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    878 results match your criteria Case reports in surgery[Journal]

    1 OF 18

    Primary Leiomyosarcoma of the Colon: A Report of Two Cases, Review of the Literature, and Association with Immunosuppression for IBD and Rheumatoid Arthritis.
    Case Rep Surg 2018 30;2018:6824643. Epub 2018 Jan 30.
    Jersey Shore University Medical Center, Neptune, NJ, USA.
    Primary leiomyosarcomas (LMS) of the colon are rare and aggressive neoplasms and have been infrequently reported in the literature. These tumors are more aggressive and have poorer prognoses than adenocarcinoma of the colon and are often mistaken as such on initial evaluation. While the former has a clear association with inflammatory bowel disease (IBD), this correlation is not known to exist with LMS and IBD. Read More

    Phytobezoar: A Brief Report with Surgical and Radiological Correlation.
    Case Rep Surg 2018 26;2018:5253162. Epub 2018 Mar 26.
    Department of Surgery, Hartford Hospital, University of Connecticut, Hartford, CT, USA.
    Gastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37-year-old man with a distant history of laparotomy for superior mesenteric artery thrombosis requiring partial small bowel resection of the jejunum who presented with worsening abdominal pain, nausea, vomiting, and hematemesis. An abdominal computed tomography revealed dilated loops of small bowel with a transition point at the ileum, distal to his prior bowel anastomosis. Read More

    Penile and Scrotal Strangulation due to Metal Rings: Case Reports and a Review of the Literature.
    Case Rep Surg 2018 27;2018:5216826. Epub 2018 Mar 27.
    Department of Urology, New York Medical College, Valhalla, NY, USA.
    Penile and scrotal entrapment from a metal ring placed at the base of the penis is a rare, but important clinical dilemma encountered in urology. Emergent presentation to the urologist, after ring placement far longer than safely practiced, risks ischemic and permanent injury to penile, scrotal, and intrascrotal structures. Treating urologists should be aware of the prevalence of metal ring use, their potential complications, and the surgical approach to their safe removal. Read More

    Isolated Superior Mesenteric Vein Tumor Thrombus in a Patient with Gastric Cancer.
    Case Rep Surg 2018 27;2018:3648436. Epub 2018 Mar 27.
    Department of General Surgery, Medstar Antalya Hospital, Antalya, Turkey.
    Tumor thrombus in the portal vein can rarely originate from gastric cancer via hematogenous spread, with only few case reports published in the literature. Isolated superior mesenteric vein tumor thrombus in gastric cancer has not been previously reported. A 61-year-old male patient who had undergone distal gastrectomy and gastroenterostomy for gastric ulcer 20 years ago was diagnosed with an obstructive tumor originating from the gastroenterostomy anastomosis site on upper gastrointestinal endoscopy that was performed for complaints of fatigue, oral feeding problems, and anemia. Read More

    Reconstruction of the Adult Hemifacial Microsomia Patient with Temporomandibular Joint Total Joint Prosthesis and Orthognathic Surgery.
    Case Rep Surg 2018 15;2018:2968983. Epub 2018 Mar 15.
    Department of Biomedical and Neuromotor Sciences, Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy.
    Background: HFM patients' reconstruction has always been a challenge for maxillofacial surgeons, and numerous reconstructive techniques have been described. Surgical treatment depends on the patient's age and contemplates Temporomandibular Joint (TMJ) reconstruction in conjunction with orthognathic surgery, usually necessary following completion of growth to maximize the functional and esthetic results. Distraction osteogenesis had gained popularity as valid alternative in growing patients, but the two primary methods to reconstruct the TMJs involve the use of autogenous, using free or microvascular bone grafts, or alloplastic graft, but there is no widely accepted method. Read More

    Laparoscopic Splenectomy for Splenic Metastasis from Primary Lung Carcinoma.
    Case Rep Surg 2018 14;2018:2620301. Epub 2018 Mar 14.
    Pablo Tobón Uribe Hospital, El Rosario Clinic, Medellín, Colombia.
    Introduction: Isolated splenic metastases are a rare finding. Though several primary tumors can produce splenic metastases, including lung carcinoma, there are very few documented cases of isolated splenic metastases from lung carcinoma. This report presents such a case in which the splenic metastasis was removed with laparoscopic splenectomy. Read More

