using an energy device, a fair amount of bleeding should be expected during transaction. (clinical) [Ep 5 · 4:45](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=285)
- A suction device should be used to evacuate the blood intermittently as the transaction progresses. (clinical) [Ep 5 · 5:00](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=300)
- The raw surface of the spleen is cauterized using spray coagulation set at 30 to 40 watts. (clinical) [Ep 5 · 5:30](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=330)
- It is important to confirm complete hemostasis of the splenic surface. (clinical) [Ep 5 · 5:55](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=355)
- A large sheet of Surgicel is draped over the raw surface of the spleen and an omental pedicle is brought to the vicinity of the same surface. (clinical) [Ep 5 · 6:05](https://origin-library.globalcastmd.com/watch/laparoscopic-partial-splenectomy-for-splenic-cyst-2255?t=365)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- A GlobalCast audience poll showed almost 60% would perform percutaneous drainage for a well-formed abscess — The host summarizing the discussion [Ep 1 · 2:14](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=134)
- Faculty consensus was that the majority would place a percutaneous drain in this patient with a well-formed abscess — The host summarizing the discussion [Ep 1 · 2:55](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=175)
- Small bowel injuries from percutaneous drains have been observed — The host summarizing the discussion [Ep 1 · 3:30](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=210)
- Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern — The host summarizing the discussion [Ep 1 · 3:40](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=220)
- When catheter perforation into bowel is recognized, backing the catheter out works fine — The host summarizing the discussion [Ep 1 · 3:50](https://origin-library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=230)
- A GlobalCast audience poll from a few months prior showed almost 60% would perform percutaneous drainage for a well-formed abscess instead of operating — The host summarizing the discussion [Ep 2 · 2:18](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=138)
- The majority of faculty present would have placed a percutaneous drain in this patient with a well-formed abscess — The host summarizing the discussion [Ep 2 · 2:55](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=175)
- Small bowel injuries from percutaneous drains have been observed by faculty — The host summarizing the discussion [Ep 2 · 3:30](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=210)
- When a drain is found to be in the colon, backing the catheter out is an acceptable management approach — The host summarizing the discussion [Ep 2 · 3:52](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=232)
- Faculty typically just remove the catheter when it is found to be in the colon — The host summarizing the discussion [Ep 2 · 4:00](https://origin-library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=240)
- Abdominal lymphatic malformations can be discovered incidentally or become acutely symptomatic due to torsion, hemorrhage, rupture, or sudden enlargement. — The host summarizing a resource [Ep 4 · 0:06](https://origin-library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=6)

## Changelog
- Sep 17: 1 item added automatically
- Sep 16: 4 items added automatically

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