Omkaar Jaikaran

Abstract Vasospasm-induced acute limb ischemia (ALI), also known as vasospastic limb ischemia (VLI), is a rare, underreported vascular event. Unlike thrombotic and embolic occlusive etiologies, which often warrant revascularization, vasospasm is a transient phenomenon that may be successfully managed conservatively without surgical intervention. Thus, prompt recognition and accurate diagnosis of VLI is imperative to avoid unnecessary surgical or endovascular procedures.

Portomesenteric thrombosis after robotic sleeve gastrectomy Omkaar Jaikaran1, Derek Lim1, Brian Binetti2 and Vadim Meytes2 1Department of Surgery, New York University Medical Center, Brooklyn, New York, USA 2Department of Surgery, Nuvance Health, Rhinebeck, New York, USA Correspondence to Dr Vadim Meytes; vadim.meytes{at}gmail.com Abstract Portomesenteric thrombosis is an important but rarely reported complication following bariatric surgery.

Abstract We discuss the rare case of a 72 year old female with a history of a non-healing lower extremity ulcer that was biopsied revealing malignant transformation to basal cell carcinoma (BCC). Although basal cell carcinoma is the most common malignancy worldwide, malignant transformation of non-healing wounds are more often associated with squamous cell carcinoma. Current literature estimates the rate of BCC arising from venous stasis ulcer to occur between 1.5-15%.