    A Midgut Duplication Cyst Lined by Respiratory Epithelium.
    Case Rep Surg 2018 12;2018:2678782. Epub 2018 Mar 12.
    Colorectal Surgery, Derriford Hospital, Plymouth PL6 8DH, UK.
    Duplication cysts are an uncommon finding. Majority of these cases are found in the region of the midgut, and many have been reported in literature. However, there has been only one previous case of a midgut duplication cyst lined by respiratory epithelium. Read More

    Effect of 4DryField PH, a Novel Adhesion Barrier, on Recurrence of Intestinal Adhesions after Extensive Visceral Adhesiolysis.
    Case Rep Surg 2018 11;2018:9628742. Epub 2018 Mar 11.
    Department of General and Visceral Surgery, Evangelisches Krankenhaus Unna, Holbeinstr. 10, 59423 Unna, Germany.
    Background: Adhesions occur after up to 97% of abdominal interventions causing chronic pain, infertility, and intestinal obstruction. Various concepts to prevent adhesions have been presented but mostly either have low efficacy or are not applicable in resective intestinal surgery or incomplete hemostasis. In this retrospective one-center clinical trial, the course of patients with extensive abdominal adhesiolysis and application of a recent starch-based formulation, 4DryField PH (4DF), is analyzed. Read More

    Pancreatic Hydatid Cyst Causing Acute Pancreatitis: A Case Report and Literature Review.
    Case Rep Surg 2018 5;2018:9821403. Epub 2018 Mar 5.
    Department of General Surgery, Al-Assad University Hospital, Faculty of Medicine, Damascus, Syria.
    Hydatidosis is a public health problem in endemic countries. Hydatid cysts are located usually in the liver and the lungs. Primary pancreatic hydatid cyst is in unusual location and rarely causes acute pancreatitis. Read More

    Leiomyoma of the Round Ligament of the Uterus Mimicking Inguinal Hernia.
    Case Rep Surg 2018 1;2018:6702494. Epub 2018 Mar 1.
    Second Surgical Department, Sismanoglion General Hospital, Marousi, Greece.
    Masses of the round ligament of the uterus are uncommon. Leiomyomas are the most common of them, followed by mesothelial cysts and in some cases endometriosis. The exact incidence is not known, but most cases are frequently encountered during the fertility age. Read More

    Endolumenal Vacuum Therapy and Fistulojejunostomy in the Management of Sleeve Gastrectomy Staple Line Leaks.
    Case Rep Surg 2018 4;2018:2494069. Epub 2018 Mar 4.
    Division of Minimally Invasive Surgery, Baylor University Medical Center at Dallas, Dallas, TX 75246, USA.
    Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery performed for morbid obesity. Leaks of the vertical staple line can occur in up to 7% of cases and are difficult to manage. Endolumenal vacuum (EVAC) therapy and fistulojejunostomy (FJ) have separate documented uses to heal these complicated leaks. Read More

    Hydatid Cyst of the Adrenal Gland: Is Radical Surgery Necessary for Recurrent Hydatid Disease?
    Case Rep Surg 2018 22;2018:6452402. Epub 2018 Feb 22.
    Department of Surgery, Inonu University Faculty of Medicine, 44280 Malatya, Turkey.
    Hydatid cyst disease caused by is a zoonotic disease that may involve many body tissues and organs, mainly liver. Adrenal glands are rarely involved even in regions where hydatid cyst disease is endemic. A limited number of studies have been reported on adrenal gland involvement by hydatid cyst disease. Read More

    Blunt Pancreatic Injury in Major Trauma: Decision-Making between Nonoperative and Operative Treatment.
    Case Rep Surg 2018 22;2018:6197261. Epub 2018 Feb 22.
    Department of Pulmonology, Intensive Care Medicine, Paracelsus Medical University, Nuremberg, Germany.
    Blunt trauma injuries to the pancreas are rare but are associated with significant overall mortality and a high complication rate. Motor vehicle collisions are the leading cause of blunt pancreatic trauma, followed by falls, and sports injuries. We discuss the decision-making process used during the clinical courses of 3 patients with life-threatening blunt pancreatic injuries caused by traumatic falls. Read More

    Granulomatosis with Polyangiitis Localized in the Greater Omentum.
    Case Rep Surg 2018 28;2018:6145903. Epub 2018 Feb 28.
    Department of Pathology, Mitsui Memorial Hospital, Tokyo, Japan.
    Granulomatosis with polyangiitis (GPA) is known as anti-neutrophil cytoplasmic antibody- (ANCA-) associated small vessel vasculitis and typically manifests as pulmonary-renal syndrome, but the disease is not limited to pulmonary or renal systems. The inflammation can involve whole body organs. In addition, the ANCA titer does not always become positive. Read More

    Surgical Management of Encapsulating Peritoneal Sclerosis: A Case Report in Kidney Transplant Patient.
    Case Rep Surg 2018 21;2018:4965459. Epub 2018 Feb 21.
    University of Virginia School of Medicine, Charlottesville, VA, USA.
    Introduction: Encapsulating peritoneal sclerosis (EPS) is a clinical syndrome of progressive fibrotic change in response to prolonged, repetitive, and typically severe insult to the peritoneal mesothelium, often occurring in the setting of peritoneal dialysis (PD). Clear guidelines for successful management remain elusive. We describe the successful surgical management of EPS in a 28-year-old male s/p deceased donor kidney transplant for end-stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS). Read More

    Isolated Right-Sided Posttraumatic Diaphragmatic Hernia.
    Case Rep Surg 2018 19;2018:8758021. Epub 2018 Feb 19.
    Pediatric Surgery Department, National Hospital of Lamordé, Niamey, Niger.
    Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. Read More

    Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review.
    Case Rep Surg 2018 24;2018:7839465. Epub 2018 Jan 24.
    Pablo Tobón Uribe Hospital, Medellin, Colombia.
    Introduction: Surgery for cardiac trauma is considered fatal and for wounds of the colon by associated sepsis is normally considered; however, conservative management of many traumatic lesions of different injured organs has progressed over the years.

    Presentation Of The Case: A 65-year-old male patient presented with multiple shotgun wounds on the left upper limb, thorax, and abdomen. On evaluation, he was hemodynamically stable with normal sinus rhythm and normal blood pressure, no dyspnea, or abdominal pain. Read More

    Tubular Duplication of the Midgut Presenting with Acute Abdomen and Hematochezia: A Case Report from Northern Tanzania.
    Case Rep Surg 2018 24;2018:2858723. Epub 2018 Jan 24.
    Department of Pediatrics, Kilimanjaro Christian Medical Center, P.O. Box 3010, Moshi, Tanzania.
    Enteric duplication is one of the rare malformations affecting the small intestine more than the other parts of the gastrointestinal tract. It poses a challenge in diagnosis due to nonspecific symptoms that may mimic other pathologies. Furthermore, the management options including total resection, mucosal striping, and internal drainage of the duplicate depend on the presentation of the patient, site, and length of the involved bowel. Read More

    A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy.
    Case Rep Surg 2018 19;2018:1978362. Epub 2018 Feb 19.
    Department of Anatomy, Medical School, University of Athens, Athens, Greece.
    Spleen preserving laparoscopic distal pancreatectomy is considered as first choice operation for symptomatic benign or small malignant lesions located at the body or tail of the pancreas. The two main surgical techniques that have been proposed and widely adopted for spleen preserving laparoscopic distal pancreatectomy are the Warshaw and Kimura techniques. A novel modified approach for laparoscopic spleen preserving distal pancreatectomy is presented. Read More

    Unusual Life-Threatening Pneumothorax Complicating a Ruptured Complex Aspergilloma in an Immunocompetent Patient in Cameroon.
    Case Rep Surg 2018 15;2018:8648732. Epub 2018 Feb 15.
    Department of Surgery, University Hospital Centre of Yaoundé, University of Yaoundé I, Yaounde, Cameroon.
    An aspergilloma is a well-recognized lesion of the lung caused most of the time by the fungus . Its main complication is hemoptysis and has been very rarely associated with tension pneumothorax. We present the case of a 47-year-old man with a history of treated and healed tuberculosis, which was successfully managed in our service for a ruptured right upper lobe complexed aspergilloma, complicated by a massive and tension pneumothorax. Read More

    Torsion of the Omentum: A Rare Cause of Acute Abdomen in a 14-Year-Old Boy.
    Case Rep Surg 2018 31;2018:7257460. Epub 2018 Jan 31.
    Department of Surgery, Midland Regional Hospital, Longford Road, Robinstown (Levinge), Mullingar, Co. Westmeath, Ireland.
    Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. Read More

    Transvaginal Small Bowel Evisceration following Abdominoperineal Resection.
    Case Rep Surg 2018 15;2018:6012809. Epub 2018 Feb 15.
    Department of General Surgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
    Abdominoperineal resection (APR) is one of the surgical techniques performed for the distal rectal cancer. The perineal herniation is one of the complications of APR surgery. In this report, we aim to demonstrate a rare case of small bowel evisceration and strangulation secondary to the transvaginal herniation evolved in the late stage after perineal hernia repair following laparoscopic APR. Read More

    An Extremely Rare Bile Leakage: Aberrant Bile Duct in Left Triangular Ligament (Appendix Fibrosa Hepatis).
    Case Rep Surg 2018 31;2018:1259561. Epub 2018 Jan 31.
    Department of General Surgery, Suleyman Demirel University Medical School, Isparta, Turkey.
    Background: The anatomical variability of bile ducts can leave surgeons in very difficult conditions.Ultrasonography, computed tomography, magnetic resonance imaging (MRCP) and endoscopic imaging methods are used in diagnosis. In addition to conservative approaches, endoscopic procedures and laparoscopic or open surgical interventions may be necessary for treatment. Read More

    Hepatic Rupture Induced by Spontaneous Intrahepatic Hematoma.
    Case Rep Surg 2018 28;2018:2026846. Epub 2018 Jan 28.
    Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu 213000, China.
    The etiology of hepatic rupture is usually secondary to trauma, and hepatic rupture induced by spontaneous intrahepatic hematoma is clinically rare. We describe here a 61-year-old female patient who was transferred to our hospital with hepatic rupture induced by spontaneous intrahepatic hematoma. The patient had no history of trauma and had a history of systemic lupus erythematosus for five years, taking a daily dose of 5 mg prednisone for treatment. Read More

    Adenocarcinoma of the Colon Disguised as Abdominal Wall Abscess: Case Report and Review of the Literature.
    Case Rep Surg 2018 24;2018:1974627. Epub 2018 Jan 24.
    Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
    Introduction: Abdominal wall invasion by cancerous cells arising from the colon with an overlying secondary infection that presents as an abdominal wall abscess has been encountered previously, but such a symptom is rarely the first presentation of colon cancer. There are very few cases reported in the literature.

    Case Presentation: In this case report, we present a case of a 66-year-old male presenting with abdominal wall abscess that was refractory to treatment. Read More

    Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature.
    Case Rep Surg 2018 9;2018:3862575. Epub 2018 Jan 9.
    Department of Pathology, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand.
    The authors report a case of a patient with intrahepatic sarcomatous cholangiocarcinoma. A 45-year-old Thai man presented with a 3-month history of right upper abdominal pain. CT scan revealed hepatomegaly with a 6. Read More

    Mucinous Carcinomatosis: A Rare Association between an Ovarian Tumor and an E-GIST.
    Case Rep Surg 2018 11;2018:6897372. Epub 2018 Jan 11.
    General Surgery Department, Hospital de Braga, Braga, Portugal.
    Pseudomyxoma peritonei (PMP) and extragastrointestinal stromal tumors (E-GISTs) are both rare entities. Most of the time, PMP is associated with an appendiceal tumor. An ovarian mucinous tumor can mimic appendiceal metastases. Read More

    Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis.
    Case Rep Surg 2018 18;2018:5474919. Epub 2018 Jan 18.
    Cardiothoracic Surgery Department, Castle Hill Hospital, Cottingham, UK.
    Colorectal carcinoma is the second biggest cancer responsible for mortality. Lung metastasis is the commonest, following the liver. It is not uncommon to perform pulmonary metastasectomy and identify mediastinal metastasis. Read More

    Extra-Anatomic Jump Graft from the Right Colic Vein: A Novel Technique to Manage Portal Vein Thrombosis in Liver Transplantation.
    Case Rep Surg 2018 14;2018:4671828. Epub 2018 Jan 14.
    Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.
    Background: In the context of cirrhosis, portal vein thrombosis (PVT) is present in 2.1% to 26% of patients. PVT is no longer considered an absolute contraindication for liver transplantation, and nowadays, surgical strategies depend on the extent of PVT. Read More

    A Case of Rare Complication of Inguinal Parietoplasty according to Lichtenstein: Entero Cutaneous Fistula.
    Case Rep Surg 2018 17;2018:3592738. Epub 2018 Jan 17.
    Department of General and Digestive Surgery, University Hospital of Bouaké, Bouaké, Côte d'Ivoire.
    Lichtenstein intervention is currently the classic model of the regulated treatment of inguinal hernias by direct local approach. This "tension-free" technique satisfies both patients and practitioners. However, it does not often evade severe complications of parietal surgery. Read More

    Surgical Management of a Giant Adrenal Pseudocyst: A Case Report and Review of the Literature in the Last Decade.
    Case Rep Surg 2018 1;2018:8473231. Epub 2018 Feb 1.
    1st Propedeutic Surgical Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
    Adrenal pseudocysts are rare entities and occurred in the 5th and the 6th decades of life. They are discovered accidentally, while appearing with nonspecific clinical and imaging findings. We report a case of a 28-year-old woman presented in our Emergency Department complaining about upper abdomen pain. Read More

    Primary Peritonitis: An Index Case of Infection in a Healthy Female.
    Case Rep Surg 2018 6;2018:4587801. Epub 2018 Feb 6.
    Legacy Good Samaritan Hospital, 1015 NW 22nd Ave., Portland, OR 97210, USA.
    Introduction: Primary peritonitis in healthy immunocompetent individuals is rare. Several case reports of species causing peritonitis have been described. Here, we present the first case of as the cause of primary peritonitis in a healthy woman. Read More

    Free Intraperitoneal Gallstone: An Unusual Case of Small Bowel Obstruction from Extrinsic Compression.
    Case Rep Surg 2018 8;2018:1341572. Epub 2018 Jan 8.
    Department of Surgery, Logan Hospital, Meadowbrook, QLD, Australia.
    Laparoscopic cholecystectomy (LC) is preferred in the treatment of symptomatic cholecystolithiasis. Gallstone spillage is not uncommon, and there have been reports of associated complications. We report a case of a free intraperitoneal gallstone, left inadvertently during LC, which developed an inflammatory phlegmon with abscess containing gallstone, causing extraluminal compression on the distal ileum, resulting in small bowel obstruction. Read More

    Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient.
    Case Rep Surg 2017 21;2017:9424237. Epub 2017 Dec 21.
    Health and Human Development (2HD) Research Network, Douala, Cameroon.
    Typhoid ileal perforation (TIP) is the most lethal complication of typhoid fever. Although TIP is a surgical emergency by consensus, there is still much controversy regarding the most appropriate surgical approach to be used. Bowel exteriorization and secondary closure are usually recommended for patients presenting late with multiple TIPs and heavy peritoneal soiling. Read More

    A First Report of Synchronous Intracapsular and Extracapsular Hepatic Adenoma.
    Case Rep Surg 2017 19;2017:9053568. Epub 2017 Dec 19.
    Medical Faculty, Department of General Surgery, Ondokuz Mayis University, Samsun, Turkey.
    Although the gallbladder is the most common site of ectopic liver, it has been reported in many other organs, such as kidney, adrenal glands, pancreas, omentum, stomach, esophagus, mediastinum, lungs, and heart. Hepatocytes in an ectopic liver behave like normal hepatocytes; furthermore, they can be associated with the same pathological findings as those in the main liver. Ectopic liver in the gallbladder can undergo fatty change, hemosiderosis, cholestasis, cirrhosis, hemangioma, focal nodular hyperplasia, adenoma, and even carcinogenesis. Read More

    A Case of Midgut Volvulus Associated with a Jejunal Diverticulum.
    Case Rep Surg 2017 19;2017:3173875. Epub 2017 Dec 19.
    Jersey Shore University Medical Center, Neptune City, NJ 07753, USA.
    Midgut volvulus in adults is a rare entity that may present with intermittent colicky abdominal pain mixed with completely asymptomatic episodes. This small bowel twist may result in complications of obstruction, ischemia, hemorrhage, or perforation. With a midgut volvulus, complications may be life-threatening, and emergent surgical intervention is the mainstay of treatment. Read More

    Large Enterolith Complicating a Meckel Diverticulum Causing Obstructive Ileus in an Adolescent Male Patient.
    Case Rep Surg 2017 17;2017:1871434. Epub 2017 Dec 17.
    Second Department of Surgery, National and Kapodistrian University of Athens, School of Medicine, Aretaieion University Hospital, Athens, Greece.
    We present a unique case of a 16-year-old male patient who was eventually diagnosed with a large enterolith arising from a Meckel's diverticulum. The enterolith had caused intermittent intestinal symptoms for three years before resulting in small bowel obstruction requiring surgical intervention. Meckel's enterolith ileus is very rare with only few cases described in the literature. Read More

    Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy.
    Case Rep Surg 2017 6;2017:3913784. Epub 2017 Dec 6.
    Department of General Surgery, St George Hospital, Kogarah, NSW, Australia.
    Paraduodenal hernias are rare congenital internal hernias accounting for <2% of intestinal obstruction. Left paraduodenal hernias (LPDHs) into the fossa of Landzert are the more common type and result from abnormal rotation of the midgut and failure of peritoneal fusion. Sequelae of these hernias usually occur spontaneously in the 4th or 5th decade of life and are more common in males and have a significant risk of incarceration and subsequent strangulation. Read More

    Mesenchymal Hamartoma of the Liver: Complete Excision Always Necessary.
    Case Rep Surg 2017 16;2017:8314102. Epub 2017 Nov 16.
    Department of Gastrointestinal Surgery, Nizam's Institute of Medical Sciences, Hyderabad 500082, India.
    Mesenchymal hamartoma (MH) is not an uncommon tumor of the liver in the age group of 2-10 years. It is the second most common benign liver tumor in children. Previously considered a developmental anomaly, newer insights into other theories of origin including toxic-metabolic, ischemic, and a true neoplastic process are in progress. Read More

    Inflammatory Fibroid Polyp: An Unusual Cause of Ileoileal Intussusception.
    Case Rep Surg 2017 16;2017:6315934. Epub 2017 Nov 16.
    Department of Surgery, Oklahoma State University Medical Center, Tulsa, OK, USA.
    Inflammatory fibroid polyp (IFP), or Vanek's tumor, is a rare benign lesion of the gastrointestinal tract. Clinical manifestations of IFP vary based on size and location within the GI tract. This case describes a patient who presented with hematochezia and abdominal pain. Read More

    A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma.
    Case Rep Surg 2017 26;2017:7639265. Epub 2017 Nov 26.
    Department of General Surgery, Barnet and Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UK.
    A 23-year-old male with a history of previous abdominal surgery was involved in a road traffic accident. He was discharged after initial assessment but represented several days with small bowel obstruction secondary to a mesenteric haematoma. He underwent resection and recovered well but represented later on the day of discharge with a leaking surgical wound consistent with an enterocutaneous fistula. Read More

    Retroperitoneal Necrotizing Fasciitis from Fournier's Gangrene in an Immunocompromised Patient.
    Case Rep Surg 2017 3;2017:5290793. Epub 2017 Dec 3.
    The Arizona Burn Center, Maricopa Integrated Health System, Phoenix, AZ, USA.
    Introduction: Necrotizing fasciitis (NF) is a devastating soft tissue disease causing fulminant clinical deterioration, and extension into the retroperitoneum has a high mortality rate. This disease process demands a strong clinical suspicion for early identification which must be coupled with frequent wide surgical debridements and intravenous antibiotics for improved outcomes. Various clinical risk factors may render a weakness in the patient's immune status including diabetes mellitus, chronic renal failure, obesity, and autoimmune disorders, such as a human immunodeficiency virus (HIV) infection. Read More

    Mesh Migration into the J-Pouch in a Patient with Post-Ulcerative Colitis Colectomy: A Case Report and Literature Review.
    Case Rep Surg 2017 23;2017:3617476. Epub 2017 Nov 23.
    Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
    Mesh repair offers advantages like lower postsurgical pain and earlier return to work. Thus, it has become a widely used treatment option. Here, we present the first case report of a mesh migration into a J-pouch in a patient with history of ulcerative colitis who underwent total abdominal colectomy with J-pouch and ileoanal anastomosis and a subsequent laparoscopic ventral hernia repair with mesh. Read More

    Successful Outcome and Biliary Drainage in an Infant with Concurrent Alpha-1-Antitrypsin Deficiency and Biliary Atresia.
    Case Rep Surg 2017 29;2017:9348461. Epub 2017 Nov 29.
    Department of Surgery, School of Medicine, University of California San Diego, La Jolla, San Diego, CA 92093, USA.
    We describe the rare instance of concomitant biliary atresia and alpha-1-antitrypsin deficiency and the first documented successful portoenterostomy in this scenario. The potential for dual pathology must be recognized and underscores that prompt diagnosis of biliary atresia, despite concomitant alpha-1-antitrypsin deficiency, is essential to afford potential longstanding native liver function. Read More

    Abdominal Pregnancy in the Small Intestine Presenting as Acute Massive Lower Gastrointestinal Hemorrhage.
    Case Rep Surg 2017 29;2017:8017937. Epub 2017 Nov 29.
    Surgery Unit, Khon Kaen Hospital, Khon Kaen, Thailand.
    An abdominal pregnancy is an ectopic pregnancy in which the implantation site occurs in the abdominal cavity outside the female reproductive organs. There have been four reported cases that ruptured into the gastrointestinal tract and into the large intestine. We present the first case of an abdominal pregnancy rupturing into the small intestine with a good outcome. Read More

    Gallbladder Mucus Plug Mimicking Ascaris Worm: An Ambiguous Cause of Biliary Colic.
    Case Rep Surg 2017 26;2017:7167934. Epub 2017 Nov 26.
    Hepatobiliary and Transplant Unit, Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait.
    Biliary colic is a visceral pain caused by attempts of the gallbladder or bile duct to overcome the obstruction in the cystic duct or ampulla of Vater. Obstruction can be due to different etiologies such as stone, mass, worm, and rarely by mucus plug. We report the case of a 31-year-old gentleman who presented with recurrent biliary colic and weight loss. Read More

    Open Approach to Primary Lumbar Hernia Repair: A Lucid Option.
    Case Rep Surg 2017 17;2017:5839491. Epub 2017 Oct 17.
    Department of Surgery, D. Y. Patil University School of Medicine, Nerul, Navi Mumbai 400706, India.
    Background: Lumbar hernia is a rare type of hernia. Awareness of the anatomical basis of this hernia is important for proper diagnosis and treatment.

    Introduction: Lumbar hernia is a protrusion of either extraperitoneal fat or intraperitoneal contents through either of the lumbar triangles. Read More

    A Rare Case of Inguinal Hernia with Complete Bladder Herniation.
    Case Rep Surg 2017 31;2017:4658169. Epub 2017 Oct 31.
    Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, UK.
    Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. Read More

    Cholecystectomy of an Intrahepatic Gallbladder in an Ectopic Pelvic Liver: A Case Report and Review of the Literature.
    Case Rep Surg 2017 31;2017:3568768. Epub 2017 Oct 31.
    Virginia Surgery Associates, Fairfax, VA, USA.
    Introduction: Ectopic pelvic liver is an exceedingly rare condition usually resulting after repair of congenital abdominal wall defects. Intrahepatic gallbladder is another rare condition predisposing patients to cholelithiasis and its sequelae. We describe a cholecystectomy in a patient with an intrahepatic gallbladder in a pelvic ectopic liver. Read More

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